| Answer | Independent - Patient completed all the activities by themself, with or without an assistive device, with no assistance from a helper. | LA11539-6 |
| Answer | Setup or clean-up assistance - Helper sets up or cleans up; patient completes activity. Helper assists only prior to or following the activity. | LA10073-7 |
| Answer | Supervision or touching assistance - Helper provides verbal cues or touching/steadying assistance as patient completes activity. Assistance may be provided throughout the activity or intermittently. | LA11757-4 |
| Answer | Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports truck or limbs, but provides less than half the effort. | LA11758-2 |
| Answer | Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort. | LA11759-0 |
| Answer | 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. | LA27665-1 |
| answers-for | Wheel 50 feet with two turns - functional goal during 3 day assessment period [CMS Assessment] | 83187-5 |
| answers-for | Wheel 50 feet with two turns - functional goal during 3 day assessment period [CMS Assessment] | 83187-5 |
| answers-for | Picking up object - functional goal during 3 day assessment period [CMS Assessment] | 83189-1 |
| answers-for | Picking up object - functional goal during 3 day assessment period [CMS Assessment] | 83189-1 |
| answers-for | Picking up object - functional goal during 3 day assessment period [CMS Assessment] | 83189-1 |
| answers-for | 12 steps - functional goal during 3 day assessment period [CMS Assessment] | 83191-7 |
| answers-for | 12 steps - functional goal during 3 day assessment period [CMS Assessment] | 83191-7 |
| answers-for | 12 steps - functional goal during 3 day assessment period [CMS Assessment] | 83191-7 |
| answers-for | 4 steps - functional goal during 3 day assessment period [CMS Assessment] | 83193-3 |
| answers-for | 4 steps - functional goal during 3 day assessment period [CMS Assessment] | 83193-3 |
| answers-for | 4 steps - functional goal during 3 day assessment period [CMS Assessment] | 83193-3 |
| answers-for | 1 step (curb) - functional goal during 3 day assessment period [CMS Assessment] | 83195-8 |
| answers-for | 1 step (curb) - functional goal during 3 day assessment period [CMS Assessment] | 83195-8 |
| answers-for | 1 step (curb) - functional goal during 3 day assessment period [CMS Assessment] | 83195-8 |
| answers-for | Walking 10 feet on uneven surfaces - functional goal during 3 day assessment period [CMS Assessment] | 83197-4 |
| answers-for | Walking 10 feet on uneven surfaces - functional goal during 3 day assessment period [CMS Assessment] | 83197-4 |
| answers-for | Walking 10 feet on uneven surfaces - functional goal during 3 day assessment period [CMS Assessment] | 83197-4 |
| answers-for | Walk 150 feet - functional goal during 3 day assessment period [CMS Assessment] | 83199-0 |
| answers-for | Walk 150 feet - functional goal during 3 day assessment period [CMS Assessment] | 83199-0 |
| answers-for | Walk 150 feet - functional goal during 3 day assessment period [CMS Assessment] | 83199-0 |
| answers-for | Walk 150 feet - functional goal during 3 day assessment period [CMS Assessment] | 83199-0 |
| answers-for | Walk 50 feet with two turns - functional goal during 3 day assessment period [CMS Assessment] | 83201-4 |
| answers-for | Walk 50 feet with two turns - functional goal during 3 day assessment period [CMS Assessment] | 83201-4 |
| answers-for | Walk 50 feet with two turns - functional goal during 3 day assessment period [CMS Assessment] | 83201-4 |
| answers-for | Walk 50 feet with two turns - functional goal during 3 day assessment period [CMS Assessment] | 83201-4 |
| answers-for | Walk 10 feet - functional goal during 3 day assessment period [CMS Assessment] | 83203-0 |
| answers-for | Walk 10 feet - functional goal during 3 day assessment period [CMS Assessment] | 83203-0 |
| answers-for | Walk 10 feet - functional goal during 3 day assessment period [CMS Assessment] | 83203-0 |
| answers-for | Walk 10 feet - functional goal during 3 day assessment period [CMS Assessment] | 83203-0 |
| answers-for | Car transfer - functional goal during 3 day assessment period [CMS Assessment] | 83205-5 |
| answers-for | Car transfer - functional goal during 3 day assessment period [CMS Assessment] | 83205-5 |
| answers-for | Car transfer - functional goal during 3 day assessment period [CMS Assessment] | 83205-5 |
| answers-for | Toilet transfer - functional goal during 3 day assessment period [CMS Assessment] | 83207-1 |
| answers-for | Toilet transfer - functional goal during 3 day assessment period [CMS Assessment] | 83207-1 |
| answers-for | Toilet transfer - functional goal during 3 day assessment period [CMS Assessment] | 83207-1 |
| answers-for | Toilet transfer - functional goal during 3 day assessment period [CMS Assessment] | 83207-1 |
| answers-for | Bed-to-chair transfer - functional goal during 3 day assessment period [CMS Assessment] | 83209-7 |
| answers-for | Bed-to-chair transfer - functional goal during 3 day assessment period [CMS Assessment] | 83209-7 |
| answers-for | Bed-to-chair transfer - functional goal during 3 day assessment period [CMS Assessment] | 83209-7 |
