PACIO Sample Data Depot
0.1.0 - draft

PACIO Sample Data Depot, published by MITRE. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/paciowg/sample-data-fsh/ and changes regularly. See the Directory of published versions

## : MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set - XML Representation

Draft as of 2026-03-26

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    <Questionnaire xmlns="http://hl7.org/fhir">
      <id value="Questionnaire-MDS-Nursing-Home-Comprehensive-Item-Set"/>
      <meta>
        <versionId value="14"/>
        <lastUpdated value="2025-02-26T20:49:17.503+00:00"/>
        <source value="#e6hBXlNCA3ym4tDd"/>
      </meta>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Questionnaire Questionnaire-MDS-Nursing-Home-Comprehensive-Item-Set</b></p><a name="Questionnaire-MDS-Nursing-Home-Comprehensive-Item-Set"> </a><a name="hcQuestionnaire-MDS-Nursing-Home-Comprehensive-Item-Set"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">version: 14; Last updated: 2025-02-26 20:49:17+0000; </p><p style="margin-bottom: 0px">Information Source: #e6hBXlNCA3ym4tDd</p></div><b>Structure</b><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Cardinality</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description &amp; Constraints</a><span style="float: right"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireRoot" class="hierarchy"/> MDS_v3_RAI_v1_Nursing_home_comprehensive_NC_item_set</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">http://loinc.org/q/90473-0#0.1.0</td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.105334" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 105334</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A. Identification Information</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102711" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102711</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0050. Type of Record</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102711">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102712" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 102712</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0100. Facility Provider Numbers</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102713" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> 102713</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0100A. National Provider Identifier (NPI)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102714" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> 102714</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0100B. CMS Certification Number (CCN)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.102715" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> 102715</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0100C. State Provider Number</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102716" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102716</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0200. Type of Provider</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102716">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.110660" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 110660</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0300. Optional State Assessment</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.105339" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 105339</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0300A. Is this assessment for state payment purposes only?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.105339">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.105364" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 105364</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0310. Type of Assessment</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102718" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102718</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0310A. Federal OBRA Reason for Assessment</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102718">7 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102719" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102719</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0310B. PPS Assessment</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102719">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102722" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102722</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0310E. Is this assessment the first assessment (OBRA, Scheduled PPS, or Discharge) since the most recent admission/entry or reentry?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102722">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102723" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102723</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0310F. Entry/discharge reporting</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102723">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102724" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102724</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0310G. Type of discharge</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102724">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.105365" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 105365</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0310G1. Is this a SNF Part A Interrupted Stay?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.105365">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.102725" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102725</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0310H. Is this a SNF Part A PPS Discharge Assessment?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102725">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102726" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102726</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0410. Unit Certification or Licensure Designation</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102726">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102727" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 102727</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0500. Legal Name of Resident</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102728" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> 102728</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0500A. First name</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102729" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> 102729</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0500B. Middle initial</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102730" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> 102730</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0500C. Last name</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.102731" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> 102731</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0500D. Suffix</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102732" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 102732</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0600. Social Security and Medicare Numbers</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102733" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> 102733</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0600A. Social Security Number</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.102734" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> 102734</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0600B. Medicare number</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102735" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> 102735</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0700. Medicaid Number</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102736" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102736</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0800. Gender</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102736">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102737" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 102737</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A0900. Birth Date</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102738" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102738</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A1000. Race/Ethnicity</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102738">6 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102739" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 102739</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A1100. Language</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102740" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102740</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A1100A. Does the resident need or want an interpreter to communicate with a doctor or health care staff?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102740">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.102741" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102741</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A1100B. Preferred language</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102741">6 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102742" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102742</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A1200. Marital Status</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102742">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102743" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 102743</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A1300. Optional Resident Items</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102744" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> 102744</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A1300A. Medical record number</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102745" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> 102745</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A1300B. Room number</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102746" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> 102746</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A1300C. Name by which resident prefers to be addressed</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.102747" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102747</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A1300D. Lifetime occupation(s)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102747">1 option</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102748" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102748</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A1500. 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?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102748">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102749" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102749</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A1510. Level II Preadmission Screening and Resident Review (PASRR) Conditions</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102749">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102750" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102750</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A1550. Conditions Related to ID/DD Status</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102750">6 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102751" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 102751</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Most Recent Admission/Entry or Reentry into this Facility</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102752" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 102752</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A1600. Entry Date</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102753" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102753</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A1700. Type of Entry</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102753">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.102754" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102754</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A1800. Entered From</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102754">9 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102755" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 102755</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A1900. Admission Date</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102756" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 102756</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A2000. Discharge Date</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102757" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102757</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A2100. Discharge Status</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102757">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102758" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-date.png" alt="." style="background-color: white; background-color: inherit" title="date" class="hierarchy"/> 102758</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A2200. Previous Assessment Reference Date for Significant Correction</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102759" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-date.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="date" class="hierarchy"/> 102759</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A2300. Assessment Reference Date. Observation end date</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" id="item.102760" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 102760</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A2400. Medicare Stay</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.102761" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102761</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A2400A. Has the resident had a Medicare-covered stay since the most recent entry?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102761">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.102762" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-date.png" alt="." style="background-color: white; background-color: inherit" title="date" class="hierarchy"/> 102762</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A2400B. Start date of most recent Medicare stay</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)" id="item.102763" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-date.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="date" class="hierarchy"/> 102763</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">A2400C. End date of most recent Medicare stay</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.102764" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 102764</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">B. Hearing, Speech, and Vision</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102765" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102765</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">B0100. Comatose</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102765">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102766" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102766</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">B0200. Hearing</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102766">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102767" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102767</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">B0300. Hearing Aid</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102767">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102768" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102768</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">B0600. Speech Clarity</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102768">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102769" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102769</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">B0700. Makes Self Understood</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102769">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102770" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102770</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">B0800. Ability to Understand Others</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102770">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102771" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102771</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">B1000. Vision</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102771">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" id="item.102772" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102772</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">B1200. Corrective Lenses</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102772">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.102773" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 102773</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C. Cognitive Patterns</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.129944" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 129944</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0100. Should Brief Interview for Mental Status (C0200-C0500) be Conducted?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.129944">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.129945" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 129945</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Brief Interview for Mental Status (BIMS)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.129946" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 129946</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0200. Repetition of Three Words</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.129946">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1111.png)" id="item.129947" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 129947</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0300. Temporal Orientation</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.129948" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 129948</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0300A. Able to report correct year</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.129948">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.129949" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 129949</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0300B. Able to report correct month</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.129949">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11100.png)" id="item.129950" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 129950</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0300C. Able to report correct day of the week</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.129950">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1111.png)" id="item.129951" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 129951</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0400. Recall</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.129952" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 129952</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0400A. Able to recall &quot;sock&quot;</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.129952">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.129953" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 129953</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0400B. Able to recall &quot;blue&quot;</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.129953">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11100.png)" id="item.129954" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 129954</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0400C. Able to recall &quot;bed&quot;</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.129954">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.129955" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 129955</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0500. BIMS Summary Score</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.129956" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 129956</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0600. Should the Staff Assessment for Mental Status (C0700-C1000) be Conducted?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.129956">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.129940" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 129940</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Staff assessment for mental status</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.129960" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 129960</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Short-term memory OK</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.129960">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.129959" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 129959</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Long-term memory OK</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.129959">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.129958" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 129958</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Memory &amp;or recall ability</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.129958">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.129957" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 129957</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Cognitive skills for daily decision making</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.129957">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" id="item.129961" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 129961</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Delirium</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1001.png)" id="item.129962" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 129962</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Signs and Symptoms of Delirium (from CAM)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10010.png)" id="item.129966" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 129966</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Acute onset mental change. Is there evidence of an acute change in mental status from the patient's baseline?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.129966">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10010.png)" id="item.129965" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 129965</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Inattention - Did the patient have difficulty focusing attention, for example, being easily distractible or having difficulty keeping track of what was being said?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.129965">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10010.png)" id="item.129964" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 129964</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Disorganized thinking - Was the patient's thinking disorganized or incoherent, such as rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject)?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.129964">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10000.png)" id="item.129963" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 129963</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Altered level of consciousness - Did the resident have altered level of consciousness, as indicated by any of the following crfiteria?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.129963">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.105758" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 105758</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D. Mood</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102799" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102799</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0100. Should Resident Mood Interview be Conducted?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102799">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102800" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 102800</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0200. Resident Mood Interview (PHQ-9)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1111.png)" id="item.102801" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 102801</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0200_1. Symptom Presence</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.102802" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102802</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0200A1. Little interest or pleasure in doing things</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102802">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.102803" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102803</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0200B1. Feeling down, depressed or hopeless</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102803">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.102804" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102804</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0200C1. Trouble falling or staying asleep, or sleeping too much</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102804">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.102805" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102805</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0200D1. Feeling tired or having little energy</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102805">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.102806" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102806</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0200E1. Poor appetite or overeating</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102806">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.102807" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102807</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0200F1. Feeling bad about yourself - or that you are a failure or have let yourself or your family down</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102807">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.102808" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102808</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0200G1. Trouble concentrating on things, such as reading the newspaper or watching television</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102808">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.102809" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102809</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0200H1. 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</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102809">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11100.png)" id="item.102810" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102810</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0200I1. Thoughts that you would be better off dead, or of hurting yourself in some way</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102810">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1101.png)" id="item.102811" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 102811</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0200_2. Symptom Frequency</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.102812" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102812</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0200A2. Little interest or pleasure in doing things</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102812">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.102813" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102813</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0200B2. Feeling down, depressed or hopeless</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102813">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.102814" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102814</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0200C2. Trouble falling or staying asleep, or sleeping too much</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102814">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.102815" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102815</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0200D2. Feeling tired or having little energy</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102815">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.102816" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102816</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0200E2. Poor appetite or overeating</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102816">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.102817" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102817</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0200F2. Feeling bad about yourself - or that you are a failure or have let yourself or your family down</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102817">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.102818" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102818</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0200G2. Trouble concentrating on things, such as reading the newspaper or watching television</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102818">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.102819" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102819</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0150H2. 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</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102819">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11000.png)" id="item.102820" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102820</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0200I2. Thoughts that you would be better off dead, or of hurting yourself in some way</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102820">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102821" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 102821</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0300. Total Severity Score</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102823" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 102823</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500. Staff Assessment of Resident Mood (PHQ-9-OV)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1111.png)" id="item.102824" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 102824</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500_1. Symptom Presence</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.102825" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102825</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500A1. Little interest or pleasure in doing things</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102825">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.102826" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102826</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500B1. Feeling or appearing down, depressed, or hopeless</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102826">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.102827" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102827</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500C1. Trouble falling or staying asleep, or sleeping too much</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102827">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.102828" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102828</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500D1. Feeling tired or having little energy</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102828">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.102829" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102829</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500E1. Poor appetite or overeating</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102829">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.102830" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102830</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500F1. Indicating that s/he feels bad about self, is a failure, or has let self or family down</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102830">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.102831" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102831</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500G1. Trouble concentrating on things, such as reading the newspaper or watching television</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102831">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.102832" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102832</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500H1. 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</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102832">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.102833" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102833</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500I1. States that life isn't worth living, wishes for death, or attempts to harm self</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102833">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11100.png)" id="item.102834" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102834</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500J1. Being short-tempered, easily annoyed</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102834">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1101.png)" id="item.102835" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 102835</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500_2. Symptom Frequency</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.102836" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102836</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500A2. Little interest or pleasure in doing things</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102836">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.102837" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102837</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500B2. Feeling or appearing down, depressed, or hopeless</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102837">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.102838" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102838</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500C2. Trouble falling or staying asleep, or sleeping too much</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102838">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.102839" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102839</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500D2. Feeling tired or having little energy</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102839">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.102840" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102840</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500E2. Poor appetite or overeating</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102840">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.102841" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102841</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500F2. Indicating that s/he feels bad about self, is a failure, or has let self or family down</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102841">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.102842" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102842</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500G2. Trouble concentrating on things, such as reading the newspaper or watching television</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102842">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.102843" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102843</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500H2. 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</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102843">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.102844" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102844</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500I2. States that life isn't worth living, wishes for death, or attempts to harm self</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102844">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11000.png)" id="item.102845" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102845</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0500J2. Being short-tempered, easily annoyed</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102845">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" id="item.102846" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 102846</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">D0600. Total Severity Score</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.102848" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 102848</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E. Behavior</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102849" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102849</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E0100. Potential Indicators of Psychosis</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102849">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102850" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 102850</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E0200. Behavioral Symptom - Presence &amp; Frequency</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102851" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102851</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E0200A. Physical behavioral symptoms directed toward others</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102851">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102852" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102852</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E0200B. Verbal behavioral symptoms directed toward others</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102852">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.102853" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102853</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E0200C. Other behavioral symptoms not directed toward others</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102853">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102854" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102854</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E0300. Overall Presence of Behavioral Symptoms.Were any behavioral symptoms in questions E0200 coded 1, 2, or 3?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102854">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102855" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 102855</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E0500. Impact on Resident</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102856" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102856</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E0500A. Did any of the identified symptom(s): Put the resident at significant risk for physical illness or injury?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102856">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102857" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102857</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E0500B. Did any of the identified symptom(s): Significantly interfere with the resident's care?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102857">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.102858" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102858</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E0500C. Did any of the identified symptom(s): Significantly interfere with the resident's participation in activities or social interactions?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102858">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102859" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 102859</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E0600. Impact on Others</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102860" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102860</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E0600A. Did any of the identified symptom(s): Put others at significant risk for physical injury?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102860">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102861" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102861</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E0600B. Did any of the identified symptom(s): Significantly intrude on the privacy or activity of others?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102861">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.102862" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102862</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E0600C. Did any of the identified symptom(s): Significantly disrupt care or living environment?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102862">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102863" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102863</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E0800. Rejection of Care - Presence &amp; Frequency. Did the resident reject evaluation or care (e.g., bloodwork, taking medications, ADL assistance) that is necessary to achieve the resident's goals for health and well-being?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102863">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102864" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102864</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E0900. Wandering - Presence &amp; Frequency. Has the resident wandered?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102864">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102865" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 102865</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E1000. Wandering - Impact</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102866" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102866</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E1000A. Does the wandering place the resident at significant risk of getting to a potentially dangerous place?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102866">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.102867" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102867</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E1000B. Does the wandering significantly intrude on the privacy or activities of others?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102867">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" id="item.102868" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102868</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">E1100. Change in Behavior or Other Symptoms.How does resident's current behavior status, care rejection, or wandering compare to prior assessment (OBRA or Scheduled PPS)?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102868">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.102869" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 102869</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F. Preferences for Customary Routine and Activities</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102870" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102870</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0300. Should Interview for Daily and Activity Preferences be Conducted?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102870">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102871" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 102871</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0400. Interview for Daily Preferences</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102872" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102872</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0400A. While you are in this facility how important is it to you to choose what clothes to wear?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102872">6 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102873" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102873</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0400B. While you are in this facility how important is it to you to take care of your personal belongings or things?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102873">6 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102874" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102874</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0400C. While you are in this facility how important is it to you to choose between a tub bath, shower, bed bath, or sponge bath?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102874">6 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102875" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102875</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0400D. While you are in this facility how important is it to you to have snacks available between meals?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102875">6 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102876" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102876</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0400E. While you are in this facility how important is it to you to choose your own bedtime?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102876">6 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102877" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102877</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0400F. While you are in this facility how important is it to you to have your family or a close friend involved in discussions about your care?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102877">6 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102878" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102878</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0400G. While you are in this facility how important is it to you to be able to use the phone in private?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102878">6 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.102879" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102879</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0400H. While you are in this facility how important is it to you to have a place to lock your things to keep them safe?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102879">6 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102880" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 102880</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0500. Interview for Activity Preferences</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102881" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102881</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0500A. While you are in this facility how important is it to you to have books, newspapers, and magazines to read?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102881">6 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102882" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102882</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0500B. While you are in this facility how important is it to you to listen to music you like?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102882">6 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102883" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102883</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0500C. While you are in this facility how important is it to you to be around animals such as pets?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102883">6 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102884" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102884</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0500D. While you are in this facility how important is it to you to keep up with the news?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102884">6 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102885" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102885</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0500E. While you are in this facility how important is it to you to do things with groups of people?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102885">6 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102886" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102886</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0500F. While you are in this facility how important is it to you to do your favorite activities?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102886">6 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102887" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102887</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0500G. While you are in this facility how important is it to you to go outside to get fresh air when the weather is good?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102887">6 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.102888" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102888</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0500H. While you are in this facility how important is it to you to participate in religious services or practices?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102888">6 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102889" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102889</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0600. Daily and Activity Preferences Primary Respondent. Indicate primary respondent for Daily and Activity Preferences (F0400 and F0500)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102889">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102890" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102890</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0700. Should the Staff Assessment of Daily and Activity Preferences be Conducted?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102890">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" id="item.102891" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102891</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">F0800. Staff Assessment of Daily and Activity Preferences. Resident Prefers:</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102891">21 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.102892" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 102892</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G. Functional Status</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102893" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 102893</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110_1. Activities of Daily Living (ADL) Assistance. Self-Performance</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102894" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102894</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110A1. Bed mobility</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102894">7 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102895" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102895</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110B1. Transfer</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102895">7 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102896" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102896</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110C1. Walk in room</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102896">7 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102897" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102897</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110D1. Walk in corridor</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102897">7 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102898" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102898</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110E1. Locomotion on unit</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102898">7 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102899" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102899</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110F1. Locomotion off unit</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102899">7 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102900" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102900</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110G1. Dressing</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102900">7 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102901" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102901</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110H1. Eating</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102901">7 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102902" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102902</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110I1. Toilet use</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102902">7 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.102903" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102903</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110J1. Personal hygiene</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102903">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102904" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 102904</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110_2. Activities of Daily Living (ADL) Assistance. Support Provided</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102905" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102905</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110A2. Bed mobility</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102905">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102906" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102906</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110B2. Transfer</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102906">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102907" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102907</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110C2. Walk in room</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102907">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102908" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102908</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110D2. Walk in corridor</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102908">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102909" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102909</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110E2. Locomotion on unit</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102909">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102910" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102910</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110F2. Locomotion off unit</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102910">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102911" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102911</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110G2. Dressing</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102911">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102912" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102912</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110H2. Eating</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102912">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102913" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102913</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110I2. Toilet use</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102913">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.102914" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102914</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0110J2. Personal hygiene</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102914">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102915" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 102915</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0120. Bathing</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102916" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102916</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0120A. Self-performance</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102916">6 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.102917" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102917</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0120B. Support provided</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102917">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102918" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 102918</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0300. Balance During Transitions and Walking</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102919" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102919</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0300A. Moving from seated to standing position</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102919">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102920" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102920</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0300B. Walking (with assistive device if used)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102920">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102921" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102921</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0300C. Turning around and facing the opposite direction while walking</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102921">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102922" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102922</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0300D. Moving on and off toilet</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102922">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.102923" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102923</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0300E. Surface-to-surface transfer (transfer between bed and chair or wheelchair)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102923">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.112227" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 112227</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0400. Functional Limitation in Range of Motion</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.112228" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 112228</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0400A. Upper extremity (shoulder, elbow, wrist, hand)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.112228">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.112229" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 112229</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0400B. Lower extremity (hip, knee, ankle, foot)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.112229">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102927" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102927</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0600. Mobility Devices</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102927">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" id="item.102928" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 102928</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0900. Functional Rehabilitation Potential</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.102929" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102929</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0900A. Resident believes he or she is capable of increased independence in at least some ADLs.