Version 2.80

76435-7 Patient identifier

Term Description

The patient identifier is a unique alphanumeric string that identifies a specific patient and is assigned by a specific organization (the assigning authority) that should be reported using [LOINC: 76698-0]. In HL7 v2 messages, the patient identifier is reported in PID-3.1 and the assigning authority in PID-3.4. Examples of patient identifiers are medical record number, driver's license number and Social Security number, and their corresponding assigning authorities are the appropriate healthcare facility, state motor vehicle administration and the Social Security Administration, respectively.

Fully-Specified Name

Component
Identifier
Property
ID
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
ADMIN.PATIENT.ID
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.66 (MIN)
Change Reason
Changed Class from APTA to ADMIN.ID
Order vs. Observation
Observation

HL7® Attributes

HL7® Field ID
PID-3.1

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
76464-7 American Physical Therapy Association registry panel
86636-8 Family planning report - FPAR 2.0 set
88677-0 German Interdisciplinary Association of Intensive Care and Emergency Care Medicine - recommended MIND protocol set
94655-8 Identifier and Assigning authority panel
89724-9 Minimum Data Set (MDS) for Public Health Emergency Operations Centers (EOC) [CDC Emergency Operations Centers]

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Αναγνωριστικό:Αναγνωριστικό:Pt:^Ασθενής:Nom:
Synonyms: Αναγνωριστικό
es-ES Spanish (Spain) Identificador:Código identificador:Punto temporal:^paciente:Nom:
es-MX Spanish (Mexico) Identificador:ID:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Identificatore:ID:Pt:^Paziente:Nom:
Synonyms: Amministrativo Identificatore Numero di identificazione del paziente paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Идентификатор:ID:ТчкВрм:^Пациент:Ном:
Synonyms: Идентификатор Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 标识符:标识符:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 时刻;随机;随意;瞬间 标志 标志符 标识 标识;身份标识符;身份标识 标识;身份标识符;身份标识;ID 标识符 标识符(Identifier,ID) 皮下 皮下的 皮内 皮内(Intradermal,ID) 皮内的 皮层内 皮层内的 真皮下 真皮下的 真皮内的 行政;管理;施行;执行;经营 行政管理(行政、管理、施行、执行、经营).患者(病人、病患、病号、伤病员) 行政管理(行政、管理、施行、执行、经营).患者(病人、病患、病号、伤病员).标识号(ID、身份标识符、身份标识) 识别 识别符

76698-0 Patient identifier assigning authority

Term Description

The patient identifier assigning authority is the organization that assigned the patient identifier reported using [LOINC: 76435-7]. In HL7 v2 messages, the patient identifier is reported in PID-3.1 and the assigning authority in PID-3.4. Examples of patient identifiers are medical record number, driver's license number and Social Security number, and their corresponding assigning authorities are the appropriate healthcare facility, state motor vehicle administration and the Social Security Administration, respectively.

Fully-Specified Name

Component
Identifier assigning authority
Property
ID
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
ADMIN.PATIENT.ID
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.69 (MIN)
Order vs. Observation
Both

HL7® Attributes

HL7® Field ID
PID-3.4

Example Answer List LL5327-3

Answer Code Score Answer ID
Hospital LA6218-7
Dept of Motor Vehicles LA4198-3
Social Security Administration LA30117-8

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
76464-7 American Physical Therapy Association registry panel
94655-8 Identifier and Assigning authority panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Αναγνωριστικό αναθέτουσας αρχής:Αναγνωριστικό:Pt:^Ασθενής:Nom:
Synonyms: Αναγνωριστικό Αναγνωριστικό αναθέτουσας αρχής
es-MX Spanish (Mexico) Autoridad de asignación de identificador:ID:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Responsabili dell'assegnazione del identificatore:ID:Pt:^Paziente:Nom:
Synonyms: Amministrativo Identificatore Numero di identificazione del paziente paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 标识符指定机构:标识符:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 时刻;随机;随意;瞬间 标志 标志符 标识 标识;身份标识符;身份标识 标识;身份标识符;身份标识;ID 标识指定机构;ID 指定机构;身份标识指定机构;标识符分配机构;标识符分派机构;标识符指派机构;标识符赋予机构 标识符 标识符(Identifier,ID) 皮下 皮下的 皮内 皮内(Intradermal,ID) 皮内的 皮层内 皮层内的 真皮下 真皮下的 真皮内的 行政;管理;施行;执行;经营 行政管理(行政、管理、施行、执行、经营).患者(病人、病患、病号、伤病员) 行政管理(行政、管理、施行、执行、经营).患者(病人、病患、病号、伤病员).标识号(ID、身份标识符、身份标识) 识别 识别符

76471-2 Organization episode of care unique identifier

Term Description

The organization episode of care identifier is the unique alphanumeric identifier assigned by a healthcare provider to a given patient for a specific episode of care. An episode of care begins with the initial visit for care for a particular problem and ends when the patient is no longer continuing treatment for that problem. One episode of care can include just one visit or many visits, depending on how long it takes for the problem to resolve. If the patient seeks care for a different problem in the future, a new episode of care identifier will be assigned.

Fully-Specified Name

Component
Organization episode of care unique identifier
Property
ID
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
ADMIN.ID
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.66 (MIN)
Change Reason
Changed Class from APTA to ADMIN.ID
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Μοναδικό αναγνωριστικό επεισοδίου φροντίδας οργανισμού:Αναγνωριστικό:Pt:^Ασθενής:Nom:
Synonyms: Αναγνωριστικό Επεισόδιο Μοναδικό αναγνωριστικό Μοναδικό αναγνωριστικό επεισοδίου φροντίδας Μοναδικό αναγνωριστικό επεισοδίου φροντίδας οργανισμού Οργανισμός
es-MX Spanish (Mexico) Identificador único del episodio de atención de la organización:ID:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Organizzazione, identificatore univoco episodio di cura:ID:Pt:^Paziente:Nom:
Synonyms: Amministrativo Identificatore Numero di identificazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 组织机构照护服务节段唯一性标识符:标识符:时间点:^患者:名义型:
Synonyms: 事件;插曲;片断;场面;情节;发作 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 唯一性(独特性、唯一、独一无二、独特、独特型、独具性、特有性)标识符(标识、标识号、身份标识符、身份标识、身份标识号、ID、识别字、识别码、识别元、识别符、识别号);UID 时刻;随机;随意;瞬间 标志 标志符 标识 标识;身份标识符;身份标识 标识;身份标识符;身份标识;ID 标识符 标识符(Identifier,ID) 照护服务节段(医疗服务历程、照护服务历程、照护历程、医疗护理服务历程、医疗护理历程、医疗历程、历程、病程、情节、事件、片段、照护服务片段、照护片段、照护情节、照护事件、发生期、患病期、发作期、事件发生期、情节发生期、事件持续时间、情节持续时间、次、回)唯一性(唯一、独特性、独特)标识符(标识、身份标识符、身份标识、ID) 皮下 皮下的 皮内 皮内(Intradermal,ID) 皮内的 皮层内 皮层内的 真皮下 真皮下的 真皮内的 组织;机构 组织机构(组织、机构)照护服务节段(医疗服务历程、照护服务历程、照护历程、医疗护理服务历程、医疗护理历程、医疗历程、历程、病程、情节、事件、片段、照护服务片段、照护片段、照护情节、照护事件、发生期、患病期、发作期、事件发生期、情节发生期、事件持续时间、情节持续时间、次、回)唯一性(唯一、独特性、独特)标识符(标识、身份标识符、身份标识、ID) 行政;管理;施行;执行;经营 行政管理(行政、管理、施行、执行、经营).标识号(识别号、标识符、身份标识符、识别数、识别号码、标识号码、标识编号、身份编号、身份标识号、身份证号码、证件号码) 识别 识别符

76470-4 Physical therapy organization federal tax ID

Fully-Specified Name

Component
Federal employer tax ID
Property
ID
Time
Pt
System
Organization
Scale
Nom
Method

Long Common Name

Organization federal tax ID

Basic Attributes

Class
ADMIN.ID
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.69 (MIN)
Change Reason
Release 2.69: CLASS: Updated the Class from CLIN (clinical) to the more appropriate ADMIN.ID (administrative identifiers).;
Order vs. Observation
Both

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Ομοσπονδιακός ΑΦΜ εργοδότη:Αναγνωριστικό:Pt:Οργανισμός:Nom:
Synonyms: Αναγνωριστικό Ομοσπονδιακός ΑΦΜ εργοδότη
es-MX Spanish (Mexico) Número de identificación fiscal federal del empleador:ID:Punto temporal:Organización:Nominal:
it-IT Italian (Italy) ID dell'imposta federale del datore di lavoro:ID:Pt:Organizzazione:Nom:
Synonyms: Amministrativo Identificatore Numero di identificazione Punto nel tempo (episodio)
zh-CN Chinese (China) 联邦政府雇员税务标识符:标识符:时间点:组织机构:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 时刻;随机;随意;瞬间 标志 标志符 标识 标识;身份标识符;身份标识 标识符 标识符(Identifier,ID) 皮下 皮下的 皮内 皮内(Intradermal,ID) 皮内的 皮层内 皮层内的 真皮下 真皮下的 真皮内的 组织;机构;团体;公会;协会 联邦政府雇员税务识别码;联邦政府雇员税号;联邦雇员税务标识符;联邦雇员税务 ID 行政;管理;施行;执行;经营 行政管理(行政、管理、施行、执行、经营).标识号(识别号、标识符、身份标识符、识别数、识别号码、标识号码、标识编号、身份编号、身份标识号、身份证号码、证件号码) 识别 识别符

76696-4 Physical therapy facility name

Fully-Specified Name

Component
Name
Property
ID
Time
Pt
System
Facility
Scale
Nom
Method

Long Common Name

Name [Identifier] Facility

Basic Attributes

Class
ADMIN.FACILITY
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.66 (MIN)
Change Reason
Updated Class from APTA to ADMIN.FACILITY to apply more generically
Order vs. Observation
Observation

HL7® Attributes

HL7® Field ID
FAC.1

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
103991-6 CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
83265-9 Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9 Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8 Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
93128-7 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Όνομα:Αναγνωριστικό:Pt:Εγκατάσταση:Nom:
Synonyms: Αναγνωριστικό Όνομα
es-ES Spanish (Spain) Nombre:Código identificador:Punto temporal:Facilidad:Nom:
es-MX Spanish (Mexico) Nombre:ID:Punto temporal:Instalaciones:Nominal:
it-IT Italian (Italy) Nome:ID:Pt:Struttura:Nom:
Synonyms: Amministrativo Identificatore Punto nel tempo (episodio) Struttura
nl-NL Dutch (Netherlands) naam:identificator:moment:faciliteit:nominaal:
ru-RU Russian (Russian Federation) Фамилия:ID:ТчкВрм:Учреждение:Ном:
Synonyms: Идентификатор Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 名称:标识符:时间点:设施:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 姓名;名字;名 时刻;随机;随意;瞬间 标识;身份标识符;身份标识 行政;管理;施行;执行;经营 行政管理(行政、管理、施行、执行、经营).设施(场所、设备、特别装置、服务特色)

76429-0 Physical therapy Discharge date

Term Description

The date that the patient was discharged from this episode of care.

Fully-Specified Name

Component
Physical therapy discharge date
Property
Date
Time
Pt
System
^Patient
Scale
Qn
Method

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.70 (NAM)
Change Reason
Release 2.70: COMPONENT: Updated Component to match intended use; Previous Releases: Changed Class from APTA to H&P.HX
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Ημερομηνία εξόδου από τη φυσικοθεραπεία:Ημερομηνία:Pt:^Ασθενής:Qn:
Synonyms: Ημερομηνία Ημερομηνία εξιτηρίου Ημερομηνία εξόδου από τη φυσικοθεραπεία
es-MX Spanish (Mexico) Fecha de alta de fisioterapia:Fecha:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Fisioterapia, data di dimissione:Data:Pt:^Paziente:Qn:
Synonyms: Anamnesi Data di dimissione da fisioterapia paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 物理疗法出院日期:日期:时间点:^患者:定量型:
Synonyms: 允许...离开(医院、军队);(从监狱)释放 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 日子;几号 时刻;随机;随意;瞬间 物理治疗;理疗 物理疗法(物理治疗、理疗、理疗法、理疗学)出院日期 病史与体格检查

Example Units

Unit Source
{mm/dd/yyyy} Example UCUM Units

76417-5 Provider First name

Fully-Specified Name

Component
First Name
Property
Pn
Time
Pt
System
Provider
Scale
Nom
Method

Basic Attributes

Class
ADMIN
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.66 (MIN)
Change Reason
Changed Class from APTA to ADMIN
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Όνομα:Pn:Pt:Πάροχος:Nom:
Synonyms: Pn Όνομα
es-ES Spanish (Spain) Nombre:Pn:Punto temporal:Proveedores:Nom:
es-MX Spanish (Mexico) Nombre de pila:Pn:Punto temporal:Proveedor:Nominal:
it-IT Italian (Italy) Primo nome:Pn:Pt:Provider:Nom:
Synonyms: Amministrativo Nome di persona Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) voornaam:persoonsnaam:moment:zorginstelling:nominaal:
Synonyms: zorgleverancier
tr-TR Turkish (Turkey) Ad:KişiAdı:Zmlı:Sağlayıcı:Snf:
Synonyms: İsim
zh-CN Chinese (China) 名字:人员姓名:时间点:服务提供者:名义型:
Synonyms: 人名 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 名字(不包括姓氏);教名;名;西方人名的第一个字 姓名;名字;名 提供方;提供者;服务人员;服务提供方;服务方;服务机构;服务者 时刻;随机;随意;瞬间 行政;管理;施行;执行;经营

76419-1 Provider Last name

Fully-Specified Name

Component
Last name
Property
Pn
Time
Pt
System
Provider
Scale
Nom
Method

Basic Attributes

Class
ADMIN
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.66 (MIN)
Change Reason
Changed Class from APTA to ADMIN
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Επώνυμο:Pn:Pt:Πάροχος:Nom:
Synonyms: Pn Επώνυμο Όνομα
es-ES Spanish (Spain) Apellido:Pn:Punto temporal:Proveedores:Nom:
es-MX Spanish (Mexico) Apellido:Pn:Punto temporal:Proveedor:Nominal:
it-IT Italian (Italy) Cognome:Pn:Pt:Provider:Nom:
Synonyms: Amministrativo Nome di persona Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) achternaam:persoonsnaam:moment:zorginstelling:nominaal:
Synonyms: zorgleverancier
tr-TR Turkish (Turkey) Soyad:KişiAdı:Zmlı:Sağlayıcı:Snf:
zh-CN Chinese (China) 姓氏:人员姓名:时间点:服务提供者:名义型:
Synonyms: 人名 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 姓 姓名;名字;名 提供方;提供者;服务人员;服务提供方;服务方;服务机构;服务者 时刻;随机;随意;瞬间 行政;管理;施行;执行;经营

45952-9 Provider NPI

Fully-Specified Name

Component
National provider ID
Property
ID
Time
Pt
System
Provider
Scale
Nom
Method

Long Common Name

National provider ID

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.50 (MIN)

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
45981-8 Deprecated MDS full assessment form - version 2.0
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
46076-6 Deprecated Minimum Data Set (MDS) supplemental items section - version 2.0
71746-2 Personnel contact information panel [ESRD] Personnel

86637-6 Provider role

Term Description

The role of the clinical provider (e.g. doctor, registered nurse) that provided services at the encounter.

Fully-Specified Name

Component
Provider role
Property
Type
Time
Pt
System
Provider
Scale
Nom
Method

Basic Attributes

Class
ADMIN
Type
Clinical
First Released
Version 2.61
Last Updated
Version 2.66 (MIN)
Order vs. Observation
Observation

Example Answer List LL4575-8

Answer Code Score Answer ID
Doctor LA18968-0
Registered nurse LA9291-1
Midwife LA18967-2
Nurse practitioner LA9292-9
Physician assistant LA9296-0
Physical therapist LA22037-8
Physical therapist assistant LA22038-6
Other LA46-8
Student Physical therapist LA29256-7
Student Physical therapy assistant LA29257-5

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
96749-7 Association of Asian Pacific Community Health Organizations enabling services and social intervention panel AAPCHO
86636-8 Family planning report - FPAR 2.0 set

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Ρόλος παρόχου:Type:Pt:Πάροχος:Nom:
Synonyms: Type Ρόλος Ρόλος παρόχου
es-MX Spanish (Mexico) Rol de proveedor:Tipo:Punto temporal:Proveedor:Nominal:
fr-CA French (Canada) Prestataire de soins de santé:Type:Temps ponctuel:Fournisseur:Nominal:
it-IT Italian (Italy) Provider, ruolo:Tipo:Pt:Provider:Nom:
Synonyms: Amministrativo Punto nel tempo (episodio) Ruolo del provider
zh-CN Chinese (China) 医疗服务人员角色:类型:时间点:服务提供者:名义型:
Synonyms: 作用;地位;职能;任务;职责 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务人员(服务提供方、医疗服务方、医疗服务提供方、医疗服务提供者、医疗服务提供人员、医疗服务人员、医务人员)角色(作用、职责) 型 提供方;提供者;服务人员;服务提供方;服务方;服务机构;服务者 时刻;随机;随意;瞬间 行政;管理;施行;执行;经营

89177-0 Movement system diagnosis

Term Description

The movement system represents the collection of systems (cardiovascular, pulmonary, endocrine, integumentary, nervous, and musculoskeletal) that interact to move the body or its component parts.

The following criteria can be used with diagnostic classification systems/labels: 1) Use recognized movement-related terms to describe the condition or syndrome of the movement system. Include, if deemed necessary, the name of the pathology, disease, disorder, anatomical or physiological terms, and stage of recovery associated with the diagnosis; 2) Be as succinct and direct as possible to improve clinical usefulness; 3) Strive for movement system diagnoses that span all populations, health conditions, and the lifespan. Whenever possible, use similar movement-related terms to describe similar movements, regardless of pathology or other characteristics of the patient or client.

Fully-Specified Name

Component
Movement system diagnosis
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.64 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Διάγνωση κινητικού συστήματος:Εύρεση:Pt:^Ασθενής:Nom:
Synonyms: Διάγνωση Διάγνωση κινητικού συστήματος Εύρεση Κίνηση
es-MX Spanish (Mexico) Diagnóstico del sistema de movimiento:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Diagnosi del sistema di movimento:Osservazione:Pt:^Paziente:Nom:
Synonyms: American Physical Therapy Association - Associazio Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 运动系统诊断:发现:时间点:^患者:名义型:
Synonyms: APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标,并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型,而对于叙述型文本之中所报告的发现,则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 活动;动作;举动;运行;移动 诊断结论;判断;结论

18630-4 Primary diagnosis

Fully-Specified Name

Component
Diagnosis.primary
Property
Imp
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
ATTACH.REHAB
Type
Claims Attachments
First Released
Version 1.0l
Last Updated
Version 2.70 (MIN)
Change Reason
Release 2.70: AnswerListId: Added example answer list;
Order vs. Observation
Observation

Example Answer List LL4747-3

Answer Code Score Answer ID
Other LA46-8
Alcoholism LA20350-7
Bleeding disorder LA20352-3
Currently receiving chemotherapy for cancer LA20353-1
Congenital anomalies LA20354-9
Congestive heart failure (CHF) LA12740-9
Current smoker LA20356-4
Chronic renal failure LA20357-2
Cerebrovascular accident LA22244-0
Diabetes mellitus LA14291-1
Disseminated cancer LA20360-6
Advanced directive limiting care LA20361-4
Functionally dependent health status LA20363-0
Hypertension LA7444-8
Prematurity LA20368-9
Chronic obstructive pulmonary disease LA28200-6
Steroid use LA20370-5
Cirrhosis LA9639-1
Dementia LA20372-1
Attention deficit disorder/Attention deficit hyperactivity disorder (ADD/ADHD) LA28412-7
Anticoagulant therapy LA28199-0
Angina pectoris Copyright http://snomed.info/sct ID:194828000 Angina (disorder) LA14275-4
Mental/personality disorder LA28198-2
Myocardial infarction Copyright http://snomed.info/sct ID:22298006 Myocardial infarction (disorder) LA14274-7
Peripheral arterial disease Copyright http://snomed.info/sct ID:399957001 Peripheral arterial occlusive disease (disorder) LA28197-4
Substance abuse disorder Copyright http://snomed.info/sct ID:66214007 Substance abuse (disorder) LA28195-8

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
97782-7 Spine Tango Surgery 2017

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Διάγνωση.κύρια:Imp:Pt:^Ασθενής:Nom:
Synonyms: Imp
es-AR Spanish (Argentina) diagnóstico.primario:impresión/interpretación del estudio:punto en el tiempo:^paciente:Nominal:
it-IT Italian (Italy) Diagnosi.primaria:Imp:Pt:^Paziente:Nom:
Synonyms: Allegato Allegato riabilitazione Impressione/interpretazione di studio paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Диагноз.основной:Впчт:ТчкВрм:^Пациент:Ном:
Synonyms: Впечатление/интерпретация исследования Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 诊断.主要:印象:时间点:^患者:名义型:
Synonyms: Health Insurance Portability and Accountability Act of 1996;HIPAA;健康保險可攜與責任法;HIPAA法案;健康保险可移植性和问责法1996年;美国健康保险携带和责任法案;医疗保险便携性和责任法案;医疗保险便携性与责任法案;醫療保險可攜性與責任法;HIPAA 信息附件.康复治疗;健康保险便携与责任法案信息附件.康复;健康保险便携与责任法案信息附件.康复治疗;康复信息附件;康复治疗HIPAA信息附件;康复治疗信息附件;康复治疗健康保险便携与责任法 主要诊断 信息附件;健康保险便携与责任法案信息附件;附件 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 印象是一种诊断陈述,始终是对其他某种观察指标的解释或抽象(一系列检验项目结果、一幅图像或者整个某位病人),而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释 时刻;随机;随意;瞬间 诊断结论;判断;结论

81885-6 Secondary diagnosis

Fully-Specified Name

Component
Diagnosis.secondary
Property
Imp
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
CLIN
Type
Clinical
First Released
Version 2.56
Last Updated
Version 2.73 (MIN)
Order vs. Observation
Observation
Common Test Rank Get Info
11495

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
86244-1 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
86189-8 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
88369-4 Outcome and assessment information set (OASIS) form - version D - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
88368-6 Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6 Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
93058-6 Outcome and assessment information set (OASIS) form - version D1 - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
99160-4 Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5 Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106525-9 Outcome and assessment information set (OASIS) form - version E1 - Resumption of Care during assessment period [CMS Assessment]
106523-4 Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Διάγνωση.δευτερεύουσα:Imp:Pt:^Ασθενής:Nom:
Synonyms: Imp Διάγνωση Διάγνωση.δευτερεύουσα
es-MX Spanish (Mexico) Diagnóstico secundario:Interpretación:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Diagnosi.secondaria:Imp:Pt:^Paziente:Nom:
Synonyms: Clinico Diagnosi secondaria Impressione/interpretazione di studio paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 诊断.次要:印象:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 印象是一种诊断陈述,始终是对其他某种观察指标的解释或抽象(一系列检验项目结果、一幅图像或者整个某位病人),而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释 时刻;随机;随意;瞬间 次要诊断;诊断.次要(次级、次);次诊断;次级诊断 诊断结论;判断;结论

76442-3 Primary health condition

Term Description

The primary health condition is the patient's most significant diagnosis and is commonly reported using the preferred answer list; however, it may be reported using ICD-9-CM, ICD-10-CM or SNOMED CT codes.

Fully-Specified Name

Component
Primary health condition
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.64 (MIN)
Order vs. Observation
Observation

Preferred Answer List LL3195-6

Answer Code Score Answer ID
Cardio/pulm: Adult respiratory distress syndrome LA22196-2
Cardio/pulm: Aneurysm LA25628-1
Cardio/pulm: Angina LA25629-9
Cardio/pulm: Arterial system abnormality LA25630-7
Cardio/pulm: Asthma LA25631-5
Cardio/pulm: Atelectasis LA25632-3
Cardio/pulm: Bronchiectasis LA25633-1
Cardio/pulm: Cardiac arrhythmia LA22197-0
Cardio/pulm: Chronic obstructive lung disease LA22199-6
Cardio/pulm: Claudication LA22088-1
Cardio/pulm: Congenital anomaly of heart (eg, atrial septal defect, tetralogy of fallot) LA22201-0
Cardio/pulm: Congestive heart failure LA25635-6
Cardio/pulm: Coronary artery disease LA25636-4
Cardio/pulm: Cystic fibrosis LA25637-2
Cardio/pulm: Emphysema LA22203-6
Cardio/pulm: Fibrosis of lung LA25638-0
Cardio/pulm: Heart failure LA25639-8
Cardio/pulm: Heart transplant LA25532-5
Cardio/pulm: Heart valve disorder LA25641-4
Cardio/pulm: Hypertensive disorder LA25642-2
Cardio/pulm: Lung transplant LA25534-1
Cardio/pulm: Lymphatic system abnormality LA25644-8
Cardio/pulm: Malignant tumor of lung LA25645-5
Cardio/pulm: Myocardial infarction LA25646-3
Cardio/pulm: Peripheral nervous system abnormality (e.g. neuropathic wounds; offloading Charcot fracture) LA25647-1
Cardio/pulm: Peripheral vascular disease LA25648-9
Cardio/pulm: Pleural effusion LA25649-7
Cardio/pulm: Pleurisy LA25650-5
Cardio/pulm: Pneumonia LA25651-3
Cardio/pulm: Pneumothorax LA25652-1
Cardio/pulm: Pulmonary edema LA25653-9
Cardio/pulm: Pulmonary embolism LA25654-7
Cardio/pulm: Pulmonary hypertension LA25655-4
Cardio/pulm: Respiratory failure LA22207-7
Cardio/pulm: Venous system abnormality LA25656-2
ElectroPhys: Mononeuropathy (e.g., Median, ulnar, radial, axillary, musculocutaneous, suprascapular, tibial, fibular, and sural) LA22253-1
ElectroPhys: Motor neuron disease LA22251-5
ElectroPhys: Myopathy LA22257-2
ElectroPhys: Nerve plexus disorder LA25627-3
ElectroPhys: Neuromuscular Junction Disorders (e.g., Myasthenia Gravis & Lambert Eaton Syndrome) LA22258-0
ElectroPhys: Polyneuropathy LA22254-9
ElectroPhys: Radiculopathy LA22255-6
Integumentary: Burn LA25661-2
Integumentary: Neuropathic wounds due to diabetes LA25662-0
Integumentary: Pressure ulcer LA22311-7
Integumentary: Scar tissue (e.g. skin, pelvic, abdominal, perineal) LA25663-8
Integumentary: Skin disorder (e.g. fungal rashes, contact dermatitis, moisture associated dermatitis, psoriasis ) LA22098-0
Integumentary: Surgical wound complication LA22309-1
Integumentary: Traumatic wound abnormality LA25664-6
Integumentary: Wound disorder, other LA25665-3
Med: Acute infectious disease (e.g. cellulitis, UTI, C-diff) LA22194-7
Med: amputation LA22208-5
Med: Anemia LA25666-1
Med: Autoimmune disorders (e.g. RA, lupus) LA25667-9
Med: Bone density below reference range (e.g. osteopenia/osteoporosis) LA25668-7
Med: Colorectal disorders LA25669-5
Med: Constipation LA25670-3
Med: Dehydration LA25671-1
Med: Dementia LA25672-9
Med: Diabetes mellitus LA25673-7
Med: Diabetic neuropathy LA22314-1
Med: Dyspareunia (Psychologic) LA22285-3
Med: Electrolyte imbalance LA25675-2
Med: Falls LA25676-0
Med: Fecal incontinence LA25677-8
Med: Frailty LA25678-6
Med: Hyperlipidemia LA25679-4
Med: Interstitial Cystitis LA22291-1
Med: Irritable bowel syndrome LA22292-9
Med: Lymphedema LA25680-2
Med: Malignant neoplastic disease LA25681-0
Med: Nocturnal enuresis LA25682-8
Med: Obesity LA25683-6
Med: Renal failure syndrome (acute/chronic) LA25684-4
Med: Retention of urine LA25685-1
Med: Sepsis LA25686-9
Med: Sports injury, non-musculoskeletal (e.g. Heat-related illness, skin lesions, exercise –induced asthma) LA25687-7
Med: Transplant, other (e.g. kidney and liver) LA25688-5
Med: Urinary frequency LA25689-3
Med: Urinary Incontinence (stress, urge, mixed) LA22303-4
Med: Urinary urgency LA25690-1
MSK: Chronic pain syndromes (e.g. fibromyalgia) LA22218-4
MSK: Connective tissue disorder (e.g. Marfan, Ehlers-Danlos, lupus) LA25691-9
MSK: Diastasis recti LA22284-6
MSK: Musculoskeletal pain LA25692-7
MSK: Osteogenesis imperfecta LA25693-5
MSK-Ankle/foot: Fracture LA25747-9
MSK-Ankle/foot: Hallux valgus LA25748-7
MSK-Ankle/foot: Ligamentous injuries LA25749-5
MSK-Ankle/foot: Other disorders of ankle or foot LA25752-9
MSK-Ankle/foot: Plantar fasciitis LA25750-3
MSK-Ankle/foot: Tendinopathies LA25751-1
MSK-Elbow: Cubital tunnel syndrome LA25725-5
MSK-Elbow: Fracture (includes forearm) LA25726-3
MSK-Elbow: Instability (e.g. subluxation/dislocation, ligamentous) LA25727-1
MSK-Elbow: Other disorders of the elbow or forearm LA25729-7
MSK-Elbow: Tendinopathies LA25728-9
MSK-Hand/wrist: Carpal tunnel syndrome LA22213-5
MSK-Hand/wrist: Fracture (including fingers) LA25730-5
MSK-Hand/wrist: Instability including fingers (e.g. subluxation/dislocation, ligamentous) LA25731-3
MSK-Hand/wrist: Other disorders of the wrist, hand or fingers LA25733-9
MSK-Hand/wrist: Tendinopathies including fingers LA25732-1
MSK-Head/neck: Cervicogenic headache LA25694-3
MSK-Head/neck: Other disorders LA25695-0
MSK-Head/neck: Temporomandibular dysfunction LA22214-3
MSK-Hip: Femoroacetabular impingement LA22225-9
MSK-Hip: Fracture LA22086-5
MSK-Hip: Osteoarthritis LA25735-4
MSK-Hip: Osteochondral defect (femoral head) LA25736-2
MSK-Hip: Other disorders of the hip and thigh LA25739-6
MSK-Hip: Tendinopathies LA25737-0
MSK-Hip: Total replacement LA30065-9
MSK-Hip: Trochanteric bursitis LA25738-8
MSK-Knee: Fracture (patella, distal femur, proximal tibia) LA25740-4
MSK-Knee: Ligamentous injuries LA25741-2
MSK-Knee: Meniscal disorder LA25742-0
MSK-Knee: Osteoarthritis LA25743-8
MSK-Knee: Osteochondral defect (distal femur, tibial or patella) LA25744-6
MSK-Knee: Other disorders of the knee LA25746-1
MSK-Knee: Patellofemoral dysfunction (Disorder of patellofemoral joint) LA22222-6
MSK-Knee: Tendinopathies LA25745-3
MSK-Knee: Total replacement LA30066-7
MSK-Shld: Adhesive capsulitis LA22212-7
MSK-Shld: Complex/upper arm fracture LA25719-8
MSK-Shld: Injury of glenoid labrum LA25720-6
MSK-Shld: Instability (eg, subluxation/dislocation, ligamentous) LA25721-4
MSK-Shld: Osteoarthritis LA22085-7
MSK-Shld: Osteochondral defect (humeral head) LA25722-2
MSK-Shld: Other disorders of the shoulder complex LA25724-8
MSK-Shld: Rotator cuff syndromes LA22224-2
MSK-Spine: Cervical disc disorder (e.g. DDD, protrusion, herniation) LA25696-8
MSK-Spine: Cervical instability LA25697-6
MSK-Spine: Cervical other disorder LA25702-4
MSK-Spine: Cervical radiculopathy LA25698-4
MSK-Spine: Cervical sprain/strain LA25699-2
MSK-Spine: Cervical stenosis LA25700-8
MSK-Spine: Curvature of spine (eg, scoliosis, kyphosis, lordosis) LA25701-6
MSK-Spine: Lumbar disc disorder (eg, DDD, protrusion, hermiation) LA25708-1
MSK-Spine: Lumbar instability LA25709-9
MSK-Spine: Lumbar other disorders LA25714-9
MSK-Spine: Lumbar radiculopathy LA25710-7
MSK-Spine: Lumbar spondylosis/spondylolisthesis LA25711-5
MSK-Spine: Lumbar stenosis LA25712-3
MSK-Spine: Lumbar strain LA25713-1
MSK-Spine: Neck pain LA30064-2
MSK-Spine: Pelvic other disorders LA25718-0
MSK-Spine: Pelvic pain in the coccyx LA25715-6
MSK-Spine: Pelvic piriformis syndrome LA25716-4
MSK-Spine: Pelvic sacroiliac dysfunction LA25717-2
MSK-Spine: Thoracic other disorders LA25707-3
MSK-Spine: Thoracic outlet syndrome LA25703-2
MSK-Spine: Thoracic rib dysfunction LA25704-0
MSK-Spine: Thoracic sprain/strain LA25705-7
MSK-Spine: Thoracic stenosis LA25706-5
Neuro: Acquired brain injury LA22236-6
Neuro: Anoxia LA22237-4
Neuro: Brachial plexus injury LA25754-5
Neuro: Central nervous system infections (eg, Viral or bacterial infections of the central nervous system) LA22242-4
Neuro: Central nervous system neoplasms LA22243-2
Neuro: Cerebellar disorders LA22239-0
Neuro: Cerebral palsy LA22240-8
Neuro: Cerebrovascular accident LA25758-6
Neuro: Concussion LA25759-4
Neuro: Encephalopathy (toxic, metabolic, anoxic) LA25760-2
Neuro: Hypotonia LA25761-0
Neuro: Multiple Sclerosis LA25762-8
Neuro: Neurogenic bladder LA25763-6
Neuro: Neurologic disorder, progressive (e.g. ALS, Huntington's disease) LA25764-4
Neuro: Normal pressure hydrocephalus LA22248-1
Neuro: Parkinson's disease LA22249-9
Neuro: Peripheral neuropathy LA22095-6
Neuro: Spinal cord injury LA25765-1
Neuro: Vestibular disorders LA22250-7
Onc: Leukemia LA30069-1
Onc: Malignant lymphoma LA30070-9
Onc: Malignant melanoma LA30071-7
Onc: Malignant neoplasm of brain LA30072-5
Onc: Malignant neoplasm of breast LA30073-3
Onc: Malignant neoplasm of central nervous system LA30074-1
Onc: Malignant neoplasm of testis LA30075-8
Onc: Malignant neoplasm of uterus LA30076-6
Onc: Malignant tumor of cervix LA30077-4
Onc: Malignant tumor of head and/or neck LA30078-2
Onc: Malignant tumor of kidney LA30079-0
Onc: Malignant tumor of large intestine LA30080-8
Onc: Malignant tumor of lung LA30081-6
Onc: Malignant tumor of ovary LA30082-4
Onc: Malignant tumor of pancreas LA30083-2
Onc: Malignant tumor of prostate LA30084-0
Onc: Malignant tumor of stomach LA30085-7
Onc: Malignant tumor of thyroid gland LA30086-5
Onc: Malignant tumor of urinary bladder LA30087-3
Onc: Multiple myeloma LA30088-1
Onc: Osteosarcoma LA30089-9
Onc: Sarcoma LA30090-7
Pediatric: Arthrogryposis LA22259-8
Pediatric: Autism spectrum disorders (autistic disorder) LA22261-4
Pediatric: Bronchopulmonary dysplasia of newborn LA22262-2
Pediatric: Complications of prematurity (e.g. osteopenia, RSD, IVH, BD) LA25766-9
Pediatric: Congenital leg length discrepancy LA25767-7
Pediatric: Developmental coordination disorders LA22264-8
Pediatric: Developmental delay LA22265-5
Pediatric: Down syndrome LA22266-3
Pediatric: Genetic syndrome LA22267-1
Pediatric: High risk infant LA22270-5
Pediatric: Juvenile idiopathic arthritis LA22271-3
Pediatric: Juvenile osteochondrosis of tibial tubercle LA25768-5
Pediatric: Muscular dystrophy (eg, Duchenne, Becker, SMA) LA22273-9
Pediatric: Myelodysplasia/Spina Bifida (e.g. spina bifida, Arnold-Chiari, hydrocephalus) LA22274-7
Pediatric: Rett syndrome LA22277-0
Pediatric: Sensory processing disorders LA25769-3
Pediatric: Torticollis/plagiocephaly LA25770-1
Women's health: Amenorrhea/dysmenorrhea LA22280-4
Women's health: Endometriosis LA22286-1
Women's health: Female athlete/female athlete triad LA22287-9
Women's health: Gynecologic conditions/surgery LA22288-7
Women's health: High-risk pregnancy LA22289-5
Women's health: Hysterectomy LA22290-3
Women's health: Menopause LA22295-2
Women's health: Neoplasm of breast LA25626-5
Women's health: Neoplasm of ovary LA25625-7
Women's health: Neoplasm of uterus LA22304-2
Women's health: Pelvic adhesions LA22297-8
Women's health: Pelvic girdle pain LA22130-1
Women's health: Pelvic organ prolapse LA22300-0
Women's health: Pelvic pain LA22301-8
Women's health: Vaginismus LA22305-9
Women's health: Vulvar vestibulitis LA22306-7
Women's health: Vulvodynia LA22307-5
Other, Please specify: LA46-8
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) LA137-2

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Κύριο πρόβλημα υγείας:Εύρεση:Pt:^Ασθενής:Nom:
Synonyms: Εύρεση Κύριο πρόβλημα υγείας Παθολογική κατάσταση
es-MX Spanish (Mexico) Condición de salud primaria:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Condizione di salute primaria:Osservazione:Pt:^Paziente:Nom:
Synonyms: American Physical Therapy Association - Associazio Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 首要健康状况:发现:时间点:^患者:名义型:
Synonyms: APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) 健康状况;疾病;情况;病情;状态;条件 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标,并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型,而对于叙述型文本之中所报告的发现,则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 首要(最重要的、基本、主要)健康状况(健康情况、健康状态、健康情形、健康水平);最重要的(首要、基本、主要)诊断

76472-0 Other health condition

Term Description

The other health conditions are commonly reported using the preferred answer list; however, they may be reported using ICD-9-CM, ICD-10-CM or SNOMED CT codes.

Fully-Specified Name

Component
Other health condition
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.64 (MIN)
Order vs. Observation
Observation

Preferred Answer List LL3195-6

Answer Code Score Answer ID
Cardio/pulm: Adult respiratory distress syndrome LA22196-2
Cardio/pulm: Aneurysm LA25628-1
Cardio/pulm: Angina LA25629-9
Cardio/pulm: Arterial system abnormality LA25630-7
Cardio/pulm: Asthma LA25631-5
Cardio/pulm: Atelectasis LA25632-3
Cardio/pulm: Bronchiectasis LA25633-1
Cardio/pulm: Cardiac arrhythmia LA22197-0
Cardio/pulm: Chronic obstructive lung disease LA22199-6
Cardio/pulm: Claudication LA22088-1
Cardio/pulm: Congenital anomaly of heart (eg, atrial septal defect, tetralogy of fallot) LA22201-0
Cardio/pulm: Congestive heart failure LA25635-6
Cardio/pulm: Coronary artery disease LA25636-4
Cardio/pulm: Cystic fibrosis LA25637-2
Cardio/pulm: Emphysema LA22203-6
Cardio/pulm: Fibrosis of lung LA25638-0
Cardio/pulm: Heart failure LA25639-8
Cardio/pulm: Heart transplant LA25532-5
Cardio/pulm: Heart valve disorder LA25641-4
Cardio/pulm: Hypertensive disorder LA25642-2
Cardio/pulm: Lung transplant LA25534-1
Cardio/pulm: Lymphatic system abnormality LA25644-8
Cardio/pulm: Malignant tumor of lung LA25645-5
Cardio/pulm: Myocardial infarction LA25646-3
Cardio/pulm: Peripheral nervous system abnormality (e.g. neuropathic wounds; offloading Charcot fracture) LA25647-1
Cardio/pulm: Peripheral vascular disease LA25648-9
Cardio/pulm: Pleural effusion LA25649-7
Cardio/pulm: Pleurisy LA25650-5
Cardio/pulm: Pneumonia LA25651-3
Cardio/pulm: Pneumothorax LA25652-1
Cardio/pulm: Pulmonary edema LA25653-9
Cardio/pulm: Pulmonary embolism LA25654-7
Cardio/pulm: Pulmonary hypertension LA25655-4
Cardio/pulm: Respiratory failure LA22207-7
Cardio/pulm: Venous system abnormality LA25656-2
ElectroPhys: Mononeuropathy (e.g., Median, ulnar, radial, axillary, musculocutaneous, suprascapular, tibial, fibular, and sural) LA22253-1
ElectroPhys: Motor neuron disease LA22251-5
ElectroPhys: Myopathy LA22257-2
ElectroPhys: Nerve plexus disorder LA25627-3
ElectroPhys: Neuromuscular Junction Disorders (e.g., Myasthenia Gravis & Lambert Eaton Syndrome) LA22258-0
ElectroPhys: Polyneuropathy LA22254-9
ElectroPhys: Radiculopathy LA22255-6
Integumentary: Burn LA25661-2
Integumentary: Neuropathic wounds due to diabetes LA25662-0
Integumentary: Pressure ulcer LA22311-7
Integumentary: Scar tissue (e.g. skin, pelvic, abdominal, perineal) LA25663-8
Integumentary: Skin disorder (e.g. fungal rashes, contact dermatitis, moisture associated dermatitis, psoriasis ) LA22098-0
Integumentary: Surgical wound complication LA22309-1
Integumentary: Traumatic wound abnormality LA25664-6
Integumentary: Wound disorder, other LA25665-3
Med: Acute infectious disease (e.g. cellulitis, UTI, C-diff) LA22194-7
Med: amputation LA22208-5
Med: Anemia LA25666-1
Med: Autoimmune disorders (e.g. RA, lupus) LA25667-9
Med: Bone density below reference range (e.g. osteopenia/osteoporosis) LA25668-7
Med: Colorectal disorders LA25669-5
Med: Constipation LA25670-3
Med: Dehydration LA25671-1
Med: Dementia LA25672-9
Med: Diabetes mellitus LA25673-7
Med: Diabetic neuropathy LA22314-1
Med: Dyspareunia (Psychologic) LA22285-3
Med: Electrolyte imbalance LA25675-2
Med: Falls LA25676-0
Med: Fecal incontinence LA25677-8
Med: Frailty LA25678-6
Med: Hyperlipidemia LA25679-4
Med: Interstitial Cystitis LA22291-1
Med: Irritable bowel syndrome LA22292-9
Med: Lymphedema LA25680-2
Med: Malignant neoplastic disease LA25681-0
Med: Nocturnal enuresis LA25682-8
Med: Obesity LA25683-6
Med: Renal failure syndrome (acute/chronic) LA25684-4
Med: Retention of urine LA25685-1
Med: Sepsis LA25686-9
Med: Sports injury, non-musculoskeletal (e.g. Heat-related illness, skin lesions, exercise –induced asthma) LA25687-7
Med: Transplant, other (e.g. kidney and liver) LA25688-5
Med: Urinary frequency LA25689-3
Med: Urinary Incontinence (stress, urge, mixed) LA22303-4
Med: Urinary urgency LA25690-1
MSK: Chronic pain syndromes (e.g. fibromyalgia) LA22218-4
MSK: Connective tissue disorder (e.g. Marfan, Ehlers-Danlos, lupus) LA25691-9
MSK: Diastasis recti LA22284-6
MSK: Musculoskeletal pain LA25692-7
MSK: Osteogenesis imperfecta LA25693-5
MSK-Ankle/foot: Fracture LA25747-9
MSK-Ankle/foot: Hallux valgus LA25748-7
MSK-Ankle/foot: Ligamentous injuries LA25749-5
MSK-Ankle/foot: Other disorders of ankle or foot LA25752-9
MSK-Ankle/foot: Plantar fasciitis LA25750-3
MSK-Ankle/foot: Tendinopathies LA25751-1
MSK-Elbow: Cubital tunnel syndrome LA25725-5
MSK-Elbow: Fracture (includes forearm) LA25726-3
MSK-Elbow: Instability (e.g. subluxation/dislocation, ligamentous) LA25727-1
MSK-Elbow: Other disorders of the elbow or forearm LA25729-7
MSK-Elbow: Tendinopathies LA25728-9
MSK-Hand/wrist: Carpal tunnel syndrome LA22213-5
MSK-Hand/wrist: Fracture (including fingers) LA25730-5
MSK-Hand/wrist: Instability including fingers (e.g. subluxation/dislocation, ligamentous) LA25731-3
MSK-Hand/wrist: Other disorders of the wrist, hand or fingers LA25733-9
MSK-Hand/wrist: Tendinopathies including fingers LA25732-1
MSK-Head/neck: Cervicogenic headache LA25694-3
MSK-Head/neck: Other disorders LA25695-0
MSK-Head/neck: Temporomandibular dysfunction LA22214-3
MSK-Hip: Femoroacetabular impingement LA22225-9
MSK-Hip: Fracture LA22086-5
MSK-Hip: Osteoarthritis LA25735-4
MSK-Hip: Osteochondral defect (femoral head) LA25736-2
MSK-Hip: Other disorders of the hip and thigh LA25739-6
MSK-Hip: Tendinopathies LA25737-0
MSK-Hip: Total replacement LA30065-9
MSK-Hip: Trochanteric bursitis LA25738-8
MSK-Knee: Fracture (patella, distal femur, proximal tibia) LA25740-4
MSK-Knee: Ligamentous injuries LA25741-2
MSK-Knee: Meniscal disorder LA25742-0
MSK-Knee: Osteoarthritis LA25743-8
MSK-Knee: Osteochondral defect (distal femur, tibial or patella) LA25744-6
MSK-Knee: Other disorders of the knee LA25746-1
MSK-Knee: Patellofemoral dysfunction (Disorder of patellofemoral joint) LA22222-6
MSK-Knee: Tendinopathies LA25745-3
MSK-Knee: Total replacement LA30066-7
MSK-Shld: Adhesive capsulitis LA22212-7
MSK-Shld: Complex/upper arm fracture LA25719-8
MSK-Shld: Injury of glenoid labrum LA25720-6
MSK-Shld: Instability (eg, subluxation/dislocation, ligamentous) LA25721-4
MSK-Shld: Osteoarthritis LA22085-7
MSK-Shld: Osteochondral defect (humeral head) LA25722-2
MSK-Shld: Other disorders of the shoulder complex LA25724-8
MSK-Shld: Rotator cuff syndromes LA22224-2
MSK-Spine: Cervical disc disorder (e.g. DDD, protrusion, herniation) LA25696-8
MSK-Spine: Cervical instability LA25697-6
MSK-Spine: Cervical other disorder LA25702-4
MSK-Spine: Cervical radiculopathy LA25698-4
MSK-Spine: Cervical sprain/strain LA25699-2
MSK-Spine: Cervical stenosis LA25700-8
MSK-Spine: Curvature of spine (eg, scoliosis, kyphosis, lordosis) LA25701-6
MSK-Spine: Lumbar disc disorder (eg, DDD, protrusion, hermiation) LA25708-1
MSK-Spine: Lumbar instability LA25709-9
MSK-Spine: Lumbar other disorders LA25714-9
MSK-Spine: Lumbar radiculopathy LA25710-7
MSK-Spine: Lumbar spondylosis/spondylolisthesis LA25711-5
MSK-Spine: Lumbar stenosis LA25712-3
MSK-Spine: Lumbar strain LA25713-1
MSK-Spine: Neck pain LA30064-2
MSK-Spine: Pelvic other disorders LA25718-0
MSK-Spine: Pelvic pain in the coccyx LA25715-6
MSK-Spine: Pelvic piriformis syndrome LA25716-4
MSK-Spine: Pelvic sacroiliac dysfunction LA25717-2
MSK-Spine: Thoracic other disorders LA25707-3
MSK-Spine: Thoracic outlet syndrome LA25703-2
MSK-Spine: Thoracic rib dysfunction LA25704-0
MSK-Spine: Thoracic sprain/strain LA25705-7
MSK-Spine: Thoracic stenosis LA25706-5
Neuro: Acquired brain injury LA22236-6
Neuro: Anoxia LA22237-4
Neuro: Brachial plexus injury LA25754-5
Neuro: Central nervous system infections (eg, Viral or bacterial infections of the central nervous system) LA22242-4
Neuro: Central nervous system neoplasms LA22243-2
Neuro: Cerebellar disorders LA22239-0
Neuro: Cerebral palsy LA22240-8
Neuro: Cerebrovascular accident LA25758-6
Neuro: Concussion LA25759-4
Neuro: Encephalopathy (toxic, metabolic, anoxic) LA25760-2
Neuro: Hypotonia LA25761-0
Neuro: Multiple Sclerosis LA25762-8
Neuro: Neurogenic bladder LA25763-6
Neuro: Neurologic disorder, progressive (e.g. ALS, Huntington's disease) LA25764-4
Neuro: Normal pressure hydrocephalus LA22248-1
Neuro: Parkinson's disease LA22249-9
Neuro: Peripheral neuropathy LA22095-6
Neuro: Spinal cord injury LA25765-1
Neuro: Vestibular disorders LA22250-7
Onc: Leukemia LA30069-1
Onc: Malignant lymphoma LA30070-9
Onc: Malignant melanoma LA30071-7
Onc: Malignant neoplasm of brain LA30072-5
Onc: Malignant neoplasm of breast LA30073-3
Onc: Malignant neoplasm of central nervous system LA30074-1
Onc: Malignant neoplasm of testis LA30075-8
Onc: Malignant neoplasm of uterus LA30076-6
Onc: Malignant tumor of cervix LA30077-4
Onc: Malignant tumor of head and/or neck LA30078-2
Onc: Malignant tumor of kidney LA30079-0
Onc: Malignant tumor of large intestine LA30080-8
Onc: Malignant tumor of lung LA30081-6
Onc: Malignant tumor of ovary LA30082-4
Onc: Malignant tumor of pancreas LA30083-2
Onc: Malignant tumor of prostate LA30084-0
Onc: Malignant tumor of stomach LA30085-7
Onc: Malignant tumor of thyroid gland LA30086-5
Onc: Malignant tumor of urinary bladder LA30087-3
Onc: Multiple myeloma LA30088-1
Onc: Osteosarcoma LA30089-9
Onc: Sarcoma LA30090-7
Pediatric: Arthrogryposis LA22259-8
Pediatric: Autism spectrum disorders (autistic disorder) LA22261-4
Pediatric: Bronchopulmonary dysplasia of newborn LA22262-2
Pediatric: Complications of prematurity (e.g. osteopenia, RSD, IVH, BD) LA25766-9
Pediatric: Congenital leg length discrepancy LA25767-7
Pediatric: Developmental coordination disorders LA22264-8
Pediatric: Developmental delay LA22265-5
Pediatric: Down syndrome LA22266-3
Pediatric: Genetic syndrome LA22267-1
Pediatric: High risk infant LA22270-5
Pediatric: Juvenile idiopathic arthritis LA22271-3
Pediatric: Juvenile osteochondrosis of tibial tubercle LA25768-5
Pediatric: Muscular dystrophy (eg, Duchenne, Becker, SMA) LA22273-9
Pediatric: Myelodysplasia/Spina Bifida (e.g. spina bifida, Arnold-Chiari, hydrocephalus) LA22274-7
Pediatric: Rett syndrome LA22277-0
Pediatric: Sensory processing disorders LA25769-3
Pediatric: Torticollis/plagiocephaly LA25770-1
Women's health: Amenorrhea/dysmenorrhea LA22280-4
Women's health: Endometriosis LA22286-1
Women's health: Female athlete/female athlete triad LA22287-9
Women's health: Gynecologic conditions/surgery LA22288-7
Women's health: High-risk pregnancy LA22289-5
Women's health: Hysterectomy LA22290-3
Women's health: Menopause LA22295-2
Women's health: Neoplasm of breast LA25626-5
Women's health: Neoplasm of ovary LA25625-7
Women's health: Neoplasm of uterus LA22304-2
Women's health: Pelvic adhesions LA22297-8
Women's health: Pelvic girdle pain LA22130-1
Women's health: Pelvic organ prolapse LA22300-0
Women's health: Pelvic pain LA22301-8
Women's health: Vaginismus LA22305-9
Women's health: Vulvar vestibulitis LA22306-7
Women's health: Vulvodynia LA22307-5
Other, Please specify: LA46-8
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) LA137-2

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Άλλο πρόβλημα υγείας:Εύρεση:Pt:^Ασθενής:Nom:
Synonyms: Άλλο πρόβλημα υγείας Εύρεση Παθολογική κατάσταση
es-MX Spanish (Mexico) Otra condición de salud:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Altra condizione di salute:Osservazione:Pt:^Paziente:Nom:
Synonyms: American Physical Therapy Association - Associazio Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 其他健康状况:发现:时间点:^患者:名义型:
Synonyms: APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) 健康状况;疾病;情况;病情;状态;条件 其他(其它)健康状况(健康情况、健康状态、健康情形、健康水平) 其他的 其它 其它的 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 别的 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标,并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型,而对于叙述型文本之中所报告的发现,则可能是叙述型。;发现物;所见;结果;结论 另外的 时刻;随机;随意;瞬间

76444-9 Problem Body function ICF code

Term Description

This term includes an answer list with example answers for body function. However, use of International Classification of Functioning, Disability and Health (ICF) codes (http://www.who.int/classifications/icf/en/) at the appropriate level of granularity is recommended where possible.

Fully-Specified Name

Component
Body function ICF code
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Long Common Name

Body function ICF code

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.61 (MIN)
Order vs. Observation
Observation

Preferred Answer List LL3190-7

Answer Code Score Answer ID
Global mental functions LA22106-1
Specific mental functions LA22107-9
Seeing and related functions LA22108-7
Hearing LA22109-5
Vestibular functions LA22110-3
Proprioceptive and touch functions LA22111-1
Other sensory functions, pain, voice and speech functions LA22112-9
Functions of the cardiovascular system LA22113-7
Functions of the immunological and hematological systems LA22114-5
Functions of the respiratory system LA22115-2
Functions of the digestive system LA22116-0
Functions related to metabolism and endocrine system LA22117-8
Urinary functions LA22118-6
Genital and reproductive functions LA22119-4
Functions of the joints and bones LA22120-2
Muscle functions LA22121-0
Movement functions LA22122-8
Functions of the skin LA22123-6
Functions of the hair and nails LA22124-4
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) LA137-2

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Λειτουργία σώματος Κωδικός ICF:Εύρεση:Pt:^Ασθενής:Nom:
Synonyms: Εύρεση Λειτουργία Λειτουργία σώματος Κωδικός ICF
es-MX Spanish (Mexico) Función corporal Código ICF:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Funzione del corpo, codice ICF:Osservazione:Pt:^Paziente:Nom:
Synonyms: American Physical Therapy Association - Associazio Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 身体功能 ICF 代码:发现:时间点:^患者:名义型:
Synonyms: APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) FCN 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标,并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型,而对于叙述型文本之中所报告的发现,则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 物体 身体(躯体)功能(机能) ICF 代码(编码);International Classification of Functioning, Disability and Health;国际功能、残疾和健康分类;ICF

76445-6 Problem Body structure ICF code

Term Description

This term includes an answer list with example answers for body structures. However, use of International Classification of Functioning, Disability and Health (ICF) codes (http://www.who.int/classifications/icf/en/) at the appropriate level of granularity is recommended where possible.

Fully-Specified Name

Component
Body structure ICF code
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Long Common Name

Body structure ICF code

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.61 (MIN)
Order vs. Observation
Observation

Preferred Answer List LL3191-5

Answer Code Score Answer ID
Structures Related to Movement LA22125-1
General/no specific body location LA22126-9
Head cervical spine LA22127-7
Thoracic spine LA22128-5
Lumbar spine LA22129-3
Women's health: Pelvic girdle pain LA22130-1
R hip LA22131-9
R thigh LA22132-7
R knee LA22133-5
R calf LA22134-3
R foot/ankle LA22135-0
R toes LA22136-8
R shoulder LA22137-6
R arm LA22138-4
R elbow LA22139-2
R wrist LA22140-0
R hand LA22141-8
R fingers LA22142-6
L hip LA22143-4
L thigh LA22144-2
L knee LA22145-9
L calf LA22146-7
L foot/ankle LA22147-5
L toes LA22148-3
L shoulder LA22149-1
L arm LA22150-9
L elbow LA22151-7
L wrist LA22152-5
L hand LA22153-3
L fingers LA22154-1
Structures Involved in Voice, Speech, Swallowing LA22155-8
Nose LA22156-6
Mouth LA22157-4
Tongue LA22158-2
Pharynx LA22159-0
Larynx LA22160-8
Other Structures LA22161-6
Eye and related structures LA22162-4
Ear and related structures LA22163-2
Structures of the central nervous system LA22164-0
Structures of the peripheral nervous system LA22165-7
Structures of the cardiovascular, immunological and respiratory systems LA22166-5
Structures related to the digestive, metabolic, and endocrine systems LA22167-3
Structures related to the genitourinary and reproductive system LA22168-1
Skin and related structures LA22169-9
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) LA137-2

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Δομή σώματος Κωδικός ICF:Εύρεση:Pt:^Ασθενής:Nom:
Synonyms: Δομή σώματος Κωδικός ICF Εύρεση
es-MX Spanish (Mexico) Estructura de la carrocería Código ICF:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Struttura del corpo, codice ICF:Osservazione:Pt:^Paziente:Nom:
Synonyms: American Physical Therapy Association - Associazio Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 身体结构 ICF 代码:发现:时间点:^患者:名义型:
Synonyms: APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标,并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型,而对于叙述型文本之中所报告的发现,则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 物体 身体(躯体)结构 ICF 代码(编码);International Classification of Functioning, Disability and Health;国际功能、残疾和健康分类;ICF

76446-4 Problem Activities and participation ICF code

Term Description

This term includes an answer list with example answers for activities and participation. However, use of International Classification of Functioning, Disability and Health (ICF) codes (http://www.who.int/classifications/icf/en/) at the appropriate level of granularity is recommended where possible.

Fully-Specified Name

Component
Activities and participation ICF code
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Long Common Name

Activities and participation ICF code

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.61 (MIN)
Order vs. Observation
Observation

Preferred Answer List LL3192-3

Answer Code Score Answer ID
Purposeful sensory experiences LA22170-7
Basic learning LA22171-5
Applying knowledge LA22172-3
General tasks and demands LA22173-1
Communication reception LA22174-9
Communication expression LA22175-6
Conversation and use of communication devices LA22176-4
Changing and maintaining body position LA22177-2
Carrying, moving and handling objects LA22178-0
Walking and moving around LA22179-8
Moving around using transportation LA22180-6
Self-care LA22181-4
Acquisition of necessities LA22182-2
Household tasks, caring for household objects and assisting others LA22183-0
General interpersonal interactions LA22184-8
Education LA22185-5
Work and employment LA22186-3
Economic life LA22187-1
Community LA22188-9
Social and civic life (e.g., sports) LA22189-7

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Δραστηριότητες και συμμετοχή Κωδικός ICF:Εύρεση:Pt:^Ασθενής:Nom:
Synonyms: Δραστηριότητες και συμμετοχή Κωδικός ICF Εύρεση
es-MX Spanish (Mexico) Actividades y participación Código ICF:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Attività e partecipazione codice ICF:Osservazione:Pt:^Paziente:Nom:
Synonyms: American Physical Therapy Association - Associazio Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 活动和参与 ICF 代码:发现:时间点:^患者:名义型:
Synonyms: APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标,并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型,而对于叙述型文本之中所报告的发现,则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 活动和参与 ICF 代码(编码);International Classification of Functioning, Disability and Health;国际功能、残疾和健康分类;ICF

76462-1 Reason for discharge

Fully-Specified Name

Component
Reason for discharge
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
APTA

Long Common Name

Reason for discharge APTA

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.54 (MIN)
Order vs. Observation
Observation

Normative Answer List LL3197-2

Answer Code Score Answer ID
Goals met LA22315-8
Lack of progress LA22316-6
Patient/ caregiver request (self-discharge) LA22317-4
Medical complication LA22318-2
Deceased LA10939-9
Frequent no show/ cancellation (noncompliance) LA22319-0
Unable to pay (insurance benefits expired) LA22320-8
Care transfer (other facility/ level of care) LA22081-6
Data not known LA22321-6

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Λόγος εξιτηρίου:Εύρεση:Pt:^Ασθενής:Nom:APTA
Synonyms: Εύρεση Λόγος εξιτηρίου
es-MX Spanish (Mexico) Razón del alta:Tipo:Punto temporal:^ Paciente:Nominal:APTA
it-IT Italian (Italy) Motivo di dimissione:Osservazione:Pt:^Paziente:Nom:APTA
Synonyms: American Physical Therapy Association - Associazio Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 出院原因:发现:时间点:^患者:名义型:APTA
Synonyms: APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) 允许...离开(医院、军队);(从监狱)释放 出院理由 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标,并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型,而对于叙述型文本之中所报告的发现,则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间

76440-7 Physical therapy care transfer location

Fully-Specified Name

Component
Care transfer location
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method
APTA

Long Common Name

Care transfer location APTA

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.54 (MIN)
Order vs. Observation
Observation

Normative Answer List LL3186-5

Answer Code Score Answer ID
Acute care hospital LA28-6
Long term care hospital LA22082-4
Inpatient rehabilitation facility LA10928-2
Skilled Nursing Facility LA6376-3
Home health agency LA22083-2
Outpatient facility LA22084-0

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Τοποθεσία μεταφοράς φροντίδας:Type:Pt:^Ασθενής:Nom:APTA
Synonyms: Type Τοποθεσία μεταφοράς φροντίδας
es-MX Spanish (Mexico) Lugar de transferencia de cuidados:Tipo:Punto temporal:^ Paciente:Nominal:APTA
it-IT Italian (Italy) Luogo di trasferimento dell'assistenza:Tipo:Pt:^Paziente:Nom:APTA
Synonyms: American Physical Therapy Association - Associazio paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 照护服务移交场所:类型:时间点:^患者:名义型:APTA
Synonyms: APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 地点;场所;部位;定位;地方 型 时刻;随机;随意;瞬间 照护服务(照护、医疗护理服务、医疗服务、护理服务)移交(转移、转交、转院)场所(地点、位置、机构、设施) 移位;转院;转;移交;交接

81893-0 Patient satisfaction with healthcare delivery [Score]

Term Description

The patient's satisfaction with the care they received on a scale of 0-100, with 0 being the lowest possible satisfaction and 100 being the highest.

Fully-Specified Name

Component
Patient satisfaction with healthcare delivery
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method

Basic Attributes

Class
MISC
Type
Laboratory
First Released
Version 2.56
Last Updated
Version 2.56 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Ικανοποίηση ασθενούς από την παροχή υγειονομικής περίθαλψης:Βαθμολογία:Pt:^Ασθενής:Qn:
Synonyms: Βαθμολογία Ικανοποίηση ασθενούς από την παροχή υγειονομικής περίθαλψης
es-ES Spanish (Spain) Satisfacción del paciente con la atención sanitaria:Puntuación:Punto temporal:^paciente:Qn:
Synonyms: Cuantitativo
es-MX Spanish (Mexico) Satisfacción del paciente con la prestación de atención médica:Puntaje:Punto temporal:^ Paciente:Cuantitativo:
fr-FR French (France) Satisfaction du patient aux soins délivrés:Score:Ponctuel:Patient:Numérique:
it-IT Italian (Italy) Paziente, soddisfazione con prestazioni sanitarie:Punteggio:Pt:^Paziente:Qn:
Synonyms: Miscellanea paziente Punto nel tempo (episodio) Soddisfazione del paziente con le prestazioni sani
zh-CN Chinese (China) 医疗保健服务的患者满意度:评分:时间点:^患者:定量型:
Synonyms: 分值;得分;分数 医疗保健服务(医疗保健提供过程、医疗保健服务提供过程、医疗保健、医疗护理服务、医疗护理服务提供过程)的患者(病人、病患、病号)满意度(满意程度、满足程度、称心程度、钟意程度);患者对于(对)医疗保健服务的满意度 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 杂项;杂项类;杂项试验

Example Units

Unit Source
{score} Example UCUM Units

57828-6 Prescription list

Term Description

A document (or section) including a list of all prescriptions made for a patient (medications, services, admissions, equipment, etc.).

Fully-Specified Name

Component
Prescription list
Property
Find
Time
Pt
System
{Setting}
Scale
Doc
Method
{Role}

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.67 (MIN)
Change Reason
Previous Releases: Edited component from "Prescriptions" to clarify that this code represents a list of prescriptions. Edits made based on Clinical LOINC Committee approval on 8/16/2011. Updated the System and Property to harmonize with the currently LOINC Document Ontology model for clinical document terms.; Based on Clinical LOINC Committee decision during the September 2014 meeting, {Provider} was changed to {Author Type} to emphasize a greater breadth of potential document authors. At the September 2015 Clinical LOINC Committee meeting, the Committee decided to change {Author Type} to {Role} to align with the 'Role' axis name in the LOINC Document Ontology.;
Order vs. Observation
Both
HL7® Attachment Structure
No IG exists

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Member of these Groups Get Info

LOINC Group Group Name
LG41826-5 {Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain

Language Variants Get Info

Tag Language Translation
de-DE German (Germany) Liste der Verschreibungen:Befund:Zeitpunkt:{Setting}:Dokument:{Funktion}
el-GR Greek (Greece) Κατάλογος συνταγογράφησης:Εύρεση:Pt:{Ρυθμίσεις}:Doc:{Ρόλος}
Synonyms: Εύρεση Κατάλογος συνταγογράφησης Συνταγογράφηση
es-MX Spanish (Mexico) Lista de prescripciones:Tipo:Punto temporal:{Configuración}:Documento:{Role}
it-IT Italian (Italy) Prescrizioni:Osservazione:Pt:{Setting}:Doc:{Role}
Synonyms: Documentazione dell''ontologia Osservazione Punto nel tempo (episodio) Ruolo non specificato
nl-NL Dutch (Netherlands) lijst van voorgeschreven medicatie:bevinding:moment:{instelling}:document:{rol}
Synonyms: medicatievoorschriften
zh-CN Chinese (China) 处方列表:发现:时间点:{环境}:文档型:{角色}
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 事件发生的地方;场景;环境;背景 发现是一个原子型临床观察指标,并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型,而对于叙述型文本之中所报告的发现,则可能是叙述型。;发现物;所见;结果;结论 处方(计划、建议、规定、指示、药方)列表(清单、目录、一览表、一览、名单) 文档本体;临床文档本体;文档本体;文书本体;医疗文书本体;临床医疗文书本体 时刻;随机;随意;瞬间 未加明确说明的角色 药方;处方药;训令;指示;法规;对策;解决方案

77574-2 Global measure of physical function panel

Term Description

This panel contains terms for various instruments that are used to assess global patient function, including those from PROMIS, OPTIMAL, and Care Connections. This panel was created for, but is not limited in use to, the American Physical Therapy Association's Physical Therapy Outcomes Registry.

Fully-Specified Name

Component
Global measure of physical function panel
Property
-
Time
Pt
System
^Patient
Scale
-
Method
APTA

Long Common Name

Global measure of physical function panel APTA

Basic Attributes

Class
PANEL.APTA
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.56 (NAM)
Change Reason
Changed name of panel from "Global level of function panel" to "Global measure of physical function panel" per APTA
Order vs. Observation
Order
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Πίνακας συνολικής μέτρησης σωματικής λειτουργίας:-:Pt:^Ασθενής:-:APTA
Synonyms: Λειτουργία Πίνακας συνολικής μέτρησης σωματικής λειτουργίας
es-MX Spanish (Mexico) Panel de medida global de función física:-:Punto temporal:^ Paciente:-:APTA
it-IT Italian (Italy) Misura globale di funzionalità fisica, panel:-:Pt:^Paziente:-:APTA
Synonyms: American Physical Therapy Association - Associazio Panel APTA (Associazione Americana di Fisioterapia) Panel misura globale di funzionalità fisica paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 整体功能水平组套:-:时间点:^患者:-:APTA
Synonyms: APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) FCN 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.APTA;组套(组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目).APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 多重;多重型;多重标尺类型;多重精度类型 套餐 套餐医嘱 套餐医嘱组 套餐医嘱组类 实验室医嘱套餐 实验室医嘱套餐类 实验室医嘱组 实验室医嘱组合类 实验室医嘱组套 实验室医嘱组套类 实验室套餐医嘱组 实验室套餐医嘱组类 实验室检验项目医嘱组合类 实验室检验项目组合类 整体(全面、总体、全局)功能(机能)水平组套(组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目) 时刻;随机;随意;瞬间 检验医嘱组合类 检验项目医嘱组合类 检验项目组合类 组 组合 组合医嘱 组合类 组套

79529-4 Basic mobility score [AM-PAC]

Term Description

The Boston University Activity Measure for Post-Acute Care (AM-PAC) instrument was developed as a functional outcomes measurement system that can be used across post-acute care settings. It assesses a set of functional activities in three separate areas - basic mobility, daily activity, and applied cognition - that most adults are likely to encounter during daily activities. Basic mobility includes basic movement and physical functioning activities, such as bending, walking, carrying, and climbing stairs. The electronic AM-PAC instrument results in a score and a standard error that represents the score's precision and is based on the number of questions answered. For example, answering more questions will result in higher precision as reflected by a lower standard error value. [http://www.bu.edu/bostonroc/instruments/am-pac/]

Fully-Specified Name

Component
Basic mobility score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
AM-PAC

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.58 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Example Units

Unit Source
{score} Example UCUM Units

79530-2 Basic mobility score standard error [AM-PAC]

Term Description

The Boston University Activity Measure for Post-Acute Care (AM-PAC) instrument was developed as a functional outcomes measurement system that can be used across post-acute care settings. It assesses a set of functional activities in three separate areas - basic mobility, daily activity, and applied cognition - that most adults are likely to encounter during daily activities. Basic mobility includes basic movement and physical functioning activities, such as bending, walking, carrying, and climbing stairs. The electronic AM-PAC instrument results in a score and a standard error that represents the score's precision and is based on the number of questions answered. For example, answering more questions will result in higher precision as reflected by a lower standard error value. [http://www.bu.edu/bostonroc/instruments/am-pac/]

Fully-Specified Name

Component
Basic mobility score standard error
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
AM-PAC

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.58 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Example Units

Unit Source
{score} Example UCUM Units

79531-0 Basic mobility items number [Activity Measure for Post-Acute Care]

Term Description

The Boston University Activity Measure for Post-Acute Care (AM-PAC) instrument was developed as a functional outcomes measurement system that can be used across post-acute care settings. It assesses a set of functional activities in three separate areas - basic mobility, daily activity, and applied cognition - that most adults are likely to encounter during daily activities. Basic mobility includes basic movement and physical functioning activities, such as bending, walking, carrying, and climbing stairs. The electronic AM-PAC instrument results in a score and a standard error that represents the score's precision and is based on the number of questions answered. For example, answering more questions will result in higher precision as reflected by a lower standard error value. [http://www.bu.edu/bostonroc/instruments/am-pac/]

Fully-Specified Name

Component
Basic mobility items
Property
Num
Time
Pt
System
^Patient
Scale
Qn
Method
AM-PAC

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.58 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Example Units

Unit Source
{#} Example UCUM Units

79532-8 Daily activity score [AM-PAC]

Term Description

The Boston University Activity Measure for Post-Acute Care (AM-PAC) instrument was developed as a functional outcomes measurement system that can be used across post-acute care settings. It assesses a set of functional activities in three separate areas - basic mobility, daily activity, and applied cognition - that most adults are likely to encounter during daily activities. Daily activity includes basic self-care and activities of daily living. The electronic AM-PAC instrument results in a score and a standard error that represents the score's precision and is based on the number of questions answered. For example, answering more questions will result in higher precision as reflected by a lower standard error value. [http://www.bu.edu/bostonroc/instruments/am-pac/]

Fully-Specified Name

Component
Daily activity score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
AM-PAC

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.58 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Member of these Groups Get Info

LOINC Group Group Name
LG41761-4 Exercise/Activity

Example Units

Unit Source
{score} Example UCUM Units

79533-6 Daily activity score standard error [AM-PAC]

Term Description

The Boston University Activity Measure for Post-Acute Care (AM-PAC) instrument was developed as a functional outcomes measurement system that can be used across post-acute care settings. It assesses a set of functional activities in three separate areas - basic mobility, daily activity, and applied cognition - that most adults are likely to encounter during daily activities. Daily activity includes basic self-care and activities of daily living. The electronic AM-PAC instrument results in a score and a standard error that represents the score's precision and is based on the number of questions answered. For example, answering more questions will result in higher precision as reflected by a lower standard error value. [http://www.bu.edu/bostonroc/instruments/am-pac/]

Fully-Specified Name

Component
Daily activity score standard error
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
AM-PAC

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.58 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Member of these Groups Get Info

LOINC Group Group Name
LG41761-4 Exercise/Activity

Example Units

Unit Source
{score} Example UCUM Units

79534-4 Daily activity items number [Activity Measure for Post-Acute Care]

Term Description

The Boston University Activity Measure for Post-Acute Care (AM-PAC) instrument was developed as a functional outcomes measurement system that can be used across post-acute care settings. It assesses a set of functional activities in three separate areas - basic mobility, daily activity, and applied cognition - that most adults are likely to encounter during daily activities. Daily activity includes basic self-care and activities of daily living. The electronic AM-PAC instrument results in a score and a standard error that represents the score's precision and is based on the number of questions answered. For example, answering more questions will result in higher precision as reflected by a lower standard error value. [http://www.bu.edu/bostonroc/instruments/am-pac/]

Fully-Specified Name

Component
Daily activity items
Property
Num
Time
Pt
System
^Patient
Scale
Qn
Method
AM-PAC

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.58 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Member of these Groups Get Info

LOINC Group Group Name
LG41761-4 Exercise/Activity

Example Units

Unit Source
{#} Example UCUM Units

79535-1 Applied cognitive score [AM-PAC]

Term Description

The Boston University Activity Measure for Post-Acute Care (AM-PAC) instrument was developed as a functional outcomes measurement system that can be used across post-acute care settings. It assesses a set of functional activities in three separate areas - basic mobility, daily activity, and applied cognition - that most adults are likely to encounter during daily activities. Applied cognition includes higher level cognitive functions that are necessary to live independently. The electronic AM-PAC instrument results in a score and a standard error that represents the score's precision and is based on the number of questions answered. For example, answering more questions will result in higher precision as reflected by a lower standard error value. [http://www.bu.edu/bostonroc/instruments/am-pac/]

Fully-Specified Name

Component
Applied cognitive score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
AM-PAC

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.58 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Example Units

Unit Source
{score} Example UCUM Units

79536-9 Applied cognitive score standard error [AM-PAC]

Term Description

The Boston University Activity Measure for Post-Acute Care (AM-PAC) instrument was developed as a functional outcomes measurement system that can be used across post-acute care settings. It assesses a set of functional activities in three separate areas - basic mobility, daily activity, and applied cognition - that most adults are likely to encounter during daily activities. Applied cognition includes higher level cognitive functions that are necessary to live independently. The electronic AM-PAC instrument results in a score and a standard error that represents the score's precision and is based on the number of questions answered. For example, answering more questions will result in higher precision as reflected by a lower standard error value. [http://www.bu.edu/bostonroc/instruments/am-pac/]

Fully-Specified Name

Component
Applied cognitive score standard error
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
AM-PAC

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.58 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Example Units

Unit Source
{score} Example UCUM Units

79537-7 Applied cognitive items number [Activity Measure for Post-Acute Care]

Term Description

The Boston University Activity Measure for Post-Acute Care (AM-PAC) instrument was developed as a functional outcomes measurement system that can be used across post-acute care settings. It assesses a set of functional activities in three separate areas - basic mobility, daily activity, and applied cognition - that most adults are likely to encounter during daily activities. Applied cognition includes higher level cognitive functions that are necessary to live independently. The electronic AM-PAC instrument results in a score and a standard error that represents the score's precision and is based on the number of questions answered. For example, answering more questions will result in higher precision as reflected by a lower standard error value. [http://www.bu.edu/bostonroc/instruments/am-pac/]

Fully-Specified Name

Component
Applied cognitive items
Property
Num
Time
Pt
System
^Patient
Scale
Qn
Method
AM-PAC

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.58 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Example Units

Unit Source
{#} Example UCUM Units

79421-4 Neuromuscular functional index [CareConnections]

Part Descriptions

LP201764-0   Neuromuscular functional index
The CareConnections Functional Index (CCFI) is used in outpatient physical therapy clinics for patients with musculoskeletal or neuromuscular conditions to help measure patients' functional status and quantify the effectiveness of treatment. Separate instruments are available for musculoskeletal and neuromuscular conditions. The instruments include general questions related to functional status as well as specific questions related to either neuromuscular function or each affected musculoskeletal region, which can include one or more of the following: temporomandibular joint, cervical/thoracic, lumbar, upper extremity and lower extremity. To calculate the CCFI, the patient's raw score is converted to a percentage by dividing the raw score by the maximum possible score based on the number of questions answered by the patient. A higher score indicates a better functional status. Patients can complete the instrument multiple times over the course of treatment and changes in their scores can be used to monitor therapy effectiveness. PMID: 24666407 Source: Regenstrief LOINC

Fully-Specified Name

Component
Neuromuscular functional index
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
CareConnections

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54 (ADD)
Order vs. Observation
Observation

Formula (Readable)

Functional index = (raw score/total possible score based on number of questions answered)x100

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Example Units

Unit Source
{score} Example UCUM Units

79422-2 Orthopedic functional index [CareConnections]

Part Descriptions

LP201766-5   Orthopedic functional index
The CareConnections Functional Index (CCFI) is used in outpatient physical therapy clinics for patients with musculoskeletal or neuromuscular conditions to help measure patients' functional status and quantify the effectiveness of treatment. Separate instruments are available for musculoskeletal and neuromuscular conditions. The instruments include general questions related to functional status as well as specific questions related to either neuromuscular function or each affected musculoskeletal region, which can include one or more of the following: temporomandibular joint, cervical/thoracic, lumbar, upper extremity and lower extremity. To calculate the CCFI, the patient's raw score is converted to a percentage by dividing the raw score by the maximum possible score based on the number of questions answered by the patient. A higher score indicates a better functional status. Patients can complete the instrument multiple times over the course of treatment and changes in their scores can be used to monitor therapy effectiveness. PMID: 24666407 Source: Regenstrief LOINC

Fully-Specified Name

Component
Orthopedic functional index
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
CareConnections

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.54
Last Updated
Version 2.54 (ADD)
Order vs. Observation
Observation

Formula (Readable)

Functional index = (raw score/total possible score based on number of questions answered)x100

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Example Units

Unit Source
{score} Example UCUM Units

77866-2 PROMIS physical function - version 1.0 Tscore

Fully-Specified Name

Component
PROMIS physical function - version 1.0 T-score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.52
Last Updated
Version 2.52 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
61587-2 PROMIS item bank - physical function - version 1.0
62199-5 PROMIS short form - physical function 10a - version 1.0
76702-0 PROMIS short form - physical function 20a - version 1.0
76700-4 PROMIS short form - physical function 4a - version 1.0
76804-4 PROMIS short form - physical function 6b - version 1.2
76805-1 PROMIS short form - physical function 8b - version 1.2

Example Units

Unit Source
{Tscore} Example UCUM Units

77874-6 PROMIS physical function - version 1.2 Tscore

Fully-Specified Name

Component
PROMIS physical function - version 1.2 T-score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.52
Last Updated
Version 2.52 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Example Units

Unit Source
{Tscore} Example UCUM Units

91721-1 PROMIS physical function - version 2.0 T-score

Fully-Specified Name

Component
PROMIS physical function - version 2.0 T-score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
91722-9 PROMIS item bank - physical function - version 2.0
61576-5 PROMIS short form - global - version 1.1
92580-0 PROMIS short form - physical function 10a - version 2.0
92579-2 PROMIS short form - physical function 10b - version 2.0

Example Units

Unit Source
{Tscore} Example UCUM Units

77580-9 PROMIS physical function w mobility aids - version 1.0 T-score

Fully-Specified Name

Component
PROMIS physical function w mobility aids - version 1.0 T-score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.52
Last Updated
Version 2.52 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
79062-6 PROMIS item bank - physical function w mobility aids - version 1.0
79063-4 PROMIS short form - physical function w mobility aids - version 1.0

Example Units

Unit Source
{Tscore} Example UCUM Units

92391-2 PROMIS self-efficacy for managing daliy activities - version 1.0 T-score

Fully-Specified Name

Component
PROMIS self-efficacy for managing daily activities - version 1.0 T-score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
92392-0 PROMIS item bank - self-efficacy for managing daily activities - version 1.0
92597-4 PROMIS short form - self-efficacy for managing daily activities 4a - version 1.0
92596-6 PROMIS short form - self-efficacy for managing daily activities 8a - version 1.0

Example Units

Unit Source
{Tscore} Example UCUM Units

92448-0 PROMIS self-efficacy for managing symptoms - version 1.0 T-score

Fully-Specified Name

Component
PROMIS self-efficacy for managing symptoms - version 1.0 T-score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
92449-8 PROMIS item bank - self-efficacy for managing symptoms - version 1.0
92589-1 PROMIS short form - self-efficacy for managing symptoms 4a - version 1.0
92588-3 PROMIS short form - self-efficacy for managing symptoms 8a - version 1.0

Example Units

Unit Source
{Tscore} Example UCUM Units

91612-2 PROMIS upper extremity version 2.0 T-score

Fully-Specified Name

Component
PROMIS upper extremity version 2.0 T-score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
91611-4 PROMIS item bank - upper extremity - version 2.0
92605-5 PROMIS short form - upper extremity 7a - version 2.0

Example Units

Unit Source
{Tscore} Example UCUM Units

77578-3 PROMIS parent proxy mobility - version 1.0 T-score

Fully-Specified Name

Component
PROMIS parent proxy mobility - version 1.0 T-score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS.PARENTPROXY

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.52
Last Updated
Version 2.68 (MAJ)
Change Reason
Release 2.68: METHOD_TYP: Updated to more accurately reflect the method and align with other Parent Proxy terms.
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
94161-7 PROMIS parent proxy item bank - mobility - version 1.0
94166-6 PROMIS parent proxy short form - mobility 8 - version 1.0

Example Units

Unit Source
{Tscore} Example UCUM Units

90705-5 PROMIS parent proxy mobility - version 2.0 T-score

Fully-Specified Name

Component
PROMIS parent proxy mobility - version 2.0 T-score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS.PARENTPROXY

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.65
Last Updated
Version 2.65 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
90704-8 PROMIS parent proxy item bank - mobility - version 2.0
90940-8 PROMIS parent proxy short form - mobility 8a - version 2.0

Example Units

Unit Source
{Tscore} Example UCUM Units

90884-8 PROMIS pediatric mobility - version 2.0 T-score

Fully-Specified Name

Component
PROMIS pediatric mobility - version 2.0 T-Score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS.PEDS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.65
Last Updated
Version 2.65 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
90883-0 PROMIS pediatric item bank - mobility - version 2.0
90955-6 PROMIS pediatric short form - mobility 8a - version 2.0

Example Units

Unit Source
{Tscore} Example UCUM Units

77579-1 PROMIS pediatric physical function: mobility - version 1.0 T-score

Fully-Specified Name

Component
PROMIS pediatric physical function - mobility - version 1.0 T-score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS.PEDS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.52
Last Updated
Version 2.54 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
62117-7 PROMIS pediatric item bank - physical function - mobility - version 1.0
62206-8 PROMIS pediatric short form - physical function - mobility 8a - version 1.0

Example Units

Unit Source
{Tscore} Example UCUM Units

77575-9 Condition- or population-specific panel

Term Description

This panel contains terms for various instruments that are used to assess health-condition specific patient function, including those from the Neck Disability Index, Low Back Pain Disability Questionnaire, DASH, and KOOS. This panel was created for, but is not limited in use to, the American Physical Therapy Association's Physical Therapy Outcomes Registry.

Fully-Specified Name

Component
Condition- or population-specific panel
Property
-
Time
Pt
System
^Patient
Scale
-
Method
APTA

Long Common Name

Condition- or population-specific panel APTA

Basic Attributes

Class
PANEL.APTA
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.56 (NAM)
Change Reason
Changed panel name from "Health-condition specific level of function panel" to "Condition- or population-specific panel" per APTA
Order vs. Observation
Order
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Πίνακας ειδικών συνθηκών ή πληθυσμού:-:Pt:^Ασθενής:-:APTA
Synonyms: Παθολογική κατάσταση Πίνακας ειδικών συνθηκών ή πληθυσμού
es-MX Spanish (Mexico) Panel de afecciones o poblaciones específicas:-:Punto temporal:^ Paciente:-:APTA
it-IT Italian (Italy) Specifico alla condizione - o alla popolazione, panel:-:Pt:^Paziente:-:APTA
Synonyms: American Physical Therapy Association - Associazio Panel APTA (Associazione Americana di Fisioterapia) Panel specifico alla condizione o alla popolazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 健康状况特异性功能水平组套:-:时间点:^患者:-:APTA
Synonyms: APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) 健康状况(健康情况、健康状态、健康情形、健康水平)特异性(特有、专有)功能(机能)水平组套(组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目) 健康状况;疾病;情况;病情;状态;条件 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.APTA;组套(组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目).APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 多重;多重型;多重标尺类型;多重精度类型 套餐 套餐医嘱 套餐医嘱组 套餐医嘱组类 实验室医嘱套餐 实验室医嘱套餐类 实验室医嘱组 实验室医嘱组合类 实验室医嘱组套 实验室医嘱组套类 实验室套餐医嘱组 实验室套餐医嘱组类 实验室检验项目医嘱组合类 实验室检验项目组合类 时刻;随机;随意;瞬间 检验医嘱组合类 检验项目医嘱组合类 检验项目组合类 特异 特异性的 特异的 组 组合 组合医嘱 组合类 组套

52742-4 Pain intensity rating

Fully-Specified Name

Component
Pain severity during last 2D
Property
Score
Time
2D
System
^Patient
Scale
Ord
Method
Reported

Long Common Name

Pain severity during last 2 days [Reported]

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.26
Last Updated
Version 2.52 (MIN)

Preferred Answer List LL571-1

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0
6 6 LA10138-8
7 7 LA10139-6
8 8 LA10140-4
9 9 LA10141-2
10 10 LA13942-0
Patient does not answer or is unable to respond 88 LA10056-2

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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

71971-6 PROMIS-10 Global Health, GPH, T score

Term Description

GPH = Global Physical Health. This score is calculated from question responses via coefficients. Valid range: 16.2 to 67.7.

Fully-Specified Name

Component
PROMIS-10 Global Physical Health score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS

Long Common Name

PROMIS-10 Global Physical Health (GPH) score T-score

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2

Example Units

Unit Source
{score} Example UCUM Units

71969-0 PROMIS-10 Global Health, GMH, T score

Term Description

GMH = Global Mental Health. This score is calculated from question responses via coefficients. Valid range: 21.2 to 67.6.

Fully-Specified Name

Component
PROMIS-10 Global Mental Health score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS

Long Common Name

PROMIS-10 Global Mental Health (GMH) score T-score

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2

Example Units

Unit Source
{score} Example UCUM Units

77865-4 PROMIS pain interference - version 1.0 Tscore

Fully-Specified Name

Component
PROMIS pain interference - version 1.0 T-score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.52
Last Updated
Version 2.52 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61753-0 PROMIS item bank - pain interference - version 1.0
90971-3 PROMIS short form - pain interference 4a - version 1.0
90973-9 PROMIS short form - pain interference 6a - version 1.0
62193-8 PROMIS short form - pain interference 6b - version 1.0
75870-6 PROMIS short form - pain interference 8a - version 1.0

Example Units

Unit Source
{Tscore} Example UCUM Units

89950-0 PROMIS parent proxy pain interference - version 2.0 T-score

Fully-Specified Name

Component
PROMIS parent proxy pain interference - version 2.0 T-score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS.PARENTPROXY

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.65
Last Updated
Version 2.65 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
89949-2 PROMIS parent proxy item bank - pain interference - version 2.0
90942-4 PROMIS parent proxy short form - pain interference 8a - version 2.0

Example Units

Unit Source
{Tscore} Example UCUM Units

89936-9 PROMIS pediatric pain interference - version 2.0 Tscore

Fully-Specified Name

Component
PROMIS pediatric pain interference - version 2.0 T-score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS.PEDS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.65
Last Updated
Version 2.65 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
89935-1 PROMIS pediatric item bank - pain interference - version 2.0
90957-2 PROMIS pediatric short form - pain interference 8a - version 2.0

Example Units

Unit Source
{Tscore} Example UCUM Units

82324-5 Knee injury and osteoarthritis outcome score for joint replacement [KOOSJR]

Term Description

The Knee Injury and Osteoarthritis Outcome Score for Joint Replacement (KOOS, JR) survey was developed from the original long version of the Knee injury and Osteoarthritis Outcome Score (KOOS) survey using Rasch analysis. It contains 7 questions from the original KOOS survey. Each question is coded from 0 to 4 where 0 equals no pain and 4 equals extreme pain. The survey is scored by summing the raw scores and then converting the total raw score to an interval score, which ranges from 0 to 100 where 0 represents total knee disability and 100 represents perfect knee health. PMID: 26926773

Reference Information

Type Source Reference
Original Form Hospital for Special SurgeryCopyright Copyright © 2016 Hospital for Special Surgery. Knee Injury and Osteoarthritis Outcome Score for Joint Replacement (KOOS, JR.), English version 1.0 KOOS, JR. KNEE SURVEY

Fully-Specified Name

Component
Knee injury and osteoarthritis outcome score for joint replacement
Property
-
Time
Pt
System
^Patient
Scale
-
Method
KOOSJR

Basic Attributes

Class
PANEL.SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.61 (MIN)
Order vs. Observation
Order
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

82325-2 How severe is your knee stiffness after first wakening in the morning?

Fully-Specified Name

Component
How severe is your knee stiffness after first wakening in the morning during the last W
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
KOOS

Long Common Name

How severe is your knee stiffness after first wakening in the morning during the last week [KOOS]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.64 (NAM)
Change Reason
Changed Component from "in the last" to "during the last" to be consistent with the KOOS
Order vs. Observation
Observation

Normative Answer List LL4051-0

Answer Code Score Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) 0 LA137-2
Mild 1 LA6752-5
Moderate Copyright http://snomed.info/sct ID:6736007 Moderate (severity modifier) (qualifier value) 2 LA6751-7
Severe 3 LA6750-9
Extreme 4 LA11912-5

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
72091-2 Knee injury and Osteoarthritis Outcome Score [KOOS]
82324-5 Knee injury and osteoarthritis outcome score for joint replacement [KOOSJR]

86631-9 Pain

Fully-Specified Name

Component
Pain panel
Property
-
Time
1W
System
^Patient
Scale
-
Method
KOOSJR

Long Common Name

Pain panel [KOOSJR]

Basic Attributes

Class
PANEL.SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.61 (ADD)
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
82324-5 Knee injury and osteoarthritis outcome score for joint replacement [KOOSJR]

82326-0 Twisting/pivoting on your knee

Fully-Specified Name

Component
Amount of knee pain experienced while twisting &or pivoting on your knee in the last W
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
KOOS

Long Common Name

Amount of knee pain experienced while twisting AndOr pivoting on your knee in the last week [KOOS]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.61 (ADD)
Order vs. Observation
Observation

Normative Answer List LL4051-0

Answer Code Score Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) 0 LA137-2
Mild 1 LA6752-5
Moderate Copyright http://snomed.info/sct ID:6736007 Moderate (severity modifier) (qualifier value) 2 LA6751-7
Severe 3 LA6750-9
Extreme 4 LA11912-5

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
72091-2 Knee injury and Osteoarthritis Outcome Score [KOOS]
82324-5 Knee injury and osteoarthritis outcome score for joint replacement [KOOSJR]

82327-8 Straightening knee fully

Fully-Specified Name

Component
Amount of knee pain experienced while straightening knee fully in the last W
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
KOOS

Long Common Name

Amount of knee pain experienced while straightening knee fully in the last week [KOOS]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.61 (ADD)
Order vs. Observation
Observation

Normative Answer List LL4051-0

Answer Code Score Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) 0 LA137-2
Mild 1 LA6752-5
Moderate Copyright http://snomed.info/sct ID:6736007 Moderate (severity modifier) (qualifier value) 2 LA6751-7
Severe 3 LA6750-9
Extreme 4 LA11912-5

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
72091-2 Knee injury and Osteoarthritis Outcome Score [KOOS]
82324-5 Knee injury and osteoarthritis outcome score for joint replacement [KOOSJR]

82328-6 Going up or down stairs

Fully-Specified Name

Component
Amount of knee pain experienced while going up or down stairs in the last W
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
KOOS

Long Common Name

Amount of knee pain experienced while going up or down stairs in the last week [KOOS]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.61 (ADD)
Order vs. Observation
Observation

Normative Answer List LL4051-0

Answer Code Score Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) 0 LA137-2
Mild 1 LA6752-5
Moderate Copyright http://snomed.info/sct ID:6736007 Moderate (severity modifier) (qualifier value) 2 LA6751-7
Severe 3 LA6750-9
Extreme 4 LA11912-5

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
72091-2 Knee injury and Osteoarthritis Outcome Score [KOOS]
82324-5 Knee injury and osteoarthritis outcome score for joint replacement [KOOSJR]

82329-4 Standing upright

Fully-Specified Name

Component
Amount of knee pain experienced while standing upright in the last W
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
KOOS

Long Common Name

Amount of knee pain experienced while standing upright in the last week [KOOS]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.61 (ADD)
Order vs. Observation
Observation

Normative Answer List LL4051-0

Answer Code Score Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) 0 LA137-2
Mild 1 LA6752-5
Moderate Copyright http://snomed.info/sct ID:6736007 Moderate (severity modifier) (qualifier value) 2 LA6751-7
Severe 3 LA6750-9
Extreme 4 LA11912-5

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
72091-2 Knee injury and Osteoarthritis Outcome Score [KOOS]
82324-5 Knee injury and osteoarthritis outcome score for joint replacement [KOOSJR]

86632-7 Function, daily living

Fully-Specified Name

Component
Function and daily living panel
Property
-
Time
1W
System
^Patient
Scale
-
Method
KOOSJR

Long Common Name

Function and daily living panel [KOOSJR]

Basic Attributes

Class
PANEL.SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.61 (ADD)
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
82324-5 Knee injury and osteoarthritis outcome score for joint replacement [KOOSJR]

82330-2 Rising from sitting

Fully-Specified Name

Component
Degree of difficulty experienced due to your knee while rising from sitting in the last W
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
KOOS

Long Common Name

Degree of difficulty experienced due to your knee while rising from sitting in the last week [KOOS]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.64 (MIN)
Order vs. Observation
Observation

Normative Answer List LL4051-0

Answer Code Score Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) 0 LA137-2
Mild 1 LA6752-5
Moderate Copyright http://snomed.info/sct ID:6736007 Moderate (severity modifier) (qualifier value) 2 LA6751-7
Severe 3 LA6750-9
Extreme 4 LA11912-5

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
98915-2 Knee injury and osteoarthritis outcome score - physical function shortform panel [KOOS-PS]
72091-2 Knee injury and Osteoarthritis Outcome Score [KOOS]
82324-5 Knee injury and osteoarthritis outcome score for joint replacement [KOOSJR]

82331-0 Bending to floor/pick up an object

Fully-Specified Name

Component
Degree of difficulty experienced due to your knee while bending to floor &or pick up an object in the last W
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
KOOS

Long Common Name

Degree of difficulty experienced due to your knee while bending to floor AndOr pick up an object in the last week [KOOS]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.72 (MIN)
Order vs. Observation
Observation

Normative Answer List LL4051-0

Answer Code Score Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) 0 LA137-2
Mild 1 LA6752-5
Moderate Copyright http://snomed.info/sct ID:6736007 Moderate (severity modifier) (qualifier value) 2 LA6751-7
Severe 3 LA6750-9
Extreme 4 LA11912-5

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
98915-2 Knee injury and osteoarthritis outcome score - physical function shortform panel [KOOS-PS]
72091-2 Knee injury and Osteoarthritis Outcome Score [KOOS]
82324-5 Knee injury and osteoarthritis outcome score for joint replacement [KOOSJR]

82332-8 Total interval score [KOOSJR]

Term Description

The patient's score for the Knee Injury and Osteoarthritis Outcome Score for Joint Replacement (KOOS, JR) survey. The survey is scored by summing the raw scores and then converting the total raw score to an interval score, which ranges from 0 to 100 where 0 represents total knee disability and 100 represents perfect knee joint health. PMID: 26926772

Fully-Specified Name

Component
Total interval score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
KOOSJR

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.61 (ADD)
Order vs. Observation
Both

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
82324-5 Knee injury and osteoarthritis outcome score for joint replacement [KOOSJR]

Example Units

Unit Source
{score} Example UCUM Units

82226-2 Neck Disability Index [NDI]

Term Description

The Neck Disability Index was developed in 1991 to assess the degree to which daily activities are hindered by neck pain. The NDI can be used to measure progress over time, and a 5-point change in score is deemed to be clinically significant.

Reference Information

Type Source Reference
Article Regenstrief LOINC Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991 Sep;14(7):409-15. Erratum in: J Manipulative Physiol Ther 1992 Jan;15(1):followi. PubMed [PMID: 1834753].

Observation Required in Panel

Optional

Form Coding Instructions

This questionnaire has been designed to give us information as to how your neck pain has affected your ability to manage in everyday life. Please answer every section and mark in each section only the one box that applies to you. We realise you may consider that two or more statements in any one section relate to you, but please just mark the box that most closely describes your problem

Source: Elsevier

Fully-Specified Name

Component
Neck Disability Index
Property
-
Time
Pt
System
^Patient
Scale
-
Method
NDI

Basic Attributes

Class
PANEL.SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.58 (MAJ)
Order vs. Observation
Both
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

82227-0 Pain intensity

Reference Information

Type Source Reference
Article Regenstrief LOINC Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991 Sep;14(7):409-15. Erratum in: J Manipulative Physiol Ther 1992 Jan;15(1):followi. PubMed [PMID: 1834753].

Observation Required in Panel

Required

Fully-Specified Name

Component
Pain intensity
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NDI

Long Common Name

Pain intensity [NDI]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.56 (ADD)
Order vs. Observation
Observation

Normative Answer List LL3898-5

Answer Code Score Answer ID
I have no pain at the moment. 0 LA25853-5
The pain is very mild at the moment. 1 LA25854-3
The pain is moderate at the moment. 2 LA25855-0
The pain is fairly severe at the moment. 3 LA25856-8
The pain is very severe at the moment. 4 LA25857-6
The pain is the worst imaginable at the moment. 5 LA25858-4

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
82226-2 Neck Disability Index [NDI]

82228-8 Personal care (washing, dressing, etc.)

Reference Information

Type Source Reference
Article Regenstrief LOINC Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991 Sep;14(7):409-15. Erratum in: J Manipulative Physiol Ther 1992 Jan;15(1):followi. PubMed [PMID: 1834753].

Observation Required in Panel

Required

Fully-Specified Name

Component
Personal care (washing, dressing, etc)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NDI

Long Common Name

Personal care (washing, dressing, etc) [NDI]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.56 (ADD)
Order vs. Observation
Observation

Normative Answer List LL3899-3

Answer Code Score Answer ID
I can look after myself normally without causing extra pain. 0 LA25859-2
I can look after myself normally but it causes extra pain. 1 LA25860-0
It is painful to look after myself and I am slow and careful. 2 LA25861-8
I need some help but can manage most of my personal care. 3 LA25862-6
I need help every day in most aspects of self-care. 4 LA25863-4
I do not get dressed, I wash with difficulty and stay in bed. 5 LA25864-2

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
82226-2 Neck Disability Index [NDI]

82229-6 Lifting

Reference Information

Type Source Reference
Article Regenstrief LOINC Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991 Sep;14(7):409-15. Erratum in: J Manipulative Physiol Ther 1992 Jan;15(1):followi. PubMed [PMID: 1834753].

Observation Required in Panel

Required

Fully-Specified Name

Component
Lifting
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NDI

Long Common Name

Lifting [NDI]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.56 (ADD)
Order vs. Observation
Observation

Normative Answer List LL3900-9

Answer Code Score Answer ID
I can lift heavy weights without extra pain. 0 LA25865-9
I can lift heavy weights but it gives extra pain. 1 LA25866-7
Pain prevents me lifting heavy weights off the floor, but I can manage if they are conveniently placed, for example on a table. 2 LA25867-5
Pain prevents me from lifting heavy weights but I can manage light to medium weights if they are conveniently positioned. 3 LA25868-3
I can only lift very light weights. 4 LA25869-1
I cannot lift or carry anything. 5 LA25870-9

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
82226-2 Neck Disability Index [NDI]

82230-4 Reading

Reference Information

Type Source Reference
Article Regenstrief LOINC Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991 Sep;14(7):409-15. Erratum in: J Manipulative Physiol Ther 1992 Jan;15(1):followi. PubMed [PMID: 1834753].

Observation Required in Panel

Required

Fully-Specified Name

Component
Reading
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NDI

Long Common Name

Reading [NDI]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.56 (ADD)
Order vs. Observation
Observation

Normative Answer List LL3901-7

Answer Code Score Answer ID
I can read as much as I want to with no pain in my neck. 0 LA25871-7
I can read as much as I want to with slight pain in my neck. 1 LA25872-5
I can read as much as I want with moderate pain in my neck. 2 LA25873-3
I can't read as much as I want because of moderate pain in my neck. 3 LA25874-1
I can hardly read at all because of severe pain in my neck. 4 LA25875-8
I can't read at all. 5 LA25876-6

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
82226-2 Neck Disability Index [NDI]

82231-2 Headaches

Reference Information

Type Source Reference
Article Regenstrief LOINC Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991 Sep;14(7):409-15. Erratum in: J Manipulative Physiol Ther 1992 Jan;15(1):followi. PubMed [PMID: 1834753].

Observation Required in Panel

Required

Fully-Specified Name

Component
Headaches
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NDI

Long Common Name

Headaches [NDI]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.56 (ADD)
Order vs. Observation
Observation

Normative Answer List LL3902-5

Answer Code Score Answer ID
I have no headaches at all. 0 LA25877-4
I have slight headaches, which come infrequently. 1 LA26365-9
I have moderate headaches, which come infrequently. 2 LA26366-7
I have moderate headaches, which come frequently. 3 LA26367-5
I have severe headaches, which come frequently. 4 LA26368-3
I have headaches almost all the time. 5 LA26369-1

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
82226-2 Neck Disability Index [NDI]

82232-0 Concentration

Reference Information

Type Source Reference
Article Regenstrief LOINC Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991 Sep;14(7):409-15. Erratum in: J Manipulative Physiol Ther 1992 Jan;15(1):followi. PubMed [PMID: 1834753].

Observation Required in Panel

Required

Fully-Specified Name

Component
Concentration
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NDI

Long Common Name

Concentration [NDI]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.56 (ADD)
Order vs. Observation
Observation

Normative Answer List LL3903-3

Answer Code Score Answer ID
I can concentrate fully when I want to with no difficulty. 0 LA25878-2
I can concentrate fully when I want to with slight difficulty. 1 LA25879-0
I have a fair degree of difficulty in concentrating when I want to. 2 LA25880-8
I have a lot of difficulty in concentrating when I want to. 3 LA25881-6
I have a great deal of difficulty in concentrating when I want to. 4 LA25882-4
I can't concentrate at all. 5 LA25883-2

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
82226-2 Neck Disability Index [NDI]

82233-8 Work

Reference Information

Type Source Reference
Article Regenstrief LOINC Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991 Sep;14(7):409-15. Erratum in: J Manipulative Physiol Ther 1992 Jan;15(1):followi. PubMed [PMID: 1834753].

Observation Required in Panel

Required

Fully-Specified Name

Component
Work
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NDI

Long Common Name

Work [NDI]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.56 (ADD)
Order vs. Observation
Observation

Normative Answer List LL3904-1

Answer Code Score Answer ID
I can do as much work as I want to. 0 LA25884-0
I can only do my usual work, but no more. 1 LA25885-7
I can do most of my usual work, but no more. 2 LA25886-5
I cannot do my usual work. 3 LA25887-3
I can hardly do any work at all. 4 LA25888-1
I can't do any work at all. 5 LA25889-9

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
82226-2 Neck Disability Index [NDI]

82234-6 Driving

Reference Information

Type Source Reference
Article Regenstrief LOINC Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991 Sep;14(7):409-15. Erratum in: J Manipulative Physiol Ther 1992 Jan;15(1):followi. PubMed [PMID: 1834753].

Observation Required in Panel

Required

Fully-Specified Name

Component
Driving
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NDI

Long Common Name

Driving [NDI]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.56 (ADD)
Order vs. Observation
Observation

Normative Answer List LL3905-8

Answer Code Score Answer ID
I can drive my car without any neck pain. 0 LA25890-7
I can drive my car as long as I want with slight pain in my neck. 1 LA25891-5
I can drive my car as long as I want with moderate pain in my neck. 2 LA25892-3
I can't drive my car as long as I want because of moderate pain in my neck. 3 LA25893-1
I can hardly drive at all because of severe pain in my neck. 4 LA25894-9
I can't drive my car at all. 5 LA25895-6

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
82226-2 Neck Disability Index [NDI]

82235-3 Sleeping

Reference Information

Type Source Reference
Article Regenstrief LOINC Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991 Sep;14(7):409-15. Erratum in: J Manipulative Physiol Ther 1992 Jan;15(1):followi. PubMed [PMID: 1834753].

Observation Required in Panel

Required

Fully-Specified Name

Component
Sleeping
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NDI

Long Common Name

Sleeping [NDI]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.56 (ADD)
Order vs. Observation
Observation

Normative Answer List LL3906-6

Answer Code Score Answer ID
I have no trouble sleeping. 0 LA25896-4
My sleep is slightly disturbed (less than 1 hr sleepless). 1 LA25897-2
My sleep is mildly disturbed (1-2 hrs sleepless). 2 LA25898-0
My sleep is moderately disturbed (2-3 hrs sleepless). 3 LA25899-8
My sleep is greatly disturbed (3-5 hrs sleepless). 4 LA25900-4
My sleep is completely disturbed (5-7 hrs sleepless). 5 LA25901-2

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
82226-2 Neck Disability Index [NDI]

82236-1 Recreation

Reference Information

Type Source Reference
Article Regenstrief LOINC Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991 Sep;14(7):409-15. Erratum in: J Manipulative Physiol Ther 1992 Jan;15(1):followi. PubMed [PMID: 1834753].

Observation Required in Panel

Required

Fully-Specified Name

Component
Recreation
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NDI

Long Common Name

Recreation [NDI]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.56 (ADD)
Order vs. Observation
Observation

Normative Answer List LL3907-4

Answer Code Score Answer ID
I am able to engage in all my recreation activities with no neck pain at all. 0 LA25902-0
I am able to engage in all my recreation activities, with some pain in my neck. 1 LA25903-8
I am able to engage in most, but not all of my usual recreation activities because of pain in my neck. 2 LA25904-6
I am able to engage in a few of my usual recreation activities because of pain in my neck. 3 LA25905-3
I can hardly do any recreation activities because of pain in my neck. 4 LA25906-1
I can't do any recreation activities due at all. 5 LA25907-9

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
82226-2 Neck Disability Index [NDI]

82237-9 Total score [NDI]

Term Description

Each of the ten items on the Neck Disability Index is scored one to five for a possible total of 50. A higher score indicates a greater level of disability (0-4=none, 5-14=mild, 15-24=moderate, 25-34=severe, >35=complete). If three or more items are missing, the total score could be invalid. The total score can be multiplied by two to calculate the percentage out of 100.

Reference Information

Type Source Reference
Article Regenstrief LOINC Vernon H, Mior S. The Neck Disability Index: a study of reliability and validity. J Manipulative Physiol Ther. 1991 Sep;14(7):409-15. Erratum in: J Manipulative Physiol Ther 1992 Jan;15(1):followi. PubMed [PMID: 1834753].

Observation Required in Panel

Required

Fully-Specified Name

Component
Total score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
NDI

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.56 (ADD)
Order vs. Observation
Both

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
82226-2 Neck Disability Index [NDI]

Example Units

Unit Source
{score} Example UCUM Units

89196-0 Patient reported outcome measure panel

Term Description

This panel should be used to report information about a patient reported outcome measure that does not already have existing specific LOINC codes assigned. The panel contains terms to report the measure name, score, and interpretation of the score. Over time, as the usage of certain measures becomes more common, they may be assigned new, specific LOINC codes, so be sure to check to make sure that specific codes do not exist before using this panel.

Fully-Specified Name

Component
Patient reported outcome measure panel
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Basic Attributes

Class
PANEL.SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.64 (ADD)
Order vs. Observation
Order
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

89195-2 Patient reported outcome measure name

Fully-Specified Name

Component
Patient reported outcome measure name
Property
ID
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.64 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

89194-5 Patient reported outcome measure score

Fully-Specified Name

Component
Patient reported outcome measure score
Property
Score
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.64 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Example Units

Unit Source
{score} Example UCUM Units

89193-7 Patient reported outcome measure score interpretation

Fully-Specified Name

Component
Patient reported outcome measure score interpretation
Property
Imp
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.64 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

89197-8 Performance-based measure panel

Term Description

This panel should be used to report information about a performance-based measure that does not already have existing specific LOINC codes assigned. The panel contains terms to report the measure name, score, and interpretation of the score. Over time, as the usage of certain measures becomes more common, they may be assigned new, specific LOINC codes, so be sure to check to make sure that specific codes do not exist before using this panel.

Fully-Specified Name

Component
Performance-based measure panel
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Basic Attributes

Class
PANEL.SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.64 (ADD)
Order vs. Observation
Order
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

89190-3 Performance-based measure name

Fully-Specified Name

Component
Performance-based measure name
Property
ID
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.64 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

89191-1 Performance-based measure score

Fully-Specified Name

Component
Performance-based measure score
Property
Score
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.64 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

89192-9 Performance-based measure score interpretation

Fully-Specified Name

Component
Performance-based measure score interpretation
Property
Imp
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.64 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

77576-7 Self-care and mobility panel

Term Description

This panel was created for the the American Physical Therapy Association's Physical Therapy Outcomes Registry and includes a subset of self-care and mobility items from the Continuity Assessment Record and Evaluation (CARE) Item Set that are collected as part of the registry.

Fully-Specified Name

Component
Self-care and mobility panel
Property
-
Time
Pt
System
^Patient
Scale
-
Method
APTA

Long Common Name

Self-care and mobility panel APTA

Basic Attributes

Class
PANEL.APTA
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.54 (MIN)
Order vs. Observation
Order
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Πίνακας αυτοφροντίδας και κινητικότητας:-:Pt:^Ασθενής:-:APTA
Synonyms: Κινητικότητα Πίνακας αυτοφροντίδας και κινητικότητας
es-MX Spanish (Mexico) Panel de autocuidado y movilidad:-:Punto temporal:^ Paciente:-:APTA
it-IT Italian (Italy) Autoassistenza e mobilità, panel:-:Pt:^Paziente:-:APTA
Synonyms: American Physical Therapy Association - Associazio Panel APTA (Associazione Americana di Fisioterapia) Panel autoassistenza e mobilità paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 自理与移动功能组套:-:时间点:^患者:-:APTA
Synonyms: APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) 动度;行动功能;行动力;行动能力;行动性;行走能力;活动功能;活动力;活动能力;活动性;机动性;可动性;流动能力;流动性;移动力;移动能力;移动性;运动功能;运动力;运动能力;运动性;移动;活动;行动 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.APTA;组套(组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目).APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 多重;多重型;多重标尺类型;多重精度类型 套餐 套餐医嘱 套餐医嘱组 套餐医嘱组类 实验室医嘱套餐 实验室医嘱套餐类 实验室医嘱组 实验室医嘱组合类 实验室医嘱组套 实验室医嘱组套类 实验室套餐医嘱组 实验室套餐医嘱组类 实验室检验项目医嘱组合类 实验室检验项目组合类 时刻;随机;随意;瞬间 检验医嘱组合类 检验项目医嘱组合类 检验项目组合类 组 组合 组合医嘱 组合类 组套 自理与移动功能组套(组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目);自理(自我照护、自顾、自我照顾、自我保健)与移动功能(动度、行动功能、行动力、行动能力、行动性、行走能力、活动功能、活动力、活动能力、活动性、机动性、可动性、流动能力、流动性、移动力、移动能力、移动性、运动功能、运动力、运动能力、运动性、灵活性)医嘱组(医嘱组) 自顾;自我护理;自我照顾;自我照护;自我保健

52642-6 Eating during 2 day assessment period [CARE]

Term Description

The ability to use suitable utensils to bring food to the mouth and swallow food once the meal is presented on a table/tray. Includes modified food consistency.

Fully-Specified Name

Component
Eating during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52644-2 Oral hygiene during 2 day assessment period [CARE]

Term Description

The ability to use suitable items to clean teeth. Dentures: The ability to remove and replace dentures from and to mouth, and manage equipment for soaking and rinsing.

Fully-Specified Name

Component
Oral hygiene during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52645-9 Toilet hygiene during 2 day assessment period [CARE]

Term Description

The ability to maintain perineal hygiene, adjust clothes before and after using toilet, commode, bedpan, urinal. If managing ostomy, include wiping opening but not managing equipment.

Fully-Specified Name

Component
Toilet hygiene during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52662-4 Shower/bathe self during 2 day assessment period [CARE]

Term Description

The ability to bathe self in shower or tub, including washing and drying self. Does not include transferring in/out of tub/shower.

Fully-Specified Name

Component
Shower &or bathe self during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52646-7 Upper body dressing during 2 day assessment period [CARE]

Term Description

The ability to put on and remove shirt or pajama top. Includes buttoning if applicable.

Fully-Specified Name

Component
Upper body dressing during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52647-5 Lower body dressing during 2 day assessment period [CARE]

Term Description

The ability to dress and undress below the waist, including fasteners. Does not include footwear.

Fully-Specified Name

Component
Lower body dressing during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52666-5 Putting on/taking off footwear during 2 day assessment period [CARE]

Term Description

The ability to put on and take off socks and shoes or other footwear that are appropriate for safe mobility.

Fully-Specified Name

Component
Putting on &or taking off footwear during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52663-2 Roll left and right during 2 day assessment period [CARE]

Term Description

The ability to roll from lying on back to left and right side, and roll back to back.

Fully-Specified Name

Component
Roll left and right during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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 during 2 day assessment period [CARE]

Term Description

The ability to move from sitting on side of bed to lying flat on the bed.

Fully-Specified Name

Component
Sit to lying during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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 during 2 day assessment period [CARE]

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.

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

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

52649-1 Sit to stand during 2 day assessment period [CARE]

Term Description

The ability to safely come to a standing position from sitting in a chair or on the side of a bed.

Fully-Specified Name

Component
Sit to stand during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52650-9 Chair-bed to chair transfer during 2 day assessment period [CARE]

Term Description

The ability to safely transfer to and from a chair (or wheelchair). The chairs are placed at right angles to each other.

Fully-Specified Name

Component
Chair-bed to chair transfer during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52651-7 Toilet transfer during 2 day assessment period [CARE]

Term Description

The ability to safely get on and off a toilet or commode.

Fully-Specified Name

Component
Toilet transfer during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52672-3 Car transfer during two day assessment period [CARE]

Term Description

The ability to transfer in and out of a car or van on the passenger side. Does not include the ability to open/close door or fasten seat belt.

Fully-Specified Name

Component
Car transfer during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52656-6 Walk 10 ft (3 m) during 2 day assessment period [CARE]

Term Description

Once standing, can walk at least 10 feet (3 meters) in room, corridor or similar space.

Fully-Specified Name

Component
Walk 10 ft (3 m) during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52668-1 Walk 50 feet with two turns during two day assessment period [CARE]

Term Description

The ability to walk 50 feet and make two turns.

Fully-Specified Name

Component
Walk 50 feet with two turns during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52654-1 Walk 100 ft (30 m) during 2 day assessment period [CARE]

Term Description

Once standing, can walk at least 100 feet (30 meters) in corridor or similar space.

Fully-Specified Name

Component
Walk 100 ft (30 m) during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52653-3 Walk 150 ft (45 m) during 2 day assessment period [CARE]

Term Description

Once standing, can walk at least 150 feet (45 meters) in corridor or similar space.

Fully-Specified Name

Component
Walk 150 ft (45 m) during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52660-8 Wheel 10 ft (3 m) during 2 day assessment period [CARE]

Term Description

Once seated, can wheel at least 10 feet (3 meters) in room, corridor, or similar space.

Fully-Specified Name

Component
Wheel 10 ft (3 m) during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
CARE

Basic Attributes

Class
SURVEY.CARE
Type
Surveys
First Released
Version 2.26
Last Updated
Version 2.54 (NAM)

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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52659-0 Wheel 50 ft (15 m) during 2 day assessment period [CARE]

Term Description

Once sitting, can wheel at least 50 feet (15 meters) in corridor or similar space.

Fully-Specified Name

Component
Wheel 50 ft (15 m) during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52658-2 Wheel 100 ft (30 m) during 2 day assessment period [CARE]

Term Description

Once sitting, can wheel at least 100 feet (30 meters) in corridor or similar space.

Fully-Specified Name

Component
Wheel 100 ft (30 m) during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52657-4 Wheel 150 ft (45 m) during 2 day assessment period [CARE]

Term Description

Once sitting, can wheel at least 150 feet (45 meters) in corridor or similar space.

Fully-Specified Name

Component
Wheel 150 ft (45 m) during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52671-5 Walking 10 feet on uneven surfaces during two day assessment period [CARE]

Term Description

The ability to walk 10 feet on uneven or sloping surfaces, such as grass, gravel, ice or snow.

Fully-Specified Name

Component
Walking 10 feet on uneven surfaces during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52667-3 One step (curb) during two day assessment period [CARE]

Term Description

The ability to step over a curb or up and down one step.

Fully-Specified Name

Component
One step (curb) during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52670-7 Four steps-exterior during two day assessment period [CARE]

Term Description

The ability to go up and down 4 exterior steps with a rail.

Fully-Specified Name

Component
Four steps-exterior during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52669-9 12 steps-interior during two day assessment period [CARE]

Term Description

The ability to go up and down 12 interior steps with a rail.

Fully-Specified Name

Component
12 steps-interior during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

52665-7 Picking up objects during 2 day assessment period [CARE]

Term Description

The ability to bend/stoop from a standing position to pick up small object such as a spoon from the floor.

Fully-Specified Name

Component
Picking up objects during 2D assessment period
Property
Find
Time
2D
System
^Patient
Scale
Ord
Method
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
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission

89176-2 Intervention AndOr services provided panel

Fully-Specified Name

Component
Intervention &or services provided panel
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Basic Attributes

Class
PANEL.APTA
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.66 (MIN)
Order vs. Observation
Subset
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Πίνακας παρεχομένων παρεμβάσεων και/ή υπηρεσιών:-:Pt:^Ασθενής:-:
Synonyms: Πίνακας παρεχομένων παρεμβάσεων και/ή υπηρεσιών
es-MX Spanish (Mexico) Panel de intervención y servicios prestados:-:Punto temporal:^ Paciente:-:
it-IT Italian (Italy) Intervento &o servizi forniti, panel:-:Pt:^Paziente:-:
Synonyms: American Physical Therapy Association - Associazio Panel APTA (Associazione Americana di Fisioterapia) Panel intervento e/o servizi forniti paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 所提供干预和或服务组套:-:时间点:^患者:-:
Synonyms: APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.APTA;组套(组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目).APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 多重;多重型;多重标尺类型;多重精度类型 套餐 套餐医嘱 套餐医嘱组 套餐医嘱组类 实验室医嘱套餐 实验室医嘱套餐类 实验室医嘱组 实验室医嘱组合类 实验室医嘱组套 实验室医嘱组套类 实验室套餐医嘱组 实验室套餐医嘱组类 实验室检验项目医嘱组合类 实验室检验项目组合类 所提供干预(干预措施)和或服务(服务项目)组套(组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目) 时刻;随机;随意;瞬间 检验医嘱组合类 检验项目医嘱组合类 检验项目组合类 组 组合 组合医嘱 组合类 组套

89187-9 Instructions provided [Identifier]

Fully-Specified Name

Component
Instructions provided
Property
Prid
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
CLIN
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.64 (ADD)
Order vs. Observation
Observation

Example Answer List LL5016-2

Answer Code Score Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) LA137-2
Health, wellness, and fitness programs LA29050-4
Impairments in body functions and structures, activity limitations, and participation restrictions LA29062-9
Pathology or health condition LA29094-2
Performance enhancement LA29095-9
Plan of care LA29096-7
Psychosocial influences on treatment (eg, fear-avoidance beliefs, behavior change techniques) LA29105-6
Risk factors for pathology or health condition, impairments in body functions and structures, activity limitations, and participation restrictions LA29111-4
Transitions across new settings LA29133-8
Transitions to new roles LA29134-6
Other, Specify: LA46-8

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Παρεσχεθείσες οδηγίες:Prid:Pt:^Ασθενής:Nom:
Synonyms: Prid Οδηγίες Παρεσχεθείσες οδηγίες
es-MX Spanish (Mexico) Instrucciones proporcionadas:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Istruzioni fornite:Prid:Pt:^Paziente:Nom:
Synonyms: Clinico paziente Presenza o Identità Punto nel tempo (episodio)
zh-CN Chinese (China) 所提供的指导:存在与否或特征标识:时间点:^患者:名义型:
Synonyms: 使用说明;指令;指令说明;指导;指示;教育;说明书;说明类 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 存在;存在与否;特征标识;身份;身份标识 所提供的指导(使用说明、指令、指令说明、说明、指示、教育、说明书) 时刻;随机;随意;瞬间

89186-1 Airway clearance technique performed [Identifier]

Fully-Specified Name

Component
Airway clearance technique performed
Property
Prid
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
PULM
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.64 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL5009-7

Answer Code Score Answer ID
Not performed Copyright http://snomed.info/sct ID:262008008 Not performed (qualifier value) LA7304-4
Breathing strategy: Active cycle of breathing or forced expiratory techniques LA28941-5
Breathing strategy: Assisted cough/huff techniques LA28943-1
Breathing strategy: Autogenic drainage LA28944-9
Breathing strategy: Paced breathing LA28945-6
Breathing strategy: Pursed lip breathing LA28946-4
Manual/mechanical technique: Assistive devices LA28947-2
Manual/mechanical technique: Chest percussion, vibration, and shaking LA28949-8
Manual/mechanical technique: Chest wall manipulation LA28950-6
Manual/mechanical technique: Suctioning LA28951-4
Manual/mechanical technique: Ventilator aids LA28952-2
Positioning: Positioning to alter work of breathing LA28953-0
Positioning: Positioning to maximize ventilation LA28954-8
Positioning: Pulmonary postural drainage LA28955-5
Supplemental oxygen therapy: Techniques to maximize ventilation (e.g., inspiratory hold maneuver, staircase breathing, manual hyperinflation, incentive spirometry) LA28956-3
Other, Specify: LA46-8

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Εκτελεσθείσα τεχνική κάθαρσης αεραγωγού:Prid:Pt:^Ασθενής:Nom:
Synonyms: Prid Εκτελεσθείσα τεχνική κάθαρσης αεραγωγού
es-MX Spanish (Mexico) Técnica de limpieza de las vías respiratorias realizada:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Tecnica di clearance delle vie aeree realizzata:Prid:Pt:^Paziente:Nom:
Synonyms: Gestione ventilazione polmonare paziente Presenza o Identità Punto nel tempo (episodio)
zh-CN Chinese (China) 所进行的气道清理技术:存在与否或特征标识:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 存在;存在与否;特征标识;身份;身份标识 廓清 廓清率 所进行(从事、开展、执行、做、完成)的气道清理技术(技法、方法、技术方法) 时刻;随机;随意;瞬间 清除率 肺部测量指标与呼吸机管理

89185-3 Assistive technology provided [Identifier]

Fully-Specified Name

Component
Assistive technology provided
Property
Prid
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.64 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL5014-7

Answer Code Score Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) LA137-2
Aids for locomotion (eg, crutches, canes, walkers, rollators, manual wheelchairs, power wheelchairs, power-operated vehicles) LA28976-1
Orthoses (eg, ankle-foot orthoses [AFOs], knee-ankle-foot orthoses [KAFOs], body jackets, wrist cock-up splints, shoe inserts) LA29091-8
Prostheses (eg, transtibial and transfemoral prostheses, upper extremity prostheses) LA29104-9
Seating and positioning technologies (eg, custom-molded seating, removable lateral trunk supports and upper extremity support trays for wheelchairs, sidelyers, prone standers, manual or power recline systems for wheelchairs) LA29112-2
Other assistive technologies to improve safety, function, and independence, such as transfer technologies (eg, transfer boards, mechanical lifts/hoists) and bathroom technologies (eg, raised toilet commodes, adaptive commodes, transfer benches, sliders) LA29092-6

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Παρεσχεθείσα βοηθητική τεχνολογία:Prid:Pt:^Ασθενής:Nom:
Synonyms: Prid Παρεσχεθείσα βοηθητική τεχνολογία
es-MX Spanish (Mexico) Tecnología de asistencia proporcionada:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Tecnologia di assistenza fornita:Prid:Pt:^Paziente:Nom:
Synonyms: American Physical Therapy Association - Associazio paziente Presenza o Identità Punto nel tempo (episodio)
zh-CN Chinese (China) 所提供的辅助技术:存在与否或特征标识:时间点:^患者:名义型:
Synonyms: APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 存在;存在与否;特征标识;身份;身份标识 所提供的辅助技术(辅助科技、科技辅具);所提供的辅助技术手段 时刻;随机;随意;瞬间

89184-6 Biophysical agent used

Fully-Specified Name

Component
Biophysical agent used
Property
Prid
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.64 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL5018-8

Answer Code Score Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) LA137-2
Athermal agents LA28977-9
Athermal agents: Pulsed electromagnetic fields LA28978-7
Biofeedback LA28988-6
Compression therapies LA28996-9
Compression therapies: Compression bandaging LA28997-7
Compression therapies: Compression garments LA28998-5
Compression therapies: Taping LA28999-3
Compression therapies: Total contact casting LA29000-9
Compression therapies: Vasopneumatic compression devices LA29001-7
Cryotherapy LA24680-3
Cryotherapy: Cold packs LA29003-3
Cryotherapy: Ice massage LA29004-1
Cryotherapy: Vapocoolant spray LA29005-8
Electrical stimulation (muscle and nerve) LA29023-1
Electrical stimulation (muscle and nerve): Electrical muscle stimulation (EMS) LA29024-9
Electrical stimulation (muscle and nerve): Electrical stimulation for tissue repair (ESTR) LA29025-6
Electrical stimulation (muscle and nerve): Functional electrical stimulation (FES) LA29026-4
Electrical stimulation (muscle and nerve): High-voltage pulsed current (HVPC) LA29027-2
Electrical stimulation (muscle and nerve): Neuromuscular electrical stimulation (NMES) LA29028-0
Electrical stimulation (muscle and nerve): Transcutaneous electrical nerve stimulation (TENS) LA29029-8
Hydrotherapy LA29051-2
Hydrotherapy: Contrast bath LA29052-0
Hydrotherapy: Fluidotherapy LA29053-8
Hydrotherapy: Pools LA29054-6
Hydrotherapy: Pulsatile lavage LA29055-3
Hydrotherapy: Whirlpool tanks LA29056-1
Hyperbaric Oxygen Center LA24174-7
Light agents LA29067-8
Light agents: Infrared LA29068-6
Light agents: Laser LA29069-4
Light agents: Ultraviolet LA29070-2
Mechanical devices LA29076-9
Mechanical devices: Continuous passive motion (CPM) LA29077-7
Mechanical devices: Standing frame LA29078-5
Mechanical devices: Tilt table LA29079-3
Mechanical devices: Traction devices LA29080-1
Sound agents LA29113-0
Sound agents: Phonophoresis LA29114-8
Sound agents: Ultrasound LA29115-5
Thermotherapy LA29121-3
Thermotherapy: Dry heat LA29122-1
Thermotherapy: Hot packs LA29123-9
Thermotherapy: Paraffin baths LA29124-7
Other, Specify: LA46-8

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Χρησιμοποιηθείς βιοφυσικός παράγοντας:Prid:Pt:^Ασθενής:Nom:
Synonyms: Prid Χρησιμοποιηθείς βιοφυσικός παράγοντας
es-MX Spanish (Mexico) Agente biofísico utilizado:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Agente biofisico usato:Prid:Pt:^Paziente:Nom:
Synonyms: American Physical Therapy Association - Associazio paziente Presenza o Identità Punto nel tempo (episodio)
zh-CN Chinese (China) 所采用的生物物理制剂:存在与否或特征标识:时间点:^患者:名义型:
Synonyms: APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 存在;存在与否;特征标识;身份;身份标识 所采用(使用、运用)的生物物理(生物物理学)制剂 时刻;随机;随意;瞬间

89183-8 Functional training performed [Identifier]

Fully-Specified Name

Component
Functional training performed
Property
Prid
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.64 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL5013-9

Answer Code Score Answer ID
Not performed Copyright http://snomed.info/sct ID:262008008 Not performed (qualifier value) LA7304-4
ADL training LA28957-1
ADL training: Bathing LA28964-7
ADL training: Bed mobility and transfer training LA28965-4
ADL training: Dressing LA28966-2
ADL training: Eating LA28967-0
ADL training: Grooming LA28968-8
ADL training: Toileting LA28969-6
Barrier accommodations or modifications LA28987-8
Developmental activities LA29013-2
Device and equipment use and training LA29014-0
Device and equipment use and training: Assistive and adaptive device or equipment training during IADL LA29015-7
Device and equipment use and training: Orthotic, protective, or supportive device or equipment training during IADL LA29016-5
Device and equipment use and training: Prosthetic device or equipment training during IADL LA29017-3
Functional training programs LA29034-8
Functional training programs: Back schools LA29035-5
Functional training programs: Job coaching LA29036-3
Functional training programs: Simulated environments and tasks LA29037-1
Functional training programs: Task adaptation LA29038-9
Functional training programs: Task training LA29039-7
Functional training programs: Travel training LA29040-5
Functional training programs: Work conditioning LA29041-3
Functional training programs: Work hardening LA29042-1
IADL training LA29058-7
IADL training: Community service training LA29059-5
IADL training: School and play activities training LA29060-3
IADL training: Work training LA29061-1
Injury prevention or reduction LA29063-7
Injury prevention or reduction: Injury prevention education during domestic, education, work, community, social, and civic integration or reintegration LA29064-5
Injury prevention or reduction: Injury prevention education with the use of devices and equipment LA29065-2
Injury prevention or reduction: Safety awareness training during work, community, social, and civic life integration or reintegration LA29066-0
Other, Specify: LA46-8

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Εκτελεσθείσα λειτουργική προπόνηση:Prid:Pt:^Ασθενής:Nom:
Synonyms: Prid Εκτελεσθείσα λειτουργική προπόνηση
es-MX Spanish (Mexico) Entrenamiento funcional realizado:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Esercizi funzionali eseguiti:Prid:Pt:^Paziente:Nom:
Synonyms: American Physical Therapy Association - Associazio paziente Presenza o Identità Punto nel tempo (episodio)
zh-CN Chinese (China) 所进行的功能训练:存在与否或特征标识:时间点:^患者:名义型:
Synonyms: APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 存在;存在与否;特征标识;身份;身份标识 所进行(从事、开展、执行、做、完成)的功能(机能)训练(培训、锻炼) 时刻;随机;随意;瞬间

89182-0 Integumentary repair and protection technique used [Identifier]

Fully-Specified Name

Component
Integumentary repair and protection technique used
Property
Prid
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.64 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL5015-4

Answer Code Score Answer ID
Not performed Copyright http://snomed.info/sct ID:262008008 Not performed (qualifier value) LA7304-4
Biophysical agents LA28989-4
Biophysical agents: Electrical stimulation LA28990-2
Biophysical agents: Hyperbaric oxygen therapy LA28991-0
Biophysical agents: Light therapies (eg, ultraviolet-C, low-level laser) LA28992-8
Biophysical agents: Negative pressure wound therapy LA28993-6
Biophysical agents: Pneumatic compression therapy LA28994-4
Biophysical agents: Ultrasound (high and low frequency) LA28995-1
Debridement LA29006-6
Debridement: Autolytic (support through proper dressing utilization) LA29007-4
Debridement: Biologic (maggots or leeches) LA29008-2
Debridement: Low-frequency, contact ultrasound LA29009-0
Debridement: Mechanical LA29010-8
Debridement: Pulsed lavage with suction LA29011-6
Debridement: Sharp or selective (with instruments such as forceps, scalpels, or scissors) LA29012-4
Dressings LA29018-1
Dressings: Antimicrobial dressings LA29019-9
Dressings: Cellular-based and tissue-based products LA29020-7
Dressings: Compression bandages/systems LA29021-5
Dressings: Primary and secondary dressings LA29022-3
Topical agents LA29125-4
Topical agents: Anti-inflammatories LA29126-2
Topical agents: Cleansers LA29127-0
Topical agents: Creams LA29128-8
Topical agents: Enzymes LA29129-6
Topical agents: Moisturizers LA29130-4
Topical agents: Ointments LA29131-2
Topical agents: Sealants LA29132-0
Other, Specify: LA46-8

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Χρησιμοποιηθείσα τεχνική επισκευής και προστασίας καλυπτήριου:Prid:Pt:^Ασθενής:Nom:
Synonyms: Prid Προστασία Χρησιμοποιηθείσα τεχνική επισκευής και προστασίας καλυπτήριου
es-MX Spanish (Mexico) Técnica de reparación y protección tegumentaria utilizada:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Tecnica di riparazione e protezione tegumentaria utilizzata:Prid:Pt:^Paziente:Nom:
Synonyms: American Physical Therapy Association - Associazio paziente Presenza o Identità Punto nel tempo (episodio)
zh-CN Chinese (China) 所采用皮肤修复与保护的技法:存在与否或特征标识:时间点:^患者:名义型:
Synonyms: APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 存在;存在与否;特征标识;身份;身份标识 所采用(使用、运用)的皮肤(外皮、体被)修复(损伤修复)与保护技法(技术、方法、技术方法) 时刻;随机;随意;瞬间 防护

89181-2 Manual therapy technique used [Identifier]

Fully-Specified Name

Component
Manual therapy technique used
Property
Prid
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.64 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL5017-0

Answer Code Score Answer ID
Not performed Copyright http://snomed.info/sct ID:262008008 Not performed (qualifier value) LA7304-4
Manual lymphatic drainage LA29071-0
Manual traction LA29072-8
Massage Copyright http://snomed.info/sct ID:387854002 Massage physiotherapy (regime/therapy) LA25338-7
Massage: Connective tissue massage LA29074-4
Massage: Therapeutic massage LA29075-1
Mobilization/manipulation LA29081-9
Mobilization/manipulation: Dry needling LA29082-7
Mobilization/manipulation: Soft tissue LA29083-5
Mobilization/manipulation: Spinal and peripheral joints LA29084-3
Neural tissue mobilization LA29085-0
Passive range of motion LA29093-4
Other, Specify: LA46-8

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Χρησιμοποιηθείσα τεχνική χειροθεραπείας:Prid:Pt:^Ασθενής:Nom:
Synonyms: Prid Χρησιμοποιηθείσα τεχνική χειροθεραπείας
es-MX Spanish (Mexico) Técnica de terapia manual utilizada:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Terapia manuale, tecnica usata:Prid:Pt:^Paziente:Nom:
Synonyms: American Physical Therapy Association - Associazio paziente Presenza o Identità Punto nel tempo (episodio) Tecnica usata per la terapia manuale
zh-CN Chinese (China) 所采用的手法治疗技法:存在与否或特征标识:时间点:^患者:名义型:
Synonyms: APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 存在;存在与否;特征标识;身份;身份标识 所采用(使用、运用)的手法治疗(手法疗法、手疗、徒手治疗、手力治疗)技法(技术、方法、技术方法) 时刻;随机;随意;瞬间

89180-4 Motor function training performed [Identifier]

Fully-Specified Name

Component
Motor function training performed
Property
Prid
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.64 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL5011-3

Answer Code Score Answer ID
Not performed Copyright http://snomed.info/sct ID:262008008 Not performed (qualifier value) LA7304-4
Balance training LA28979-5
Balance training: Developmental activities training LA28980-3
Balance training: Motor control training or retraining LA28981-1
Balance training: Neuromuscular education or reeducation LA28982-9
Balance training: Perceptual training LA28983-7
Balance training: Standardized, programmatic, and complementary exercise approaches LA28984-5
Balance training: Task-specific performance training LA28985-2
Balance training: Vestibular training LA28986-0
Gait and locomotion training LA29043-9
Gait and locomotion training: Developmental activities training LA29044-7
Gait and locomotion training: Implement and device training LA29045-4
Gait and locomotion training: Perceptual training LA29046-2
Gait and locomotion training: Standardized, programmatic, and complementary exercise approaches LA29047-0
Gait and locomotion training: Training of specific components of gait LA29048-8
Gait and locomotion training: Wheelchair feature and propulsion training (manual and motorized wheelchairs) LA29049-6
Posture training LA29097-5
Posture training: Developmental activities training LA29098-3
Posture training: Neuromuscular education or reeducation LA29099-1
Posture training: Postural awareness training LA29100-7
Posture training: Postural control training LA29101-5
Posture training: Postural stabilization activities LA29102-3
Posture training: Vestibular training LA29103-1
Other, Specify: LA46-8

