Version 2.77

69493-5 OPTIMAL difficulty - baseline

Form Coding Instructions

Please circle the level of difficulty you have for each activity today.

Source: American Physical Therapy Association

Fully-Specified Name

Component
OPTIMAL difficulty - baseline
Property
-
Time
Pt
System
^Patient
Scale
-
Method
OPTIMAL

Basic Attributes

Class
PANEL.SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67
Panel Type
Panel

Survey Question

Source
OPTIMAL_diff_base

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69497-6 Lying flat - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Lying flat - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_1

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69498-4 Rolling over - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Rolling over - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_2

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69499-2 Moving - lying to sitting - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Moving - lying to sitting - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_3

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69500-7 Sitting - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Sitting - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_4

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69501-5 Squatting - difficulty

Observation ID in Form

OPTIMAL_move_5

Observation Required in Panel

Required

Fully-Specified Name

Component
Squatting - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.72
Change Reason
Release 2.72: ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability; AnswerListId: Updated to a more general list without associated codes; METHOD_TYP: Removed Method because this concept is not specific to Optimal;

Survey Question

Source
OPTIMAL_move_5

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
99583-7 Lysholm Knee Scoring Scale [LKSS]
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69502-3 Bending - stooping - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Bending - stooping - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_6

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69503-1 Balancing - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Balancing - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_7

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69504-9 Kneeling - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Kneeling - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_8

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69505-6 Walking - short distance - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Walking - short distance - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_9

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69506-4 Walking - long distance - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Walking - long distance - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_10

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69507-2 Walking - outdoors - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Walking - outdoors - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_11

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69508-0 Climbing stairs - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Climbing stairs - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_12

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69509-8 Hopping - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Hopping - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_13

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69510-6 Jumping - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Jumping - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_14

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69511-4 Running - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Running - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_15

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69512-2 Pushing - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Pushing - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_16

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69513-0 Pulling - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Pulling - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_17

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69514-8 Reaching - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Reaching - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_18

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69515-5 Grasping - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Grasping - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_19

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69516-3 Lifting - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Lifting - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_20

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69517-1 Carrying - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Carrying - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_21

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69519-7 Overall level of difficulty with these activities today [OPTIMAL]

Reference Information

Type Source Reference
Image American Physical Therapy AssociationCopyright Copyright © 2012, 2006, 2005 American Physical Therapy Association. All rights reserved.
OPTIMAL Difficulty Scale Image for OPTIMAL Difficulty Scale

Observation Required in Panel

Required

Form Coding Instructions

Thinking about all the activites you like to do, please mark "X" at the point on the line that best describes your overall level of difficulty in performing these activities today

Source: American Physical Therapy Association

Fully-Specified Name

Component
Overall level of difficulty with these activities today
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_22

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69518-9 Choose the number of the activity you would most like to be able to do without any difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Choose the number of the activity you would most like to be able to do without any difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_23

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69632-8 Total difficulty score - baseline [OPTIMAL]

Term Description

Sum of all 21 items
Source: Regenstrief LOINC

Observation Required in Panel

Optional

Fully-Specified Name

Component
Total difficulty score - baseline
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69494-3 OPTIMAL confidence - baseline

Form Coding Instructions

Please circle the level of confidence you have for doing each activity today.

Source: American Physical Therapy Association

Fully-Specified Name

Component
OPTIMAL confidence - baseline
Property
-
Time
Pt
System
^Patient
Scale
-
Method
OPTIMAL

Basic Attributes

Class
PANEL.SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67
Panel Type
Panel

