85665-8 Self-Care - Discharge Performance

Observation ID in Form

GG0130_3

Form Coding Instructions

Code the patient's usual performance at discharge for each activity using the 6-point scale. If the activity was not attempted at discharge, 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

LCDS v3.00 - Self-care - discharge 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
• Disch
• 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

GG0130A3

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

GG0130B3

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

GG0130C3

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

GG0130D3

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

85672-4 Mobility - Discharge Performance

Observation ID in Form

GG0170_3

Form Coding Instructions

Code the patient's usual performance at discharge for each activity using the 6-point scale. If the activity was not attempted at discharge, 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

LCDS v3.00 - Mobility - discharge 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: 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

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

GG0170A3

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

GG0170B3

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

GG0170C3

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

GG0170D3

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

GG0170E3

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

GG0170F3

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

83278-2 Does the patient walk?

Observation ID in Form

GG0170H3

Skip Logic

If 0, skip to GG0170Q3. Does the patient use a wheelchair/scooter? If 2, continue to GG0170I. Walk 10 feet.

Fully-Specified Name

Component

Does the patient walk - discharge 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 LL4185-6

Member of these Panels

Related Names

• 3 days
• Centers for Medicare and Medicaid Assessment
• Disch
• 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

GG0170I3

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

GG0170J3

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

GG0170K3

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

GG0170Q3

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

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.

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

GG0170R3

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

GG0170RR3

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

GG0170S3

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

GG0170SS3

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