88482-5  Functional abilities and goals - admission [CMS Assessment]Functional abilities and goals - admission [CMS Assessment]Functional abilities and goals - admission: -: Pt: ^Patient: -: CMS Assessment  

PANEL HIERARCHY

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  88482-5   Functional Abilities and Goals - Admission    
       83239-4   Prior Functioning: Everyday Activities    
            85070-1   Self-Care    
            85071-9   Indoor Mobility (Ambulation)    
            85072-7   Stairs    
            85073-5   Functional Cognition    
       83234-5   Prior Device Use 1..5   
       83233-7   Self-Care - Admission Performance    
            83232-9   Eating    
            83230-3   Oral hygiene    
            83228-7   Toileting hygiene    
            83226-1   Shower/bathe self    
            83224-6   Upper body dressing    
            83222-0   Lower body dressing    
            83220-4   Putting on/taking off footwear    
       85054-5   Self-Care - Discharge Goal    
            83231-1   Eating    
            83229-5   Oral hygiene    
            83227-9   Toileting hygiene    
            83225-3   Shower/bathe self    
            83223-8   Upper body dressing    
            83221-2   Lower body dressing    
            83219-6   Putting on/taking off footwear    
       88330-6   Mobility - Admission 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    
       85056-0   Mobility - Discharge Goal    
            83217-0   Roll left and right    
            83215-4   Sit to lying    
            83213-9   Lying to sitting on side of bed    
            83211-3   Sit to stand    
            83209-7   Chair/Bed-to-chair transfer    
            83207-1   Toilet transfer    
            83205-5   Car transfer    
            83203-0   Walk 10 feet    
            83201-4   Walk 50 feet with two turns    
            83199-0   Walk 150 feet    
            83197-4   Walking 10 feet on uneven surfaces    
            83195-8   1 step (curb)    
            83193-3   4 steps    
            83191-7   12 steps    
            83189-1   Picking up object    
            83187-5   Wheel 50 feet with two turns    
            83236-0   Wheel 150 feet    
 

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Functional abilities and goals - admission  Pt  ^Patient  CMS Assessment
  Override Display Name for Form:  Functional Abilities and Goals - Admission
  Long Common Name:  Functional abilities and goals - admission [CMS Assessment]

OBSERVATION ID IN FORM
GG

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

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]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP266107-4  Functional abilities and goals - admission 
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   LP21059-8  Panel 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment PANEL.SURVEY.CMS Point in time
  Pan Panl Random
  Panel Pnl Survey

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG     2.0 
   CMS IRF-PAI   GG     3.0 
   CMS MDS   GG     1.17.1 
   CMS MDS   GG     1.16.1 
   CMS OASIS   GG     D 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:12 PM
  Long Common Name: Functional abilities and goals - admission [CMS Assessment]
  Fully Specified Name: Functional abilities and goals - admission: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 5
  ID: 95058
  # of Panel Elements: 62
  Status (Raw): ACTIVE



Selected information about each LOINC that is part of this panel



83239-4   Prior functioning: everyday activities [CMS Assessment]Prior functioning: everyday activities [CMS Assessment]Prior functioning: everyday activities: -: Pt: ^Patient: -: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Prior functioning: everyday activities  Pt  ^Patient  CMS Assessment
  Override Display Name for Form:  Prior Functioning: Everyday Activities
  Long Common Name:  Prior functioning: everyday activities [CMS Assessment]

OBSERVATION ID IN FORM
GG0100

FORM CODING INSTRUCTIONS
Indicate the patient's usual ability with everyday activities prior to the current illness, exacerbation, or injury.

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

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88368-6 Outcome and assessment information set (OASIS) form - version D - Resumption of care [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232497-0  Prior functioning: everyday activities 
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   LP21059-8  Panel 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment PANEL.SURVEY.CMS Point in time
  Pan Panl Random
  Panel Pnl Survey

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0100     2.0 
   CMS IRF-PAI   GG0100     3.0 
   CMS IRF-PAI   GG0100     1.5 
   CMS IRF-PAI   GG0100     1.4 
   CMS MDS   GG0100     1.17.1 
   CMS MDS   GG0100     1.16.1 
   CMS OASIS   GG0100     D 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:12 PM
  Long Common Name: Prior functioning: everyday activities [CMS Assessment]
  Fully Specified Name: Prior functioning: everyday activities: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 4
  ID: 87728
  Status (Raw): ACTIVE


85070-1   Prior functioning.self care [CMS Assessment]Prior functioning.self care [CMS Assessment]Prior functioning.self care: Find: Pt: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Prior functioning.self care  Find  Pt  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Self-Care
  Long Common Name:  Prior functioning.self care [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Need for assistance with bathing, dressing, using the toilet, or eating prior to the current illness, exacerbation, or injury.
 
 

OBSERVATION ID IN FORM
GG0100A

FORM CODING INSTRUCTIONS
Code the patient's need for assistance with bathing, dressing, using the toilet, or eating prior to the current illness, exacerbation, or injury.

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: Change Component display to match Component, like similar terms.

NORMATIVE ANSWER LIST    (LL4309-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.       3       LA11539-6  
  2       Needed some help - Patient needed partial assistance from another person to complete activities.       2       LA26832-8  
  3       Dependent - A helper completed the activities for the patient.       1       LA11541-2  
  4       Unknown
http://snomed.info/sct ©: 261665006 Unknown (qualifier value)    
  8       LA4489-6  
  5       Not applicable       9       LA4720-4  

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
  57039-0 Outcome and assessment information set (OASIS) form - version C LL812-9 NORMATIVE 3
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care LL812-9 NORMATIVE 3
  57191-9 Outcome and assessment information set (OASIS) form - version C - Resumption of Care LL812-9 NORMATIVE 3
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment] LL4309-2 NORMATIVE 5
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] LL812-9 NORMATIVE 3
  86189-8 Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] LL812-9 NORMATIVE 3
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4309-2 NORMATIVE 5
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4309-2 NORMATIVE 5
  88368-6 Outcome and assessment information set (OASIS) form - version D - Resumption of care [CMS Assessment] LL4309-2 NORMATIVE 5
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment] LL4309-2 NORMATIVE 5
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4309-2 NORMATIVE 5
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75431-4  Prior functioning.self care 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment QL Self-care
  Finding Qual Survey
  Findings Qualitative  
  Ordinal Random  
  Point in time Screen  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0100A     2.0 
   CMS IRF-PAI   GG0100A     3.0 
   CMS IRF-PAI   GG0100A     1.5 
   CMS IRF-PAI   GG0100A     1.4 
   CMS MDS   GG0100A     1.17.1 
   CMS MDS   GG0100A     1.16.1 
   CMS OASIS   GG0100A     D 
   CMS OASIS   M1900A     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:12 PM
  Long Common Name: Prior functioning.self care [CMS Assessment]
  Fully Specified Name: Prior functioning.self care: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 4
  ID: 90240
  Status (Raw): ACTIVE


85071-9   Indoor mobility (Ambulation) [CMS Assessment]Indoor mobility (Ambulation) [CMS Assessment]Prior functioning.indoor mobility-ambulation: Find: Pt: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Prior functioning.indoor mobility-ambulation  Find  Pt  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Indoor Mobility (Ambulation)
  Long Common Name:  Indoor mobility (Ambulation) [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Need for assistance with walking from room to room (with or without a device such as cane, crutch, or walker) prior to the current illness, exacerbation, or injury.
 
 

OBSERVATION ID IN FORM
GG0100B

FORM CODING INSTRUCTIONS
Code the patient's need for assistance with walking from room to room (with or without a device such as cane, crutch, or walker) prior to the current illness, exacerbation, or injury.

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    (LL4309-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.       3       LA11539-6  
  2       Needed some help - Patient needed partial assistance from another person to complete activities.       2       LA26832-8  
  3       Dependent - A helper completed the activities for the patient.       1       LA11541-2  
  4       Unknown
http://snomed.info/sct ©: 261665006 Unknown (qualifier value)    
  8       LA4489-6  
  5       Not applicable       9       LA4720-4  

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] LL4309-2 NORMATIVE 5
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4309-2 NORMATIVE 5
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4309-2 NORMATIVE 5
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment] LL4309-2 NORMATIVE 5
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4309-2 NORMATIVE 5
  88368-6 Outcome and assessment information set (OASIS) form - version D - Resumption of care [CMS Assessment] LL4309-2 NORMATIVE 5
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment] LL4309-2 NORMATIVE 5
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4309-2 NORMATIVE 5
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  

PARTS

Part Type    Part No.  Part Name   
Component   LP241891-3  Prior functioning.indoor mobility-ambulation   [Indoor mobility (Ambulation)] 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Point in time Random
  Finding QL Screen
  Findings Qual Survey
  Ordinal Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0100B     2.0 
   CMS IRF-PAI   GG0100B     3.0 
   CMS IRF-PAI   GG0100B     1.5 
   CMS IRF-PAI   GG0100B     1.4 
   CMS LCDS   GG0100B     3.00 
   CMS LCDS   GG0100B     4.00 
   CMS MDS   GG0100B     1.17.1 
   CMS MDS   GG0100B     1.16.1 
   CMS OASIS   GG0100B     D 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:12 PM
  Long Common Name: Indoor mobility (Ambulation) [CMS Assessment]
  Fully Specified Name: Prior functioning.indoor mobility-ambulation: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 5
  ID: 90241
  Status (Raw): ACTIVE


85072-7   Stairs [CMS Assessment]Stairs [CMS Assessment]Prior functioning.stairs: Find: Pt: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Prior functioning.stairs  Find  Pt  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Stairs
  Long Common Name:  Stairs [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Need for assistance with internal or external stairs (with or without a device such as cane, crutch, or walker) prior to the current illness, exacerbation, or injury.
 
 

OBSERVATION ID IN FORM
GG0100C

FORM CODING INSTRUCTIONS
Code the patient's need for assistance with internal or external stairs (with or without a device such as cane, crutch, or walker) prior to the current illness, exacerbation, or injury.

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    (LL4309-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.       3       LA11539-6  
  2       Needed some help - Patient needed partial assistance from another person to complete activities.       2       LA26832-8  
  3       Dependent - A helper completed the activities for the patient.       1       LA11541-2  
  4       Unknown
http://snomed.info/sct ©: 261665006 Unknown (qualifier value)    
  8       LA4489-6  
  5       Not applicable       9       LA4720-4  

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] LL4309-2 NORMATIVE 5
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4309-2 NORMATIVE 5
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4309-2 NORMATIVE 5
  88368-6 Outcome and assessment information set (OASIS) form - version D - Resumption of care [CMS Assessment] LL4309-2 NORMATIVE 5
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment] LL4309-2 NORMATIVE 5
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4309-2 NORMATIVE 5
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  

PARTS

Part Type    Part No.  Part Name   
Component   LP241892-1  Prior functioning.stairs   [Stairs] 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Point in time Random
  Finding QL Screen
  Findings Qual Survey
  Ordinal Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0100C     2.0 
   CMS IRF-PAI   GG0100C     3.0 
   CMS IRF-PAI   GG0100C     1.5 
   CMS IRF-PAI   GG0100C     1.4 
   CMS MDS   GG0100C     1.17.1 
   CMS MDS   GG0100C     1.16.1 
   CMS OASIS   GG0100C     D 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:12 PM
  Long Common Name: Stairs [CMS Assessment]
  Fully Specified Name: Prior functioning.stairs: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 3
  ID: 90242
  Status (Raw): ACTIVE


85073-5   Functional cognition [CMS Assessment]Functional cognition [CMS Assessment]Prior functioning.functional cognition: Find: Pt: ^Patient: Ord: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Prior functioning.functional cognition  Find  Pt  ^Patient  Ord  CMS Assessment
  Override Display Name for Form:  Functional Cognition
  Long Common Name:  Functional cognition [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Need for assistance with planning regular tasks, such as shopping or remembering to take medication prior to the current illness, exacerbation, or injury.
 
 

OBSERVATION ID IN FORM
GG0100D

FORM CODING INSTRUCTIONS
Code the patient's need for assistance with planning regular tasks, such as shopping or remembering to take medication prior to the current illness, exacerbation, or injury.

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    (LL4309-2)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.       3       LA11539-6  
  2       Needed some help - Patient needed partial assistance from another person to complete activities.       2       LA26832-8  
  3       Dependent - A helper completed the activities for the patient.       1       LA11541-2  
  4       Unknown
http://snomed.info/sct ©: 261665006 Unknown (qualifier value)    
  8       LA4489-6  
  5       Not applicable       9       LA4720-4  

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] LL4309-2 NORMATIVE 5
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4309-2 NORMATIVE 5
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4309-2 NORMATIVE 5
  88368-6 Outcome and assessment information set (OASIS) form - version D - Resumption of care [CMS Assessment] LL4309-2 NORMATIVE 5
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment] LL4309-2 NORMATIVE 5
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4309-2 NORMATIVE 5
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4970-1 NORMATIVE 5
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75428-0  Prior functioning.functional cognition   [Functional cognition] 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Point in time Random
  Finding QL Screen
  Findings Qual Survey
  Ordinal Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0100D     2.0 
   CMS IRF-PAI   GG0100D     3.0 
   CMS IRF-PAI   GG0100D     1.5 
   CMS IRF-PAI   GG0100D     1.4 
   CMS MDS   GG0100D     1.17.1 
   CMS MDS   GG0100D     1.16.1 
   CMS OASIS   GG0100D     D 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:12 PM
  Long Common Name: Functional cognition [CMS Assessment]
  Fully Specified Name: Prior functioning.functional cognition: Find: Pt: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 4
  ID: 90243
  Status (Raw): ACTIVE


83234-5   Prior device use [CMS Assessment]Prior device use [CMS Assessment]Prior device use: Type: Pt: ^Patient: Nom: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Prior device use  Type  Pt  ^Patient  Nom  CMS Assessment
  Override Display Name for Form:  Prior Device Use
  Long Common Name:  Prior device use [CMS Assessment]

TERM DEFINITION/DESCRIPTION(S)
  Devices and aids used by the patient prior to the current illness, exacerbation, or injury.
 
 

OBSERVATION ID IN FORM
GG0110

ANSWER CARDINALITY
1..5

FORM CODING INSTRUCTIONS
Indicate devices and aids used by the patient prior to the current illness, exacerbation, or injury. Check all that apply.

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    (LL4152-6)  
 
Source: Centers for Medicare & Medicaid Services
  SEQ#        Answer        Code         Answer ID    
  1       Manual wheelchair       A       LA18363-4  
  2       Motorized wheelchair and/or scooter       B       LA26730-4  
  3       Mechanical lift       C       LA11549-5  
  4       Walker       D       LA10117-2  
  5       Orthotics/Prosthetics       E       LA10046-3  
  6       None of the above       Z       LA9-3  

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] LL4152-6 NORMATIVE 6
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4471-0 NORMATIVE 4
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4152-6 NORMATIVE 6
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment] LL4471-0 NORMATIVE 4
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4152-6 NORMATIVE 6
  88368-6 Outcome and assessment information set (OASIS) form - version D - Resumption of care [CMS Assessment] LL4152-6 NORMATIVE 6
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment] LL4152-6 NORMATIVE 6
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4152-6 NORMATIVE 6
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4152-6 NORMATIVE 6
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4152-6 NORMATIVE 6
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4152-6 NORMATIVE 6
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4152-6 NORMATIVE 6
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4152-6 NORMATIVE 6
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4152-6 NORMATIVE 6
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4152-6 NORMATIVE 6
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4152-6 NORMATIVE 6
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232498-8  Prior device use 
Property   LP6886-8  Type 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment Random  
  Nominal Survey  
  Point in time Typ  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0110     2.0 
   CMS IRF-PAI   GG0110     3.0 
   CMS IRF-PAI   GG0110     1.5 
   CMS IRF-PAI   GG0110     1.4 
   CMS LCDS   GG0110     3.00 
   CMS LCDS   GG0110     4.00 
   CMS MDS   GG0110     1.17.1 
   CMS MDS   GG0110     1.16.1 
   CMS OASIS   GG0110     D 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:12 PM
  Long Common Name: Prior device use [CMS Assessment]
  Fully Specified Name: Prior device use: Type: Pt: ^Patient: Nom: CMS Assessment
     
  Component Word Count: 3
  ID: 87723
  Status (Raw): ACTIVE


83233-7   Self-care - admission performance [CMS Assessment]Self-care - admission performance [CMS Assessment]Self-care - admission performance: -: 3D: ^Patient: -: CMS Assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Self-care - admission performance  3D  ^Patient  CMS Assessment
  Override Display Name for Form:  Self-Care - Admission Performance
  Long Common Name:  Self-care - admission performance [CMS Assessment]

OBSERVATION ID IN FORM
GG0130_1

FORM CODING INSTRUCTIONS
Code the patient's usual performance at admission for each activity using the 6-point scale. If activity was not attempted at admission, 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.

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

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

PARTS

Part Type    Part No.  Part Name   
Component   LP267071-1  Self-care - admission performance 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP21059-8  Panel 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0130_1     2.0 
   CMS IRF-PAI   GG0130_1     3.0 
   CMS IRF-PAI   GG0130_1     1.5 
   CMS IRF-PAI   GG0130_1     1.4 
   CMS MDS   GG0130_1     1.17.1 
   CMS MDS   GG0130_1     1.16.1 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:13 PM
  Long Common Name: Self-care - admission performance [CMS Assessment]
  Fully Specified Name: Self-care - admission performance: -: 3D: ^Patient: -: CMS Assessment
     
  Component Word Count: 4
  ID: 87722
  Status (Raw): ACTIVE


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

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

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

OBSERVATION ID IN FORM
GG0130A1

FORM CONTEXT
The ability to use suitable utensils to bring food and/or liquid to the mouth and swallow food and/or liquid once the meal is placed before the patient.

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

NORMATIVE ANSWER LIST    (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   LP232500-1  Eating - functional ability during 3D assessment period   [Eating - functional ability during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

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

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

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:13 PM
  Long Common Name: Eating - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Eating - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 7
  ID: 87721
  Status (Raw): ACTIVE


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

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

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

OBSERVATION ID IN FORM
GG0130B1

FORM CONTEXT
The ability to use suitable items to clean teeth. Dentures (if applicable): The ability to insert and remove dentures into and from the mouth, and manage denture soaking and rinsing with use of equipment.

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

NORMATIVE ANSWER LIST    (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   LP232502-7  Oral hygiene - functional ability during 3D assessment period   [Oral hygiene - functional ability during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  3 days Oral hygiene ability Qualitative
  Centers for Medicare and Medicaid Assessment Ordinal Screen
  Finding QL Survey
  Findings Qual  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0130B1     1.5 
   CMS IRF-PAI   GG0130B1     3.0 
   CMS IRF-PAI   GG0130B1     1.4 
   CMS IRF-PAI   GG0130B1     2.0 
   CMS IRF-PAI   GG0130B3     1.4 
   CMS IRF-PAI   GG0130B3     2.0 
   CMS IRF-PAI   GG0130B3     1.5 
   CMS IRF-PAI   GG0130B3     3.0 
   CMS LCDS   GG0130B1     4.00 
   CMS LCDS   GG0130B1     3.00 
   CMS LCDS   GG0130B3     4.00 
   CMS LCDS   GG0130B3     3.00 
   CMS MDS   GG0130B1     1.15.1 
   CMS MDS   GG0130B1     1.16.1 
   CMS MDS   GG0130B1     1.14.1 
   CMS MDS   GG0130B1     1.17.1 
   CMS MDS   GG0130B3     1.15.1 
   CMS MDS   GG0130B3     1.16.1 
   CMS MDS   GG0130B3     1.17.1 
   CMS MDS   GG0130B3     1.14.1 
   CMS MDS   GG0130B5     1.17.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:13 PM
  Long Common Name: Oral hygiene - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Oral hygiene - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 8
  ID: 87719
  Status (Raw): ACTIVE


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

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

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

OBSERVATION ID IN FORM
GG0130C1

FORM CONTEXT
The ability to maintain perineal hygiene, adjust clothes before and after voiding or having a bowel movement. If managing an ostomy, include wiping the opening but not managing equipment.

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

NORMATIVE ANSWER LIST    (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   LP232504-3  Toileting hygiene - functional ability during 3D assessment period   [Toileting hygiene - functional ability during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

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

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

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:13 PM
  Long Common Name: Toileting hygiene - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Toileting hygiene - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 8
  ID: 87717
  Status (Raw): ACTIVE


83226-1   Shower/​bathe self - functional ability during 3 day assessment period [CMS Assessment]Shower/​bathe self - functional ability during 3 day assessment period [CMS Assessment]Shower &or bathe self - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

TERM DEFINITION/DESCRIPTION(S)
  The patient's usual ability to bathe self in shower or tub, including washing, rinsing, and drying self. Does not include transferring in/out of tub/shower.
 
 

OBSERVATION ID IN FORM
GG0130E1

FORM CONTEXT
The ability to bathe self, including washing, rinsing, and drying self (excludes washing of back and hair). Does not include transferring in/out of tub/shower.

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   LP232506-8  Shower &or bathe self - functional ability during 3D assessment period   [Shower/bathe self - 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
  Bathe 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   GG0130E1     2.0 
   CMS IRF-PAI   GG0130E1     3.0 
   CMS IRF-PAI   GG0130E1     1.5 
   CMS IRF-PAI   GG0130E1     1.4 
   CMS IRF-PAI   GG0130E3     2.0 
   CMS IRF-PAI   GG0130E3     3.0 
   CMS IRF-PAI   GG0130E3     1.5 
   CMS IRF-PAI   GG0130E3     1.4 
   CMS MDS   GG0130E1     1.17.1 
   CMS MDS   GG0130E1     1.16.1 
   CMS MDS   GG0130E3     1.17.1 
   CMS MDS   GG0130E3     1.16.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:13 PM
  Long Common Name: Shower/bathe self - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Shower &or bathe self - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 10
  ID: 87715
  Status (Raw): ACTIVE


83224-6   Upper body dressing - functional ability during 3 day assessment period [CMS Assessment]Upper body dressing - functional ability during 3 day assessment period [CMS Assessment]Upper body dressing - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

TERM DEFINITION/DESCRIPTION(S)
  The patient's usual ability to put on and remove shirt or pajama top; includes buttoning, if applicable.
 
 

OBSERVATION ID IN FORM
GG0130F1

FORM CONTEXT
The ability to dress and undress above the waist; including fasteners, if applicable.

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   LP232508-4  Upper body dressing - functional ability during 3D assessment period   [Upper body dressing - 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   LP28569-9  Body 
Fragments for synonyms   LP35032-9  Upper 

RELATED NAMES
  3 days Findings Screen
  bod Ordinal Survey
  Bodies Ql Up
  Centers for Medicare and Medicaid Assessment Qual Upper dressing ability
  Finding Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0130F1     2.0 
   CMS IRF-PAI   GG0130F1     3.0 
   CMS IRF-PAI   GG0130F1     1.5 
   CMS IRF-PAI   GG0130F1     1.4 
   CMS IRF-PAI   GG0130F3     2.0 
   CMS IRF-PAI   GG0130F3     3.0 
   CMS IRF-PAI   GG0130F3     1.5 
   CMS IRF-PAI   GG0130F3     1.4 
   CMS MDS   GG0130F1     1.17.1 
   CMS MDS   GG0130F1     1.16.1 
   CMS MDS   GG0130F3     1.17.1 
   CMS MDS   GG0130F3     1.16.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:13 PM
  Long Common Name: Upper body dressing - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Upper body dressing - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 9
  ID: 87713
  Status (Raw): ACTIVE


83222-0   Lower body dressing - functional ability during 3 day assessment period [CMS Assessment]Lower body dressing - functional ability during 3 day assessment period [CMS Assessment]Lower body dressing - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

TERM DEFINITION/DESCRIPTION(S)
  The patient's usual ability to dress and undress below the waist, including fasteners; does not include footwear.
 
 

OBSERVATION ID IN FORM
GG0130G1

FORM CONTEXT
The ability to dress and undress below the waist, including fasteners; does not include footwear.

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   LP232510-0  Lower body dressing - functional ability during 3D assessment period   [Lower body dressing - 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   LP28569-9  Body 
Fragments for synonyms   LP35082-4  Lower 

RELATED NAMES
  3 days Findings Qual
  bod Low Qualitative
  Bodies Lower dressing ability Screen
  Centers for Medicare and Medicaid Assessment Ordinal Survey
  Finding QL  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0130G1     2.0 
   CMS IRF-PAI   GG0130G1     3.0 
   CMS IRF-PAI   GG0130G1     1.5 
   CMS IRF-PAI   GG0130G1     1.4 
   CMS IRF-PAI   GG0130G3     2.0 
   CMS IRF-PAI   GG0130G3     3.0 
   CMS IRF-PAI   GG0130G3     1.5 
   CMS IRF-PAI   GG0130G3     1.4 
   CMS MDS   GG0130G1     1.17.1 
   CMS MDS   GG0130G1     1.16.1 
   CMS MDS   GG0130G3     1.17.1 
   CMS MDS   GG0130G3     1.16.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:13 PM
  Long Common Name: Lower body dressing - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Lower body dressing - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 9
  ID: 87711
  Status (Raw): ACTIVE


83220-4   Putting on/​taking off footwear - functional ability during 3 day assessment period [CMS Assessment]Putting on/​taking off footwear - functional ability during 3 day assessment period [CMS Assessment]Putting on and taking off footwear - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

TERM DEFINITION/DESCRIPTION(S)
  The patient's usual ability to put on and take off socks and shoes or other footwear that is appropriate for safe mobility.
 
 

OBSERVATION ID IN FORM
GG0130H1

FORM CONTEXT
The ability to put on and take off socks and shoes or other footwear that is appropriate for safe mobility; including fasteners, if applicable.

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   LP232512-6  Putting on and taking off footwear - functional ability during 3D assessment period   [Putting on/taking off footwear - 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 Footwear 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   GG0130H1     2.0 
   CMS IRF-PAI   GG0130H1     3.0 
   CMS IRF-PAI   GG0130H1     1.5 
   CMS IRF-PAI   GG0130H1     1.4 
   CMS IRF-PAI   GG0130H3     2.0 
   CMS IRF-PAI   GG0130H3     3.0 
   CMS IRF-PAI   GG0130H3     1.5 
   CMS IRF-PAI   GG0130H3     1.4 
   CMS MDS   GG0130H1     1.17.1 
   CMS MDS   GG0130H1     1.16.1 
   CMS MDS   GG0130H3     1.17.1 
   CMS MDS   GG0130H3     1.16.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:13 PM
  Long Common Name: Putting on/taking off footwear - functional ability during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Putting on and taking off footwear - functional ability during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 12
  ID: 87709
  Status (Raw): ACTIVE


85054-5   Self-care - discharge goal [CMS Assessment]Self-care - discharge goal [CMS Assessment]Self-care - discharge goal: -: 3D: ^Patient: -: CMS Assessment  

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

OBSERVATION ID IN FORM
GG0130_2

FORM CODING INSTRUCTIONS
Code the patient's discharge goal(s) using the 6-point scale. Use of codes 07, 09, 10 or 88 is permissible to code discharge goal(s). 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.

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

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

PARTS

Part Type    Part No.  Part Name   
Component   LP267069-5  Self-care - discharge goal 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP100598-4  Discharge 
Fragments for synonyms   LP21059-8  Panel 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0130_2     2.0 
   CMS IRF-PAI   GG0130_2     3.0 
   CMS IRF-PAI   GG0130_2     1.5 
   CMS IRF-PAI   GG0130_2     1.4 
   CMS MDS   GG0130_2     1.17.1 
   CMS MDS   GG0130_2     1.16.1 

CHANGE HISTORY
  Change Type: NAM

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:13 PM
  Long Common Name: Self-care - discharge goal [CMS Assessment]
  Fully Specified Name: Self-care - discharge goal: -: 3D: ^Patient: -: CMS Assessment
     
  Component Word Count: 4
  ID: 90224
  Status (Raw): ACTIVE


83231-1   Eating - functional goal during 3 day assessment period [CMS Assessment]Eating - functional goal during 3 day assessment period [CMS Assessment]Eating - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

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

OBSERVATION ID IN FORM
GG0130A2

FORM CONTEXT
The ability to use suitable utensils to bring food and/or liquid to the mouth and swallow food and/or liquid once the meal is placed before the patient.

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] LL4154-2 NORMATIVE 6
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4154-2 NORMATIVE 6
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232501-9  Eating - functional goal recorded during 3D assessment period   [Eating - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0130A2     2.0 
   CMS IRF-PAI   GG0130A2     3.0 
   CMS IRF-PAI   GG0130A2     1.5 
   CMS IRF-PAI   GG0130A2     1.4 
   CMS LCDS   GG0130A2     3.00 
   CMS LCDS   GG0130A2     4.00 
   CMS MDS   GG0130A2     1.17.1 
   CMS MDS   GG0130A2     1.16.1 
   CMS MDS   GG0130A2     1.15.1 
   CMS MDS   GG0130A2     1.14.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:13 PM
  Long Common Name: Eating - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Eating - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 8
  ID: 87720
  Status (Raw): ACTIVE


83229-5   Oral hygiene - functional goal during 3 day assessment period [CMS Assessment]Oral hygiene - functional goal during 3 day assessment period [CMS Assessment]Oral hygiene - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

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

OBSERVATION ID IN FORM
GG0130B2

FORM CONTEXT
The ability to use suitable items to clean teeth. Dentures (if applicable): The ability to insert and remove dentures into and from the mouth, and manage denture soaking and rinsing with use of equipment.

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

NORMATIVE ANSWER LIST    (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] LL4154-2 NORMATIVE 6
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4154-2 NORMATIVE 6
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232503-5  Oral hygiene - functional goal recorded during 3D assessment period   [Oral hygiene - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

RELATED NAMES
  3 days Oral hygiene goal Qualitative
  Centers for Medicare and Medicaid Assessment Ordinal Screen
  Finding QL Survey
  Findings Qual  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0130B2     2.0 
   CMS IRF-PAI   GG0130B2     3.0 
   CMS IRF-PAI   GG0130B2     1.5 
   CMS IRF-PAI   GG0130B2     1.4 
   CMS LCDS   GG0130B2     3.00 
   CMS LCDS   GG0130B2     4.00 
   CMS MDS   GG0130B2     1.17.1 
   CMS MDS   GG0130B2     1.16.1 
   CMS MDS   GG0130B2     1.15.1 
   CMS MDS   GG0130B2     1.14.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:14 PM
  Long Common Name: Oral hygiene - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Oral hygiene - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 9
  ID: 87718
  Status (Raw): ACTIVE


83227-9   Toileting hygiene - functional goal during 3 day assessment period [CMS Assessment]Toileting hygiene - functional goal during 3 day assessment period [CMS Assessment]Toileting hygiene - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

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

OBSERVATION ID IN FORM
GG0130C2

FORM CONTEXT
The ability to maintain perineal hygiene, adjust clothes before and after voiding or having a bowel movement. If managing an ostomy, include wiping the opening but not managing equipment.

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

NORMATIVE ANSWER LIST    (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] LL4154-2 NORMATIVE 6
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] LL4154-2 NORMATIVE 6
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment] LL4681-4 NORMATIVE 10
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4620-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232505-0  Toileting hygiene - functional goal recorded during 3D assessment period   [Toileting hygiene - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0130C2     2.0 
   CMS IRF-PAI   GG0130C2     3.0 
   CMS IRF-PAI   GG0130C2     1.5 
   CMS IRF-PAI   GG0130C2     1.4 
   CMS LCDS   GG0130C2     3.00 
   CMS LCDS   GG0130C2     4.00 
   CMS MDS   GG0130C2     1.17.1 
   CMS MDS   GG0130C2     1.16.1 
   CMS MDS   GG0130C2     1.15.1 
   CMS MDS   GG0130C2     1.14.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:14 PM
  Long Common Name: Toileting hygiene - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Toileting hygiene - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 9
  ID: 87716
  Status (Raw): ACTIVE


83225-3   Shower/​bathe self - functional goal during 3 day assessment period [CMS Assessment]Shower/​bathe self - functional goal during 3 day assessment period [CMS Assessment]Shower &or bathe self - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

TERM DEFINITION/DESCRIPTION(S)
  Expected functional performance for the patient's ability to bathe self in shower or tub, including washing, rinsing, and drying self. Does not include transferring in/out of tub/shower.
 
 

OBSERVATION ID IN FORM
GG0130E2

FORM CONTEXT
The ability to bathe self, including washing, rinsing, and drying self (excludes washing of back and hair). Does not include transferring in/out of tub/shower.

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] LL4154-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232507-6  Shower &or bathe self - functional goal recorded during 3D assessment period   [Shower/bathe self - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0130E2     2.0 
   CMS IRF-PAI   GG0130E2     3.0 
   CMS IRF-PAI   GG0130E2     1.5 
   CMS IRF-PAI   GG0130E2     1.4 
   CMS MDS   GG0130E2     1.17.1 
   CMS MDS   GG0130E2     1.16.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:14 PM
  Long Common Name: Shower/bathe self - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Shower &or bathe self - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 11
  ID: 87714
  Status (Raw): ACTIVE


83223-8   Upper body dressing - functional goal during 3 day assessment period [CMS Assessment]Upper body dressing - functional goal during 3 day assessment period [CMS Assessment]Upper body dressing - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

TERM DEFINITION/DESCRIPTION(S)
  Expected functional performance for the patient's ability to put on and remove shirt or pajama top; includes buttoning, if applicable.
 
 

OBSERVATION ID IN FORM
GG0130F2

FORM CONTEXT
The ability to dress and undress above the waist; including fasteners, if applicable.

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] LL4154-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232509-2  Upper body dressing - functional goal recorded during 3D assessment period   [Upper body dressing - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP28569-9  Body 
Fragments for synonyms   LP35032-9  Upper 

RELATED NAMES
  3 days Findings Screen
  bod Ordinal Survey
  Bodies Ql Up
  Centers for Medicare and Medicaid Assessment Qual Upper dressing goal
  Finding Qualitative  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0130F2     2.0 
   CMS IRF-PAI   GG0130F2     3.0 
   CMS IRF-PAI   GG0130F2     1.5 
   CMS IRF-PAI   GG0130F2     1.4 
   CMS MDS   GG0130F2     1.17.1 
   CMS MDS   GG0130F2     1.16.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:14 PM
  Long Common Name: Upper body dressing - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Upper body dressing - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 10
  ID: 87712
  Status (Raw): ACTIVE


83221-2   Lower body dressing - functional goal during 3 day assessment period [CMS Assessment]Lower body dressing - functional goal during 3 day assessment period [CMS Assessment]Lower body dressing - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

TERM DEFINITION/DESCRIPTION(S)
  Expected functional performance for the patient's ability to dress and undress below the waist, including fasteners; does not include footwear.
 
 

OBSERVATION ID IN FORM
GG0130G2

FORM CONTEXT
The ability to dress and undress below the waist, including fasteners; does not include footwear.

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] LL4154-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232511-8  Lower body dressing - functional goal recorded during 3D assessment period   [Lower body dressing - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 
Fragments for synonyms   LP28569-9  Body 
Fragments for synonyms   LP35082-4  Lower 

RELATED NAMES
  3 days Findings Qual
  bod Low Qualitative
  Bodies Lower dress goal Screen
  Centers for Medicare and Medicaid Assessment Ordinal Survey
  Finding QL  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0130G2     2.0 
   CMS IRF-PAI   GG0130G2     3.0 
   CMS IRF-PAI   GG0130G2     1.5 
   CMS IRF-PAI   GG0130G2     1.4 
   CMS MDS   GG0130G2     1.17.1 
   CMS MDS   GG0130G2     1.16.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:14 PM
  Long Common Name: Lower body dressing - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Lower body dressing - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 10
  ID: 87710
  Status (Raw): ACTIVE


83219-6   Putting on/​taking off footwear - functional goal during 3 day assessment period [CMS Assessment]Putting on/​taking off footwear - functional goal during 3 day assessment period [CMS Assessment]Putting on and taking off footwear - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment  

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

TERM DEFINITION/DESCRIPTION(S)
  Expected functional performance for the patient's ability to put on and take off socks and shoes or other footwear that is appropriate for safe mobility.
 
 

OBSERVATION ID IN FORM
GG0130H2

FORM CONTEXT
The ability to put on and take off socks and shoes or other footwear that is appropriate for safe mobility; including fasteners, if applicable.

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] LL4154-2 NORMATIVE 6
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment] LL4154-2 NORMATIVE 6
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment] LL4681-4 NORMATIVE 10
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment] LL4971-9 NORMATIVE 10
  

PARTS

Part Type    Part No.  Part Name   
Component   LP232513-4  Putting on and taking off footwear - functional goal recorded during 3D assessment period   [Putting on/taking off footwear - functional goal during 3 day assessment period] 
Property   LP6813-2  Find   [Finding] 
Time   LP6933-8  3D   [3 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP230524-3  CMS Assessment   [Centers for Medicare and Medicaid Assessment] 

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

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0130H2     2.0 
   CMS IRF-PAI   GG0130H2     3.0 
   CMS IRF-PAI   GG0130H2     1.5 
   CMS IRF-PAI   GG0130H2     1.4 
   CMS MDS   GG0130H2     1.17.1 
   CMS MDS   GG0130H2     1.16.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:14 PM
  Long Common Name: Putting on/taking off footwear - functional goal during 3 day assessment period [CMS Assessment]
  Fully Specified Name: Putting on and taking off footwear - functional goal recorded during 3D assessment period: Find: 3D: ^Patient: Ord: CMS Assessment
     
  Component Word Count: 13
  ID: 87708
  Status (Raw): ACTIVE


88330-6   Mobility - admission performance [CMS Assessment]Mobility - admission performance [CMS Assessment]Mobility - admission performance: -: Pt: ^Patient: -: CMS Assessment  

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

OBSERVATION ID IN FORM
GG0170_1

FORM CODING INSTRUCTIONS
Code the patient's usual performance at admission for each activity using the 6-point scale. If activity was not attempted at admission, 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.

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 term is used across IRF-PAI, OASIS, and MDS asessments.

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]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP267067-9  Mobility - admission 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   LP21059-8  Panel 

RELATED NAMES
  Centers for Medicare and Medicaid Assessment PANEL.SURVEY.CMS Point in time
  Pan Panl Random
  Panel Pnl Survey

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   GG0170_1     2.0 
   CMS IRF-PAI   GG0170_1     3.0 
   CMS MDS   GG0170_1     1.17.1 
   CMS MDS   GG0170_1     1.16.1 

CHANGE HISTORY
  Change Type: ADD

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 12:51:14 PM
  Long Common Name: Mobility - admission performance [CMS Assessment]
  Fully Specified Name: Mobility - admission performance: -: Pt: ^Patient: -: CMS Assessment
     
  Component Word Count: 3
  ID: 94899
  Status (Raw): ACTIVE


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
GG0170A1

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 12:51:14 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
GG0170B1

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 12:51:14 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
GG0170C1

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 12:51:14 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
GG0170D1

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 12:51:15 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
GG0170E1

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 12:51:15 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
GG0170F1

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 12:51:15 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
GG0170G1

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 12:51:15 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
GG0170I1

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

SKIP LOGIC
If admission 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