95037-8
Availability of Unpaid Assistance
Active
94916-4 Self-care assistance (for example, bathing, dressing, toileting, or eating/feeding).
Observation ID in Form
F0920A2
Fully-Specified Name
- Component
- Unpaid caregiver's ability and willingness to provide self-care assistance
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.68
- Last Updated
- Version 2.69
- Order vs. Observation
- Observation
Normative Answer List LL5578-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Assistance not needed - No assistance needed. | 05 | LA30938-7 | |
| Caregiver(s) currently provide assistance - Person's usual caregiver(s) willing and able to provide needed assistance. | 04 | LA30939-5 | |
| Caregiver(s) need training/supportive services to provide assistance - Caregiver(s) available and need assistance to provide support. | 03 | LA30940-3 | |
| Unclear if caregiver(s) will provide assistance - Caregiver(s) available in the home but it is not clear if caregiver(s) will provide needed assistance. | 02 | LA30941-1 | |
| Assistance needed but no caregiver(s) available - Person needs assistance but no caregiver(s) available in the home. | 01 | LA30942-9 | |
| Assistance needed but person declines assistance - Person needs caregiving but declines this assistance. | 00 | LA30943-7 | |
| Not applicable - Person does not do this activity. | 11 | LA30944-5 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 105175-4 | Functional assessment standardized items (FASI) - v1.1 during assessment period [CMS Assessment] |
| 94848-9 | Functional assessment standardized items (FASI) - version 1.0 [CMS Assessment] |
94918-0 Mobility assistance (for example, bed mobility, transfers, ambulating, or wheeling).
Observation ID in Form
F0920B2
Fully-Specified Name
- Component
- Unpaid caregiver's ability and willingness to provide mobility assistance
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.68
- Last Updated
- Version 2.69
- Order vs. Observation
- Observation
Normative Answer List LL5578-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Assistance not needed - No assistance needed. | 05 | LA30938-7 | |
| Caregiver(s) currently provide assistance - Person's usual caregiver(s) willing and able to provide needed assistance. | 04 | LA30939-5 | |
| Caregiver(s) need training/supportive services to provide assistance - Caregiver(s) available and need assistance to provide support. | 03 | LA30940-3 | |
| Unclear if caregiver(s) will provide assistance - Caregiver(s) available in the home but it is not clear if caregiver(s) will provide needed assistance. | 02 | LA30941-1 | |
| Assistance needed but no caregiver(s) available - Person needs assistance but no caregiver(s) available in the home. | 01 | LA30942-9 | |
| Assistance needed but person declines assistance - Person needs caregiving but declines this assistance. | 00 | LA30943-7 | |
| Not applicable - Person does not do this activity. | 11 | LA30944-5 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 105175-4 | Functional assessment standardized items (FASI) - v1.1 during assessment period [CMS Assessment] |
| 94848-9 | Functional assessment standardized items (FASI) - version 1.0 [CMS Assessment] |
94920-6 IADL assistance (for example, making meals, housekeeping, telephone, shopping, or finances).
Observation ID in Form
F0920C2
Fully-Specified Name
- Component
- Unpaid caregiver's ability and willingness to provide instrumental activities of daily living assistance
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.68
- Last Updated
- Version 2.69
- Order vs. Observation
- Observation
Normative Answer List LL5578-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Assistance not needed - No assistance needed. | 05 | LA30938-7 | |
| Caregiver(s) currently provide assistance - Person's usual caregiver(s) willing and able to provide needed assistance. | 04 | LA30939-5 | |
| Caregiver(s) need training/supportive services to provide assistance - Caregiver(s) available and need assistance to provide support. | 03 | LA30940-3 | |
| Unclear if caregiver(s) will provide assistance - Caregiver(s) available in the home but it is not clear if caregiver(s) will provide needed assistance. | 02 | LA30941-1 | |
| Assistance needed but no caregiver(s) available - Person needs assistance but no caregiver(s) available in the home. | 01 | LA30942-9 | |
| Assistance needed but person declines assistance - Person needs caregiving but declines this assistance. | 00 | LA30943-7 | |
| Not applicable - Person does not do this activity. | 11 | LA30944-5 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 105175-4 | Functional assessment standardized items (FASI) - v1.1 during assessment period [CMS Assessment] |
| 94848-9 | Functional assessment standardized items (FASI) - version 1.0 [CMS Assessment] |
94922-2 Medication administration (for example, oral, inhaled, or injectable medications).
