# text.div
MDS3_0_NC standard form version 1.17.

The MDS is a powerful tool for implementing standardized assessment and for facilitating care management in nursing homes (NHs) and non-critical access hospital swing beds (SBs).

# title
Minimum Data Set - Nursing Home Comprehensive Assessment

# description
The MDS is a powerful tool for implementing standardized assessment and for facilitating care management in nursing homes (NHs) and non-critical access hospital swing beds (SBs).

# code[].display
Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.17.1 [CMS Assessment]

# item[].code[].display
MDS v3.0 - RAI v1.17.1 - Identification information [CMS Assessment]

# item[].item[].text
Medicaid Number - Enter "+" if pending, "N" if not a Medicaid recipient

# item[].item[].answerOption[].valueCoding.display
Enter "+" if Medicaid application is pending

# item[].item[].answerOption[].valueCoding.display
{Patient/Resident} Birthdate (if day of month is unknown)

# item[].item[].answerOption[].valueCoding.display
{Patient/Resident} Birthdate (if month and day unknown)

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Unit certification or licensure designation

# item[].item[].text
Unit Certification or Licensure Designation

# item[].item[].answerOption[].valueCoding.display
Unit is Medicare and/or Medicaid certified

# item[].item[].answerOption[].valueCoding.display
Unit is Medicare and/or Medicaid certified

# item[].item[].answerOption[].valueCoding.display
Unit is neither Medicare nor Medicaid certified but MDS data is required by the State

# item[].item[].answerOption[].valueCoding.display
Unit is neither Medicare nor Medicaid certified but MDS data is required by the State

# item[].item[].answerOption[].valueCoding.display
Unit is neither Medicare nor Medicaid certified and MDS data is not required by the State

# item[].item[].answerOption[].valueCoding.display
Unit is neither Medicare nor Medicaid certified and MDS data is not required by the State

# item[].item[].code[].display
Preadmission Screening and Resident Review (PASRR)

# item[].item[].text
Preadmission Screening and Resident Review (PASRR). Is the resident currently considered by the state level II PASRR process to have serious mental illness and/or intellectual disability or a related condition? Complete only if {admission, annual, significant change, or significant correction}

# item[].item[].answerOption[].valueCoding.display
Entry date (date of this admission/entry or reentry into the facility)

# item[].item[].answerOption[].valueCoding.display
Community (private home/apt., board/care, assisted living, group home)

# item[].item[].answerOption[].valueCoding.display
Community (private home/apt., board/care, assisted living, group home)

# item[].item[].text
Discharge Date - Complete only if {discharge or death}

# item[].item[].text
Discharge Status - Complete only if {discharge or death}

# item[].item[].answerOption[].valueCoding.display
Community (private home/apt., board/care, assisted living, group home)

# item[].item[].answerOption[].valueCoding.display
Community (private home/apt., board/care, assisted living, group home)

# item[].item[].code[].display
Previous assessment reference date for significant correction

# item[].item[].text
Previous Assessment Reference Date for Significant Correction. Complete only if {significant correction}

# item[].item[].answerOption[].valueCoding.display
Previous assessment reference date for significant correction

# item[].item[].code[].display
Assessment reference date - observation end date

# item[].item[].text
Assessment Reference Date. Observation end date

# item[].item[].text
Admission Date (Date this episode of care in this {facility/setting} began)

# item[].item[].code[].display
MDS v3.0 - RAI v1.17.1 - Type of assessment

# item[].item[].item[].answerOption[].valueCoding.display
Significant correction to prior comprehensive assessment

# item[].item[].item[].answerOption[].valueCoding.display
Significant correction to prior comprehensive assessment

# item[].item[].item[].answerOption[].valueCoding.display
Significant correction to prior quarterly assessment

# item[].item[].item[].answerOption[].valueCoding.display
Significant correction to prior quarterly assessment

# item[].item[].item[].answerOption[].valueCoding.display
Admission assessment (required by day 14)

# item[].item[].item[].answerOption[].valueCoding.display
Admission assessment (required by day 14)

# item[].item[].item[].code[].display
First assessment since the most recent admission &or reentry

# item[].item[].item[].text
Is this assessment the first assessment since the most recent {admission}?

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Discharge assessment - return not anticipated

# item[].item[].item[].answerOption[].valueCoding.display
Discharge assessment - return not anticipated

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Discharge assessment - return anticipated

# item[].item[].item[].answerOption[].valueCoding.display
Discharge assessment - return anticipated

# item[].item[].item[].text
Type of discharge - Complete only if {discharge assessment}

# item[].item[].item[].text
Is this a SNF Part A PPS Discharge Assessment?

# item[].item[].item[].text
Does the {patient/resident} need or want an interpreter to communicate with a doctor or health care staff?

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Name by which {patent/resident} prefers to be addressed

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Lifetime occupation(s) - put "/" between two occupations

# item[].item[].text
Medicare Stay. Complete only if {SNF Part A Interrupted Stay}

# item[].item[].item[].code[].display
Medicare-covered stay since the most recent entry

# item[].item[].item[].text
Has the {patient/resident} had a Medicare-covered stay since the most recent entry?

# item[].item[].item[].text
End date of most recent Medicare stay. Enter dashes if stay is ongoing

# item[].item[].answerOption[].valueCoding.display
Native Hawaiian or Other Pacific Islander

# item[].item[].answerOption[].valueCoding.display
Native Hawaiian or Other Pacific Islander

# item[].item[].code[].display
Level II Preadmission Screening and Resident Review (PASRR)

# item[].item[].text
Level II Preadmission Screening and Resident Review (PASRR) Conditions. Complete only if {admission, annual, significant change, or significant correction}: Check all that apply

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Conditions related to intellectual disability and developmental disability status

# item[].item[].text
Conditions Related to ID/DD Status. If the {patient/resident} is 22 years of age or older, complete only if {admission}. If the {patient/resident} is 21 years of age or younger, complete only if {admission, annual, significant change, or significant correction}: Check all conditions that are related to ID/DD status that were manifested before age 22, and are likely to continue indefinitely

# item[].item[].answerOption[].valueCoding.display
Other organic condition related to ID/DD

# item[].item[].answerOption[].valueCoding.display
Other organic condition related to ID/DD

# item[].item[].text
Optional State Assessment.  Complete only if A0200 = 1

# item[].item[].item[].text
Is this assessment for state payment purposes only?

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Both Start and End of therapy assessment

# item[].item[].item[].answerOption[].valueCoding.display
Both Start and End of therapy assessment

# item[].code[].display
Hearing, speech, and vision [CMS Assessment]

# item[].item[].text
Hearing. Ability to hear (with hearing aid or hearing appliances if normally used)

# item[].item[].answerOption[].valueCoding.display
Adequate - no difficulty in normal conversation, social interaction, listening to TV

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Adequate - no difficulty in normal conversation, social interaction, listening to TV

# item[].item[].answerOption[].valueCoding.display
Minimal difficulty - difficulty in some environments (e.g. when person speaks softly or setting is noisy)

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Minimal difficulty - difficulty in some environments (e.g., when person speaks softly or setting is noisy)

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Moderate difficulty - speaker has to increase volume and speak distinctly

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Moderate difficulty - speaker has to increase volume and speak distinctly

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Highly impaired - absence of useful hearing

# item[].item[].answerOption[].valueCoding.display
Highly impaired - absence of useful hearing

# item[].item[].code[].display
Hearing aid used during 7D assessment period

# item[].item[].text
Hearing Aid. Hearing aid or other hearing appliance used in completing {Hearing question}

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Speech clarity.description of speech pattern in last 7D

# item[].item[].text
Speech Clarity. Select best description of speech pattern

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Clear speech - distinct intelligible words

# item[].item[].answerOption[].valueCoding.display
Clear speech - distinct intelligible words

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Unclear speech - slurred or mumbled words

# item[].item[].answerOption[].valueCoding.display
Unclear speech - slurred or mumbled words

# item[].item[].text
Makes Self Understood. Ability to express ideas and wants, consider both verbal and non-verbal expression

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Usually understood - difficulty communicating some words or finishing thoughts but is able if prompted or given time

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Usually understood - difficulty communicating some words or finishing thoughts but is able if prompted or given time

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Sometimes understood - ability is limited to making concrete requests

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Sometimes understood - ability is limited to making concrete requests

# item[].item[].text
Ability To Understand Others. Understanding verbal content, however able (with hearing aid or device if used)

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Usually understands - misses some part/intent of message but comprehends most conversation

# item[].item[].answerOption[].valueCoding.display
Usually understands - misses some part/intent of message but comprehends most conversation

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Sometimes understands - responds adequately to simple, direct communication only

# item[].item[].answerOption[].valueCoding.display
Sometimes understands - responds adequately to simple, direct communication only

# item[].item[].code[].display
Vision.ability to see in adequate light in last 7D

# item[].item[].text
Vision. Ability to see in adequate light (with glasses or other visual appliances)

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Adequate - sees fine detail, such as regular print in newspapers/books

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Adequate - sees fine detail, such as regular print in newspapers/books

# item[].item[].answerOption[].valueCoding.display
Impaired - sees large print, but not regular print in newspapers/books

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Impaired - sees large print, but not regular print in newspapers/books

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Moderately impaired - limited vision; not able to see newspaper headlines but can identify objects

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Moderately impaired - limited vision; not able to see newspaper headlines but can identify objects

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Highly impaired - object identification in question, but eyes appear to follow objects

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Highly impaired - object identification in question, but eyes appear to follow objects

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Severely impaired - no vision or sees only light, colors or shapes; eyes do not appear to follow objects

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Severely impaired - no vision or sees only light, colors or shapes; eyes do not appear to follow objects

# item[].item[].text
Corrective lenses (contacts, glasses or magnifying glass) used in completing {Vision question}

# item[].code[].display
MDS v3.0 - RAI v1.17.1 - Cognitive patterns [CMS Assessment]

# item[].item[].code[].display
Brief interview for mental status should be conducted

# item[].item[].text
Should Brief Interview for Mental Status be Conducted? Attempt to conduct interview with all {patients/residents}

# item[].item[].answerOption[].valueCoding.display
No (resident is rarely/never understood)

# item[].item[].text
Repetition of Three Words - Ask {patient/resident}: "I am going to say three words for you to remember. Please repeat the words after I have said all three. The words are: sock, blue, and bed. Now tell me the three words." Number of words repeated after first attempt

# item[].item[].code[].display
Brief interview for mental status - summary score BIMS

# item[].item[].text
BIMS Summary Score. Add scores for {Brief Interview for Mental Status questions} and fill in total score (00-15). Enter 99 if the {patient/resident} was unable to complete the interview

# item[].item[].code[].display
Should staff assessment for mental status be conducted

# item[].item[].text
Should the Staff Assessment for Mental Status be Conducted?

# item[].item[].answerOption[].valueCoding.display
No (resident was able to complete Brief Interview for Mental Status)

# item[].item[].answerOption[].valueCoding.display
No ({patient/resident} was able to complete Brief Interview for Mental Status)

# item[].item[].answerOption[].valueCoding.display
Yes (resident was unable to complete Brief Interview for Mental Status)

# item[].item[].answerOption[].valueCoding.display
Yes ({patient/resident} was unable to complete Brief Interview for Mental Status)

# item[].item[].text
Short-term Memory OK. Seems or appears to recall after 5 minutes

# item[].item[].text
Long-term Memory OK. Seems or appears to recall long past

# item[].item[].code[].display
Cognitive skills for daily decision making in last 7D

# item[].item[].text
Cognitive Skills for Daily Decision Making. Made decisions regarding tasks of daily life

# item[].item[].answerOption[].valueCoding.display
Modified independence - some difficulty in new situations only

# item[].item[].answerOption[].valueCoding.display
Modified independence - some difficulty in new situations only

# item[].item[].answerOption[].valueCoding.display
Moderately impaired - decisions poor; cues/supervision required

# item[].item[].answerOption[].valueCoding.display
Moderately impaired - decisions poor; cues/supervision required

# item[].item[].answerOption[].valueCoding.display
Severely impaired - never/rarely made decisions

# item[].item[].answerOption[].valueCoding.display
Severely impaired - never/rarely made decisions

# item[].item[].code[].display
Temporal orientation (orientation to year, month, and day) BIMS

# item[].item[].text
BIMS: Temporal Orientation (orientation to year, month, and day)

# item[].item[].item[].code[].display
Temporal orientation - current year BIMS

# item[].item[].item[].text
Ask {patient/resident}: "Please tell me what year it is right now." Able to report correct year

# item[].item[].item[].code[].display
Temporal orientation - current month BIMS

# item[].item[].item[].text
Ask {patient/resident}: "What month are we in right now?" Able to report correct month

# item[].item[].item[].code[].display
Temporal orientation - current day of the week BIMS

# item[].item[].item[].text
Ask {patient/resident}: "What day of the week is today?" Able to report correct day of the week

# item[].item[].text
Recall. Ask {patient/resident}: "Let's go back to an earlier question. What were those three words that I asked you to repeat?" If unable to remember a word, give cue (something to wear; a color; a piece of furniture) for that word.

# item[].item[].item[].answerOption[].valueCoding.display
Yes, after cueing ("a piece of furniture")

# item[].item[].item[].answerOption[].valueCoding.display
Yes, after cueing ("a piece of furniture")

# item[].item[].code[].display
MDS v3.0 - RAI v1.17.1 - Signs and symptoms of delirium (from CAM)

# item[].item[].text
Signs and Symptoms of Delirium (from CAM©). Code after completing Brief Interview for Mental Status or Staff Assessment, and reviewing medical record

# item[].item[].item[].text
Acute Onset Mental Status Change. Is there evidence of an acute change in mental status from the {patient's/resident's} baseline?

# item[].item[].item[].text
Inattention - Did the {patient/resident} have difficulty focusing attention, for example, being easily distractible or having difficulty keeping track of what was being said?

# item[].item[].item[].answerOption[].valueCoding.display
Behavior present, fluctuates (comes and goes, changes in severity)

# item[].item[].item[].answerOption[].valueCoding.display
Behavior present, fluctuates (comes and goes, changes in severity)

# item[].item[].item[].answerOption[].valueCoding.display
Behavior continuously present, does not fluctuate

# item[].item[].item[].answerOption[].valueCoding.display
Behavior continuously present, does not fluctuate

# item[].item[].item[].text
Disorganized Thinking - Was the {patient's/resident's} thinking disorganized or incoherent (rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject)?

# item[].item[].item[].answerOption[].valueCoding.display
Behavior present, fluctuates (comes and goes, changes in severity)

# item[].item[].item[].answerOption[].valueCoding.display
Behavior present, fluctuates (comes and goes, changes in severity)

# item[].item[].item[].answerOption[].valueCoding.display
Behavior continuously present, does not fluctuate

# item[].item[].item[].answerOption[].valueCoding.display
Behavior continuously present, does not fluctuate

# item[].item[].item[].code[].display
Altered level of consciousness in last 7D

# item[].item[].item[].text
Altered Level of Consciousness - Did the {patient/resident} have altered level of consciousness, as indicated by any of the following criteria? vigilant - startled easily to any sound or touch, lethargic - repeatedly dozed off when being asked questions, but responded to voice or touch, stuporous - very difficult to arouse and keep aroused for the interview, comatose - could not be aroused

# item[].item[].item[].answerOption[].valueCoding.display
Behavior present, fluctuates (comes and goes, changes in severity)

# item[].item[].item[].answerOption[].valueCoding.display
Behavior present, fluctuates (comes and goes, changes in severity)

# item[].item[].item[].answerOption[].valueCoding.display
Behavior continuously present, does not fluctuate

# item[].item[].item[].answerOption[].valueCoding.display
Behavior continuously present, does not fluctuate

# item[].item[].code[].display
Memory &or recall ability in the last 7D

# item[].item[].text
Memory/Recall Ability: Check all that the {patient/resident} was normally able to recall

# item[].item[].answerOption[].valueCoding.display
That he or she is in a nursing home/hospital swing bed

# item[].item[].answerOption[].valueCoding.display
That he or she is in a nursing home/hospital swing bed

# item[].code[].display
MDS v3.0 - RAI v1.17.1 - Mood [CMS Assessment]

# item[].item[].code[].display
Should resident mood interview be conducted

# item[].item[].text
Should {Patient/Resident} Mood Interview be Conducted? - Attempt to conduct interview with all {patients/residents}

# item[].item[].answerOption[].valueCoding.display
No (resident is rarely/never understood)

# item[].item[].text
Total Severity Score. Add scores for all frequency responses in Column 2, Symptom Frequency. Total score must be between 00 and 27. Enter 99 if unable to complete interview (i.e., Symptom Frequency is blank for 3 or more items).

# item[].item[].code[].display
Staff assessment of resident mood total severity scoreObserved.PHQ-9

# item[].item[].text
Total Severity Score. Add scores for all frequency responses in Column 2, Symptom Frequency. Total score must be between 00 and 30.

# item[].item[].text
{Patient/Resident} Mood Interview (PHQ-9). Say to {patient/resident}: "Over the last 2 weeks, have you been bothered by any of the following problems?"

