89398-2 Roll left and right

Observation ID in Form

GG0170A3

Form Context

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

Fully-Specified Name

Component

Roll left and right - functional goal

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.64

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 LL4971-9

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• L
• LT
• Ordinal
• Ql
• Qual
• Qualitative
• R
• Report period
• RT
• Screen
• Survey

Related Codes

89394-1 Sit to lying

Observation ID in Form

GG0170B3

Form Context

The ability to move from sitting on side of bed to lying flat on the bed

Fully-Specified Name

Component

Sit to lying - functional goal

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.64

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 LL4971-9

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

85927-2 Lying to sitting on side of bed

Term Description

Expected functional performance for 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.
Source: Regenstrief LOINC

Observation ID in Form

GG0170C3

Form Context

The ability to move from lying on the back to sitting on the side of the bed and with no back support

Fully-Specified Name

Component

Lying to sitting on side of bed - functional goal

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

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 LL4971-9

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

89392-5 Sit to stand

Observation ID in Form

GG0170D3

Form Context

The ability to come to a standing position from sitting in a chair, wheelchair, or on the side of the bed

Fully-Specified Name

Component

Sit to stand - functional goal

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.64

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 LL4971-9

Member of these Panels

Related Names

• 30s CST
• 30-Second Chair Stand
• 30sSTS
• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Stands
• Survey

Related Codes

89414-7 Chair/bed-to-chair transfer

Observation ID in Form

GG0170E3

Form Context

The ability to transfer to and from a bed to a chair (or wheelchair)

Fully-Specified Name

Component

Chair &or bed-to-chair transfer - functional goal

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.64

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; Release 2.69: COMPONENT: Updated for consistency across terms and to clarify that assessment is for transfer from a chair and/or bed to a chair.;

Order vs. Observation

Observation

Normative Answer List LL4971-9

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

89390-9 Toilet transfer

Observation ID in Form

GG0170F3

Form Context

The ability to get on and off a toilet or commode

Fully-Specified Name

Component

Toilet transfer - functional goal

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.64

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 LL4971-9

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

101325-9 Tub/shower transfer

Observation ID in Form

GG0170FF3

Form Context

The ability to get in and out of a tub/shower

Fully-Specified Name

Component

Tub &or shower transfer - functional goal

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

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

Observation

Normative Answer List LL4971-9

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

89412-1 Car transfer

Observation ID in Form

GG0170G3

Form Context

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

Fully-Specified Name

Component

Car transfer - functional goal

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.64

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 LL4971-9

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

89385-9 Walk 10 feet

Observation ID in Form

GG0170I3

Skip Logic

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

Form Context

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

Fully-Specified Name

Component

Walk 10 feet - functional goal

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.64

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 LL4971-9

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

89381-8 Walk 50 feet with two turns

Observation ID in Form

GG0170J3

Form Context

Once standing, the ability to walk at least 50 feet and make two turns

Fully-Specified Name

Component

Walk 50 feet with two turns - functional goal

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.64

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 LL4971-9

Member of these Panels

Related Names

• 2
• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

89383-4 Walk 150 feet

Observation ID in Form

GG0170K3

Form Context

Once standing, the ability to walk at least 150 feet in a corridor or similar space

Fully-Specified Name

Component

Walk 150 feet - functional goal

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.64

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 LL4971-9

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

89379-2 Walking 10 feet on uneven surfaces

Observation ID in Form

GG0170L3

Form Context

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

Fully-Specified Name

Component

Walking 10 feet on uneven surfaces - functional goal

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.64

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 LL4971-9

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

89420-4 1 step (curb)

Observation ID in Form

GG0170M3

Skip Logic

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

Form Context

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

Fully-Specified Name

Component

Go up and down a curb &or step - functional goal

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.64

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; Release 2.70: COMPONENT: Updated to align naming of similar concepts across CMS assessments.;

Order vs. Observation

Observation

Normative Answer List LL4971-9

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

89416-2 4 steps

Observation ID in Form

GG0170N3

Skip Logic

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

Form Context

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

Fully-Specified Name

Component

Go up and down 4 steps - functional goal

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.64

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 LL4971-9

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

89418-8 12 steps

Observation ID in Form

GG0170O3

Form Context

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

Fully-Specified Name

Component

Go up and down 12 steps - functional goal

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.64

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 LL4971-9

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

89402-2 Picking up object

Observation ID in Form

GG0170P3

Form Context

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

Fully-Specified Name

Component

Picking up object - functional goal

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.64

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 LL4971-9

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

95738-1 Does the resident use a wheelchair and/or scooter?

Observation ID in Form

GG0170Q3

Skip Logic

If 0, skip to H0100, Appliances. If 1, Continue to GG0170R, Wheel 50 feet with two turns

Fully-Specified Name

Component

Does the patient use a wheelchair or scooter

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.69

Last Updated

Version 2.69

Order vs. Observation

Observation

Normative Answer List LL251-0

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

Third Party Copyright

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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.

94992-5 Wheel 50 feet with two turns

Observation ID in Form

GG0170R3

Form Context

Once seated in wheelchair/scooter, the ability to wheel at least 50 feet and make two turns

Fully-Specified Name

Component

Wheel 50 feet with two turns - usual functional ability

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.68

Last Updated

Version 2.69

Order vs. Observation

Observation

Normative Answer List LL4971-9

Member of these Panels

Related Names

• 2
• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

95739-9 Indicate the type of wheelchair or scooter used

Observation ID in Form

GG0170RR3

Fully-Specified Name

Component

Indicate the type of wheelchair or scooter used

Property

Type

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.69

Last Updated

Version 2.69

Order vs. Observation

Observation

Normative Answer List LL4186-4

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Nominal
• Report period
• Survey
• Typ

Related Codes

94991-7 Wheel 150 feet

Observation ID in Form

GG0170S3

Form Context

Once seated in wheelchair/scooter, the ability to wheel at least 150 feet in a corridor or similar space

Fully-Specified Name

Component

Wheel 150 feet - usual functional ability

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.68

Last Updated

Version 2.69

Order vs. Observation

Observation

Normative Answer List LL4971-9

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

95739-9 Indicate the type of wheelchair or scooter used

Observation ID in Form

GG0170SS3

Fully-Specified Name

Component

Indicate the type of wheelchair or scooter used

Property

Type

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.69

Last Updated

Version 2.69

Order vs. Observation

Observation

Normative Answer List LL4186-4

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Nominal
• Report period
• Survey
• Typ

Related Codes