85642-7 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

LCDS - 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 2.67: TIME_ASPCT: Updated to match the contributing child term timing

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

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

Related Codes

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.

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 LL4471-0

Member of these Panels

Related Names

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

Related Codes

85667-4 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

Form Coding Instructions

(3-day assessment period)

Fully-Specified Name

Component

LCDS v3.00 - 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 2.69

Change Reason

Release 2.69: COMPONENT: Changed version back to v3.00 since reporting period codes are now used in LCDS rather than 3D.; Release 2.67: COMPONENT: Updated to include most recent version

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

85652-6 Wash upper body

Term Description

The patient's usual ability to wash, rinse, and dry the face, hands, chest, and arms while sitting in a chair or bed.
Source: Regenstrief LOINC

Observation ID in Form

GG0130D1

Form Context

The ability to wash, rinse, and dry the face, hands, chest, and arms while sitting in a chair or bed

Fully-Specified Name

Component

Wash upper body - 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

Related Codes

85661-7 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

(3-day assessment period)

Fully-Specified Name

Component

LCDS v3.00 - 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 2.69

Change Reason

Release 2.69: COMPONENT: Changed version back to v3.00 since reporting period codes are now used in LCDS rather than 3D.; Release 2.67: COMPONENT: Updated to include most recent version

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

85653-4 Wash upper body

Term Description

Expected functional performance for the patient's ability to wash, rinse, and dry the face, hands, chest, and arms while sitting in a chair or bed.
Source: Regenstrief LOINC

Observation ID in Form

GG0130D2

Form Context

The ability to wash, rinse, and dry the face, hands, chest, and arms while sitting in a chair or bed

Fully-Specified Name

Component

Wash upper body - functional goal 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: ANSWER_LIST_TYPE: Answer List Type changed to Example to accommodate Override Answer Lists

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

Related Codes

85641-9 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

Form Coding Instructions

(3-day assessment period)

Fully-Specified Name

Component

LCDS v3.00 - 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 2.68

Change Reason

Release 2.67: COMPONENT: Updated component to match timing and all of the organizer's children; Updated to include most recent version

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

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

Member of these Panels

Related Names

• 2
• 3 days
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Screen
• Survey
• Walk 50 ft 2 turn ability

Related Codes

83200-6 Walk 150 feet

Term Description

Once standing, the patient's usual ability to walk at least 150 feet in a corridor or similar space.
Source: Regenstrief LOINC

Observation ID in Form

GG0170K1

Form Context

Once standing, the ability to walk at least 150 feet in a corridor or similar space

Fully-Specified Name

Component

Walk 150 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 150 ft ability

Related Codes

83271-7 Does the patient use a wheelchair/scooter?

Observation ID in Form

GG0170Q1

Skip Logic

If 0, skip to H0350. Bladder Continence. If 1, continue to GG0170R. Wheel 50 feet with two turns.

Fully-Specified Name

Component

Does the patient use a wheelchair or scooter 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 LL251-0

Member of these Panels

Related Names

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

Related Codes

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83188-3 Wheel 50 feet with two turns

Term Description

Once seated in wheelchair/scooter, the patient's usual ability to wheel at least 50 feet and make two turns.
Source: Regenstrief LOINC

Observation ID in Form

GG0170R1

Form Context

Once seated in wheelchair/scooter, the ability to wheel at least 50 feet and make two turns

Fully-Specified Name

Component

Wheel 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 2.69

Order vs. Observation

Observation

Normative Answer List LL4153-4

Member of these Panels

Related Names

• 2
• 3 days
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Screen
• Survey
• Wheel 50ft 2 turns ability

Related Codes

83272-5 Indicate the type of wheelchair/scooter used

Observation ID in Form

GG0170RR1

Fully-Specified Name

Component

Indicate the type of wheelchair or scooter used during 3D assessment period

Property

Type

Time

3D

System

^Patient

Scale

Nom

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 LL4186-4

Member of these Panels

Related Names

• 3 days
• Centers for Medicare and Medicaid Assessment
• Nominal
• Survey
• Typ

Related Codes

83235-2 Wheel 150 feet

Term Description

Once seated in wheelchair/scooter, the patient's usual ability to wheel at least 150 feet in a corridor or similar space.
Source: Regenstrief LOINC

Observation ID in Form

GG0170S1

Form Context

Once seated in wheelchair/scooter, the ability to wheel at least 150 feet in a corridor or similar space

Fully-Specified Name

Component

Wheel 150 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 2.69

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
• Wheel 150ft ability

Related Codes

83272-5 Indicate the type of wheelchair/scooter used

Observation ID in Form

GG0170SS1

Fully-Specified Name

Component

Indicate the type of wheelchair or scooter used during 3D assessment period

Property

Type

Time

3D

System

^Patient

Scale

Nom

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 LL4186-4

Member of these Panels

Related Names

• 3 days
• Centers for Medicare and Medicaid Assessment
• Nominal
• Survey
• Typ

Related Codes

85660-9 Mobility - Discharge Goal

Observation ID in Form

GG0170_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

(3-day assessment period)

Fully-Specified Name

Component

LCDS v3.00 - Mobility - discharge goal 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 2.69

Change Reason

Release 2.69: COMPONENT: Changed version back to v3.00 since reporting period codes are now used in LCDS rather than 3D.; Release 2.67: COMPONENT: Updated to match timing and all of the organizer's children; Updated to include most recent version

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

83217-0 Roll left and right

Term Description

Expected functional performance for the patient's 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

GG0170A2

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 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 2.64

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
• L
• LT
• Ordinal
• Ql
• Qual
• Qualitative
• R
• Roll goal
• RT
• Screen
• Survey

Related Codes

83215-4 Sit to lying

Term Description

Expected functional performance for the patient's ability to move from sitting on side of bed to lying flat on the bed.
Source: Regenstrief LOINC

Observation ID in Form

GG0170B2

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 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
• Sit to lie goal
• Survey

Related Codes

83213-9 Lying to sitting on side of bed

Term Description

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

Observation ID in Form

GG0170C2

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 goal recorded during 3D assessment period

Property

Find

Time

3D

System

^Patient

Scale

Ord

Method

CMS Assessment