86245-8 Administrative Information

Observation ID in Form

A

Fully-Specified Name

Component

OASIS E - Administrative Information - FU

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.63

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Release 2.72: COMPONENT: new section name in form;

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• Admin info
• Centers for Medicare and Medicaid Assessment
• Outcome and assessment information set
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Survey

Related Codes

46500-5 Discipline of Person Completing Assessment

Term Description

Identifies the discipline of the clinician completing the comprehensive assessment at the specified time points or the clinician reporting the transfer to an inpatient facility, death at home, or discharge (no further visits after start of care).
Source: Regenstrief LOINC

Observation ID in Form

M0080

Fully-Specified Name

Component

Discipline of person completing assessment

Property

Type

Time

RptPeriod

System

Provider

Scale

Nom

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee

Order vs. Observation

Observation

Normative Answer List LL245-2

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Nominal
• Persons
• Report period
• Survey
• Typ

Related Codes

46501-3 Date Assessment Completed

Term Description

The actual date the assessment is completed, except if agency policy allows assessments to be performed over more than one visit date, in which case the last date (when the assessment is finished) is the appropriate date to record.
Source: Regenstrief LOINC

Observation ID in Form

M0090

Fully-Specified Name

Component

Date assessment information completed

Property

Date

Time

RptPeriod

System

^Patient

Scale

Qn

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS to CMS Assessment to use across CMS instruments as approved by the Clinical LOINC committee

Order vs. Observation

Observation

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• QNT
• Quan
• Quant
• Quantitative
• Report period
• Survey

Example Units

Related Codes

57200-8 This Assessment is Currently Being Completed for the Following Reason

Observation ID in Form

M0100

Fully-Specified Name

Component

Reason for assessment

Property

Find

Time

RptPeriod

System

^Patient

Scale

Nom

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.29

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee

Order vs. Observation

Observation

Normative Answer List LL773-3

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Nominal
• Report period
• Survey

Related Codes

57203-2 Episode Timing: Is the Medicare home health payment episode for which this assessment will define a case mix group an "early" episode or a "later" episode in the patient's current sequence of adjacent Medicare home health payment episodes?

Observation ID in Form

M0110

Fully-Specified Name

Component

Episode Timing

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.29

Last Updated

Version 2.77

Change Reason

Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms

Order vs. Observation

Observation

Normative Answer List LL774-1

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• 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.

99155-4 Functional Status

Observation ID in Form

G

Fully-Specified Name

Component

OASIS E - Functional Status - follow up

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.72

Last Updated

Version 2.77

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

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Follow-up
• Outcome and assessment information set
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Survey

Related Codes

46595-5 Grooming: Current ability to tend safely to personal hygiene needs (specifically: washing face and hands, hair care, shaving or make up, teeth or denture care, or fingernail care).

Term Description

Identifies the patient's ability to tend to personal hygiene needs, excluding bathing (such as washing face and hands, hair care, shaving or make up, teeth or denture care, or fingernail care).
Source: Regenstrief LOINC

Observation ID in Form

M1800

Fully-Specified Name

Component

Grooming - functional ability

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.70

Change Reason

Release 2.70: TIME_ASPCT: Updated Timing based on the OASIS manual and to align with the new model representing various reporting periods across CMS assessment.; Release 2.67: DefinitionDescription: Added examples from the CMS OASIS form to the Description to further distinguish the ADLs of "Grooming" and "Bathing."; Previous Releases: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clincal LOINC committee;Removed "current" from COMPONENT because it is reflect in the TIME, and added "functional" to follow convention for other CMS assessment terms

Order vs. Observation

Observation

Normative Answer List LL287-4

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

46597-1 Current Ability to Dress Upper Body safely (with or without dressing aids) including undergarments, pullovers, front-opening shirts and blouses, managing zippers, buttons, and snaps.

Term Description

Identifies the patient's ability to dress upper body, including the ability to obtain, put on and remove upper body clothing.
Source: Regenstrief LOINC

Observation ID in Form

M1810

Fully-Specified Name

Component

Dress upper body - functional ability

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.72

Change Reason

Release 2.72: TIME_ASPCT: Updated Timing based on the OASIS manual and to align with the new model representing various reporting periods across CMS assessment.; Previous Releases: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Removed "current" from COMPONENT because it is reflected in the TIME, and added "functional" to follow convention for other CMS assessment terms

Order vs. Observation

Observation

Normative Answer List LL289-0

Member of these Panels

Related Names

• bod
• Bodies
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey
• Up

Related Codes

46599-7 Current Ability to Dress Lower Body safely (with or without dressing aids) including undergarments, slacks, socks or nylons, shoes.