# item[].item[].item[].code[].display
Little interest or pleasure in doing things in last 2W.presence

# item[].item[].item[].text
Little interest or pleasure in doing things - Symptom Presence

# item[].item[].item[].code[].display
Little interest or pleasure in doing things in last 2W.frequency

# item[].item[].item[].text
Little interest or pleasure in doing things - Symptom Frequency

# item[].item[].item[].code[].display
Feeling down, depressed or hopeless in last 2W.presence

# item[].item[].item[].text
Feeling down, depressed, or hopeless - Symptom Presence

# item[].item[].item[].code[].display
Feeling down, depressed or hopeless in last 2W.frequency

# item[].item[].item[].text
Feeling down, depressed, or hopeless - Symptom Frequency

# item[].item[].item[].code[].display
Trouble falling or staying asleep, or sleeping too much in last 2W.presence

# item[].item[].item[].text
Trouble falling or staying asleep, or sleeping too much - Symptom Presence

# item[].item[].item[].code[].display
Trouble falling or staying asleep, or sleeping too much in last 2W.frequency

# item[].item[].item[].text
Trouble falling or staying asleep, or sleeping too much - Symptom Frequency

# item[].item[].item[].code[].display
Feeling tired or having little energy in last 2W.presence

# item[].item[].item[].text
Feeling tired or having little energy - Symptom Presence

# item[].item[].item[].code[].display
Feeling tired or having little energy in last 2W.frequency

# item[].item[].item[].text
Feeling tired or having little energy - Symptom Frequency

# item[].item[].item[].code[].display
Poor appetite or overeating in last 2W.presence

# item[].item[].item[].text
Poor appetite or overeating - Symptom Presence

# item[].item[].item[].code[].display
Poor appetite or overeating in last 2W.frequency

# item[].item[].item[].text
Poor appetite or overeating - Symptom Frequency

# item[].item[].item[].code[].display
Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2W.presence

# item[].item[].item[].text
Feeling bad about yourself - or that you are a failure or have let yourself or your family down - Symptom Presence

# item[].item[].item[].code[].display
Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2W.frequency

# item[].item[].item[].text
Feeling bad about yourself - or that you are a failure or have let yourself or your family down - Symptom Frequency

# item[].item[].item[].code[].display
Trouble concentrating on things, such as reading the newspaper or watching television in last 2W.presence

# item[].item[].item[].text
Trouble concentrating on things, such as reading the newspaper or watching television - Symptom Presence

# item[].item[].item[].code[].display
Trouble concentrating on things, such as reading the newspaper or watching television in last 2W.frequency

# item[].item[].item[].text
Trouble concentrating on things, such as reading the newspaper or watching television - Symptom Frequency

# item[].item[].item[].code[].display
Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2W.presence

# item[].item[].item[].text
Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual - Symptom Presence

# item[].item[].item[].code[].display
Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2W.frequency

# item[].item[].item[].text
Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual - Symptom Frequency

# item[].item[].item[].code[].display
Thoughts that you would be better off dead, or of hurting yourself in some way in last 2W.presence

# item[].item[].item[].text
Thoughts that you would be better off dead, or hurting yourself in some way - Symptom Presence

# item[].item[].item[].code[].display
Thoughts that you would be better off dead, or of hurting yourself in some way in last 2W.frequency

# item[].item[].item[].text
Thoughts that you would be better off dead, or hurting yourself in some way - Symptom Frequency

# item[].item[].code[].display
Staff assessment of resident mood (PHQ-9-OV)

# item[].item[].text
Staff Assessment of {Patient/Resident} Mood (PHQ-9-OV*). Do not conduct if {Patient/Resident} Mood Interview was completed. Over the last 2 weeks, did the {patient/resident} have any of the following problems or behaviors?

# item[].item[].item[].code[].display
Little interest or pleasure in doing things in last 2W.presence.PHQ-9

# item[].item[].item[].text
Little interest or pleasure in doing things - Symptom Presence

# item[].item[].item[].code[].display
Little interest or pleasure in doing things in last 2W.frequency.PHQ-9

# item[].item[].item[].text
Little interest or pleasure in doing things - Symptom Frequency

# item[].item[].item[].code[].display
Feeling or appearing down, depressed or hopeless in last 2W.presence.PHQ-9

# item[].item[].item[].text
Feeling or appearing down, depressed, or hopeless - Symptom Presence

# item[].item[].item[].code[].display
Feeling or appearing down, depressed, or hopeless in last 2W.frequency.PHQ-9

# item[].item[].item[].text
Feeling or appearing down, depressed, or hopeless - Symptom Frequency

# item[].item[].item[].code[].display
Trouble falling or staying asleep, or sleeping too much in last 2W.presence.PHQ-9

# item[].item[].item[].text
Trouble falling or staying asleep, or sleeping too much - Symptom Presence

# item[].item[].item[].code[].display
Trouble falling or staying asleep, or sleeping too much in last 2W.frequency.PHQ-9

# item[].item[].item[].text
Trouble falling or staying asleep, or sleeping too much - Symptom Frequency

# item[].item[].item[].code[].display
Feeling tired or having little energy in last 2W.presence.PHQ-9

# item[].item[].item[].text
Feeling tired or having little energy - Symptom Presence

# item[].item[].item[].code[].display
Feeling tired or having little energy in last 2W.frequency.PHQ-9

# item[].item[].item[].text
Feeling tired or having little energy - Symptom Frequency

# item[].item[].item[].code[].display
Poor appetite or overeating in last 2W.presence.PHQ-9

# item[].item[].item[].text
Poor appetite or overeating - Symptom Presence

# item[].item[].item[].code[].display
Poor appetite or overeating in last 2W.frequency.PHQ-9

# item[].item[].item[].text
Poor appetite or overeating - Symptom Frequency

# item[].item[].item[].code[].display
Indicating that (s)he feels bad about self, is a failure, or has let self or family down in last 2W.presence.PHQ-9

# item[].item[].item[].text
Indicating that s/he feels bad about self, is a failure, or has let self or family down - Symptom Presence

# item[].item[].item[].code[].display
Indicating that (s)he feels bad about self, is a failure, or has let self or family down in last 2W.frequency.PHQ-9

# item[].item[].item[].text
Indicating that s/he feels bad about self, is a failure, or has let self or family down - Symptom Frequency

# item[].item[].item[].code[].display
Trouble concentrating on things, such as reading the newspaper or watching television in last 2W.presence.PHQ-9

# item[].item[].item[].text
Trouble concentrating on things, such as reading the newspaper or watching television - Symptom Presence

# item[].item[].item[].code[].display
Trouble concentrating on things, such as reading the newspaper or watching television in last 2W.frequency.PHQ-9

# item[].item[].item[].text
Trouble concentrating on things, such as reading the newspaper or watching television - Symptom Frequency

# item[].item[].item[].code[].display
Moving or speaking so slowly that other people have noticed. Or the opposite - being so fidgety or restless that (s)he has been moving around a lot more than usual in last 2W.presence.PHQ-9

# item[].item[].item[].text
Moving or speaking so slowly that other people have noticed. Or the opposite - being so fidgety or restless that s/he has been moving around a lot more than usual - Symptom Presence

# item[].item[].item[].code[].display
Moving or speaking so slowly that other people have noticed. Or the opposite - being so fidgety or restless that (s)he has been moving around a lot more than usual in last 2W.frequency.PHQ-9

# item[].item[].item[].text
Moving or speaking so slowly that other people have noticed. Or the opposite - being so fidgety or restless that s/he has been moving around a lot more than usual - Symptom Frequency

# item[].item[].item[].code[].display
States that life isn't worth living, wishes for death, or attempts to harm self in last 2W.presence.PHQ-9

# item[].item[].item[].text
States that life isn't worth living, wishes for death, or attempts to harm self - Symptom Presence

# item[].item[].item[].code[].display
States that life isn't worth living, wishes for death, or attempts to harm self in last 2W.frequency.PHQ-9

# item[].item[].item[].text
States that life isn't worth living, wishes for death, or attempts to harm self - Symptom Frequency

# item[].item[].item[].code[].display
Being short-tempered, easily annoyed in last 2W.presence.PHQ-9

# item[].item[].item[].text
Being short tempered, easily annoyed - Symptom Presence

# item[].item[].item[].code[].display
Being short-tempered, easily annoyed in last 2W.frequency.PHQ-9

# item[].item[].item[].text
Being short tempered, easily annoyed - Symptom Frequency

# item[].item[].code[].display
Overall presence of behavioral symptoms in last 7D

# item[].item[].text
Overall Presence of Behavioral Symptoms. Were any behavioral symptoms in {Behavioral Symptom question} coded 1, 2, or 3?

# item[].item[].code[].display
Rejection of care - presence and frequency in last 7D

# item[].item[].text
Rejection of Care - Presence & Frequency. Did the {patient/resident} reject evaluation or care (e.g., bloodwork, taking medications, ADL assistance) that is necessary to achieve the {patient's/resident's} goals for health and well-being? Do not include behaviors that have already been addressed (e.g., by discussion or care planning with the {patient/resident} or family), and determined to be consistent with {patient/resident} values, preferences, or goals.

# item[].item[].answerOption[].valueCoding.display
Behavior of this type occurred 1 to 3 days

# item[].item[].answerOption[].valueCoding.display
Behavior of this type occurred 1 to 3 days

# item[].item[].answerOption[].valueCoding.display
Behavior of this type occurred 4 to 6 days, but less than daily

# item[].item[].answerOption[].valueCoding.display
Behavior of this type occurred 4 to 6 days, but less than daily

# item[].item[].code[].display
Wandering - presence and frequency in last 7D

# item[].item[].text
Wandering - Presence & Frequency. Has the {patient/resident} wandered?

# item[].item[].answerOption[].valueCoding.display
Behavior of this type occurred 1 to 3 days

# item[].item[].answerOption[].valueCoding.display
Behavior of this type occurred 1 to 3 days

# item[].item[].answerOption[].valueCoding.display
Behavior of this type occurred 4 to 6 days, but less than daily

# item[].item[].answerOption[].valueCoding.display
Behavior of this type occurred 4 to 6 days, but less than daily

# item[].item[].code[].display
Change in behavioral or other symptoms in last 7D

# item[].item[].text
Change in Behavior or Other Symptoms. Consider all of the symptoms assessed in {Behavior section}. How does {patient's/resident's} current behavior status, care rejection, or wandering compare to prior assessment?

# item[].item[].code[].display
Behavioral symptom - presence & frequency

# item[].item[].text
Behavioral Symptom - Presence & Frequency. Note presence of symptoms and their frequency

# item[].item[].item[].code[].display
Physical behavioral symptoms directed toward others in last 7D

# item[].item[].item[].text
Physical behavioral symptoms directed towards others (e. g., hitting, kicking, pushing, scratching, grabbing, abusing others sexually)

# item[].item[].item[].answerOption[].valueCoding.display
Behavior of this type occurred 1 to 3 days

# item[].item[].item[].answerOption[].valueCoding.display
Behavior of this type occurred 1 to 3 days

# item[].item[].item[].answerOption[].valueCoding.display
Behavior of this type occurred 4 to 6 days, but less than daily

# item[].item[].item[].answerOption[].valueCoding.display
Behavior of this type occurred 4 to 6 days, but less than daily

# item[].item[].item[].code[].display
Verbal behavioral symptoms directed toward others in last 7D

# item[].item[].item[].text
Verbal behavioral symptoms directed toward others (e.g., threatening others, screaming at others, cursing at others)

# item[].item[].item[].answerOption[].valueCoding.display
Behavior of this type occurred 1 to 3 days

# item[].item[].item[].answerOption[].valueCoding.display
Behavior of this type occurred 1 to 3 days

# item[].item[].item[].answerOption[].valueCoding.display
Behavior of this type occurred 4 to 6 days, but less than daily

# item[].item[].item[].answerOption[].valueCoding.display
Behavior of this type occurred 4 to 6 days, but less than daily

# item[].item[].item[].code[].display
Other behavioral symptoms not directed toward others in last 7D

# item[].item[].item[].text
Other behavioral symptoms not directed at others (e.g., physical symptoms such as hitting or scratching self, pacing, rummaging, public sexual acts, disrobing in public, throwing or smearing food or bodily wastes, or verbal/vocal symptoms like screaming, disruptive sounds)

# item[].item[].item[].answerOption[].valueCoding.display
Behavior of this type occurred 1 to 3 days

# item[].item[].item[].answerOption[].valueCoding.display
Behavior of this type occurred 1 to 3 days

# item[].item[].item[].answerOption[].valueCoding.display
Behavior of this type occurred 4 to 6 days, but less than daily

# item[].item[].item[].answerOption[].valueCoding.display
Behavior of this type occurred 4 to 6 days, but less than daily

# item[].item[].text
Impact on {Patient/Resident}. Did any of the identified symptom(s):

# item[].item[].item[].code[].display
Put the resident at significant risk for physical illness or injury in last 7D

# item[].item[].item[].text
Put the {patient/resident} at significant risk for physical illness or injury?

# item[].item[].item[].code[].display
Significantly interfere with the resident's care in last 7D

# item[].item[].item[].code[].display
Significantly interfere with the resident's participation in activities or social interactions in last 7D

# item[].item[].item[].text
Significantly interfere with the {patient's/resident's} participation in activities or social interactions?

# item[].item[].text
Impact on Others. Did any of the identified symptom(s):

# item[].item[].item[].code[].display
Put others at significant risk for physical injury in last 7D

# item[].item[].item[].text
Put others at significant risk for physical injury?

# item[].item[].item[].code[].display
Significantly intrude on the privacy or activity of others in last 7D

# item[].item[].item[].text
Significantly intrude on the privacy or activity of others?

# item[].item[].item[].code[].display
Significantly disrupt care or living environment in last 7D

# item[].item[].item[].text
Significantly disrupt care or living environment?

# item[].item[].item[].code[].display
Wandering places resident at significant risk of getting to a potentially dangerous place in last 7D

# item[].item[].item[].text
Does the wandering place the {patient/resident} at significant risk of getting to a potentially dangerous place (e.g., stairs, outside of the facility)?

# item[].item[].item[].code[].display
Wandering significantly intrudes on the privacy or activities of others in last 7D

# item[].item[].item[].text
Does the wandering significantly intrude on the privacy or activities of others?

# item[].item[].code[].display
Potential indicators of psychosis in last 7D

# item[].item[].text
Potential Indicators of Psychosis: Check all that apply

# item[].item[].answerOption[].valueCoding.display
Hallucinations (perceptual experiences in the absence of real external sensory stimuli)

# item[].item[].answerOption[].valueCoding.display
Hallucinations (perceptual experiences in the absence of real external sensory stimuli)

# item[].item[].answerOption[].valueCoding.display
Delusions (misconceptions or beliefs that are firmly held, contrary to reality)

# item[].item[].answerOption[].valueCoding.display
Delusions (misconceptions or beliefs that are firmly held, contrary to reality)

# item[].code[].display
Preferences for customary routine and activities [CMS Assessment]

# item[].text
Section F: Preferences for Customary Routine and Activities

# item[].item[].code[].display
Interview for daily and activity preferences should be conducted

# item[].item[].text
Should Interview for Daily and Activity Preferences be Conducted? Attempt to interview all {patients/residents} able to communicate. If {patient/resident} is unable to complete, attempt to complete interview with family member or significant other

# item[].item[].answerOption[].valueCoding.display
No (resident is rarely/never understood and family/significant other not available)

# item[].item[].answerOption[].valueCoding.display
No ({patient/resident} is rarely/never understood and family/significant other not available)

# item[].item[].code[].display
Primary respondent for daily and activity preferences

# item[].item[].text
Daily and Activity Preferences Primary Respondent. Indicate primary respondent for Daily and Activity Preferences

# item[].item[].answerOption[].valueCoding.display
Family or significant other (close friend or other representative)

# item[].item[].answerOption[].valueCoding.display
Family or significant other (close friend or other representative)

# item[].item[].answerOption[].valueCoding.display
Interview could not be completed by resident or family/significant other ("No response" to 3 or more items)

# item[].item[].answerOption[].valueCoding.display
Interview could not be completed by {patient/resident} or family/significant other ("No response" to 3 or more items)

# item[].item[].code[].display
Staff assessment of daily and activity preferences should be conducted

# item[].item[].text
Should the Staff Assessment of Daily and Activity Preferences be Conducted?

# item[].item[].answerOption[].valueCoding.display
No (because Interview for Daily and Activity Preferences (F0400 and F0500) was completed by resident or family/significant other)

# item[].item[].answerOption[].valueCoding.display
No (because Interview for Daily and Activity Preferences was completed by {patient/resident} or family/significant other)

# item[].item[].answerOption[].valueCoding.display
Yes (because 3 or more items in Interview for Daily and Activity Preferences (F0400 and F0500) were not completed by resident or family/significant other)

# item[].item[].answerOption[].valueCoding.display
Yes (because 3 or more items in Interview for Daily and Activity Preferences were not completed by {patient/resident} or family/significant other)

# item[].item[].text
Interview for Daily Preferences. Show {patient/resident} the response options and say: "While you are in this {facility/setting}..."

# item[].item[].item[].code[].display
How important it is to choose what clothes to wear while in this facility

# item[].item[].item[].text
how important is it to you to choose what clothes to wear?

# item[].item[].item[].code[].display
How important it is to take care of your personal belongings or things while in this facility

# item[].item[].item[].text
how important is it to you to take care of your personal belongings or things?

# item[].item[].item[].code[].display
How important it is to choose between a tub bath, shower, bed bath, or sponge bath while in this facility

# item[].item[].item[].text
how important is it to you to choose between a tub bath, shower, bed bath, or sponge bath?

# item[].item[].item[].code[].display
How important it is to have snacks available between meals while in this facility

# item[].item[].item[].text
how important is it to you to have snacks available between meals?

# item[].item[].item[].code[].display
How important it is to choose your own bedtime while in this facility

# item[].item[].item[].text
how important is it to you to choose your own bedtime?

# item[].item[].item[].code[].display
How important it is to have your family or a close friend involved in discussions about your care while in this facility

# item[].item[].item[].text
how important is it to you to have your family or a close friend involved in discussions about your care?

# item[].item[].item[].code[].display
How important it is to be able to use the phone in private while in this facility

# item[].item[].item[].text
how important is it to you to be able to use the phone in private?

# item[].item[].item[].code[].display
How important it is to have a place to lock your things to keep them safe while in this facility

# item[].item[].item[].text
how important is it to you to have a place to lock your things to keep them safe?

# item[].item[].text
Interview for Activity Preferences: Show {patient/resident} the response options and say: "While you are in this {facility/setting}..."

