Version 2.78

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
105175-4 Functional assessment standardized items (FASI) - v1.1 during assessment period [CMS Assessment]
Indent95032-9 Functional Abilities and Goals
IndentIndent95020-4 Self-Care
IndentIndentIndent94849-7 Self-Care.Usual
IndentIndentIndentIndent95019-6 Eating
IndentIndentIndentIndent95018-8 Oral hygiene
IndentIndentIndentIndent95017-0 Toileting hygiene
IndentIndentIndentIndent95016-2 Wash upper body
IndentIndentIndentIndent95015-4 Shower/bathe self
IndentIndentIndentIndent95014-7 Upper body dressing
IndentIndentIndentIndent95013-9 Lower body dressing
IndentIndentIndentIndent95012-1 Putting on/taking off footwear
IndentIndentIndent94850-5 Self-Care.Most Dependent
IndentIndentIndentIndent94933-9 Eating
IndentIndentIndentIndent94934-7 Oral hygiene
IndentIndentIndentIndent95043-6 Toileting hygiene
IndentIndentIndentIndent94935-4 Wash upper body
IndentIndentIndentIndent94936-2 Shower/bathe self
IndentIndentIndentIndent94937-0 Upper body dressing
IndentIndentIndentIndent94938-8 Lower body dressing
IndentIndentIndentIndent94939-6 Putting on/taking off footwear
IndentIndentIndent94876-0 Self-Care Priorities
IndentIndent95023-8 Mobility
IndentIndentIndent94851-3 Mobility.Usual
IndentIndentIndentIndent95011-3 Roll left and right
IndentIndentIndentIndent95010-5 Sit to lying
IndentIndentIndentIndent95009-7 Lying to sitting on side of bed
IndentIndentIndentIndent95008-9 Sit to stand
IndentIndentIndentIndent95007-1 Chair/bed-to-chair transfer
IndentIndentIndentIndent95006-3 Toilet transfer
IndentIndentIndentIndent95005-5 Car transfer
IndentIndentIndentIndent94932-1 Does the patient walk?
IndentIndentIndentIndent95004-8 Walks 10 feet
IndentIndentIndentIndent95003-0 Walks 50 feet with two turns
IndentIndentIndentIndent95002-2 Walks 150 feet
IndentIndentIndentIndent95001-4 Walks 10 feet on uneven surfaces
IndentIndentIndentIndent95000-6 1 step (curb)
IndentIndentIndentIndent94999-0 4 steps
IndentIndentIndentIndent94998-2 12 steps
IndentIndentIndentIndent94997-4 Picking up object
IndentIndentIndentIndent94996-6 Walk indoors
IndentIndentIndentIndent94995-8 Carries something in both hands
IndentIndentIndentIndent94994-1 Walks for 15 minutes
IndentIndentIndentIndent94993-3 Walks across a street
IndentIndentIndent94852-1 Mobility.Most Dependent
IndentIndentIndentIndent94940-4 Roll left and right
IndentIndentIndentIndent94941-2 Sit to lying
IndentIndentIndentIndent94942-0 Lying to sitting on side of bed
IndentIndentIndentIndent94943-8 Sit to stand
IndentIndentIndentIndent94944-6 Chair/bed-to-chair transfer
IndentIndentIndentIndent94945-3 Toilet transfer
IndentIndentIndentIndent94946-1 Car transfer
IndentIndentIndentIndent94947-9 Walks 10 feet
IndentIndentIndentIndent94948-7 Walks 50 feet with two turns
IndentIndentIndentIndent94949-5 Walks 150 feet
IndentIndentIndentIndent94950-3 Walks 10 feet on uneven surfaces
IndentIndentIndentIndent94951-1 1 step (curb)
IndentIndentIndentIndent94952-9 4 steps
IndentIndentIndentIndent94953-7 12 steps
IndentIndentIndentIndent94954-5 Picking up object
IndentIndentIndentIndent94955-2 Walks indoors
IndentIndentIndentIndent94956-0 Carries something in both hands
IndentIndentIndentIndent94957-8 Walks for 15 minutes
IndentIndentIndentIndent94958-6 Walks across a street
IndentIndent95131-9 Mobility (Wheelchair)
IndentIndentIndent95021-2 Does the person use a manual wheelchair?