| answers-for | Bed-to-chair transfer - functional goal during 3 day assessment period [CMS Assessment] | 83209-7 |
| answers-for | Sit to stand - functional goal during 3 day assessment period [CMS Assessment] | 83211-3 |
| answers-for | Sit to stand - functional goal during 3 day assessment period [CMS Assessment] | 83211-3 |
| answers-for | Sit to stand - functional goal during 3 day assessment period [CMS Assessment] | 83211-3 |
| answers-for | Sit to stand - functional goal during 3 day assessment period [CMS Assessment] | 83211-3 |
| answers-for | Lying to sitting on side of bed - functional goal during 3 day assessment period [CMS Assessment] | 83213-9 |
| answers-for | Lying to sitting on side of bed - functional goal during 3 day assessment period [CMS Assessment] | 83213-9 |
| answers-for | Lying to sitting on side of bed - functional goal during 3 day assessment period [CMS Assessment] | 83213-9 |
| answers-for | Lying to sitting on side of bed - functional goal during 3 day assessment period [CMS Assessment] | 83213-9 |
| answers-for | Sit to lying - functional goal during 3 day assessment period [CMS Assessment] | 83215-4 |
| answers-for | Sit to lying - functional goal during 3 day assessment period [CMS Assessment] | 83215-4 |
| answers-for | Sit to lying - functional goal during 3 day assessment period [CMS Assessment] | 83215-4 |
| answers-for | Sit to lying - functional goal during 3 day assessment period [CMS Assessment] | 83215-4 |
| answers-for | Roll left and right - functional goal during 3 day assessment period [CMS Assessment] | 83217-0 |
| answers-for | Roll left and right - functional goal during 3 day assessment period [CMS Assessment] | 83217-0 |
| answers-for | Roll left and right - functional goal during 3 day assessment period [CMS Assessment] | 83217-0 |
| answers-for | Roll left and right - functional goal during 3 day assessment period [CMS Assessment] | 83217-0 |
| answers-for | Putting on/taking off footwear - functional goal during 3 day assessment period [CMS Assessment] | 83219-6 |
| answers-for | Putting on/taking off footwear - functional goal during 3 day assessment period [CMS Assessment] | 83219-6 |
| answers-for | Putting on/taking off footwear - functional goal during 3 day assessment period [CMS Assessment] | 83219-6 |
| answers-for | Lower body dressing - functional goal during 3 day assessment period [CMS Assessment] | 83221-2 |
| answers-for | Lower body dressing - functional goal during 3 day assessment period [CMS Assessment] | 83221-2 |
| answers-for | Lower body dressing - functional goal during 3 day assessment period [CMS Assessment] | 83221-2 |
| answers-for | Upper body dressing - functional goal during 3 day assessment period [CMS Assessment] | 83223-8 |
| answers-for | Upper body dressing - functional goal during 3 day assessment period [CMS Assessment] | 83223-8 |
| answers-for | Upper body dressing - functional goal during 3 day assessment period [CMS Assessment] | 83223-8 |
| answers-for | Shower/bathe self - functional goal during 3 day assessment period [CMS Assessment] | 83225-3 |
| answers-for | Shower/bathe self - functional goal during 3 day assessment period [CMS Assessment] | 83225-3 |
| answers-for | Shower/bathe self - functional goal during 3 day assessment period [CMS Assessment] | 83225-3 |
| answers-for | Toileting hygiene - functional goal during 3 day assessment period [CMS Assessment] | 83227-9 |
| answers-for | Toileting hygiene - functional goal during 3 day assessment period [CMS Assessment] | 83227-9 |
| answers-for | Toileting hygiene - functional goal during 3 day assessment period [CMS Assessment] | 83227-9 |
| answers-for | Toileting hygiene - functional goal during 3 day assessment period [CMS Assessment] | 83227-9 |
| answers-for | Oral hygiene - functional goal during 3 day assessment period [CMS Assessment] | 83229-5 |
| answers-for | Oral hygiene - functional goal during 3 day assessment period [CMS Assessment] | 83229-5 |
| answers-for | Oral hygiene - functional goal during 3 day assessment period [CMS Assessment] | 83229-5 |
| answers-for | Oral hygiene - functional goal during 3 day assessment period [CMS Assessment] | 83229-5 |
| answers-for | Eating - functional goal during 3 day assessment period [CMS Assessment] | 83231-1 |
| answers-for | Eating - functional goal during 3 day assessment period [CMS Assessment] | 83231-1 |
| answers-for | Eating - functional goal during 3 day assessment period [CMS Assessment] | 83231-1 |
| answers-for | Eating - functional goal during 3 day assessment period [CMS Assessment] | 83231-1 |
| answers-for | Wheel 150 feet - functional goal during 3 day assessment period [CMS Assessment] | 83236-0 |
| answers-for | Wheel 150 feet - functional goal during 3 day assessment period [CMS Assessment] | 83236-0 |
| answers-for | Wash upper body - functional goal during 3 day assessment period [CMS Assessment] | 85653-4 |
| answers-for | Wash upper body - functional goal during 3 day assessment period [CMS Assessment] | 85653-4 |
| answers-for | Wash upper body - functional goal during assessment period [CMS Assessment] | 96098-9 |
| LONG_COMMON_NAME | en-US | CMS IRFPAI_GG Functional Goals |
LOINC Version: 2.77
FHIR