</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102929">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)" id="item.102930" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102930</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">G0900B. Direct care staff believe resident is capable of increased independence in at least some ADLs</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102930">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.102931" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 102931</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG. Functional Abilities and Goals - Start of SNF PPS Stay or State PDPM</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102932" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 102932</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0100. Prior Functioning: Everyday Activities</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102933" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102933</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0100A. Self-Care</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102933">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102934" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102934</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0100B. Indoor Mobility (Ambulation)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102934">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102935" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102935</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0100C. Stairs</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102935">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.102936" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102936</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0100D. Functional Cognition</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102936">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.102937" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102937</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0110. Prior Device Use</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102937">6 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102938" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 102938</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130_1. Self-Care - Admission Performance</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102939" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102939</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130A1. Eating</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102939">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102940" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102940</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130B1. Oral hygiene</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102940">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102941" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102941</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130C1. Toileting hygiene</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102941">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102942" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102942</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130E1. Shower/bathe self</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102942">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102943" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102943</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130F1. Upper body dressing</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102943">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102944" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102944</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130G1. Lower body dressing</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102944">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.102945" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102945</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130H1. Putting on/taking off footwear</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102945">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102946" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 102946</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130_2. Self-Care - Discharge Goal</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.136634" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 136634</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Oral hygiene - functional goal</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.136634">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.137359" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 137359</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130A2. Eating</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.137359">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102949" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102949</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130C2. Toileting hygiene</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102949">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102950" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102950</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130E2. Shower/bathe self</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102950">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102951" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102951</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130F2. Upper body dressing</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102951">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102952" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102952</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130G2. Lower body dressing</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102952">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.102953" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102953</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130H2. Putting on/taking off footwear</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102953">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102954" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 102954</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170_1. Mobility - Admission Performance</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102955" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102955</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170A1. Roll left and right</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102955">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102956" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102956</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170B1. Sit to lying</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102956">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102957" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102957</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170C1. Lying to sitting on side of bed</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102957">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102958" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102958</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170D1. Sit to stand</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102958">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102959" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102959</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170E1. Chair/bed-to-chair transfer</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102959">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102960" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102960</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170F1. Toilet transfer</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102960">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102961" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102961</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170G1. Car transfer</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102961">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102962" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102962</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170I1. Walk 10 feet</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102962">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102963" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102963</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170J1. Walk 50 feet with two turns</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102963">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102964" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102964</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170K1. Walk 150 feet</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102964">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102965" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102965</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170L1. Walking 10 feet on uneven surfaces</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102965">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102966" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102966</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170M1. 1 step (curb)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102966">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102967" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102967</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170N1. 4 steps</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102967">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102968" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102968</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170O1. 12 steps</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102968">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102969" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102969</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170P1. Picking up object</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102969">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102970" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102970</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170Q1. Does the resident use a wheelchair and/or scooter?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102970">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102971" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102971</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170R1. Wheel 50 feet with two turns</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102971">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102972" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102972</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170RR1. Indicate the type of wheelchair or scooter used</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102972">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102973" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102973</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170S1. Wheel 150 feet</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102973">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.102974" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102974</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170SS1. Indicate the type of wheelchair or scooter used</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102974">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" id="item.102975" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 102975</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170_2. Mobility - Discharge Goal</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.102976" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102976</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170A2. Roll left and right</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102976">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.102977" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102977</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170B2. Sit to lying</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102977">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.102978" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102978</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170C2. Lying to sitting on side of bed</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102978">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.102979" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102979</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170D2. Sit to stand</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102979">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.102980" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102980</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170E2. Chair/bed-to-chair transfer</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102980">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.102981" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102981</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170F2. Toilet transfer</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102981">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.102982" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102982</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170G2. Car transfer</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102982">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.102983" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102983</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170I2. Walk 10 feet</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102983">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.102984" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102984</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170J2. Walk 50 feet with two turns</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102984">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.102985" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102985</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170K2. Walk 150 feet</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102985">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.102986" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102986</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170L2. Walking 10 feet on uneven surfaces</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102986">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.102987" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102987</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170M2. 1 step (curb)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102987">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.102988" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102988</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170N2. 4 steps</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102988">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.102989" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102989</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170O2. 12 steps</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102989">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.102990" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102990</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170P2. Picking up object</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102990">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.102991" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102991</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170R2. Wheel 50 feet with two turns</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102991">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)" id="item.102992" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102992</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170S2. Wheel 150 feet</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102992">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.102993" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 102993</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG. Functional Abilities and Goals - Discharge (End of SNF PPS Stay)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.102994" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 102994</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130_3. Self-Care - Discharge Performance</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102995" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102995</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130A3. Eating</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102995">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102996" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102996</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130B3. Oral hygiene</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102996">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102997" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102997</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130C3. Toileting hygiene</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102997">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102998" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 102998</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130E3. Shower/bathe self</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102998">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.102999" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 102999</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130F3. Upper body dressing</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.102999">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103000" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103000</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130G3. Lower body dressing</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103000">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103001" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103001</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0130H3. Putting on/taking off footwear</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103001">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" id="item.103002" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103002</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170_3. Mobility - Discharge Performance</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103003" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103003</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170A3. Roll left and right</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103003">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103004" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103004</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170B3. Sit to lying</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103004">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103005" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103005</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170C3. Lying to sitting on side of bed</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103005">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103006" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103006</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170D3. Sit to stand</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103006">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103007" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103007</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170E3. Chair/bed-to-chair transfer</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103007">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103008" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103008</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170F3. Toilet transfer</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103008">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103009" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103009</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170G3. Car transfer</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103009">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103010" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103010</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170I3. Walk 10 feet</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103010">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103011" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103011</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170J3. Walk 50 feet with two turns</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103011">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103012" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103012</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170K3. Walk 150 feet</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103012">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103013" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103013</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170L3. Walking 10 feet on uneven surfaces</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103013">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103014" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103014</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170M3. 1 step (curb)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103014">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103015" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103015</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170N3. 4 steps</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103015">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103016" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103016</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170O3. 12 steps</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103016">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103017" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103017</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170P3. Picking up object</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103017">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103018" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103018</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170Q3. Does the resident use a wheelchair and/or scooter?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103018">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103019" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103019</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170R3. Wheel 50 feet with two turns</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103019">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103020" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103020</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170RR3. Indicate the type of wheelchair or scooter used</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103020">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103021" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103021</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170S3. Wheel 150 feet</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103021">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)" id="item.103022" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103022</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">GG0170SS3. Indicate the type of wheelchair or scooter used</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103022">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.103023" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103023</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">H. Bladder and Bowel</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103024" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103024</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">H0100. Appliances</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103024">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103025" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103025</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">H0200. Urinary Toileting Program</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103026" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103026</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">H0200A. Has a trial of a toileting program (e.g., scheduled toileting, prompted voiding, or bladder training) been attempted on admission/entry or reentry or since urinary incontinence was noted in this facility?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103026">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103027" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103027</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">H0200B. Response - What was the resident's response to the trial program?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103027">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103028" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103028</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">H0200C. Current toileting program or trial - Is a toileting program (e.g., scheduled toileting, prompted voiding, or bladder training) currently being used to manage the resident's urinary continence?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103028">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103029" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103029</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">H0300. Urinary Continence</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103029">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103030" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103030</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">H0400. Bowel Continence</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103030">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103031" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103031</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">H0500. Bowel Toileting Program</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103031">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" id="item.103032" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103032</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">H0600. Bowel Patterns. Constipation present?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103032">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.106149" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 106149</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">I. Active Diagnoses</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103034" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103034</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">I0020. Indicate the resident's primary medical condition category</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103034">13 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.106150" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 106150</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">I0020B. ICD Code</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.106150">1 option</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103036" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103036</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">I0100-I7900. Active Diagnoses in the last 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103036">57 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" id="item.103037" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103037</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">I8000A-I8000J. Additional active diagnoses</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103037">1 option</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.106182" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 106182</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J. Health Conditions</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103039" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103039</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J0100. Pain Management</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103040" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103040</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J0100A. At any time in the last 5 days, has the resident: Received scheduled pain medication regimen?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103040">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103041" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103041</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J0100B. At any time in the last 5 days, has the resident: Received PRN pain medications OR was offered and declined?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103041">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103042" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103042</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J0100C. At any time in the last 5 days, has the resident: Received non-medication intervention for pain?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103042">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103043" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103043</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J0200. Should Pain Assessment Interview be Conducted?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103043">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103044" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103044</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Pain Assessment Interview</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103045" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103045</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J0300. Pain Presence. Have you had pain or hurting at any time in the last 5 days?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103045">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103046" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103046</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J0400. Pain Frequency. How much of the time have you experienced pain or hurting over the last 5 days?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103046">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1111.png)" id="item.103047" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103047</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J0500. Pain Effect on Function</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103048" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103048</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J0500A. Over the past 5 days, has pain made it hard for you to sleep at night?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103048">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11100.png)" id="item.103049" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103049</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J0500B. Over the past 5 days, have you limited your day-to-day activities because of pain?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103049">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1101.png)" id="item.103050" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103050</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J0600. Pain Intensity</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.103051" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> 103051</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J0600A. Numeric Rating Scale (00-10)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11000.png)" id="item.103052" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103052</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J0600B. Verbal Descriptor Scale</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103052">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103053" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103053</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J0700. Should the Staff Assessment for Pain be Conducted?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103053">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103054" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103054</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Staff Assessment for Pain</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103055" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103055</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J0800. Indicators of Pain or Possible Pain in the last 5 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103055">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103056" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103056</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J0850. Frequency of Indicator of Pain or Possible Pain in the last 5 days. Frequency with which resident complains or shows evidence of pain or possible pain</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103056">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103057" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103057</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Other Health Conditions</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103058" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103058</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J1100. Shortness of Breath (dyspnea)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103058">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103059" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103059</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J1300. Current Tobacco Use</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103059">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103060" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103060</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J1400. Prognosis</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103060">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103061" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103061</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J1550. Problem Conditions</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103061">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1111.png)" id="item.103062" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103062</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J1700. Fall History on Admission/Entry or Reentry</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103063" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103063</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J1700A. Did the resident have a fall any time in the last month prior to admission/entry or reentry?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103063">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103064" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103064</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J1700B. Did the resident have a fall any time in the last 2-6 months prior to admission/entry or reentry?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103064">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11100.png)" id="item.103065" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103065</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J1700C. Did the resident have any fracture related to a fall in the 6 months prior to admission/entry or reentry?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103065">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103066" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103066</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J1800. Has the resident had any falls since admission/entry or reentry or the prior assessment (OBRA or Scheduled PPS), whichever is more recent?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103066">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1101.png)" id="item.103067" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103067</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J1900. Number of Falls Since Admission/Entry or Reentry or Prior Assessment (OBRA or Scheduled PPS), whichever is more recent</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.103068" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103068</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J1900A. No injury</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103068">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.103069" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103069</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J1900B. Injury (except major)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103069">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11000.png)" id="item.103070" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103070</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J1900C. Major injury</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103070">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103071" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103071</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J2000. Prior Surgery</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103071">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.106183" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 106183</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J2100. Recent Surgery Requiring Active SNF Care</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.106183">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" id="item.106184" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 106184</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">J2300-J5000. Surgical Procedures</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.106184">29 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.106270" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 106270</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">K. Swallowing/Nutritional Status</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103073" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103073</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">K0100. Swallowing Disorder. Signs and symptoms of possible swallowing disorder</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103073">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103074" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103074</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">K0200. Height and Weight</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103075" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103075</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">K0200A. Height (in inches)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103076" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103076</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">K0200B. Weight (in pounds)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103077" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103077</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">K0300. Weight Loss. Loss of 5% or more in the last month or loss of 10% or more in last 6 months</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103077">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103078" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103078</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">K0310. Weight Gain. Gain of 5% or more in the last month or gain of 10% or more in last 6 months</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103078">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103079" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103079</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">K0510. Nutritional Approaches</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103080" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103080</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">K0510_1. Nutritional Approaches. While NOT a Resident</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103080">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103081" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103081</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">K0510_2. Nutritional Approaches. While a Resident</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103081">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" id="item.106271" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 106271</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">K0710. Percent Intake by Artificial Route</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103084" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103084</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">K0710A2. Proportion of total calories the resident received through parenteral or tube feeding. While a Resident</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103084">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103085" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103085</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">K0710A3. Proportion of total calories the resident received through parenteral or tube feeding. During Entire 7 Days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103085">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103087" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103087</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">K0710B2. Average fluid intake per day by IV or tube feeding. While a Resident</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103087">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)" id="item.103088" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103088</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">K0710B3. Average fluid intake per day by IV or tube feeding. During Entire 7 Days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103088">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.103089" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103089</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">L. Oral/Dental Status</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" id="item.103090" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103090</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">L0200. Dental</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103090">8 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.103091" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103091</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">M. Skin Conditions</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103092" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103092</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">M0100. Determination of Pressure Ulcer/Injury Risk</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103092">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103093" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103093</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">M0150. Risk of Pressure Ulcers/Injuries</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103093">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103094" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103094</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">M0210. Unhealed Pressure Ulcers/Injuries</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103094">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103095" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103095</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">M0300. Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103096" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103096</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">M0300A1. Number of Stage 1 pressure injuries</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103097" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103097</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">M0300B1. Number of Stage 2 pressure ulcers</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103098" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103098</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">M0300B2. Number of these Stage 2 pressure ulcers that were present upon admission/entry or reentry</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103099" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103099</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">M0300C1. Number of Stage 3 pressure ulcers</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103100" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103100</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">M0300C2. Number of these Stage 3 pressure ulcers that were present upon admission/entry or reentry</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103101" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103101</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">M0300D1. Number of Stage 4 pressure ulcers</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103102" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103102</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">M0300D2. Number of these Stage 4 pressure ulcers that were present upon admission/entry or reentry</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103103" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103103</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">M0300E1. Number of unstageable pressure ulcers/injuries due to non-removable dressing/device</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103104" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103104</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">M0300E2. Number of these unstageable pressure ulcers/injuries that were present upon admission/entry or reentry</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103105" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103105</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">M0300F1. Number of unstageable pressure ulcers due to coverage of wound bed by slough and/or eschar</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103106" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103106</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">M0300F2. Number of these unstageable pressure ulcers that were present upon admission/entry or reentry</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103107" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103107</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">M0300G1. Number of unstageable pressure injuries presenting as deep tissue injury</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103108" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103108</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">M0300G2. Number of these unstageable pressure injuries that were present upon admission/entry or reentry</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103109" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103109</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">M1030. Number of Venous and Arterial Ulcers</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103110" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103110</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">M1040. Other Ulcers, Wounds and Skin Problems</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103110">9 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" id="item.103111" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103111</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">M1200. Skin and Ulcer/Injury Treatments</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103111">10 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.103112" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103112</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N. Medications</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103113" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103113</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N0300. Injections. Record the number of days that injections of any type were received during the last 7 days or since admission/entry or reentry if less than 7 days.</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103114" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103114</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N0350. Insulin</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103115" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103115</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N0350A. Insulin injections - Record the number of days that insulin injections were received during the last 7 days or since admission/entry or reentry if less than 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103116" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103116</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N0350B. Orders for insulin - Record the number of days the physician (or authorized assistant or practitioner) changed the resident's insulin orders during the last 7 days or since admission/entry or reentry if less than 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103117" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103117</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N0410. Medications Received</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103118" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103118</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N0410A. Antipsychotic</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103119" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103119</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N0410B. Antianxiety</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103120" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103120</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N0410C. Antidepressant</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103121" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103121</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N0410D. Hypnotic</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103122" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103122</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N0410E. Anticoagulant (e.g., warfarin, heparin, or low-molecular weight heparin)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103123" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103123</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N0410F. Antibiotic</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103124" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103124</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N0410G. Diuretic</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103125" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103125</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N0410H. Opioid</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103126" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103126</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N0450. Antipsychotic Medication Review</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103127" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103127</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N0450A. Did the resident receive antipsychotic medications since admission/entry or reentry or the prior OBRA assessment, whichever is more recent?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103127">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103128" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103128</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N0450B. Has a gradual dose reduction (GDR) been attempted?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103128">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103129" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-date.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="date" class="hierarchy"/> 103129</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N0450C. Date of last attempted GDR</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103130" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103130</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N0450D. Physician documented GDR as clinically contraindicated</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103130">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103131" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-date.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="date" class="hierarchy"/> 103131</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N0450E. Date physician documented GDR as clinically contraindicated</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103132" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103132</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N2001. Drug Regimen Review: Did a complete drug regimen review identify potential clinically significant medication issues?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103132">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103133" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103133</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N2003. Medication Follow-up: Did the facility 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?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103133">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" id="item.103134" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103134</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">N2005. Did the facility 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?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103134">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.109478" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 109478</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O. Special Treatments, Procedures, and Programs</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103136" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103136</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0100. Special Treatments, Procedures, and Programs</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103137" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103137</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0100_1. While NOT a Resident</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103137">13 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103138" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103138</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0100_2. While a Resident</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103138">13 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103139" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103139</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0250. Influenza Vaccine</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103140" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103140</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0250A. Did the resident receive the influenza vaccine in this facility for this year's influenza vaccination season?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103140">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103141" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-date.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="date" class="hierarchy"/> 103141</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0250B. Date influenza vaccine received</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103142" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103142</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0250C. If influenza vaccine not received, state reason:</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103142">7 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103143" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103143</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0300. Pneumococcal Vaccine</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103144" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103144</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0300A. Is the resident's Pneumococcal vaccination up to date?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103144">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103145" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103145</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0300B. If Pneumococcal vaccine not received, state reason:</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103145">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103146" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103146</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400. Therapies</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1111.png)" id="item.103147" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103147</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400A. Speech-Language Pathology and Audiology Services</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103148" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103148</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400A1. Individual minutes - record the total number of minutes this therapy was administered to the resident individually