Term Description

Identifies the patient's ability to dress lower body, including the ability to obtain, put on and remove lower body clothing.
Source: Regenstrief LOINC

Observation ID in Form

M1820

Fully-Specified Name

Component

Dress lower body - functional ability

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.70

Change Reason

Release 2.70: TIME_ASPCT: Updated Timing based on the OASIS manual and to align with the new model representing various reporting periods across CMS assessment.; Previous Releases: Removed "current" from COMPONENT because it is reflect in the TIME, and added "functional" to follow convention for other CMS assessment terms;Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee

Order vs. Observation

Observation

Normative Answer List LL291-6

Member of these Panels

Related Names

• bod
• Bodies
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Low
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

57243-8 Bathing: Current ability to wash entire body safely. Excludes grooming (washing face, washing hands, and shampooing hair).

Observation ID in Form

M1830

Fully-Specified Name

Component

Bathing - functional ability

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.29

Last Updated

Version 2.70

Change Reason

Release 2.70: TIME_ASPCT: Updated Timing based on the OASIS manual and to align with the new model representing various reporting periods across CMS assessment.; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee;Removed "current" from COMPONENT because it is reflect in the TIME, and added "functional" to follow convention for other CMS assessment terms

Order vs. Observation

Observation

Normative Answer List LL805-3

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

57244-6 Toilet Transferring: Current ability to get to and from the toilet or bedside commode safely and transfer on and off toilet/commode.

Observation ID in Form

M1840

Fully-Specified Name

Component

Toilet transferring - functional ability

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.29

Last Updated

Version 2.70

Change Reason

Release 2.70: TIME_ASPCT: Updated Timing based on the OASIS manual and to align with the new model representing various reporting periods across CMS assessment.; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee;Removed "current" from COMPONENT because it is reflect in the TIME, and added "functional" to follow convention for other CMS assessment terms

Order vs. Observation

Observation

Example Answer List LL806-1

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

57246-1 Transferring: Current ability to move safely from bed to chair, or ability to turn and position self in bed if patient is bedfast.

Observation ID in Form

M1850

Fully-Specified Name

Component

Transferring - functional ability

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.29

Last Updated

Version 2.70

Change Reason

Release 2.70: TIME_ASPCT: Updated Timing based on the OASIS manual and to align with the new model representing various reporting periods across CMS assessment.; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee;Removed "current" from COMPONENT because it is reflect in the TIME, and added "functional" to follow convention for other CMS assessment terms

Order vs. Observation

Observation

Normative Answer List LL808-7

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

57247-9 Ambulation/Locomotion: Current ability to walk safely, once in a standing position, or use a wheelchair, once in a seated position, on a variety of surfaces.

Observation ID in Form

M1860

Fully-Specified Name

Component

Locomotion - functional ability

Property

Find

Time

RptPeriod

System

^Patient

Scale

Ord

Method

CMS Assessment

Basic Attributes

Class

SURVEY.CMS

Type

Surveys

First Released

Version 2.29

Last Updated

Version 2.70

Change Reason

Release 2.70: TIME_ASPCT: Updated Timing based on the OASIS manual and to align with the new model representing various reporting periods across CMS assessment.; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee;Removed "current" from COMPONENT because it is reflect in the TIME, and added "functional" to follow convention for other CMS assessment terms

Order vs. Observation

Observation

Normative Answer List LL809-5

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

99154-7 Functional Abilities and Goals

Observation ID in Form

GG

Fully-Specified Name

Component

OASIS E - Functional abilities and goals - FU

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.72

Last Updated

Version 2.77

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

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Outcome and assessment information set
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Survey

99149-7 Self-Care - Follow-up Performance

Observation ID in Form

GG0130_4

Form Coding Instructions

Code the patient's usual performance at Follow-Up for each activity using the 6-point scale. If activity was not attempted at Follow-Up, code the reason. Safety and Quality of Performance - If helper assistance is required because patient'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

OASIS E - Self-care - follow-up performance

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.72

Last Updated

Version 2.72

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Outcome and assessment information set
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Survey

95019-6 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

GG0130A4

Form Context

The ability to use suitable utensils to bring food and/or liquid to the mouth and swallow food and/or liquid once the meal is placed before the patient

Fully-Specified Name

Component

Eating - usual functional ability

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 LL5571-6

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

95018-8 Oral hygiene

Observation ID in Form

GG0130B4

Form Context

The ability to use suitable items to clean teeth. Dentures (if applicable): The ability to insert and remove dentures into and from the mouth, and manage denture soaking and rinsing with use of equipment

Fully-Specified Name

Component

Oral hygiene - usual functional ability

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 LL5571-6

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

95017-0 Toileting hygiene

Observation ID in Form

GG0130C4

Form Context

The ability to maintain perineal hygiene, adjust clothes before and after voiding or having a bowel movement. If managing an ostomy, include wiping the opening but not managing equipment

Fully-Specified Name

Component

Toileting hygiene - usual functional ability

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 LL4681-4

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

95015-4 Shower/bathe self

Observation ID in Form

GG0130E4

Form Context

The ability to bathe self, including washing, rinsing, and drying self (excludes washing of back and hair). Does not include transferring in/out of tub/shower

