86613-7 Self-care - Admission Performance

Observation ID in Form

GG0130_1

Skip Logic

Complete only if A0310B = 01

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. Safety and Quality of Performance - If helper assistance is required because resident'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

MDS v3.0 - RAI v1.14.1, v1.15.1 - Self-care - admission performance

Property

-

Time

3D

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.63

Last Updated

Version 2.67

Change Reason

Release 2.67: TIME_ASPCT: Updated to match timing of contributing child terms; Previous Releases: This panel is in version 1.14.1 and 1.15.1, so "v1.15.1" was added to the Component

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 LL4616-0

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 LL4616-0

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 LL4616-0

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

86618-6 Self-Care - Discharge Goal

Observation ID in Form

GG0130_2

Skip Logic

Complete only if A0310B = 01

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

MDS v3.0 - RAI v1.14.1, v1.15.1 - Self-care - discharge goal

Property

-

Time

3D

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.63

Last Updated

Version 2.67

Change Reason

Release 2.67: TIME_ASPCT: Updated to match timing of contributing child terms; Previous Releases: This panel is in version 1.14.1 and 1.15.1, so "v1.15.1" was added to the Component

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 LL4620-2

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 LL4620-2

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 LL4620-2

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

86614-5 Mobility - Admission Performance

Observation ID in Form

GG0170_1

Skip Logic

Complete only if A0310B = 01

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. Safety and Quality of Performance - If helper assistance is required because resident'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

MDS v3.0 - RAI v1.14.1, v1.15.1 - 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 2.63

Last Updated

Version 2.67

Change Reason

Release 2.67: TIME_ASPCT: Updated timing to match all of the organizer's children ; COMPONENT: Updated timing to match all of the organizer's children; Previous Releases: This panel is in version 1.14.1 and 1.15.1, so "v1.15.1" was added to the Component

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

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 LL4616-0

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 LL4616-0

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 LL4616-0

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 LL4616-0

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 LL4616-0

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 resident 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 GG0170J and GG0170K. If 2, Continue to GG0170J, Walk 50 feet with two turns.

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.

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 LL4616-0

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 LL4616-0

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 resident use a wheelchair/scooter?

Observation ID in Form

GG0170Q1

Skip Logic

If 0, Skip to GG0130, Self Care (Discharge). 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

GG0170R1

Form Context

Once seated in wheelchair/scooter, can 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 LL4616-0

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, can 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 LL4616-0

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

86619-4 Mobility - discharge goal

Observation ID in Form

GG0170_2

Skip Logic

Complete only if A0310B = 01

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. Safety and Quality of Performance - If helper assistance is required because resident'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

MDS v3.0 - RAI v1.14.1, v1.15.1 - 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 2.63

Last Updated

Version 2.67

Change Reason

Release 2.67: COMPONENT: Updated timing to match all of the organizer's children; TIME_ASPCT: Updated timing to match all of the organizer's children; Previous Releases: This panel is in version 1.14.1 and 1.15.1, so "v1.15.1" was added to the Component

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

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 LL4620-2

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

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.61

Last Updated

Version 2.64

Order vs. Observation

Observation

Normative Answer List LL4620-2

Member of these Panels

Related Names

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

Related Codes

83211-3 Sit to stand

Term Description

Expected functional performance for the patient's 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

GG0170D2

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 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 LL4620-2

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 goal
• Stands
• Survey

Related Codes

83209-7 Chair/bed-to-chair transfer

Term Description

Expected functional performance for the patient's ability to transfer to and from a bed to a chair (or wheelchair).
Source: Regenstrief LOINC

Observation ID in Form

GG0170E2

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 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 LL4620-2

Member of these Panels

Related Names

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

Related Codes

83207-1 Toilet transfer

Term Description

Expected functional performance for the patient's ability to get on and off a toilet or commode.
Source: Regenstrief LOINC

Observation ID in Form

GG0170F2

Form Context

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

Fully-Specified Name

Component

Toilet transfer - 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 LL4620-2

Member of these Panels

Related Names

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

Related Codes

83201-4 Walk 50 feet with two turns

Term Description

Expected functional performance for patient's ability to, once standing, walk at least 50 feet and make two turns.
Source: Regenstrief LOINC

Observation ID in Form

GG0170J2

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 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 LL4620-2

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 goal

Related Codes

83199-0 Walk 150 feet

Term Description

Expected functional performance for patient's ability to, once standing, walk at least 150 feet in a corridor or similar space.
Source: Regenstrief LOINC

Observation ID in Form

GG0170K2

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 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 LL4620-2

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 goal

Related Codes

83187-5 Wheel 50 feet with two turns

Term Description

Expected functional performance for the patient's ability to, once seated in wheelchair/scooter, wheel at least 50 feet and make two turns.
Source: Regenstrief LOINC

Observation ID in Form

GG0170R2

Form Context

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

Fully-Specified Name

Component

Wheel 50 feet with two turns - 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 LL4620-2

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 goal

Related Codes

83236-0 Wheel 150 feet

Term Description

Expected functional performance for patient's ability to, once seated in wheelchair/scooter, wheel at least 150 feet in a corridor or similar space.
Source: Regenstrief LOINC

Observation ID in Form

GG0170S2

Form Context

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

Fully-Specified Name

Component

Wheel 150 feet - 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 LL4620-2