Observation ID in Form
F0920D2
Fully-Specified Name
- Component
- Unpaid caregiver's ability and willingness to provide medication administration assistance
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.68
- Last Updated
- Version 2.69
- Order vs. Observation
- Observation
Normative Answer List LL5578-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Assistance not needed - No assistance needed. | 05 | LA30938-7 | |
| Caregiver(s) currently provide assistance - Person's usual caregiver(s) willing and able to provide needed assistance. | 04 | LA30939-5 | |
| Caregiver(s) need training/supportive services to provide assistance - Caregiver(s) available and need assistance to provide support. | 03 | LA30940-3 | |
| Unclear if caregiver(s) will provide assistance - Caregiver(s) available in the home but it is not clear if caregiver(s) will provide needed assistance. | 02 | LA30941-1 | |
| Assistance needed but no caregiver(s) available - Person needs assistance but no caregiver(s) available in the home. | 01 | LA30942-9 | |
| Assistance needed but person declines assistance - Person needs caregiving but declines this assistance. | 00 | LA30943-7 | |
| Not applicable - Person does not do this activity. | 11 | LA30944-5 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 105175-4 | Functional assessment standardized items (FASI) - v1.1 during assessment period [CMS Assessment] |
| 94848-9 | Functional assessment standardized items (FASI) - version 1.0 [CMS Assessment] |
94924-8 Medical procedures/treatments (for example, changing wound dressing, or home exercise program).
Observation ID in Form
F0920E2
Fully-Specified Name
- Component
- Unpaid caregiver's ability and willingness to provide medical procedure &or treatment assistance
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.68
- Last Updated
- Version 2.69
- Order vs. Observation
- Observation
Normative Answer List LL5578-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Assistance not needed - No assistance needed. | 05 | LA30938-7 | |
| Caregiver(s) currently provide assistance - Person's usual caregiver(s) willing and able to provide needed assistance. | 04 | LA30939-5 | |
| Caregiver(s) need training/supportive services to provide assistance - Caregiver(s) available and need assistance to provide support. | 03 | LA30940-3 | |
| Unclear if caregiver(s) will provide assistance - Caregiver(s) available in the home but it is not clear if caregiver(s) will provide needed assistance. | 02 | LA30941-1 | |
| Assistance needed but no caregiver(s) available - Person needs assistance but no caregiver(s) available in the home. | 01 | LA30942-9 | |
| Assistance needed but person declines assistance - Person needs caregiving but declines this assistance. | 00 | LA30943-7 | |
| Not applicable - Person does not do this activity. | 11 | LA30944-5 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 105175-4 | Functional assessment standardized items (FASI) - v1.1 during assessment period [CMS Assessment] |
| 94848-9 | Functional assessment standardized items (FASI) - version 1.0 [CMS Assessment] |
94926-3 Management of equipment (for example, oxygen, IV/infusion equipment, enteral/parenteral nutrition, or ventilator therapy equipment and supplies).