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Εκτελεσθείσα προπόνηση κινητικής λειτουργίας:Prid:Pt:^Ασθενής:Nom:
Synonyms: Prid Εκτελεσθείσα προπόνηση κινητικής λειτουργίας Λειτουργία
es-MX Spanish (Mexico) Entrenamiento de la función motora realizado:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Funzione motoria, allenamento eseguito:Prid:Pt:^Paziente:Nom:
Synonyms: Allenamento della funzione motoria eseguito American Physical Therapy Association - Associazio paziente Presenza o Identità Punto nel tempo (episodio)
zh-CN Chinese (China) 所进行的运动功能训练:存在与否或特征标识:时间点:^患者:名义型:
Synonyms: APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) FCN 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 存在;存在与否;特征标识;身份;身份标识 所进行(从事、开展、执行、做、完成)的运动功能(运动机能、动作功能)训练(培训、锻炼) 时刻;随机;随意;瞬间

89179-6 Therapeutic exercise performed [Identifier]

Fully-Specified Name

Component
Therapeutic exercise performed
Property
Prid
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.64 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL5012-1

Answer Code Score Answer ID
Not performed Copyright http://snomed.info/sct ID:262008008 Not performed (qualifier value) LA7304-4
Aerobic capacity/endurance conditioning or reconditioning LA28970-4
Aerobic capacity/endurance conditioning or reconditioning: Aquatic programs LA28971-2
Aerobic capacity/endurance conditioning or reconditioning: Gait and locomotor training LA28972-0
Aerobic capacity/endurance conditioning or reconditioning: Increased workload over time LA28973-8
Aerobic capacity/endurance conditioning or reconditioning: Movement efficiency and energy conservation training LA28974-6
Aerobic capacity/endurance conditioning or reconditioning: Walking and wheelchair propulsion programs LA28975-3
Flexibility exercises LA29030-6
Flexibility exercises: Muscle lengthening LA29031-4
Flexibility exercises: Range of motion LA29032-2
Flexibility exercises: Stretching LA29033-0
Neuromotor development training LA29086-8
Neuromotor development training: Developmental activities training LA29087-6
Neuromotor development training: Motor training LA29088-4
Neuromotor development training: Movement pattern training LA29089-2
Neuromotor development training: Neuromuscular education or reeducation LA29090-0
Relaxation LA25355-1
Relaxation: Breathing strategies LA29107-2
Relaxation: Movement strategies LA29108-0
Relaxation: Relaxation techniques LA29109-8
Relaxation: Standardized, programmatic, complementary exercise approaches LA29110-6
Strength, power, and endurance training for head, neck, limb, pelvic-floor, trunk, and ventilatory muscles LA29116-3
Strength, power, and endurance training for head, neck, limb, pelvic-floor, trunk, and ventilatory muscles: Active assistive, active, and resistive exercises (including concentric, dynamic/isotonic, eccentric, isokinetic, isometric, and plyometric) LA29117-1
Strength, power, and endurance training for head, neck, limb, pelvic-floor, trunk, and ventilatory muscles: Aquatic programs LA29118-9
Strength, power, and endurance training for head, neck, limb, pelvic-floor, trunk, and ventilatory muscles: Standardized, programmatic, or complementary exercise approaches LA29119-7
Strength, power, and endurance training for head, neck, limb, pelvic-floor, trunk, and ventilatory muscles: Task-specific performance training LA29120-5
Other, Specify: LA46-8

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Εκτελεσθείσα θεραπευτική άσκηση:Prid:Pt:^Ασθενής:Nom:
Synonyms: Prid Εκτελεσθείσα θεραπευτική άσκηση
es-MX Spanish (Mexico) Ejercicio terapéutico realizado:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Esercizio terapeutico eseguito:Prid:Pt:^Paziente:Nom:
Synonyms: American Physical Therapy Association - Associazio paziente Presenza o Identità Punto nel tempo (episodio)
zh-CN Chinese (China) 所进行的治疗性运动:存在与否或特征标识:时间点:^患者:名义型:
Synonyms: APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 存在;存在与否;特征标识;身份;身份标识 所进行(从事、开展、执行、做、完成)的治疗性运动(医疗体操、运动疗法、运动治疗、治疗性锻炼);已进行的治疗性运动 时刻;随机;随意;瞬间 治疗 治疗性的 治疗的 运动

92561-0 Other intervention AndOr service provided [Identifier]

Fully-Specified Name

Component
Other intervention &or service provided
Property
Prid
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
APTA
Type
Clinical
First Released
Version 2.66
Last Updated
Version 2.66 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Άλλη παρέμβαση &ή παρεχόμενη υπηρεσία:Prid:Pt:^Ασθενής:Nom:
Synonyms: Prid Άλλη παρέμβαση &ή παρεχόμενη υπηρεσία Υπηρεσία
es-MX Spanish (Mexico) Otra intervención o servicio proporcionado:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Altro intervento &o servizio fornito:Prid:Pt:^Paziente:Nom:
Synonyms: Altro intervento e/o servizio fornito American Physical Therapy Association - Associazio paziente Presenza o Identità Punto nel tempo (episodio)
zh-CN Chinese (China) 所提供的其他干预措施 &or 服务项目:存在与否或特征标识:时间点:^患者:名义型:
Synonyms: APTA(American Physical Therapy Association、美国物理疗法协会);物理疗法(物理治疗、理疗、理疗法) 其他的 其它 其它的 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 别的 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 另外的 存在;存在与否;特征标识;身份;身份标识 所提供的(已提供的、已给予的)其他干预措施(干预) &or 服务项目(服务) 时刻;随机;随意;瞬间

42349-1 Reason for referral (narrative)

Fully-Specified Name

Component
Reason for referral
Property
Find
Time
Pt
System
^Patient
Scale
Nar
Method

Basic Attributes

Class
ATTACH.CLINRPT
Type
Claims Attachments
First Released
Version 2.16
Last Updated
Version 2.73 (MIN)
Common Test Rank Get Info
2371

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
69459-6 Care record summary panel
72231-4 Consultation note - recommended C-CDA R1.1 sections
81243-8 Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
81223-0 Referral note - recommended C-CDA R2.0 and R2.1 sections
81221-4 Transfer summary note - recommended C-CDA R2.0 sections
81614-0 Transfer summary note - recommended C-CDA R2.1 sections

Language Variants Get Info

Tag Language Translation
de-AT German (Austria) Synonyms: Zuweisungsdiagnose
el-GR Greek (Greece) Λόγος για παραπομπή:Εύρεση:Pt:^Ασθενής:Nar:
Synonyms: Εύρεση Λόγος για παραπομπή
it-IT Italian (Italy) Motivo per rinvio:Osservazione:Pt:^Paziente:Nar:
Synonyms: Allegato Allegato referto clinico Osservazione paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) reden voor overplaatsing:bevinding:moment:^patiënt:tekstueel:
pt-BR Portuguese (Brazil) Motivo do encaminhamento:Achado:Pt:^Paciente:Nar:
Synonyms: Finding; Findings; Point in time; Random; Narrative; Report
ru-RU Russian (Russian Federation) Причина направления:Находка:ТчкВрм:^Пациент:Опис:
Synonyms: Описательный Точка во времени;Момент
zh-CN Chinese (China) 关于转诊的原因:发现:时间点:^患者:叙述型:
Synonyms: 临床报告信息附件;健康保险便携与责任法案信息附件.临床报告 信息附件;健康保险便携与责任法案信息附件;附件 关于转诊(转诊介绍、转介、送交、转送、转诊介绍信)的原因(理由、缘由);关于转诊的理由;关于转诊介绍的原因;关于转诊介绍信的原因 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标,并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型,而对于叙述型文本之中所报告的发现,则可能是叙述型。;发现物;所见;结果;结论 叙述;叙述性文字;报告;报告型;文字叙述;文本叙述型;文本描述;文本描述型 时刻;随机;随意;瞬间

89175-4 Billing information panel

Fully-Specified Name

Component
Billing information panel
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Basic Attributes

Class
PANEL.ADMIN
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.64 (ADD)
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Πίνακας πληροφοριών χρέωσης:-:Pt:^Ασθενής:-:
Synonyms: Πίνακας πληροφοριών χρέωσης
es-MX Spanish (Mexico) Panel de información de facturación:-:Punto temporal:^ Paciente:-:
it-IT Italian (Italy) Informazioni di fatturazione, panel:-:Pt:^Paziente:-:
Synonyms: Amministrativo Panel di informazioni di fatturazione Panel informazioni Panel informazioni amministrative paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 记账信息组套:-:时间点:^患者:-:
Synonyms: 信息组套(组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目) 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 多重;多重型;多重标尺类型;多重精度类型 套餐 套餐医嘱 套餐医嘱组 套餐医嘱组类 实验室医嘱套餐 实验室医嘱套餐类 实验室医嘱组 实验室医嘱组合类 实验室医嘱组套 实验室医嘱组套类 实验室套餐医嘱组 实验室套餐医嘱组类 实验室检验项目医嘱组合类 实验室检验项目组合类 时刻;随机;随意;瞬间 检验医嘱组合类 检验项目医嘱组合类 检验项目组合类 组 组合 组合医嘱 组合类 组套 组套(组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目).行政管理(行政、管理、施行、执行、经营) 行政;管理;施行;执行;经营 记账(记账/收费、记账与收费)信息组套(组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目)

45952-9 National provider ID

Fully-Specified Name

Component
National provider ID
Property
ID
Time
Pt
System
Provider
Scale
Nom
Method

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.50 (MIN)

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
45981-8 Deprecated MDS full assessment form - version 2.0
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
46076-6 Deprecated Minimum Data Set (MDS) supplemental items section - version 2.0
71746-2 Personnel contact information panel [ESRD] Personnel

52829-9 Place of service

Term Description

01.02 Place of Service - Place of service is the location, as indicated on health care professional claims forms, where the service was provided or originated. It is represented by two-digit codes as defined by Centers for Medicare & Medicaid Services (CMS). (http://www.cms.hhs.gov/PlaceofServiceCodes/Downloads/placeofservice.pdf) The NMMDS uses the CMS list plus additional codes that end with an "x".
1X Stores - these may include grocery, pharmacy, department or other stores where retail goods and merchandise are sold
2X Voluntary Health or Charitable Agencies (e.g., National Cancer Society, National Heart association, Catholic Charities)

Fully-Specified Name

Component
Place of service
Property
Type
Time
Pt
System
Facility
Scale
Nom
Method

Basic Attributes

Class
SURVEY.NMMDS
Type
Surveys
First Released
Version 2.24
Last Updated
Version 2.68 (MIN)
Change Reason
Added externally defined answer list for the CMS Place of service codes as a preferred list

Preferred Answer List LL5063-4

Externally Defined
Yes
Code System
Code System OID
1.3.6.1.4.1.12009.10.1.3938
Link to External List
https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set.html

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
52826-5 Nursing Management Minimum Data Set panel [NMMDS]

86255-7 Primary diagnosis ICD code

Term Description

The condition that is the chief reason for providing care.

Fully-Specified Name

Component
Primary diagnosis ICD code
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
CLIN
Type
Clinical
First Released
Version 2.63
Last Updated
Version 2.73 (MIN)
Order vs. Observation
Both
Common Test Rank Get Info
17680

Example Answer List LL4547-7

Externally Defined
Yes
Code System
Code System OID
1.3.6.1.4.1.12009.10.1.3459
Link to External List
http://www.cdc.gov/nchs/icd.htm

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
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
46462-8 Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0 Deprecated Outcome and assessment information set (OASIS) form - version C
57192-7 Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up
57191-9 Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1 Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
86244-1 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
86189-8 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
88369-4 Outcome and assessment information set (OASIS) form - version D - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
88368-6 Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6 Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
93058-6 Outcome and assessment information set (OASIS) form - version D1 - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
99160-4 Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5 Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106525-9 Outcome and assessment information set (OASIS) form - version E1 - Resumption of Care during assessment period [CMS Assessment]
106523-4 Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Κωδικός ICD κύριας διάγνωσης:Type:Pt:^Ασθενής:Nom:
Synonyms: Type Διάγνωση Κωδικός ICD διάγνωσης Κωδικός ICD κύριας διάγνωσης
es-MX Spanish (Mexico) Código ICD de diagnóstico primario:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Diagnosi primaria codice ICD:Tipo:Pt:^Paziente:Nom:
Synonyms: Clinico paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 主要诊断 ICD 代码:类型:时间点:^患者:名义型:
Synonyms: ICD 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 国际疾病分类(International Classification of Diseases,ICD) 国际疾病分类;international Classification of diseases;ICD 国际疾病分类法 国际疾病分类系统 型 时刻;随机;随意;瞬间 诊断 ICD 编码;ICD 诊断代码;ICD 诊断编码;国际疾病分类;international Classification of diseases;ICD 诊断结论;判断;结论

81885-6 Other diagnosis ICD code

Fully-Specified Name

Component
Diagnosis.secondary
Property
Imp
Time
Pt
System
^Patient
Scale
Nom
Method

Long Common Name

Secondary diagnosis

Basic Attributes

Class
CLIN
Type
Clinical
First Released
Version 2.56
Last Updated
Version 2.73 (MIN)
Order vs. Observation
Observation
Common Test Rank Get Info
11495

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
86244-1 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
86189-8 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
88369-4 Outcome and assessment information set (OASIS) form - version D - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
88368-6 Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6 Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
93058-6 Outcome and assessment information set (OASIS) form - version D1 - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
99160-4 Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5 Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
106525-9 Outcome and assessment information set (OASIS) form - version E1 - Resumption of Care during assessment period [CMS Assessment]
106523-4 Outcome and assessment information set (OASIS) form - version E1 - Start of Care during assessment period [CMS Assessment]

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Διάγνωση.δευτερεύουσα:Imp:Pt:^Ασθενής:Nom:
Synonyms: Imp Διάγνωση Διάγνωση.δευτερεύουσα
es-MX Spanish (Mexico) Diagnóstico secundario:Interpretación:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Diagnosi.secondaria:Imp:Pt:^Paziente:Nom:
Synonyms: Clinico Diagnosi secondaria Impressione/interpretazione di studio paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 诊断.次要:印象:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 印象是一种诊断陈述,始终是对其他某种观察指标的解释或抽象(一系列检验项目结果、一幅图像或者整个某位病人),而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释 时刻;随机;随意;瞬间 次要诊断;诊断.次要(次级、次);次诊断;次级诊断 诊断结论;判断;结论

89266-1 Procedures, Services, or Supplies code

Term Description

The procedure, services, or supply code can be any CPT billing code or Health Care Professionals Advisory Committee ("HCPAC") code.

Fully-Specified Name

Component
Procedures, Services, or Supplies code
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
ADMIN
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.65 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Κωδικός Διαδικασιών, Υπηρεσιών ή Προμηθειών:Type:Pt:^Ασθενής:Nom:
Synonyms: Type Κωδικός Διαδικασιών, Υπηρεσιών ή Προμηθειών
es-MX Spanish (Mexico) Código de procedimientos, servicios o suministros:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Procedure, servizi o forniture, codice:Tipo:Pt:^Paziente:Nom:
Synonyms: Amministrativo Codice di procedure, servizi o forniture paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 操作项目、服务项目或供应品代码:类型:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 型 操作、服务或供应品代码;操作项目(操作)、服务项目(服务)或供应品代码 时刻;随机;随意;瞬间 行政;管理;施行;执行;经营

76430-8 CPT units [#]

Term Description

CPT units are the number of billing units associated with a single CPT billing code [LOINC: 76448-0]. This term was created for, but is not limited in use to, the American Physical Therapy Association's Physical Therapy Outcomes Registry.

Fully-Specified Name

Component
CPT units
Property
Num
Time
Pt
System
^Patient
Scale
Qn
Method

Basic Attributes

Class
ADMIN.PATIENT
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.66 (MIN)
Change Reason
Changed Class from APTA to ADMIN
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Μονάδες CPT:Αρ.:Pt:^Ασθενής:Qn:
Synonyms: Αρ. Μονάδες CPT
es-MX Spanish (Mexico) Unidades CPT:Num:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) CPT, unità:Num:Pt:^Paziente:Qn:
Synonyms: Amministrativo Numero (conta) paziente Punto nel tempo (episodio) Unità CPT
zh-CN Chinese (China) CPT 单位:数量(计数):时间点:^患者:定量型:
Synonyms: CPT CPT 计费单位;CPT 记账单位;CPT 收费单位;CPT 计费单元;Current Procedural Terminology;当代操作术语集;当代操作项目术语集;现代操作术语集;现代操作项目术语集;CPT 个数;数量;数量或计数(非负整数);计数 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 当代操作术语 当代操作术语集(Current Procedural Terminology,CPT) 当代操作项目术语 当代操作项目术语集 时刻;随机;随意;瞬间 行政;管理;施行;执行;经营 行政管理(行政、管理、施行、执行、经营).患者(病人、病患、病号、伤病员)

Example Units

Unit Source
{#} Example UCUM Units

89265-3 Procedures, Services, or Supplies modifier

Term Description

The procedure, services, or supplies modifier.

Fully-Specified Name

Component
Procedures, Services, or Supplies modifier
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
ADMIN
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.64 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Τροποποιητής Διαδικασιών, Υπηρεσιών ή Προμηθειών:Type:Pt:^Ασθενής:Nom:
Synonyms: Type Τροποποιητής Διαδικασιών, Υπηρεσιών ή Προμηθειών
es-MX Spanish (Mexico) Modificador de procedimientos, servicios o suministros:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Procedure, servizi o forniture, modificatore:Tipo:Pt:^Paziente:Nom:
Synonyms: Amministrativo Modificatore di procedure, servizi o forniture paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 操作项目、服务项目或供应品修饰成分:类型:时间点:^患者:名义型:
Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 型 操作、服务或供应品修饰成分;操作项目(操作)、服务项目(服务)或供应品修饰成分(修饰符、修饰词) 时刻;随机;随意;瞬间 行政;管理;施行;执行;经营

89178-8 Patient's Financial responsibility amount [#]

Fully-Specified Name

Component
Financial responsibility amount
Property
Num
Time
Pt
System
^Patient
Scale
Qn
Method

Basic Attributes

Class
ADMIN.PATIENT
Type
Clinical
First Released
Version 2.64
Last Updated
Version 2.66 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Ποσό οικονομικής ευθύνης:Αρ.:Pt:^Ασθενής:Qn:
Synonyms: Αρ. Ποσό Ποσό οικονομικής ευθύνης
es-MX Spanish (Mexico) Monto de responsabilidad financiera:Num:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Importo della responsabilità finanziaria:Num:Pt:^Paziente:Qn:
Synonyms: Amministrativo Numero (conta) Paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 财务责任金额:数量(计数):时间点:^患者:定量型:
Synonyms: 个数;数量;数量或计数(非负整数);计数 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 时刻;随机;随意;瞬间 行政;管理;施行;执行;经营 行政管理(行政、管理、施行、执行、经营).患者(病人、病患、病号、伤病员) 财务(经济、金融)责任金额(数额、数量) 量;数;总数;总量;总数量

Example Units

Unit Source
{#} Example UCUM Units

76428-2 Visit charge in dollars

Term Description

This term was created for, but is not limited in use to, the American Physical Therapy Association's Physical Therapy Outcomes Registry, which defines the CPT charge as the total charge for the visit and includes all of the individual charges for each reported CPT billing code.

Fully-Specified Name

Component
Visit charge
Property
Num
Time
Pt
System
^Patient
Scale
Qn
Method

Basic Attributes

Class
ADMIN.PATIENT
Type
Clinical
First Released
Version 2.52
Last Updated
Version 2.66 (MIN)
Change Reason
Changed Class from APTA to ADMIN
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Χρέωση επίσκεψης:Αρ.:Pt:^Ασθενής:Qn:
Synonyms: Αρ. Χρέωση επίσκεψης
es-MX Spanish (Mexico) Cargo por visita:Num:Punto temporal:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Visita, costo:Num:Pt:^Paziente:Qn:
Synonyms: Amministrativo Costo della visita Numero (conta) paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 就诊费用:数量(计数):时间点:^患者:定量型:
Synonyms: 个数;数量;数量或计数(非负整数);计数 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 就诊(就医)费用(收费);就诊费用金额;就诊费用金额数;就诊费用美元数 时刻;随机;随意;瞬间 行政;管理;施行;执行;经营 行政管理(行政、管理、施行、执行、经营).患者(病人、病患、病号、伤病员)

Example Units

Unit Source
{#} Example UCUM Units