# item[].item[].item[].code[].display
How important it is to have books, newspapers, and magazines to read while in this facility

# item[].item[].item[].text
how important is it to you to have books, newspapers, and magazines to read?

# item[].item[].item[].code[].display
How important it is to listen to music you like while in this facility

# item[].item[].item[].text
how important is it to you to listen to music you like?

# item[].item[].item[].code[].display
How important it is to be around animals such as pets while in this facility

# item[].item[].item[].text
how important is it to you to be around animals such as pets?

# item[].item[].item[].code[].display
How important it is to keep up with the news while in this facility

# item[].item[].item[].text
how important is it to you to keep up with the news?

# item[].item[].item[].code[].display
How important it is to do things with groups of people while in this facility

# item[].item[].item[].text
how important is it to you to do things with groups of people?

# item[].item[].item[].code[].display
How important it is to do your favorite activities while in this facility

# item[].item[].item[].text
how important is it to you to do your favorite activities?

# item[].item[].item[].code[].display
How important it is to go outside to get fresh air when the weather is good while in this facility

# item[].item[].item[].text
how important is it to you to go outside to get fresh air when the weather is good?

# item[].item[].item[].code[].display
How important it is to participate in religious services or practices while in this facility

# item[].item[].item[].text
how important is it to you to participate in religious services or practices?

# item[].item[].code[].display
Staff assessment of daily and activity preferences

# item[].item[].text
Staff Assessment of Daily and Activity Preferences. Do not conduct if Interview for Daily and Activity Preferences was completed. {Patient/Resident} Prefers: Check all that apply

# item[].item[].answerOption[].valueCoding.display
Family or significant other involvement in care discussions

# item[].item[].answerOption[].valueCoding.display
Family or significant other involvement in care discussions

# item[].item[].answerOption[].valueCoding.display
Spending time away from the nursing home

# item[].item[].answerOption[].valueCoding.display
Spending time away from the nursing home

# item[].item[].answerOption[].valueCoding.display
Participating in religious activities or practices

# item[].item[].answerOption[].valueCoding.display
Participating in religious activities or practices

# item[].item[].code[].display
MDS v3.0 - RAI v1.17.1 - Activities of daily living (ADL) assistance - self-performance

# item[].item[].text
Activities of Daily Living (ADL) Assistance. Refer to the ADL flow chart in the {manual} to facilitate accurate coding

# item[].item[].item[].code[].display
Bed mobility - self-performance during 7D assessment period

# item[].item[].item[].text
Bed mobility - how {patient/resident} moves to and from lying position, turns side to side, and positions body while in bed or alternate sleep furniture - Self-Performance

# item[].item[].item[].answerOption[].valueCoding.display
Activity did not occur - activity did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Activity did not occur - activity did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Extensive assistance - resident involved in activity, staff provide weight-bearing support

# item[].item[].item[].answerOption[].valueCoding.display
Extensive assistance - {patient/resident} involved in activity, staff provide weight-bearing support

# item[].item[].item[].answerOption[].valueCoding.display
Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance

# item[].item[].item[].answerOption[].valueCoding.display
Limited assistance - {patient/resident} highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance

# item[].item[].item[].answerOption[].valueCoding.display
Activity occurred only once or twice - activity did occur but only once or twice

# item[].item[].item[].answerOption[].valueCoding.display
Activity occurred only once or twice - activity did occur but only once or twice

# item[].item[].item[].answerOption[].valueCoding.display
Independent - no help or staff oversight at any time

# item[].item[].item[].answerOption[].valueCoding.display
Independent - no help or staff oversight at any time

# item[].item[].item[].answerOption[].valueCoding.display
Supervision - oversight, encouragement or cueing

# item[].item[].item[].answerOption[].valueCoding.display
Supervision - oversight, encouragement or cueing

# item[].item[].item[].answerOption[].valueCoding.display
Total dependence - full staff performance every time during entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Total dependence - full staff performance every time during entire 7-day period

# item[].item[].item[].code[].display
Bed mobility - support provided during 7D assessment period

# item[].item[].item[].text
Bed mobility - how {patient/resident} moves to and from lying position, turns side to side, and positions body while in bed or alternate sleep furniture - Support

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].code[].display
Transfer - self-performance during 7D assessment period

# item[].item[].item[].text
Transfer - how {patient/resident} moves between surfaces including to or from: bed, chair, wheelchair, standing position (excludes to/from bath/toilet) - Self-Performance

# item[].item[].item[].answerOption[].valueCoding.display
Activity did not occur - activity did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Activity did not occur - activity did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Extensive assistance - resident involved in activity, staff provide weight-bearing support

# item[].item[].item[].answerOption[].valueCoding.display
Extensive assistance - {patient/resident} involved in activity, staff provide weight-bearing support

# item[].item[].item[].answerOption[].valueCoding.display
Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance

# item[].item[].item[].answerOption[].valueCoding.display
Limited assistance - {patient/resident} highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance

# item[].item[].item[].answerOption[].valueCoding.display
Activity occurred only once or twice - activity did occur but only once or twice

# item[].item[].item[].answerOption[].valueCoding.display
Activity occurred only once or twice - activity did occur but only once or twice

# item[].item[].item[].answerOption[].valueCoding.display
Independent - no help or staff oversight at any time

# item[].item[].item[].answerOption[].valueCoding.display
Independent - no help or staff oversight at any time

# item[].item[].item[].answerOption[].valueCoding.display
Supervision - oversight, encouragement or cueing

# item[].item[].item[].answerOption[].valueCoding.display
Supervision - oversight, encouragement or cueing

# item[].item[].item[].answerOption[].valueCoding.display
Total dependence - full staff performance every time during entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Total dependence - full staff performance every time during entire 7-day period

# item[].item[].item[].code[].display
Transfer - support provided during 7D assessment period

# item[].item[].item[].text
Transfer - how {patient/resident} moves between surfaces including to or from: bed, chair, wheelchair, standing position (excludes to/from bath/toilet) - Support

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].code[].display
Walk in room - self-performance during 7D assessment period

# item[].item[].item[].text
Walk in room - how {patient/resident} walks between locations in his/her room - Self-Performance

# item[].item[].item[].answerOption[].valueCoding.display
Activity did not occur - activity did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Activity did not occur - activity did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Extensive assistance - resident involved in activity, staff provide weight-bearing support

# item[].item[].item[].answerOption[].valueCoding.display
Extensive assistance - {patient/resident} involved in activity, staff provide weight-bearing support

# item[].item[].item[].answerOption[].valueCoding.display
Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance

# item[].item[].item[].answerOption[].valueCoding.display
Limited assistance - {patient/resident} highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance

# item[].item[].item[].answerOption[].valueCoding.display
Activity occurred only once or twice - activity did occur but only once or twice

# item[].item[].item[].answerOption[].valueCoding.display
Activity occurred only once or twice - activity did occur but only once or twice

# item[].item[].item[].answerOption[].valueCoding.display
Independent - no help or staff oversight at any time

# item[].item[].item[].answerOption[].valueCoding.display
Independent - no help or staff oversight at any time

# item[].item[].item[].answerOption[].valueCoding.display
Supervision - oversight, encouragement or cueing

# item[].item[].item[].answerOption[].valueCoding.display
Supervision - oversight, encouragement or cueing

# item[].item[].item[].answerOption[].valueCoding.display
Total dependence - full staff performance every time during entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Total dependence - full staff performance every time during entire 7-day period

# item[].item[].item[].code[].display
Walk in room - support provided during 7D assessment period

# item[].item[].item[].text
Walk in room - how {patient/resident} walks between locations in his/her room - Support

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].code[].display
Walk in corridor - self-performance during 7D assessment period

# item[].item[].item[].text
Walk in corridor - how {patient/resident} walks in corridor on unit - Self-Performance

# item[].item[].item[].answerOption[].valueCoding.display
Activity did not occur - activity did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Activity did not occur - activity did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Extensive assistance - resident involved in activity, staff provide weight-bearing support

# item[].item[].item[].answerOption[].valueCoding.display
Extensive assistance - {patient/resident} involved in activity, staff provide weight-bearing support

# item[].item[].item[].answerOption[].valueCoding.display
Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance

# item[].item[].item[].answerOption[].valueCoding.display
Limited assistance - {patient/resident} highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance

# item[].item[].item[].answerOption[].valueCoding.display
Activity occurred only once or twice - activity did occur but only once or twice

# item[].item[].item[].answerOption[].valueCoding.display
Activity occurred only once or twice - activity did occur but only once or twice

# item[].item[].item[].answerOption[].valueCoding.display
Independent - no help or staff oversight at any time

# item[].item[].item[].answerOption[].valueCoding.display
Independent - no help or staff oversight at any time

# item[].item[].item[].answerOption[].valueCoding.display
Supervision - oversight, encouragement or cueing

# item[].item[].item[].answerOption[].valueCoding.display
Supervision - oversight, encouragement or cueing

# item[].item[].item[].answerOption[].valueCoding.display
Total dependence - full staff performance every time during entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Total dependence - full staff performance every time during entire 7-day period

# item[].item[].item[].code[].display
Walk in corridor - support provided during 7D assessment period

# item[].item[].item[].text
Walk in corridor - how {patient/resident} walks in corridor on unit - Support

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].code[].display
Locomotion on unit - self-performance during 7D assessment period

# item[].item[].item[].text
Locomotion on unit - how {patient/resident} moves between locations in his/her room and adjacent corridor on same floor. If in wheelchair, self-sufficiency once in chair - Self-Performance

# item[].item[].item[].answerOption[].valueCoding.display
Activity did not occur - activity did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Activity did not occur - activity did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Extensive assistance - resident involved in activity, staff provide weight-bearing support

# item[].item[].item[].answerOption[].valueCoding.display
Extensive assistance - {patient/resident} involved in activity, staff provide weight-bearing support

# item[].item[].item[].answerOption[].valueCoding.display
Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance

# item[].item[].item[].answerOption[].valueCoding.display
Limited assistance - {patient/resident} highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance

# item[].item[].item[].answerOption[].valueCoding.display
Activity occurred only once or twice - activity did occur but only once or twice

# item[].item[].item[].answerOption[].valueCoding.display
Activity occurred only once or twice - activity did occur but only once or twice

# item[].item[].item[].answerOption[].valueCoding.display
Independent - no help or staff oversight at any time

# item[].item[].item[].answerOption[].valueCoding.display
Independent - no help or staff oversight at any time

# item[].item[].item[].answerOption[].valueCoding.display
Supervision - oversight, encouragement or cueing

# item[].item[].item[].answerOption[].valueCoding.display
Supervision - oversight, encouragement or cueing

# item[].item[].item[].answerOption[].valueCoding.display
Total dependence - full staff performance every time during entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Total dependence - full staff performance every time during entire 7-day period

# item[].item[].item[].code[].display
Locomotion on unit - support provided during 7D assessment period

# item[].item[].item[].text
Locomotion on unit - how {patient/resident} moves between locations in his/her room and adjacent corridor on same floor. If in wheelchair, self-sufficiency once in chair - Support

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].code[].display
Locomotion off unit - self-performance during 7D assessment period

# item[].item[].item[].text
Locomotion off unit - how {patient/resident} moves to and returns from off-unit locations (e.g., areas set aside for dining, activities or treatments). If {facility/setting} has only one floor, how {patient/resident} moves to and from distant areas on the floor. If in a wheelchair, self-sufficiency once in chair - Self-Performance

# item[].item[].item[].answerOption[].valueCoding.display
Activity did not occur - activity did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Activity did not occur - activity did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Extensive assistance - resident involved in activity, staff provide weight-bearing support

# item[].item[].item[].answerOption[].valueCoding.display
Extensive assistance - {patient/resident} involved in activity, staff provide weight-bearing support

# item[].item[].item[].answerOption[].valueCoding.display
Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance

# item[].item[].item[].answerOption[].valueCoding.display
Limited assistance - {patient/resident} highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance

# item[].item[].item[].answerOption[].valueCoding.display
Activity occurred only once or twice - activity did occur but only once or twice

# item[].item[].item[].answerOption[].valueCoding.display
Activity occurred only once or twice - activity did occur but only once or twice

# item[].item[].item[].answerOption[].valueCoding.display
Independent - no help or staff oversight at any time

# item[].item[].item[].answerOption[].valueCoding.display
Independent - no help or staff oversight at any time

# item[].item[].item[].answerOption[].valueCoding.display
Supervision - oversight, encouragement or cueing

# item[].item[].item[].answerOption[].valueCoding.display
Supervision - oversight, encouragement or cueing

# item[].item[].item[].answerOption[].valueCoding.display
Total dependence - full staff performance every time during entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Total dependence - full staff performance every time during entire 7-day period

# item[].item[].item[].code[].display
Locomotion off unit - support provided during 7D assessment period

# item[].item[].item[].text
Locomotion off unit - how {patient/resident} moves to and returns from off-unit locations (e.g., areas set aside for dining, activities or treatments). If {facility/setting} has only one floor, how {patient/resident} moves to and from distant areas on the floor. If in a wheelchair, self-sufficiency once in chair - Support

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].code[].display
Dressing - self-performance during 7D assessment period

# item[].item[].item[].text
Dressing - how {patient/resident} puts on, fastens and takes off all items of clothing, including donning/removing a prosthesis or TED hose. Dressing includes putting on and changing pajamas and housedresses - Self-Performance

# item[].item[].item[].answerOption[].valueCoding.display
Activity did not occur - activity did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Activity did not occur - activity did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Extensive assistance - resident involved in activity, staff provide weight-bearing support

# item[].item[].item[].answerOption[].valueCoding.display
Extensive assistance - {patient/resident} involved in activity, staff provide weight-bearing support

# item[].item[].item[].answerOption[].valueCoding.display
Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance

# item[].item[].item[].answerOption[].valueCoding.display
Limited assistance - {patient/resident} highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance

# item[].item[].item[].answerOption[].valueCoding.display
Activity occurred only once or twice - activity did occur but only once or twice

# item[].item[].item[].answerOption[].valueCoding.display
Activity occurred only once or twice - activity did occur but only once or twice

# item[].item[].item[].answerOption[].valueCoding.display
Independent - no help or staff oversight at any time

# item[].item[].item[].answerOption[].valueCoding.display
Independent - no help or staff oversight at any time

# item[].item[].item[].answerOption[].valueCoding.display
Supervision - oversight, encouragement or cueing

# item[].item[].item[].answerOption[].valueCoding.display
Supervision - oversight, encouragement or cueing

# item[].item[].item[].answerOption[].valueCoding.display
Total dependence - full staff performance every time during entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Total dependence - full staff performance every time during entire 7-day period

# item[].item[].item[].code[].display
Dressing - support provided during 7D assessment period

# item[].item[].item[].text
Dressing - how {patient/resident} puts on, fastens and takes off all items of clothing, including donning/removing a prosthesis or TED hose. Dressing includes putting on and changing pajamas and housedresses - Support

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].code[].display
Eating - self-performance during 7D assessment period

# item[].item[].item[].text
Eating - how {patient/resident} eats and drinks, regardless of skill. Do not include eating/drinking during medication pass. Includes intake of nourishment by other means (e.g., tube feeding, total parental nutrition, IV fluids administered for nutrition or hydration) - Self-Performance

# item[].item[].item[].answerOption[].valueCoding.display
Activity did not occur - activity did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Activity did not occur - activity did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Extensive assistance - resident involved in activity, staff provide weight-bearing support

# item[].item[].item[].answerOption[].valueCoding.display
Extensive assistance - {patient/resident} involved in activity, staff provide weight-bearing support

# item[].item[].item[].answerOption[].valueCoding.display
Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance

# item[].item[].item[].answerOption[].valueCoding.display
Limited assistance - {patient/resident} highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance

# item[].item[].item[].answerOption[].valueCoding.display
Activity occurred only once or twice - activity did occur but only once or twice

# item[].item[].item[].answerOption[].valueCoding.display
Activity occurred only once or twice - activity did occur but only once or twice

# item[].item[].item[].answerOption[].valueCoding.display
Independent - no help or staff oversight at any time

# item[].item[].item[].answerOption[].valueCoding.display
Independent - no help or staff oversight at any time

# item[].item[].item[].answerOption[].valueCoding.display
Supervision - oversight, encouragement or cueing

# item[].item[].item[].answerOption[].valueCoding.display
Supervision - oversight, encouragement or cueing

# item[].item[].item[].answerOption[].valueCoding.display
Total dependence - full staff performance every time during entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Total dependence - full staff performance every time during entire 7-day period

# item[].item[].item[].code[].display
Eating - support provided during 7D assessment period

# item[].item[].item[].text
Eating - how {patient/resident} eats and drinks, regardless of skill. Do not include eating/drinking during medication pass. Includes intake of nourishment by other means (e.g., tube feeding, total parental nutrition, IV fluids administered for nutrition or hydration) - Support

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].code[].display
Toilet use - self-performance during 7D assessment period

# item[].item[].item[].text
Toilet use - how {patient/resident} uses the toilet room, commode, bedpan, or urinal; transfers on/off toilet; cleanses self after elimination; changes pad; manages ostomy or catheter; and adjusts clothes. Do not include emptying of bedpan, urinal, bedside commode, catheter bag or ostomy bag - Self-Performance

# item[].item[].item[].answerOption[].valueCoding.display
Activity did not occur - activity did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Activity did not occur - activity did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Extensive assistance - resident involved in activity, staff provide weight-bearing support

# item[].item[].item[].answerOption[].valueCoding.display
Extensive assistance - {patient/resident} involved in activity, staff provide weight-bearing support

# item[].item[].item[].answerOption[].valueCoding.display
Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance

# item[].item[].item[].answerOption[].valueCoding.display
Limited assistance - {patient/resident} highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance

# item[].item[].item[].answerOption[].valueCoding.display
Activity occurred only once or twice - activity did occur but only once or twice

# item[].item[].item[].answerOption[].valueCoding.display
Activity occurred only once or twice - activity did occur but only once or twice

