LOINC
Version 2.68

LL5571-6CMS FASI Self-care and Mobility / Answers: 9; Scale: Ord; Code: 01-90; Score: -Active

Basic Properties

OID
1.3.6.1.4.1.12009.10.1.4388
Name
CMS FASI Self-care and Mobility
Description
Answers: 9; Scale: Ord; Code: 01-90; Score: -
Externally Defined
False
Answers Shown
9
LOINCs Using This List
86
Source Name
Centers for Medicare & Medicaid Services

Answer List

Answer Code Score Answer ID
Independent - Person completes the activity by him/herself with no assistance from a helper. 06 LA30909-8
Setup or cleanup assistance - Helper sets up or cleans up; person completes activity. Helper assists only prior to or following the activity. 05 LA30910-6
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as person completes activity. Assistance may be provided throughout the activity or intermittently. 04 LA30911-4
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. Person does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the person to complete the activity. 01 LA30914-8
Person refused. 07 LA30915-5
Not applicable - Person does not usually do this activity. 11 LA30916-3
Not attempted due to short-term medical condition or safety concerns. 90 LA30917-1

LOINC FHIR® API Examples - CodeSystem and ValueSet Requests Get Info

https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=LL5571-6 https://fhir.loinc.org/ValueSet/?url=http://loinc.org/vs/LL5571-6

LOINC Terms That Use This Answer List

94981-8 Answering telephone call - usual functional ability [CMS Assessment]
94968-5 Answering telephone call- most dependent performance during the past month [CMS Assessment]
94944-6 Bed-to-chair transfer - most dependent performance during the past month [CMS Assessment]
94946-1 Car transfer - most dependent performance during the past month [CMS Assessment]
95005-5 Car transfer - usual functional ability [CMS Assessment]
94956-0 Carries something in both hands - most dependent performance during the past month [CMS Assessment]
94995-8 Carries something in both hands - usual functional ability [CMS Assessment]
95007-1 Chair/bed-to-chair transfer - usual functional ability [CMS Assessment]
94974-3 Complex financial management - most dependent performance during the past month [CMS Assessment]
94987-5 Complex financial management - usual functional ability [CMS Assessment]
94933-9 Eating - most dependent performance during the past month [CMS Assessment]
95019-6 Eating - usual functional ability [CMS Assessment]
94953-7 Go up and down 12 steps - most dependent performance during the past month [CMS Assessment]
94998-2 Go up and down 12 steps - usual functional ability [CMS Assessment]
94952-9 Go up and down 4 steps - most dependent performance during the past month [CMS Assessment]
94999-0 Go up and down 4 steps - usual functional ability [CMS Assessment]
94951-1 Go up and down a curb/step - most dependent performance during the past month [CMS Assessment]
95000-6 Go up and down a curb/step - usual functional ability [CMS Assessment]
94966-9 Heavier periodic housework - most dependent performance during the past month [CMS Assessment]
94979-2 Heavier periodic housework - usual functional ability [CMS Assessment]
94965-1 Light daily housework - most dependent performance during the past month [CMS Assessment]
94978-4 Light daily housework - usual functional ability [CMS Assessment]
94980-0 Light shopping - usual functional ability [CMS Assessment]
94967-7 Light shopping- most dependent performance during the past month [CMS Assessment]
94938-8 Lower body dressing - most dependent performance during the past month [CMS Assessment]
95013-9 Lower body dressing - usual functional ability [CMS Assessment]
94942-0 Lying to sitting on side of bed - most dependent performance during the past month [CMS Assessment]
95009-7 Lying to sitting on side of bed - usual functional ability [CMS Assessment]
94963-6 Makes a light cold meal - most dependent performance during the past month [CMS Assessment]
94976-8 Makes a light cold meal - usual functional ability [CMS Assessment]
94964-4 Makes a light hot meal - most dependent performance during the past month [CMS Assessment]
94977-6 Makes a light hot meal - usual functional ability [CMS Assessment]
94971-9 Medication management.inhalant/mist medications - most dependent performance during the past month [CMS Assessment]
94984-2 Medication management.inhalant/mist medications - usual functional ability [CMS Assessment]
94972-7 Medication management.injectable medications - most dependent performance during the past month [CMS Assessment]
94985-9 Medication management.injectable medications - usual functional ability [CMS Assessment]
94970-1 Medication management.oral medications - most dependent performance during the past month [CMS Assessment]
94983-4 Medication management.oral medications - usual functional ability [CMS Assessment]
94934-7 Oral hygiene - most dependent performance during the past month [CMS Assessment]
95018-8 Oral hygiene - usual functional ability [CMS Assessment]
94954-5 Picking up object - most dependent performance during the past month [CMS Assessment]
94997-4 Picking up object - usual functional ability [CMS Assessment]
94969-3 Placing telephone call - most dependent performance during the past month [CMS Assessment]
94982-6 Placing telephone call - usual functional ability [CMS Assessment]
94939-6 Putting on and taking off footwear - most dependent performance during the past month [CMS Assessment]
95012-1 Putting on/taking off footwear - usual functional ability [CMS Assessment]
94940-4 Roll left and right - most dependent performance during the past month [CMS Assessment]
95011-3 Roll left and right - usual functional ability [CMS Assessment]
94936-2 Shower/bathe self - most dependent performance during the past month [CMS Assessment]
95015-4 Shower/bathe self - usual functional ability [CMS Assessment]
94973-5 Simple financial management - most dependent performance during the past month [CMS Assessment]
94986-7 Simple financial management - usual functional ability [CMS Assessment]
94941-2 Sit to lying - most dependent performance during the past month [CMS Assessment]
95010-5 Sit to lying - usual functional ability [CMS Assessment]
94943-8 Sit to stand - most dependent performance during the past month [CMS Assessment]
95008-9 Sit to stand - usual functional ability [CMS Assessment]
94945-3 Toilet transfer - most dependent performance during the past month [CMS Assessment]
95006-3 Toilet transfer - usual functional ability [CMS Assessment]
95043-6 Toileting hygiene - most dependent performance during the past month [CMS Assessment]
95017-0 Toileting hygiene - usual functional ability [CMS Assessment]
94937-0 Upper body dressing - most dependent performance during the past month [CMS Assessment]
95014-7 Upper body dressing - usual functional ability [CMS Assessment]
94947-9 Walks 10 feet - most dependent performance during the past month [CMS Assessment]
95004-8 Walks 10 feet - usual functional ability [CMS Assessment]
94950-3 Walks 10 feet on uneven surfaces - most dependent performance during the past month [CMS Assessment]
95001-4 Walks 10 feet on uneven surfaces - usual functional ability [CMS Assessment]
94949-5 Walks 150 feet - most dependent performance during the past month [CMS Assessment]
95002-2 Walks 150 feet - usual functional ability [CMS Assessment]
94948-7 Walks 50 feet with two turns - most dependent performance during the past month [CMS Assessment]
95003-0 Walks 50 feet with two turns - usual functional ability [CMS Assessment]
94958-6 Walks across a street - most dependent performance during the past month [CMS Assessment]
94993-3 Walks across a street - usual functional ability [CMS Assessment]
94957-8 Walks for 15 minutes - most dependent performance during the past month [CMS Assessment]
94994-1 Walks for 15 minutes - usual functional ability [CMS Assessment]
94955-2 Walks indoors - most dependent performance during the past month [CMS Assessment]
94996-6 Walks indoors - usual functional ability [CMS Assessment]
94935-4 Wash upper body - most dependent performance during the past month [CMS Assessment]
95016-2 Wash upper body - usual functional ability [CMS Assessment]
94959-4 Wheel 50 feet with two turns - most dependent performance during the past month [CMS Assessment]
94992-5 Wheel 50 feet with two turns - usual functional ability [CMS Assessment]
94960-2 Wheels 150 feet - most dependent performance during the past month [CMS Assessment]
94991-7 Wheels 150 feet - usual functional ability [CMS Assessment]
94962-8 Wheels across a street - most dependent performance during the past month [CMS Assessment]
94989-1 Wheels across a street - usual functional ability [CMS Assessment]
94961-0 Wheels for 15 minutes - most dependent performance during the past month [CMS Assessment]
94990-9 Wheels for 15 minutes - usual functional ability [CMS Assessment]