    in the last 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103149" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103149</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400A2. Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident in the last 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103150" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103150</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400A3. Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents in the last 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103151" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103151</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400A3A. Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions in the last 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103152" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103152</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400A4. Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103153" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-date.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="date" class="hierarchy"/> 103153</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400A5. Therapy start date - record the date the most recent therapy regimen (since the most recent entry) started</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11100.png)" id="item.103154" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-date.png" alt="." style="background-color: white; background-color: inherit" title="date" class="hierarchy"/> 103154</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400A6. Therapy end date - record the date the most recent therapy regimen (since the most recent entry) ended</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1111.png)" id="item.103155" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103155</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400B. Occupational Therapy</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103156" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103156</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400B1. Individual minutes - record the total number of minutes this therapy was administered to the resident individually in the last 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103157" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103157</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400B2. Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident in the last 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103158" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103158</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400B3. Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents in the last 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103159" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103159</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400B3A. Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions in the last 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103160" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103160</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400B4. Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103161" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-date.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="date" class="hierarchy"/> 103161</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400B5. Therapy start date - record the date the most recent therapy regimen (since the most recent entry) started</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11100.png)" id="item.103162" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-date.png" alt="." style="background-color: white; background-color: inherit" title="date" class="hierarchy"/> 103162</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400B6. Therapy end date - record the date the most recent therapy regimen (since the most recent entry) ended</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1111.png)" id="item.103163" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103163</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400C. Physical Therapy</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103164" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103164</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400C1. Individual minutes - record the total number of minutes this therapy was administered to the resident individually in the last 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103165" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103165</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400C2. Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident in the last 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103166" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103166</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400C3. Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents in the last 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103167" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103167</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400C3A. Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions in the last 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103168" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103168</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400C4. Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103169" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-date.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="date" class="hierarchy"/> 103169</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400C5. Therapy start date - record the date the most recent therapy regimen (since the most recent entry) started</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11100.png)" id="item.103170" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-date.png" alt="." style="background-color: white; background-color: inherit" title="date" class="hierarchy"/> 103170</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400C6. Therapy end date - record the date the most recent
    therapy regimen (since the most recent entry) ended</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1111.png)" id="item.103171" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103171</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400D. Respiratory Therapy</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103172" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103172</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400D1. Total minutes - record the total number of minutes this therapy was administered to the resident in the last 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11100.png)" id="item.103173" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103173</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400D2. Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1111.png)" id="item.103174" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103174</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400E. Psychological Therapy (by any licensed mental health professional)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.103175" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103175</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400E1. Total minutes - record the total number of minutes this therapy was administered to the resident in the last 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11100.png)" id="item.103176" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103176</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400E2. Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days.</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1101.png)" id="item.103177" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103177</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400F. Recreational Therapy (includes recreational and music therapy)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.103178" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103178</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400F1. Total minutes - record the total number of minutes this therapy was administered to the resident in the last 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11000.png)" id="item.103179" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103179</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0400F2. Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103180" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103180</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0420. Distinct Calendar Days of Therapy. Record the number of calendar days that the resident received Speech-Language Pathology and Audiology Services, Occupational Therapy, or Physical Therapy for at least 15 minutes in the past 7 days.</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.109459" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 109459</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0425. Part A Therapies</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1111.png)" id="item.109462" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 109462</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0425A. Speech-Language Pathology and Audiology Services</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.109468" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 109468</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0425A1. Individual minutes - record the total number of minutes this therapy was administered to the resident individually since the start date of the resident's most recent Medicare Part A stay (A2400B)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.109471" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 109471</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0425A2. Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident since the start date of the resident's most recent Medicare Part A stay (A2400B)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.109469" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 109469</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0425A3. Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents since the start date of the resident's most recent Medicare Part A stay (A2400B)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.109470" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 109470</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0425A4. Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions since the start date of the resident's most recent Medicare Part A stay (A2400B)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11100.png)" id="item.109472" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 109472</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0425A5. Days - record the number of days this therapy was administered for at least 15 minutes a day since the start date of the resident's most recent Medicare Part A stay (A2400B)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1111.png)" id="item.109461" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 109461</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0425B. Occupational Therapy</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.109463" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 109463</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0425B1. Individual minutes - record the total number of minutes this therapy was administered to the resident individually since the start date of the resident's most recent Medicare Part A stay (A2400B)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.109467" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 109467</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0425B2. Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident since the start date of the resident's most recent Medicare Part A stay (A2400B)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.109465" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 109465</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0425B3. Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents since the start date of the resident's most recent Medicare Part A stay (A2400B)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11110.png)" id="item.109466" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 109466</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0425B4. Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions since the start date of the resident's most recent Medicare Part A stay (A2400B)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11100.png)" id="item.109464" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 109464</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0425B5. Days - record the number of days this therapy was administered for at least 15 minutes a day since the start date of the resident's most recent Medicare Part A stay (A2400B)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1101.png)" id="item.109460" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 109460</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0425C. Physical Therapy</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.109473" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 109473</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0425C1. Individual minutes - record the total number of minutes this therapy was administered to the resident individually since the start date of the resident's most recent Medicare Part A stay (A2400B)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.109476" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 109476</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0425C2. Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident since the start date of the resident's most recent Medicare Part A stay (A2400B)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.109474" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 109474</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0425C3. Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents since the start date of the resident's most recent Medicare Part A stay (A2400B)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11010.png)" id="item.109475" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 109475</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0425C4. Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions since the start date of the resident's most recent Medicare Part A stay (A2400B)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11000.png)" id="item.109477" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 109477</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0425C5. Days - record the number of days this therapy was administered for at least 15 minutes a day since the start date of the resident's most recent Medicare Part A stay (A2400B)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.109479" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 109479</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0430. Distinct Calendar Days of Part A Therapy</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103184" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103184</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0500. Restorative Nursing Programs</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103185" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103185</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0500A. Technique. Range of motion (passive)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103186" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103186</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0500B. Technique. Range of motion (active)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103187" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103187</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0500C. Technique. Splint or brace assistance</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103188" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103188</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0500D. Training and Skill Practice In: Bed mobility</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103189" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103189</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0500E. Training and Skill Practice In: Transfer</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103190" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103190</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0500F. Training and Skill Practice In: Walking</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103191" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103191</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0500G. Training and Skill Practice In: Dressing and/or grooming</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103192" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103192</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0500H. Training and Skill Practice In: Eating and/or swallowing</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103193" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103193</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0500I. Training and Skill Practice In: Amputation/prostheses care</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103194" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103194</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0500J. Training and Skill Practice In: Communication</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103195" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103195</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0600. Physician Examinations. Over the last 14 days, on how many days did the physician (or authorized assistant or practitioner) examine the resident?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" id="item.103196" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103196</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">O0700. Physician Orders. Over the last 14 days, on how many days did the physician (or authorized assistant or practitioner) change the resident's orders?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.103197" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103197</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">P. Restraints and Alarms</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103198" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103198</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">P0100. Physical Restraints</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103199" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103199</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">P0100A. Used in Bed. Bed rail</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103199">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103200" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103200</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">P0100B. Used in Bed. Trunk restraint</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103200">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103201" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103201</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">P0100C. Used in Bed. Limb restraint</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103201">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103202" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103202</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">P0100D. Used in Bed. Other</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103202">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103203" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103203</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">P0100E. Used in Chair or Out of Bed. Trunk restraint</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103203">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103204" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103204</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">P0100F. Used in Chair or Out of Bed. Limb restraint</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103204">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103205" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103205</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">P0100G. Used in Chair or Out of Bed. Chair prevents rising</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103205">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103206" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103206</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">P0100H. Used in Chair or Out of Bed. Other</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103206">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" id="item.103207" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103207</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">P0200. Alarms</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103208" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103208</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">P0200A. Bed alarm</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103208">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103209" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103209</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">P0200B. Chair alarm</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103209">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103210" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103210</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">P0200C. Floor mat alarm</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103210">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103211" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103211</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">P0200D. Motion sensor alarm</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103211">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103212" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103212</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">P0200E. Wander/elopement alarm</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103212">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1000.png)" id="item.103213" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103213</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">P0200F. Other alarm</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103213">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.103214" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103214</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Q. Participation in Assessment and Goal Setting</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103215" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103215</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Q0100. Participation in Assessment</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103216" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103216</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Q0100A. Resident participated in assessment</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103216">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103217" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103217</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Q0100B. Family or significant other participated in assessment</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103217">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103218" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103218</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Q0100C. Guardian or legally authorized representative participated in assessment</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103218">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103219" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103219</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Q0300. Resident's Overall Expectation</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103220" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103220</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Q0300A. Select one for resident's overall goal established during assessment process</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103220">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103221" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103221</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Q0300B. Indicate information source for Q0300A</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103221">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103222" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103222</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Q0400A. Discharge Plan. Is active discharge planning already occurring for the resident to return to the community?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103222">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103223" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103223</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Q0490. Resident's Preference to Avoid Being Asked Question Q0500B</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103223">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103224" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103224</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Q0500B. Return to Community. Do you want to talk to someone about the possiblity of leaving this facility and returning to live and receive services in the community?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103224">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103225" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103225</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Q0550. Resident's Preference to Avoid Being Asked Question Q0500B Again</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103226" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103226</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Q0550A. Does the resident (or family or significant other or guardian or legally authorized representative if resident is unable to understand or respond) want to be asked about returning to the community on all assessments?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103226">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103227" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103227</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Q0550B. Indicate information source for Q0550A</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103227">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" id="item.103228" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103228</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Q0600. Referral. Has a referral been made to the Local Contact Agency?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103228">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.103229" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103229</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">V. Care Area Assessment (CAA) Summary</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103230" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103230</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">V0100. Items From the Most Recent Prior OBRA or Scheduled PPS Assessment</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103231" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103231</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">V0100A. Prior Assessment Federal OBRA Reason for Assessment</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103231">7 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103232" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103232</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">V0100B. Prior Assessment PPS Reason for Assessment</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103232">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103233" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-date.png" alt="." style="background-color: white; background-color: inherit" title="date" class="hierarchy"/> 103233</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">V0100C. Prior Assessment Reference Date</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103234" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103234</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">V0100D. Prior Assessment Brief Interview for Mental Status (BIMS) Summary Score</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103235" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103235</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">V0100E. Prior Assessment Resident Mood Interview (PHQ-9©) Total Severity Score</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103236" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103236</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">V0100F. Prior Assessment Staff Assessment of Resident Mood (PHQ-9-OV) Total Severity Score</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" id="item.103237" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103237</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">V0200. CAAs and Care Planning</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1001.png)" id="item.103238" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 103238</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">V0200A. CAA Results</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10010.png)" id="item.103239" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103239</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">V0200A_A. Care Area Triggered</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103239">20 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10000.png)" id="item.103240" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103240</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">V0200A_B. Care Planning Decision</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103240">20 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.109861" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 109861</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X. Correction Request</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103242" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103242</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X0150. Type of Provider</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103242">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103243" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103243</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X0200. Name of Resident</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103244" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> 103244</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X0200A. Patient First name</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103245" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> 103245</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X0200C. Patient Last name</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103246" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103246</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X0300. Gender</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103246">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103247" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103247</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X0400. Birth Date</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.103248" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> 103248</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X0500. Social Security Number</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.110233" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 110233</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X0570A. Optional State Assessment. Is this assessment for state payment purposes only?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.110233">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.109825" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 109825</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X0600. Type of Assessment</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103250" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103250</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X0600A. Federal OBRA Reason for Assessment</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103250">7 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103251" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103251</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X0600B. PPS Assessment</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103251">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103254" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103254</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X0600F. Entry/discharge reporting</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103254">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103255" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103255</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X0600H. Is this a SNF Part A PPS Discharge Assessment?</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103255">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck111.png)" id="item.103256" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103256</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X0700. Date on existing record to be modified/inactivated</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103257" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-date.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="date" class="hierarchy"/> 103257</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X0700A. Assessment Reference Date</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1110.png)" id="item.103258" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 103258</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X0700B. Discharge Date</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1100.png)" id="item.103259" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103259</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X0700C. Entry Date</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck101.png)" id="item.103260" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103260</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Correction Attestation Section</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103261" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> 103261</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X0800. Correction Number</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103262" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 103262</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X0900. Reasons for Modification</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103262">5 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1010.png)" id="item.103263" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 103263</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X1050. Reasons for Inactivation</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.103263">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1001.png)" id="item.103264" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 103264</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X1100. RN Assessment Coordinator Attestation of Completion</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10010.png)" id="item.103265" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> 103265</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X1100A. Attesting individual's first name</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10010.png)" id="item.103266" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> 103266</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X1100B. Attesting individual's last name</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10010.png)" id="item.103267" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> 103267</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X1100C. Attesting individual's title</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10000.png)" id="item.103268" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-date.png" alt="." style="background-color: white; background-color: inherit" title="date" class="hierarchy"/> 103268</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">X1100E. Attestation date</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-date">date</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" id="item.110082" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 110082</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Z. Assessment Administration</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)" id="item.110044" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 110044</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Z0100. Medicare Part A Billing</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)" id="item.103271" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> 103271</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Z0100A. Medicare Part A HIPPS code</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0100.png)" id="item.112457" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> 112457</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Z0100B. Version code</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)" id="item.112461" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 112461</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Z0200. State Medicaid Billing (if required by the state)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)" id="item.103278" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> 103278</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Z0200A. Case Mix group</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0100.png)" id="item.112458" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> 112458</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Z0200B. Version code</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)" id="item.112462" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 112462</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Z0250. Alternate State Medicaid Billing (if required by the state)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)" id="item.103281" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> 103281</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Z0250A. Case Mix group</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0100.png)" id="item.112459" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> 112459</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Z0250B. Version code</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck001.png)" id="item.112463" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> 112463</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Z0300. Insurance Billing</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0010.png)" id="item.103284" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="string" class="hierarchy"/> 103284</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Z0300A. Billing code</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0000.png)" id="item.112460" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="string" class="hierarchy"/> 112460</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Z0300B. Billing version</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr><td colspan="5" class="hierarchy"><br/><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name="opt-item.102711"> </a><p><b>Answer options for 102711 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA12663-3 (&quot;Add new record&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12664-1 (&quot;Modify existing record&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12665-8 (&quot;Inactivate existing record&quot;)</li></ul><a name="opt-item.102716"> </a><p><b>Answer options for 102716 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10882-1 (&quot;Nursing home (SNF/NF)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10883-9 (&quot;Swing bed&quot;)</li></ul><a name="opt-item.105339"> </a><p><b>Answer options for 105339 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102718"> </a><p><b>Answer options for 102718 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10-4 (&quot;Admission assessment (required by day 14)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA15-3 (&quot;Quarterly review assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12-0 (&quot;Annual assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA13-8 (&quot;Significant change in status assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10888-8 (&quot;Significant correction to prior comprehensive assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10889-6 (&quot;Significant correction to prior quarterly assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.102719"> </a><p><b>Answer options for 102719 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10894-6 (&quot;5-day scheduled assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29577-6 (&quot;IPA - Interim Payment Assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.102722"> </a><p><b>Answer options for 102722 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102723"> </a><p><b>Answer options for 102723 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA12627-8 (&quot;Entry tracking record&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12628-6 (&quot;Discharge assessment - return not anticipated&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12629-4 (&quot;Discharge assessment - return anticipated&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12630-2 (&quot;Death in facility tracking record&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.102724"> </a><p><b>Answer options for 102724 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA20099-0 (&quot;Planned&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28017-4 (&quot;Unplanned&quot;)</li></ul><a name="opt-item.105365"> </a><p><b>Answer options for 105365 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102725"> </a><p><b>Answer options for 102725 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102726"> </a><p><b>Answer options for 102726 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27983-8 (&quot;Unit is neither Medicare nor Medicaid certified and MDS data is not required by the State&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27984-6 (&quot;Unit is neither Medicare nor Medicaid certified but MDS data is required by the State&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27985-3 (&quot;Unit is Medicare and/or Medicaid certified&quot;)</li></ul><a name="opt-item.102736"> </a><p><b>Answer options for 102736 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA2-8 (&quot;Male&quot;)</li><li style="font-size: 11px">http://loinc.org#LA3-6 (&quot;Female&quot;)</li></ul><a name="opt-item.102738"> </a><p><b>Answer options for 102738 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA6155-1 (&quot;American Indian or Alaska Native&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6156-9 (&quot;Asian&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10610-6 (&quot;Black or African American&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6214-6 (&quot;Hispanic or Latino&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10611-4 (&quot;Native Hawaiian or Other Pacific Islander&quot;)</li><li style="font-size: 11px">http://loinc.org#LA4457-3 (&quot;White&quot;)</li></ul><a name="opt-item.102740"> </a><p><b>Answer options for 102740 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11137-9 (&quot;Unable to determine&quot;)</li></ul><a name="opt-item.102741"> </a><p><b>Answer options for 102741 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA43-5 (&quot;English&quot;)</li><li style="font-size: 11px">http://loinc.org#LA44-3 (&quot;Spanish&quot;)</li><li style="font-size: 11px">http://loinc.org#LA4168-6 (&quot;Chinese&quot;)</li><li style="font-size: 11px">http://loinc.org#LA4443-3 (&quot;Vietnamese&quot;)</li><li style="font-size: 11px">http://loinc.org#LA15353-8 (&quot;Tagalog&quot;)</li><li style="font-size: 11px">http://loinc.org#LA46-8 (&quot;Other&quot;)</li></ul><a name="opt-item.102742"> </a><p><b>Answer options for 102742 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA47-6 (&quot;Never married&quot;)</li><li style="font-size: 11px">http://loinc.org#LA48-4 (&quot;Married&quot;)</li><li style="font-size: 11px">http://loinc.org#LA49-2 (&quot;Widowed&quot;)</li><li style="font-size: 11px">http://loinc.org#LA4288-2 (&quot;Separated&quot;)</li><li style="font-size: 11px">http://loinc.org#LA51-8 (&quot;Divorced&quot;)</li></ul><a name="opt-item.102747"> </a><p><b>Answer options for 102747 </b></p><ul><li style="font-size: 11px">http://loinc.org#null</li></ul><a name="opt-item.102748"> </a><p><b>Answer options for 102748 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10921-7 (&quot;Not a Medicaid-certified unit&quot;)</li></ul><a name="opt-item.102749"> </a><p><b>Answer options for 102749 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA18599-3 (&quot;Serious mental illness&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29576-8 (&quot;Intellectual disability&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18601-7 (&quot;Other related conditions&quot;)</li></ul><a name="opt-item.102750"> </a><p><b>Answer options for 102750 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA20088-3 (&quot;Down syndrome&quot;)</li><li style="font-size: 11px">http://loinc.org#LA24638-1 (&quot;Autism&quot;)</li><li style="font-size: 11px">http://loinc.org#LA16985-6 (&quot;Epilepsy&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27792-3 (&quot;Other organic condition related to ID/DD&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27793-1 (&quot;ID/DD with no organic condition&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.102753"> </a><p><b>Answer options for 102753 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10922-5 (&quot;Admission&quot;)</li><li style="font-size: 11px">http://loinc.org#LA54-2 (&quot;Reentry&quot;)</li></ul><a name="opt-item.102754"> </a><p><b>Answer options for 102754 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10924-1 (&quot;Community (private home/apt., board/care, assisted living, group home)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10925-8 (&quot;Another nursing home or swing bed&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9928-8 (&quot;Acute hospital&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10064-6 (&quot;Psychiatric hospital&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10928-2 (&quot;Inpatient rehabilitation facility&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10929-0 (&quot;ID/DD facility&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6216-1 (&quot;Hospice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10000-0 (&quot;Long-Term Care Hospital (LTCH)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA46-8 (&quot;Other&quot;)</li></ul><a name="opt-item.102757"> </a><p><b>Answer options for 102757 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10924-1 (&quot;Community (private home/apt., board/care, assisted living, group home)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10925-8 (&quot;Another nursing home or swing bed&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9928-8 (&quot;Acute hospital&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10064-6 (&quot;Psychiatric hospital&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10928-2 (&quot;Inpatient rehabilitation facility&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10929-0 (&quot;ID/DD facility&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6216-1 (&quot;Hospice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10939-9 (&quot;Deceased&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10000-0 (&quot;Long-Term Care Hospital (LTCH)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA46-8 (&quot;Other&quot;)</li></ul><a name="opt-item.102761"> </a><p><b>Answer options for 102761 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102765"> </a><p><b>Answer options for 102765 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102766"> </a><p><b>Answer options for 102766 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10941-5 (&quot;Adequate - no difficulty in normal conversation, social interaction, listening to TV&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10942-3 (&quot;Minimal difficulty - difficulty in some environments (e.g., when person speaks softly or setting is noisy)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10943-1 (&quot;Moderate difficulty - speaker has to increase volume and speak distinctly&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10944-9 (&quot;Highly impaired - absence of useful hearing&quot;)</li></ul><a name="opt-item.102767"> </a><p><b>Answer options for 102767 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102768"> </a><p><b>Answer options for 102768 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10945-6 (&quot;Clear speech - distinct intelligible words&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10946-4 (&quot;Unclear speech - slurred or mumbled words&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10947-2 (&quot;No speech - absence of spoken words&quot;)</li></ul><a name="opt-item.102769"> </a><p><b>Answer options for 102769 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA71-6 (&quot;Understood&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10949-8 (&quot;Usually understood - difficulty communicating some words or finishing thoughts but is able if prompted or given time&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10950-6 (&quot;Sometimes understood - ability is limited to making concrete requests&quot;)</li><li style="font-size: 11px">http://loinc.org#LA74-0 (&quot;Rarely/never understood&quot;)</li></ul><a name="opt-item.102770"> </a><p><b>Answer options for 102770 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10952-2 (&quot;Understands - clear comprehension&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10953-0 (&quot;Usually understands - misses some part/intent of message but comprehends most conversation&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10954-8 (&quot;Sometimes understands - responds adequately to simple, direct communication only&quot;)</li><li style="font-size: 11px">http://loinc.org#LA81-5 (&quot;Rarely/never understands&quot;)</li></ul><a name="opt-item.102771"> </a><p><b>Answer options for 102771 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10956-3 (&quot;Adequate - sees fine detail, such as regular print in newspapers/books&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10957-1 (&quot;Impaired - sees large print, but not regular print in newspapers/books&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10958-9 (&quot;Moderately impaired - limited vision; not able to see newspaper headlines but can identify objects&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10959-7 (&quot;Highly impaired - object identification in question, but eyes appear to follow objects&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10960-5 (&quot;Severely impaired - no vision or sees only light, colors or shapes; eyes do not appear to follow objects&quot;)</li></ul><a name="opt-item.102772"> </a><p><b>Answer options for 102772 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.129944"> </a><p><b>Answer options for 129944 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11150-2 (&quot;No (resident is rarely/never understood)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.129946"> </a><p><b>Answer options for 129946 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA137-2 (&quot;None&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6306-0 (&quot;One&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6404-3 (&quot;Two&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6395-3 (&quot;Three&quot;)</li></ul><a name="opt-item.129948"> </a><p><b>Answer options for 129948 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10965-4 (&quot;Missed by &gt; 5 years or no answer&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10966-2 (&quot;Missed by 2-5 years&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10008-3 (&quot;Missed by 1 year&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9960-1 (&quot;Correct&quot;)</li></ul><a name="opt-item.129949"> </a><p><b>Answer options for 129949 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10969-6 (&quot;Missed by &gt; 1 month or no answer&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10010-9 (&quot;Missed by 6 days to 1 month&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9927-0 (&quot;Accurate within 5 days&quot;)</li></ul><a name="opt-item.129950"> </a><p><b>Answer options for 129950 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA9981-7 (&quot;Incorrect or no answer&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9960-1 (&quot;Correct&quot;)</li></ul><a name="opt-item.129952"> </a><p><b>Answer options for 129952 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10974-6 (&quot;No - could not recall&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10126-3 (&quot;Yes, after cueing (&quot;something to wear&quot;)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10134-7 (&quot;Yes, no cue required&quot;)</li></ul><a name="opt-item.129953"> </a><p><b>Answer options for 129953 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10974-6 (&quot;No - could not recall&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10978-7 (&quot;Yes, after cueing (&quot;a color&quot;)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10134-7 (&quot;Yes, no cue required&quot;)</li></ul><a name="opt-item.129954"> </a><p><b>Answer options for 129954 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10974-6 (&quot;No - could not recall&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10125-5 (&quot;Yes, after cueing (&quot;a piece of furniture&quot;)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10134-7 (&quot;Yes, no cue required&quot;)</li></ul><a name="opt-item.129956"> </a><p><b>Answer options for 129956 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA28146-1 (&quot;No (resident was able to complete Brief Interview for Mental Status)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28147-9 (&quot;Yes (resident was unable to complete Brief Interview for Mental Status)&quot;)</li></ul><a name="opt-item.129960"> </a><p><b>Answer options for 129960 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA55-9 (&quot;Memory OK&quot;)</li><li style="font-size: 11px">http://loinc.org#LA56-7 (&quot;Memory problem&quot;)</li></ul><a name="opt-item.129959"> </a><p><b>Answer options for 129959 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA55-9 (&quot;Memory OK&quot;)</li><li style="font-size: 11px">http://loinc.org#LA56-7 (&quot;Memory problem&quot;)</li></ul><a name="opt-item.129958"> </a><p><b>Answer options for 129958 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA9962-7 (&quot;Current season&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9998-1 (&quot;Location of own room&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10085-1 (&quot;Staff names and faces&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33609-1 (&quot;That they are in a nursing home/hospital swing bed.