101263-2
Preferences for Customary Routine and Activities
Active
54697-8 Should Interview for Daily and Activity Preferences be Conducted?
Observation ID in Form
F0300
Skip Logic
If 0, Skip to and complete F0800, Staff Assessment of Daily Activity and Preferences. If 1, Continue to F0400, Interview for Daily Preferences
Form Coding Instructions
Attempt to interview all residents able to communicate. If resident is unable to complete, attempt to complete interview with family member or significant other
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Interview for daily and activity preferences should be conducted
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.
- Order vs. Observation
- Observation
Normative Answer List LL1503-3
Answer | Code | Score | Answer ID |
---|---|---|---|
No (resident is rarely/never understood and family/significant other not available) | 0 | LA16158-0 | |
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) | 1 | LA33-6 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
54519-4 Interview for Daily Preferences
Observation ID in Form
F0400
Form Coding Instructions
Show resident the response options and say: "While you are in this facility…"
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Interview for daily preferences
- Property
- -
- Time
- RptPeriod
- System
- ^Patient
- Scale
- -
- Method
- CMS Assessment
Basic Attributes
- Class
- PANEL.SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.78
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments.
- Order vs. Observation
- Subset
- Panel Type
- Organizer
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
54698-6 While you are in this facility how important is it to you to choose what clothes to wear?
Observation ID in Form
F0400A
Fully-Specified Name
- Component
- How important it is to choose what clothes to wear while in this facility
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.
- Order vs. Observation
- Observation
Normative Answer List LL659-4
Answer | Code | Score | Answer ID |
---|---|---|---|
Very important | 1 | LA11013-2 | |
Somewhat important | 2 | LA11014-0 | |
Not very important | 3 | LA11015-7 | |
Not important at all | 4 | LA11016-5 | |
Important, but can't do or no choice | 5 | LA11017-3 | |
No response or non-responsive | 9 | LA11018-1 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
54699-4 While you are in this facility how important is it to you to take care of your personal belongings or things?
Observation ID in Form
F0400B
Fully-Specified Name
- Component
- How important it is to take care of your personal belongings or things while in this facility
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.
- Order vs. Observation
- Observation
Normative Answer List LL659-4
Answer | Code | Score | Answer ID |
---|---|---|---|
Very important | 1 | LA11013-2 | |
Somewhat important | 2 | LA11014-0 | |
Not very important | 3 | LA11015-7 | |
Not important at all | 4 | LA11016-5 | |
Important, but can't do or no choice | 5 | LA11017-3 | |
No response or non-responsive | 9 | LA11018-1 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
54700-0 While you are in this facility how important is it to you to choose between a tub bath, shower, bed bath, or sponge bath?
Observation ID in Form
F0400C
Fully-Specified Name
- Component
- How important it is to choose between a tub bath, shower, bed bath, or sponge bath while in this facility
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.
- Order vs. Observation
- Observation
Normative Answer List LL659-4
Answer | Code | Score | Answer ID |
---|---|---|---|
Very important | 1 | LA11013-2 | |
Somewhat important | 2 | LA11014-0 | |
Not very important | 3 | LA11015-7 | |
Not important at all | 4 | LA11016-5 | |
Important, but can't do or no choice | 5 | LA11017-3 | |
No response or non-responsive | 9 | LA11018-1 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
54701-8 While you are in this facility how important is it to you to have snacks available between meals?
Observation ID in Form
F0400D
Fully-Specified Name
- Component
- How important it is to have snacks available between meals while in this facility
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.
- Order vs. Observation
- Observation
Normative Answer List LL659-4
Answer | Code | Score | Answer ID |
---|---|---|---|
Very important | 1 | LA11013-2 | |
Somewhat important | 2 | LA11014-0 | |
Not very important | 3 | LA11015-7 | |
Not important at all | 4 | LA11016-5 | |
Important, but can't do or no choice | 5 | LA11017-3 | |
No response or non-responsive | 9 | LA11018-1 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
54702-6 While you are in this facility how important is it to you to choose your own bedtime?
