101264-0
MDS v3.0 - RAI v1.18.11 - Functional Abilities and Goals during assessment period [CMS Assessment]
Active
Panel Hierarchy
Details for each LOINC in Panel LHC-Forms
| LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
|---|---|---|---|---|
| 101264-0 | Functional Abilities | |||
| Indent83239-4 | Prior Functioning: Everyday Activities | |||
| Indent Indent85070-1 | Self-Care | |||
| Indent Indent85071-9 | Indoor Mobility (Ambulation) | |||
| Indent Indent85072-7 | Stairs | |||
| Indent Indent85073-5 | Functional Cognition | |||
| Indent83234-5 | Prior Device Use | 1..5 | ||
| Indent92908-3 | Functional Limitation in Range of Motion | |||
| Indent Indent92850-7 | Upper extremity (shoulder, elbow, wrist, hand) | |||
| Indent Indent92851-5 | Lower extremity (hip, knee, ankle, foot) | |||
| Indent86602-0 | Mobility Devices | 1..4 | ||
| Indent101265-7 | Functional Abilities - Admission | |||
| Indent Indent101321-8 | Self-Care - Admission Performance | |||
| Indent Indent Indent89409-7 | Eating | |||
| Indent Indent Indent89404-8 | Oral hygiene | |||
| Indent Indent Indent89389-1 | Toileting hygiene | |||
| Indent Indent Indent89396-6 | Shower/bathe self | |||
| Indent Indent Indent89387-5 | Upper body dressing | |||
| Indent Indent Indent89406-3 | Lower body dressing | |||
| Indent Indent Indent89400-6 | Putting on/taking off footwear | |||
| Indent Indent Indent45606-1 | Personal hygiene | |||
| Indent Indent101323-4 | Mobility - Admission Performance | |||
| Indent Indent Indent89398-2 | Roll left and right | |||
| Indent Indent Indent89394-1 | Sit to lying | |||
| Indent Indent Indent85927-2 | Lying to sitting on side of bed | |||
| Indent Indent Indent89392-5 | Sit to stand | |||
| Indent Indent Indent89414-7 | Chair/bed-to-chair transfer | |||
| Indent Indent Indent89390-9 | Toilet transfer | |||
| Indent Indent Indent101325-9 | Tub/shower transfer | |||
| Indent Indent Indent89412-1 | Car transfer | |||
| Indent Indent Indent89385-9 | Walk 10 feet | |||
| Indent Indent Indent89381-8 | Walk 50 feet with two turns | |||
| Indent Indent Indent89383-4 | Walk 150 feet | |||
| Indent Indent Indent89379-2 | Walking 10 feet on uneven surfaces | |||
| Indent Indent Indent89420-4 | 1 step (curb) | |||
| Indent Indent Indent89416-2 | 4 steps | |||
| Indent Indent Indent89418-8 | 12 steps | |||
| Indent Indent Indent89402-2 | Picking up object | |||
| Indent Indent Indent95738-1 | Does the resident use a wheelchair and/or scooter? | |||
| Indent Indent Indent94992-5 | Wheel 50 feet with two turns | |||
| Indent Indent Indent95739-9 | Indicate the type of wheelchair or scooter used | |||
| Indent Indent Indent94991-7 | Wheel 150 feet | |||
| Indent Indent Indent95739-9 | Indicate the type of wheelchair or scooter used | |||
| Indent101266-5 | Functional Abilities - Discharge | |||
| Indent Indent101429-9 | Self-Care - Discharge Performance | |||
| Indent Indent Indent89409-7 | Eating | |||
| Indent Indent Indent89404-8 | Oral hygiene | |||
| Indent Indent Indent89389-1 | Toileting hygiene | |||
| Indent Indent Indent89396-6 | Shower/bathe self | |||
| Indent Indent Indent89387-5 | Upper body dressing | |||
| Indent Indent Indent89406-3 | Lower body dressing | |||
| Indent Indent Indent89400-6 | Putting on/taking off footwear | |||
| Indent Indent Indent45606-1 | Personal hygiene | |||
| Indent Indent101431-5 | Mobility - Discharge Performance | |||
| Indent Indent Indent89398-2 | Roll left and right | |||
| Indent Indent Indent89394-1 | Sit to lying | |||
| Indent Indent Indent85927-2 | Lying to sitting on side of bed | |||
| Indent Indent Indent89392-5 | Sit to stand | |||
| Indent Indent Indent89414-7 | Chair/bed-to-chair transfer | |||