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26729-6 (&quot;None of the above were recalled&quot;)</li></ul><a name="opt-item.129957"> </a><p><b>Answer options for 129957 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10985-2 (&quot;Independent - decisions consistent/reasonable&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10986-0 (&quot;Modified independence - some difficulty in new situations only&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10987-8 (&quot;Moderately impaired - decisions poor; cues/supervision required&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10988-6 (&quot;Severely impaired - never/rarely made decisions&quot;)</li></ul><a name="opt-item.129966"> </a><p><b>Answer options for 129966 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.129965"> </a><p><b>Answer options for 129965 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA61-7 (&quot;Behavior not present&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10992-8 (&quot;Behavior continuously present, does not fluctuate&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10993-6 (&quot;Behavior present, fluctuates (comes and goes, changes in severity)&quot;)</li></ul><a name="opt-item.129964"> </a><p><b>Answer options for 129964 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA61-7 (&quot;Behavior not present&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10992-8 (&quot;Behavior continuously present, does not fluctuate&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10993-6 (&quot;Behavior present, fluctuates (comes and goes, changes in severity)&quot;)</li></ul><a name="opt-item.129963"> </a><p><b>Answer options for 129963 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA61-7 (&quot;Behavior not present&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10992-8 (&quot;Behavior continuously present, does not fluctuate&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10993-6 (&quot;Behavior present, fluctuates (comes and goes, changes in severity)&quot;)</li></ul><a name="opt-item.102799"> </a><p><b>Answer options for 102799 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11150-2 (&quot;No (resident is rarely/never understood)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102802"> </a><p><b>Answer options for 102802 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA33719-8 (&quot;No (enter 0 in column 2)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33720-6 (&quot;Yes (enter 0-3 in column 2)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33753-7 (&quot;No response (leave column 2 blank)&quot;)</li></ul><a name="opt-item.102803"> </a><p><b>Answer options for 102803 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA33719-8 (&quot;No (enter 0 in column 2)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33720-6 (&quot;Yes (enter 0-3 in column 2)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33753-7 (&quot;No response (leave column 2 blank)&quot;)</li></ul><a name="opt-item.102804"> </a><p><b>Answer options for 102804 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA33719-8 (&quot;No (enter 0 in column 2)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33720-6 (&quot;Yes (enter 0-3 in column 2)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33753-7 (&quot;No response (leave column 2 blank)&quot;)</li></ul><a name="opt-item.102805"> </a><p><b>Answer options for 102805 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA33719-8 (&quot;No (enter 0 in column 2)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33720-6 (&quot;Yes (enter 0-3 in column 2)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33753-7 (&quot;No response (leave column 2 blank)&quot;)</li></ul><a name="opt-item.102806"> </a><p><b>Answer options for 102806 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA33719-8 (&quot;No (enter 0 in column 2)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33720-6 (&quot;Yes (enter 0-3 in column 2)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33753-7 (&quot;No response (leave column 2 blank)&quot;)</li></ul><a name="opt-item.102807"> </a><p><b>Answer options for 102807 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA33719-8 (&quot;No (enter 0 in column 2)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33720-6 (&quot;Yes (enter 0-3 in column 2)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33753-7 (&quot;No response (leave column 2 blank)&quot;)</li></ul><a name="opt-item.102808"> </a><p><b>Answer options for 102808 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA33719-8 (&quot;No (enter 0 in column 2)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33720-6 (&quot;Yes (enter 0-3 in column 2)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33753-7 (&quot;No response (leave column 2 blank)&quot;)</li></ul><a name="opt-item.102809"> </a><p><b>Answer options for 102809 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA33719-8 (&quot;No (enter 0 in column 2)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33720-6 (&quot;Yes (enter 0-3 in column 2)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33753-7 (&quot;No response (leave column 2 blank)&quot;)</li></ul><a name="opt-item.102810"> </a><p><b>Answer options for 102810 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA33719-8 (&quot;No (enter 0 in column 2)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33720-6 (&quot;Yes (enter 0-3 in column 2)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33753-7 (&quot;No response (leave column 2 blank)&quot;)</li></ul><a name="opt-item.102812"> </a><p><b>Answer options for 102812 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10997-7 (&quot;Never or 1 day&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10998-5 (&quot;2-6 days (several days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10999-3 (&quot;7-11 days (half or more of the days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11000-9 (&quot;12-14 days (nearly every day)&quot;)</li></ul><a name="opt-item.102813"> </a><p><b>Answer options for 102813 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10997-7 (&quot;Never or 1 day&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10998-5 (&quot;2-6 days (several days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10999-3 (&quot;7-11 days (half or more of the days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11000-9 (&quot;12-14 days (nearly every day)&quot;)</li></ul><a name="opt-item.102814"> </a><p><b>Answer options for 102814 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10997-7 (&quot;Never or 1 day&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10998-5 (&quot;2-6 days (several days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10999-3 (&quot;7-11 days (half or more of the days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11000-9 (&quot;12-14 days (nearly every day)&quot;)</li></ul><a name="opt-item.102815"> </a><p><b>Answer options for 102815 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10997-7 (&quot;Never or 1 day&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10998-5 (&quot;2-6 days (several days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10999-3 (&quot;7-11 days (half or more of the days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11000-9 (&quot;12-14 days (nearly every day)&quot;)</li></ul><a name="opt-item.102816"> </a><p><b>Answer options for 102816 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10997-7 (&quot;Never or 1 day&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10998-5 (&quot;2-6 days (several days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10999-3 (&quot;7-11 days (half or more of the days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11000-9 (&quot;12-14 days (nearly every day)&quot;)</li></ul><a name="opt-item.102817"> </a><p><b>Answer options for 102817 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10997-7 (&quot;Never or 1 day&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10998-5 (&quot;2-6 days (several days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10999-3 (&quot;7-11 days (half or more of the days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11000-9 (&quot;12-14 days (nearly every day)&quot;)</li></ul><a name="opt-item.102818"> </a><p><b>Answer options for 102818 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10997-7 (&quot;Never or 1 day&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10998-5 (&quot;2-6 days (several days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10999-3 (&quot;7-11 days (half or more of the days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11000-9 (&quot;12-14 days (nearly every day)&quot;)</li></ul><a name="opt-item.102819"> </a><p><b>Answer options for 102819 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10997-7 (&quot;Never or 1 day&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10998-5 (&quot;2-6 days (several days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10999-3 (&quot;7-11 days (half or more of the days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11000-9 (&quot;12-14 days (nearly every day)&quot;)</li></ul><a name="opt-item.102820"> </a><p><b>Answer options for 102820 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10997-7 (&quot;Never or 1 day&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10998-5 (&quot;2-6 days (several days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10999-3 (&quot;7-11 days (half or more of the days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11000-9 (&quot;12-14 days (nearly every day)&quot;)</li></ul><a name="opt-item.102825"> </a><p><b>Answer options for 102825 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102826"> </a><p><b>Answer options for 102826 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102827"> </a><p><b>Answer options for 102827 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102828"> </a><p><b>Answer options for 102828 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102829"> </a><p><b>Answer options for 102829 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102830"> </a><p><b>Answer options for 102830 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102831"> </a><p><b>Answer options for 102831 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102832"> </a><p><b>Answer options for 102832 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102833"> </a><p><b>Answer options for 102833 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA33719-8 (&quot;No (enter 0 in column 2)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33720-6 (&quot;Yes (enter 0-3 in column 2)&quot;)</li></ul><a name="opt-item.102834"> </a><p><b>Answer options for 102834 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102836"> </a><p><b>Answer options for 102836 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10997-7 (&quot;Never or 1 day&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10998-5 (&quot;2-6 days (several days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10999-3 (&quot;7-11 days (half or more of the days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11000-9 (&quot;12-14 days (nearly every day)&quot;)</li></ul><a name="opt-item.102837"> </a><p><b>Answer options for 102837 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10997-7 (&quot;Never or 1 day&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10998-5 (&quot;2-6 days (several days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10999-3 (&quot;7-11 days (half or more of the days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11000-9 (&quot;12-14 days (nearly every day)&quot;)</li></ul><a name="opt-item.102838"> </a><p><b>Answer options for 102838 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10997-7 (&quot;Never or 1 day&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10998-5 (&quot;2-6 days (several days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10999-3 (&quot;7-11 days (half or more of the days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11000-9 (&quot;12-14 days (nearly every day)&quot;)</li></ul><a name="opt-item.102839"> </a><p><b>Answer options for 102839 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10997-7 (&quot;Never or 1 day&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10998-5 (&quot;2-6 days (several days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10999-3 (&quot;7-11 days (half or more of the days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11000-9 (&quot;12-14 days (nearly every day)&quot;)</li></ul><a name="opt-item.102840"> </a><p><b>Answer options for 102840 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10997-7 (&quot;Never or 1 day&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10998-5 (&quot;2-6 days (several days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10999-3 (&quot;7-11 days (half or more of the days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11000-9 (&quot;12-14 days (nearly every day)&quot;)</li></ul><a name="opt-item.102841"> </a><p><b>Answer options for 102841 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10997-7 (&quot;Never or 1 day&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10998-5 (&quot;2-6 days (several days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10999-3 (&quot;7-11 days (half or more of the days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11000-9 (&quot;12-14 days (nearly every day)&quot;)</li></ul><a name="opt-item.102842"> </a><p><b>Answer options for 102842 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10997-7 (&quot;Never or 1 day&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10998-5 (&quot;2-6 days (several days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10999-3 (&quot;7-11 days (half or more of the days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11000-9 (&quot;12-14 days (nearly every day)&quot;)</li></ul><a name="opt-item.102843"> </a><p><b>Answer options for 102843 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10997-7 (&quot;Never or 1 day&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10998-5 (&quot;2-6 days (several days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10999-3 (&quot;7-11 days (half or more of the days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11000-9 (&quot;12-14 days (nearly every day)&quot;)</li></ul><a name="opt-item.102844"> </a><p><b>Answer options for 102844 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10997-7 (&quot;Never or 1 day&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10998-5 (&quot;2-6 days (several days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10999-3 (&quot;7-11 days (half or more of the days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11000-9 (&quot;12-14 days (nearly every day)&quot;)</li></ul><a name="opt-item.102845"> </a><p><b>Answer options for 102845 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10997-7 (&quot;Never or 1 day&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10998-5 (&quot;2-6 days (several days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10999-3 (&quot;7-11 days (half or more of the days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11000-9 (&quot;12-14 days (nearly every day)&quot;)</li></ul><a name="opt-item.102849"> </a><p><b>Answer options for 102849 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27795-6 (&quot;Hallucinations (perceptual experiences in the absence of real external sensory stimuli)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27796-4 (&quot;Delusions (misconceptions or beliefs that are firmly held, contrary to reality)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.102851"> </a><p><b>Answer options for 102851 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11005-8 (&quot;Behavior not exhibited&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11006-6 (&quot;Behavior of this type occurred 1 to 3 days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA94-8 (&quot;Behavior of this type occurred 4 to 6 days, but less than daily&quot;)</li><li style="font-size: 11px">http://loinc.org#LA95-5 (&quot;Behavior of this type occurred daily&quot;)</li></ul><a name="opt-item.102852"> </a><p><b>Answer options for 102852 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11005-8 (&quot;Behavior not exhibited&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11006-6 (&quot;Behavior of this type occurred 1 to 3 days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA94-8 (&quot;Behavior of this type occurred 4 to 6 days, but less than daily&quot;)</li><li style="font-size: 11px">http://loinc.org#LA95-5 (&quot;Behavior of this type occurred daily&quot;)</li></ul><a name="opt-item.102853"> </a><p><b>Answer options for 102853 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11005-8 (&quot;Behavior not exhibited&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11006-6 (&quot;Behavior of this type occurred 1 to 3 days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA94-8 (&quot;Behavior of this type occurred 4 to 6 days, but less than daily&quot;)</li><li style="font-size: 11px">http://loinc.org#LA95-5 (&quot;Behavior of this type occurred daily&quot;)</li></ul><a name="opt-item.102854"> </a><p><b>Answer options for 102854 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102856"> </a><p><b>Answer options for 102856 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102857"> </a><p><b>Answer options for 102857 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102858"> </a><p><b>Answer options for 102858 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102860"> </a><p><b>Answer options for 102860 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102861"> </a><p><b>Answer options for 102861 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102862"> </a><p><b>Answer options for 102862 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102863"> </a><p><b>Answer options for 102863 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11005-8 (&quot;Behavior not exhibited&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11006-6 (&quot;Behavior of this type occurred 1 to 3 days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA94-8 (&quot;Behavior of this type occurred 4 to 6 days, but less than daily&quot;)</li><li style="font-size: 11px">http://loinc.org#LA95-5 (&quot;Behavior of this type occurred daily&quot;)</li></ul><a name="opt-item.102864"> </a><p><b>Answer options for 102864 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11005-8 (&quot;Behavior not exhibited&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11006-6 (&quot;Behavior of this type occurred 1 to 3 days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA94-8 (&quot;Behavior of this type occurred 4 to 6 days, but less than daily&quot;)</li><li style="font-size: 11px">http://loinc.org#LA95-5 (&quot;Behavior of this type occurred daily&quot;)</li></ul><a name="opt-item.102866"> </a><p><b>Answer options for 102866 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102867"> </a><p><b>Answer options for 102867 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102868"> </a><p><b>Answer options for 102868 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11009-0 (&quot;Same&quot;)</li><li style="font-size: 11px">http://loinc.org#LA65-8 (&quot;Improved&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11011-6 (&quot;Worse&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11012-4 (&quot;N/A because no prior MDS assessment&quot;)</li></ul><a name="opt-item.102870"> </a><p><b>Answer options for 102870 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA16158-0 (&quot;No (resident is rarely/never understood and family/significant other not available)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102872"> </a><p><b>Answer options for 102872 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11013-2 (&quot;Very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11014-0 (&quot;Somewhat important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11015-7 (&quot;Not very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11016-5 (&quot;Not important at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11017-3 (&quot;Important, but can't do or no choice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11018-1 (&quot;No response or non-responsive&quot;)</li></ul><a name="opt-item.102873"> </a><p><b>Answer options for 102873 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11013-2 (&quot;Very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11014-0 (&quot;Somewhat important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11015-7 (&quot;Not very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11016-5 (&quot;Not important at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11017-3 (&quot;Important, but can't do or no choice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11018-1 (&quot;No response or non-responsive&quot;)</li></ul><a name="opt-item.102874"> </a><p><b>Answer options for 102874 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11013-2 (&quot;Very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11014-0 (&quot;Somewhat important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11015-7 (&quot;Not very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11016-5 (&quot;Not important at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11017-3 (&quot;Important, but can't do or no choice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11018-1 (&quot;No response or non-responsive&quot;)</li></ul><a name="opt-item.102875"> </a><p><b>Answer options for 102875 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11013-2 (&quot;Very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11014-0 (&quot;Somewhat important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11015-7 (&quot;Not very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11016-5 (&quot;Not important at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11017-3 (&quot;Important, but can't do or no choice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11018-1 (&quot;No response or non-responsive&quot;)</li></ul><a name="opt-item.102876"> </a><p><b>Answer options for 102876 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11013-2 (&quot;Very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11014-0 (&quot;Somewhat important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11015-7 (&quot;Not very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11016-5 (&quot;Not important at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11017-3 (&quot;Important, but can't do or no choice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11018-1 (&quot;No response or non-responsive&quot;)</li></ul><a name="opt-item.102877"> </a><p><b>Answer options for 102877 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11013-2 (&quot;Very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11014-0 (&quot;Somewhat important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11015-7 (&quot;Not very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11016-5 (&quot;Not important at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11017-3 (&quot;Important, but can't do or no choice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11018-1 (&quot;No response or non-responsive&quot;)</li></ul><a name="opt-item.102878"> </a><p><b>Answer options for 102878 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11013-2 (&quot;Very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11014-0 (&quot;Somewhat important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11015-7 (&quot;Not very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11016-5 (&quot;Not important at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11017-3 (&quot;Important, but can't do or no choice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11018-1 (&quot;No response or non-responsive&quot;)</li></ul><a name="opt-item.102879"> </a><p><b>Answer options for 102879 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11013-2 (&quot;Very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11014-0 (&quot;Somewhat important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11015-7 (&quot;Not very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11016-5 (&quot;Not important at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11017-3 (&quot;Important, but can't do or no choice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11018-1 (&quot;No response or non-responsive&quot;)</li></ul><a name="opt-item.102881"> </a><p><b>Answer options for 102881 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11013-2 (&quot;Very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11014-0 (&quot;Somewhat important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11015-7 (&quot;Not very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11016-5 (&quot;Not important at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11017-3 (&quot;Important, but can't do or no choice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11018-1 (&quot;No response or non-responsive&quot;)</li></ul><a name="opt-item.102882"> </a><p><b>Answer options for 102882 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11013-2 (&quot;Very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11014-0 (&quot;Somewhat important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11015-7 (&quot;Not very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11016-5 (&quot;Not important at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11017-3 (&quot;Important, but can't do or no choice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11018-1 (&quot;No response or non-responsive&quot;)</li></ul><a name="opt-item.102883"> </a><p><b>Answer options for 102883 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11013-2 (&quot;Very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11014-0 (&quot;Somewhat important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11015-7 (&quot;Not very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11016-5 (&quot;Not important at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11017-3 (&quot;Important, but can't do or no choice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11018-1 (&quot;No response or non-responsive&quot;)</li></ul><a name="opt-item.102884"> </a><p><b>Answer options for 102884 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11013-2 (&quot;Very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11014-0 (&quot;Somewhat important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11015-7 (&quot;Not very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11016-5 (&quot;Not important at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11017-3 (&quot;Important, but can't do or no choice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11018-1 (&quot;No response or non-responsive&quot;)</li></ul><a name="opt-item.102885"> </a><p><b>Answer options for 102885 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11013-2 (&quot;Very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11014-0 (&quot;Somewhat important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11015-7 (&quot;Not very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11016-5 (&quot;Not important at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11017-3 (&quot;Important, but can't do or no choice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11018-1 (&quot;No response or non-responsive&quot;)</li></ul><a name="opt-item.102886"> </a><p><b>Answer options for 102886 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11013-2 (&quot;Very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11014-0 (&quot;Somewhat important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11015-7 (&quot;Not very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11016-5 (&quot;Not important at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11017-3 (&quot;Important, but can't do or no choice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11018-1 (&quot;No response or non-responsive&quot;)</li></ul><a name="opt-item.102887"> </a><p><b>Answer options for 102887 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11013-2 (&quot;Very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11014-0 (&quot;Somewhat important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11015-7 (&quot;Not very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11016-5 (&quot;Not important at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11017-3 (&quot;Important, but can't do or no choice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11018-1 (&quot;No response or non-responsive&quot;)</li></ul><a name="opt-item.102888"> </a><p><b>Answer options for 102888 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11013-2 (&quot;Very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11014-0 (&quot;Somewhat important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11015-7 (&quot;Not very important&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11016-5 (&quot;Not important at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11017-3 (&quot;Important, but can't do or no choice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11018-1 (&quot;No response or non-responsive&quot;)</li></ul><a name="opt-item.102889"> </a><p><b>Answer options for 102889 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11019-9 (&quot;Resident&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11020-7 (&quot;Family or significant other (close friend or other representative)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11021-5 (&quot;Interview could not be completed by resident or family/significant other (&quot;No response&quot; to 3 or more items)&quot;)</li></ul><a name="opt-item.102890"> </a><p><b>Answer options for 102890 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11151-0 (&quot;No (because Interview for Daily and Activity Preferences (F0400 and F0500) was completed by resident or family/significant other)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11152-8 (&quot;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)&quot;)</li></ul><a name="opt-item.102891"> </a><p><b>Answer options for 102891 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27797-2 (&quot;Choosing clothes to wear&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27798-0 (&quot;Caring for personal belongings&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27799-8 (&quot;Receiving tub bath&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27800-4 (&quot;Receiving shower&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27815-2 (&quot;Receiving bed bath&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27801-2 (&quot;Receiving sponge bath&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27802-0 (&quot;Snacks between meals&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27803-8 (&quot;Staying up past 8:00 p.m.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27804-6 (&quot;Family or significant other involvement in care discussions&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27805-3 (&quot;Use of phone in private&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27806-1 (&quot;Place to lock personal belongings&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27807-9 (&quot;Reading books, newspapers, or magazines&quot;)</li><li style="font-size: 11px">http://loinc.org#LA17907-9 (&quot;Listening to music&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27808-7 (&quot;Being around animals such as pets&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27809-5 (&quot;Keeping up with the news&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27810-3 (&quot;Doing things with groups of people&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27811-1 (&quot;Participating in favorite activities&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27812-9 (&quot;Spending time away from the nursing home&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27813-7 (&quot;Spending time outdoors&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27814-5 (&quot;Participating in religious activities or practices&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.102894"> </a><p><b>Answer options for 102894 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA12637-7 (&quot;Independent - no help or staff oversight at any time&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12638-5 (&quot;Supervision - oversight, encouragement or cueing&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12639-3 (&quot;Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12640-1 (&quot;Extensive assistance - resident involved in activity, staff provide weight-bearing support&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12641-9 (&quot;Total dependence - full staff performance every time during entire 7-day period&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12642-7 (&quot;Activity occurred only once or twice - activity did occur but only once or twice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18614-0 (&quot;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&quot;)</li></ul><a name="opt-item.102895"> </a><p><b>Answer options for 102895 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA12637-7 (&quot;Independent - no help or staff oversight at any time&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12638-5 (&quot;Supervision - oversight, encouragement or cueing&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12639-3 (&quot;Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12640-1 (&quot;Extensive assistance - resident involved in activity, staff provide weight-bearing support&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12641-9 (&quot;Total dependence - full staff performance every time during entire 7-day period&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12642-7 (&quot;Activity occurred only once or twice - activity did occur but only once or twice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18614-0 (&quot;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&quot;)</li></ul><a name="opt-item.102896"> </a><p><b>Answer options for 102896 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA12637-7 (&quot;Independent - no help or staff oversight at any time&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12638-5 (&quot;Supervision - oversight, encouragement or cueing&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12639-3 (&quot;Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12640-1 (&quot;Extensive assistance - resident involved in activity, staff provide weight-bearing support&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12641-9 (&quot;Total dependence - full staff performance every time during entire 7-day period&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12642-7 (&quot;Activity occurred only once or twice - activity did occur but only once or twice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18614-0 (&quot;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&quot;)</li></ul><a name="opt-item.102897"> </a><p><b>Answer options for 102897 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA12637-7 (&quot;Independent - no help or staff oversight at any time&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12638-5 (&quot;Supervision - oversight, encouragement or cueing&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12639-3 (&quot;Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12640-1 (&quot;Extensive assistance - resident involved in activity, staff provide weight-bearing support&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12641-9 (&quot;Total dependence - full staff performance every time during entire 7-day period&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12642-7 (&quot;Activity occurred only once or twice - activity did occur but only once or twice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18614-0 (&quot;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&quot;)</li></ul><a name="opt-item.102898"> </a><p><b>Answer options for 102898 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA12637-7 (&quot;Independent - no help or staff oversight at any time&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12638-5 (&quot;Supervision - oversight, encouragement or cueing&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12639-3 (&quot;Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12640-1 (&quot;Extensive assistance - resident involved in activity, staff provide weight-bearing support&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12641-9 (&quot;Total dependence - full staff performance every time during entire 7-day period&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12642-7 (&quot;Activity occurred only once or twice - activity did occur but only once or twice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18614-0 (&quot;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&quot;)</li></ul><a name="opt-item.102899"> </a><p><b>Answer options for 102899 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA12637-7 (&quot;Independent - no help or staff oversight at any time&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12638-5 (&quot;Supervision - oversight, encouragement or cueing&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12639-3 (&quot;Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12640-1 (&quot;Extensive assistance - resident involved in activity, staff provide weight-bearing support&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12641-9 (&quot;Total dependence - full staff performance every time during entire 7-day period&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12642-7 (&quot;Activity occurred only once or twice - activity did occur but only once or twice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18614-0 (&quot;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&quot;)</li></ul><a name="opt-item.102900"> </a><p><b>Answer options for 102900 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA12637-7 (&quot;Independent - no help or staff oversight at any time&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12638-5 (&quot;Supervision - oversight, encouragement or cueing&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12639-3 (&quot;Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12640-1 (&quot;Extensive assistance - resident involved in activity, staff provide weight-bearing support&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12641-9 (&quot;Total dependence - full staff performance every time during entire 7-day period&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12642-7 (&quot;Activity occurred only once or twice - activity did occur but only once or twice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18614-0 (&quot;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&quot;)</li></ul><a name="opt-item.102901"> </a><p><b>Answer options for 102901 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA12637-7 (&quot;Independent - no help or staff oversight at any time&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12638-5 (&quot;Supervision - oversight, encouragement or cueing&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12639-3 (&quot;Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12640-1 (&quot;Extensive assistance - resident involved in activity, staff provide weight-bearing support&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12641-9 (&quot;Total dependence - full staff performance every time during entire 7-day period&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12642-7 (&quot;Activity occurred only once or twice - activity did occur but only once or twice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18614-0 (&quot;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&quot;)</li></ul><a name="opt-item.102902"> </a><p><b>Answer options for 102902 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA12637-7 (&quot;Independent - no help or staff oversight at any time&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12638-5 (&quot;Supervision - oversight, encouragement or cueing&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12639-3 (&quot;Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12640-1 (&quot;Extensive assistance - resident involved in activity, staff provide weight-bearing support&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12641-9 (&quot;Total dependence - full staff performance every time during entire 7-day period&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12642-7 (&quot;Activity occurred only once or twice - activity did occur but only once or twice&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18614-0 (&quot;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&quot;)</li></ul><a name="opt-item.102903"> </a><p><b>Answer options for 102903 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102905"> </a><p><b>Answer options for 102905 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA105-9 (&quot;No setup or physical help from staff&quot;)</li><li style="font-size: 11px">http://loinc.org#LA106-7 (&quot;Setup help only&quot;)</li><li style="font-size: 11px">http://loinc.org#LA107-5 (&quot;One person physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA108-3 (&quot;Two+ persons physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA109-1 (&quot;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&quot;)</li></ul><a name="opt-item.102906"> </a><p><b>Answer options for 102906 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA105-9 (&quot;No setup or physical help from staff&quot;)</li><li style="font-size: 11px">http://loinc.org#LA106-7 (&quot;Setup help only&quot;)</li><li style="font-size: 11px">http://loinc.org#LA107-5 (&quot;One person physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA108-3 (&quot;Two+ persons physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA109-1 (&quot;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&quot;)</li></ul><a name="opt-item.102907"> </a><p><b>Answer options for 102907 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA105-9 (&quot;No setup or physical help from staff&quot;)</li><li style="font-size: 11px">http://loinc.org#LA106-7 (&quot;Setup help only&quot;)</li><li style="font-size: 11px">http://loinc.org#LA107-5 (&quot;One person physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA108-3 (&quot;Two+ persons physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA109-1 (&quot;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&quot;)</li></ul><a name="opt-item.102908"> </a><p><b>Answer options for 102908 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA105-9 (&quot;No setup or physical help from staff&quot;)</li><li style="font-size: 11px">http://loinc.org#LA106-7 (&quot;Setup help only&quot;)</li><li style="font-size: 11px">http://loinc.org#LA107-5 (&quot;One person physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA108-3 (&quot;Two+ persons physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA109-1 (&quot;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&quot;)</li></ul><a name="opt-item.102909"> </a><p><b>Answer options for 102909 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA105-9 (&quot;No setup or physical help from staff&quot;)</li><li style="font-size: 11px">http://loinc.org#LA106-7 (&quot;Setup help only&quot;)</li><li style="font-size: 11px">http://loinc.org#LA107-5 (&quot;One person physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA108-3 (&quot;Two+ persons physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA109-1 (&quot;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&quot;)</li></ul><a name="opt-item.102910"> </a><p><b>Answer options for 102910 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA105-9 (&quot;No setup or physical help from staff&quot;)</li><li style="font-size: 11px">http://loinc.org#LA106-7 (&quot;Setup help only&quot;)</li><li style="font-size: 11px">http://loinc.org#LA107-5 (&quot;One person physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA108-3 (&quot;Two+ persons physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA109-1 (&quot;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&quot;)</li></ul><a name="opt-item.102911"> </a><p><b>Answer options for 102911 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA105-9 (&quot;No setup or physical help from staff&quot;)</li><li style="font-size: 11px">http://loinc.org#LA106-7 (&quot;Setup help only&quot;)</li><li style="font-size: 11px">http://loinc.org#LA107-5 (&quot;One person physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA108-3 (&quot;Two+ persons physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA109-1 (&quot;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&quot;)</li></ul><a name="opt-item.102912"> </a><p><b>Answer options for 102912 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA105-9 (&quot;No setup or physical help from staff&quot;)</li><li style="font-size: 11px">http://loinc.org#LA106-7 (&quot;Setup help only&quot;)</li><li style="font-size: 11px">http://loinc.org#LA107-5 (&quot;One person physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA108-3 (&quot;Two+ persons physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA109-1 (&quot;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&quot;)</li></ul><a name="opt-item.102913"> </a><p><b>Answer options for 102913 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA105-9 (&quot;No setup or physical help from staff&quot;)</li><li style="font-size: 11px">http://loinc.org#LA106-7 (&quot;Setup help only&quot;)</li><li style="font-size: 11px">http://loinc.org#LA107-5 (&quot;One person physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA108-3 (&quot;Two+ persons physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA109-1 (&quot;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&quot;)</li></ul><a name="opt-item.102914"> </a><p><b>Answer options for 102914 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA105-9 (&quot;No setup or physical help from staff&quot;)</li><li style="font-size: 11px">http://loinc.org#LA106-7 (&quot;Setup help only&quot;)</li><li style="font-size: 11px">http://loinc.org#LA107-5 (&quot;One person physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA108-3 (&quot;Two+ persons physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA109-1 (&quot;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&quot;)</li></ul><a name="opt-item.102916"> </a><p><b>Answer options for 102916 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA110-9 (&quot;Independent - no help provided&quot;)</li><li style="font-size: 11px">http://loinc.org#LA111-7 (&quot;Supervision - oversight help only&quot;)</li><li style="font-size: 11px">http://loinc.org#LA112-5 (&quot;Physical help limited to transfer only&quot;)</li><li style="font-size: 11px">http://loinc.org#LA113-3 (&quot;Physical help in part of bathing activity&quot;)</li><li style="font-size: 11px">http://loinc.org#LA114-1 (&quot;Total dependence&quot;)</li><li style="font-size: 11px">http://loinc.org#LA115-8 (&quot;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&quot;)</li></ul><a name="opt-item.102917"> </a><p><b>Answer options for 102917 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA105-9 (&quot;No setup or physical help from staff&quot;)</li><li style="font-size: 11px">http://loinc.org#LA106-7 (&quot;Setup help only&quot;)</li><li style="font-size: 11px">http://loinc.org#LA107-5 (&quot;One person physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA108-3 (&quot;Two+ persons physical assist&quot;)</li><li style="font-size: 11px">http://loinc.org#LA109-1 (&quot;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&quot;)</li></ul><a name="opt-item.102919"> </a><p><b>Answer options for 102919 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11031-4 (&quot;Steady at all times&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11032-2 (&quot;Not steady, but able to stabilize without staff assistance&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11033-0 (&quot;Not steady, only able to stabilize with staff assistance&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11034-8 (&quot;Activity did not occur&quot;)</li></ul><a name="opt-item.102920"> </a><p><b>Answer options for 102920 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11031-4 (&quot;Steady at all times&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11032-2 (&quot;Not steady, but able to stabilize without staff assistance&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11033-0 (&quot;Not steady, only able to stabilize with staff assistance&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11034-8 (&quot;Activity did not occur&quot;)</li></ul><a name="opt-item.102921"> </a><p><b>Answer options for 102921 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11031-4 (&quot;Steady at all times&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11032-2 (&quot;Not steady, but able to stabilize without staff assistance&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11033-0 (&quot;Not steady, only able to stabilize with staff assistance&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11034-8 (&quot;Activity did not occur&quot;)</li></ul><a name="opt-item.102922"> </a><p><b>Answer options for 102922 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11031-4 (&quot;Steady at all times&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11032-2 (&quot;Not steady, but able to stabilize without staff assistance&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11033-0 (&quot;Not steady, only able to stabilize with staff assistance&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11034-8 (&quot;Activity did not occur&quot;)</li></ul><a name="opt-item.102923"> </a><p><b>Answer options for 102923 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11031-4 (&quot;Steady at all times&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11032-2 (&quot;Not steady, but able to stabilize without staff assistance&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11033-0 (&quot;Not steady, only able to stabilize with staff assistance&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11034-8 (&quot;Activity did not occur&quot;)</li></ul><a name="opt-item.112228"> </a><p><b>Answer options for 112228 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA9606-0 (&quot;No impairment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11036-3 (&quot;Impairment on one side&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11037-1 (&quot;Impairment on both sides&quot;)</li></ul><a name="opt-item.112229"> </a><p><b>Answer options for 112229 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA9606-0 (&quot;No impairment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11036-3 (&quot;Impairment on one side&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11037-1 (&quot;Impairment on both sides&quot;)</li></ul><a name="opt-item.102927"> </a><p><b>Answer options for 102927 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA9941-1 (&quot;Cane/crutch&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10117-2 (&quot;Walker&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27816-0 (&quot;Wheelchair (manual or electric)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27818-6 (&quot;Limb prosthesis&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28019-0 (&quot;None of the above were used&quot;)</li></ul><a name="opt-item.102929"> </a><p><b>Answer options for 102929 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11137-9 (&quot;Unable to determine&quot;)</li></ul><a name="opt-item.102930"> </a><p><b>Answer options for 102930 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102933"> </a><p><b>Answer options for 102933 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA28862-3 (&quot;Independent - Resident completed all the activities by themself, with or without an assistive device, with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28863-1 (&quot;Needed Some Help - Resident needed partial assistance from another person to complete activities.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28864-9 (&quot;Dependent - A helper completed the activities for the resident.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA4489-6 (&quot;Unknown&quot;)</li><li style="font-size: 11px">http://loinc.org#LA4720-4 (&quot;Not applicable&quot;)</li></ul><a name="opt-item.102934"> </a><p><b>Answer options for 102934 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA28862-3 (&quot;Independent - Resident completed all the activities by themself, with or without an assistive device, with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28863-1 (&quot;Needed Some Help - Resident needed partial assistance from another person to complete activities.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28864-9 (&quot;Dependent - A helper completed the activities for the resident.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA4489-6 (&quot;Unknown&quot;)</li><li style="font-size: 11px">http://loinc.org#LA4720-4 (&quot;Not applicable&quot;)</li></ul><a name="opt-item.102935"> </a><p><b>Answer options for 102935 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA28862-3 (&quot;Independent - Resident completed all the activities by themself, with or without an assistive device, with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28863-1 (&quot;Needed Some Help - Resident needed partial assistance from another person to complete activities.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28864-9 (&quot;Dependent - A helper completed the activities for the resident.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA4489-6 (&quot;Unknown&quot;)</li><li style="font-size: 11px">http://loinc.org#LA4720-4 (&quot;Not applicable&quot;)</li></ul><a name="opt-item.102936"> </a><p><b>Answer options for 102936 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA28862-3 (&quot;Independent - Resident completed all the activities by themself, with or without an assistive device, with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28863-1 (&quot;Needed Some Help - Resident needed partial assistance from another person to complete activities.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28864-9 (&quot;Dependent - A helper completed the activities for the resident.