Observation ID in Form
F0920F2
Fully-Specified Name
- Component
- Unpaid caregiver's ability and willingness to provide management of equipment assistance
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.68
- Last Updated
- Version 2.69
- Order vs. Observation
- Observation
Normative Answer List LL5578-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Assistance not needed - No assistance needed. | 05 | LA30938-7 | |
| Caregiver(s) currently provide assistance - Person's usual caregiver(s) willing and able to provide needed assistance. | 04 | LA30939-5 | |
| Caregiver(s) need training/supportive services to provide assistance - Caregiver(s) available and need assistance to provide support. | 03 | LA30940-3 | |
| Unclear if caregiver(s) will provide assistance - Caregiver(s) available in the home but it is not clear if caregiver(s) will provide needed assistance. | 02 | LA30941-1 | |
| Assistance needed but no caregiver(s) available - Person needs assistance but no caregiver(s) available in the home. | 01 | LA30942-9 | |
| Assistance needed but person declines assistance - Person needs caregiving but declines this assistance. | 00 | LA30943-7 | |
| Not applicable - Person does not do this activity. | 11 | LA30944-5 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 105175-4 | Functional assessment standardized items (FASI) - v1.1 during assessment period [CMS Assessment] |
| 94848-9 | Functional assessment standardized items (FASI) - version 1.0 [CMS Assessment] |
94928-9 Supervision (for example, due to safety concerns).
Observation ID in Form
F0920G2
Fully-Specified Name
- Component
- Unpaid caregiver's ability and willingness to provide supervision
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.68
- Last Updated
- Version 2.69
- Order vs. Observation
- Observation
Normative Answer List LL5578-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Assistance not needed - No assistance needed. | 05 | LA30938-7 | |
| Caregiver(s) currently provide assistance - Person's usual caregiver(s) willing and able to provide needed assistance. | 04 | LA30939-5 | |
| Caregiver(s) need training/supportive services to provide assistance - Caregiver(s) available and need assistance to provide support. | 03 | LA30940-3 | |
| Unclear if caregiver(s) will provide assistance - Caregiver(s) available in the home but it is not clear if caregiver(s) will provide needed assistance. | 02 | LA30941-1 | |
| Assistance needed but no caregiver(s) available - Person needs assistance but no caregiver(s) available in the home. | 01 | LA30942-9 | |
| Assistance needed but person declines assistance - Person needs caregiving but declines this assistance. | 00 | LA30943-7 | |
| Not applicable - Person does not do this activity. | 11 | LA30944-5 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 105175-4 | Functional assessment standardized items (FASI) - v1.1 during assessment period [CMS Assessment] |
| 94848-9 | Functional assessment standardized items (FASI) - version 1.0 [CMS Assessment] |
94930-5 Advocacy or facilitation of person's participation in appropriate medical care (for example, transportation to or from appointments).
Observation ID in Form
F0920H2
Fully-Specified Name
- Component
- Unpaid caregiver's ability and willingness to provide advocacy or facilitation of person's participation
- Property
- Find
- Time
- RptPeriod
- System
- ^Patient
- Scale
- Ord
- Method
- CMS Assessment
Basic Attributes
- Class
- SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.68
- Last Updated
- Version 2.69
- Order vs. Observation
- Observation
Normative Answer List LL5578-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Assistance not needed - No assistance needed. | 05 | LA30938-7 | |
| Caregiver(s) currently provide assistance - Person's usual caregiver(s) willing and able to provide needed assistance. | 04 | LA30939-5 | |
| Caregiver(s) need training/supportive services to provide assistance - Caregiver(s) available and need assistance to provide support. | 03 | LA30940-3 | |
| Unclear if caregiver(s) will provide assistance - Caregiver(s) available in the home but it is not clear if caregiver(s) will provide needed assistance. | 02 | LA30941-1 | |
| Assistance needed but no caregiver(s) available - Person needs assistance but no caregiver(s) available in the home. | 01 | LA30942-9 | |
| Assistance needed but person declines assistance - Person needs caregiving but declines this assistance. | 00 | LA30943-7 | |
| Not applicable - Person does not do this activity. | 11 | LA30944-5 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 105175-4 | Functional assessment standardized items (FASI) - v1.1 during assessment period [CMS Assessment] |
| 94848-9 | Functional assessment standardized items (FASI) - version 1.0 [CMS Assessment] |