IndentIndentIndent95024-6 Manual Wheelchair.Usual
IndentIndentIndentIndent94992-5 Wheel 50 feet with two turns
IndentIndentIndentIndent94991-7 Wheels 150 feet
IndentIndentIndentIndent94990-9 Wheels for 15 minutes
IndentIndentIndentIndent94989-1 Wheels across a street
IndentIndentIndent95025-3 Manual Wheelchair.Most Dependent
IndentIndentIndentIndent94959-4 Wheel 50 feet with two turns
IndentIndentIndentIndent94960-2 Wheels 150 feet
IndentIndentIndentIndent94961-0 Wheels for 15M
IndentIndentIndentIndent94962-8 Wheels across a street
IndentIndentIndent95022-0 Does the person use a motorized wheelchair and/or scooter?
IndentIndentIndent95027-9 Motorized Wheelchair/Scooter.Usual
IndentIndentIndentIndent94992-5 Wheel 50 feet with two turns
IndentIndentIndentIndent94991-7 Wheels 150 feet
IndentIndentIndentIndent94990-9 Wheels for 15 minutes
IndentIndentIndentIndent94989-1 Wheels across a street
IndentIndentIndent95026-1 Motorized Wheelchair/Scooter.Most Dependent
IndentIndentIndentIndent94959-4 Wheel 50 feet with two turns
IndentIndentIndentIndent94960-2 Wheels 150 feet
IndentIndentIndentIndent94961-0 Wheels for 15M
IndentIndentIndentIndent94962-8 Wheels across a street
IndentIndent94877-8 Mobility Priorities
IndentIndent95028-7 Instrumental Activities of Daily Living (IADL)
IndentIndentIndent95029-5 Instrumental Activities of Daily Living.Usual
IndentIndentIndentIndent94976-8 Makes a light cold meal
IndentIndentIndentIndent94977-6 Makes a light hot meal
IndentIndentIndentIndent94978-4 Light daily housework
IndentIndentIndentIndent94979-2 Heavier periodic housework
IndentIndentIndentIndent94980-0 Light shopping
IndentIndentIndentIndent94981-8 Telephone-answering call
IndentIndentIndentIndent94982-6 Telephone-placing call
IndentIndentIndentIndent94983-4 Medication management-oral medications
IndentIndentIndentIndent94984-2 Medication management-inhalant/mist medications
IndentIndentIndentIndent94985-9 Medication management-injectable medications
IndentIndentIndentIndent94986-7 Simple financial management
IndentIndentIndentIndent94987-5 Complex financial management
IndentIndentIndent95030-3 Instrumental Activities of Daily Living.Most Dependent
IndentIndentIndentIndent94963-6 Makes a light cold meal
IndentIndentIndentIndent94964-4 Makes a light hot meal
IndentIndentIndentIndent94965-1 Light daily housework
IndentIndentIndentIndent94966-9 Heavier periodic housework
IndentIndentIndentIndent94967-7 Light shopping
IndentIndentIndentIndent94968-5 Telephone-answering call
IndentIndentIndentIndent94969-3 Telephone-placing call
IndentIndentIndentIndent94970-1 Medication management-oral medications
IndentIndentIndentIndent94971-9 Medication management-inhalant/mist medications
IndentIndentIndentIndent94972-7 Medication management-injectable medications
IndentIndentIndentIndent94973-5 Simple financial management
IndentIndentIndentIndent94974-3 Complex financial management
IndentIndentIndent94878-6 IADL Priorities
IndentIndent95031-1 Assistive Devices for Everyday Activities
IndentIndentIndent95042-8 In the past month, has the person used, or expressed or demonstrated a need for an assistive device?
IndentIndentIndent94879-4 Cane/crutch
IndentIndentIndent94880-2 Walker
IndentIndentIndent94881-0 Standard folding walker
IndentIndentIndent94882-8 Walker with seat
IndentIndentIndent94883-6 Walker with wheels
IndentIndentIndent94884-4 Wheelchair
IndentIndentIndent94885-1 Manual wheelchair
