52517-0
Select the longest distance the patient walks and code his/her level of independence (Level 1-6) on that distance. Observe performance. (Select only one.)
Discouraged
52653-3 Walk 150 ft (45 m)
Term Description
Once standing, can walk at least 150 feet (45 meters) in corridor or similar space.
Source: Regenstrief LOINC
Observation ID in Form
B5a.1
Fully-Specified Name
- Component
- Walk 150 ft (45 m) during 2D assessment period
- Property
- Find
- Time
- 2D
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.54
Normative Answer List LL586-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Independent - Patient completes the activity by themself with no assistance from a helper. | 6 | LA9983-3 | |
| Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity. | 5 | LA10073-7 | |
| Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently. | 4 | LA11757-4 | |
| 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. | 3 | LA10055-4 | |
| Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort. | 2 | LA10090-1 | |
| Dependent - Helper does all of the effort. Patient does none of the effort to complete the task. | 1 | LA9964-3 | |
| Not attempted due to medical condition | M | LA10039-8 | |
| Not attempted due to safety concerns | S | LA10040-6 | |
| Task attempted but not completed | A | LA10092-7 | |
| Not applicable | N | LA4720-4 | |
| Patient refused | P | LA10058-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 76464-7 | American Physical Therapy Association registry panel |
| 52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
| 52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
| 52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
| 52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
| 52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52654-1 Walk 100 ft (30 m)
Term Description
Once standing, can walk at least 100 feet (30 meters) in corridor or similar space.
Source: Regenstrief LOINC
Observation ID in Form
B5a.2
Fully-Specified Name
- Component
- Walk 100 ft (30 m) during 2D assessment period
- Property
- Find
- Time
- 2D
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.54
Normative Answer List LL586-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Independent - Patient completes the activity by themself with no assistance from a helper. | 6 | LA9983-3 | |
| Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity. | 5 | LA10073-7 | |
| Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently. | 4 | LA11757-4 | |
| 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. | 3 | LA10055-4 | |
| Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort. | 2 | LA10090-1 | |
| Dependent - Helper does all of the effort. Patient does none of the effort to complete the task. | 1 | LA9964-3 | |
| Not attempted due to medical condition | M | LA10039-8 | |
| Not attempted due to safety concerns | S | LA10040-6 | |
| Task attempted but not completed | A | LA10092-7 | |
| Not applicable | N | LA4720-4 | |
| Patient refused | P | LA10058-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 76464-7 | American Physical Therapy Association registry panel |
| 52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
| 52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
| 52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
| 52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
| 52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52655-8 Walk 50 ft (15m)
Term Description
Once standing, can walk at least 50 feet (15 meters) in corridor or similar space.
Source: Regenstrief LOINC
Observation ID in Form
B5a.3
Fully-Specified Name
- Component
- Walk 50 ft (15 m) during 2D assessment period
- Property
- Find
- Time
- 2D
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.64
Normative Answer List LL586-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Independent - Patient completes the activity by themself with no assistance from a helper. | 6 | LA9983-3 | |
| Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity. | 5 | LA10073-7 | |
| Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently. | 4 | LA11757-4 | |
| 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. | 3 | LA10055-4 | |
| Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort. | 2 | LA10090-1 | |
| Dependent - Helper does all of the effort. Patient does none of the effort to complete the task. | 1 | LA9964-3 | |
| Not attempted due to medical condition | M | LA10039-8 | |
| Not attempted due to safety concerns | S | LA10040-6 | |
| Task attempted but not completed | A | LA10092-7 | |
| Not applicable | N | LA4720-4 | |
| Patient refused | P | LA10058-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
| 52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
| 52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
| 52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
| 52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52656-6 Walk in Room Once Standing
Term Description
Once standing, can walk at least 10 feet (3 meters) in room, corridor or similar space.
Source: Regenstrief LOINC
Observation ID in Form
B5a.4
Fully-Specified Name
- Component
- Walk 10 ft (3 m) during 2D assessment period
- Property
- Find
- Time
- 2D
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.54
Normative Answer List LL586-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Independent - Patient completes the activity by themself with no assistance from a helper. | 6 | LA9983-3 | |
| Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity. | 5 | LA10073-7 | |
| Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently. | 4 | LA11757-4 | |
| 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. | 3 | LA10055-4 | |
| Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort. | 2 | LA10090-1 | |
| Dependent - Helper does all of the effort. Patient does none of the effort to complete the task. | 1 | LA9964-3 | |
| Not attempted due to medical condition | M | LA10039-8 | |
| Not attempted due to safety concerns | S | LA10040-6 | |
| Task attempted but not completed | A | LA10092-7 | |
| Not applicable | N | LA4720-4 | |
| Patient refused | P | LA10058-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 76464-7 | American Physical Therapy Association registry panel |
| 52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
| 52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
| 52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
| 52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
| 52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |