54520-2
Interview for Activity Preferences
Active
Form Coding Instructions
Show resident the response options and say: "While you are in this facility…"
Source: Centers for Medicare & Medicaid Services54706-7 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
Long Common Name
How important it is to have books, newspapers, and magazines to read while in this facility during assessment period [CMS Assessment]
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77 (MAJ)
- 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] |
| 90473-0 | Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 54580-6 | Deprecated Minimum Data Set - version 3.0 |
| 103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 108256-9 | Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment] |
| 100997-6 | Respiratory Allergen Panel, Area 5 - Serum |
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
Long Common Name
How important it is to listen to music you like while in this facility during assessment period [CMS Assessment]
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77 (MAJ)
- 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] |
| 90473-0 | Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 54580-6 | Deprecated Minimum Data Set - version 3.0 |
| 103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 108256-9 | Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment] |
| 100997-6 | Respiratory Allergen Panel, Area 5 - Serum |
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
Long Common Name
How important it is to be around animals such as pets while in this facility during assessment period [CMS Assessment]
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77 (MAJ)
- 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] |
| 90473-0 | Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 54580-6 | Deprecated Minimum Data Set - version 3.0 |
| 103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 108256-9 | Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment] |
| 100997-6 | Respiratory Allergen Panel, Area 5 - Serum |
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
Long Common Name
How important it is to keep up with the news while in this facility during assessment period [CMS Assessment]
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77 (MAJ)
- 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] |
| 90473-0 | Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 54580-6 | Deprecated Minimum Data Set - version 3.0 |
| 103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 108256-9 | Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment] |
| 100997-6 | Respiratory Allergen Panel, Area 5 - Serum |
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
Long Common Name
How important it is to do things with groups of people while in this facility during assessment period [CMS Assessment]
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77 (MAJ)
- 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] |
| 90473-0 | Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 54580-6 | Deprecated Minimum Data Set - version 3.0 |
| 103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 108256-9 | Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment] |
| 100997-6 | Respiratory Allergen Panel, Area 5 - Serum |
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
Long Common Name
How important it is to do your favorite activities while in this facility during assessment period [CMS Assessment]
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77 (MAJ)
- 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] |
| 90473-0 | Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 54580-6 | Deprecated Minimum Data Set - version 3.0 |
| 103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 108256-9 | Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment] |
| 100997-6 | Respiratory Allergen Panel, Area 5 - Serum |
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
Long Common Name
How important it is to go outside to get fresh air when the weather is good while in this facility during assessment period [CMS Assessment]
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77 (MAJ)
- 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] |
| 90473-0 | Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 54580-6 | Deprecated Minimum Data Set - version 3.0 |
| 103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 108256-9 | Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment] |
| 100997-6 | Respiratory Allergen Panel, Area 5 - Serum |
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
Long Common Name
How important it is to participate in religious services or practices while in this facility during assessment period [CMS Assessment]
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.27
- Last Updated
- Version 2.77 (MAJ)
- 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] |
| 90473-0 | Deprecated MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 54580-6 | Deprecated Minimum Data Set - version 3.0 |
| 103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 108256-9 | Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.20.1 during assessment period [CMS Assessment] |
| 100997-6 | Respiratory Allergen Panel, Area 5 - Serum |