95811-6
IRF-PAI v3.0, MDS v1.17.1, 1.17.2 - Functional abilities and goals - admission [CMS Assessment]
Active
Panel Hierarchy
Details for each LOINC in Panel LHC-Forms
| LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
|---|---|---|---|---|
| 95811-6 | Functional Abilities and Goals - Start of SNF PPS Stay or State PDPM | |||
| Indent83239-4 | Prior Functioning: Everyday Activities | |||
| Indent Indent85070-1 | Self-Care | |||
| Indent Indent85071-9 | Indoor Mobility (Ambulation) | |||
| Indent Indent85072-7 | Stairs | |||
| Indent Indent85073-5 | Functional Cognition | |||
| Indent83234-5 | Prior Device Use | 1..5 | ||
| Indent95732-4 | Self-Care - Admission Performance | |||
| Indent Indent95019-6 | Eating | |||
| Indent Indent95018-8 | Oral hygiene | |||
| Indent Indent95017-0 | Toileting hygiene | |||
| Indent Indent95015-4 | Shower/bathe self | |||
| Indent Indent95014-7 | Upper body dressing | |||
| Indent Indent95013-9 | Lower body dressing | |||
| Indent Indent95012-1 | Putting on/taking off footwear | |||
| Indent89478-2 | Self-Care - Discharge Goal | |||
| Indent Indent89404-8 | Oral hygiene - functional goal during assessment period [CMS Assessment] | |||
| Indent Indent89409-7 | Eating | |||
| Indent Indent89389-1 | Toileting hygiene | |||
| Indent Indent89396-6 | Shower/bathe self | |||
| Indent Indent89387-5 | Upper body dressing | |||
| Indent Indent89406-3 | Lower body dressing | |||
| Indent Indent89400-6 | Putting on/taking off footwear | |||
| Indent95741-5 | Mobility - Admission Performance | |||
| Indent Indent95011-3 | Roll left and right | |||
| Indent Indent95010-5 | Sit to lying | |||
| 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 Indent95005-5 | Car transfer | |||
| Indent Indent95004-8 | Walk 10 feet | |||
| Indent Indent95003-0 | Walk 50 feet with two turns | |||
| Indent Indent95002-2 | Walk 150 feet | |||
| Indent Indent95001-4 | Walking 10 feet on uneven surfaces | |||
| Indent Indent95000-6 | 1 step (curb) | |||
| Indent Indent94999-0 | 4 steps | |||
| Indent Indent94998-2 | 12 steps | |||
| Indent Indent94997-4 | Picking up object | |||
| Indent Indent95738-1 | Does the resident 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 | |||
| Indent89476-6 | 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 Indent89412-1 | Car transfer | |||
| Indent Indent89385-9 | Walk 10 feet | |||
| Indent Indent89381-8 | Walk 50 feet with two turns | |||
| Indent Indent89383-4 | Walk 150 feet | |||
| Indent Indent89379-2 | Walking 10 feet on uneven surfaces | |||
| Indent Indent89420-4 | 1 step (curb) | |||
| Indent Indent89416-2 | 4 steps | |||
| Indent Indent89418-8 | 12 steps | |||
| Indent Indent89402-2 | Picking up object | |||
| Indent Indent89375-0 | Wheel 50 feet with two turns | |||
| Indent Indent89377-6 | Wheel 150 feet |
Fully-Specified Name
- Component
- IRF-PAI v3.0, MDS v1.17.1, 1.17.2 - Functional abilities and goals - admission
- Property
- -
- Time
- -
- System
- ^Patient
- Scale
- -
- Method
- CMS Assessment
Basic Attributes
- Class
- PANEL.SURVEY.CMS
- Type
- Surveys
- First Released
- Version 2.69
- Last Updated
- Version 2.77
- Change Reason
- Release 2.70: COMPONENT: Added MDS versions that use this panel.;
- Order vs. Observation
- Subset
- Panel Type
- Organizer
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89963-3 | Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment] |
| 93128-7 | Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment] |
| 90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 90474-8 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment] |
| 90475-5 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment] |
| 90476-3 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment] |
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