70114-4
Functional status - usual performance
Discouraged
Form Coding Instructions
Complete during the XX-day assessment period
Source: Centers for Medicare & Medicaid ServicesForm Coding Instructions
Code the patient's most usual performance using the 6 point scale below
Source: Centers for Medicare & Medicaid Services52663-2 Roll left and right
Term Description
The ability to roll from lying on back to left and right side, and roll back to back.
Observation ID in Form
GG0160A
Fully-Specified Name
- Component
- Roll left and right during 2D assessment period
- Property
- Find
- Time
- 2D
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Long Common Name
Roll left and right during 2 day assessment period [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.54 (MAJ)
Normative Answer List LL587-7
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Independent - Patient completes the activity by themself with no assistance from a helper. | 6 | LA9983-3 | |
| Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity. | 5 | LA10073-7 | |
| Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently. | 4 | LA11757-4 | |
| Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort. | 3 | LA10055-4 | |
| Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort. | 2 | LA10090-1 | |
| Dependent - Helper does all of the effort. Patient does none of the effort to complete the task. | 1 | LA9964-3 | |
| Not attempted due to medical condition | M | LA10039-8 | |
| Not attempted due to safety concerns | S | LA10040-6 | |
| Not attempted due to environmental constraints | E | LA10038-0 | |
| Task attempted but not completed | A | LA10092-7 | |
| Not applicable | N | LA4720-4 | |
| Patient refused | P | LA10058-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 76464-7 | American Physical Therapy Association registry panel |
| 52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
| 52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
| 52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
| 52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
| 69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
| 52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52664-0 Sit to lying
Term Description
The ability to move from sitting on side of bed to lying flat on the bed.
Observation ID in Form
GG0160B
Fully-Specified Name
- Component
- Sit to lying during 2D assessment period
- Property
- Find
- Time
- 2D
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Long Common Name
Sit to lying during 2 day assessment period [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.54 (MAJ)
Normative Answer List LL587-7
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Independent - Patient completes the activity by themself with no assistance from a helper. | 6 | LA9983-3 | |
| Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity. | 5 | LA10073-7 | |
| Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently. | 4 | LA11757-4 | |
| Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort. | 3 | LA10055-4 | |
| Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort. | 2 | LA10090-1 | |
| Dependent - Helper does all of the effort. Patient does none of the effort to complete the task. | 1 | LA9964-3 | |
| Not attempted due to medical condition | M | LA10039-8 | |
| Not attempted due to safety concerns | S | LA10040-6 | |
| Not attempted due to environmental constraints | E | LA10038-0 | |
| Task attempted but not completed | A | LA10092-7 | |
| Not applicable | N | LA4720-4 | |
| Patient refused | P | LA10058-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 76464-7 | American Physical Therapy Association registry panel |
| 52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
| 52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
| 52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
| 52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
| 69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
| 52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |
52648-3 Lying to Sitting on Side of Bed
Term Description
The ability to safely move from lying on the back to sitting on side of bed with feet flat on the floor, no back support.
Observation ID in Form
GG0160C
Fully-Specified Name
- Component
- Lying to sitting on side of bed during 2D assessment period
- Property
- Find
- Time
- 2D
- System
- ^Patient
- Scale
- Ord
- Method
- CARE
Long Common Name
Lying to sitting on side of bed during 2 day assessment period [CARE]
Basic Attributes
- Class
- SURVEY.CARE
- Type
- Surveys
- First Released
- Version 2.26
- Last Updated
- Version 2.54 (MAJ)
Normative Answer List LL586-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Independent - Patient completes the activity by themself with no assistance from a helper. | 6 | LA9983-3 | |
| Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity. | 5 | LA10073-7 | |
| Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently. | 4 | LA11757-4 | |
| Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds, or supports trunk or limbs, but provides less than half the effort. | 3 | LA10055-4 | |
| Substantial/maximal assistance – Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort. | 2 | LA10090-1 | |
| Dependent - Helper does all of the effort. Patient does none of the effort to complete the task. | 1 | LA9964-3 | |
| Not attempted due to medical condition | M | LA10039-8 | |
| Not attempted due to safety concerns | S | LA10040-6 | |
| Task attempted but not completed | A | LA10092-7 | |
| Not applicable | N | LA4720-4 | |
| Patient refused | P | LA10058-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 76464-7 | American Physical Therapy Association registry panel |
| 52745-7 | Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge |
| 52743-2 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care |
| 52748-1 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission |
| 52746-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim |
| 69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
| 52744-0 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission |