Version 2.78

Basic Properties

OID
1.3.6.1.4.1.12009.10.1.3590
Name
CMS_LCDS v4 Functional abilities & goals
Description
Answers: 10; Scale: Ord; Code: 1-88; Score: -
LOINCs using this list
44

Answer List

Answer Code Score Answer ID
Independent - Patient completes the activity by themself with no assistance from a helper. 06 LA9983-3
Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity. 05 LA10073-7
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently. 04 LA28225-3
Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports trunk or limbs, but provides less than half the effort. 03 LA10055-4
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort. 02 LA11759-0
Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity. 01 LA27665-1
Patient refused 07 LA10058-8
Not applicable - Not attempted and the patient did not perform this activity prior to the current illness, exacerbation, or injury. 09 LA28226-1
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints). 10 LA28227-9
Not attempted due to medical condition or safety concerns 88 LA26735-3

LOINC terms using this Answer List

89421-2 1 step (curb) - functional ability during assessment period [CMS Assessment]
89419-6 12 steps - functional ability during assessment period [CMS Assessment]
89417-0 4 steps - functional ability during assessment period [CMS Assessment]
89415-4 Bed-to-chair transfer - functional ability during assessment period [CMS Assessment]
89413-9 Car transfer - functional ability during assessment period [CMS Assessment]
89412-1 Car transfer - functional goal during assessment period [CMS Assessment]
89414-7 Chair/bed-to-chair transfer - functional goal during assessment period [CMS Assessment]
89410-5 Eating - functional ability during assessment period [CMS Assessment]
89409-7 Eating - functional goal during assessment period [CMS Assessment]
89418-8 Go up and down 12 steps - functional goal during assessment period [CMS Assessment]
89416-2 Go up and down 4 steps - functional goal during assessment period [CMS Assessment]
89420-4 Go up and down a curb/step - functional goal during assessment period [CMS Assessment]
89407-1 Lower body dressing - functional ability during assessment period [CMS Assessment]
89406-3 Lower body dressing - functional goal during assessment period [CMS Assessment]
89405-5 Oral hygiene - functional ability during assessment period [CMS Assessment]
89404-8 Oral hygiene - functional goal during assessment period [CMS Assessment]
89403-0 Picking up object - functional ability during assessment period [CMS Assessment]
89402-2 Picking up object - functional goal during assessment period [CMS Assessment]
89401-4 Putting on and taking off footwear - functional ability during assessment period [CMS Assessment]
89400-6 Putting on and taking off footwear - functional goal during assessment period [CMS Assessment]
89399-0 Roll left and right - functional ability during assessment period [CMS Assessment]
89398-2 Roll left and right - functional goal during assessment period [CMS Assessment]
89397-4 Shower/bathe self - functional ability during assessment period [CMS Assessment]
89396-6 Shower/bathe self - functional goal during assessment period [CMS Assessment]
89395-8 Sit to lying - functional ability during assessment period [CMS Assessment]
89394-1 Sit to lying - functional goal during assessment period [CMS Assessment]
89393-3 Sit to stand - functional ability during assessment period [CMS Assessment]
89392-5 Sit to stand - functional goal during assessment period [CMS Assessment]
89390-9 Toilet transfer - functional goal during assessment period [CMS Assessment]
89389-1 Toileting hygiene - functional goal during assessment period [CMS Assessment]
89388-3 Upper body dressing - functional ability during assessment period [CMS Assessment]
89387-5 Upper body dressing - functional goal during assessment period [CMS Assessment]
89386-7 Walk 10 feet - functional ability during assessment period [CMS Assessment]
89385-9 Walk 10 feet - functional goal during assessment period [CMS Assessment]
89384-2 Walk 150 feet - functional ability during assessment period [CMS Assessment]
89383-4 Walk 150 feet - functional goal during assessment period [CMS Assessment]
89382-6 Walk 50 feet with two turns - functional ability during assessment period [CMS Assessment]
89381-8 Walk 50 feet with two turns - functional goal during assessment period [CMS Assessment]
89380-0 Walking 10 feet on uneven surfaces - functional ability during assessment period [CMS Assessment]
89379-2 Walking 10 feet on uneven surfaces - functional goal during assessment period [CMS Assessment]
89378-4 Wheel 150 feet - functional ability during assessment period [CMS Assessment]
89377-6 Wheel 150 feet - functional goal during assessment period [CMS Assessment]
89376-8 Wheel 50 feet with two turns - functional ability during assessment period [CMS Assessment]
89375-0 Wheel 50 feet with two turns - functional goal during assessment period [CMS Assessment]

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=LL4681-4
ValueSet definition
https://fhir.loinc.org/ValueSet/?url=http://loinc.org/vs/LL4681-4
ValueSet expansion
https://fhir.loinc.org/ValueSet/$expand?url=http://loinc.org/vs/LL4681-4