# item[].item[].item[].answerOption[].valueCoding.display
Independent - no help or staff oversight at any time

# item[].item[].item[].answerOption[].valueCoding.display
Independent - no help or staff oversight at any time

# item[].item[].item[].answerOption[].valueCoding.display
Supervision - oversight, encouragement or cueing

# item[].item[].item[].answerOption[].valueCoding.display
Supervision - oversight, encouragement or cueing

# item[].item[].item[].answerOption[].valueCoding.display
Total dependence - full staff performance every time during entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Total dependence - full staff performance every time during entire 7-day period

# item[].item[].item[].code[].display
Toilet use - support provided during 7D assessment period

# item[].item[].item[].text
Toilet use - how {patient/resident} uses the toilet room, commode, bedpan, or urinal; transfers on/off toilet; cleanses self after elimination; changes pad; manages ostomy or catheter; and adjusts clothes. Do not include emptying of bedpan, urinal, bedside commode, catheter bag or ostomy bag - Support

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].code[].display
Personal hygiene - self-performance during 7D assessment period

# item[].item[].item[].text
Personal hygiene - how {patient/resident} maintains personal hygiene, including combing hair, brushing teeth, shaving, applying makeup, washing/drying face and hands (excludes baths and showers) - Self-Performance

# item[].item[].item[].answerOption[].valueCoding.display
Activity did not occur - activity did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Activity did not occur - activity did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Extensive assistance - resident involved in activity, staff provide weight-bearing support

# item[].item[].item[].answerOption[].valueCoding.display
Extensive assistance - {patient/resident} involved in activity, staff provide weight-bearing support

# item[].item[].item[].answerOption[].valueCoding.display
Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance

# item[].item[].item[].answerOption[].valueCoding.display
Limited assistance - {patient/resident} highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance

# item[].item[].item[].answerOption[].valueCoding.display
Activity occurred only once or twice - activity did occur but only once or twice

# item[].item[].item[].answerOption[].valueCoding.display
Activity occurred only once or twice - activity did occur but only once or twice

# item[].item[].item[].answerOption[].valueCoding.display
Independent - no help or staff oversight at any time

# item[].item[].item[].answerOption[].valueCoding.display
Independent - no help or staff oversight at any time

# item[].item[].item[].answerOption[].valueCoding.display
Supervision - oversight, encouragement or cueing

# item[].item[].item[].answerOption[].valueCoding.display
Supervision - oversight, encouragement or cueing

# item[].item[].item[].answerOption[].valueCoding.display
Total dependence - full staff performance every time during entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Total dependence - full staff performance every time during entire 7-day period

# item[].item[].item[].code[].display
Personal hygiene - support provided during 7D assessment period

# item[].item[].item[].text
Personal hygiene - how {patient/resident} maintains personal hygiene, including combing hair, brushing teeth, shaving, applying makeup, washing/drying face and hands (excludes baths and showers) - Support

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].text
Bathing. How {patient/resident} takes full-body bath/shower, sponge bath, and transfers in/out of tub/shower (excludes washing of back and hair). Code for most dependent in self-performance and support

# item[].item[].item[].code[].display
Bathing - self-performance during 7D assessment period

# item[].item[].item[].answerOption[].valueCoding.display
Physical help in part of bathing activity

# item[].item[].item[].answerOption[].valueCoding.display
Physical help in part of bathing activity

# item[].item[].item[].answerOption[].valueCoding.display
Activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
Activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].code[].display
Bathing - support provided during 7D assessment period

# item[].item[].item[].text
Bathing - Support provided. (Bathing support codes are as defined in {ADL question, column 2, ADL Support Provided})

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].item[].answerOption[].valueCoding.display
ADL activity itself did not occur or family and/or non-facility staff provided care 100% of the time for that activity over the entire 7-day period

# item[].item[].text
Balance During Transitions and Walking. After observing the {patient/resident}, code the following walking and transition items for most dependent.

# item[].item[].item[].code[].display
Moving from seated to standing position in last 7D

# item[].item[].item[].answerOption[].valueCoding.display
Not steady, but able to stabilize without staff assistance

# item[].item[].item[].answerOption[].valueCoding.display
Not steady, but able to stabilize without staff assistance

# item[].item[].item[].answerOption[].valueCoding.display
Not steady, only able to stabilize with staff assistance

# item[].item[].item[].answerOption[].valueCoding.display
Not steady, only able to stabilize with staff assistance

# item[].item[].item[].code[].display
Walking (with assistive device if used) in last 7D

# item[].item[].item[].answerOption[].valueCoding.display
Not steady, but able to stabilize without staff assistance

# item[].item[].item[].answerOption[].valueCoding.display
Not steady, but able to stabilize without staff assistance

# item[].item[].item[].answerOption[].valueCoding.display
Not steady, only able to stabilize with staff assistance

# item[].item[].item[].answerOption[].valueCoding.display
Not steady, only able to stabilize with staff assistance

# item[].item[].item[].code[].display
Turning around and facing the opposite direction while walking in last 7D

# item[].item[].item[].text
Turning around and facing the opposite direction while walking

# item[].item[].item[].answerOption[].valueCoding.display
Not steady, but able to stabilize without staff assistance

# item[].item[].item[].answerOption[].valueCoding.display
Not steady, but able to stabilize without staff assistance

# item[].item[].item[].answerOption[].valueCoding.display
Not steady, only able to stabilize with staff assistance

# item[].item[].item[].answerOption[].valueCoding.display
Not steady, only able to stabilize with staff assistance

# item[].item[].item[].answerOption[].valueCoding.display
Not steady, but able to stabilize without staff assistance

# item[].item[].item[].answerOption[].valueCoding.display
Not steady, but able to stabilize without staff assistance

# item[].item[].item[].answerOption[].valueCoding.display
Not steady, only able to stabilize with staff assistance

# item[].item[].item[].answerOption[].valueCoding.display
Not steady, only able to stabilize with staff assistance

# item[].item[].item[].text
Surface-to-surface transfer (transfer between bed and chair or wheelchair)

# item[].item[].item[].answerOption[].valueCoding.display
Not steady, but able to stabilize without staff assistance

# item[].item[].item[].answerOption[].valueCoding.display
Not steady, but able to stabilize without staff assistance

# item[].item[].item[].answerOption[].valueCoding.display
Not steady, only able to stabilize with staff assistance

# item[].item[].item[].answerOption[].valueCoding.display
Not steady, only able to stabilize with staff assistance

# item[].item[].code[].display
Functional limitation in range of motion in the last 7D

# item[].item[].text
Functional Limitation in Range of Motion. Code for limitation that interfered with daily functions or placed {patient/resident} at risk of injury

# item[].item[].item[].code[].display
Range of motion in the last 7D Upper extremity

# item[].item[].item[].text
Upper extremity (shoulder, elbow, wrist, hand)

# item[].item[].item[].code[].display
Range of motion in the last 7D Lower extremity

# item[].item[].item[].text
Lower extremity (hip, knee, ankle, foot)

# item[].item[].text
Functional Rehabilitation Potential. Complete only if {admission}

# item[].item[].item[].code[].display
Resident believes he or she is capable of increased independence in at least some ADLs

# item[].item[].item[].text
{Patient/Resident} believes he or she is capable of increased independence in at least some ADL's

# item[].item[].item[].code[].display
Direct care staff believe resident is capable of increased independence in at least some ADLs

# item[].item[].item[].text
Direct care staff believe {patient/resident} is capable of increased independence in at least some ADL's

# item[].item[].code[].display
Mobility devices normally used during 7D assessment period

# item[].item[].text
Mobility Devices: Check all that were normally used

# item[].code[].display
Functional abilities and goals - admission [CMS Assessment]

# item[].text
Section GG: Functional Abilities and Goals

# item[].item[].text
Prior Functioning: Everyday Activities. Indicate the {patient's/resident's} usual ability with everyday activities prior to the current illness, exacerbation, or injury

# item[].item[].item[].text
Indoor Mobility (Ambulation): Code the {patient's/resident's} need for assistance with walking from room to room (with or without a device such as cane, crutch, or walker) prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completed all the activities by him/herself, with or without an assistive device, with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Needed Some Help - Resident needed partial assistance from another person to complete activities.

# item[].item[].item[].answerOption[].valueCoding.display
Needed Some Help - {Patient/Resident} needed partial assistance from another person to complete any activities.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - A helper completed the activities for the resident.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - A helper completed all the activities for the {patient/resident}.

# item[].item[].item[].text
Self-Care: Code the {patient's/resident's} need for assistance with bathing, dressing, using the toilet, and eating prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completed all the activities by him/herself, with or without an assistive device, with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Needed Some Help - Resident needed partial assistance from another person to complete activities.

# item[].item[].item[].answerOption[].valueCoding.display
Needed Some Help - {Patient/Resident} needed partial assistance from another person to complete any activities.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - A helper completed the activities for the resident.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - A helper completed all the activities for the {patient/resident}.

# item[].item[].item[].text
Stairs: Code the {patient's/resident's} need for assistance with internal or external stairs (with or without a device such as cane, crutch or walker) prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completed all the activities by him/herself, with or without an assistive device, with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Needed Some Help - Resident needed partial assistance from another person to complete activities.

# item[].item[].item[].answerOption[].valueCoding.display
Needed Some Help - {Patient/Resident} needed partial assistance from another person to complete any activities.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - A helper completed the activities for the resident.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - A helper completed all the activities for the {patient/resident}.

# item[].item[].item[].text
Functional Cognition: Code the {patient's/resident's} need for assistance with planning regular tasks, such as shopping or remembering to take medication prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completed all the activities by him/herself, with or without an assistive device, with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Needed Some Help - Resident needed partial assistance from another person to complete activities.

# item[].item[].item[].answerOption[].valueCoding.display
Needed Some Help - {Patient/Resident} needed partial assistance from another person to complete any activities.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - A helper completed the activities for the resident.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - A helper completed all the activities for the {patient/resident}.

# item[].item[].text
Self-Care. Code the {patient's/resident's} usual performance at {admission} for each activity using the 6-point scale. If activity was not attempted at {admission}, code the reason. Code the {patient's/resident's} {discharge} goal(s) using the 6 point scale. Use of codes 07, 09, 10, or 88 is permissible to code {discharge} goal(s).

# item[].item[].item[].code[].display
Eating - functional ability during 3D assessment period

# item[].item[].item[].text
Eating: The ability to use suitable utensils to bring food and/or liquid to the mouth and swallow food and/or liquid once the meal is placed before the {patient/resident}. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Oral hygiene - functional ability during 3D assessment period

# item[].item[].item[].text
Oral hygiene: The ability to use suitable items to clean teeth. Dentures (if applicable): The ability to insert and remove dentures into and from the mouth, and manage denture soaking and rinsing with use of equipment. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Toileting hygiene - functional ability during 3D assessment period

# item[].item[].item[].text
Toileting hygiene: The ability to maintain perineal hygiene, adjust clothes before and after voiding or having a bowel movement. If managing an ostomy, include wiping the opening but not managing equipment. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Eating - functional ability during 3D assessment period

# item[].item[].item[].text
Eating: The ability to use suitable utensils to bring food and/or liquid to the mouth and swallow food and/or liquid once the meal is placed before the {patient/resident}. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Oral hygiene - functional ability during 3D assessment period

# item[].item[].item[].text
Oral hygiene: The ability to use suitable items to clean teeth. Dentures (if applicable): The ability to insert and remove dentures into and from the mouth, and manage denture soaking and rinsing with use of equipment. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Toileting hygiene - functional ability during 3D assessment period

# item[].item[].item[].text
Toileting hygiene: The ability to maintain perineal hygiene, adjust clothes before and after voiding or having a bowel movement. If managing an ostomy, include wiping the opening but not managing equipment. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Eating - functional goal recorded during 3D assessment period

# item[].item[].item[].text
Eating: The ability to use suitable utensils to bring food and/or liquid to the mouth and swallow food and/or liquid once the meal is placed before the {patient/resident}. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Oral hygiene - functional goal recorded during 3D assessment period

# item[].item[].item[].text
Oral hygiene: The ability to use suitable items to clean teeth. Dentures (if applicable): The ability to insert and remove dentures into and from the mouth, and manage denture soaking and rinsing with use of equipment. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Toileting hygiene - functional goal recorded during 3D assessment period

# item[].item[].item[].text
Toileting hygiene: The ability to maintain perineal hygiene, adjust clothes before and after voiding or having a bowel movement. If managing an ostomy, include wiping the opening but not managing equipment. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Shower &or bathe self - functional ability during 3D assessment period

# item[].item[].item[].text
Shower/bathe self: The ability to bathe self, including washing, rinsing, and drying self (excludes washing of back and hair). Does not include transferring in/out of tub/shower. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Upper body dressing - functional ability during 3D assessment period

# item[].item[].item[].text
Upper body dressing: The ability to dress and undress above the waist; including fasteners, if applicable. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Lower body dressing - functional ability during 3D assessment period

# item[].item[].item[].text
Lower body dressing: The ability to dress and undress below the waist, including fasteners; does not include footwear. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Putting on and taking off footwear - functional ability during 3D assessment period

# item[].item[].item[].text
Putting on/taking off footwear: The ability to put on and take off socks and shoes or other footwear that is appropriate for safe mobility; including fasteners, if applicable. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Shower &or bathe self - functional goal recorded during 3D assessment period

# item[].item[].item[].text
Shower/bathe self: The ability to bathe self, including washing, rinsing, and drying self (excludes washing of back and hair). Does not include transferring in/out of tub/shower. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Shower &or bathe self - functional ability during 3D assessment period

# item[].item[].item[].text
Shower/bathe self: The ability to bathe self, including washing, rinsing, and drying self (excludes washing of back and hair). Does not include transferring in/out of tub/shower. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Upper body dressing - functional goal recorded during 3D assessment period

# item[].item[].item[].text
Upper body dressing: The ability to dress and undress above the waist; including fasteners, if applicable. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Upper body dressing - functional ability during 3D assessment period

# item[].item[].item[].text
Upper body dressing: The ability to dress and undress above the waist; including fasteners, if applicable. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Lower body dressing - functional goal recorded during 3D assessment period

# item[].item[].item[].text
Lower body dressing: The ability to dress and undress below the waist, including fasteners; does not include footwear. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Lower body dressing - functional ability during 3D assessment period

# item[].item[].item[].text
Lower body dressing: The ability to dress and undress below the waist, including fasteners; does not include footwear. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Putting on and taking off footwear - functional goal recorded during 3D assessment period

# item[].item[].item[].text
Putting on/taking off footwear: The ability to put on and take off socks and shoes or other footwear that is appropriate for safe mobility; including fasteners, if applicable. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Putting on and taking off footwear - functional ability during 3D assessment period

# item[].item[].item[].text
Putting on/taking off footwear: The ability to put on and take off socks and shoes or other footwear that is appropriate for safe mobility; including fasteners, if applicable. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Eating - functional ability during 3D assessment period

# item[].item[].item[].text
Eating: The ability to use suitable utensils to bring food and/or liquid to the mouth and swallow food and/or liquid once the meal is placed before the {patient/resident}. - Interim Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Oral hygiene - functional ability during 3D assessment period

# item[].item[].item[].text
Oral hygiene: The ability to use suitable items to clean teeth. Dentures (if applicable): The ability to insert and remove dentures into and from the mouth, and manage denture soaking and rinsing with use of equipment. - Interim Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Toileting hygiene - functional ability during 3D assessment period

# item[].item[].item[].text
Toileting hygiene: The ability to maintain perineal hygiene, adjust clothes before and after voiding or having a bowel movement. If managing an ostomy, include wiping the opening but not managing equipment. - Interim Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].text
Mobility. Code the {patient's/resident's} usual performance at {admission} for each activity using the 6-point scale. If activity was not attempted at {admission}, code the reason. Code the {patient's/resident's} {discharge} goal(s) using the 6-point scale. Use of codes 07, 09, 10, or 88 is permissible to code {discharge} goal(s).