Fully-Specified Name

Component

Shower &or bathe self - usual functional ability

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 LL5571-6

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

95014-7 Upper body dressing

Observation ID in Form

GG0130F4

Form Context

The ability to dress and undress above the waist; including fasteners, if applicable

Fully-Specified Name

Component

Upper body dressing - usual functional ability

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 LL5571-6

Member of these Panels

Related Names

• ADL
• bod
• Bodies
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey
• Up

Related Codes

95013-9 Lower body dressing

Observation ID in Form

GG0130G4

Form Context

The ability to dress and undress below the waist, including fasteners; does not include footwear

Fully-Specified Name

Component

Lower body dressing - usual functional ability

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 LL5571-6

Member of these Panels

Related Names

• ADL
• bod
• Bodies
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Low
• Ordinal
• Ql
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

95012-1 Putting on/taking off footwear

Observation ID in Form

GG0130H4

Form Context

The ability to put on and take off socks and shoes or other footwear that is appropriate for safe mobility; including fasteners, if applicable

Fully-Specified Name

Component

Putting on &or taking off footwear - usual functional ability

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 LL5571-6

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

99150-5 Mobility - Follow-up Perfomance

Observation ID in Form

GG0170_4

Form Coding Instructions

Code the patient's usual performance at Follow-Up for each activity using the 6-point scale. If activity was not attempted at Follow-Up, code the reason. Safety and Quality of Performance - If helper assistance is required because patient'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

OASIS E - Mobility - follow-up performance

Property

-

Time

RptPeriod

System

^Patient

Scale

-

Method

CMS Assessment

Basic Attributes

Class

PANEL.SURVEY.CMS

Type

Surveys

First Released

Version 2.72

Last Updated

Version 2.72

Order vs. Observation

Subset

Panel Type

Organizer

Member of these Panels

Related Names

• Centers for Medicare and Medicaid Assessment
• Outcome and assessment information set
• Pan
• Panel
• PANEL.SURVEY.CMS
• Panl
• Pnl
• Report period
• Survey

95011-3 Roll left and right

Observation ID in Form

GG0170A4

Form Context

The ability to roll from lying on back to left and right side, and return to lying on back on the bed

Fully-Specified Name

Component

Roll left and right - usual functional ability

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 LL5571-6

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• L
• LT
• Ordinal
• Ql
• Qual
• Qualitative
• R
• Report period
• RT
• Screen
• Survey

Related Codes

95010-5 Sit to lying

Observation ID in Form

GG0170B4

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 - usual functional ability

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 LL5571-6

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

95009-7 Lying to sitting on side of bed

Observation ID in Form

GG0170C4

Form Context

The ability to move from lying on the back to sitting on the side of the bed with no back support

Fully-Specified Name

Component

Lying to sitting on side of bed - usual functional ability

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 LL4681-4

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

95008-9 Sit to stand

Observation ID in Form

GG0170D4

Form Context

The ability to come to a standing position from sitting in a chair, wheelchair, or on the side of the bed

Fully-Specified Name

Component

Sit to stand - usual functional ability

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 LL5571-6

Member of these Panels

Related Names

• 30s CST
• 30-Second Chair Stand
• 30sSTS
• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Stands
• Survey

Related Codes

95007-1 Chair/bed-to-chair transfer

Observation ID in Form

GG0170E4

Form Context

The ability to transfer to and from a bed to a chair (or wheelchair)

Fully-Specified Name

Component

Chair &or bed-to-chair transfer - usual functional ability

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 LL5571-6

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

95006-3 Toilet transfer

Observation ID in Form

GG0170F4

Form Context

The ability to get on and off a toilet or commode

Fully-Specified Name

Component

Toilet transfer - usual functional ability

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 LL4681-4

Member of these Panels

Related Names

• ADL
• Centers for Medicare and Medicaid Assessment
• Finding
• Findings
• FunctionalStatus
• IADL
• Ordinal
• QL
• Qual
• Qualitative
• Report period
• Screen
• Survey

Related Codes

83206-3 Car transfer

Term Description

The patient's usual ability to transfer in and out of a car or van on the passenger side. Does not include the ability to open/close door or fasten seat belt.
Source: Regenstrief LOINC

Observation ID in Form

GG0170G4

Form Context

The ability to transfer in and out of a car or van on the passenger side. Does not include the ability to open/close door or fasten seat belt

Fully-Specified Name

Component

Car 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 2.61

Order vs. Observation

Observation

Normative Answer List LL4153-4

Member of these Panels

Related Names

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

Related Codes

95004-8 Walk 10 feet

Observation ID in Form

GG0170I4

Skip Logic

If Follow-up performance is coded 07, 09, 10, or 88, Skip to GG0170M, 1 step (curb)

Form Context

Once standing, the ability to walk at least 10 feet in a room, corridor, or similar space

Fully-Specified Name

Component

Walk 10 feet - usual functional ability

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

Change Reason

Release 2.69: COMPONENT: Corrected "Walks" to "Walk" to for consistency across CMS assessment forms.;

Order vs. Observation

Observation

Normative Answer List LL5571-6