94912-3 Does the person have assistance in their home?

Observation ID in Form

F0910A

Skip Logic

If 0, Do not code availability of assistance - skip to question F0920. If 1, Continue to question F0910B.

Fully-Specified Name

Component
Availability of caregiver assistance
Property
Find
Time
RptPeriod
System
^Patient
Scale
Ord
Method
CMS Assessment

Long Common Name

Availability of caregiver assistance during assessment period [CMS Assessment]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.77 (MAJ)
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 LL251-0

AnswerCodeScoreAnswer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)0LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)1LA33-6

Member of these Panels

LOINCLong Common Name
105175-4Functional assessment standardized items (FASI) - v1.1 during assessment period [CMS Assessment]
106517-6Functional assessment standardized items (FASI) - v1.2 during assessment period [CMS Assessment]
94848-9Functional assessment standardized items (FASI) - version 1.0 during assessment period [CMS Assessment]
106623-2Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.0 during assessment period [CMS Assessment]
107632-2Hospice Outcomes and Patient Evaluation (HOPE) Admission v1.01 during assessment period [CMS Assessment]

95414-9 Code the level of assistance in the person's home (both Paid and Unpaid) during the past month.

Observation ID in Form

F0910B

Fully-Specified Name

Component
Level of paid and unpaid caregiver assistance
Property
-
Time
1Mo
System
^Patient
Scale
-
Method
CMS Assessment

Long Common Name

Level of paid and unpaid caregiver assistance [CMS Assessment]

Basic Attributes

Class
PANEL.SURVEY.CMS
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.78 (PANEL)
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINCLong Common Name
105175-4Functional assessment standardized items (FASI) - v1.1 during assessment period [CMS Assessment]
106517-6Functional assessment standardized items (FASI) - v1.2 during assessment period [CMS Assessment]
94848-9Functional assessment standardized items (FASI) - version 1.0 during assessment period [CMS Assessment]

94913-1 Code the level of assistance in the person's home during the past month - paid assistance

Observation ID in Form

F0910B1

Fully-Specified Name

Component
Level of paid caregiver assistance in the past Mo
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
CMS Assessment

Long Common Name

Level of paid caregiver assistance in the past month [CMS Assessment]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.68 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5577-3

AnswerCodeScoreAnswer ID
No assistance received05LA12345-7
Occasional/short term assistance04LA30934-6
Regular night-time03LA30935-3
Regular daytime02LA12164-2
Around the clock01LA12163-4

Member of these Panels

LOINCLong Common Name
105175-4Functional assessment standardized items (FASI) - v1.1 during assessment period [CMS Assessment]
106517-6Functional assessment standardized items (FASI) - v1.2 during assessment period [CMS Assessment]
94848-9Functional assessment standardized items (FASI) - version 1.0 during assessment period [CMS Assessment]

94914-9 Code the level of assistance in the person's home during the past month - unpaid assistance

Observation ID in Form

F0910B2

Fully-Specified Name

Component
Level of unpaid caregiver assistance in the past Mo
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
CMS Assessment

Long Common Name

Level of unpaid caregiver assistance in the past month [CMS Assessment]

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.68 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5577-3

AnswerCodeScoreAnswer ID
No assistance received05LA12345-7
Occasional/short term assistance04LA30934-6
Regular night-time03LA30935-3
Regular daytime02LA12164-2
Around the clock01LA12163-4

Member of these Panels

LOINCLong Common Name
105175-4Functional assessment standardized items (FASI) - v1.1 during assessment period [CMS Assessment]
106517-6Functional assessment standardized items (FASI) - v1.2 during assessment period [CMS Assessment]
94848-9Functional assessment standardized items (FASI) - version 1.0 during assessment period [CMS Assessment]