Observation ID in Form
F0400E
Fully-Specified Name
- Component
- How important it is to choose your own bedtime while in this facility
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.
- Order vs. Observation
- Observation
Normative Answer List LL659-4
Answer | Code | Score | Answer ID |
---|---|---|---|
Very important | 1 | LA11013-2 | |
Somewhat important | 2 | LA11014-0 | |
Not very important | 3 | LA11015-7 | |
Not important at all | 4 | LA11016-5 | |
Important, but can't do or no choice | 5 | LA11017-3 | |
No response or non-responsive | 9 | LA11018-1 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
54703-4 While you are in this facility how important is it to you to have your family or a close friend involved in discussions about your care?
Observation ID in Form
F0400F
Fully-Specified Name
- Component
- How important it is to have your family or a close friend involved in discussions about your care while in this facility
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.
- Order vs. Observation
- Observation
Normative Answer List LL659-4
Answer | Code | Score | Answer ID |
---|---|---|---|
Very important | 1 | LA11013-2 | |
Somewhat important | 2 | LA11014-0 | |
Not very important | 3 | LA11015-7 | |
Not important at all | 4 | LA11016-5 | |
Important, but can't do or no choice | 5 | LA11017-3 | |
No response or non-responsive | 9 | LA11018-1 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
54704-2 While you are in this facility how important is it to you to be able to use the phone in private?
Observation ID in Form
F0400G
Fully-Specified Name
- Component
- How important it is to be able to use the phone in private while in this facility
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.
- Order vs. Observation
- Observation
Normative Answer List LL659-4
Answer | Code | Score | Answer ID |
---|---|---|---|
Very important | 1 | LA11013-2 | |
Somewhat important | 2 | LA11014-0 | |
Not very important | 3 | LA11015-7 | |
Not important at all | 4 | LA11016-5 | |
Important, but can't do or no choice | 5 | LA11017-3 | |
No response or non-responsive | 9 | LA11018-1 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
54705-9 While you are in this facility how important is it to you to have a place to lock your things to keep them safe?
Observation ID in Form
F0400H
Fully-Specified Name
- Component
- How important it is to have a place to lock your things to keep them safe while in this facility
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.
- Order vs. Observation
- Observation
Normative Answer List LL659-4
Answer | Code | Score | Answer ID |
---|---|---|---|
Very important | 1 | LA11013-2 | |
Somewhat important | 2 | LA11014-0 | |
Not very important | 3 | LA11015-7 | |
Not important at all | 4 | LA11016-5 | |
Important, but can't do or no choice | 5 | LA11017-3 | |
No response or non-responsive | 9 | LA11018-1 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
54520-2 Interview for Activity Preferences
Observation ID in Form
F0500
Form Coding Instructions
Show resident the response options and say: "While you are in this facility…"
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Interview for activity preferences
- Property
- -
- Time
- RptPeriod
- System
- ^Patient
- Scale
- -
- Method
- CMS Assessment
Basic Attributes
- Class
- PANEL.SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.78
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments.
- Order vs. Observation
- Subset
- Panel Type
- Organizer
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
54706-7 While you are in this facility how important is it to you to have books, newspapers, and magazines to read?
Observation ID in Form
F0500A
Fully-Specified Name
- Component
- How important it is to have books, newspapers, and magazines to read while in this facility
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.
- Order vs. Observation
- Observation
Normative Answer List LL659-4
Answer | Code | Score | Answer ID |
---|---|---|---|
Very important | 1 | LA11013-2 | |
Somewhat important | 2 | LA11014-0 | |
Not very important | 3 | LA11015-7 | |
Not important at all | 4 | LA11016-5 | |
Important, but can't do or no choice | 5 | LA11017-3 | |
No response or non-responsive | 9 | LA11018-1 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
54707-5 While you are in this facility how important is it to you to listen to music you like?