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA4489-6 (&quot;Unknown&quot;)</li><li style="font-size: 11px">http://loinc.org#LA4720-4 (&quot;Not applicable&quot;)</li></ul><a name="opt-item.102937"> </a><p><b>Answer options for 102937 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA18363-4 (&quot;Manual wheelchair&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26730-4 (&quot;Motorized wheelchair and/or scooter&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11549-5 (&quot;Mechanical lift&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10117-2 (&quot;Walker&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10046-3 (&quot;Orthotics/Prosthetics&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.102939"> </a><p><b>Answer options for 102939 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102940"> </a><p><b>Answer options for 102940 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102941"> </a><p><b>Answer options for 102941 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102942"> </a><p><b>Answer options for 102942 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102943"> </a><p><b>Answer options for 102943 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102944"> </a><p><b>Answer options for 102944 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102945"> </a><p><b>Answer options for 102945 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.136634"> </a><p><b>Answer options for 136634 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.137359"> </a><p><b>Answer options for 137359 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102949"> </a><p><b>Answer options for 102949 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102950"> </a><p><b>Answer options for 102950 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102951"> </a><p><b>Answer options for 102951 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102952"> </a><p><b>Answer options for 102952 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102953"> </a><p><b>Answer options for 102953 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102955"> </a><p><b>Answer options for 102955 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102956"> </a><p><b>Answer options for 102956 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102957"> </a><p><b>Answer options for 102957 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102958"> </a><p><b>Answer options for 102958 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102959"> </a><p><b>Answer options for 102959 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102960"> </a><p><b>Answer options for 102960 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102961"> </a><p><b>Answer options for 102961 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102962"> </a><p><b>Answer options for 102962 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102963"> </a><p><b>Answer options for 102963 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102964"> </a><p><b>Answer options for 102964 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102965"> </a><p><b>Answer options for 102965 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102966"> </a><p><b>Answer options for 102966 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102967"> </a><p><b>Answer options for 102967 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102968"> </a><p><b>Answer options for 102968 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102969"> </a><p><b>Answer options for 102969 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102970"> </a><p><b>Answer options for 102970 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.102971"> </a><p><b>Answer options for 102971 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102972"> </a><p><b>Answer options for 102972 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA19016-7 (&quot;Manual&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26847-6 (&quot;Motorized&quot;)</li></ul><a name="opt-item.102973"> </a><p><b>Answer options for 102973 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102974"> </a><p><b>Answer options for 102974 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA19016-7 (&quot;Manual&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26847-6 (&quot;Motorized&quot;)</li></ul><a name="opt-item.102976"> </a><p><b>Answer options for 102976 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102977"> </a><p><b>Answer options for 102977 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102978"> </a><p><b>Answer options for 102978 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102979"> </a><p><b>Answer options for 102979 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102980"> </a><p><b>Answer options for 102980 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102981"> </a><p><b>Answer options for 102981 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102982"> </a><p><b>Answer options for 102982 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102983"> </a><p><b>Answer options for 102983 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102984"> </a><p><b>Answer options for 102984 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102985"> </a><p><b>Answer options for 102985 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102986"> </a><p><b>Answer options for 102986 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102987"> </a><p><b>Answer options for 102987 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102988"> </a><p><b>Answer options for 102988 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102989"> </a><p><b>Answer options for 102989 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102990"> </a><p><b>Answer options for 102990 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102991"> </a><p><b>Answer options for 102991 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102992"> </a><p><b>Answer options for 102992 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102995"> </a><p><b>Answer options for 102995 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102996"> </a><p><b>Answer options for 102996 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102997"> </a><p><b>Answer options for 102997 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102998"> </a><p><b>Answer options for 102998 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.102999"> </a><p><b>Answer options for 102999 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.103000"> </a><p><b>Answer options for 103000 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.103001"> </a><p><b>Answer options for 103001 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.103003"> </a><p><b>Answer options for 103003 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.103004"> </a><p><b>Answer options for 103004 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.103005"> </a><p><b>Answer options for 103005 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.103006"> </a><p><b>Answer options for 103006 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.103007"> </a><p><b>Answer options for 103007 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.103008"> </a><p><b>Answer options for 103008 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.103009"> </a><p><b>Answer options for 103009 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.103010"> </a><p><b>Answer options for 103010 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.103011"> </a><p><b>Answer options for 103011 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.103012"> </a><p><b>Answer options for 103012 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.103013"> </a><p><b>Answer options for 103013 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.103014"> </a><p><b>Answer options for 103014 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.103015"> </a><p><b>Answer options for 103015 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.103016"> </a><p><b>Answer options for 103016 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.103017"> </a><p><b>Answer options for 103017 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.103018"> </a><p><b>Answer options for 103018 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103019"> </a><p><b>Answer options for 103019 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.103020"> </a><p><b>Answer options for 103020 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA19016-7 (&quot;Manual&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26847-6 (&quot;Motorized&quot;)</li></ul><a name="opt-item.103021"> </a><p><b>Answer options for 103021 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27993-7 (&quot;Independent - Resident completes the activity by themself with no assistance from a helper.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27994-5 (&quot;Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28870-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27996-0 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11759-0 (&quot;Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27998-6 (&quot;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.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27999-4 (&quot;Resident refused&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28871-4 (&quot;Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury.&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28227-9 (&quot;Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints).&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26735-3 (&quot;Not attempted due to medical condition or safety concerns&quot;)</li></ul><a name="opt-item.103022"> </a><p><b>Answer options for 103022 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA19016-7 (&quot;Manual&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26847-6 (&quot;Motorized&quot;)</li></ul><a name="opt-item.103024"> </a><p><b>Answer options for 103024 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27819-4 (&quot;Indwelling catheter (including suprapubic catheter and nephrostomy tube)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27820-2 (&quot;External catheter&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27821-0 (&quot;Ostomy (including urostomy, ileostomy, and colostomy)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27822-8 (&quot;Intermittent catheterization&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.103026"> </a><p><b>Answer options for 103026 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11137-9 (&quot;Unable to determine&quot;)</li></ul><a name="opt-item.103027"> </a><p><b>Answer options for 103027 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11038-9 (&quot;No improvement&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11039-7 (&quot;Decreased wetness&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11040-5 (&quot;Completely dry (continent)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11041-3 (&quot;Unable to determine or trial in progress&quot;)</li></ul><a name="opt-item.103028"> </a><p><b>Answer options for 103028 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103029"> </a><p><b>Answer options for 103029 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11042-1 (&quot;Always continent&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11043-9 (&quot;Occasionally incontinent (less than 7 episodes of incontinence)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11044-7 (&quot;Frequently incontinent (7 or more episodes of urinary incontinence, but with at least one episode of continent voiding)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11045-4 (&quot;Always incontinent (no episodes of continent voiding)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11046-2 (&quot;Not rated, resident had a catheter (indwelling, condom), urinary ostomy, or no urine output for the entire 7 days&quot;)</li></ul><a name="opt-item.103030"> </a><p><b>Answer options for 103030 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11042-1 (&quot;Always continent&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11048-8 (&quot;Occasionally incontinent (one episode of bowel incontinence)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11049-6 (&quot;Frequently incontinent (2 or more episodes of bowel incontinence, but at least one continent bowel movement)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11050-4 (&quot;Always incontinent (no episodes of continent bowel movements)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11051-2 (&quot;Not rated, resident had an ostomy or did not have a bowel movement for the entire 7 days&quot;)</li></ul><a name="opt-item.103031"> </a><p><b>Answer options for 103031 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103032"> </a><p><b>Answer options for 103032 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103034"> </a><p><b>Answer options for 103034 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA22099-8 (&quot;Stroke&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28875-5 (&quot;Non-traumatic brain dysfunction&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28876-3 (&quot;Traumatic brain dysfunction&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28877-1 (&quot;Non-traumatic spinal cord dysfunction&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28878-9 (&quot;Traumatic spinal cord dysfunction&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28879-7 (&quot;Progressive neurological conditions&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28880-5 (&quot;Other neurological conditions&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28881-3 (&quot;Amputation&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28882-1 (&quot;Hip and knee replacement&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28883-9 (&quot;Fractures and other multiple trauma&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28884-7 (&quot;Other orthopedic conditions&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28885-4 (&quot;Debility, cardiorespiratory conditions&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28886-2 (&quot;Medically complex conditions&quot;)</li></ul><a name="opt-item.106150"> </a><p><b>Answer options for 106150 </b></p><ul><li style="font-size: 11px">http://loinc.org#null</li></ul><a name="opt-item.103036"> </a><p><b>Answer options for 103036 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27987-9 (&quot;Cancer (with or without metastasis)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27836-8 (&quot;Anemia (e.g., aplastic, iron deficiency, pernicious, and sickle cell)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27837-6 (&quot;Atrial fibrillation or other dysrhythmias (e.g. bradycardias and tachycardias)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27838-4 (&quot;Coronary artery disease (CAD) (e.g., angina, myocardial infarction, and atherosclerotic heart disease (ASHD))&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27839-2 (&quot;Deep venous thrombosis (DVT), pulmonary embolus (PE), or Pulmonary thrombo-embolism (PTE)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27840-0 (&quot;Heart failure (e.g., congestive heart failure (CHF) and pulmonary edema)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA7444-8 (&quot;Hypertension&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27841-8 (&quot;Orthostatic hypotension&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18399-8 (&quot;Peripheral vascular disease (PVD) or peripheral arterial disease (PAD)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9639-1 (&quot;Cirrhosis&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27842-6 (&quot;Gastroesophageal reflux disease (GERD) or ulcer (e.g., esophageal, gastric, and peptic ulcers)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27843-4 (&quot;Ulcerative colitis, Crohn's disease, or inflammatory bowel disease&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27844-2 (&quot;Benign prostatic hyperplasia (BPH)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27845-9 (&quot;Renal insufficiency, renal failure, or end-stage renal disease (ESRD)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27846-7 (&quot;Neurogenic bladder&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27847-5 (&quot;Obstructive uropathy&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27848-3 (&quot;Multidrug-resistant organism (MDRO)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA7465-3 (&quot;Pneumonia&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10591-8 (&quot;Septicemia&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10513-2 (&quot;Tuberculosis&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27849-1 (&quot;Urinary tract infection (UTI) (last 30 days)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27850-9 (&quot;Viral hepatitis (e.g., Hepatitis A, B, C, D, and E)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27851-7 (&quot;Wound infection (other than foot)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26741-1 (&quot;Diabetes mellitus (DM) (e.g., diabetic retinopathy, nephropathy, and neuropathy)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27852-5 (&quot;Hyponatremia&quot;)</li><li style="font-size: 11px">http://loinc.org#LA19699-0 (&quot;Hyperkalemia&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27853-3 (&quot;Hyperlipidemia (e.g., hypercholesterolemia)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27854-1 (&quot;Thyroid disorder (e.g., hypothyroidism, hyperthyroidism, and Hashimoto's thyroiditis)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27855-8 (&quot;Arthritis (e.g., degenerative joint disease (DJD), osteoarthritis, and rheumatoid arthritis (RA))&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10527-2 (&quot;Osteoporosis&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27856-6 (&quot;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)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27857-4 (&quot;Other fracture&quot;)</li><li style="font-size: 11px">http://loinc.org#LA22313-3 (&quot;Alzheimer's disease&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18262-8 (&quot;Aphasia&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27858-2 (&quot;Cerebral palsy&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27859-0 (&quot;Cerebrovascular accident (CVA), transient ischemic attack (TIA), or stroke&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27860-8 (&quot;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)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27523-2 (&quot;Hemiplegia or hemiparesis&quot;)</li><li style="font-size: 11px">http://loinc.org#LA25276-9 (&quot;Paraplegia&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27861-6 (&quot;Quadriplegia&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27531-5 (&quot;Multiple sclerosis (MS)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27532-3 (&quot;Huntington's disease&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27533-1 (&quot;Parkinson's disease&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27862-4 (&quot;Tourette's syndrome&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27863-2 (&quot;Seizure disorder or epilepsy&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27864-0 (&quot;Traumatic brain injury (TBI)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27865-7 (&quot;Malnutrition (protein or calorie) or at risk for malnutrition&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27866-5 (&quot;Anxiety disorder&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27867-3 (&quot;Depression (other than bipolar)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29615-4 (&quot;Bipolar Disorder&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27869-9 (&quot;Psychotic disorder (other than schizophrenia)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27870-7 (&quot;Schizophrenia (e.g., schizoaffective and schizophreniform disorders)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27871-5 (&quot;Post traumatic stress disorder (PTSD)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27872-3 (&quot;Asthma, chronic obstructive pulmonary disease (COPD), or chronic lung disease (e.g., chronic bronchitis and restrictive lung diseases such as asbestosis)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27873-1 (&quot;Respiratory failure&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27874-9 (&quot;Cataracts, glaucoma, or macular degeneration&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27875-6 (&quot;None of the above active diagnoses within the last 7 days&quot;)</li></ul><a name="opt-item.103037"> </a><p><b>Answer options for 103037 </b></p><ul><li style="font-size: 11px">http://loinc.org#null</li></ul><a name="opt-item.103040"> </a><p><b>Answer options for 103040 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103041"> </a><p><b>Answer options for 103041 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103042"> </a><p><b>Answer options for 103042 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103043"> </a><p><b>Answer options for 103043 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11150-2 (&quot;No (resident is rarely/never understood)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103045"> </a><p><b>Answer options for 103045 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11054-6 (&quot;Unable to answer&quot;)</li></ul><a name="opt-item.103046"> </a><p><b>Answer options for 103046 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11055-3 (&quot;Almost constantly&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6482-9 (&quot;Frequently&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6483-7 (&quot;Occasionally&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10066-1 (&quot;Rarely&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11054-6 (&quot;Unable to answer&quot;)</li></ul><a name="opt-item.103048"> </a><p><b>Answer options for 103048 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11054-6 (&quot;Unable to answer&quot;)</li></ul><a name="opt-item.103049"> </a><p><b>Answer options for 103049 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11054-6 (&quot;Unable to answer&quot;)</li></ul><a name="opt-item.103052"> </a><p><b>Answer options for 103052 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA6752-5 (&quot;Mild&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6751-7 (&quot;Moderate&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6750-9 (&quot;Severe&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11063-7 (&quot;Very severe, horrible&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11054-6 (&quot;Unable to answer&quot;)</li></ul><a name="opt-item.103053"> </a><p><b>Answer options for 103053 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103055"> </a><p><b>Answer options for 103055 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10034-9 (&quot;Non-verbal sounds (e.g., crying, whining, gasping, moaning, or groaning)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10116-4 (&quot;Vocal complaints of pain (e.g., that hurts, ouch, stop)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9968-4 (&quot;Facial expressions (e.g., grimaces, winces, wrinkled forehead, furrowed brow, clenched teeth or jaw)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10063-8 (&quot;Protective body movements or postures (e.g., bracing, guarding, rubbing or massaging a body part/area, clutching or holding a body part during movement)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10032-3 (&quot;None of these signs observed or documented&quot;)</li></ul><a name="opt-item.103056"> </a><p><b>Answer options for 103056 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA12645-0 (&quot;Indicators of pain or possible pain observed 1 to 2 days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12646-8 (&quot;Indicators of pain or possible pain observed 3 to 4 days&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12647-6 (&quot;Indicators of pain or possible pain observed daily&quot;)</li></ul><a name="opt-item.103058"> </a><p><b>Answer options for 103058 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27988-7 (&quot;Shortness of breath or trouble breathing with exertion (e.g., walking, bathing, transferring)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27989-5 (&quot;Shortness of breath or trouble breathing when sitting at rest&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27990-3 (&quot;Shortness of breath or trouble breathing when lying flat&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.103059"> </a><p><b>Answer options for 103059 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103060"> </a><p><b>Answer options for 103060 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103061"> </a><p><b>Answer options for 103061 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA7435-6 (&quot;Fever&quot;)</li><li style="font-size: 11px">http://loinc.org#LA15099-7 (&quot;Vomiting&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27897-0 (&quot;Dehydrated&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27898-8 (&quot;Internal bleeding&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.103063"> </a><p><b>Answer options for 103063 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11137-9 (&quot;Unable to determine&quot;)</li></ul><a name="opt-item.103064"> </a><p><b>Answer options for 103064 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11137-9 (&quot;Unable to determine&quot;)</li></ul><a name="opt-item.103065"> </a><p><b>Answer options for 103065 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11137-9 (&quot;Unable to determine&quot;)</li></ul><a name="opt-item.103066"> </a><p><b>Answer options for 103066 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103068"> </a><p><b>Answer options for 103068 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA137-2 (&quot;None&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6306-0 (&quot;One&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11073-6 (&quot;Two or more&quot;)</li></ul><a name="opt-item.103069"> </a><p><b>Answer options for 103069 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA137-2 (&quot;None&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6306-0 (&quot;One&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11073-6 (&quot;Two or more&quot;)</li></ul><a name="opt-item.103070"> </a><p><b>Answer options for 103070 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA137-2 (&quot;None&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6306-0 (&quot;One&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11073-6 (&quot;Two or more&quot;)</li></ul><a name="opt-item.103071"> </a><p><b>Answer options for 103071 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA4489-6 (&quot;Unknown&quot;)</li></ul><a name="opt-item.106183"> </a><p><b>Answer options for 106183 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA4489-6 (&quot;Unknown&quot;)</li></ul><a name="opt-item.106184"> </a><p><b>Answer options for 106184 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA29540-4 (&quot;Knee Replacement - partial or total&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29541-2 (&quot;Hip Replacement - partial or total&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29542-0 (&quot;Ankle Replacement - partial or total&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29543-8 (&quot;Shoulder Replacement - partial or total&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29544-6 (&quot;Spinal surgery involving the spinal cord or major spinal nerves&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29545-3 (&quot;Spinal surgery involving fusion of spinal bones&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29546-1 (&quot;Spinal surgery involving lamina, discs, or facets&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29547-9 (&quot;Other major spinal surgery&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29548-7 (&quot;Other orthopedic surgery involving repair fractures of the shoulder (including clavicle and scapula) or arm (but not hand)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29549-5 (&quot;Other orthopedic surgery involving repair fractures of the pelvis, hip, leg, knee, or ankle (not foot)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29550-3 (&quot;Other orthopedic surgery involving repair but not replace joints&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29551-1 (&quot;Other orthopedic surgery involving repair other bones (such as hand, foot, jaw)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29552-9 (&quot;Other major orthopedic surgery&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29553-7 (&quot;Neurological surgery involving the brain, surrounding tissue or blood vessels, (excludes skull and skin but includes cranial nerves)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29554-5 (&quot;Neurological surgery involving the peripheral or autonomic nervous system - open or percutaneous&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29555-2 (&quot;Neurological surgery insertion or removal of spinal or brain neurostimulators, electrodes, catheters, or CSF drainage devices&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29556-0 (&quot;Other major neurological surgery&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29557-8 (&quot;Cardiopulmonary surgery involving the heart or major blood vessels - open or percutaneous procedures&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29558-6 (&quot;Cardiopulmonary surgery involving the respiratory system, including lungs, bronchi, trachea, larynx, or vocal cords - open or endoscopic&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29562-8 (&quot;Other major cardiopulmonary surgery&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29563-6 (&quot;Genitourinary surgery involving genital systems (such as prostate, testes, ovaries, uterus, vagina, external genitalia)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29564-4 (&quot;Genitourinary surgery involving the kidneys, ureters, adrenal glands, or bladder - open or laparoscopic (includes creation or removal of nephrostomies or urostomies)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29566-9 (&quot;Other major genitourinary surgery&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29567-7 (&quot;Other major surgery involving tendons, ligaments, or muscles&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29568-5 (&quot;Other major surgery 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&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29569-3 (&quot;Other major surgery involving the endocrine organs (such as thyroid, parathyroid), neck, lymph nodes, or thymus - open&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29570-1 (&quot;Other major surgery involving the breast&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29571-9 (&quot;Other major surgery involving repair of deep ulcers, internal brachytherapy, bone marrow or stem cell harvest or transplant&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29572-7 (&quot;Other major surgery not listed above&quot;)</li></ul><a name="opt-item.103073"> </a><p><b>Answer options for 103073 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10001-8 (&quot;Loss of liquids/solids from mouth when eating or drinking&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9977-5 (&quot;Holding food in mouth/cheeks or residual food in mouth after meals&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9961-9 (&quot;Coughing or choking during meals or when swallowing medications&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9952-8 (&quot;Complaints of difficulty or pain with swallowing&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.103077"> </a><p><b>Answer options for 103077 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11074-4 (&quot;No or unknown&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11075-1 (&quot;Yes, on physician-prescribed weight-loss regimen&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11076-9 (&quot;Yes, not on physician-prescribed weight-loss regimen&quot;)</li></ul><a name="opt-item.103078"> </a><p><b>Answer options for 103078 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11074-4 (&quot;No or unknown&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18602-5 (&quot;Yes, on physician-prescribed weight-gain regimen&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18603-3 (&quot;Yes, not on physician-prescribed weight-gain regimen&quot;)</li></ul><a name="opt-item.103080"> </a><p><b>Answer options for 103080 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA18604-1 (&quot;Parenteral/IV feeding&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18605-8 (&quot;Feeding tube - nasogastric or abdominal (PEG)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.103081"> </a><p><b>Answer options for 103081 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA18604-1 (&quot;Parenteral/IV feeding&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18605-8 (&quot;Feeding tube - nasogastric or abdominal (PEG)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18606-6 (&quot;Mechanically altered diet - require change in texture of food or liquids (e.g., pureed food, thickened liquids)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18607-4 (&quot;Therapeutic diet (e.g., low salt, diabetic, low cholesterol)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.103084"> </a><p><b>Answer options for 103084 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11077-7 (&quot;25% or less&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11078-5 (&quot;26-50%&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11079-3 (&quot;51% or more&quot;)</li></ul><a name="opt-item.103085"> </a><p><b>Answer options for 103085 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11077-7 (&quot;25% or less&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11078-5 (&quot;26-50%&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11079-3 (&quot;51% or more&quot;)</li></ul><a name="opt-item.103087"> </a><p><b>Answer options for 103087 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11080-1 (&quot;500 cc/day or less&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11081-9 (&quot;501 cc/day or more&quot;)</li></ul><a name="opt-item.103088"> </a><p><b>Answer options for 103088 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11080-1 (&quot;500 cc/day or less&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11081-9 (&quot;501 cc/day or more&quot;)</li></ul><a name="opt-item.103090"> </a><p><b>Answer options for 103090 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27932-5 (&quot;Broken or loosely fitting full or partial denture (chipped, cracked, uncleanable, or loose)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27933-3 (&quot;No natural teeth or tooth fragment(s) (edentulous)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27934-1 (&quot;Abnormal mouth tissue (ulcers, masses, oral lesions, including under denture or partial if one is worn)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27935-8 (&quot;Obvious or likely cavity or broken natural teeth&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27936-6 (&quot;Inflamed or bleeding gums or loose natural teeth&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27937-4 (&quot;Mouth or facial pain, discomfort or difficulty with chewing&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27938-2 (&quot;Unable to examine&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27939-0 (&quot;None of the above were present&quot;)</li></ul><a name="opt-item.103092"> </a><p><b>Answer options for 103092 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA28887-0 (&quot;Resident has a pressure ulcer/injury, a scar over bony prominence, or a non-removable dressing/device&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27941-6 (&quot;Formal assessment instrument/tool (e.g., Braden, Norton, or other)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27942-4 (&quot;Clinical assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.103093"> </a><p><b>Answer options for 103093 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103094"> </a><p><b>Answer options for 103094 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103110"> </a><p><b>Answer options for 103110 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27943-2 (&quot;Infection of the foot (e.g., cellulitis, purulent drainage)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27944-0 (&quot;Diabetic foot ulcer(s)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27945-7 (&quot;Other open lesion(s) on the foot&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27946-5 (&quot;Open lesion(s) other than ulcers, rashes, cuts (e.g., cancer lesion)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27947-3 (&quot;Surgical wound(s)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27948-1 (&quot;Burn(s) (second or third degree)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18608-2 (&quot;Skin tear(s)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27950-7 (&quot;Moisture associated skin damage (MASD) (e.g., incontinence-associated dermatitis [IAD], perspiration, drainage)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27939-0 (&quot;None of the above were present&quot;)</li></ul><a name="opt-item.103111"> </a><p><b>Answer options for 103111 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27951-5 (&quot;Pressure reducing device for chair&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27952-3 (&quot;Pressure reducing device for bed&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27953-1 (&quot;Turning/repositioning program&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27954-9 (&quot;Nutrition or hydration intervention to manage skin problems&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28888-8 (&quot;Pressure ulcer/injury care&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27956-4 (&quot;Surgical wound care&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27957-2 (&quot;Application of nonsurgical dressings (with or without topical medications) other than to feet&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27958-0 (&quot;Applications of ointments/medications other than to feet&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27959-8 (&quot;Application of dressings to feet (with or without topical medications)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27960-6 (&quot;None of the above were provided&quot;)</li></ul><a name="opt-item.103127"> </a><p><b>Answer options for 103127 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA28462-2 (&quot;No - Antipsychotics were not received&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28463-0 (&quot;Yes - Antipsychotics were received on a routine basis only&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28464-8 (&quot;Yes - Antipsychotics were received on a PRN basis only&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28465-5 (&quot;Yes - Antipsychotics were received on a routine and PRN basis&quot;)</li></ul><a name="opt-item.103128"> </a><p><b>Answer options for 103128 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103130"> </a><p><b>Answer options for 103130 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA28466-3 (&quot;No - GDR has not been documented by a physician as clinically contraindicated&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28467-1 (&quot;Yes - GDR has been documented by a physician as clinically contraindicated&quot;)</li></ul><a name="opt-item.103132"> </a><p><b>Answer options for 103132 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA27634-7 (&quot;No - No issues found during review&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27635-4 (&quot;Yes - Issues found during review&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27636-2 (&quot;NA - Resident is not taking any medications&quot;)</li></ul><a name="opt-item.103133"> </a><p><b>Answer options for 103133 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103134"> </a><p><b>Answer options for 103134 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28935-7 (&quot;NA - There were no potential clinically significant medication issues identified since admission or resident is not taking any medications&quot;)</li></ul><a name="opt-item.103137"> </a><p><b>Answer options for 103137 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA6172-6 (&quot;Chemotherapy&quot;)</li><li style="font-size: 11px">http://loinc.org#LA4351-8 (&quot;Radiation&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27962-2 (&quot;Oxygen therapy&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27963-0 (&quot;Suctioning&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27964-8 (&quot;Tracheostomy care&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28889-6 (&quot;Invasive mechanical ventilator (ventilator or respirator)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28890-4 (&quot;Non-invasive mechanical ventilator (BiPAP/CPAP)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27972-1 (&quot;IV medications&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27966-3 (&quot;Transfusions&quot;)</li><li style="font-size: 11px">http://loinc.org#LA7216-0 (&quot;Dialysis&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6217-9 (&quot;Hospice care&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27970-5 (&quot;Isolation or quarantine for active infectious disease (does not include standard body/fluid precautions)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.103138"> </a><p><b>Answer options for 103138 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA6172-6 (&quot;Chemotherapy&quot;)</li><li style="font-size: 11px">http://loinc.org#LA4351-8 (&quot;Radiation&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27962-2 (&quot;Oxygen therapy&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27963-0 (&quot;Suctioning&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27964-8 (&quot;Tracheostomy care&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28889-6 (&quot;Invasive mechanical ventilator (ventilator or respirator)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28890-4 (&quot;Non-invasive mechanical ventilator (BiPAP/CPAP)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27972-1 (&quot;IV medications&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27966-3 (&quot;Transfusions&quot;)</li><li style="font-size: 11px">http://loinc.org#LA7216-0 (&quot;Dialysis&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6217-9 (&quot;Hospice care&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27970-5 (&quot;Isolation or quarantine for active infectious disease (does not include standard body/fluid precautions)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.103140"> </a><p><b>Answer options for 103140 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103142"> </a><p><b>Answer options for 103142 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA28194-1 (&quot;Resident not in this facility during this year's influenza vaccination season&quot;)</li><li style="font-size: 11px">http://loinc.org#LA184-4 (&quot;Received outside of this facility&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11091-8 (&quot;Not eligible - medical contraindication&quot;)</li><li style="font-size: 11px">http://loinc.org#LA186-9 (&quot;Offered and declined&quot;)</li><li style="font-size: 11px">http://loinc.org#LA187-7 (&quot;Not offered&quot;)</li><li style="font-size: 11px">http://loinc.org#LA26746-0 (&quot;Inability to obtain influenza vaccine due to a declared shortage&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.103144"> </a><p><b>Answer options for 103144 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103145"> </a><p><b>Answer options for 103145 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11091-8 (&quot;Not eligible - medical contraindication&quot;)</li><li style="font-size: 11px">http://loinc.org#LA186-9 (&quot;Offered and declined&quot;)</li><li style="font-size: 11px">http://loinc.org#LA187-7 (&quot;Not offered&quot;)</li></ul><a name="opt-item.103199"> </a><p><b>Answer options for 103199 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA157-0 (&quot;Not used&quot;)</li><li style="font-size: 11px">http://loinc.org#LA158-8 (&quot;Used less than daily&quot;)</li><li style="font-size: 11px">http://loinc.org#LA159-6 (&quot;Used daily&quot;)</li></ul><a name="opt-item.103200"> </a><p><b>Answer options for 103200 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA157-0 (&quot;Not used&quot;)</li><li style="font-size: 11px">http://loinc.org#LA158-8 (&quot;Used less than daily&quot;)</li><li style="font-size: 11px">http://loinc.org#LA159-6 (&quot;Used daily&quot;)</li></ul><a name="opt-item.103201"> </a><p><b>Answer options for 103201 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA157-0 (&quot;Not used&quot;)</li><li style="font-size: 11px">http://loinc.org#LA158-8 (&quot;Used less than daily&quot;)</li><li style="font-size: 11px">http://loinc.org#LA159-6 (&quot;Used daily&quot;)</li></ul><a name="opt-item.103202"> </a><p><b>Answer options for 103202 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA157-0 (&quot;Not used&quot;)</li><li style="font-size: 11px">http://loinc.org#LA158-8 (&quot;Used less than daily&quot;)</li><li style="font-size: 11px">http://loinc.org#LA159-6 (&quot;Used daily&quot;)</li></ul><a name="opt-item.103203"> </a><p><b>Answer options for 103203 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA157-0 (&quot;Not used&quot;)</li><li style="font-size: 11px">http://loinc.org#LA158-8 (&quot;Used less than daily&quot;)</li><li style="font-size: 11px">http://loinc.org#LA159-6 (&quot;Used daily&quot;)</li></ul><a name="opt-item.103204"> </a><p><b>Answer options for 103204 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA157-0 (&quot;Not used&quot;)</li><li style="font-size: 11px">http://loinc.org#LA158-8 (&quot;Used less than daily&quot;)</li><li style="font-size: 11px">http://loinc.org#LA159-6 (&quot;Used daily&quot;)</li></ul><a name="opt-item.103205"> </a><p><b>Answer options for 103205 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA157-0 (&quot;Not used&quot;)</li><li style="font-size: 11px">http://loinc.org#LA158-8 (&quot;Used less than daily&quot;)</li><li style="font-size: 11px">http://loinc.org#LA159-6 (&quot;Used daily&quot;)</li></ul><a name="opt-item.103206"> </a><p><b>Answer options for 103206 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA157-0 (&quot;Not used&quot;)</li><li style="font-size: 11px">http://loinc.org#LA158-8 (&quot;Used less than daily&quot;)</li><li style="font-size: 11px">http://loinc.org#LA159-6 (&quot;Used daily&quot;)</li></ul><a name="opt-item.103208"> </a><p><b>Answer options for 103208 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA157-0 (&quot;Not used&quot;)</li><li style="font-size: 11px">http://loinc.org#LA158-8 (&quot;Used less than daily&quot;)</li><li style="font-size: 11px">http://loinc.org#LA159-6 (&quot;Used daily&quot;)</li></ul><a name="opt-item.103209"> </a><p><b>Answer options for 103209 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA157-0 (&quot;Not used&quot;)</li><li style="font-size: 11px">http://loinc.org#LA158-8 (&quot;Used less than daily&quot;)</li><li style="font-size: 11px">http://loinc.org#LA159-6 (&quot;Used daily&quot;)</li></ul><a name="opt-item.103210"> </a><p><b>Answer options for 103210 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA157-0 (&quot;Not used&quot;)</li><li style="font-size: 11px">http://loinc.org#LA158-8 (&quot;Used less than daily&quot;)</li><li style="font-size: 11px">http://loinc.org#LA159-6 (&quot;Used daily&quot;)</li></ul><a name="opt-item.103211"> </a><p><b>Answer options for 103211 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA157-0 (&quot;Not used&quot;)</li><li style="font-size: 11px">http://loinc.org#LA158-8 (&quot;Used less than daily&quot;)</li><li style="font-size: 11px">http://loinc.org#LA159-6 (&quot;Used daily&quot;)</li></ul><a name="opt-item.103212"> </a><p><b>Answer options for 103212 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA157-0 (&quot;Not used&quot;)</li><li style="font-size: 11px">http://loinc.org#LA158-8 (&quot;Used less than daily&quot;)</li><li style="font-size: 11px">http://loinc.org#LA159-6 (&quot;Used daily&quot;)</li></ul><a name="opt-item.103213"> </a><p><b>Answer options for 103213 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA157-0 (&quot;Not used&quot;)</li><li style="font-size: 11px">http://loinc.org#LA158-8 (&quot;Used less than daily&quot;)</li><li style="font-size: 11px">http://loinc.org#LA159-6 (&quot;Used daily&quot;)</li></ul><a name="opt-item.103216"> </a><p><b>Answer options for 103216 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103217"> </a><p><b>Answer options for 103217 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27973-9 (&quot;Resident has no family or significant other&quot;)</li></ul><a name="opt-item.103218"> </a><p><b>Answer options for 103218 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA27974-7 (&quot;Resident has no guardian or legally authorized representative&quot;)</li></ul><a name="opt-item.103220"> </a><p><b>Answer options for 103220 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA30462-8 (&quot;Discharge to the community&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30463-6 (&quot;Remain in this facility&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30464-4 (&quot;Discharge to another facility/institution&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11107-2 (&quot;Unknown or uncertain&quot;)</li></ul><a name="opt-item.103221"> </a><p><b>Answer options for 103221 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11019-9 (&quot;Resident&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11116-3 (&quot;If not resident, then family or significant other&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12652-6 (&quot;If not resident, family, or significant other, then guardian or legally authorized representative&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11107-2 (&quot;Unknown or uncertain&quot;)</li></ul><a name="opt-item.103222"> </a><p><b>Answer options for 103222 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103223"> </a><p><b>Answer options for 103223 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103224"> </a><p><b>Answer options for 103224 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11107-2 (&quot;Unknown or uncertain&quot;)</li></ul><a name="opt-item.103226"> </a><p><b>Answer options for 103226 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA21297-9 (&quot;Information not available&quot;)</li></ul><a name="opt-item.103227"> </a><p><b>Answer options for 103227 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA11019-9 (&quot;Resident&quot;)</li><li style="font-size: 11px">http://loinc.org#LA11116-3 (&quot;If not resident, then family or significant other&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12652-6 (&quot;If not resident, family, or significant other, then guardian or legally authorized representative&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.103228"> </a><p><b>Answer options for 103228 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA12660-9 (&quot;No - referral not needed&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18611-6 (&quot;No - referral is or may be needed&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18610-8 (&quot;Yes - referral made&quot;)</li></ul><a name="opt-item.103231"> </a><p><b>Answer options for 103231 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10-4 (&quot;Admission assessment (required by day 14)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA15-3 (&quot;Quarterly review assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12-0 (&quot;Annual assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA13-8 (&quot;Significant change in status assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10888-8 (&quot;Significant correction to prior comprehensive assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10889-6 (&quot;Significant correction to prior quarterly assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.103232"> </a><p><b>Answer options for 103232 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10894-6 (&quot;5-day scheduled assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29577-6 (&quot;IPA - Interim Payment Assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.103239"> </a><p><b>Answer options for 103239 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA7426-5 (&quot;Delirium&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28159-4 (&quot;Cognitive loss/dementia&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28160-2 (&quot;Visual function&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28161-0 (&quot;Communication&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28162-8 (&quot;ADL functional/rehabilitation potential&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28163-6 (&quot;Urinary incontinence and indwelling catheter&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28165-1 (&quot;Psychosocial well-being&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28166-9 (&quot;Mood state&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28167-7 (&quot;Behavioral symptoms&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28168-5 (&quot;Activities&quot;)</li><li style="font-size: 11px">http://loinc.org#LA17133-2 (&quot;Falls&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28169-3 (&quot;Nutritional status&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28170-1 (&quot;Feeding tube&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28171-9 (&quot;Dehydration/fluid maintenance&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28172-7 (&quot;Dental care&quot;)</li><li style="font-size: 11px">http://loinc.org#LA19028-2 (&quot;Pressure ulcer&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28173-5 (&quot;Psychotropic drug use&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28174-3 (&quot;Physical restraints&quot;)</li><li style="font-size: 11px">http://loinc.org#LA7460-4 (&quot;Pain&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28175-0 (&quot;Return to community referral&quot;)</li></ul><a name="opt-item.103240"> </a><p><b>Answer options for 103240 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA7426-5 (&quot;Delirium&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28159-4 (&quot;Cognitive loss/dementia&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28160-2 (&quot;Visual function&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28161-0 (&quot;Communication&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28162-8 (&quot;ADL functional/rehabilitation potential&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28163-6 (&quot;Urinary incontinence and indwelling catheter&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28165-1 (&quot;Psychosocial well-being&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28166-9 (&quot;Mood state&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28167-7 (&quot;Behavioral symptoms&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28168-5 (&quot;Activities&quot;)</li><li style="font-size: 11px">http://loinc.org#LA17133-2 (&quot;Falls&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28169-3 (&quot;Nutritional status&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28170-1 (&quot;Feeding tube&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28171-9 (&quot;Dehydration/fluid maintenance&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28172-7 (&quot;Dental care&quot;)</li><li style="font-size: 11px">http://loinc.org#LA19028-2 (&quot;Pressure ulcer&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28173-5 (&quot;Psychotropic drug use&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28174-3 (&quot;Physical restraints&quot;)</li><li style="font-size: 11px">http://loinc.org#LA7460-4 (&quot;Pain&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28175-0 (&quot;Return to community referral&quot;)</li></ul><a name="opt-item.103242"> </a><p><b>Answer options for 103242 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10882-1 (&quot;Nursing home (SNF/NF)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10883-9 (&quot;Swing bed&quot;)</li></ul><a name="opt-item.103246"> </a><p><b>Answer options for 103246 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA2-8 (&quot;Male&quot;)</li><li style="font-size: 11px">http://loinc.org#LA3-6 (&quot;Female&quot;)</li></ul><a name="opt-item.110233"> </a><p><b>Answer options for 110233 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103250"> </a><p><b>Answer options for 103250 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10-4 (&quot;Admission assessment (required by day 14)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA15-3 (&quot;Quarterly review assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12-0 (&quot;Annual assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA13-8 (&quot;Significant change in status assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10888-8 (&quot;Significant correction to prior comprehensive assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10889-6 (&quot;Significant correction to prior quarterly assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.103251"> </a><p><b>Answer options for 103251 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10894-6 (&quot;5-day scheduled assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA29577-6 (&quot;IPA - Interim Payment Assessment&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.103254"> </a><p><b>Answer options for 103254 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA12627-8 (&quot;Entry tracking record&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12628-6 (&quot;Discharge assessment - return not anticipated&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12629-4 (&quot;Discharge assessment - return anticipated&quot;)</li><li style="font-size: 11px">http://loinc.org#LA12630-2 (&quot;Death in facility tracking record&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9-3 (&quot;None of the above&quot;)</li></ul><a name="opt-item.103255"> </a><p><b>Answer options for 103255 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA33-6 (&quot;Yes&quot;)</li></ul><a name="opt-item.103262"> </a><p><b>Answer options for 103262 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA7512-2 (&quot;Transcription error&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28176-8 (&quot;Data entry error&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28177-6 (&quot;Software product error&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28178-4 (&quot;Item coding error&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28180-0 (&quot;Other error requiring modification&quot;)</li></ul><a name="opt-item.103263"> </a><p><b>Answer options for 103263 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA28181-8 (&quot;Event did not occur&quot;)</li><li style="font-size: 11px">http://loinc.org#LA28183-4 (&quot;Other error requiring inactivation&quot;)</li></ul></div>
      </text>
      <url value="http://loinc.org/q/90473-0"/>
      <version value="0.1.0"/>
      <name value="MDS_v3_RAI_v1_Nursing_home_comprehensive_NC_item_set"/>
      <title
             value="MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set"/>
      <status value="draft"/>
      <subjectType value="Patient"/>
      <date value="2026-03-26T20:08:48+00:00"/>
      <publisher value="MITRE"/>
      <contact>
        <name value="MITRE"/>
        <telecom>
          <system value="url"/>
          <value value="http://www.mitre.org"/>
        </telecom>
      </contact>
      <contact>
        <name value="May Terry"/>
        <telecom>
          <system value="email"/>
          <value value="mayT@mitre.org"/>
          <use value="work"/>
        </telecom>
      </contact>
      <copyright
                 value="This material contains content from LOINC (http://loinc.org). LOINC is copyright © Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. All rights reserved. LOINC is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
    Copyright © 2003 Sharon K. Inouye, M.D., MPH. Adapted from: Inouye SK, vanDyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI. Clarifying confusion: The Confusion Assessment Method. A new method for detection of delirium. Ann Intern Med. 1990; 113: 941-948. Confusion Assessment Method: Training Manual and Coding Guide. Used with permission.