# item[].item[].item[].code[].display
Roll left and right - functional ability during 3D assessment period

# item[].item[].item[].text
Roll left and right: The ability to roll from lying on back to left and right side, and return to lying on back on the bed. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Sit to lying - functional ability during 3D assessment period

# item[].item[].item[].text
Sit to lying: The ability to move from sitting on side of bed to lying flat on the bed. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Lying to sitting on side of bed - functional ability during 3D assessment period

# item[].item[].item[].text
Lying to sitting on side of bed: The ability to move from lying on the back to sitting on the side of the bed with no back support. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Roll left and right - functional ability during 3D assessment period

# item[].item[].item[].text
Roll left and right: The ability to roll from lying on back to left and right side, and return to lying on back on the bed. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Sit to lying - functional ability during 3D assessment period

# item[].item[].item[].text
Sit to lying: The ability to move from sitting on side of bed to lying flat on the bed. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Lying to sitting on side of bed - functional ability during 3D assessment period

# item[].item[].item[].text
Lying to sitting on side of bed: The ability to move from lying on the back to sitting on the side of the bed with no back support. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Roll left and right - functional goal recorded during 3D assessment period

# item[].item[].item[].text
Roll left and right: The ability to roll from lying on back to left and right side, and return to lying on back on the bed. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Sit to lying - functional goal recorded during 3D assessment period

# item[].item[].item[].text
Sit to lying: The ability to move from sitting on side of bed to lying flat on the bed. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Lying to sitting on side of bed - functional goal recorded during 3D assessment period

# item[].item[].item[].text
Lying to sitting on side of bed: The ability to move from lying on the back to sitting on the side of the bed with no back support. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Sit to stand - functional ability during 3D assessment period

# item[].item[].item[].text
Sit to stand: The ability to come to a standing position from sitting in a chair, wheelchair, or on the side of the bed. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Bed-to-chair transfer - functional ability during 3D assessment period

# item[].item[].item[].text
Chair/bed-to-chair transfer: The ability to transfer to and from a bed to a chair (or wheelchair). - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Toilet transfer - functional ability during 3D assessment period

# item[].item[].item[].text
Toilet transfer: The ability to get on and off a toilet or commode. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Walk 10 feet - functional ability during 3D assessment period

# item[].item[].item[].text
Walk 10 feet: Once standing, the ability to walk at least 10 feet in a room, corridor, or similar space. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Walk 50 feet with two turns - functional ability during 3D assessment period

# item[].item[].item[].text
Walk 50 feet with two turns: Once standing, the ability to walk at least 50 feet and make two turns. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Walk 150 feet - functional ability during 3D assessment period

# item[].item[].item[].text
Walk 150 feet: Once standing, the ability to walk at least 150 feet in a corridor or similar space. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Wheel 50 feet with two turns - functional ability during 3D assessment period

# item[].item[].item[].text
Wheel 50 feet with two turns: Once seated in wheelchair/scooter, the ability to wheel at least 50 feet and make two turns. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Wheel 150 feet - functional ability during 3D assessment period

# item[].item[].item[].text
Wheel 150 feet: Once seated in wheelchair/scooter, the ability to wheel at least 150 feet in a corridor or similar space. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Sit to stand - functional ability during 3D assessment period

# item[].item[].item[].text
Sit to stand: The ability to come to a standing position from sitting in a chair, wheelchair, or on the side of the bed. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Bed-to-chair transfer - functional ability during 3D assessment period

# item[].item[].item[].text
Chair/bed-to-chair transfer: The ability to transfer to and from a bed to a chair (or wheelchair). - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Toilet transfer - functional ability during 3D assessment period

# item[].item[].item[].text
Toilet transfer: The ability to get on and off a toilet or commode. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Walk 10 feet - functional ability during 3D assessment period

# item[].item[].item[].text
Walk 10 feet: Once standing, the ability to walk at least 10 feet in a room, corridor, or similar space. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Walk 50 feet with two turns - functional ability during 3D assessment period

# item[].item[].item[].text
Walk 50 feet with two turns: Once standing, the ability to walk at least 50 feet and make two turns. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Walk 150 feet - functional ability during 3D assessment period

# item[].item[].item[].text
Walk 150 feet: Once standing, the ability to walk at least 150 feet in a corridor or similar space. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Wheel 50 feet with two turns - functional ability during 3D assessment period

# item[].item[].item[].text
Wheel 50 feet with two turns: Once seated in wheelchair/scooter, the ability to wheel at least 50 feet and make two turns. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Wheel 150 feet - functional ability during 3D assessment period

# item[].item[].item[].text
Wheel 150 feet: Once seated in wheelchair/scooter, the ability to wheel at least 150 feet in a corridor or similar space. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Sit to stand - functional goal recorded during 3D assessment period

# item[].item[].item[].text
Sit to stand: The ability to come to a standing position from sitting in a chair, wheelchair, or on the side of the bed. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Bed-to-chair transfer - functional goal recorded during 3D assessment period

# item[].item[].item[].text
Chair/bed-to-chair transfer: The ability to transfer to and from a bed to a chair (or wheelchair). - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Toilet transfer - functional goal recorded during 3D assessment period

# item[].item[].item[].text
Toilet transfer: The ability to get on and off a toilet or commode. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Walk 10 feet - functional goal recorded during 3D assessment period

# item[].item[].item[].text
Walk 10 feet: Once standing, the ability to walk at least 10 feet in a room, corridor, or similar space. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Walk 50 feet with two turns - functional goal recorded during 3D assessment period

# item[].item[].item[].text
Walk 50 feet with two turns: Once standing, the ability to walk at least 50 feet and make two turns. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Walk 150 feet - functional goal recorded during 3D assessment period

# item[].item[].item[].text
Walk 150 feet: Once standing, the ability to walk at least 150 feet in a corridor or similar space. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Wheel 50 feet with two turns - functional goal recorded during 3D assessment period

# item[].item[].item[].text
Wheel 50 feet with two turns: Once seated in wheelchair/scooter, the ability to wheel at least 50 feet and make two turns. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Wheel 150 feet - functional goal recorded during 3D assessment period

# item[].item[].item[].text
Wheel 150 feet: Once seated in wheelchair/scooter, the ability to wheel at least 150 feet in a corridor or similar space. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Does the patient use a wheelchair or scooter during 3D assessment period

# item[].item[].item[].text
Does the {patient/resident} use a wheelchair and/or scooter? - Admission

# item[].item[].item[].code[].display
Indicate the type of wheelchair or scooter used during 3D assessment period:Type:3D:^Patient

# item[].item[].item[].text
Indicate the type of wheelchair or scooter used. - Admission

# item[].item[].item[].code[].display
Indicate the type of wheelchair or scooter used during 3D assessment period:Type:3D:^Patient

# item[].item[].item[].text
Indicate the type of wheelchair or scooter used. - Admission

# item[].item[].item[].code[].display
Does the patient use a wheelchair or scooter during 3D assessment period

# item[].item[].item[].text
Does the {patient/resident} use a wheelchair and/or scooter? - Discharge

# item[].item[].item[].code[].display
Indicate the type of wheelchair or scooter used during 3D assessment period:Type:3D:^Patient

# item[].item[].item[].text
Indicate the type of wheelchair or scooter used. - Discharge

# item[].item[].item[].code[].display
Indicate the type of wheelchair or scooter used during 3D assessment period:Type:3D:^Patient

# item[].item[].item[].text
Indicate the type of wheelchair or scooter used. - Discharge

# item[].item[].item[].code[].display
Car transfer - functional ability during 3D assessment period

# item[].item[].item[].text
Car transfer: The ability to transfer in and out of a car or van on the passenger side. Does not include the ability to open/close door or fasten seat belt. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Walking 10 feet on uneven surfaces - functional ability during 3D assessment period

# item[].item[].item[].text
Walking 10 feet on uneven surfaces: The ability to walk 10 feet on uneven or sloping surfaces (indoor or outdoor), such as turf or gravel. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
1 step (curb) - functional ability during 3D assessment period

# item[].item[].item[].text
1 step (curb): The ability to go up and down a curb or up and down one step. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
4 steps - functional ability during 3D assessment period

# item[].item[].item[].text
4 steps: The ability to go up and down four steps with or without a rail. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
12 steps - functional ability during 3D assessment period

# item[].item[].item[].text
12 steps: The ability to go up and down 12 steps with or without a rail. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Picking up object - functional ability during 3D assessment period

# item[].item[].item[].text
Picking up object: The ability to bend/stoop from a standing position to pick up a small object, such as a spoon, from the floor. - Admission Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Car transfer - functional goal recorded during 3D assessment period

# item[].item[].item[].text
Car transfer: The ability to transfer in and out of a car or van on the passenger side. Does not include the ability to open/close door or fasten seat belt. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Car transfer - functional ability during 3D assessment period

# item[].item[].item[].text
Car transfer: The ability to transfer in and out of a car or van on the passenger side. Does not include the ability to open/close door or fasten seat belt. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Walking 10 feet on uneven surfaces - functional goal recorded during 3D assessment period

# item[].item[].item[].text
Walking 10 feet on uneven surfaces: The ability to walk 10 feet on uneven or sloping surfaces (indoor or outdoor), such as turf or gravel. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Walking 10 feet on uneven surfaces - functional ability during 3D assessment period

# item[].item[].item[].text
Walking 10 feet on uneven surfaces: The ability to walk 10 feet on uneven or sloping surfaces (indoor or outdoor), such as turf or gravel. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
1 step (curb) - functional goal recorded during 3D assessment period

# item[].item[].item[].text
1 step (curb): The ability to go up and down a curb or up and down one step. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
1 step (curb) - functional ability during 3D assessment period

# item[].item[].item[].text
1 step (curb): The ability to go up and down a curb or up and down one step. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
4 steps - functional goal recorded during 3D assessment period

# item[].item[].item[].text
4 steps: The ability to go up and down four steps with or without a rail. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
4 steps - functional ability during 3D assessment period

# item[].item[].item[].text
4 steps: The ability to go up and down four steps with or without a rail. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
12 steps - functional goal recorded during 3D assessment period

# item[].item[].item[].text
12 steps: The ability to go up and down 12 steps with or without a rail. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
12 steps - functional ability during 3D assessment period

# item[].item[].item[].text
12 steps: The ability to go up and down 12 steps with or without a rail. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Picking up object - functional goal recorded during 3D assessment period

# item[].item[].item[].text
Picking up object: The ability to bend/stoop from a standing position to pick up a small object, such as a spoon, from the floor. - Discharge Goal

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Picking up object - functional ability during 3D assessment period

# item[].item[].item[].text
Picking up object: The ability to bend/stoop from a standing position to pick up a small object, such as a spoon, from the floor. - Discharge Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Sit to lying - functional ability during 3D assessment period

# item[].item[].item[].text
Sit to lying: The ability to move from sitting on side of bed to lying flat on the bed. - Interim Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Lying to sitting on side of bed - functional ability during 3D assessment period

# item[].item[].item[].text
Lying to sitting on side of bed: The ability to move from lying on the back to sitting on the side of the bed with feet flat on the floor, and with no back support. - Interim Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Sit to stand - functional ability during 3D assessment period

# item[].item[].item[].text
Sit to stand: The ability to come to a standing position from sitting in a chair, wheelchair, or on the side of the bed. - Interim Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Bed-to-chair transfer - functional ability during 3D assessment period

# item[].item[].item[].text
Chair/bed-to-chair transfer: The ability to transfer to and from a bed to a chair (or wheelchair). - Interim Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Toilet transfer - functional ability during 3D assessment period

# item[].item[].item[].text
Toilet transfer: The ability to get on and off a toilet or commode. - Interim Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Walk 10 feet - functional ability during 3D assessment period

# item[].item[].item[].text
Walk 10 feet: Once standing, the ability to walk at least 10 feet in a room, corridor, or similar space. - Interim Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Walk 50 feet with two turns - functional ability during 3D assessment period

# item[].item[].item[].text
Walk 50 feet with two turns: Once standing, the ability to walk at least 50 feet and make two turns. - Interim Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].code[].display
Walk 150 feet - functional ability during 3D assessment period

# item[].item[].item[].text
Walk 150 feet: Once standing, the ability to walk at least 150 feet in a corridor or similar space. - Interim Performance

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Not applicable - Not attempted and the {patient/resident} did not perform this activity prior to the current illness, exacerbation, or injury.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Substantial/maximal assistance - Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Dependent - Helper does ALL of the effort. {Patient/Resident} does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the {patient/resident} to complete the activity.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
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.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - Resident completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Independent - {Patient/Resident} completes the activity by him/herself with no assistance from a helper.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as {patient/resident} completes activity. Assistance may be provided throughout the activity or intermittently.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Setup or clean-up assistance - Helper sets up or cleans up; {patient/resident} completes activity. Helper assists only prior to or following the activity.

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].item[].answerOption[].valueCoding.display
Not attempted due to medical condition or safety concerns

# item[].item[].text
Prior Device Use. Indicate devices and aids used by the {patient/resident} prior to the current illness, exacerbation, or injury: Check all that apply

# item[].code[].display
MDS v3.0 - RAI v1.17.1 - Bladder and bowel [CMS Assessment]

# item[].item[].text
Urinary continence - Select the one category that best describes the {patient/resident}

# item[].item[].answerOption[].valueCoding.display
Occasionally incontinent (less than 7 episodes of incontinence)

# item[].item[].answerOption[].valueCoding.display
Occasionally incontinent (less than 7 episodes of incontinence)

# item[].item[].answerOption[].valueCoding.display
Frequently incontinent (7 or more episodes of urinary incontinence, but with at least one episode of continent voiding)

# item[].item[].answerOption[].valueCoding.display
Frequently incontinent (7 or more episodes of urinary incontinence, but at least one episode of continent voiding)

# item[].item[].answerOption[].valueCoding.display
Always incontinent (no episodes of continent voiding)

# item[].item[].answerOption[].valueCoding.display
Always incontinent (no episodes of continent voiding)

# item[].item[].answerOption[].valueCoding.display
Not rated, resident had a catheter (indwelling, condom), urinary ostomy, or no urine output for the entire 7 days

# item[].item[].answerOption[].valueCoding.display
Not rated, {patient/resident} had a catheter (indwelling, condom), urinary ostomy, or no urine output for the entire 7 days

# item[].item[].text
Bowel Continence - Select the one category that best describes the {patient/resident}.

# item[].item[].answerOption[].valueCoding.display
Occasionally incontinent (one episode of bowel incontinence)

# item[].item[].answerOption[].valueCoding.display
Occasionally incontinent (one episode of bowel incontinence)

# item[].item[].answerOption[].valueCoding.display
Frequently incontinent (2 or more episodes of bowel incontinence, but at least one continent bowel movement)

# item[].item[].answerOption[].valueCoding.display
Frequently incontinent (2 or more episodes of bowel incontinence, but at least one continent bowel movement)

# item[].item[].answerOption[].valueCoding.display
Always incontinent (no episodes of continent bowel movements)

# item[].item[].answerOption[].valueCoding.display
Always incontinent (no episodes of continent bowel movements)

# item[].item[].answerOption[].valueCoding.display
Not rated, resident had an ostomy or did not have a bowel movement for the entire 7 days

# item[].item[].answerOption[].valueCoding.display
Not rated, {patient/resident} had an ostomy or did not have a bowel movement for the entire 7 days

# item[].item[].code[].display
Used bowel toileting program in the last 7D

# item[].item[].text
Bowel Toileting Program. Is a toileting program currently being used to manage the {patient's/resident's} bowel continence?

# item[].item[].item[].code[].display
Trial of toileting program has been attempted on admission or reentry or since urinary incontinence was noted in this facility

# item[].item[].item[].text
Has a trial of a toileting program (e.g., scheduled toileting, prompted voiding, or bladder training) been attempted on {admission} or since urinary incontinence was noted in this {facility/setting}?

# item[].item[].item[].text
Response - What was the {patient's/resident's} response to the trial program?

# item[].item[].item[].answerOption[].valueCoding.display
Unable to determine or trial in progress

# item[].item[].item[].answerOption[].valueCoding.display
Unable to determine or trial in progress

# item[].item[].item[].text
Current toileting program or trial - Is a toileting program (e.g., scheduled toileting, prompted voiding, or bladder training) currently being used to manage the {patient's/resident's} urinary continence?

# item[].item[].code[].display
Bladder and bowel appliances used in last 7D

# item[].item[].answerOption[].valueCoding.display
Indwelling catheter (including suprapubic catheter and nephrostomy tube)

# item[].item[].answerOption[].valueCoding.display
Indwelling catheter (including suprapubic catheter and nephrostomy tube)

# item[].item[].answerOption[].valueCoding.display
Ostomy (including urostomy, ileostomy, and colostomy)

# item[].item[].answerOption[].valueCoding.display
Ostomy (including urostomy, ileostomy, and colostomy)

# item[].code[].display
MDS v3.0 - RAI v1.17.1 - Active diagnoses [CMS Assessment]

# item[].item[].text
Additional active diagnoses. Enter diagnosis on line and ICD code in boxes. Include the decimal for the code in the appropriate box.

# item[].item[].text
Active Diagnoses in the last 7 days: Check all that apply. Diagnoses listed in parentheses are provided as examples and should not be considered as all-inclusive lists

# item[].item[].answerOption[].valueCoding.display
Anemia (e.g. aplastic, iron deficiency, pernicious, and sickle cell)

# item[].item[].answerOption[].valueCoding.display
Anemia (e.g., aplastic, iron deficiency, pernicious, and sickle cell)

# item[].item[].answerOption[].valueCoding.display
Atrial fibrillation or other dysrhythmias (e.g. bradycardias and tachycardias)

# item[].item[].answerOption[].valueCoding.display
Atrial Fibrillation or Other Dysrhythmias (e.g., bradycardias and tachycardias)

# item[].item[].answerOption[].valueCoding.display
Coronary artery disease (CAD) (e.g., angina, myocardial infarction, and atherosclerotic heart disease (ASHD))

# item[].item[].answerOption[].valueCoding.display
Coronary Artery Disease (CAD) (e.g., angina, myocardial infarction, and atherosclerotic heart disease (ASHD))

# item[].item[].answerOption[].valueCoding.display
Deep venous thrombosis (DVT), pulmonary embolus (PE), or Pulmonary thrombo-embolism (PTE)

# item[].item[].answerOption[].valueCoding.display
Deep Venous Thrombosis (DVT), Pulmonary Embolus (PE), or Pulmonary Thrombo-Embolism (PTE)

# item[].item[].answerOption[].valueCoding.display
Heart failure (e.g., congestive heart failure (CHF) and pulmonary edema)

# item[].item[].answerOption[].valueCoding.display
Heart Failure (e.g., congestive heart failure (CHF) and pulmonary edema)

# item[].item[].answerOption[].valueCoding.display
Peripheral vascular disease (PVD) or peripheral arterial disease (PAD)

# item[].item[].answerOption[].valueCoding.display
Peripheral Vascular Disease (PVD) or Peripheral Arterial Disease (PAD)

# item[].item[].answerOption[].valueCoding.display
Gastroesophageal reflux disease (GERD) or ulcer (e.g., esophageal, gastric, and peptic ulcers)

# item[].item[].answerOption[].valueCoding.display
Gastroesophageal Reflux Disease (GERD) or Ulcer (e.g., esophageal, gastric, and peptic ulcers)

# item[].item[].answerOption[].valueCoding.display
Ulcerative colitis, Crohn's disease, or inflammatory bowel disease

# item[].item[].answerOption[].valueCoding.display
Ulcerative Colitis, Crohn's Disease, or Inflammatory Bowel Disease

# item[].item[].answerOption[].valueCoding.display
Renal insufficiency, renal failure, or end-stage renal disease (ESRD)

# item[].item[].answerOption[].valueCoding.display
Renal Insufficiency, Renal Failure, or End-Stage Renal Disease (ESRD)

# item[].item[].answerOption[].valueCoding.display
Urinary tract infection (UTI) (last 30 days)

# item[].item[].answerOption[].valueCoding.display
Urinary Tract Infection (UTI) (LAST 30 DAYS)

# item[].item[].answerOption[].valueCoding.display
Viral hepatitis (e.g., Hepatitis A, B, C, D, and E)

# item[].item[].answerOption[].valueCoding.display
Viral Hepatitis (e.g., Hepatitis A, B, C, D, and E)

# item[].item[].answerOption[].valueCoding.display
Diabetes mellitus (DM) (e.g., diabetic retinopathy, nephropathy, and neuropathy)

# item[].item[].answerOption[].valueCoding.display
Diabetes Mellitus (DM) (e.g., diabetic retinopathy, nephropathy, and neuropathy)

# item[].item[].answerOption[].valueCoding.display
Arthritis (e.g., degenerative joint disease (DJD), osteoarthritis, and rheumatoid arthritis (RA))

# item[].item[].answerOption[].valueCoding.display
Arthritis (e.g., degenerative joint disease (DJD), osteoarthritis, and rheumatoid arthritis (RA))

# item[].item[].answerOption[].valueCoding.display
Hip fracture - any hip fracture that has a relationship to current status, treatments, monitoring (e.g., sub-capital fractures, and fractures of the trochanter and femoral neck)

# item[].item[].answerOption[].valueCoding.display
Hip Fracture - any hip fracture that has a relationship to current status, treatments, monitoring (e.g., sub-capital fractures, and fractures of the trochanter and femoral neck)

# item[].item[].answerOption[].valueCoding.display
Cerebrovascular accident (CVA), transient ischemic attack (TIA), or stroke

# item[].item[].answerOption[].valueCoding.display
Cerebrovascular Accident (CVA), Transient Ischemic Attack (TIA), or Stroke

# item[].item[].answerOption[].valueCoding.display
Non-Alzheimer's dementia (e.g., Lewy body dementia, vascular or multi-infarct dementia; mixed dementia; frontotemporal dementia such as Pick's disease; and dementia related to stroke, Parkinson's or Creutzfeldt-Jakob diseases)

# item[].item[].answerOption[].valueCoding.display
Non-Alzheimer's Dementia (e.g. Lewy body dementia, vascular or multi-infarct dementia; mixed dementia; frontotemporal dementia such as Pick's disease; and dementia related to stroke, Parkinson's or Creutzfeldt-Jakob diseases)

# item[].item[].answerOption[].valueCoding.display
Malnutrition (protein or calorie) or at risk for malnutrition

# item[].item[].answerOption[].valueCoding.display
Malnutrition (protein or calorie) or at risk for malnutrition

# item[].item[].answerOption[].valueCoding.display
Psychotic disorder (other than schizophrenia)

# item[].item[].answerOption[].valueCoding.display
Psychotic Disorder (other than schizophrenia)

# item[].item[].answerOption[].valueCoding.display
Asthma, chronic obstructive pulmonary disease (COPD), or chronic lung disease (e.g., chronic bronchitis and restrictive lung diseases such as asbestosis)

# item[].item[].answerOption[].valueCoding.display
Asthma, Chronic Obstructive Pulmonary Disease (COPD), or Chronic Lung Disease (e.g., chronic bronchitis and restrictive lung diseases such as asbestosis)

# item[].item[].answerOption[].valueCoding.display
Cataracts, glaucoma, or macular degeneration

# item[].item[].answerOption[].valueCoding.display
Cataracts, Glaucoma, or Macular Degeneration

# item[].item[].answerOption[].valueCoding.display
None of the above active diagnoses within the last 7 days

# item[].item[].code[].display
Indicate the patient's primary medical condition category

# item[].item[].text
Indicate the {patient's/resident's} primary medical condition category that best describes the primary reason for admission

# item[].code[].display
MDS v3.0 - RAI v1.17.1 - Health conditions [CMS Assessment]

# item[].item[].code[].display
Pain assessment interview should be conducted

# item[].item[].text
Should Pain Assessment Interview be Conducted? Attempt to conduct interview with all {patients/residents}.

# item[].item[].answerOption[].valueCoding.display
No (resident is rarely/never understood)

# item[].item[].text
Pain Presence. Ask {patient/resident} "Have you had pain or hurting at any time in the last 5 days?"

# item[].item[].text
Pain Frequency. Ask {patient/resident} "How much of the time have you experienced pain or hurting over the last 5 days?"

# item[].item[].text
Prognosis. Does the {patient/resident} have a condition or chronic disease that may result in a life expectancy of less than 6 months? (Requires physician documentation)

# item[].item[].code[].display
Has the patient had any falls since admission or prior assessment

# item[].item[].text
Has the {patient/resident} had any falls since {admission}?

# item[].item[].code[].display
Frequency of indicator of pain or possible pain in last 5D

# item[].item[].text
Frequency of Indicator of Pain or Possible Pain in the last 5 days. Frequency with which {patient/resident} complains or shows evidence of pain or possible pain.

# item[].item[].answerOption[].valueCoding.display
Indicators of pain or possible pain observed 1 to 2 days

# item[].item[].answerOption[].valueCoding.display
Indicators of pain or possible pain observed 1 to 2 days

# item[].item[].answerOption[].valueCoding.display
Indicators of pain or possible pain observed 3 to 4 days

# item[].item[].answerOption[].valueCoding.display
Indicators of pain or possible pain observed 3 to 4 days

# item[].item[].answerOption[].valueCoding.display
Indicators of pain or possible pain observed daily

# item[].item[].answerOption[].valueCoding.display
Indicators of pain or possible pain observed daily

# item[].item[].code[].display
Staff pain assessment interview should be conducted

# item[].item[].text
Should the Staff Assessment for Pain be Conducted?

# item[].item[].answerOption[].valueCoding.display
Yes (Pain Assessment interview not conducted or Unable to answer pain presence or unable to answer pain frequency)

# item[].item[].code[].display
Did the patient have major surgery during the 100D prior to admission

# item[].item[].text
Prior Surgery. Did the {patient/resident} have major surgery during the 100 days prior to admission?

# item[].item[].text
Pain Management - Complete for all {patients/residents}, regardless of current pain level. At any time in the last 5 days, has the {patient/resident}:

# item[].item[].item[].code[].display
Received scheduled pain medication regimen in last 5D

# item[].item[].item[].text
Received scheduled pain medication regimen?

# item[].item[].item[].code[].display
Received PRN pain medications or was offered and declined in the last 5D

# item[].item[].item[].text
Received PRN pain medications OR was offered and declined?

# item[].item[].item[].code[].display
Received non-medication intervention for pain in last 5D

# item[].item[].item[].text
Received non-medication intervention for pain?

# item[].item[].item[].code[].display
Pain has made it hard to sleep in last 5D

# item[].item[].item[].text
Ask {patient/resident} "Over the past 5 days, has pain made it hard for you to sleep at night?"

# item[].item[].item[].code[].display
Limited activities because of pain in last 5D

# item[].item[].item[].text
Ask {patient/resident} "Over the past 5 days, have you limited your day-to-day activities because of pain?"

# item[].item[].text
Pain Intensity - Administer ONLY ONE of the following pain intensity questions (A or B)

# item[].item[].item[].text
Numeric Rating Scale (00-10). Ask {patient/resident} "Please rate your worst pain over the last 5 days on a zero to ten scale, with zero being no pain and ten as the worst pain you can imagine." (Show {patient/resident} 00-10 pain scale) Enter two-digit response. Enter 99 if unable to answer.

# item[].item[].item[].code[].display
Rate pain severity in last 5D using verbal descriptor scale

# item[].item[].item[].text
Verbal Descriptor Scale. Ask {patient/resident} "Please rate the intensity of your worst pain over the last 5 days." (Show {patient/resident} verbal scale)

# item[].item[].text
Fall History on {Admission}. Complete only if {admission}

# item[].item[].item[].code[].display
Fall one or more times in the last Mo prior to admission

# item[].item[].item[].text
Did the {patient/resident} have a fall any time in the last month prior to {admission}?

# item[].item[].item[].code[].display
Fall one or more times in the last 2 to 6Mo prior to admission

# item[].item[].item[].text
Did the {patient/resident} have a fall any time in the last 2-6 months prior to {admission}?

# item[].item[].item[].code[].display
Any fracture related to a fall in the 6Mo prior to admission

# item[].item[].item[].text
Did the {patient/resident} have any fracture related to a fall in the 6 months prior to {admission}?

# item[].item[].code[].display
Number of falls since admission or prior assessmen

# item[].item[].text
Number of Falls Since {Admission} or Prior Assessment whichever is most recent

# item[].item[].item[].code[].display
Number of falls since admission or prior assessment - no injury

# item[].item[].item[].text
No injury - No evidence of any injury is noted on physical assessment by the nurse or primary care clinician; no complaints of pain or injury by the {patient/resident}; no change in the {patient's/resident's} behavior is noted after the fall.

# item[].item[].item[].code[].display
Number of falls since admission or prior assessment - injury except major

# item[].item[].item[].text
Injury (except major) - Skin tears, abrasions, lacerations, superficial bruises, hematomas and sprains; or any fall-related injury that causes the {patient/resident} to complain of pain

# item[].item[].item[].code[].display
Number of falls since admission or prior assessment - major injury

# item[].item[].item[].text
Major injury - Bone fractures, joint dislocations, closed head injuries with altered consciousness, subdural hematoma

# item[].item[].code[].display
Indicators of pain or possible pain in the last 5D

# item[].item[].text
Staff Assessment for Pain. Indicators of Pain or Possible Pain in the last 5 days: Check all that apply

# item[].item[].answerOption[].valueCoding.display
Non-verbal sounds (e.g., crying, whining, gasping, moaning, or groaning)

# item[].item[].answerOption[].valueCoding.display
Non-verbal sounds (e.g., crying, whining, gasping, moaning, or groaning)

# item[].item[].answerOption[].valueCoding.display
Vocal complaints of pain (e.g., that hurts, ouch, stop)

# item[].item[].answerOption[].valueCoding.display
Vocal complaints of pain (e.g., that hurts, ouch, stop)

# item[].item[].answerOption[].valueCoding.display
Facial Expressions (e.g., grimaces, winces, wrinkled forehead, furrowed brow, clenched teeth or jaw)

# item[].item[].answerOption[].valueCoding.display
Facial expressions (e.g., grimaces, winces, wrinkled forehead, furrowed brow, clenched teeth or jaw)

# item[].item[].answerOption[].valueCoding.display
Protective body movements or postures (e.g., bracing, guarding, rubbing or massaging a body part/area, clutching or holding a body part during movement)

# item[].item[].answerOption[].valueCoding.display
Protective body movements or postures (e.g., bracing, guarding, rubbing or massaging a body part/area, clutching or holding a body part during movement)

# item[].item[].answerOption[].valueCoding.display
None of these signs observed or documented

# item[].item[].answerOption[].valueCoding.display
None of these signs observed or documented

# item[].item[].text
Shortness of Breath (dyspnea): Check all that apply

# item[].item[].answerOption[].valueCoding.display
Shortness of breath or trouble breathing with exertion (e.g., walking, bathing, transferring)

# item[].item[].answerOption[].valueCoding.display
Shortness of breath or trouble breathing with exertion (e.g., walking, bathing, transferring)

# item[].item[].answerOption[].valueCoding.display
Shortness of breath or trouble breathing when sitting at rest

# item[].item[].answerOption[].valueCoding.display
Shortness of breath or trouble breathing when sitting at rest

# item[].item[].answerOption[].valueCoding.display
Shortness of breath or trouble breathing when lying flat

# item[].item[].answerOption[].valueCoding.display
Shortness of breath or trouble breathing when lying flat

# item[].item[].text
Problem Conditions: Check all that apply

# item[].item[].code[].display
Did the resident have a major surgical procedure during the prior inpatient hospital stay that requires active care during the SNF stay

# item[].item[].text
Recent Surgery Requiring Active SNF Care - Complete only if {5 day or IPA assessment}.  Did the resident have a major surgical procedure during the prior inpatient hospital stay that requires active care during the SNF stay?

# item[].item[].code[].display
Surgical procedures requiring active SNF care

# item[].item[].text
Surgical Procedures: Check all that apply

# item[].item[].answerOption[].valueCoding.display
Spinal surgery involving the spinal cord or major spinal nerves

# item[].item[].answerOption[].valueCoding.display
Involving the spinal cord or major spinal nerves

# item[].item[].answerOption[].valueCoding.display
Spinal surgery involving fusion of spinal bones

# item[].item[].answerOption[].valueCoding.display
Spinal surgery involving lamina, discs, or facets

# item[].item[].answerOption[].valueCoding.display
Repair fractures of the shoulder (including clavicle and scapula) or arm (but not hand)

# item[].item[].answerOption[].valueCoding.display
Repair fractures of the shoulder (including clavicle and scapula) or arm (but not hand)

# item[].item[].answerOption[].valueCoding.display
Repair fractures of the pelvis, hip, leg, knee, or ankle (not foot)

# item[].item[].answerOption[].valueCoding.display
Repair fractures of the pelvis, hip, leg, knee, or ankle (not foot)

# item[].item[].answerOption[].valueCoding.display
Repair other bones (such as hand, foot, jaw)

# item[].item[].answerOption[].valueCoding.display
Repair other bones (such as hand, foot, jaw)

# item[].item[].answerOption[].valueCoding.display
Neurological surgery involving the brain, surrounding tissue or blood vessels, (excludes skull and skin but includes cranial nerves)

# item[].item[].answerOption[].valueCoding.display
Involving the brain, surrounding tissue or blood vessels (excludes skull and skin but includes cranial nerves)

# item[].item[].answerOption[].valueCoding.display
Neurological surgery involving the peripheral or autonomic nervous system - open or percutaneous

# item[].item[].answerOption[].valueCoding.display
Involving the peripheral or autonomic nervous system - open or percutaneous

# item[].item[].answerOption[].valueCoding.display
Insertion or removal of spinal or brain neurostimulators, electrodes, catheters, or CSF drainage devices

# item[].item[].answerOption[].valueCoding.display
Insertion or removal of spinal or brain neurostimulators, electrodes, catheters, or CSF drainage devices

# item[].item[].answerOption[].valueCoding.display
Cardiopulmonary surgery involving the heart or major blood vessels - open or percutaneous procedures

# item[].item[].answerOption[].valueCoding.display
Involving the heart or major blood vessels - open or percutaneous procedures

# item[].item[].answerOption[].valueCoding.display
Cardiopulmonary surgery involving the respiratory system, including lungs, bronchi, trachea, larynx, or vocal cords - open or endoscopic

# item[].item[].answerOption[].valueCoding.display
Involving the respiratory system, including lungs, bronchi, trachea, larynx, or vocal cords - open or endoscopic

# item[].item[].answerOption[].valueCoding.display
Genitourinary surgery involving male or female organs (such as prostate, testes, ovaries, uterus, vagina, external genitalia)

# item[].item[].answerOption[].valueCoding.display
Involving male or female organs (such as prostate, testes, ovaries, uterus, vagina, external genitalia)

# item[].item[].answerOption[].valueCoding.display
Genitourinary surgery involving the kidneys, ureters, adrenal glands, or bladder - open or laparoscopic (includes creation or removal of nephrostomies or urostomies)

# item[].item[].answerOption[].valueCoding.display
Involving the kidneys, ureters, adrenal glands, or bladder - open or laparoscopic (includes creation or removal of nephrostomies or urostomies)

# item[].item[].answerOption[].valueCoding.display
Other major surgery involving tendons, ligaments, or muscles

# item[].item[].answerOption[].valueCoding.display
Involving tendons, ligaments, or muscles

# item[].item[].answerOption[].valueCoding.display
Other major surgery involving the gastrointestinal tract or abdominal contents from esophagus to anus, biliary tree, gall bladder, liver, pancreas, or spleen-open or laparoscopic

# item[].item[].answerOption[].valueCoding.display
Involving the gastrointestinal tract or abdominal contents from the esophagus to the anus, the biliary tree, gall bladder, liver, pancreas, or spleen - open or laparoscopic (including the creation or removal of ostomies or percutaneous feeding tubes, or hernia repair)

# item[].item[].answerOption[].valueCoding.display
Other major surgery involving the endocrine organs (such as thyroid, parathyroid), neck, lymph nodes, or thymus - open

# item[].item[].answerOption[].valueCoding.display
Involving the endocrine organs (such as thyroid, parathyroid), neck, lymph nodes, or thymus - open

# item[].item[].answerOption[].valueCoding.display
Other major surgery involving the breast

# item[].item[].answerOption[].valueCoding.display
Repair of deep ulcers, internal brachytherapy, bone marrow or stem cell harvest or transplant

# item[].item[].answerOption[].valueCoding.display
Repair of deep ulcers, internal brachytherapy, bone marrow or stem cell harvest or transplant

# item[].code[].display
MDS v3.0 - RAI v1.17.1 - Swallowing &or nutritional status [CMS Assessment]

# item[].item[].code[].display
Weight loss of 5% or more in the last Mo or loss of 10% or more in last 6Mo

# item[].item[].text
Weight Loss. Loss of 5% or more in the last month or loss of 10% or more in last 6 months

# item[].item[].answerOption[].valueCoding.display
Yes, on physician-prescribed weight-loss regimen

# item[].item[].answerOption[].valueCoding.display
Yes, on physician-prescribed weight-loss regimen

# item[].item[].answerOption[].valueCoding.display
Yes, not on physician-prescribed weight-loss regimen

# item[].item[].answerOption[].valueCoding.display
Yes, not on physician-prescribed weight-loss regimen

# item[].item[].code[].display
Weight gain of 5% or more in the last month or gain of 10% or more in last 6Mo

# item[].item[].text
Weight Gain. Gain of 5% or more in the last month or gain of 10% or more in last 6 months

# item[].item[].answerOption[].valueCoding.display
Yes, on physician-prescribed weight-gain regimen

# item[].item[].answerOption[].valueCoding.display
Yes, on physician-prescribed weight-gain regimen

# item[].item[].answerOption[].valueCoding.display
Yes, not on physician-prescribed weight-gain regimen

# item[].item[].answerOption[].valueCoding.display
Yes, not on physician-prescribed weight-gain regimen

# item[].item[].text
Height and Weight - While measuring, if the number is X.1 - X.4 round down; X.5 or greater round up

# item[].item[].item[].text
Height (in inches). Record most recent height measure since {admission}

# item[].item[].item[].text
Weight (in pounds). Base weight on most recent measure in last {specify time period in days}; measure weight consistently, according to standard {facility/setting} practice (e.g., in a.m. after voiding, before meal, with shoes off, etc.)

# item[].item[].code[].display
Percent intake by artificial route while a resident and during the last 7D

# item[].item[].text
Percent Intake by Artificial Route - Complete only if {nutritional approach - parenteral/IV feeding or feeding tube = yes}

# item[].item[].item[].code[].display
Proportion of total calories the resident received through parenteral or tube feeding in last 7D - while a resident

# item[].item[].item[].text
Proportion of total calories the {patient/resident} received through parenteral or tube feeding - While a {Patient/Resident}

# item[].item[].item[].code[].display
Proportion of total calories the resident received through parenteral or tube feeding during entire 7D

# item[].item[].item[].text
Proportion of total calories the {patient/resident} received through parenteral or tube feeding - During Entire 7 Days

# item[].item[].item[].code[].display
Mean fluid intake per day by IV or tube feeding in last 7D - while a resident

# item[].item[].item[].text
Average fluid intake per day by IV or tube feeding - While a {Patient/Resident}

# item[].item[].item[].code[].display
Mean fluid intake per day by IV or tube feeding during entire 7D

# item[].item[].item[].text
Average fluid intake per day by IV or tube feeding - During Entire 7 Days

# item[].item[].code[].display
Signs and symptoms of swallowing disorder in last 7D

# item[].item[].text
Swallowing Disorder. Signs and symptoms of possible swallowing disorder: Check all that apply

# item[].item[].answerOption[].valueCoding.display
Loss of liquids/solids from mouth when eating or drinking

# item[].item[].answerOption[].valueCoding.display
Loss of liquids/solids from mouth when eating or drinking

# item[].item[].answerOption[].valueCoding.display
Holding food in mouth/cheeks or residual food in mouth after meals

# item[].item[].answerOption[].valueCoding.display
Holding food in mouth/cheeks or residual food in mouth after meals

# item[].item[].answerOption[].valueCoding.display
Coughing or choking during meals or when swallowing medications

# item[].item[].answerOption[].valueCoding.display
Coughing or choking during meals or when swallowing medications

# item[].item[].answerOption[].valueCoding.display
Complaints of difficulty or pain with swallowing

# item[].item[].answerOption[].valueCoding.display
Complaints of difficulty or pain with swallowing

# item[].item[].text
Nutritional Approaches: Check all of the following nutritional approaches that were performed during the last 7 days

# item[].item[].answerOption[].valueCoding.display
Parenteral/IV feeding - While NOT a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Parenteral/IV feeding - While a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Feeding tube - nasogastric or abdominal (PEG)

# item[].item[].answerOption[].valueCoding.display
Feeding tube - nasogastric or abdominal (PEG) - While NOT a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Feeding tube - nasogastric or abdominal (PEG)

# item[].item[].answerOption[].valueCoding.display
Feeding tube - nasogastric or abdominal (PEG) - While a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Mechanically altered diet - require change in texture of food or liquids (e.g., pureed food, thickened liquids)

# item[].item[].answerOption[].valueCoding.display
Mechanically altered diet - require change in texture of food or liquids (e.g., pureed food, thickened liquids) - While a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Therapeutic diet (e.g. low salt, diabetic, low cholesterol)

# item[].item[].answerOption[].valueCoding.display
Therapeutic diet (e.g., low salt, diabetic, low cholesterol) - While a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
None of the above - While a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
None of the above - While NOT a {Patient/Resident}

# item[].item[].code[].display
Dental problems during 7D assessment period

# item[].item[].answerOption[].valueCoding.display
Broken or loosely fitting full or partial denture (chipped, cracked, uncleanable, or loose)

# item[].item[].answerOption[].valueCoding.display
Broken or loosely fitting full or partial denture (chipped, cracked, uncleanable, or loose)

# item[].item[].answerOption[].valueCoding.display
No natural teeth or tooth fragment(s) (edentulous)

# item[].item[].answerOption[].valueCoding.display
No natural teeth or tooth fragment(s) (edentulous)

# item[].item[].answerOption[].valueCoding.display
Abnormal mouth tissue (ulcers, masses, oral lesions, including under denture or partial if one is worn)

# item[].item[].answerOption[].valueCoding.display
Abnormal mouth tissue (ulcers, masses, oral lesions, including under denture or partial if one is worn)

# item[].item[].answerOption[].valueCoding.display
Obvious or likely cavity or broken natural teeth

# item[].item[].answerOption[].valueCoding.display
Obvious or likely cavity or broken natural teeth

# item[].item[].answerOption[].valueCoding.display
Inflamed or bleeding gums or loose natural teeth

# item[].item[].answerOption[].valueCoding.display
Inflamed or bleeding gums or loose natural teeth

# item[].item[].answerOption[].valueCoding.display
Mouth or facial pain, discomfort or difficulty with chewing

# item[].item[].answerOption[].valueCoding.display
Mouth or facial pain, discomfort or difficulty with chewing

# item[].code[].display
MDS v3.00 - RAI v1.17.1 - Skin conditions [CMS Assessment]

# item[].item[].text
Risk of Pressure Ulcers/Injuries. Is this {patient/resident} at risk of developing pressure ulcers/injuries?

# item[].item[].code[].display
One or more unhealed pressure injuries stage 1 or higher

# item[].item[].text
Unhealed Pressure Ulcers/Injuries. Does this {patient/resident} have one or more unhealed pressure ulcers/injuries?

# item[].item[].code[].display
Number of venous and arterial ulcers in last 7D

# item[].item[].text
Number of Venous and Arterial Ulcers. Enter the total number of venous and arterial ulcers present

# item[].item[].code[].display
MDS v3.0 - RAI v1.17.1 - Current number of unhealed pressure injuries at each stage

# item[].item[].text
Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage

# item[].item[].item[].text
Stage 1: Intact skin with non-blanchable redness of a localized area usually over a bony prominence. Darkly pigmented skin may not have a visible blanching; in dark skin tones only it may appear with persistent blue or purple hues

# item[].item[].item[].text
Stage 2: Partial thickness loss of dermis presenting as a shallow open ulcer with a red or pink wound bed, without slough. May also present as an intact or open/ruptured blister.

# item[].item[].item[].text
Stage 3: Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle is not exposed. Slough may be present but does not obscure the depth of tissue loss. May include undermining and tunneling

# item[].item[].item[].text
Stage 4: Full thickness tissue loss with exposed bone, tendon or muscle. Slough or eschar may be present on some parts of the wound bed. Often includes undermining and tunneling

# item[].item[].item[].text
Unstageable - Non-removable dressing/device: Known but not stageable due to non-removable dressing/device

# item[].item[].item[].text
Unstageable - Slough and/or eschar: Known but not stageable due to coverage of wound bed by slough and/or eschar

# item[].item[].code[].display
Determination of pressure injury risk in last 7D

# item[].item[].text
Determination of Pressure Ulcer/Injury Risk: Check all that apply

# item[].item[].answerOption[].valueCoding.display
Resident has a pressure ulcer/injury, a scar over bony prominence, or a non-removable dressing/device

# item[].item[].answerOption[].valueCoding.display
{Patient/Resident} has a pressure ulcer/injury, a scar over bony prominence, or a non-removable dressing/device

# item[].item[].answerOption[].valueCoding.display
Formal assessment instrument/tool (e.g., Braden, Norton, or other)

# item[].item[].answerOption[].valueCoding.display
Formal assessment instrument/tool (e.g., Braden, Norton, or other)

# item[].item[].code[].display
Ulcers, wounds and skin problems in the last 7D

# item[].item[].text
Other Ulcers, Wounds and Skin Problems: Check all that apply

# item[].item[].answerOption[].valueCoding.display
Infection of the foot (e.g., cellulitis, purulent drainage)

# item[].item[].answerOption[].valueCoding.display
Infection of the foot (e.g., cellulitis, purulent drainage)

# item[].item[].answerOption[].valueCoding.display
Open lesion(s) other than ulcers, rashes, cuts (e.g., cancer lesion)

# item[].item[].answerOption[].valueCoding.display
Open lesion(s) other than ulcers, rashes, cuts (e.g., cancer lesion)

# item[].item[].answerOption[].valueCoding.display
Moisture associated skin damage (MASD) (e.g., incontinence-associated dermatitis [IAD], perspiration, drainage)

# item[].item[].answerOption[].valueCoding.display
Moisture Associated Skin Damage (MASD) (e.g., incontinence-associated dermatitis [IAD], perspiration, drainage)

# item[].item[].code[].display
Skin and ulcer &or injury treatments during 7D assessment period

# item[].item[].text
Skin and Ulcer/Injury Treatments: Check all that apply

# item[].item[].answerOption[].valueCoding.display
Nutrition or hydration intervention to manage skin problems

# item[].item[].answerOption[].valueCoding.display
Nutrition or hydration intervention to manage skin problems

# item[].item[].answerOption[].valueCoding.display
Application of nonsurgical dressings (with or without topical medications) other than to feet

# item[].item[].answerOption[].valueCoding.display
Application of nonsurgical dressings (with or without topical medications) other than to feet

# item[].item[].answerOption[].valueCoding.display
Applications of ointments/medications other than to feet

# item[].item[].answerOption[].valueCoding.display
Applications of ointments/medications other than to feet

# item[].item[].answerOption[].valueCoding.display
Application of dressings to feet (with or without topical medications)

# item[].item[].answerOption[].valueCoding.display
Application of dressings to feet (with or without topical medications)

# item[].code[].display
MDS v3.0 - RAI v1.17.1 - Medications [CMS Assessment]

# item[].item[].code[].display
Number of D injectable substances received in last 7D or since admission &or reentry if less than 7D

# item[].item[].text
Injections. Record the number of days that injections of any type were received during the last 7 days or since {admission} if less than 7 days.

# item[].item[].code[].display
Drug regimen review identified potential medication issues

# item[].item[].text
Drug Regimen Review: Did a complete drug regimen review identify potential clinically significant medication issues?

# item[].item[].answerOption[].valueCoding.display
NA - Patient is not taking any medications

# item[].item[].answerOption[].valueCoding.display
Not applicable - {Patient/Resident} is not taking any medications

# item[].item[].text
Medication Follow-up. Did the {facility/setting} contact a physician (or physician-designee) by midnight of the next calendar day and complete prescribed/recommended actions in response to the identified potential clinically significant medication issues?

# item[].item[].code[].display
Medication intervention since admission &or reentry

# item[].item[].text
Medication Intervention. Did the {facility/setting} contact and complete physician (or physician-designee) prescribed/recommended actions by midnight of the next calendar day each time potential clinically significant medication issues were identified since the {admission}?

# item[].item[].answerOption[].valueCoding.display
NA - There were no potential clinically significant medication issues identified since admission or resident is not taking any medications

# item[].item[].answerOption[].valueCoding.display
Not applicable - There were no potential clinically significant medication issues identified since {admission} or {patient/resident} is not taking any medications

# item[].item[].item[].code[].display
Number of D insulin injections were received in last 7D or since admission &or reentry if less than 7D

# item[].item[].item[].text
Insulin injections - Record the number of days that insulin injections were received during the last 7 days or since {admission} if less than 7 days.

# item[].item[].item[].code[].display
Number of D the physician changed the resident's insulin orders in last 7D or since admission &or reentry if less than 7D

# item[].item[].item[].text
Orders for insulin - Record the number of days the physician (or authorized assistant or practitioner) changed the {patient's/resident's} insulin orders during the last 7 days or since {admission} if less than 7 days.

# item[].item[].code[].display
MDS v3.0 - RAI v1.17.1 - Medications received

# item[].item[].text
Medications Received. Indicate the number of DAYS the {patient/resident} received the following medications by pharmacological classification, not how it is used, during the last 7 days or since {admission} if less than 7 days. Enter "0" if medication was not received by the {patient/resident} during the last 7 days.

# item[].item[].item[].code[].display
Number of D antipsychotic received in last 7D or since admission &or reentry if less than 7D

# item[].item[].item[].code[].display
Number of D antianxiety received in last 7D or since admission &or reentry if less than 7D

# item[].item[].item[].code[].display
Number of D antidepressant received in last 7D or since admission &or reentry if less than 7D

# item[].item[].item[].code[].display
Number of D hypnotic received in last 7D or since admission &or reentry if less than 7D

# item[].item[].item[].code[].display
Number of D anticoagulant received in last 7D or since admission &or reentry if less than 7D

# item[].item[].item[].text
Anticoagulant (e.g., warfarin, heparin, or low-molecular weight heparin)

# item[].item[].item[].code[].display
Number of D antibiotic received in last 7D or since admission &or reentry if less than 7D

# item[].item[].item[].code[].display
Number of D diuretic received in last 7D or since admission &or reentry if less than 7D

# item[].item[].item[].code[].display
Number of D opioid received in last 7D or since admission &or reentry if less than 7D

# item[].item[].item[].code[].display
Antipsychotic medications since admission or entry or reentry or the prior OBRA assessment, whichever is more recent

# item[].item[].item[].text
Did the {patient/resident} receive antipsychotic medications since {admission}, whichever is more recent?

# item[].item[].item[].answerOption[].valueCoding.display
Yes - Antipsychotics were received on a routine basis only

# item[].item[].item[].answerOption[].valueCoding.display
Yes - Antipsychotics were received on a routine basis only

# item[].item[].item[].answerOption[].valueCoding.display
Yes - Antipsychotics were received on a PRN basis only

# item[].item[].item[].answerOption[].valueCoding.display
Yes - Antipsychotics were received on a PRN basis only

# item[].item[].item[].answerOption[].valueCoding.display
Yes - Antipsychotics were received on a routine and PRN basis

# item[].item[].item[].answerOption[].valueCoding.display
Yes - Antipsychotics were received on a routine and PRN basis

# item[].item[].item[].text
Has a gradual dose reduction (GDR) been attempted?

# item[].item[].item[].code[].display
Physician documented GDR as clinically contraindicated

# item[].item[].item[].text
Physician documented GDR as clinically contraindicated

# item[].item[].item[].answerOption[].valueCoding.display
No - GDR has not been documented by a physician as clinically contraindicated

# item[].item[].item[].answerOption[].valueCoding.display
No - GDR has not been documented by a physician as clinically contraindicated

# item[].item[].item[].answerOption[].valueCoding.display
Yes - GDR has been documented by a physician as clinically contraindicated

# item[].item[].item[].answerOption[].valueCoding.display
Yes - GDR has been documented by a physician as clinically contraindicated

# item[].item[].item[].code[].display
Date physician documented GDR as clinically contraindicated

# item[].item[].item[].text
Date physician documented GDR as clinically contraindicated

# item[].item[].item[].answerOption[].valueCoding.display
Date physician documented GDR contraindicated

# item[].code[].display
MDS v3.0 - RAI v1.17.1 - Special treatments, procedures, and programs [CMS Assessment]

# item[].text
Section O: Special Treatments, Procedures, and Programs

# item[].item[].code[].display
Number of D physician examined the patient in last 14D

# item[].item[].text
Physician Examinations. Over the last 14 days, on how many days did the physician (or authorized assistant or practitioner) examine the {patient/resident}?

# item[].item[].code[].display
Number of D physician orders changed in last 14D

# item[].item[].text
Physician Orders. Over the last 14 days, on how many days did the physician (or authorized assistant or practitioner) change the {patient's/resident's} orders?

# item[].item[].code[].display
Distinct calendar days of therapy in last 7D

# item[].item[].text
Distinct Calendar Days of Therapy. Record the number of calendar days that the {patient/resident} received Speech-Language Pathology and Audiology Services, Occupational Therapy, or Physical Therapy for at least 15 minutes in the past 7 days.

# item[].item[].text
Influenza Vaccine - Refer to the current version of the {manual} for current influenza vaccination season and reporting period

# item[].item[].item[].code[].display
Influenza virus vaccine received in facility

# item[].item[].item[].text
Did the {patient/resident} receive the influenza vaccine in this {facility/setting} for this year's influenza vaccination season?

# item[].item[].item[].code[].display
Reason influenza virus vaccine not received

# item[].item[].item[].text
If influenza vaccine not received, state reason

# item[].item[].item[].answerOption[].valueCoding.display
Inability to obtain influenza vaccine due to a declared shortage

# item[].item[].item[].answerOption[].valueCoding.display
Inability to obtain influenza vaccine due to a declared shortage

# item[].item[].item[].answerOption[].valueCoding.display
Resident not in facility during this year's influenza vaccination season

# item[].item[].item[].answerOption[].valueCoding.display
{Patient/resident} not in facility during this year's influenza vaccination season

# item[].item[].item[].text
Is the {patient's/resident's} Pneumococcal vaccination up to date?

# item[].item[].item[].code[].display
Reason pneumococcal vaccine not received

# item[].item[].item[].text
If Pneumococcal vaccine not received, state reason

# item[].item[].item[].code[].display
Speech-language pathology and audiology services [CMS Assessment]

# item[].item[].item[].text
Speech-Language Pathology and Audiology Services

# item[].item[].item[].text
Psychological Therapy (by any licensed mental health professional)

# item[].item[].item[].text
Recreational Therapy (includes recreational and music therapy)

# item[].item[].item[].code[].display
Previous rehabilitation therapy regimen (speech, occupational, &or physical therapy) ended, & regimen now resumed at exactly the same level for each discipline

# item[].item[].item[].text
Has a previous rehabilitation therapy regimen (speech, occupational, and/or physical therapy) ended, as reported on this {End of Therapy}, and has this regimen now resumed at exactly the same level for each discipline?

# item[].item[].text
Restorative Nursing Programs. Record the number of days each of the following restorative programs was performed (for at least 15 minutes a day) in the last 7 calendar days (enter 0 if none or less than 15 minutes daily)

# item[].item[].item[].code[].display
Number of D of passive range of motion in last 7 calendar D

# item[].item[].item[].code[].display
Number of D of active range of motion in last 7 calendar D

# item[].item[].item[].code[].display
Number of D of splint or brace assistance in last 7 calendar D

# item[].item[].item[].code[].display
Number of D of training & skill practice in bed mobility in last 7 calendar D

# item[].item[].item[].text
Training and Skill Practice in. Bed mobility

# item[].item[].item[].code[].display
Number of D of training & skill practice in transfer in last 7 calendar D

# item[].item[].item[].text
Training and Skill Practice in. Transfer

# item[].item[].item[].code[].display
Number of D of training & skill practice in walking in last 7 calendar D

# item[].item[].item[].code[].display
Number of D of training & skill practice in dressing or grooming in last 7 calendar D

# item[].item[].item[].text
Training and Skill Practice in. Dressing and/or grooming

# item[].item[].item[].code[].display
Number of D of training & skill practice in eating or swallowing in last 7 calendar D

# item[].item[].item[].text
Training and Skill Practice in. Eating and/or swallowing

# item[].item[].item[].code[].display
Number of D of training & skill practice in amputation or prosthesis care in last 7 calendar D

# item[].item[].item[].text
Training and Skill Practice in. Amputation/prostheses care

# item[].item[].item[].code[].display
Number of D of training & skill practice in communication in last 7 calendar D

# item[].item[].item[].text
Training and Skill Practice in. Communication

# item[].item[].code[].display
Special treatments, procedures, and programs

# item[].item[].text
Special Treatments, Procedures, and Programs. Check all of the following treatments, procedures, and programs that were performed

# item[].item[].answerOption[].valueCoding.display
None of the above - While a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Chemotherapy - While NOT a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Chemotherapy - While a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Radiation - While NOT a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Oxygen therapy - While NOT a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Oxygen therapy - While a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Suctioning - While NOT a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Tracheostomy care - While NOT a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Tracheostomy care - While a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Invasive mechanical ventilator (ventilator or respirator)

# item[].item[].answerOption[].valueCoding.display
Invasive Mechanical Ventilator (Ventilator or respirator) - While NOT a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Invasive mechanical ventilator (ventilator or respirator)

# item[].item[].answerOption[].valueCoding.display
Invasive Mechanical Ventilator (Ventilator or respirator) - While a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Non-Invasive Mechanical Ventilator (BiPAP/CPAP) - While NOT a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Non-Invasive Mechanical Ventilator (BiPAP/CPAP) - While a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
IV medications - While NOT a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
IV medications - While a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Transfusions - While NOT a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Transfusions - While a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Dialysis - While NOT a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Hospice care - While NOT a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Hospice care - While a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Isolation or quarantine for active infectious disease (does not include standard body/fluid precautions)

# item[].item[].answerOption[].valueCoding.display
Isolation or quarantine for active infectious disease (does not include standard body/fluid precautions) - While NOT a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
Isolation or quarantine for active infectious disease (does not include standard body/fluid precautions)

# item[].item[].answerOption[].valueCoding.display
Isolation or quarantine for active infectious disease (does not include standard body/fluid precautions) - While a {Patient/Resident}

# item[].item[].answerOption[].valueCoding.display
None of the above - While NOT a {Patient/Resident}

# item[].item[].text
Part A Therapies Complete only if {Part A PPS Discharge Assessment}

# item[].item[].item[].code[].display
Speech-language pathology and audiology services since the start date of the residents most recent Medicare Part A stay

# item[].item[].item[].text
Speech-Language Pathology and Audiology Services

# item[].item[].item[].code[].display
Occupational therapy since the start date of the residents most recent Medicare Part A stay

# item[].item[].item[].code[].display
Physical therapy since the start date of the residents most recent Medicare Part A stay

# item[].item[].code[].display
Distinct calendar days of therapy during assessment period

# item[].item[].text
Distinct Calendar Days of Part A therapy. Record the number of calendar days that the {patient/resident} received Speech-Language Pathology and Audiology Services, Occupational Therapy, or Physical Therapy for at least 15 minutes since the start date of the {patient's/resident's} most recent Medicare Part A stay.  Complete only if {Part A PPS Discharge Assessment}

# item[].item[].text
Physical Restraints. Physical restraints are any manual method or physical or mechanical device, material or equipment attached or adjacent to the {patient's/resident's} body that the individual cannot remove easily which restricts freedom of movement or normal access to one's body

# item[].item[].item[].code[].display
Physical restraints used in bed - bed rail used during 7D assessment period

# item[].item[].item[].code[].display
Physical restraints used in bed - trunk restraint used during 7D assessment period

# item[].item[].item[].code[].display
Physical restraints used in bed - limb restraint during 7D assessment period

# item[].item[].item[].code[].display
Other physical restraints used in bed during 7D assessment period

# item[].item[].item[].code[].display
Physical restraints used in chair or out of bed - trunk restraint used during 7D assessment period

# item[].item[].item[].text
Used in Chair or Out of Bed. Trunk restraint

# item[].item[].item[].code[].display
Physical restraints used in chair or out of bed - limb restraint used during 7D assessment period

# item[].item[].item[].text
Used in Chair or Out of Bed. Limb restraint

# item[].item[].item[].code[].display
Physical restraints used in chair or out of bed - chair prevents rising used during 7D assessment period

# item[].item[].item[].text
Used in Chair or Out of Bed. Chair prevents rising

# item[].item[].item[].code[].display
Other physical restraints used in chair or out of bed used during 7D assessment period

# item[].item[].text
Alarms. An alarm is any physical or electronic device that monitors {patient/resident} movement and alerts the staff when movement is detected

# item[].item[].item[].code[].display
Bed alarm used during 7D assessment period

# item[].item[].item[].code[].display
Chair alarm used during 7D assessment period

# item[].item[].item[].code[].display
Floor mat alarm used during 7D assessment period

# item[].item[].item[].code[].display
Motion sensor alarm used during 7D assessment period

# item[].item[].item[].code[].display
Wander or elopement alarm used during 7D assessment period

# item[].item[].item[].code[].display
Other alarm used during 7D assessment period

# item[].code[].display
Participation in assessment and goal setting [CMS Assessment]

# item[].text
Section Q: Participation in Assessment and Goal Setting

# item[].item[].code[].display
Referral has been made to the local contact agency

# item[].item[].text
Referral. Has a referral been made to the Local Contact Agency? Document reasons in {patient's/resident's} clinical record

# item[].item[].answerOption[].valueCoding.display
No - referral is or may be needed (For more information see {resources/documentation})

# item[].item[].code[].display
Clinical record documents a request that questions regarding possible return to the community be asked only on comprehensive assessments

# item[].item[].text
{Patient's/Resident's} Preference to Avoid Being Asked {Return to Community question}. Does the {patient's/resident's} clinical record document a request that this question be asked only on comprehensive assessments?

# item[].item[].item[].code[].display
Participation in assessment Family or significant other

# item[].item[].item[].text
Family or significant other participated in assessment

# item[].item[].item[].answerOption[].valueCoding.display
Resident has no family or significant other

# item[].item[].item[].answerOption[].valueCoding.display
{Patient/Resident} has no family or significant other

# item[].item[].item[].code[].display
Participation in assessment Guardian or legally authorized representative

# item[].item[].item[].text
Guardian or legally authorized representative participated in assessment

# item[].item[].item[].answerOption[].valueCoding.display
Resident has no guardian or legally authorized representative

# item[].item[].item[].answerOption[].valueCoding.display
{Patient/Resident} has no guardian or legally authorized representative

# item[].item[].text
{Patient's/Resident's} Overall Expectation. Complete only if {first assessment}

# item[].item[].item[].code[].display
Goals established during assessment process

# item[].item[].item[].text
Select one for {patient's/resident's} overall goal established during assessment process

# item[].item[].item[].answerOption[].valueCoding.display
Expects to be discharged to the community

# item[].item[].item[].answerOption[].valueCoding.display
Expects to be discharged to the community

# item[].item[].item[].answerOption[].valueCoding.display
Expects to be discharged to another facility/institution

# item[].item[].item[].answerOption[].valueCoding.display
Expects to be discharged to another facility/institution

# item[].item[].item[].code[].display
Information source for resident's overall goal

# item[].item[].item[].text
Indicate information source for {patient/resident overall goal}

# item[].item[].item[].answerOption[].valueCoding.display
If not resident, then family or significant other

# item[].item[].item[].answerOption[].valueCoding.display
If not {patient/resident}, then family or significant other

# item[].item[].item[].answerOption[].valueCoding.display
If not resident, family, or significant other, then guardian or legally authorized representative

# item[].item[].item[].answerOption[].valueCoding.display
If not {patient/resident}, family, or significant other, then guardian or legally authorized representative

# item[].item[].item[].code[].display
Active discharge planning in place for resident return to community

# item[].item[].item[].text
Is active discharge planning already occurring for the {patient/resident} to return to the community?

# item[].item[].item[].code[].display
Wants to talk to someone about the possibility of returning to the community

# item[].item[].item[].text
Ask the {patient/resident} (or family or significant other or guardian or legally authorized representative if {patient/resident} is unable to understand or respond): "Do you want to talk to someone about the possibility of leaving this {facility/setting} and returning to live and receive services in the community?"

# item[].item[].code[].display
Resident's preference to avoid being asked about returning to the community

# item[].item[].text
{Patient's/Resident's} Preference to Avoid Being Asked {Return to Community question} Again

# item[].item[].item[].code[].display
Resident (or legally authorized representative) wants to be asked about returning to the community on all assessments

# item[].item[].item[].text
Does the {patient/resident} (or family or significant other or guardian or legally authorized representative if {patient/resident} is unable to understand or respond) want to be asked about returning to the community on all assessments? (Rather than only on comprehensive assessments.)

# item[].item[].item[].code[].display
Information source for preference on return to community queries

# item[].item[].item[].text
Indicate information source for {preference on asking return to community question}

# item[].item[].item[].answerOption[].valueCoding.display
If not resident, then family or significant other

# item[].item[].item[].answerOption[].valueCoding.display
If not {patient/resident}, then family or significant other

# item[].item[].item[].answerOption[].valueCoding.display
If not resident, family, or significant other, then guardian or legally authorized representative

# item[].item[].item[].answerOption[].valueCoding.display
If not {patient/resident}, family, or significant other, then guardian or legally authorized representative

# item[].code[].display
Care Area Assessment (CAA) Summary [CMS Assessment]

# item[].text
Section V: Care Area Assessment (CAA) Summary

# item[].item[].code[].display
Items from the most recent prior OBRA or scheduled PPS Assessment

# item[].item[].text
Items From the Most Recent Prior OBRA or Scheduled PPS Assessment

# item[].item[].item[].text
Prior Assessment Federal OBRA Reason for Assessment (A0310A value from prior assessment)

# item[].item[].item[].answerOption[].valueCoding.display
Significant correction to prior comprehensive assessment

# item[].item[].item[].answerOption[].valueCoding.display
Significant correction to prior comprehensive assessment

# item[].item[].item[].answerOption[].valueCoding.display
Significant correction to prior quarterly assessment

# item[].item[].item[].answerOption[].valueCoding.display
Significant correction to prior quarterly assessment

# item[].item[].item[].answerOption[].valueCoding.display
Admission assessment (required by day 14)

# item[].item[].item[].answerOption[].valueCoding.display
Admission assessment (required by day 14)

# item[].item[].item[].text
Prior Assessment PPS Reason for Assessment (A0310B value from prior assessment

# item[].item[].item[].code[].display
Assessment reference date - observation end date

# item[].item[].item[].text
Prior Assessment Reference Date (A2300 value from prior assessment)

# item[].item[].item[].answerOption[].valueCoding.display
Prior assessment reference date (Assessment reference date value from prior assessment)

# item[].item[].item[].code[].display
Brief interview for mental status - summary score BIMS

# item[].item[].item[].text
Prior Assessment Brief Interview for Mental Status (BIMS) Summary Score (C0500 value from prior assessment)

# item[].item[].item[].text
Prior Assessment Resident Mood Interview (PHQ-9) Total Severity Score (D0300 value from prior assessment)

# item[].item[].item[].code[].display
Staff assessment of resident mood total severity scoreObserved.PHQ-9

# item[].item[].item[].text
Prior Assessment Staff Assessment of Resident Mood (PHQ-9-OV) Total Severity Score (D0600 value from prior assessment)

# item[].item[].code[].display
Care Area Assessment (CAA) and Care Planning

# item[].item[].text
CAAs and Care Planning. 1. Check column A if Care Area is triggered. 2. For each triggered Care Area, indicate whether a new care plan, care plan revision, or continuation of current plan is necessary to address the problem(s) identified in your assessment of the care area. The Care Planning Decision column must be completed within 7 days of completing the RAI (MDS and CAA(s)). Check column B is the triggered care area is addressed in the care plan. 3. Indicate in the Location and Date of CAA Documentation column where information related to the CAA can be found. CAA documentation should include information on the complicating factors, risks, and any referrals for this resident for this care area.

# item[].item[].item[].text
Signature of RN coordinator for CAA Process and Date Signed

# item[].item[].item[].text
Signature of Person Completing Care Plan Decision and Date Signed

# item[].item[].item[].answerOption[].valueCoding.display
Cognitive Loss/Dementia - Care Area Triggered

# item[].item[].item[].answerOption[].valueCoding.display
Cognitive Loss/Dementia - Care Planning Decision

# item[].item[].item[].answerOption[].valueCoding.display
Visual Function - Care Planning Decision

# item[].item[].item[].answerOption[].valueCoding.display
ADL Functional/Rehabilitation Potential - Care Area Triggered

# item[].item[].item[].answerOption[].valueCoding.display
ADL Functional/Rehabilitation Potential - Care Planning Decision

# item[].item[].item[].answerOption[].valueCoding.display
Urinary incontinence and indwelling catheter

# item[].item[].item[].answerOption[].valueCoding.display
Urinary Incontinence and Indwelling Catheter - Care Area Triggered

# item[].item[].item[].answerOption[].valueCoding.display
Urinary incontinence and indwelling catheter

# item[].item[].item[].answerOption[].valueCoding.display
Urinary Incontinence and Indwelling Catheter - Care Planning Decision

# item[].item[].item[].answerOption[].valueCoding.display
Psychosocial Well-Being - Care Area Triggered

# item[].item[].item[].answerOption[].valueCoding.display
Psychosocial Well-Being - Care Planning Decision

# item[].item[].item[].answerOption[].valueCoding.display
Behavioral Symptoms - Care Area Triggered

# item[].item[].item[].answerOption[].valueCoding.display
Behavioral Symptoms - Care Planning Decision

# item[].item[].item[].answerOption[].valueCoding.display
Nutritional Status - Care Area Triggered

# item[].item[].item[].answerOption[].valueCoding.display
Nutritional Status - Care Planning Decision

# item[].item[].item[].answerOption[].valueCoding.display
Dehydration/Fluid Maintenance - Care Area Triggered

# item[].item[].item[].answerOption[].valueCoding.display
Dehydration/Fluid Maintenance - Care Planning Decision

# item[].item[].item[].answerOption[].valueCoding.display
Psychotropic Drug Use - Care Area Triggered

# item[].item[].item[].answerOption[].valueCoding.display
Psychotropic Drug Use - Care Planning Decision

# item[].item[].item[].answerOption[].valueCoding.display
Physical Restraints - Care Area Triggered

# item[].item[].item[].answerOption[].valueCoding.display
Physical Restraints - Care Planning Decision

# item[].item[].item[].answerOption[].valueCoding.display
Return to Community Referral - Care Area Triggered

# item[].item[].item[].answerOption[].valueCoding.display
Return to Community Referral - Care Planning Decision

# item[].code[].display
MDS v3.0 - RAI v1.17.1 - Assessment administration [CMS Assessment]

# item[].item[].code[].display
MDS v3.0 - RAI v1.17.1 - Medicare part A billing

# item[].item[].item[].code[].display
Medicare part A - HIPPS code for billing

# item[].item[].code[].display
MDS v3.0 - RAI v1.17.1 - State Medicaid billing

# item[].item[].text
State Medicaid Billing (if required by the state)

# item[].item[].code[].display
MDS v3.0 - RAI v1.17.1 - Alternate state Medicaid billing

# item[].item[].text
Alternate State Medicaid Billing (if required by the state)

# item[].item[].item[].code[].display
Alternate state Medicaid billing - RUG group

# item[].item[].code[].display
MDS v3.0 - RAI v1.17.1 - Insurance billing

# item[].item[].text
Signature of Persons Completing the Assessment

# item[].item[].item[].text
Signature, Title, Sections, Date Section Completed A

# item[].item[].item[].text
Signature, Title, Sections, Date Section Completed B

# item[].item[].item[].text
Signature, Title, Sections, Date Section Completed C

# item[].item[].item[].text
Signature, Title, Sections, Date Section Completed D

# item[].item[].item[].text
Signature, Title, Sections, Date Section Completed E

# item[].item[].item[].text
Signature, Title, Sections, Date Section Completed F

# item[].item[].item[].text
Signature, Title, Sections, Date Section Completed G

# item[].item[].item[].text
Signature, Title, Sections, Date Section Completed H

# item[].item[].item[].text
Signature, Title, Sections, Date Section Completed I

# item[].item[].item[].text
Signature, Title, Sections, Date Section Completed J

# item[].item[].item[].text
Signature, Title, Sections, Date Section Completed K

# item[].item[].item[].text
Signature, Title, Sections, Date Section Completed L

# item[].item[].text
Signature of RN Coordinator Verifying Assessment Completion

# item[].item[].item[].text
Date RN Assessment Coordinator signed assessment as complete