57306-3
Types and sources of assistance during assessment period [CMS Assessment]
Active
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] |