83239-4 Prior Functioning: Everyday Activities

Observation ID in Form

GG0100

Form Coding Instructions

Indicate the patient's usual ability with everyday activities prior to the current illness, exacerbation, or injury

Fully-Specified Name

Component

IRF-PAI v3.0, MDS v1.17.1, 1.17.2, OASIS E - Prior functioning: everyday activities

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Release 2.72: COMPONENT: Updated to include current version of OASIS that uses this panel; Release 2.69: COMPONENT: Updated to state the current active versions of each form that use this panel.; Previous Releases: Removed "IRF-PAI" from Component because this panel is used in both the IRF-PAI and OASIS

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Outcome and assessment information set
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Survey

Related Codes

85070-1 Self-Care

Term Description

Need for assistance with bathing, dressing, using the toilet, and eating prior to the current illness, exacerbation, or injury.
Source: Regenstrief LOINC

Observation ID in Form

GG0100A

Form Coding Instructions

Code the patient's need for assistance with bathing, dressing, using the toilet, and eating prior to the current illness, exacerbation, or injury

Fully-Specified Name

Component

Prior functioning.self care

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Change Component display to match Component, like similar terms

Order vs. Observation

Observation

Normative Answer List LL4309-2

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Self-care
• Survey

Related Codes

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

85071-9 Indoor Mobility (Ambulation)

Term Description

Need for assistance with walking from room to room (with or without a device such as cane, crutch, or walker) prior to the current illness, exacerbation, or injury.
Source: Regenstrief LOINC

Observation ID in Form

GG0100B

Form Coding Instructions

Code the patient's need for assistance with walking from room to room (with or without a device such as cane, crutch, or walker) prior to the current illness, exacerbation, or injury

Fully-Specified Name

Component

Prior functioning.indoor mobility-ambulation

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;

Order vs. Observation

Observation

Normative Answer List LL4309-2

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

85072-7 Stairs

Term Description

Need for assistance with internal or external stairs (with or without a device such as cane, crutch, or walker) prior to the current illness, exacerbation, or injury.
Source: Regenstrief LOINC

Observation ID in Form

GG0100C

Form Coding Instructions

Code the patient's need for assistance with internal or external stairs (with or without a device such as cane, crutch, or walker) prior to the current illness, exacerbation, or injury

Fully-Specified Name

Component

Prior functioning.stairs

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;

Order vs. Observation

Observation

Normative Answer List LL4309-2

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

85073-5 Functional Cognition

Term Description

Need for assistance with planning regular tasks, such as shopping or remembering to take medication prior to the current illness, exacerbation, or injury.
Source: Regenstrief LOINC

Observation ID in Form

GG0100D

Form Coding Instructions

Code the patient's need for assistance with planning regular tasks, such as shopping or remembering to take medication prior to the current illness, exacerbation, or injury

Fully-Specified Name

Component

Prior functioning.functional cognition

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;

Order vs. Observation

Observation

Normative Answer List LL4309-2

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

83234-5 Prior Device Use

Term Description

Devices and aids used by the patient prior to the current illness, exacerbation, or injury.
Source: Regenstrief LOINC

Observation ID in Form

GG0110

Form Coding Instructions

Indicate devices and aids used by the patient prior to the current illness, exacerbation, or injury. Check all that apply

Fully-Specified Name

Component

Prior device use

Property

Type

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;

Order vs. Observation

Observation

Normative Answer List LL4152-6

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Nominal
• Report period
• Survey
• Typ

Related Codes

83233-7 Self-Care - Admission Performance

Observation ID in Form

GG0130_1

Form Coding Instructions

Code the patient's usual performance at admission for each activity using the 6-point scale. If activity was not attempted at admission, code the reason. Safety and Quality of Performance - If helper assistance is required because patient's performance is unsafe or of poor quality, score according to amount of assistance provided. Activities may be completed with or without assistive devices

Fully-Specified Name

Component

Self-care - admission performance

Property

-

Time

3D

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.67

Change Reason

Removed IRF-PAI from Component because term is used in IRF-PAI, OASIS, and MDS assessments