Observation ID in Form
F0500B
Fully-Specified Name
- Component
- How important it is to listen to music you like while in this facility
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.
- Order vs. Observation
- Observation
Normative Answer List LL659-4
Answer | Code | Score | Answer ID |
---|---|---|---|
Very important | 1 | LA11013-2 | |
Somewhat important | 2 | LA11014-0 | |
Not very important | 3 | LA11015-7 | |
Not important at all | 4 | LA11016-5 | |
Important, but can't do or no choice | 5 | LA11017-3 | |
No response or non-responsive | 9 | LA11018-1 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
54708-3 While you are in this facility how important is it to you to be around animals such as pets?
Observation ID in Form
F0500C
Fully-Specified Name
- Component
- How important it is to be around animals such as pets while in this facility
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.
- Order vs. Observation
- Observation
Normative Answer List LL659-4
Answer | Code | Score | Answer ID |
---|---|---|---|
Very important | 1 | LA11013-2 | |
Somewhat important | 2 | LA11014-0 | |
Not very important | 3 | LA11015-7 | |
Not important at all | 4 | LA11016-5 | |
Important, but can't do or no choice | 5 | LA11017-3 | |
No response or non-responsive | 9 | LA11018-1 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
54709-1 While you are in this facility how important is it to you to keep up with the news?
Observation ID in Form
F0500D
Fully-Specified Name
- Component
- How important it is to keep up with the news while in this facility
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.
- Order vs. Observation
- Observation
Normative Answer List LL659-4
Answer | Code | Score | Answer ID |
---|---|---|---|
Very important | 1 | LA11013-2 | |
Somewhat important | 2 | LA11014-0 | |
Not very important | 3 | LA11015-7 | |
Not important at all | 4 | LA11016-5 | |
Important, but can't do or no choice | 5 | LA11017-3 | |
No response or non-responsive | 9 | LA11018-1 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
54710-9 While you are in this facility how important is it to you to do things with groups of people?
Observation ID in Form
F0500E
Fully-Specified Name
- Component
- How important it is to do things with groups of people while in this facility
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.
- Order vs. Observation
- Observation
Normative Answer List LL659-4
Answer | Code | Score | Answer ID |
---|---|---|---|
Very important | 1 | LA11013-2 | |
Somewhat important | 2 | LA11014-0 | |
Not very important | 3 | LA11015-7 | |
Not important at all | 4 | LA11016-5 | |
Important, but can't do or no choice | 5 | LA11017-3 | |
No response or non-responsive | 9 | LA11018-1 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
54711-7 While you are in this facility how important is it to you to do your favorite activities?
Observation ID in Form
F0500F
Fully-Specified Name
- Component
- How important it is to do your favorite activities while in this facility
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.
- Order vs. Observation
- Observation
Normative Answer List LL659-4
Answer | Code | Score | Answer ID |
---|---|---|---|
Very important | 1 | LA11013-2 | |
Somewhat important | 2 | LA11014-0 | |
Not very important | 3 | LA11015-7 | |
Not important at all | 4 | LA11016-5 | |
Important, but can't do or no choice | 5 | LA11017-3 | |
No response or non-responsive | 9 | LA11018-1 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
54712-5 While you are in this facility how important is it to you to go outside to get fresh air when the weather is good?
Observation ID in Form
F0500G
Fully-Specified Name
- Component
- How important it is to go outside to get fresh air when the weather is good while in this facility
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.
- Order vs. Observation
- Observation
Normative Answer List LL659-4
Answer | Code | Score | Answer ID |
---|---|---|---|
Very important | 1 | LA11013-2 | |
Somewhat important | 2 | LA11014-0 | |
Not very important | 3 | LA11015-7 | |
Not important at all | 4 | LA11016-5 | |
Important, but can't do or no choice | 5 | LA11017-3 | |
No response or non-responsive | 9 | LA11018-1 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
54713-3 While you are in this facility how important is it to you to participate in religious services or practices?
