Version 2.78

59454-9 History of falling; immediate or within 3 months [Morse Fall Scale]

Form Coding Instructions

History of falling: This is scored as 25 if the patient has fallen during the present hospital admission or if there was an immediate history of physiological falls, such as from seizures or an impaired gait prior to admission. If the patient has not fallen, this is scored 0. Note: If a patient falls for the first time, then his or her score immediately increases by 25

Source: Morse Fall Scale

Fully-Specified Name

Component
History of falling; immediate or within 3Mo
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Morse Fall Scale

Basic Attributes

Class
SURVEY.MFS
Type
Surveys
First Released
Version 2.32
Last Updated
Version 2.44

Normative Answer List LL899-6

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 0 0 LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 25 25 LA33-6

Member of these Panels

LOINC Long Common Name
59453-1 Morse Fall Scale panel

59455-6 Secondary diagnosis is present

Form Coding Instructions

Secondary diagnosis: This is scored as 15 if more than one medical diagnosis is listed on the patient's chart; if not, score 0

Source: Morse Fall Scale

Fully-Specified Name

Component
Secondary diagnosis is present
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.MFS
Type
Surveys
First Released
Version 2.32
Last Updated
Version 2.68
Change Reason
Release 2.68: METHOD_TYP: The Method was removed because this is a generic term that can be used across contexts.; ANSWER_LIST_TYPE: Answer List Type was changed from Normative to Example because the Method was removed.; COMPONENT: Component was updated to be more specific to distinguish it from 81885-6

Example Answer List LL900-2

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 0 0 LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 15 15 LA33-6

Member of these Panels

LOINC Long Common Name
59453-1 Morse Fall Scale panel

59456-4 Ambulatory aid [Morse Fall Scale]

Form Coding Instructions

Ambulatory aids: This is scored as 0 if the patient walks without a walking aid (even if assisted by a nurse), uses a wheelchair, or is on a bed rest and does not get out of bed at all. If the patient uses crutches, a cane, or a walker, this item scores 15; if the patient ambulates clutching onto the furniture for support, score this item 30

Source: Morse Fall Scale

Fully-Specified Name

Component
Ambulatory aid
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Morse Fall Scale

Basic Attributes

Class
SURVEY.MFS
Type
Surveys
First Released
Version 2.32
Last Updated
Version 2.44

Normative Answer List LL901-0

Answer Code Score Answer ID
Bed rest/nurse assist 0 0 LA13030-4
Crutches/cane/walker 15 15 LA13031-2
Furniture 30 30 LA13032-0

Member of these Panels

LOINC Long Common Name
59453-1 Morse Fall Scale panel

59457-2 IV/Heparin Lock

Form Coding Instructions

Intravenous therapy: This is scored as 20 if the patient has an intravenous apparatus or a heparin lock inserted; if not, score 0

Source: Morse Fall Scale

Fully-Specified Name

Component
Intravenous apparatus
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Morse Fall Scale

Basic Attributes

Class
SURVEY.MFS
Type
Surveys
First Released
Version 2.32
Last Updated
Version 2.44

Normative Answer List LL902-8

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 0 0 LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 20 20 LA33-6

Member of these Panels

LOINC Long Common Name
59453-1 Morse Fall Scale panel

59458-0 Gait [Morse Fall Scale]

Form Coding Instructions

Gait: A normal gait is characterized by the patient walking with head erect, arms swinging freely at the side, and striding without hesitant. This gait scores 0. With a weak gait (score as 10), the patient is stooped but is able to lift the head while walking without losing balance. Steps are short and the patient may shuffle. With an impaired gait (score 20), the patient may have difficulty rising from the chair, attempting to get up by pushing on the arms of the chair/or by bouncing (i.e., by using several attempts to rise). The patient's head is down, and he or she watches the ground when walking. Because the patient's balance is poor, the patient grasps onto the furniture, a support person, or a walking aid for support and cannot walk without this assistance

Source: Morse Fall Scale

Fully-Specified Name

Component
Gait
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Morse Fall Scale

Basic Attributes

Class
SURVEY.MFS
Type
Surveys
First Released
Version 2.32
Last Updated
Version 2.44

Normative Answer List LL903-6

Answer Code Score Answer ID
Normal/bedrest/immobile 0 0 LA13033-8
Weak 10 10 LA13034-6
Impaired 20 20 LA13035-3

Member of these Panels

LOINC Long Common Name
59453-1 Morse Fall Scale panel

59459-8 Mental status [Morse Fall Scale]

Form Coding Instructions

Mental status: When using this Scale, mental status is measured by checking the patient's own self-assessment of his or her own abilities. Ask the patient, "Are you able to go the bathroom alone or do you need assistance?" If the patient's reply judging his or her own ability is consistent with the ambulatory nursing order, the patient is rated as "normal" and scored 0. If the patient's response is not consistent with the nursing orders or if the patient's response is unrealistic, then the patient is considered to overestimate his or her own abilities and to be forgetful of limitations and scored as 15

Source: Morse Fall Scale

Fully-Specified Name

Component
Mental status
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Morse Fall Scale

Basic Attributes

Class
SURVEY.MFS
Type
Surveys
First Released
Version 2.32
Last Updated
Version 2.44

Normative Answer List LL904-4

Answer Code Score Answer ID
Oriented to own ability 0 0 LA13036-1
Forgets limitations 15 15 LA13037-9

Member of these Panels

LOINC Long Common Name
59453-1 Morse Fall Scale panel

59460-6 Fall risk total [Morse Fall Scale]

Fully-Specified Name

Component
Fall risk total
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
Morse Fall Scale

Basic Attributes

Class
SURVEY.MFS
Type
Surveys
First Released
Version 2.32
Last Updated
Version 2.73
Change Reason
We made an administrative decision to define the total scores from various survey instruments as Quantitative rather than ordinal. There is no intention to change the existing meaning. Changed Component from "Morse Fall risk total" to "Fall risk total" to align existing terms and since the Method states what the fall risk score is based on (Morse Fall Scale). Also changed Scale from "Num" to "Score" since the result represents a score.
Common Test Rank Get Info
2522

Member of these Panels

LOINC Long Common Name
59453-1 Morse Fall Scale panel

Example Units

Unit Source
{#} Example UCUM Units

59461-4 Fall risk level [Morse Fall Scale]

Fully-Specified Name

Component
Fall risk level
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
Morse Fall Scale

Basic Attributes

Class
SURVEY.MFS
Type
Surveys
First Released
Version 2.32
Last Updated
Version 2.56
Change Reason
Changed Component from "Morse Fall risk level" to "Fall risk level" to align existing terms and since the Method states what the fall risk level is based on (Morse Fall Scale).

Normative Answer List LL905-1

Answer Code Score Answer ID
Low Risk (MFS Score 0 - 24) LA13038-7
Moderate Risk (MFS Score 25 - 45) LA13039-5
High Risk (MFS Score 50+) LA13040-3

Member of these Panels

LOINC Long Common Name
59453-1 Morse Fall Scale panel