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• 3 days
• Centers for Medicare and Medicaid Assessment
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Survey

Related Codes

83232-9 Eating

Term Description

The patient's usual ability to use suitable utensils to bring food/liquid to the mouth and swallow food once the meal is presented on a table/tray. Includes modified food consistency.
Source: Regenstrief LOINC

Observation ID in Form

GG0130A1

Form Context

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 - functional ability during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.63

Change Reason

Added "/liquid" to Term Definition

Order vs. Observation

Observation

Normative Answer List LL4153-4

Member of these Panels

Related Names

• 3 days
• Centers for Medicare and Medicaid Assessment
• Eating ability
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Screen
• Survey

Related Codes

83230-3 Oral hygiene

Term Description

The patient's usual ability to use suitable items to clean teeth. If patient wears dentures, the ability to remove and replace dentures from and to the mouth, and manage equipment for soaking and rinsing them.
Source: Regenstrief LOINC

Observation ID in Form

GG0130B1

Form Context

The ability to use suitable items to clean teeth. [Dentures (if applicable): The ability to remove and replace dentures from and to the mouth, and manage equipment for soaking and rinsing them.]

Fully-Specified Name

Component

Oral hygiene - functional ability during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.61

Order vs. Observation

Observation

Normative Answer List LL4153-4

Member of these Panels

Related Names

• 3 days
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Oral hygiene ability
• Ordinal
• QL
• Qual
• Qualitative
• Screen
• Survey

Related Codes

83228-7 Toileting hygiene

Term Description

The patient's usual ability to maintain perineal hygiene, adjust clothes before and after using the toilet, commode, bedpan or urinal. If managing an ostomy, include wiping the opening but not managing equipment.
Source: Regenstrief LOINC

Observation ID in Form

GG0130C1

Form Context

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

Fully-Specified Name

Component

Toileting hygiene - functional ability during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.61

Order vs. Observation

Observation

Normative Answer List LL4153-4

Member of these Panels

Related Names

• 3 days
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Screen
• Survey
• Toileting ability

Related Codes

83226-1 Shower/bathe self

Term Description

The patient's usual ability to bathe self in shower or tub, including washing, rinsing, and drying self. Does not include transferring in/out of tub/shower.
Source: Regenstrief LOINC

Observation ID in Form

GG0130E1

Form Context

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

Fully-Specified Name

Component

Shower &or bathe self - functional ability during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.61

Order vs. Observation

Observation

Normative Answer List LL4153-4

Member of these Panels

Related Names

• 3 days
• Bathe ability
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Screen
• Survey

Related Codes

83224-6 Upper body dressing

Term Description

The patient's usual ability to put on and remove shirt or pajama top; includes buttoning, if applicable.
Source: Regenstrief LOINC

Observation ID in Form

GG0130F1

Form Context

The ability to put on and remove shirt or pajama top; includes buttoning, if applicable

Fully-Specified Name

Component

Upper body dressing - functional ability during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.61

Order vs. Observation

Observation

Normative Answer List LL4153-4

Member of these Panels

Related Names

• 3 days
• bod
• Bodies
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Screen
• Survey
• Up
• Upper dressing ability

Related Codes

83222-0 Lower body dressing

Term Description

The patient's usual ability to dress and undress below the waist, including fasteners; does not include footwear.
Source: Regenstrief LOINC

Observation ID in Form

GG0130G1

Form Context

The ability to dress and undress below the waist, including fasteners; does not include footwear

Fully-Specified Name

Component

Lower body dressing - functional ability during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.61

Order vs. Observation

Observation

Normative Answer List LL4153-4

Member of these Panels

Related Names

• 3 days
• bod
• Bodies
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Low
• Lower dressing ability
• Ordinal
• QL
• Qual
• Qualitative
• Screen
• Survey

Related Codes

83220-4 Putting on/taking off footwear

Term Description

The patient's usual ability to put on and take off socks and shoes or other footwear that is appropriate for safe mobility.
Source: Regenstrief LOINC

Observation ID in Form

GG0130H1

Form Context

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

Fully-Specified Name

Component

Putting on and taking off footwear - functional ability during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.61

Order vs. Observation

Observation

Normative Answer List LL4153-4

Member of these Panels

Related Names

• 3 days
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Footwear ability
• Ordinal
• QL
• Qual
• Qualitative
• Screen
• Survey

Related Codes

85054-5 Self-Care - Discharge Goal

Observation ID in Form

GG0130_2

Form Coding Instructions

Code the patient's discharge goal using the 6-point scale. Do not use codes 07, 09, or 88 to code discharge goal(s). Safety and Quality of Performance - If helper assistance is required because patient's performance is unsafe or poor quality, score according to amount of assisance provided. Activities may be completed with or without assistive devices

Form Coding Instructions

(Assessment period is days 1 through 3 of the SNF PPS Stay starting with A2400B.) Code the resident's usual performance at the start of the SNF PPS stay (admission) for each activity using the 6-point scale. If activity was not attempted at the start of the SNF PPS stay (admission), code the reason. Code the resident's end of SNF PPS stay (discharge) goal(s) using the 6-point scale. Do not use codes 07, 09, or 88 to code end of SNF PPS stay (discharge) goals

Fully-Specified Name

Component

Self-care - discharge goal

Property

-

Time

3D

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.67

Change Reason

Removed IRF-PAI from Component because term is used across IRF-PAI, OASIS, and MDS assessments

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• 3 days
• Centers for Medicare and Medicaid Assessment
• Disch
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Survey

Related Codes

83231-1 Eating

Term Description

Expected functional performance for the patient's 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.
Source: Regenstrief LOINC

Observation ID in Form

GG0130A2

Form Context

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 - functional goal recorded during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.61

Order vs. Observation

Observation

Normative Answer List LL4154-2

Member of these Panels

Related Names

• 3 days
• Centers for Medicare and Medicaid Assessment
• Eating goal
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Screen
• Survey

Related Codes

83229-5 Oral hygiene

Term Description

Expected functional performance for the patient's ability to use suitable items to clean teeth. If patient wears dentures, the ability to remove and replace dentures from and to the mouth, and manage equipment for soaking and rinsing them.
Source: Regenstrief LOINC

Observation ID in Form

GG0130B2

Form Context

The ability to use suitable items to clean teeth. [Dentures (if applicable): The ability to remove and replace dentures from and to the mouth, and manage equipment for soaking and rinsing them.]

Fully-Specified Name

Component

Oral hygiene - functional goal recorded during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.61

Order vs. Observation

Observation

Normative Answer List LL4154-2

Member of these Panels

Related Names

• 3 days
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Oral hygiene goal
• Ordinal
• QL
• Qual
• Qualitative
• Screen
• Survey

Related Codes

83227-9 Toileting hygiene

Term Description

Expected functional performance for the patient's ability to maintain perineal hygiene, adjust clothes before and after using the toilet, commode, bedpan or urinal. If managing an ostomy, include wiping the opening but not managing equipment.
Source: Regenstrief LOINC

Observation ID in Form

GG0130C2

Form Context

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

Fully-Specified Name

Component

Toileting hygiene - functional goal recorded during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.61

Order vs. Observation

Observation

Normative Answer List LL4154-2

Member of these Panels

Related Names

• 3 days
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Screen
• Survey
• Toilieting goal

Related Codes

83225-3 Shower/bathe self

Term Description

Expected functional performance for the patient's ability to bathe self in shower or tub, including washing, rinsing, and drying self. Does not include transferring in/out of tub/shower.
Source: Regenstrief LOINC

Observation ID in Form

GG0130E2

Form Context

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

Fully-Specified Name

Component

Shower &or bathe self - functional goal recorded during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.61

Order vs. Observation

Observation

Normative Answer List LL4154-2

Member of these Panels

Related Names

• 3 days
• Bathe goal
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Screen
• Survey

Related Codes

83223-8 Upper body dressing

Term Description

Expected functional performance for the patient's ability to put on and remove shirt or pajama top; includes buttoning, if applicable.
Source: Regenstrief LOINC

Observation ID in Form

GG0130F2

Form Context

The ability to put on and remove shirt or pajama top; includes buttoning, if applicable

Fully-Specified Name

Component

Upper body dressing - functional goal recorded during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.61

Order vs. Observation

Observation

Normative Answer List LL4154-2

Member of these Panels

Related Names

• 3 days
• bod
• Bodies
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Screen
• Survey
• Up
• Upper dressing goal

Related Codes

83221-2 Lower body dressing

Term Description

Expected functional performance for the patient's ability to dress and undress below the waist, including fasteners; does not include footwear.
Source: Regenstrief LOINC

Observation ID in Form

GG0130G2

Form Context

The ability to dress and undress below the waist, including fasteners; does not include footwear

Fully-Specified Name

Component

Lower body dressing - functional goal recorded during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.61

Order vs. Observation

Observation

Normative Answer List LL4154-2

Member of these Panels

Related Names

• 3 days
• bod
• Bodies
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Low
• Lower dress goal
• Ordinal
• QL
• Qual
• Qualitative
• Screen
• Survey

Related Codes

83219-6 Putting on/taking off footwear

Term Description

Expected functional performance for the patient's ability to put on and take off socks and shoes or other footwear that is appropriate for safe mobility.
Source: Regenstrief LOINC

Observation ID in Form

GG0130H2

Form Context

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

Fully-Specified Name

Component

Putting on and taking off footwear - functional goal recorded during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.61

Order vs. Observation

Observation

Normative Answer List LL4154-2

Member of these Panels

Related Names

• 3 days
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Footwear goal
• Ordinal
• QL
• Qual
• Qualitative
• Screen
• Survey

Related Codes

83269-1 Mobility - Admission Performance

Observation ID in Form

GG0170_1

Form Coding Instructions

Code the patient's usual performance at admission for each activity using the 6-point scale. If activity was not attempted at admission, code the reason. Safety and Quality of Performance - If helper assistance is required because patient's performance is unsafe or of poor quality, score according to amount of assistance provided. Activities may be completed with or without assistive devices

Fully-Specified Name

Component

IRF-PAI - Mobility - admission performance during 3D assessment period

Property

-

Time

3D

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.67

Change Reason

Release 2.67: TIME_ASPCT: Updated to match all of the organizer's children; COMPONENT: Updated timing to match all of the organizer's children

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• 3 days
• Centers for Medicare and Medicaid Assessment
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Survey

Related Codes

83218-8 Roll left and right

Term Description

The patient's usual ability to roll from lying on back to left and right side, and return to lying on back on the bed
Source: Regenstrief LOINC

Observation ID in Form

GG0170A1

Form Context

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

Fully-Specified Name

Component

Roll left and right - functional ability during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.63

Change Reason

Added "on the bed" to Term Definition.

Order vs. Observation

Observation

Normative Answer List LL4153-4

Member of these Panels

Related Names

• 3 days
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• L
• LT
• Ordinal
• Ql
• Qual
• Qualitative
• R
• Roll ability
• RT
• Screen
• Survey

Related Codes

83216-2 Sit to lying

Term Description

The patient's usual ability to move from sitting on side of bed to lying flat on the bed.
Source: Regenstrief LOINC

Observation ID in Form

GG0170B1

Form Context

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

Fully-Specified Name

Component

Sit to lying - functional ability during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.61

Order vs. Observation

Observation

Normative Answer List LL4153-4

Member of these Panels

Related Names

• 3 days
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Screen
• Sit to lie ability
• Survey

Related Codes

83214-7 Lying to sitting on side of bed

Term Description

The patient's usual ability to move from lying on the back to sitting on the side of the bed with no back support.
Source: Regenstrief LOINC

Observation ID in Form

GG0170C1

Form Context

The ability to safely move from lying on the back to sitting on the side of the bed with feet flat on the floor, and with no back support

Fully-Specified Name

Component

Lying to sitting on side of bed - functional ability during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.67

Change Reason

Release 2.67: DefinitionDescription: Description made more broad to match the current CMS Assessment text

Order vs. Observation

Observation

Normative Answer List LL4153-4

Member of these Panels

Related Names

• 3 days
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Lie to sit ability
• Ordinal
• QL
• Qual
• Qualitative
• Screen
• Survey

Related Codes

83212-1 Sit to stand

Term Description

The patient's usual ability to come to a standing position from sitting in a chair or on the side of the bed.
Source: Regenstrief LOINC

Observation ID in Form

GG0170D1

Form Context

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

Fully-Specified Name

Component

Sit to stand - functional ability during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.64

Order vs. Observation

Observation

Normative Answer List LL4153-4

Member of these Panels

Related Names

• 3 days
• 30s CST
• 30-Second Chair Stand
• 30sSTS
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Screen
• Sit to stand ability
• Stands
• Survey

Related Codes

83210-5 Chair/bed-to-chair transfer

Term Description

The patient's usual ability to transfer to and from a bed to a chair (or wheelchair).
Source: Regenstrief LOINC

Observation ID in Form

GG0170E1

Form Context

The ability to safely transfer to and from a bed to a chair (or wheelchair)

Fully-Specified Name

Component

Bed-to-chair transfer - functional ability during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.64

Order vs. Observation

Observation

Normative Answer List LL4153-4

Member of these Panels

Related Names

• 3 days
• Bed to chair ability
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Screen
• Survey

Related Codes

83208-9 Toilet transfer

Term Description

The patient's usual ability to get on and off a toilet or commode.
Source: Regenstrief LOINC

Observation ID in Form

GG0170F1

Form Context

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

Fully-Specified Name

Component

Toilet transfer - functional ability during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.64

Order vs. Observation

Observation

Normative Answer List LL4153-4

Member of these Panels

Related Names

• 3 days
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Screen
• Survey
• Toilet transfer ability

Related Codes

83206-3 Car transfer

Term Description

The patient's usual 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.
Source: Regenstrief LOINC

Observation ID in Form

GG0170G1

Form Context

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 - functional ability during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.61

Order vs. Observation

Observation

Normative Answer List LL4153-4

Member of these Panels

Related Names

• 3 days
• Car transfer ability
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Screen
• Survey

Related Codes

83270-9 Does the patient walk?

Observation ID in Form

GG0170H1

Skip Logic

If 0, skip to GG0170Q1, Does the patient use a wheelchair/scooter? If 1, code the patient's Discharge Goal(s) for items GG0170I, J, and K. For Admission Performance, skip to GG0170Q1, Does the patient use a wheelchair/scooter? If 2, continue to GG0170I, Walk 10 feet.

Fully-Specified Name

Component

Does the patient walk - admission performance during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.61

Order vs. Observation

Observation

Normative Answer List LL4183-1

Member of these Panels

Related Names

• 3 days
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Screen
• Survey

Related Codes

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

83204-8 Walk 10 feet

Term Description

Once standing, the patient's usual ability to walk at least 10 feet in a room, corridor or similar space.
Source: Regenstrief LOINC

Observation ID in Form

GG0170I1

Form Context

Once standing, the ability to walk at least 10 feet in a room, corridor, or similar space

Fully-Specified Name

Component

Walk 10 feet - functional ability during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.61

Order vs. Observation

Observation

Normative Answer List LL4153-4

Member of these Panels

Related Names

• 3 days
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Screen
• Survey
• Walk 10 ft ability

Related Codes

83202-2 Walk 50 feet with two turns

Term Description

Once standing, the patient's usual ability to walk at least 50 feet and make two turns.
Source: Regenstrief LOINC

Observation ID in Form

GG0170J1

Form Context

Once standing, the ability to walk at least 50 feet and make two turns

Fully-Specified Name

Component

Walk 50 feet with two turns - functional ability during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.61

Order vs. Observation

Observation

Normative Answer List LL4153-4