Survey Question

Source
OPTIMAL_conf_base

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69520-5 Lying flat - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Lying flat - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_1_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69521-3 Rolling over - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Rolling over - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_2_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69522-1 Moving - lying to sitting - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Moving - lying to sitting - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_3_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69523-9 Sitting - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Sitting - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_4_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69524-7 Squatting - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Squatting - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_5_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69525-4 Bending - stooping - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Bending - stooping - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_6_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69526-2 Balancing - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Balancing - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_7_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69527-0 Kneeling - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Kneeling - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_8_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69528-8 Walking - short distance - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Walking - short distance - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_9_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69529-6 Walking - long distance - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Walking - long distance - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_10_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69530-4 Walking - outdoors - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Walking - outdoors - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_11_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69531-2 Climbing stairs - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Climbing stairs - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_12_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69532-0 Hopping - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Hopping - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_13_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69533-8 Jumping - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Jumping - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_14_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69534-6 Running - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Running - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_15_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69535-3 Pushing - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Pushing - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_16_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69536-1 Pulling - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Pulling - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_17_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69537-9 Reaching - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Reaching - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_18_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69538-7 Grasping - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Grasping - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_19_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69539-5 Lifting - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Lifting - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_20_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69540-3 Carrying - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Carrying - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_21_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69541-1 Overall level of confidence with these activities today [OPTIMAL]

Reference Information

Type Source Reference
Image American Physical Therapy AssociationCopyright Copyright © 2012, 2006, 2005 American Physical Therapy Association. All rights reserved.
OPTIMAL Confidence Scale Image for OPTIMAL Confidence Scale

Observation Required in Panel

Required

Form Coding Instructions

Thinking about all the activites you like to do, please mark "X" at the point on the line that best describes your overall level of confidence in performing these activities today

Source: American Physical Therapy Association

Fully-Specified Name

Component
Overall level of confidence with these activities today
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_22_c

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69653-4 Total confidence score - baseline [OPTIMAL]

Term Description

Sum of all 21 items
Source: Regenstrief LOINC

Observation Required in Panel

Optional

Fully-Specified Name

Component
Total confidence score - baseline
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69495-0 OPTIMAL difficulty - follow up

Form Coding Instructions

Please circle the level of difficulty you have for each activity today.

Source: American Physical Therapy Association

Fully-Specified Name

Component
OPTIMAL difficulty - follow up
Property
-
Time
Pt
System
^Patient
Scale
-
Method
OPTIMAL

Basic Attributes

Class
PANEL.SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67
Panel Type
Panel

Survey Question

Source
OPTIMAL_diff_follow

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69497-6 Lying flat - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Lying flat - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_1

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69498-4 Rolling over - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Rolling over - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_2

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69499-2 Moving - lying to sitting - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Moving - lying to sitting - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_3

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69500-7 Sitting - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Sitting - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_4

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69501-5 Squatting - difficulty

Observation Required in Panel

Required

Fully-Specified Name

Component
Squatting - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.72
Change Reason
Release 2.72: ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability; AnswerListId: Updated to a more general list without associated codes; METHOD_TYP: Removed Method because this concept is not specific to Optimal;

Survey Question

Source
OPTIMAL_move_5

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
99583-7 Lysholm Knee Scoring Scale [LKSS]
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69502-3 Bending - stooping - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Bending - stooping - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_6

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69503-1 Balancing - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Balancing - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_7

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69504-9 Kneeling - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Kneeling - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_8

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69505-6 Walking - short distance - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Walking - short distance - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_9

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69506-4 Walking - long distance - difficulty [OPTIMAL]

Observation ID in Form

OPTIMAL_move_5

Observation Required in Panel

Required

Fully-Specified Name

Component
Walking - long distance - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_10

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69507-2 Walking - outdoors - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Walking - outdoors - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_11

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69508-0 Climbing stairs - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Climbing stairs - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_12

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69509-8 Hopping - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Hopping - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_13

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69510-6 Jumping - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Jumping - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_14

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69511-4 Running - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Running - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_15

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69512-2 Pushing - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Pushing - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_16

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69513-0 Pulling - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Pulling - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_17

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69514-8 Reaching - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Reaching - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_18

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69515-5 Grasping - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Grasping - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_19

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69516-3 Lifting - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Lifting - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_20

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69517-1 Carrying - difficulty [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Carrying - difficulty
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_21

Normative Answer List LL1947-2

Answer Code Score Answer ID
Able to do without any difficulty 1 1 LA18337-8
Able to do with little difficulty 2 2 LA18338-6
Able to do with moderate difficulty 3 3 LA18339-4
Able to do with much difficulty 4 4 LA18340-2
Unable to do 5 5 LA13912-3
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69519-7 Overall level of difficulty with these activities today [OPTIMAL]

