Form Coding Instructions

Record the number of days each of the following restorative techniques were performed (for at least 15 minutes a day) in the last 7 calendar days (enter 0 if none or less than 15 minutes daily)

Source: Centers for Medicare & Medicaid Services

45859-6 Range of motion (passive)

Observation ID in Form

O0500A

Fully-Specified Name

Component
Number of D of passive range of motion
Property
Num
Time
Pt
System
^Patient
Scale
Qn
Method
MDS

Long Common Name

Number of days of passive range of motion [Minimum Data Set]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.50 (MIN)

Member of these Panels

LOINCLong Common Name
45981-8Deprecated MDS full assessment form - version 2.0
46104-6Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
54580-6Deprecated Minimum Data Set - version 3.0

Example Units

UnitSource
dExample UCUM Units

45860-4 Technique. Range of motion (active)

Observation ID in Form

O0500B

Fully-Specified Name

Component
Number of D of active range of motion
Property
Num
Time
Pt
System
^Patient
Scale
Qn
Method
MDS

Long Common Name

Number of days of active range of motion [Minimum Data Set]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.50 (MIN)

Member of these Panels

LOINCLong Common Name
45981-8Deprecated MDS full assessment form - version 2.0
46104-6Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
54580-6Deprecated Minimum Data Set - version 3.0

Example Units

UnitSource
dExample UCUM Units

45861-2 Splint or brace assistance

Observation ID in Form

O0500C

Fully-Specified Name

Component
Number of D of splint or brace assistance
Property
Num
Time
Pt
System
^Patient
Scale
Qn
Method
MDS

Long Common Name

Number of days of splint or brace assistance [Minimum Data Set]

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.50 (MIN)

Member of these Panels

LOINCLong Common Name
45981-8Deprecated MDS full assessment form - version 2.0
46104-6Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
54580-6Deprecated Minimum Data Set - version 3.0

Example Units

UnitSource
dExample UCUM Units