    Copyright © Pfizer Inc. All rights reserved. Developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc. No permission required to reproduce, translate, display or distribute."/>
      <code>
        <system value="http://loinc.org"/>
        <code value="90473-0"/>
        <display
                 value="MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set"/>
      </code>
      <item>
        <linkId value="105334"/>
        <prefix value="A"/>
        <text value="Identification Information"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="102711"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="58198-3"/>
            <display value="Type of Record"/>
          </code>
          <prefix value="A0050"/>
          <text value="Type of Record"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA12663-3"/>
              <display value="Add new record"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA12664-1"/>
              <display value="Modify existing record"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA12665-8"/>
              <display value="Inactivate existing record"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102712"/>
          <prefix value="A0100"/>
          <text value="Facility Provider Numbers"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102713"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="76468-8"/>
              <display value="National Provider Identifier (NPI)"/>
            </code>
            <prefix value="A0100A"/>
            <text value="National Provider Identifier (NPI)"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="102714"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="69417-4"/>
              <display value="CMS Certification Number (CCN)"/>
            </code>
            <prefix value="A0100B"/>
            <text value="CMS Certification Number (CCN)"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="102715"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45398-5"/>
              <display value="State Provider Number"/>
            </code>
            <prefix value="A0100C"/>
            <text value="State Provider Number"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <linkId value="102716"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="85632-8"/>
            <display value="Type of Provider"/>
          </code>
          <prefix value="A0200"/>
          <text value="Type of Provider"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10882-1"/>
              <display value="Nursing home (SNF/NF)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10883-9"/>
              <display value="Swing bed"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="110660"/>
          <prefix value="A0300"/>
          <text value="Optional State Assessment"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="105339"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="90522-4"/>
              <display
                       value="Is this assessment for state payment purposes only?"/>
            </code>
            <prefix value="A0300A"/>
            <text value="Is this assessment for state payment purposes only?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="105364"/>
          <prefix value="A0310"/>
          <text value="Type of Assessment"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102718"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54583-0"/>
              <display value="Federal OBRA Reason for Assessment"/>
            </code>
            <prefix value="A0310A"/>
            <text value="Federal OBRA Reason for Assessment"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10-4"/>
                <display value="Admission assessment (required by day 14)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA15-3"/>
                <display value="Quarterly review assessment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12-0"/>
                <display value="Annual assessment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA13-8"/>
                <display value="Significant change in status assessment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10888-8"/>
                <display
                         value="Significant correction to prior comprehensive assessment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10889-6"/>
                <display
                         value="Significant correction to prior quarterly assessment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9-3"/>
                <display value="None of the above"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102719"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54584-8"/>
              <display value="PPS Assessment"/>
            </code>
            <prefix value="A0310B"/>
            <text value="PPS Assessment"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10894-6"/>
                <display value="5-day scheduled assessment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA29577-6"/>
                <display value="IPA - Interim Payment Assessment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9-3"/>
                <display value="None of the above"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102722"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54587-1"/>
              <display
                       value="Is this assessment the first assessment (OBRA, Scheduled PPS, or Discharge) since the most recent admission/entry or reentry?"/>
            </code>
            <prefix value="A0310E"/>
            <text
                  value="Is this assessment the first assessment (OBRA, Scheduled PPS, or Discharge) since the most recent admission/entry or reentry?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102723"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="58108-2"/>
              <display value="Entry/discharge reporting"/>
            </code>
            <prefix value="A0310F"/>
            <text value="Entry/discharge reporting"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12627-8"/>
                <display value="Entry tracking record"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12628-6"/>
                <display value="Discharge assessment - return not anticipated"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12629-4"/>
                <display value="Discharge assessment - return anticipated"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12630-2"/>
                <display value="Death in facility tracking record"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9-3"/>
                <display value="None of the above"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102724"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="71440-2"/>
              <display value="Type of discharge"/>
            </code>
            <prefix value="A0310G"/>
            <text value="Type of discharge"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA20099-0"/>
                <display value="Planned"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28017-4"/>
                <display value="Unplanned"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="105365"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="90525-7"/>
              <display value="Is this a SNF Part A Interrupted Stay?"/>
            </code>
            <prefix value="A0310G1"/>
            <text value="Is this a SNF Part A Interrupted Stay?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102725"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86525-3"/>
              <display value="Is this a SNF Part A PPS Discharge Assessment?"/>
            </code>
            <prefix value="A0310H"/>
            <text value="Is this a SNF Part A PPS Discharge Assessment?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="102726"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="86526-1"/>
            <display value="Unit Certification or Licensure Designation"/>
          </code>
          <prefix value="A0410"/>
          <text value="Unit Certification or Licensure Designation"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27983-8"/>
              <display
                       value="Unit is neither Medicare nor Medicaid certified and MDS data is not required by the State"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27984-6"/>
              <display
                       value="Unit is neither Medicare nor Medicaid certified but MDS data is required by the State"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27985-3"/>
              <display value="Unit is Medicare and/or Medicaid certified"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102727"/>
          <prefix value="A0500"/>
          <text value="Legal Name of Resident"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102728"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45392-8"/>
              <display value="First name"/>
            </code>
            <prefix value="A0500A"/>
            <text value="First name"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="102729"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45393-6"/>
              <display value="Middle initial"/>
            </code>
            <prefix value="A0500B"/>
            <text value="Middle initial"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="102730"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45394-4"/>
              <display value="Last name"/>
            </code>
            <prefix value="A0500C"/>
            <text value="Last name"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="102731"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45395-1"/>
              <display value="Suffix"/>
            </code>
            <prefix value="A0500D"/>
            <text value="Suffix"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <linkId value="102732"/>
          <prefix value="A0600"/>
          <text value="Social Security and Medicare Numbers"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102733"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45396-9"/>
              <display value="Social Security Number"/>
            </code>
            <prefix value="A0600A"/>
            <text value="Social Security Number"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="102734"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45397-7"/>
              <display value="Medicare number"/>
            </code>
            <prefix value="A0600B"/>
            <text value="Medicare number"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <linkId value="102735"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="45400-9"/>
            <display value="Medicaid Number"/>
          </code>
          <prefix value="A0700"/>
          <text value="Medicaid Number"/>
          <type value="string"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="102736"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="46098-0"/>
            <display value="Gender"/>
          </code>
          <prefix value="A0800"/>
          <text value="Gender"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA2-8"/>
              <display value="Male"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102737"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="21112-8"/>
            <display value="Birth Date"/>
          </code>
          <prefix value="A0900"/>
          <text value="Birth Date"/>
          <type value="decimal"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="102738"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="59362-4"/>
            <display value="Race/Ethnicity"/>
          </code>
          <prefix value="A1000"/>
          <text value="Race/Ethnicity"/>
          <type value="choice"/>
          <repeats value="true"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6155-1"/>
              <display value="American Indian or Alaska Native"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6156-9"/>
              <display value="Asian"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10610-6"/>
              <display value="Black or African American"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6214-6"/>
              <display value="Hispanic or Latino"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10611-4"/>
              <display value="Native Hawaiian or Other Pacific Islander"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA4457-3"/>
              <display value="White"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102739"/>
          <prefix value="A1100"/>
          <text value="Language"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102740"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54588-9"/>
              <display
                       value="Does the resident need or want an interpreter to communicate with a doctor or health care staff?"/>
            </code>
            <prefix value="A1100A"/>
            <text
                  value="Does the resident need or want an interpreter to communicate with a doctor or health care staff?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11137-9"/>
                <display value="Unable to determine"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102741"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54899-0"/>
              <display value="Preferred language"/>
            </code>
            <prefix value="A1100B"/>
            <text value="Preferred language"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA43-5"/>
                <display value="English"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA44-3"/>
                <display value="Spanish"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA4168-6"/>
                <display value="Chinese"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA4443-3"/>
                <display value="Vietnamese"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA15353-8"/>
                <display value="Tagalog"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA46-8"/>
                <display value="Other"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="102742"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="45404-1"/>
            <display value="Marital Status"/>
          </code>
          <prefix value="A1200"/>
          <text value="Marital Status"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA47-6"/>
              <display value="Never married"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA48-4"/>
              <display value="Married"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA49-2"/>
              <display value="Widowed"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA4288-2"/>
              <display value="Separated"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA51-8"/>
              <display value="Divorced"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102743"/>
          <prefix value="A1300"/>
          <text value="Optional Resident Items"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102744"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="46106-1"/>
              <display value="Medical record number"/>
            </code>
            <prefix value="A1300A"/>
            <text value="Medical record number"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="102745"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45403-3"/>
              <display value="Room number"/>
            </code>
            <prefix value="A1300B"/>
            <text value="Room number"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="102746"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="52462-9"/>
              <display value="Name by which resident prefers to be addressed"/>
            </code>
            <prefix value="A1300C"/>
            <text value="Name by which resident prefers to be addressed"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="102747"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="21843-8"/>
              <display value="Lifetime occupation(s)"/>
            </code>
            <prefix value="A1300D"/>
            <text value="Lifetime occupation(s)"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="102748"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54589-7"/>
            <display
                     value="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?"/>
          </code>
          <prefix value="A1500"/>
          <text
                value="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?"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10921-7"/>
              <display value="Not a Medicaid-certified unit"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102749"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="71441-0"/>
            <display
                     value="Level II Preadmission Screening and Resident Review (PASRR) Conditions"/>
          </code>
          <prefix value="A1510"/>
          <text
                value="Level II Preadmission Screening and Resident Review (PASRR) Conditions"/>
          <type value="choice"/>
          <repeats value="true"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA18599-3"/>
              <display value="Serious mental illness"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29576-8"/>
              <display value="Intellectual disability"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA18601-7"/>
              <display value="Other related conditions"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102750"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="86527-9"/>
            <display value="Conditions Related to ID/DD Status"/>
          </code>
          <prefix value="A1550"/>
          <text value="Conditions Related to ID/DD Status"/>
          <type value="choice"/>
          <repeats value="true"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA20088-3"/>
              <display value="Down syndrome"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA24638-1"/>
              <display value="Autism"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA16985-6"/>
              <display value="Epilepsy"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27792-3"/>
              <display value="Other organic condition related to ID/DD"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27793-1"/>
              <display value="ID/DD with no organic condition"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA9-3"/>
              <display value="None of the above"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102751"/>
          <text
                value="Most Recent Admission/Entry or Reentry into this Facility"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102752"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="50786-3"/>
              <display value="Entry Date"/>
            </code>
            <prefix value="A1600"/>
            <text value="Entry Date"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="102753"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54590-5"/>
              <display value="Type of Entry"/>
            </code>
            <prefix value="A1700"/>
            <text value="Type of Entry"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10922-5"/>
                <display value="Admission"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA54-2"/>
                <display value="Reentry"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102754"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="85398-6"/>
              <display value="Entered From"/>
            </code>
            <prefix value="A1800"/>
            <text value="Entered From"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10924-1"/>
                <display
                         value="Community (private home/apt., board/care, assisted living, group home)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10925-8"/>
                <display value="Another nursing home or swing bed"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9928-8"/>
                <display value="Acute hospital"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10064-6"/>
                <display value="Psychiatric hospital"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10928-2"/>
                <display value="Inpatient rehabilitation facility"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10929-0"/>
                <display value="ID/DD facility"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA6216-1"/>
                <display value="Hospice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10000-0"/>
                <display value="Long-Term Care Hospital (LTCH)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA46-8"/>
                <display value="Other"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="102755"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="52455-3"/>
            <display value="Admission Date"/>
          </code>
          <prefix value="A1900"/>
          <text value="Admission Date"/>
          <type value="decimal"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="102756"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="52525-3"/>
            <display value="Discharge Date"/>
          </code>
          <prefix value="A2000"/>
          <text value="Discharge Date"/>
          <type value="decimal"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="102757"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="55128-3"/>
            <display value="Discharge Status"/>
          </code>
          <prefix value="A2100"/>
          <text value="Discharge Status"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10924-1"/>
              <display
                       value="Community (private home/apt., board/care, assisted living, group home)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10925-8"/>
              <display value="Another nursing home or swing bed"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA9928-8"/>
              <display value="Acute hospital"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10064-6"/>
              <display value="Psychiatric hospital"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10928-2"/>
              <display value="Inpatient rehabilitation facility"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10929-0"/>
              <display value="ID/DD facility"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA6216-1"/>
              <display value="Hospice"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10939-9"/>
              <display value="Deceased"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10000-0"/>
              <display value="Long-Term Care Hospital (LTCH)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA46-8"/>
              <display value="Other"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102758"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54592-1"/>
            <display
                     value="Previous Assessment Reference Date for Significant Correction"/>
          </code>
          <prefix value="A2200"/>
          <text
                value="Previous Assessment Reference Date for Significant Correction"/>
          <type value="date"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="102759"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54593-9"/>
            <display value="Assessment Reference Date. Observation end date"/>
          </code>
          <prefix value="A2300"/>
          <text value="Assessment Reference Date. Observation end date"/>
          <type value="date"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="102760"/>
          <prefix value="A2400"/>
          <text value="Medicare Stay"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102761"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54594-7"/>
              <display
                       value="Has the resident had a Medicare-covered stay since the most recent entry?"/>
            </code>
            <prefix value="A2400A"/>
            <text
                  value="Has the resident had a Medicare-covered stay since the most recent entry?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102762"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54595-4"/>
              <display value="Start date of most recent Medicare stay"/>
            </code>
            <prefix value="A2400B"/>
            <text value="Start date of most recent Medicare stay"/>
            <type value="date"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="102763"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54596-2"/>
              <display value="End date of most recent Medicare stay"/>
            </code>
            <prefix value="A2400C"/>
            <text value="End date of most recent Medicare stay"/>
            <type value="date"/>
            <repeats value="false"/>
          </item>
        </item>
      </item>
      <item>
        <linkId value="102764"/>
        <prefix value="B"/>
        <text value="Hearing, Speech, and Vision"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="102765"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54597-0"/>
            <display value="Comatose"/>
          </code>
          <prefix value="B0100"/>
          <text value="Comatose"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102766"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="95744-9"/>
            <display value="Hearing"/>
          </code>
          <prefix value="B0200"/>
          <text value="Hearing"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10941-5"/>
              <display
                       value="Adequate - no difficulty in normal conversation, social interaction, listening to TV"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10942-3"/>
              <display
                       value="Minimal difficulty - difficulty in some environments (e.g., when person speaks softly or setting is noisy)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10943-1"/>
              <display
                       value="Moderate difficulty - speaker has to increase volume and speak distinctly"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10944-9"/>
              <display value="Highly impaired - absence of useful hearing"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102767"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54599-6"/>
            <display value="Hearing Aid"/>
          </code>
          <prefix value="B0300"/>
          <text value="Hearing Aid"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102768"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54600-2"/>
            <display value="Speech Clarity"/>
          </code>
          <prefix value="B0600"/>
          <text value="Speech Clarity"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10945-6"/>
              <display value="Clear speech - distinct intelligible words"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10946-4"/>
              <display value="Unclear speech - slurred or mumbled words"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10947-2"/>
              <display value="No speech - absence of spoken words"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102769"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="95737-3"/>
            <display value="Makes Self Understood"/>
          </code>
          <prefix value="B0700"/>
          <text value="Makes Self Understood"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA71-6"/>
              <display value="Understood"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10949-8"/>
              <display
                       value="Usually understood - difficulty communicating some words or finishing thoughts but is able if prompted or given time"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10950-6"/>
              <display
                       value="Sometimes understood - ability is limited to making concrete requests"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA74-0"/>
              <display value="Rarely/never understood"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102770"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54602-8"/>
            <display value="Ability to Understand Others"/>
          </code>
          <prefix value="B0800"/>
          <text value="Ability to Understand Others"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10952-2"/>
              <display value="Understands - clear comprehension"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10953-0"/>
              <display
                       value="Usually understands - misses some part/intent of message but comprehends most conversation"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10954-8"/>
              <display
                       value="Sometimes understands - responds adequately to simple, direct communication only"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA81-5"/>
              <display value="Rarely/never understands"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102771"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="95745-6"/>
            <display value="Vision"/>
          </code>
          <prefix value="B1000"/>
          <text value="Vision"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10956-3"/>
              <display
                       value="Adequate - sees fine detail, such as regular print in newspapers/books"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10957-1"/>
              <display
                       value="Impaired - sees large print, but not regular print in newspapers/books"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10958-9"/>
              <display
                       value="Moderately impaired - limited vision; not able to see newspaper headlines but can identify objects"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10959-7"/>
              <display
                       value="Highly impaired - object identification in question, but eyes appear to follow objects"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10960-5"/>
              <display
                       value="Severely impaired - no vision or sees only light, colors or shapes; eyes do not appear to follow objects"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102772"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54604-4"/>
            <display value="Corrective Lenses"/>
          </code>
          <prefix value="B1200"/>
          <text value="Corrective Lenses"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
        </item>
      </item>
      <item>
        <linkId value="102773"/>
        <prefix value="C"/>
        <text value="Cognitive Patterns"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="129944"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54605-1"/>
            <display
                     value="Should Brief Interview for Mental Status (C0200-C0500) be Conducted?"/>
          </code>
          <prefix value="C0100"/>
          <text
                value="Should Brief Interview for Mental Status (C0200-C0500) be Conducted?"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11150-2"/>
              <display value="No (resident is rarely/never understood)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="129945"/>
          <text value="Brief Interview for Mental Status (BIMS)"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="129946"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="103696-1"/>
              <display value="Repetition of Three Words"/>
            </code>
            <prefix value="C0200"/>
            <text value="Repetition of Three Words"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA137-2"/>
                <display value="None"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA6306-0"/>
                <display value="One"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA6404-3"/>
                <display value="Two"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA6395-3"/>
                <display value="Three"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="129947"/>
            <prefix value="C0300"/>
            <text value="Temporal Orientation"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="129948"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="103697-9"/>
                <display value="Able to report correct year"/>
              </code>
              <prefix value="C0300A"/>
              <text value="Able to report correct year"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10965-4"/>
                  <display value="Missed by &gt; 5 years or no answer"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10966-2"/>
                  <display value="Missed by 2-5 years"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10008-3"/>
                  <display value="Missed by 1 year"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA9960-1"/>
                  <display value="Correct"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="129949"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="103698-7"/>
                <display value="Able to report correct month"/>
              </code>
              <prefix value="C0300B"/>
              <text value="Able to report correct month"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10969-6"/>
                  <display value="Missed by &gt; 1 month or no answer"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10010-9"/>
                  <display value="Missed by 6 days to 1 month"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA9927-0"/>
                  <display value="Accurate within 5 days"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="129950"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="103703-5"/>
                <display value="Able to report correct day of the week"/>
              </code>
              <prefix value="C0300C"/>
              <text value="Able to report correct day of the week"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA9981-7"/>
                  <display value="Incorrect or no answer"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA9960-1"/>
                  <display value="Correct"/>
                </valueCoding>
              </answerOption>
            </item>
          </item>
          <item>
            <linkId value="129951"/>
            <prefix value="C0400"/>
            <text value="Recall"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="129952"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="103699-5"/>
                <display value="Able to recall &quot;sock&quot;"/>
              </code>
              <prefix value="C0400A"/>
              <text value="Able to recall &quot;sock&quot;"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10974-6"/>
                  <display value="No - could not recall"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10126-3"/>
                  <display
                           value="Yes, after cueing (&quot;something to wear&quot;)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10134-7"/>
                  <display value="Yes, no cue required"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="129953"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="103700-1"/>
                <display value="Able to recall &quot;blue&quot;"/>
              </code>
              <prefix value="C0400B"/>
              <text value="Able to recall &quot;blue&quot;"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10974-6"/>
                  <display value="No - could not recall"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10978-7"/>
                  <display value="Yes, after cueing (&quot;a color&quot;)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10134-7"/>
                  <display value="Yes, no cue required"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="129954"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="103701-9"/>
                <display value="Able to recall &quot;bed&quot;"/>
              </code>
              <prefix value="C0400C"/>
              <text value="Able to recall &quot;bed&quot;"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10974-6"/>
                  <display value="No - could not recall"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10125-5"/>
                  <display
                           value="Yes, after cueing (&quot;a piece of furniture&quot;)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10134-7"/>
                  <display value="Yes, no cue required"/>
                </valueCoding>
              </answerOption>
            </item>
          </item>
          <item>
            <linkId value="129955"/>
            <prefix value="C0500"/>
            <text value="BIMS Summary Score"/>
            <type value="decimal"/>
          </item>
        </item>
        <item>
          <linkId value="129956"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54615-0"/>
            <display
                     value="Should the Staff Assessment for Mental Status (C0700-C1000) be Conducted?"/>
          </code>
          <prefix value="C0600"/>
          <text
                value="Should the Staff Assessment for Mental Status (C0700-C1000) be Conducted?"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA28146-1"/>
              <display
                       value="No (resident was able to complete Brief Interview for Mental Status)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA28147-9"/>
              <display
                       value="Yes (resident was unable to complete Brief Interview for Mental Status)"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="129940"/>
          <text value="Staff assessment for mental status"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="129960"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54616-8"/>
              <display value="Short-term memory OK"/>
            </code>
            <text value="Short-term memory OK"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA55-9"/>
                <display value="Memory OK"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA56-7"/>
                <display value="Memory problem"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="129959"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54617-6"/>
              <display value="Long-term memory OK"/>
            </code>
            <text value="Long-term memory OK"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA55-9"/>
                <display value="Memory OK"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA56-7"/>
                <display value="Memory problem"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="129958"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95743-1"/>
              <display value="Memory &amp;or recall ability"/>
            </code>
            <text value="Memory &amp;or recall ability"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9962-7"/>
                <display value="Current season"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9998-1"/>
                <display value="Location of own room"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10085-1"/>
                <display value="Staff names and faces"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33609-1"/>
                <display
                         value="That they are in a nursing home/hospital swing bed."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26729-6"/>
                <display value="None of the above were recalled"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="129957"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54624-2"/>
              <display value="Cognitive skills for daily decision making"/>
            </code>
            <text value="Cognitive skills for daily decision making"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10985-2"/>
                <display value="Independent - decisions consistent/reasonable"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10986-0"/>
                <display
                         value="Modified independence - some difficulty in new situations only"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10987-8"/>
                <display
                         value="Moderately impaired - decisions poor; cues/supervision required"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10988-6"/>
                <display value="Severely impaired - never/rarely made decisions"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="129961"/>
          <text value="Delirium"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="129962"/>
            <text value="Signs and Symptoms of Delirium (from CAM)"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="129966"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="95813-2"/>
                <display
                         value="Acute onset mental change. Is there evidence of an acute change in mental status from the patient's baseline?"/>
              </code>
              <text
                    value="Acute onset mental change. Is there evidence of an acute change in mental status from the patient's baseline?"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA32-8"/>
                  <display value="No"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33-6"/>
                  <display value="Yes"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="129965"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="95812-4"/>
                <display
                         value="Inattention - Did the patient have difficulty focusing attention, for example, being easily distractible or having difficulty keeping track of what was being said?"/>
              </code>
              <text
                    value="Inattention - Did the patient have difficulty focusing attention, for example, being easily distractible or having difficulty keeping track of what was being said?"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA61-7"/>
                  <display value="Behavior not present"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10992-8"/>
                  <display
                           value="Behavior continuously present, does not fluctuate"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10993-6"/>
                  <display
                           value="Behavior present, fluctuates (comes and goes, changes in severity)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="129964"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="95814-0"/>
                <display
                         value="Disorganized thinking - Was the patient's thinking disorganized or incoherent, such as rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject)?"/>
              </code>
              <text
                    value="Disorganized thinking - Was the patient's thinking disorganized or incoherent, such as rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject)?"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA61-7"/>
                  <display value="Behavior not present"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10992-8"/>
                  <display
                           value="Behavior continuously present, does not fluctuate"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10993-6"/>
                  <display
                           value="Behavior present, fluctuates (comes and goes, changes in severity)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="129963"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="95815-7"/>
                <display
                         value="Altered level of consciousness - Did the resident have altered level of consciousness, as indicated by any of the following crfiteria?"/>
              </code>
              <text
                    value="Altered level of consciousness - Did the resident have altered level of consciousness, as indicated by any of the following crfiteria?"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA61-7"/>
                  <display value="Behavior not present"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10992-8"/>
                  <display
                           value="Behavior continuously present, does not fluctuate"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10993-6"/>
                  <display
                           value="Behavior present, fluctuates (comes and goes, changes in severity)"/>
                </valueCoding>
              </answerOption>
            </item>
          </item>
        </item>
      </item>
      <item>
        <linkId value="105758"/>
        <prefix value="D"/>
        <text value="Mood"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="102799"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54634-1"/>
            <display value="Should Resident Mood Interview be Conducted?"/>
          </code>
          <prefix value="D0100"/>
          <text value="Should Resident Mood Interview be Conducted?"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11150-2"/>
              <display value="No (resident is rarely/never understood)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102800"/>
          <prefix value="D0200"/>
          <text value="Resident Mood Interview (PHQ-9)"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102801"/>
            <prefix value="D0200_1"/>
            <text value="Symptom Presence"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="102802"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54636-6"/>
                <display value="Little interest or pleasure in doing things"/>
              </code>
              <prefix value="D0200A1"/>
              <text value="Little interest or pleasure in doing things"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33719-8"/>
                  <display value="No (enter 0 in column 2)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33720-6"/>
                  <display value="Yes (enter 0-3 in column 2)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33753-7"/>
                  <display value="No response (leave column 2 blank)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102803"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54638-2"/>
                <display value="Feeling down, depressed or hopeless"/>
              </code>
              <prefix value="D0200B1"/>
              <text value="Feeling down, depressed or hopeless"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33719-8"/>
                  <display value="No (enter 0 in column 2)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33720-6"/>
                  <display value="Yes (enter 0-3 in column 2)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33753-7"/>
                  <display value="No response (leave column 2 blank)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102804"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54640-8"/>
                <display
                         value="Trouble falling or staying asleep, or sleeping too much"/>
              </code>
              <prefix value="D0200C1"/>
              <text
                    value="Trouble falling or staying asleep, or sleeping too much"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33719-8"/>
                  <display value="No (enter 0 in column 2)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33720-6"/>
                  <display value="Yes (enter 0-3 in column 2)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33753-7"/>
                  <display value="No response (leave column 2 blank)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102805"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54642-4"/>
                <display value="Feeling tired or having little energy"/>
              </code>
              <prefix value="D0200D1"/>
              <text value="Feeling tired or having little energy"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33719-8"/>
                  <display value="No (enter 0 in column 2)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33720-6"/>
                  <display value="Yes (enter 0-3 in column 2)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33753-7"/>
                  <display value="No response (leave column 2 blank)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102806"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54644-0"/>
                <display value="Poor appetite or overeating"/>
              </code>
              <prefix value="D0200E1"/>
              <text value="Poor appetite or overeating"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33719-8"/>
                  <display value="No (enter 0 in column 2)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33720-6"/>
                  <display value="Yes (enter 0-3 in column 2)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33753-7"/>
                  <display value="No response (leave column 2 blank)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102807"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54646-5"/>
                <display
                         value="Feeling bad about yourself - or that you are a failure or have let yourself or your family down"/>
              </code>
              <prefix value="D0200F1"/>
              <text
                    value="Feeling bad about yourself - or that you are a failure or have let yourself or your family down"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33719-8"/>
                  <display value="No (enter 0 in column 2)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33720-6"/>
                  <display value="Yes (enter 0-3 in column 2)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33753-7"/>
                  <display value="No response (leave column 2 blank)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102808"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54648-1"/>
                <display
                         value="Trouble concentrating on things, such as reading the newspaper or watching television"/>
              </code>
              <prefix value="D0200G1"/>
              <text
                    value="Trouble concentrating on things, such as reading the newspaper or watching television"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33719-8"/>
                  <display value="No (enter 0 in column 2)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33720-6"/>
                  <display value="Yes (enter 0-3 in column 2)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33753-7"/>
                  <display value="No response (leave column 2 blank)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102809"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54650-7"/>
                <display
                         value="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"/>
              </code>
              <prefix value="D0200H1"/>
              <text
                    value="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"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33719-8"/>
                  <display value="No (enter 0 in column 2)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33720-6"/>
                  <display value="Yes (enter 0-3 in column 2)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33753-7"/>
                  <display value="No response (leave column 2 blank)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102810"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54652-3"/>
                <display
                         value="Thoughts that you would be better off dead, or of hurting yourself in some way"/>
              </code>
              <prefix value="D0200I1"/>
              <text
                    value="Thoughts that you would be better off dead, or of hurting yourself in some way"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33719-8"/>
                  <display value="No (enter 0 in column 2)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33720-6"/>
                  <display value="Yes (enter 0-3 in column 2)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33753-7"/>
                  <display value="No response (leave column 2 blank)"/>
                </valueCoding>
              </answerOption>
            </item>
          </item>
          <item>
            <linkId value="102811"/>
            <prefix value="D0200_2"/>
            <text value="Symptom Frequency"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="102812"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54637-4"/>
                <display value="Little interest or pleasure in doing things"/>
              </code>
              <prefix value="D0200A2"/>
              <text value="Little interest or pleasure in doing things"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10997-7"/>
                  <display value="Never or 1 day"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10998-5"/>
                  <display value="2-6 days (several days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10999-3"/>
                  <display value="7-11 days (half or more of the days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11000-9"/>
                  <display value="12-14 days (nearly every day)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102813"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54639-0"/>
                <display value="Feeling down, depressed or hopeless"/>
              </code>
              <prefix value="D0200B2"/>
              <text value="Feeling down, depressed or hopeless"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10997-7"/>
                  <display value="Never or 1 day"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10998-5"/>
                  <display value="2-6 days (several days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10999-3"/>
                  <display value="7-11 days (half or more of the days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11000-9"/>
                  <display value="12-14 days (nearly every day)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102814"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54641-6"/>
                <display
                         value="Trouble falling or staying asleep, or sleeping too much"/>
              </code>
              <prefix value="D0200C2"/>
              <text
                    value="Trouble falling or staying asleep, or sleeping too much"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10997-7"/>
                  <display value="Never or 1 day"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10998-5"/>
                  <display value="2-6 days (several days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10999-3"/>
                  <display value="7-11 days (half or more of the days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11000-9"/>
                  <display value="12-14 days (nearly every day)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102815"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54643-2"/>
                <display value="Feeling tired or having little energy"/>
              </code>
              <prefix value="D0200D2"/>
              <text value="Feeling tired or having little energy"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10997-7"/>
                  <display value="Never or 1 day"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10998-5"/>
                  <display value="2-6 days (several days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10999-3"/>
                  <display value="7-11 days (half or more of the days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11000-9"/>
                  <display value="12-14 days (nearly every day)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102816"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54645-7"/>
                <display value="Poor appetite or overeating"/>
              </code>
              <prefix value="D0200E2"/>
              <text value="Poor appetite or overeating"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10997-7"/>
                  <display value="Never or 1 day"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10998-5"/>
                  <display value="2-6 days (several days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10999-3"/>
                  <display value="7-11 days (half or more of the days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11000-9"/>
                  <display value="12-14 days (nearly every day)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102817"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54647-3"/>
                <display
                         value="Feeling bad about yourself - or that you are a failure or have let yourself or your family down"/>
              </code>
              <prefix value="D0200F2"/>
              <text
                    value="Feeling bad about yourself - or that you are a failure or have let yourself or your family down"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10997-7"/>
                  <display value="Never or 1 day"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10998-5"/>
                  <display value="2-6 days (several days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10999-3"/>
                  <display value="7-11 days (half or more of the days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11000-9"/>
                  <display value="12-14 days (nearly every day)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102818"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54649-9"/>
                <display
                         value="Trouble concentrating on things, such as reading the newspaper or watching television"/>
              </code>
              <prefix value="D0200G2"/>
              <text
                    value="Trouble concentrating on things, such as reading the newspaper or watching television"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10997-7"/>
                  <display value="Never or 1 day"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10998-5"/>
                  <display value="2-6 days (several days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10999-3"/>
                  <display value="7-11 days (half or more of the days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11000-9"/>
                  <display value="12-14 days (nearly every day)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102819"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54651-5"/>
                <display
                         value="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"/>
              </code>
              <prefix value="D0150H2"/>
              <text
                    value="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"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10997-7"/>
                  <display value="Never or 1 day"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10998-5"/>
                  <display value="2-6 days (several days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10999-3"/>
                  <display value="7-11 days (half or more of the days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11000-9"/>
                  <display value="12-14 days (nearly every day)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102820"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54653-1"/>
                <display
                         value="Thoughts that you would be better off dead, or of hurting yourself in some way"/>
              </code>
              <prefix value="D0200I2"/>
              <text
                    value="Thoughts that you would be better off dead, or of hurting yourself in some way"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10997-7"/>
                  <display value="Never or 1 day"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10998-5"/>
                  <display value="2-6 days (several days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10999-3"/>
                  <display value="7-11 days (half or more of the days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11000-9"/>
                  <display value="12-14 days (nearly every day)"/>
                </valueCoding>
              </answerOption>
            </item>
          </item>
        </item>
        <item>
          <linkId value="102821"/>
          <prefix value="D0300"/>
          <text value="Total Severity Score"/>
          <type value="decimal"/>
        </item>
        <item>
          <linkId value="102823"/>
          <prefix value="D0500"/>
          <text value="Staff Assessment of Resident Mood (PHQ-9-OV)"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102824"/>
            <prefix value="D0500_1"/>
            <text value="Symptom Presence"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="102825"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54658-0"/>
                <display value="Little interest or pleasure in doing things"/>
              </code>
              <prefix value="D0500A1"/>
              <text value="Little interest or pleasure in doing things"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA32-8"/>
                  <display value="No"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33-6"/>
                  <display value="Yes"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102826"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54660-6"/>
                <display
                         value="Feeling or appearing down, depressed, or hopeless"/>
              </code>
              <prefix value="D0500B1"/>
              <text value="Feeling or appearing down, depressed, or hopeless"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA32-8"/>
                  <display value="No"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33-6"/>
                  <display value="Yes"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102827"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54662-2"/>
                <display
                         value="Trouble falling or staying asleep, or sleeping too much"/>
              </code>
              <prefix value="D0500C1"/>
              <text
                    value="Trouble falling or staying asleep, or sleeping too much"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA32-8"/>
                  <display value="No"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33-6"/>
                  <display value="Yes"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102828"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54664-8"/>
                <display value="Feeling tired or having little energy"/>
              </code>
              <prefix value="D0500D1"/>
              <text value="Feeling tired or having little energy"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA32-8"/>
                  <display value="No"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33-6"/>
                  <display value="Yes"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102829"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54666-3"/>
                <display value="Poor appetite or overeating"/>
              </code>
              <prefix value="D0500E1"/>
              <text value="Poor appetite or overeating"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA32-8"/>
                  <display value="No"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33-6"/>
                  <display value="Yes"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102830"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54668-9"/>
                <display
                         value="Indicating that s/he feels bad about self, is a failure, or has let self or family down"/>
              </code>
              <prefix value="D0500F1"/>
              <text
                    value="Indicating that s/he feels bad about self, is a failure, or has let self or family down"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA32-8"/>
                  <display value="No"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33-6"/>
                  <display value="Yes"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102831"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54670-5"/>
                <display
                         value="Trouble concentrating on things, such as reading the newspaper or watching television"/>
              </code>
              <prefix value="D0500G1"/>
              <text
                    value="Trouble concentrating on things, such as reading the newspaper or watching television"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA32-8"/>
                  <display value="No"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33-6"/>
                  <display value="Yes"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102832"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54672-1"/>
                <display
                         value="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"/>
              </code>
              <prefix value="D0500H1"/>
              <text
                    value="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"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA32-8"/>
                  <display value="No"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33-6"/>
                  <display value="Yes"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102833"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54673-9"/>
                <display
                         value="States that life isn't worth living, wishes for death, or attempts to harm self"/>
              </code>
              <prefix value="D0500I1"/>
              <text
                    value="States that life isn't worth living, wishes for death, or attempts to harm self"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33719-8"/>
                  <display value="No (enter 0 in column 2)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33720-6"/>
                  <display value="Yes (enter 0-3 in column 2)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102834"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54675-4"/>
                <display value="Being short-tempered, easily annoyed"/>
              </code>
              <prefix value="D0500J1"/>
              <text value="Being short-tempered, easily annoyed"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA32-8"/>
                  <display value="No"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33-6"/>
                  <display value="Yes"/>
                </valueCoding>
              </answerOption>
            </item>
          </item>
          <item>
            <linkId value="102835"/>
            <prefix value="D0500_2"/>
            <text value="Symptom Frequency"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="102836"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54659-8"/>
                <display value="Little interest or pleasure in doing things"/>
              </code>
              <prefix value="D0500A2"/>
              <text value="Little interest or pleasure in doing things"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10997-7"/>
                  <display value="Never or 1 day"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10998-5"/>
                  <display value="2-6 days (several days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10999-3"/>
                  <display value="7-11 days (half or more of the days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11000-9"/>
                  <display value="12-14 days (nearly every day)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102837"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54661-4"/>
                <display
                         value="Feeling or appearing down, depressed, or hopeless"/>
              </code>
              <prefix value="D0500B2"/>
              <text value="Feeling or appearing down, depressed, or hopeless"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10997-7"/>
                  <display value="Never or 1 day"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10998-5"/>
                  <display value="2-6 days (several days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10999-3"/>
                  <display value="7-11 days (half or more of the days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11000-9"/>
                  <display value="12-14 days (nearly every day)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102838"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54663-0"/>
                <display
                         value="Trouble falling or staying asleep, or sleeping too much"/>
              </code>
              <prefix value="D0500C2"/>
              <text
                    value="Trouble falling or staying asleep, or sleeping too much"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10997-7"/>
                  <display value="Never or 1 day"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10998-5"/>
                  <display value="2-6 days (several days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10999-3"/>
                  <display value="7-11 days (half or more of the days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11000-9"/>
                  <display value="12-14 days (nearly every day)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102839"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54665-5"/>
                <display value="Feeling tired or having little energy"/>
              </code>
              <prefix value="D0500D2"/>
              <text value="Feeling tired or having little energy"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10997-7"/>
                  <display value="Never or 1 day"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10998-5"/>
                  <display value="2-6 days (several days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10999-3"/>
                  <display value="7-11 days (half or more of the days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11000-9"/>
                  <display value="12-14 days (nearly every day)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102840"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54667-1"/>
                <display value="Poor appetite or overeating"/>
              </code>
              <prefix value="D0500E2"/>
              <text value="Poor appetite or overeating"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10997-7"/>
                  <display value="Never or 1 day"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10998-5"/>
                  <display value="2-6 days (several days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10999-3"/>
                  <display value="7-11 days (half or more of the days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11000-9"/>
                  <display value="12-14 days (nearly every day)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102841"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54669-7"/>
                <display
                         value="Indicating that s/he feels bad about self, is a failure, or has let self or family down"/>
              </code>
              <prefix value="D0500F2"/>
              <text
                    value="Indicating that s/he feels bad about self, is a failure, or has let self or family down"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10997-7"/>
                  <display value="Never or 1 day"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10998-5"/>
                  <display value="2-6 days (several days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10999-3"/>
                  <display value="7-11 days (half or more of the days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11000-9"/>
                  <display value="12-14 days (nearly every day)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102842"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54671-3"/>
                <display
                         value="Trouble concentrating on things, such as reading the newspaper or watching television"/>
              </code>
              <prefix value="D0500G2"/>
              <text
                    value="Trouble concentrating on things, such as reading the newspaper or watching television"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10997-7"/>
                  <display value="Never or 1 day"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10998-5"/>
                  <display value="2-6 days (several days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10999-3"/>
                  <display value="7-11 days (half or more of the days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11000-9"/>
                  <display value="12-14 days (nearly every day)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102843"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54904-8"/>
                <display
                         value="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"/>
              </code>
              <prefix value="D0500H2"/>
              <text
                    value="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"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10997-7"/>
                  <display value="Never or 1 day"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10998-5"/>
                  <display value="2-6 days (several days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10999-3"/>
                  <display value="7-11 days (half or more of the days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11000-9"/>
                  <display value="12-14 days (nearly every day)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102844"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54674-7"/>
                <display
                         value="States that life isn't worth living, wishes for death, or attempts to harm self"/>
              </code>
              <prefix value="D0500I2"/>
              <text
                    value="States that life isn't worth living, wishes for death, or attempts to harm self"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10997-7"/>
                  <display value="Never or 1 day"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10998-5"/>
                  <display value="2-6 days (several days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10999-3"/>
                  <display value="7-11 days (half or more of the days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11000-9"/>
                  <display value="12-14 days (nearly every day)"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="102845"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54676-2"/>
                <display value="Being short-tempered, easily annoyed"/>
              </code>
              <prefix value="D0500J2"/>
              <text value="Being short-tempered, easily annoyed"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10997-7"/>
                  <display value="Never or 1 day"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10998-5"/>
                  <display value="2-6 days (several days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA10999-3"/>
                  <display value="7-11 days (half or more of the days)"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11000-9"/>
                  <display value="12-14 days (nearly every day)"/>
                </valueCoding>
              </answerOption>
            </item>
          </item>
        </item>
        <item>
          <linkId value="102846"/>
          <prefix value="D0600"/>
          <text value="Total Severity Score"/>
          <type value="decimal"/>
        </item>
      </item>
      <item>
        <linkId value="102848"/>
        <prefix value="E"/>
        <text value="Behavior"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="102849"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="86597-2"/>
            <display value="Potential Indicators of Psychosis"/>
          </code>
          <prefix value="E0100"/>
          <text value="Potential Indicators of Psychosis"/>
          <type value="choice"/>
          <repeats value="true"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27795-6"/>
              <display
                       value="Hallucinations (perceptual experiences in the absence of real external sensory stimuli)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27796-4"/>
              <display
                       value="Delusions (misconceptions or beliefs that are firmly held, contrary to reality)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA9-3"/>
              <display value="None of the above"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102850"/>
          <prefix value="E0200"/>
          <text value="Behavioral Symptom - Presence &amp; Frequency"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102851"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54682-0"/>
              <display
                       value="Physical behavioral symptoms directed toward others"/>
            </code>
            <prefix value="E0200A"/>
            <text value="Physical behavioral symptoms directed toward others"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11005-8"/>
                <display value="Behavior not exhibited"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11006-6"/>
                <display value="Behavior of this type occurred 1 to 3 days"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA94-8"/>
                <display
                         value="Behavior of this type occurred 4 to 6 days, but less than daily"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA95-5"/>
                <display value="Behavior of this type occurred daily"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102852"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54683-8"/>
              <display value="Verbal behavioral symptoms directed toward others"/>
            </code>
            <prefix value="E0200B"/>
            <text value="Verbal behavioral symptoms directed toward others"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11005-8"/>
                <display value="Behavior not exhibited"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11006-6"/>
                <display value="Behavior of this type occurred 1 to 3 days"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA94-8"/>
                <display
                         value="Behavior of this type occurred 4 to 6 days, but less than daily"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA95-5"/>
                <display value="Behavior of this type occurred daily"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102853"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54684-6"/>
              <display
                       value="Other behavioral symptoms not directed toward others"/>
            </code>
            <prefix value="E0200C"/>
            <text value="Other behavioral symptoms not directed toward others"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11005-8"/>
                <display value="Behavior not exhibited"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11006-6"/>
                <display value="Behavior of this type occurred 1 to 3 days"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA94-8"/>
                <display
                         value="Behavior of this type occurred 4 to 6 days, but less than daily"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA95-5"/>
                <display value="Behavior of this type occurred daily"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="102854"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54685-3"/>
            <display
                     value="Overall Presence of Behavioral Symptoms.Were any behavioral symptoms in questions E0200 coded 1, 2, or 3?"/>
          </code>
          <prefix value="E0300"/>
          <text
                value="Overall Presence of Behavioral Symptoms.Were any behavioral symptoms in questions E0200 coded 1, 2, or 3?"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102855"/>
          <prefix value="E0500"/>
          <text value="Impact on Resident"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102856"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54686-1"/>
              <display
                       value="Did any of the identified symptom(s): Put the resident at significant risk for physical illness or injury?"/>
            </code>
            <prefix value="E0500A"/>
            <text
                  value="Did any of the identified symptom(s): Put the resident at significant risk for physical illness or injury?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102857"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54687-9"/>
              <display
                       value="Did any of the identified symptom(s): Significantly interfere with the resident's care?"/>
            </code>
            <prefix value="E0500B"/>
            <text
                  value="Did any of the identified symptom(s): Significantly interfere with the resident's care?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102858"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54688-7"/>
              <display
                       value="Did any of the identified symptom(s): Significantly interfere with the resident's participation in activities or social interactions?"/>
            </code>
            <prefix value="E0500C"/>
            <text
                  value="Did any of the identified symptom(s): Significantly interfere with the resident's participation in activities or social interactions?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="102859"/>
          <prefix value="E0600"/>
          <text value="Impact on Others"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102860"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54689-5"/>
              <display
                       value="Did any of the identified symptom(s): Put others at significant risk for physical injury?"/>
            </code>
            <prefix value="E0600A"/>
            <text
                  value="Did any of the identified symptom(s): Put others at significant risk for physical injury?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102861"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54690-3"/>
              <display
                       value="Did any of the identified symptom(s): Significantly intrude on the privacy or activity of others?"/>
            </code>
            <prefix value="E0600B"/>
            <text
                  value="Did any of the identified symptom(s): Significantly intrude on the privacy or activity of others?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102862"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54691-1"/>
              <display
                       value="Did any of the identified symptom(s): Significantly disrupt care or living environment?"/>
            </code>
            <prefix value="E0600C"/>
            <text
                  value="Did any of the identified symptom(s): Significantly disrupt care or living environment?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="102863"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54692-9"/>
            <display
                     value="Rejection of Care - Presence &amp; Frequency. Did the resident reject evaluation or care (e.g., bloodwork, taking medications, ADL assistance) that is necessary to achieve the resident's goals for health and well-being?"/>
          </code>
          <prefix value="E0800"/>
          <text
                value="Rejection of Care - Presence &amp; Frequency. Did the resident reject evaluation or care (e.g., bloodwork, taking medications, ADL assistance) that is necessary to achieve the resident's goals for health and well-being?"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11005-8"/>
              <display value="Behavior not exhibited"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11006-6"/>
              <display value="Behavior of this type occurred 1 to 3 days"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA94-8"/>
              <display
                       value="Behavior of this type occurred 4 to 6 days, but less than daily"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA95-5"/>
              <display value="Behavior of this type occurred daily"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102864"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54693-7"/>
            <display
                     value="Wandering - Presence &amp; Frequency. Has the resident wandered?"/>
          </code>
          <prefix value="E0900"/>
          <text
                value="Wandering - Presence &amp; Frequency. Has the resident wandered?"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11005-8"/>
              <display value="Behavior not exhibited"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11006-6"/>
              <display value="Behavior of this type occurred 1 to 3 days"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA94-8"/>
              <display
                       value="Behavior of this type occurred 4 to 6 days, but less than daily"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA95-5"/>
              <display value="Behavior of this type occurred daily"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102865"/>
          <prefix value="E1000"/>
          <text value="Wandering - Impact"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102866"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54694-5"/>
              <display
                       value="Does the wandering place the resident at significant risk of getting to a potentially dangerous place?"/>
            </code>
            <prefix value="E1000A"/>
            <text
                  value="Does the wandering place the resident at significant risk of getting to a potentially dangerous place?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102867"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54695-2"/>
              <display
                       value="Does the wandering significantly intrude on the privacy or activities of others?"/>
            </code>
            <prefix value="E1000B"/>
            <text
                  value="Does the wandering significantly intrude on the privacy or activities of others?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="102868"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54696-0"/>
            <display
                     value="Change in Behavior or Other Symptoms.How does resident's current behavior status, care rejection, or wandering compare to prior assessment (OBRA or Scheduled PPS)?"/>
          </code>
          <prefix value="E1100"/>
          <text
                value="Change in Behavior or Other Symptoms.How does resident's current behavior status, care rejection, or wandering compare to prior assessment (OBRA or Scheduled PPS)?"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11009-0"/>
              <display value="Same"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA65-8"/>
              <display value="Improved"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11011-6"/>
              <display value="Worse"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11012-4"/>
              <display value="N/A because no prior MDS assessment"/>
            </valueCoding>
          </answerOption>
        </item>
      </item>
      <item>
        <linkId value="102869"/>
        <prefix value="F"/>
        <text value="Preferences for Customary Routine and Activities"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="102870"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54697-8"/>
            <display
                     value="Should Interview for Daily and Activity Preferences be Conducted?"/>
          </code>
          <prefix value="F0300"/>
          <text
                value="Should Interview for Daily and Activity Preferences be Conducted?"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA16158-0"/>
              <display
                       value="No (resident is rarely/never understood and family/significant other not available)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102871"/>
          <prefix value="F0400"/>
          <text value="Interview for Daily Preferences"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102872"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54698-6"/>
              <display
                       value="While you are in this facility how important is it to you to choose what clothes to wear?"/>
            </code>
            <prefix value="F0400A"/>
            <text
                  value="While you are in this facility how important is it to you to choose what clothes to wear?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11013-2"/>
                <display value="Very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11014-0"/>
                <display value="Somewhat important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11015-7"/>
                <display value="Not very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11016-5"/>
                <display value="Not important at all"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11017-3"/>
                <display value="Important, but can't do or no choice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11018-1"/>
                <display value="No response or non-responsive"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102873"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54699-4"/>
              <display
                       value="While you are in this facility how important is it to you to take care of your personal belongings or things?"/>
            </code>
            <prefix value="F0400B"/>
            <text
                  value="While you are in this facility how important is it to you to take care of your personal belongings or things?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11013-2"/>
                <display value="Very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11014-0"/>
                <display value="Somewhat important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11015-7"/>
                <display value="Not very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11016-5"/>
                <display value="Not important at all"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11017-3"/>
                <display value="Important, but can't do or no choice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11018-1"/>
                <display value="No response or non-responsive"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102874"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54700-0"/>
              <display
                       value="While you are in this facility how important is it to you to choose between a tub bath, shower, bed bath, or sponge bath?"/>
            </code>
            <prefix value="F0400C"/>
            <text
                  value="While you are in this facility how important is it to you to choose between a tub bath, shower, bed bath, or sponge bath?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11013-2"/>
                <display value="Very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11014-0"/>
                <display value="Somewhat important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11015-7"/>
                <display value="Not very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11016-5"/>
                <display value="Not important at all"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11017-3"/>
                <display value="Important, but can't do or no choice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11018-1"/>
                <display value="No response or non-responsive"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102875"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54701-8"/>
              <display
                       value="While you are in this facility how important is it to you to have snacks available between meals?"/>
            </code>
            <prefix value="F0400D"/>
            <text
                  value="While you are in this facility how important is it to you to have snacks available between meals?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11013-2"/>
                <display value="Very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11014-0"/>
                <display value="Somewhat important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11015-7"/>
                <display value="Not very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11016-5"/>
                <display value="Not important at all"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11017-3"/>
                <display value="Important, but can't do or no choice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11018-1"/>
                <display value="No response or non-responsive"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102876"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54702-6"/>
              <display
                       value="While you are in this facility how important is it to you to choose your own bedtime?"/>
            </code>
            <prefix value="F0400E"/>
            <text
                  value="While you are in this facility how important is it to you to choose your own bedtime?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11013-2"/>
                <display value="Very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11014-0"/>
                <display value="Somewhat important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11015-7"/>
                <display value="Not very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11016-5"/>
                <display value="Not important at all"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11017-3"/>
                <display value="Important, but can't do or no choice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11018-1"/>
                <display value="No response or non-responsive"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102877"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54703-4"/>
              <display
                       value="While you are in this facility how important is it to you to have your family or a close friend involved in discussions about your care?"/>
            </code>
            <prefix value="F0400F"/>
            <text
                  value="While you are in this facility how important is it to you to have your family or a close friend involved in discussions about your care?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11013-2"/>
                <display value="Very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11014-0"/>
                <display value="Somewhat important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11015-7"/>
                <display value="Not very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11016-5"/>
                <display value="Not important at all"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11017-3"/>
                <display value="Important, but can't do or no choice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11018-1"/>
                <display value="No response or non-responsive"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102878"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54704-2"/>
              <display
                       value="While you are in this facility how important is it to you to be able to use the phone in private?"/>
            </code>
            <prefix value="F0400G"/>
            <text
                  value="While you are in this facility how important is it to you to be able to use the phone in private?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11013-2"/>
                <display value="Very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11014-0"/>
                <display value="Somewhat important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11015-7"/>
                <display value="Not very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11016-5"/>
                <display value="Not important at all"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11017-3"/>
                <display value="Important, but can't do or no choice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11018-1"/>
                <display value="No response or non-responsive"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102879"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54705-9"/>
              <display
                       value="While you are in this facility how important is it to you to have a place to lock your things to keep them safe?"/>
            </code>
            <prefix value="F0400H"/>
            <text
                  value="While you are in this facility how important is it to you to have a place to lock your things to keep them safe?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11013-2"/>
                <display value="Very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11014-0"/>
                <display value="Somewhat important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11015-7"/>
                <display value="Not very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11016-5"/>
                <display value="Not important at all"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11017-3"/>
                <display value="Important, but can't do or no choice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11018-1"/>
                <display value="No response or non-responsive"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="102880"/>
          <prefix value="F0500"/>
          <text value="Interview for Activity Preferences"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102881"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54706-7"/>
              <display
                       value="While you are in this facility how important is it to you to have books, newspapers, and magazines to read?"/>
            </code>
            <prefix value="F0500A"/>
            <text
                  value="While you are in this facility how important is it to you to have books, newspapers, and magazines to read?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11013-2"/>
                <display value="Very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11014-0"/>
                <display value="Somewhat important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11015-7"/>
                <display value="Not very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11016-5"/>
                <display value="Not important at all"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11017-3"/>
                <display value="Important, but can't do or no choice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11018-1"/>
                <display value="No response or non-responsive"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102882"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54707-5"/>
              <display
                       value="While you are in this facility how important is it to you to listen to music you like?"/>
            </code>
            <prefix value="F0500B"/>
            <text
                  value="While you are in this facility how important is it to you to listen to music you like?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11013-2"/>
                <display value="Very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11014-0"/>
                <display value="Somewhat important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11015-7"/>
                <display value="Not very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11016-5"/>
                <display value="Not important at all"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11017-3"/>
                <display value="Important, but can't do or no choice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11018-1"/>
                <display value="No response or non-responsive"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102883"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54708-3"/>
              <display
                       value="While you are in this facility how important is it to you to be around animals such as pets?"/>
            </code>
            <prefix value="F0500C"/>
            <text
                  value="While you are in this facility how important is it to you to be around animals such as pets?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11013-2"/>
                <display value="Very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11014-0"/>
                <display value="Somewhat important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11015-7"/>
                <display value="Not very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11016-5"/>
                <display value="Not important at all"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11017-3"/>
                <display value="Important, but can't do or no choice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11018-1"/>
                <display value="No response or non-responsive"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102884"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54709-1"/>
              <display
                       value="While you are in this facility how important is it to you to keep up with the news?"/>
            </code>
            <prefix value="F0500D"/>
            <text
                  value="While you are in this facility how important is it to you to keep up with the news?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11013-2"/>
                <display value="Very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11014-0"/>
                <display value="Somewhat important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11015-7"/>
                <display value="Not very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11016-5"/>
                <display value="Not important at all"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11017-3"/>
                <display value="Important, but can't do or no choice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11018-1"/>
                <display value="No response or non-responsive"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102885"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54710-9"/>
              <display
                       value="While you are in this facility how important is it to you to do things with groups of people?"/>
            </code>
            <prefix value="F0500E"/>
            <text
                  value="While you are in this facility how important is it to you to do things with groups of people?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11013-2"/>
                <display value="Very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11014-0"/>
                <display value="Somewhat important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11015-7"/>
                <display value="Not very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11016-5"/>
                <display value="Not important at all"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11017-3"/>
                <display value="Important, but can't do or no choice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11018-1"/>
                <display value="No response or non-responsive"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102886"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54711-7"/>
              <display
                       value="While you are in this facility how important is it to you to do your favorite activities?"/>
            </code>
            <prefix value="F0500F"/>
            <text
                  value="While you are in this facility how important is it to you to do your favorite activities?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11013-2"/>
                <display value="Very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11014-0"/>
                <display value="Somewhat important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11015-7"/>
                <display value="Not very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11016-5"/>
                <display value="Not important at all"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11017-3"/>
                <display value="Important, but can't do or no choice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11018-1"/>
                <display value="No response or non-responsive"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102887"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54712-5"/>
              <display
                       value="While you are in this facility how important is it to you to go outside to get fresh air when the weather is good?"/>
            </code>
            <prefix value="F0500G"/>
            <text
                  value="While you are in this facility how important is it to you to go outside to get fresh air when the weather is good?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11013-2"/>
                <display value="Very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11014-0"/>
                <display value="Somewhat important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11015-7"/>
                <display value="Not very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11016-5"/>
                <display value="Not important at all"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11017-3"/>
                <display value="Important, but can't do or no choice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11018-1"/>
                <display value="No response or non-responsive"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102888"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54713-3"/>
              <display
                       value="While you are in this facility how important is it to you to participate in religious services or practices?"/>
            </code>
            <prefix value="F0500H"/>
            <text
                  value="While you are in this facility how important is it to you to participate in religious services or practices?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11013-2"/>
                <display value="Very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11014-0"/>
                <display value="Somewhat important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11015-7"/>
                <display value="Not very important"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11016-5"/>
                <display value="Not important at all"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11017-3"/>
                <display value="Important, but can't do or no choice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11018-1"/>
                <display value="No response or non-responsive"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="102889"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54714-1"/>
            <display
                     value="Daily and Activity Preferences Primary Respondent. Indicate primary respondent for Daily and Activity Preferences (F0400 and F0500)"/>
          </code>
          <prefix value="F0600"/>
          <text
                value="Daily and Activity Preferences Primary Respondent. Indicate primary respondent for Daily and Activity Preferences (F0400 and F0500)"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11019-9"/>
              <display value="Resident"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11020-7"/>
              <display
                       value="Family or significant other (close friend or other representative)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11021-5"/>
              <display
                       value="Interview could not be completed by resident or family/significant other (&quot;No response&quot; to 3 or more items)"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102890"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54715-8"/>
            <display
                     value="Should the Staff Assessment of Daily and Activity Preferences be Conducted?"/>
          </code>
          <prefix value="F0700"/>
          <text
                value="Should the Staff Assessment of Daily and Activity Preferences be Conducted?"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11151-0"/>
              <display
                       value="No (because Interview for Daily and Activity Preferences (F0400 and F0500) was completed by resident or family/significant other)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11152-8"/>
              <display
                       value="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)"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102891"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="86599-8"/>
            <display
                     value="Staff Assessment of Daily and Activity Preferences. Resident Prefers:"/>
          </code>
          <prefix value="F0800"/>
          <text
                value="Staff Assessment of Daily and Activity Preferences. Resident Prefers:"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27797-2"/>
              <display value="Choosing clothes to wear"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27798-0"/>
              <display value="Caring for personal belongings"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27799-8"/>
              <display value="Receiving tub bath"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27800-4"/>
              <display value="Receiving shower"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27815-2"/>
              <display value="Receiving bed bath"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27801-2"/>