Reference Information

Type Source Reference
Image American Physical Therapy AssociationCopyright Copyright © 2012, 2006, 2005 American Physical Therapy Association. All rights reserved.
OPTIMAL Difficulty Scale Image for OPTIMAL Difficulty Scale

Observation Required in Panel

Required

Form Coding Instructions

Thinking about all the activites you like to do, please mark "X" at the point on the line that best describes your overall level of difficulty in performing these activities today

Source: American Physical Therapy Association

Fully-Specified Name

Component
Overall level of difficulty with these activities today
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_22

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69633-6 Total difficulty score - follow-up [OPTIMAL]

Term Description

Sum of all 21 items
Source: Regenstrief LOINC

Observation Required in Panel

Optional

Fully-Specified Name

Component
Total difficulty score - follow-up
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69751-6 OPTIMAL change scores - difficulty

Fully-Specified Name

Component
OPTIMAL change scores - difficulty
Property
-
Time
Pt
System
^Patient
Scale
-
Method
OPTIMAL

Basic Attributes

Class
PANEL.SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69627-8 Lying flat - difficulty - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Lying flat - difficulty - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69626-0 Rolling over - difficulty - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Rolling over - difficulty - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69625-2 Moving - lying to sitting - difficulty - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Moving - lying to sitting - difficulty - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69624-5 Sitting - difficulty - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Sitting - difficulty - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69623-7 Squatting - difficulty - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Squatting - difficulty - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69622-9 Bending - stooping - difficulty - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Bending - stooping - difficulty - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69621-1 Balancing - difficulty - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Balancing - difficulty - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69620-3 Kneeling - difficulty - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Kneeling - difficulty - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69619-5 Walking - short distance - difficulty - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Walking - short distance - difficulty - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69618-7 Walking - long distance - difficulty - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Walking - long distance - difficulty - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69617-9 Walking - outdoors - difficulty - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Walking - outdoors - difficulty - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69616-1 Climbing stairs - difficulty - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Climbing stairs - difficulty - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69615-3 Hopping - difficulty - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Hopping - difficulty - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69614-6 Jumping - difficulty - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Jumping - difficulty - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69613-8 Running - difficulty - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Running - difficulty - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69612-0 Pushing - difficulty - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Pushing - difficulty - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69611-2 Pulling - difficulty - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Pulling - difficulty - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69610-4 Reaching - difficulty - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Reaching - difficulty - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69609-6 Grasping - difficulty - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Grasping - difficulty - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69608-8 Lifting - difficulty - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Lifting - difficulty - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69607-0 Carrying - difficulty - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Carrying - difficulty - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69631-0 Total change score - difficulty [OPTIMAL]

Term Description

Baseline sum - Follow-up sum
Source: Regenstrief LOINC

Observation Required in Panel

Optional

Fully-Specified Name

Component
Total change score - difficulty
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69496-8 OPTIMAL confidence - follow up

Form Coding Instructions

Please circle the level of confidence you have for doing each activity today.

Source: American Physical Therapy Association

Fully-Specified Name

Component
OPTIMAL confidence - follow up
Property
-
Time
Pt
System
^Patient
Scale
-
Method
OPTIMAL

Basic Attributes

Class
PANEL.SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67
Panel Type
Panel

Survey Question

Source
OPTIMAL_conf_follow

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69520-5 Lying flat - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Lying flat - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_1_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69521-3 Rolling over - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Rolling over - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_2_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69522-1 Moving - lying to sitting - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Moving - lying to sitting - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_3_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69523-9 Sitting - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Sitting - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_4_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69524-7 Squatting - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Squatting - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_5_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69525-4 Bending - stooping - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Bending - stooping - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_6_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69526-2 Balancing - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Balancing - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_7_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69527-0 Kneeling - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Kneeling - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_8_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69528-8 Walking - short distance - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Walking - short distance - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_9_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69529-6 Walking - long distance - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Walking - long distance - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_10_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69530-4 Walking - outdoors - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Walking - outdoors - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_11_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69531-2 Climbing stairs - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Climbing stairs - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_12_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69532-0 Hopping - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Hopping - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_13_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69533-8 Jumping - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Jumping - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_14_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69534-6 Running - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Running - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_15_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69535-3 Pushing - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Pushing - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_16_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69536-1 Pulling - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Pulling - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_17_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69537-9 Reaching - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Reaching - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_18_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69538-7 Grasping - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Grasping - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_19_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69539-5 Lifting - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Lifting - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_20_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69540-3 Carrying - confidence [OPTIMAL]

Observation Required in Panel

Required

Fully-Specified Name

Component
Carrying - confidence
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_move_21_c

Normative Answer List LL1946-4

Answer Code Score Answer ID
Fully confident in my ability to perform 1 1 LA18083-8
Very confident 2 2 LA18084-6
Moderate confidence 3 3 LA18085-3
Some confidence 4 4 LA18086-1
Not confident in my ability to perform 5 5 LA18087-9
Not applicable 9 0 LA4720-4

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69541-1 Overall level of confidence with these activities today [OPTIMAL]

Reference Information

Type Source Reference
Image American Physical Therapy AssociationCopyright Copyright © 2012, 2006, 2005 American Physical Therapy Association. All rights reserved.
OPTIMAL Confidence Scale Image for OPTIMAL Confidence Scale

Observation Required in Panel

Required

Form Coding Instructions

Thinking about all the activites you like to do, please mark "X" at the point on the line that best describes your overall level of confidence in performing these activities today

Source: American Physical Therapy Association

Fully-Specified Name

Component
Overall level of confidence with these activities today
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Survey Question

Source
OPTIMAL_22_c

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69654-2 Total confidence score - follow-up [OPTIMAL]

Term Description

Sum of all 21 items
Source: Regenstrief LOINC

Observation Required in Panel

Optional

Fully-Specified Name

Component
Total confidence score - follow-up
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69752-4 OPTIMAL change scores - confidence

Fully-Specified Name

Component
OPTIMAL change scores - confidence
Property
-
Time
Pt
System
^Patient
Scale
-
Method
OPTIMAL

Basic Attributes

Class
PANEL.SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

69606-2 Lying flat - confidence - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Lying flat - confidence - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69605-4 Rolling over - confidence - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Rolling over - confidence - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69604-7 Moving - lying to sitting - confidence - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Moving - lying to sitting - confidence - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69603-9 Sitting - confidence - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Sitting - confidence - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69602-1 Squatting - confidence - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Squatting - confidence - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69601-3 Bending - stooping - confidence - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Bending - stooping - confidence - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69600-5 Balancing - confidence - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Balancing - confidence - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69599-9 Kneeling - confidence - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Kneeling - confidence - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69598-1 Walking - short distance - confidence - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Walking - short distance - confidence - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69597-3 Walking - long distance - confidence - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Walking - long distance - confidence - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69596-5 Walking - outdoors - confidence - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Walking - outdoors - confidence - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69595-7 Climbing stairs - confidence - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Climbing stairs - confidence - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69594-0 Hopping - confidence - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Hopping - confidence - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69593-2 Jumping - confidence - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Jumping - confidence - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69592-4 Running - confidence - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Running - confidence - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69591-6 Pushing - confidence - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Pushing - confidence - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69590-8 Pulling - confidence - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Pulling - confidence - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69589-0 Reaching - confidence - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Reaching - confidence - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69588-2 Grasping - confidence - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Grasping - confidence - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69587-4 Lifting - confidence - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Lifting - confidence - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69586-6 Carrying - confidence - score change [OPTIMAL]

Observation Required in Panel

Optional

Fully-Specified Name

Component
Carrying - confidence - score change
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units

69652-6 Total change score - confidence [OPTIMAL]

Term Description

Baseline sum - Follow-up sum
Source: Regenstrief LOINC

Observation Required in Panel

Optional

Fully-Specified Name

Component
Total change score - confidence
Property
ScoreDiff
Time
Pt
System
^Patient
Scale
Qn
Method
OPTIMAL

Basic Attributes

Class
SURVEY.OPTIMAL
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.67

Member of these Panels

LOINC Long Common Name
69492-7 Outpatient physical therapy improvement in movement assessment log [OPTIMAL]

Example Units

Unit Source
{score} Example UCUM Units