| Indent Indent Indent89390-9 | Toilet transfer | |||
| Indent Indent Indent101325-9 | Tub/shower transfer | |||
| Indent Indent Indent89412-1 | Car transfer | |||
| Indent Indent Indent89385-9 | Walk 10 feet | |||
| Indent Indent Indent89381-8 | Walk 50 feet with two turns | |||
| Indent Indent Indent89383-4 | Walk 150 feet | |||
| Indent Indent Indent89379-2 | Walking 10 feet on uneven surfaces | |||
| Indent Indent Indent89420-4 | 1 step (curb) | |||
| Indent Indent Indent89416-2 | 4 steps | |||
| Indent Indent Indent89418-8 | 12 steps | |||
| Indent Indent Indent89402-2 | Picking up object | |||
| Indent Indent Indent95738-1 | Does the resident use a wheelchair and/or scooter? | |||
| Indent Indent Indent94992-5 | Wheel 50 feet with two turns | |||
| Indent Indent Indent95739-9 | Indicate the type of wheelchair or scooter used | |||
| Indent Indent Indent94991-7 | Wheel 150 feet | |||
| Indent Indent Indent95739-9 | Indicate the type of wheelchair or scooter used | |||
| Indent101267-3 | Functional Abilities - OBRA &or Interim | |||
| Indent Indent101430-7 | Self-Care - OBRA/Interim Performance | |||
| Indent Indent Indent89409-7 | Eating | |||
| Indent Indent Indent89404-8 | Oral hygiene | |||
| Indent Indent Indent89389-1 | Toileting hygiene | |||
| Indent Indent Indent89396-6 | Shower/bathe self | |||
| Indent Indent Indent89387-5 | Upper body dressing | |||
| Indent Indent Indent89406-3 | Lower body dressing | |||
| Indent Indent Indent89400-6 | Putting on/taking off footwear | |||
| Indent Indent Indent45606-1 | Personal hygiene | |||
| Indent Indent101432-3 | Mobility - OBRA/Interim Performance | |||
| Indent Indent Indent89398-2 | Roll left and right | |||
| Indent Indent Indent89394-1 | Sit to lying | |||
| Indent Indent Indent85927-2 | Lying to sitting on side of bed | |||
| Indent Indent Indent89392-5 | Sit to stand | |||
| Indent Indent Indent89414-7 | Chair/bed-to-chair transfer | |||
| Indent Indent Indent89390-9 | Toilet transfer | |||
| Indent Indent Indent101325-9 | Tub/shower transfer | |||
| Indent Indent Indent89385-9 | Walk 10 feet | |||
| Indent Indent Indent89381-8 | Walk 50 feet with two turns | |||
| Indent Indent Indent89383-4 | Walk 150 feet | |||
| Indent Indent Indent95738-1 | Does the resident use a wheelchair and/or scooter? | |||
| Indent Indent Indent94992-5 | Wheel 50 feet with two turns | |||
| Indent Indent Indent95739-9 | Indicate the type of wheelchair or scooter used | |||
| Indent Indent Indent94991-7 | Wheel 150 feet | |||
| Indent Indent Indent95739-9 | Indicate the type of wheelchair or scooter used |
Fully-Specified Name
- Component
- MDS v3.0 - RAI v1.18.11 - Functional Abilities and Goals
- Property
- -
- Time
- RptPeriod
- System
- ^Patient
- Scale
- -
- Method
- CMS Assessment
Basic Attributes
- Class
- PANEL.SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.74
- 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
- Subset
- Panel Type
- Organizer
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 101109-7 | MDS v3.0 - RAI v1.18.11 - Nursing home part A PPS discharge (NPE) 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] |
| 104606-9 | MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment] |
| 105201-8 | MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment] |
| 104552-5 | MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment] |
| 104554-1 | MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment] |
| 104607-7 | MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment] |
| 104609-3 | MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment] |
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