Observation ID in Form
F0500H
Fully-Specified Name
- Component
- How important it is to participate in religious services or practices while in this facility
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.
- Order vs. Observation
- Observation
Normative Answer List LL659-4
Answer | Code | Score | Answer ID |
---|---|---|---|
Very important | 1 | LA11013-2 | |
Somewhat important | 2 | LA11014-0 | |
Not very important | 3 | LA11015-7 | |
Not important at all | 4 | LA11016-5 | |
Important, but can't do or no choice | 5 | LA11017-3 | |
No response or non-responsive | 9 | LA11018-1 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
54714-1 Daily and Activity Preferences Primary Respondent. Indicate primary respondent for Daily and Activity Preferences (F0400 and F0500)
Observation ID in Form
F0600
Fully-Specified Name
- Component
- Primary respondent for daily and activity preferences
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Nom
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments.
- Order vs. Observation
- Observation
Normative Answer List LL686-7
Answer | Code | Score | Answer ID |
---|---|---|---|
Resident | 1 | LA11019-9 | |
Family or significant other (close friend or other representative) | 2 | LA11020-7 | |
Interview could not be completed by resident or family/significant other ("No response" to 3 or more items) | 9 | LA11021-5 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
54715-8 Should the Staff Assessment of Daily and Activity Preferences be Conducted?
Observation ID in Form
F0700
Skip Logic
If 0, Skip to and complete GG0100, Prior Functioning: Everyday Activities. if 1, Continue to F0800, Staff Assessment of Daily and Activity Preferences.
Fully-Specified Name
- Component
- Staff assessment of daily and activity preferences should be conducted
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed CLASS from SURVEY.MDS to SURVEY.CMS because term is used across CMS assessments. Moved Survey Question text to Display Name for Form for consistent modeling across CMS forms.
- Order vs. Observation
- Observation
Normative Answer List LL692-5
Answer | Code | Score | Answer ID |
---|---|---|---|
No (because Interview for Daily and Activity Preferences (F0400 and F0500) was completed by resident or family/significant other) | 0 | LA11151-0 | |
Yes (because 3 or more items in Interview for Daily and Activity Preferences (F0400 and F0500) were not completed by resident or family/significant other) | 1 | LA11152-8 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
54580-6 | Deprecated Minimum Data Set - version 3.0 |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
86599-8 Staff Assessment of Daily and Activity Preferences. Resident Prefers:
Observation ID in Form
F0800
Skip Logic
Do not conduct if Interview for Daily and Activity Preferences (F0400 – F0500) was completed
Form Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Staff assessment of daily and activity preferences
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Nom
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.63
- Last Updated
- Version 2.77
- Change Reason
- Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;
- Order vs. Observation
- Observation
Normative Answer List LL4558-4
Answer | Code | Score | Answer ID |
---|---|---|---|
Choosing clothes to wear | A | LA27797-2 | |
Caring for personal belongings | B | LA27798-0 | |
Receiving tub bath | C | LA27799-8 | |
Receiving shower | D | LA27800-4 | |
Receiving bed bath | E | LA27815-2 | |
Receiving sponge bath | F | LA27801-2 | |
Snacks between meals | G | LA27802-0 | |
Staying up past 8:00 p.m. | H | LA27803-8 | |
Family or significant other involvement in care discussions | I | LA27804-6 | |
Use of phone in private | J | LA27805-3 | |
Place to lock personal belongings | K | LA27806-1 | |
Reading books, newspapers, or magazines | L | LA27807-9 | |
Listening to music | M | LA17907-9 | |
Being around animals such as pets | N | LA27808-7 | |
Keeping up with the news | O | LA27809-5 | |
Doing things with groups of people | P | LA27810-3 | |
Participating in favorite activities | Q | LA27811-1 | |
Spending time away from the nursing home | R | LA27812-9 | |
Spending time outdoors | S | LA27813-7 | |
Participating in religious activities or practices | T | LA27814-5 | |
None of the above | Z | LA9-3 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |