Version 2.78

94912-3 Does the person have assistance in their home?

Observation ID in Form

F0910A

Skip Logic

If 0, Do not code availability of assistance - skip to question F0920. If 1, Continue to question F0910B.

Fully-Specified Name

Component
Availability of caregiver assistance
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 2.77
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
Observation

Normative Answer List LL251-0

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 0 LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6

Member of these Panels

LOINC Long Common Name
105175-4 Functional assessment standardized items (FASI) - v1.1 during assessment period [CMS Assessment]
94848-9 Functional assessment standardized items (FASI) - version 1.0 [CMS Assessment]

95414-9 Code the level of assistance in the person's home (both Paid and Unpaid) during the past month.

Observation ID in Form

F0910B

Fully-Specified Name

Component
Level of paid and unpaid caregiver assistance
Property
-
Time
1Mo
System
^Patient
Scale
-
Method
CMS Assessment

Basic Attributes

Class
PANEL.SURVEY.CMS
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.78
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
105175-4 Functional assessment standardized items (FASI) - v1.1 during assessment period [CMS Assessment]
94848-9 Functional assessment standardized items (FASI) - version 1.0 [CMS Assessment]

94913-1 Code the level of assistance in the person's home during the past month - paid assistance

Observation ID in Form

F0910B1

Fully-Specified Name

Component
Level of paid caregiver assistance in the past Mo
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
CMS Assessment

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.68
Order vs. Observation
Observation

Normative Answer List LL5577-3

Answer Code Score Answer ID
No assistance received 05 LA12345-7
Occasional/short term assistance 04 LA30934-6
Regular night-time 03 LA30935-3
Regular daytime 02 LA12164-2
Around the clock 01 LA12163-4

Member of these Panels

LOINC Long Common Name
105175-4 Functional assessment standardized items (FASI) - v1.1 during assessment period [CMS Assessment]
94848-9 Functional assessment standardized items (FASI) - version 1.0 [CMS Assessment]

94914-9 Code the level of assistance in the person's home during the past month - unpaid assistance

Observation ID in Form

F0910B2

Fully-Specified Name

Component
Level of unpaid caregiver assistance in the past Mo
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
CMS Assessment

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.68
Order vs. Observation
Observation

Normative Answer List LL5577-3

Answer Code Score Answer ID
No assistance received 05 LA12345-7
Occasional/short term assistance 04 LA30934-6
Regular night-time 03 LA30935-3
Regular daytime 02 LA12164-2
Around the clock 01 LA12163-4

Member of these Panels

LOINC Long Common Name
105175-4 Functional assessment standardized items (FASI) - v1.1 during assessment period [CMS Assessment]
94848-9 Functional assessment standardized items (FASI) - version 1.0 [CMS Assessment]