IndentIndentIndent94886-9 Motorized wheelchair and/or scooter
IndentIndentIndent94887-7 Limb prosthesis
IndentIndentIndent94888-5 Specialized seating pad (e.g. air-filled, gel, shaped foam)
IndentIndentIndent94889-3 Mechanical lift
IndentIndentIndent94890-1 Reacher/Grabber
IndentIndentIndent94891-9 Sock aid
IndentIndentIndent94892-7 Orthotics/Brace
IndentIndentIndent94893-5 Bed rail
IndentIndentIndent94894-3 Electronic bed
IndentIndentIndent94895-0 Grab bars
IndentIndentIndent94896-8 Transfer board
IndentIndentIndent94897-6 Shower/commode chair
IndentIndentIndent94898-4 Walk/wheel-in shower
IndentIndentIndent94899-2 Glasses or contact lenses
IndentIndentIndent94900-8 Hearing aid
IndentIndentIndent94901-6 Communication device
IndentIndentIndent94902-4 Stair rails
IndentIndentIndent94903-2 Lift chair
IndentIndentIndent94904-0 Ramps
IndentIndentIndent94905-7 Raised toilet seat
IndentIndentIndent94906-5 Glucometer
IndentIndentIndent94907-3 CPAP
IndentIndentIndent94908-1 Oxygen concentrator
IndentIndentIndent94910-7 Other (specify):
Indent95033-7 Preferences for Customary Routine and Activities
IndentIndent94911-5 Living Arrangement Priorities
IndentIndentIndent95034-5 Availability of Assistance
IndentIndentIndentIndent94912-3 Does the person have assistance in their home?
IndentIndentIndentIndent95414-9 Code the level of assistance in the person's home (both Paid and Unpaid) during the past month.
IndentIndentIndentIndentIndent94913-1 Code the level of assistance in the person's home during the past month - paid assistance
IndentIndentIndentIndentIndent94914-9 Code the level of assistance in the person's home during the past month - unpaid assistance
IndentIndentIndent95035-2 Availability of Paid and Unpaid Assistance
IndentIndentIndentIndent95036-0 Availability of Paid Assistance
IndentIndentIndentIndentIndent94915-6 Self-care assistance
IndentIndentIndentIndentIndent94917-2 Mobility assistance
IndentIndentIndentIndentIndent94919-8 IADL assistance
IndentIndentIndentIndentIndent94921-4 Medication administration
IndentIndentIndentIndentIndent94923-0 Medical procedures/treatments
IndentIndentIndentIndentIndent94925-5 Management of equipment
IndentIndentIndentIndentIndent94927-1 Supervision
IndentIndentIndentIndentIndent94929-7 Advocacy or facilitation of person's participation in appropriate medical care
IndentIndentIndentIndent95037-8 Availability of Unpaid Assistance
IndentIndentIndentIndentIndent94916-4 Self-care assistance
IndentIndentIndentIndentIndent94918-0 Mobility assistance
IndentIndentIndentIndentIndent94920-6 IADL assistance
IndentIndentIndentIndentIndent94922-2 Medication administration
IndentIndentIndentIndentIndent94924-8 Medical procedures/treatments
IndentIndentIndentIndentIndent94926-3 Management of equipment
IndentIndentIndentIndentIndent94928-9 Supervision
IndentIndentIndentIndentIndent94930-5 Advocacy or facilitation of person's participation in appropriate medical care
IndentIndent94931-3 Caregiving Priorities

Fully-Specified Name

Component
Functional assessment standardized items (FASI) - v1.1
Property
-
Time
RptPeriod
System
^Patient
Scale
-
Method
CMS Assessment

Basic Attributes

Class
PANEL.SURVEY.CMS
Type
Surveys
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Order
Panel Type
Panel

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=105175-4
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/105175-4