| 88238-1 |
Functional Abilities and Goals |
|
|
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| Indent85642-7 |
Prior Functioning: Everyday Activities |
|
|
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| Indent Indent85071-9 |
Indoor Mobility (Ambulation) |
|
|
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| Indent83234-5 |
Prior Device Use |
|
1..4 |
|
| Indent95859-5 |
Self-Care - Admission Performance |
|
|
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| Indent Indent95019-6 |
Eating |
|
|
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| Indent Indent95018-8 |
Oral hygiene |
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|
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| Indent Indent95017-0 |
Toileting hygiene |
|
|
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| Indent Indent95016-2 |
Wash upper body |
|
|
|
| Indent95860-3 |
Self-Care - Discharge Goal |
|
|
|
| Indent Indent89409-7 |
Eating |
|
|
|
| Indent Indent89404-8 |
Oral hygiene |
|
|
|
| Indent Indent89389-1 |
Toileting hygiene |
|
|
|
| Indent Indent96098-9 |
Wash upper body |
|
|
|
| Indent87502-1 |
Mobility - Admission Performance |
|
|
|
| Indent Indent95011-3 |
Roll left and right |
|
|
|
| Indent Indent95010-5 |
Sit to lying |
|
|
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| Indent Indent95009-7 |
Lying to sitting on side of bed |
|
|
|
| Indent Indent95008-9 |
Sit to stand |
|
|
|
| Indent Indent95007-1 |
Chair/bed-to-chair transfer |
|
|
|
| Indent Indent95006-3 |
Toilet transfer |
|
|
|
| Indent Indent95004-8 |
Walk 10 feet |
|
|
|
| Indent Indent95003-0 |
Walk 50 feet with two turns |
|
|
|
| Indent Indent95002-2 |
Walk 150 feet |
|
|
|
| Indent Indent95738-1 |
Does the patient use a wheelchair and/or scooter? |
|
|
|
| Indent Indent94992-5 |
Wheel 50 feet with two turns |
|
|
|
| Indent Indent95739-9 |
Indicate the type of wheelchair or scooter used |
|
|
|
| Indent Indent94991-7 |
Wheel 150 feet |
|
|
|
| Indent Indent95739-9 |
Indicate the type of wheelchair or scooter used |
|
|
|
| Indent95862-9 |
Mobility - Discharge Goal |
|
|
|
| Indent Indent89398-2 |
Roll left and right |
|
|
|
| Indent Indent89394-1 |
Sit to lying |
|
|
|
| Indent Indent85927-2 |
Lying to sitting on side of bed |
|
|
|
| Indent Indent89392-5 |
Sit to stand |
|
|
|
| Indent Indent89414-7 |
Chair/bed-to-chair transfer |
|
|
|
| Indent Indent89390-9 |
Toilet transfer |
|
|
|
| Indent Indent89385-9 |
Walk 10 feet |
|
|
|
| Indent Indent89381-8 |
Walk 50 feet with two turns |
|
|
|
| Indent Indent89383-4 |
Walk 150 feet |
|
|
|
| Indent Indent89375-0 |
Wheel 50 feet with two turns |
|
|
|
| Indent Indent89377-6 |
Wheel 150 feet |
|
|
|
