57049-9
Care management during assessment period [CMS Assessment]
Active
57306-3 Types and sources of assistance during assessment period [CMS Assessment]
Observation ID in Form
M2100
Form Coding Instructions
Types and Sources of Assistance: Determine the level of caregiver ability and willingness to provide assistance for the following activities, if assistance is needed. (Check only one box in each row.)
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Types and sources of assistance
- Property
- -
- Time
- RptPeriod
- System
- ^Patient
- Scale
- -
- Method
- CMS Assessment
Basic Attributes
- Class
- PANEL.SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.29
- 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; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Changed Scale from Nom to "-" to follow LOINC conventions for panel parent terms
- Order vs. Observation
- Subset
- Panel Type
- Organizer
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57194-3 | Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
| 86264-9 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] |
| 86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
| 85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
57260-2 Non-agency caregiver ability and willingness to assist with ADL during assessment period [CMS Assessment]
Observation ID in Form
M2100a
Form Coding Instructions
e.g., transfer/ ambulation, bathing, dressing, toileting, eating/feeding
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Non-agency caregiver ability and willingness to assist with ADL
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.29
- 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; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use across CMS instruments as approved by the Clinical LOINC committee; Added to Component to more thoroughly represent the form text;Added "non-agency" to Component to more clearly reflect CMS assessment form text
- Order vs. Observation
- Observation
Normative Answer List LL821-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| No assistance needed in this area | 0 | LA12335-8 | |
| Caregiver(s) currently provide assistance | 1 | LA12336-6 | |
| Caregiver(s) need training/ supportive services to provide assistance | 2 | LA12337-4 | |
| Caregiver(s) not likely to provide assistance | 3 | LA12338-2 | |
| Unclear if caregiver(s) will provide assistance | 4 | LA12339-0 | |
| Assistance needed, but no caregiver(s) available | 5 | LA12340-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57194-3 | Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
| 86264-9 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] |
| 86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
| 85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
| 88371-0 | Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency during assessment period [CMS Assessment] |
| 99178-6 | Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment] |
57261-0 Non-agency caregiver ability and willingness to assist with IADL during assessment period [CMS Assessment]
Observation ID in Form
M2100b
Form Coding Instructions
e.g., meals, housekeeping, laundry, telephone, shopping, finances
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Non-agency caregiver ability and willingness to assist with IADL
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.29
- 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; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added to Component to more thoroughly represent the form text;Added "non-agency" to Component to more clearly reflect CMS assessment form text
- Order vs. Observation
- Observation
Normative Answer List LL821-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| No assistance needed in this area | 0 | LA12335-8 | |
| Caregiver(s) currently provide assistance | 1 | LA12336-6 | |
| Caregiver(s) need training/ supportive services to provide assistance | 2 | LA12337-4 | |
| Caregiver(s) not likely to provide assistance | 3 | LA12338-2 | |
| Unclear if caregiver(s) will provide assistance | 4 | LA12339-0 | |
| Assistance needed, but no caregiver(s) available | 5 | LA12340-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57194-3 | Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
| 86264-9 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] |
| 86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
| 85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
57262-8 Non-agency caregiver ability and willingness to assist with medication administration during assessment period [CMS Assessment]
Observation ID in Form
M2100c
Form Coding Instructions
e.g., oral, inhaled or injectable
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Non-agency caregiver ability and willingness to assist with medication administration
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.29
- 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; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added to Component to more thoroughly represent the form text;Added "non-agency" to Component to more clearly reflect CMS assessment form text
- Order vs. Observation
- Observation
Normative Answer List LL821-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| No assistance needed in this area | 0 | LA12335-8 | |
| Caregiver(s) currently provide assistance | 1 | LA12336-6 | |
| Caregiver(s) need training/ supportive services to provide assistance | 2 | LA12337-4 | |
| Caregiver(s) not likely to provide assistance | 3 | LA12338-2 | |
| Unclear if caregiver(s) will provide assistance | 4 | LA12339-0 | |
| Assistance needed, but no caregiver(s) available | 5 | LA12340-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57194-3 | Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
| 86264-9 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] |
| 86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
| 85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
| 88371-0 | Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency during assessment period [CMS Assessment] |
| 99178-6 | Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment] |
57263-6 Medical procedures/treatments
Observation ID in Form
M2100d
Form Coding Instructions
e.g., changing wound dressing
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Non-agency caregiver ability and willingness to assist with medical procedures &or treatments
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.29
- 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; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added to Component to more thoroughly represent the form text;Added "non-agency" to Component to more clearly reflect CMS assessment form text; Changed "medication" to "medical" in Component to correct a typo
- Order vs. Observation
- Observation
Normative Answer List LL821-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| No assistance needed in this area | 0 | LA12335-8 | |
| Caregiver(s) currently provide assistance | 1 | LA12336-6 | |
| Caregiver(s) need training/ supportive services to provide assistance | 2 | LA12337-4 | |
| Caregiver(s) not likely to provide assistance | 3 | LA12338-2 | |
| Unclear if caregiver(s) will provide assistance | 4 | LA12339-0 | |
| Assistance needed, but no caregiver(s) available | 5 | LA12340-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57194-3 | Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
| 86264-9 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] |
| 86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
| 85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
| 88371-0 | Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency during assessment period [CMS Assessment] |
| 99178-6 | Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment] |
57264-4 Non-agency caregiver ability and willingness to assist with management of equipment during assessment period [CMS Assessment]
Observation ID in Form
M2100e
Form Coding Instructions
includes oxygen, IV/infusion equipment, enteral/ parenteral nutrition, ventilator therapy equipment or supplies
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Non-agency caregiver ability and willingness to assist with management of equipment
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.29
- 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; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added to Component to more thoroughly represent the form text;Added "non-agency" to Component to more clearly reflect CMS assessment form text
- Order vs. Observation
- Observation
Normative Answer List LL821-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| No assistance needed in this area | 0 | LA12335-8 | |
| Caregiver(s) currently provide assistance | 1 | LA12336-6 | |
| Caregiver(s) need training/ supportive services to provide assistance | 2 | LA12337-4 | |
| Caregiver(s) not likely to provide assistance | 3 | LA12338-2 | |
| Unclear if caregiver(s) will provide assistance | 4 | LA12339-0 | |
| Assistance needed, but no caregiver(s) available | 5 | LA12340-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57194-3 | Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
| 86264-9 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] |
| 86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
| 85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
57265-1 Non-agency caregiver ability and willingness to assist with supervision and safety during assessment period [CMS Assessment]
Observation ID in Form
M2100f
Form Coding Instructions
e.g., due to cognitive impairment
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Non-agency caregiver ability and willingness to assist with supervision and safety
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.29
- 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; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added to Component to more thoroughly represent the form text;Added "non-agency" to Component to more clearly reflect CMS assessment form text
- Order vs. Observation
- Observation
Normative Answer List LL821-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| No assistance needed in this area | 0 | LA12335-8 | |
| Caregiver(s) currently provide assistance | 1 | LA12336-6 | |
| Caregiver(s) need training/ supportive services to provide assistance | 2 | LA12337-4 | |
| Caregiver(s) not likely to provide assistance | 3 | LA12338-2 | |
| Unclear if caregiver(s) will provide assistance | 4 | LA12339-0 | |
| Assistance needed, but no caregiver(s) available | 5 | LA12340-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57194-3 | Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
| 86264-9 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] |
| 86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
| 85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
| 88371-0 | Outcome and assessment information set (OASIS) form - version D, D1 - Discharged from agency during assessment period [CMS Assessment] |
| 88368-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment] |
| 88373-6 | Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment] |
| 99178-6 | Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment] |
| 99160-4 | Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment] |
| 99131-5 | Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment] |
57266-9 Advocacy or facilitation
Observation ID in Form
M2100g
Form Coding Instructions
Advocacy or facilitation of patient's participation in appropriate medical care (includes transportation to or from appointments)
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Non-agency caregiver ability and willingness to assist with advocacy or facilitation of patient participation
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.29
- 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; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added to Component to more thoroughly represent the form text;Added "non-agency" to Component to more clearly reflect CMS assessment form text
- Order vs. Observation
- Observation
Normative Answer List LL821-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| No assistance needed in this area | 0 | LA12335-8 | |
| Caregiver(s) currently provide assistance | 1 | LA12336-6 | |
| Caregiver(s) need training/ supportive services to provide assistance | 2 | LA12337-4 | |
| Caregiver(s) not likely to provide assistance | 3 | LA12338-2 | |
| Unclear if caregiver(s) will provide assistance | 4 | LA12339-0 | |
| Assistance needed, but no caregiver(s) available | 5 | LA12340-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57194-3 | Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
| 86264-9 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] |
| 86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
| 85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
57267-7 How Often does the patient receive ADL or IADL assistance from any caregiver(s) (other than home health agency staff)?
Observation ID in Form
M2110
Skip Logic
Omit "UK" option on DC.
Fully-Specified Name
- Component
- ADL or IADL assistance frequency from any caregiver
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.29
- 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; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Added "frequency" to Component to clarify concept; Changed Property from NRat to Find because the answer list does not reflect Nrat
- Order vs. Observation
- Observation
Normative Answer List LL822-8
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| At least daily | 1 | LA6157-7 | |
| Three or more times per week | 2 | LA6396-1 | |
| One to two times per week | 3 | LA6308-6 | |
| Received, but less often than weekly | 4 | LA12344-0 | |
| No assistance received | 5 | LA12345-7 | |
| Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value) | UK | LA4489-6 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 57039-0 | Deprecated Outcome and assessment information set (OASIS) form - version C |
| 57194-3 | Deprecated Outcome and assessment information set (OASIS) form - version C - Discharge from agency |
| 57191-9 | Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care |
| 57190-1 | Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care |
| 86264-9 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Discharged from agency [CMS Assessment] |
| 86189-8 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment] |
| 85907-4 | Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment] |
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