Version 2.78

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