              <display value="Receiving sponge bath"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27802-0"/>
              <display value="Snacks between meals"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27803-8"/>
              <display value="Staying up past 8:00 p.m."/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27804-6"/>
              <display
                       value="Family or significant other involvement in care discussions"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27805-3"/>
              <display value="Use of phone in private"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27806-1"/>
              <display value="Place to lock personal belongings"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27807-9"/>
              <display value="Reading books, newspapers, or magazines"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA17907-9"/>
              <display value="Listening to music"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27808-7"/>
              <display value="Being around animals such as pets"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27809-5"/>
              <display value="Keeping up with the news"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27810-3"/>
              <display value="Doing things with groups of people"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27811-1"/>
              <display value="Participating in favorite activities"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27812-9"/>
              <display value="Spending time away from the nursing home"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27813-7"/>
              <display value="Spending time outdoors"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27814-5"/>
              <display
                       value="Participating in religious activities or practices"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA9-3"/>
              <display value="None of the above"/>
            </valueCoding>
          </answerOption>
        </item>
      </item>
      <item>
        <linkId value="102892"/>
        <prefix value="G"/>
        <text value="Functional Status"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="102893"/>
          <prefix value="G0110_1"/>
          <text
                value="Activities of Daily Living (ADL) Assistance. Self-Performance"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102894"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45588-1"/>
              <display value="Bed mobility"/>
            </code>
            <prefix value="G0110A1"/>
            <text value="Bed mobility"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12637-7"/>
                <display
                         value="Independent - no help or staff oversight at any time"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12638-5"/>
                <display
                         value="Supervision - oversight, encouragement or cueing"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12639-3"/>
                <display
                         value="Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12640-1"/>
                <display
                         value="Extensive assistance - resident involved in activity, staff provide weight-bearing support"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12641-9"/>
                <display
                         value="Total dependence - full staff performance every time during entire 7-day period"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12642-7"/>
                <display
                         value="Activity occurred only once or twice - activity did occur but only once or twice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA18614-0"/>
                <display
                         value="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"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102895"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45590-7"/>
              <display value="Transfer"/>
            </code>
            <prefix value="G0110B1"/>
            <text value="Transfer"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12637-7"/>
                <display
                         value="Independent - no help or staff oversight at any time"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12638-5"/>
                <display
                         value="Supervision - oversight, encouragement or cueing"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12639-3"/>
                <display
                         value="Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12640-1"/>
                <display
                         value="Extensive assistance - resident involved in activity, staff provide weight-bearing support"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12641-9"/>
                <display
                         value="Total dependence - full staff performance every time during entire 7-day period"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12642-7"/>
                <display
                         value="Activity occurred only once or twice - activity did occur but only once or twice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA18614-0"/>
                <display
                         value="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"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102896"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45592-3"/>
              <display value="Walk in room"/>
            </code>
            <prefix value="G0110C1"/>
            <text value="Walk in room"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12637-7"/>
                <display
                         value="Independent - no help or staff oversight at any time"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12638-5"/>
                <display
                         value="Supervision - oversight, encouragement or cueing"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12639-3"/>
                <display
                         value="Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12640-1"/>
                <display
                         value="Extensive assistance - resident involved in activity, staff provide weight-bearing support"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12641-9"/>
                <display
                         value="Total dependence - full staff performance every time during entire 7-day period"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12642-7"/>
                <display
                         value="Activity occurred only once or twice - activity did occur but only once or twice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA18614-0"/>
                <display
                         value="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"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102897"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45594-9"/>
              <display value="Walk in corridor"/>
            </code>
            <prefix value="G0110D1"/>
            <text value="Walk in corridor"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12637-7"/>
                <display
                         value="Independent - no help or staff oversight at any time"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12638-5"/>
                <display
                         value="Supervision - oversight, encouragement or cueing"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12639-3"/>
                <display
                         value="Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12640-1"/>
                <display
                         value="Extensive assistance - resident involved in activity, staff provide weight-bearing support"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12641-9"/>
                <display
                         value="Total dependence - full staff performance every time during entire 7-day period"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12642-7"/>
                <display
                         value="Activity occurred only once or twice - activity did occur but only once or twice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA18614-0"/>
                <display
                         value="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"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102898"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45596-4"/>
              <display value="Locomotion on unit"/>
            </code>
            <prefix value="G0110E1"/>
            <text value="Locomotion on unit"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12637-7"/>
                <display
                         value="Independent - no help or staff oversight at any time"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12638-5"/>
                <display
                         value="Supervision - oversight, encouragement or cueing"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12639-3"/>
                <display
                         value="Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12640-1"/>
                <display
                         value="Extensive assistance - resident involved in activity, staff provide weight-bearing support"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12641-9"/>
                <display
                         value="Total dependence - full staff performance every time during entire 7-day period"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12642-7"/>
                <display
                         value="Activity occurred only once or twice - activity did occur but only once or twice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA18614-0"/>
                <display
                         value="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"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102899"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45598-0"/>
              <display value="Locomotion off unit"/>
            </code>
            <prefix value="G0110F1"/>
            <text value="Locomotion off unit"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12637-7"/>
                <display
                         value="Independent - no help or staff oversight at any time"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12638-5"/>
                <display
                         value="Supervision - oversight, encouragement or cueing"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12639-3"/>
                <display
                         value="Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12640-1"/>
                <display
                         value="Extensive assistance - resident involved in activity, staff provide weight-bearing support"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12641-9"/>
                <display
                         value="Total dependence - full staff performance every time during entire 7-day period"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12642-7"/>
                <display
                         value="Activity occurred only once or twice - activity did occur but only once or twice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA18614-0"/>
                <display
                         value="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"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102900"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45600-4"/>
              <display value="Dressing"/>
            </code>
            <prefix value="G0110G1"/>
            <text value="Dressing"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12637-7"/>
                <display
                         value="Independent - no help or staff oversight at any time"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12638-5"/>
                <display
                         value="Supervision - oversight, encouragement or cueing"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12639-3"/>
                <display
                         value="Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12640-1"/>
                <display
                         value="Extensive assistance - resident involved in activity, staff provide weight-bearing support"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12641-9"/>
                <display
                         value="Total dependence - full staff performance every time during entire 7-day period"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12642-7"/>
                <display
                         value="Activity occurred only once or twice - activity did occur but only once or twice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA18614-0"/>
                <display
                         value="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"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102901"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45602-0"/>
              <display value="Eating"/>
            </code>
            <prefix value="G0110H1"/>
            <text value="Eating"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12637-7"/>
                <display
                         value="Independent - no help or staff oversight at any time"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12638-5"/>
                <display
                         value="Supervision - oversight, encouragement or cueing"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12639-3"/>
                <display
                         value="Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12640-1"/>
                <display
                         value="Extensive assistance - resident involved in activity, staff provide weight-bearing support"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12641-9"/>
                <display
                         value="Total dependence - full staff performance every time during entire 7-day period"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12642-7"/>
                <display
                         value="Activity occurred only once or twice - activity did occur but only once or twice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA18614-0"/>
                <display
                         value="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"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102902"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45604-6"/>
              <display value="Toilet use"/>
            </code>
            <prefix value="G0110I1"/>
            <text value="Toilet use"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12637-7"/>
                <display
                         value="Independent - no help or staff oversight at any time"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12638-5"/>
                <display
                         value="Supervision - oversight, encouragement or cueing"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12639-3"/>
                <display
                         value="Limited assistance - resident highly involved in activity; staff provide guided maneuvering of limbs or other non-weight-bearing assistance"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12640-1"/>
                <display
                         value="Extensive assistance - resident involved in activity, staff provide weight-bearing support"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12641-9"/>
                <display
                         value="Total dependence - full staff performance every time during entire 7-day period"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12642-7"/>
                <display
                         value="Activity occurred only once or twice - activity did occur but only once or twice"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA18614-0"/>
                <display
                         value="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"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102903"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45606-1"/>
              <display value="Personal hygiene"/>
            </code>
            <prefix value="G0110J1"/>
            <text value="Personal hygiene"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="102904"/>
          <prefix value="G0110_2"/>
          <text
                value="Activities of Daily Living (ADL) Assistance. Support Provided"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102905"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45589-9"/>
              <display value="Bed mobility"/>
            </code>
            <prefix value="G0110A2"/>
            <text value="Bed mobility"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA105-9"/>
                <display value="No setup or physical help from staff"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA106-7"/>
                <display value="Setup help only"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA107-5"/>
                <display value="One person physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA108-3"/>
                <display value="Two+ persons physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA109-1"/>
                <display
                         value="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"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102906"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45591-5"/>
              <display value="Transfer"/>
            </code>
            <prefix value="G0110B2"/>
            <text value="Transfer"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA105-9"/>
                <display value="No setup or physical help from staff"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA106-7"/>
                <display value="Setup help only"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA107-5"/>
                <display value="One person physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA108-3"/>
                <display value="Two+ persons physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA109-1"/>
                <display
                         value="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"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102907"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45593-1"/>
              <display value="Walk in room"/>
            </code>
            <prefix value="G0110C2"/>
            <text value="Walk in room"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA105-9"/>
                <display value="No setup or physical help from staff"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA106-7"/>
                <display value="Setup help only"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA107-5"/>
                <display value="One person physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA108-3"/>
                <display value="Two+ persons physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA109-1"/>
                <display
                         value="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"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102908"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45595-6"/>
              <display value="Walk in corridor"/>
            </code>
            <prefix value="G0110D2"/>
            <text value="Walk in corridor"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA105-9"/>
                <display value="No setup or physical help from staff"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA106-7"/>
                <display value="Setup help only"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA107-5"/>
                <display value="One person physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA108-3"/>
                <display value="Two+ persons physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA109-1"/>
                <display
                         value="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"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102909"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45597-2"/>
              <display value="Locomotion on unit"/>
            </code>
            <prefix value="G0110E2"/>
            <text value="Locomotion on unit"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA105-9"/>
                <display value="No setup or physical help from staff"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA106-7"/>
                <display value="Setup help only"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA107-5"/>
                <display value="One person physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA108-3"/>
                <display value="Two+ persons physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA109-1"/>
                <display
                         value="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"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102910"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45599-8"/>
              <display value="Locomotion off unit"/>
            </code>
            <prefix value="G0110F2"/>
            <text value="Locomotion off unit"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA105-9"/>
                <display value="No setup or physical help from staff"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA106-7"/>
                <display value="Setup help only"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA107-5"/>
                <display value="One person physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA108-3"/>
                <display value="Two+ persons physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA109-1"/>
                <display
                         value="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"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102911"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45601-2"/>
              <display value="Dressing"/>
            </code>
            <prefix value="G0110G2"/>
            <text value="Dressing"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA105-9"/>
                <display value="No setup or physical help from staff"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA106-7"/>
                <display value="Setup help only"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA107-5"/>
                <display value="One person physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA108-3"/>
                <display value="Two+ persons physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA109-1"/>
                <display
                         value="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"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102912"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45603-8"/>
              <display value="Eating"/>
            </code>
            <prefix value="G0110H2"/>
            <text value="Eating"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA105-9"/>
                <display value="No setup or physical help from staff"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA106-7"/>
                <display value="Setup help only"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA107-5"/>
                <display value="One person physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA108-3"/>
                <display value="Two+ persons physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA109-1"/>
                <display
                         value="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"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102913"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45605-3"/>
              <display value="Toilet use"/>
            </code>
            <prefix value="G0110I2"/>
            <text value="Toilet use"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA105-9"/>
                <display value="No setup or physical help from staff"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA106-7"/>
                <display value="Setup help only"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA107-5"/>
                <display value="One person physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA108-3"/>
                <display value="Two+ persons physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA109-1"/>
                <display
                         value="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"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102914"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45607-9"/>
              <display value="Personal hygiene"/>
            </code>
            <prefix value="G0110J2"/>
            <text value="Personal hygiene"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA105-9"/>
                <display value="No setup or physical help from staff"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA106-7"/>
                <display value="Setup help only"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA107-5"/>
                <display value="One person physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA108-3"/>
                <display value="Two+ persons physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA109-1"/>
                <display
                         value="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"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="102915"/>
          <prefix value="G0120"/>
          <text value="Bathing"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102916"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45608-7"/>
              <display value="Self-performance"/>
            </code>
            <prefix value="G0120A"/>
            <text value="Self-performance"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA110-9"/>
                <display value="Independent - no help provided"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA111-7"/>
                <display value="Supervision - oversight help only"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA112-5"/>
                <display value="Physical help limited to transfer only"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA113-3"/>
                <display value="Physical help in part of bathing activity"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA114-1"/>
                <display value="Total dependence"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA115-8"/>
                <display
                         value="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"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102917"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45609-5"/>
              <display value="Support provided"/>
            </code>
            <prefix value="G0120B"/>
            <text value="Support provided"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA105-9"/>
                <display value="No setup or physical help from staff"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA106-7"/>
                <display value="Setup help only"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA107-5"/>
                <display value="One person physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA108-3"/>
                <display value="Two+ persons physical assist"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA109-1"/>
                <display
                         value="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"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="102918"/>
          <prefix value="G0300"/>
          <text value="Balance During Transitions and Walking"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102919"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54749-7"/>
              <display value="Moving from seated to standing position"/>
            </code>
            <prefix value="G0300A"/>
            <text value="Moving from seated to standing position"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11031-4"/>
                <display value="Steady at all times"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11032-2"/>
                <display
                         value="Not steady, but able to stabilize without staff assistance"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11033-0"/>
                <display
                         value="Not steady, only able to stabilize with staff assistance"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11034-8"/>
                <display value="Activity did not occur"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102920"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54750-5"/>
              <display value="Walking (with assistive device if used)"/>
            </code>
            <prefix value="G0300B"/>
            <text value="Walking (with assistive device if used)"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11031-4"/>
                <display value="Steady at all times"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11032-2"/>
                <display
                         value="Not steady, but able to stabilize without staff assistance"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11033-0"/>
                <display
                         value="Not steady, only able to stabilize with staff assistance"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11034-8"/>
                <display value="Activity did not occur"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102921"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54751-3"/>
              <display
                       value="Turning around and facing the opposite direction while walking"/>
            </code>
            <prefix value="G0300C"/>
            <text
                  value="Turning around and facing the opposite direction while walking"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11031-4"/>
                <display value="Steady at all times"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11032-2"/>
                <display
                         value="Not steady, but able to stabilize without staff assistance"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11033-0"/>
                <display
                         value="Not steady, only able to stabilize with staff assistance"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11034-8"/>
                <display value="Activity did not occur"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102922"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54752-1"/>
              <display value="Moving on and off toilet"/>
            </code>
            <prefix value="G0300D"/>
            <text value="Moving on and off toilet"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11031-4"/>
                <display value="Steady at all times"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11032-2"/>
                <display
                         value="Not steady, but able to stabilize without staff assistance"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11033-0"/>
                <display
                         value="Not steady, only able to stabilize with staff assistance"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11034-8"/>
                <display value="Activity did not occur"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102923"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54753-9"/>
              <display
                       value="Surface-to-surface transfer (transfer between bed and chair or wheelchair)"/>
            </code>
            <prefix value="G0300E"/>
            <text
                  value="Surface-to-surface transfer (transfer between bed and chair or wheelchair)"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11031-4"/>
                <display value="Steady at all times"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11032-2"/>
                <display
                         value="Not steady, but able to stabilize without staff assistance"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11033-0"/>
                <display
                         value="Not steady, only able to stabilize with staff assistance"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11034-8"/>
                <display value="Activity did not occur"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="112227"/>
          <prefix value="G0400"/>
          <text value="Functional Limitation in Range of Motion"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="112228"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="92850-7"/>
              <display value="Upper extremity (shoulder, elbow, wrist, hand)"/>
            </code>
            <prefix value="G0400A"/>
            <text value="Upper extremity (shoulder, elbow, wrist, hand)"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9606-0"/>
                <display value="No impairment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11036-3"/>
                <display value="Impairment on one side"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11037-1"/>
                <display value="Impairment on both sides"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="112229"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="92851-5"/>
              <display value="Lower extremity (hip, knee, ankle, foot)"/>
            </code>
            <prefix value="G0400B"/>
            <text value="Lower extremity (hip, knee, ankle, foot)"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9606-0"/>
                <display value="No impairment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11036-3"/>
                <display value="Impairment on one side"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11037-1"/>
                <display value="Impairment on both sides"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="102927"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="86602-0"/>
            <display value="Mobility Devices"/>
          </code>
          <prefix value="G0600"/>
          <text value="Mobility Devices"/>
          <type value="choice"/>
          <repeats value="true"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA9941-1"/>
              <display value="Cane/crutch"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10117-2"/>
              <display value="Walker"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27816-0"/>
              <display value="Wheelchair (manual or electric)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27818-6"/>
              <display value="Limb prosthesis"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA28019-0"/>
              <display value="None of the above were used"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102928"/>
          <prefix value="G0900"/>
          <text value="Functional Rehabilitation Potential"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102929"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="55123-4"/>
              <display
                       value="Resident believes he or she is capable of increased independence in at least some ADLs."/>
            </code>
            <prefix value="G0900A"/>
            <text
                  value="Resident believes he or she is capable of increased independence in at least some ADLs."/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11137-9"/>
                <display value="Unable to determine"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102930"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45613-7"/>
              <display
                       value="Direct care staff believe resident is capable of increased independence in at least some ADLs"/>
            </code>
            <prefix value="G0900B"/>
            <text
                  value="Direct care staff believe resident is capable of increased independence in at least some ADLs"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
      </item>
      <item>
        <linkId value="102931"/>
        <prefix value="GG"/>
        <text
              value="Functional Abilities and Goals - Start of SNF PPS Stay or State PDPM"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="102932"/>
          <prefix value="GG0100"/>
          <text value="Prior Functioning: Everyday Activities"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102933"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="85070-1"/>
              <display value="Self-Care"/>
            </code>
            <prefix value="GG0100A"/>
            <text value="Self-Care"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28862-3"/>
                <display
                         value="Independent - Resident completed all the activities by themself, with or without an assistive device, with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28863-1"/>
                <display
                         value="Needed Some Help - Resident needed partial assistance from another person to complete activities."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28864-9"/>
                <display
                         value="Dependent - A helper completed the activities for the resident."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA4489-6"/>
                <display value="Unknown"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA4720-4"/>
                <display value="Not applicable"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102934"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="85071-9"/>
              <display value="Indoor Mobility (Ambulation)"/>
            </code>
            <prefix value="GG0100B"/>
            <text value="Indoor Mobility (Ambulation)"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28862-3"/>
                <display
                         value="Independent - Resident completed all the activities by themself, with or without an assistive device, with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28863-1"/>
                <display
                         value="Needed Some Help - Resident needed partial assistance from another person to complete activities."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28864-9"/>
                <display
                         value="Dependent - A helper completed the activities for the resident."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA4489-6"/>
                <display value="Unknown"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA4720-4"/>
                <display value="Not applicable"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102935"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="85072-7"/>
              <display value="Stairs"/>
            </code>
            <prefix value="GG0100C"/>
            <text value="Stairs"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28862-3"/>
                <display
                         value="Independent - Resident completed all the activities by themself, with or without an assistive device, with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28863-1"/>
                <display
                         value="Needed Some Help - Resident needed partial assistance from another person to complete activities."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28864-9"/>
                <display
                         value="Dependent - A helper completed the activities for the resident."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA4489-6"/>
                <display value="Unknown"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA4720-4"/>
                <display value="Not applicable"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102936"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="85073-5"/>
              <display value="Functional Cognition"/>
            </code>
            <prefix value="GG0100D"/>
            <text value="Functional Cognition"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28862-3"/>
                <display
                         value="Independent - Resident completed all the activities by themself, with or without an assistive device, with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28863-1"/>
                <display
                         value="Needed Some Help - Resident needed partial assistance from another person to complete activities."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28864-9"/>
                <display
                         value="Dependent - A helper completed the activities for the resident."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA4489-6"/>
                <display value="Unknown"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA4720-4"/>
                <display value="Not applicable"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="102937"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="83234-5"/>
            <display value="Prior Device Use"/>
          </code>
          <prefix value="GG0110"/>
          <text value="Prior Device Use"/>
          <type value="choice"/>
          <repeats value="true"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA18363-4"/>
              <display value="Manual wheelchair"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA26730-4"/>
              <display value="Motorized wheelchair and/or scooter"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11549-5"/>
              <display value="Mechanical lift"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10117-2"/>
              <display value="Walker"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10046-3"/>
              <display value="Orthotics/Prosthetics"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA9-3"/>
              <display value="None of the above"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="102938"/>
          <prefix value="GG0130_1"/>
          <text value="Self-Care - Admission Performance"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102939"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95019-6"/>
              <display value="Eating"/>
            </code>
            <prefix value="GG0130A1"/>
            <text value="Eating"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102940"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95018-8"/>
              <display value="Oral hygiene"/>
            </code>
            <prefix value="GG0130B1"/>
            <text value="Oral hygiene"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102941"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95017-0"/>
              <display value="Toileting hygiene"/>
            </code>
            <prefix value="GG0130C1"/>
            <text value="Toileting hygiene"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102942"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95015-4"/>
              <display value="Shower/bathe self"/>
            </code>
            <prefix value="GG0130E1"/>
            <text value="Shower/bathe self"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102943"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95014-7"/>
              <display value="Upper body dressing"/>
            </code>
            <prefix value="GG0130F1"/>
            <text value="Upper body dressing"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102944"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95013-9"/>
              <display value="Lower body dressing"/>
            </code>
            <prefix value="GG0130G1"/>
            <text value="Lower body dressing"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102945"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95012-1"/>
              <display value="Putting on/taking off footwear"/>
            </code>
            <prefix value="GG0130H1"/>
            <text value="Putting on/taking off footwear"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="102946"/>
          <prefix value="GG0130_2"/>
          <text value="Self-Care - Discharge Goal"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="136634"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89404-8"/>
              <display value="Oral hygiene - functional goal"/>
            </code>
            <text value="Oral hygiene - functional goal"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="137359"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89409-7"/>
              <display value="Eating"/>
            </code>
            <prefix value="GG0130A2"/>
            <text value="Eating"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102949"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89389-1"/>
              <display value="Toileting hygiene"/>
            </code>
            <prefix value="GG0130C2"/>
            <text value="Toileting hygiene"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102950"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89396-6"/>
              <display value="Shower/bathe self"/>
            </code>
            <prefix value="GG0130E2"/>
            <text value="Shower/bathe self"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102951"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89387-5"/>
              <display value="Upper body dressing"/>
            </code>
            <prefix value="GG0130F2"/>
            <text value="Upper body dressing"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102952"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89406-3"/>
              <display value="Lower body dressing"/>
            </code>
            <prefix value="GG0130G2"/>
            <text value="Lower body dressing"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102953"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89400-6"/>
              <display value="Putting on/taking off footwear"/>
            </code>
            <prefix value="GG0130H2"/>
            <text value="Putting on/taking off footwear"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="102954"/>
          <prefix value="GG0170_1"/>
          <text value="Mobility - Admission Performance"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102955"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95011-3"/>
              <display value="Roll left and right"/>
            </code>
            <prefix value="GG0170A1"/>
            <text value="Roll left and right"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102956"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95010-5"/>
              <display value="Sit to lying"/>
            </code>
            <prefix value="GG0170B1"/>
            <text value="Sit to lying"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102957"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95009-7"/>
              <display value="Lying to sitting on side of bed"/>
            </code>
            <prefix value="GG0170C1"/>
            <text value="Lying to sitting on side of bed"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102958"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95008-9"/>
              <display value="Sit to stand"/>
            </code>
            <prefix value="GG0170D1"/>
            <text value="Sit to stand"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102959"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95007-1"/>
              <display value="Chair/bed-to-chair transfer"/>
            </code>
            <prefix value="GG0170E1"/>
            <text value="Chair/bed-to-chair transfer"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102960"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95006-3"/>
              <display value="Toilet transfer"/>
            </code>
            <prefix value="GG0170F1"/>
            <text value="Toilet transfer"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102961"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95005-5"/>
              <display value="Car transfer"/>
            </code>
            <prefix value="GG0170G1"/>
            <text value="Car transfer"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102962"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95004-8"/>
              <display value="Walk 10 feet"/>
            </code>
            <prefix value="GG0170I1"/>
            <text value="Walk 10 feet"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102963"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95003-0"/>
              <display value="Walk 50 feet with two turns"/>
            </code>
            <prefix value="GG0170J1"/>
            <text value="Walk 50 feet with two turns"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102964"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95002-2"/>
              <display value="Walk 150 feet"/>
            </code>
            <prefix value="GG0170K1"/>
            <text value="Walk 150 feet"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102965"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95001-4"/>
              <display value="Walking 10 feet on uneven surfaces"/>
            </code>
            <prefix value="GG0170L1"/>
            <text value="Walking 10 feet on uneven surfaces"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102966"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95000-6"/>
              <display value="1 step (curb)"/>
            </code>
            <prefix value="GG0170M1"/>
            <text value="1 step (curb)"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102967"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="94999-0"/>
              <display value="4 steps"/>
            </code>
            <prefix value="GG0170N1"/>
            <text value="4 steps"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102968"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="94998-2"/>
              <display value="12 steps"/>
            </code>
            <prefix value="GG0170O1"/>
            <text value="12 steps"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102969"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="94997-4"/>
              <display value="Picking up object"/>
            </code>
            <prefix value="GG0170P1"/>
            <text value="Picking up object"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102970"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95738-1"/>
              <display
                       value="Does the resident use a wheelchair and/or scooter?"/>
            </code>
            <prefix value="GG0170Q1"/>
            <text value="Does the resident use a wheelchair and/or scooter?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102971"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="94992-5"/>
              <display value="Wheel 50 feet with two turns"/>
            </code>
            <prefix value="GG0170R1"/>
            <text value="Wheel 50 feet with two turns"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102972"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95739-9"/>
              <display value="Indicate the type of wheelchair or scooter used"/>
            </code>
            <prefix value="GG0170RR1"/>
            <text value="Indicate the type of wheelchair or scooter used"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA19016-7"/>
                <display value="Manual"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26847-6"/>
                <display value="Motorized"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102973"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="94991-7"/>
              <display value="Wheel 150 feet"/>
            </code>
            <prefix value="GG0170S1"/>
            <text value="Wheel 150 feet"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102974"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95739-9"/>
              <display value="Indicate the type of wheelchair or scooter used"/>
            </code>
            <prefix value="GG0170SS1"/>
            <text value="Indicate the type of wheelchair or scooter used"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA19016-7"/>
                <display value="Manual"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26847-6"/>
                <display value="Motorized"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="102975"/>
          <prefix value="GG0170_2"/>
          <text value="Mobility - Discharge Goal"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102976"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89398-2"/>
              <display value="Roll left and right"/>
            </code>
            <prefix value="GG0170A2"/>
            <text value="Roll left and right"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102977"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89394-1"/>
              <display value="Sit to lying"/>
            </code>
            <prefix value="GG0170B2"/>
            <text value="Sit to lying"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102978"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="85927-2"/>
              <display value="Lying to sitting on side of bed"/>
            </code>
            <prefix value="GG0170C2"/>
            <text value="Lying to sitting on side of bed"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102979"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89392-5"/>
              <display value="Sit to stand"/>
            </code>
            <prefix value="GG0170D2"/>
            <text value="Sit to stand"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102980"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89414-7"/>
              <display value="Chair/bed-to-chair transfer"/>
            </code>
            <prefix value="GG0170E2"/>
            <text value="Chair/bed-to-chair transfer"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102981"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89390-9"/>
              <display value="Toilet transfer"/>
            </code>
            <prefix value="GG0170F2"/>
            <text value="Toilet transfer"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102982"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89412-1"/>
              <display value="Car transfer"/>
            </code>
            <prefix value="GG0170G2"/>
            <text value="Car transfer"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102983"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89385-9"/>
              <display value="Walk 10 feet"/>
            </code>
            <prefix value="GG0170I2"/>
            <text value="Walk 10 feet"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102984"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89381-8"/>
              <display value="Walk 50 feet with two turns"/>
            </code>
            <prefix value="GG0170J2"/>
            <text value="Walk 50 feet with two turns"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102985"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89383-4"/>
              <display value="Walk 150 feet"/>
            </code>
            <prefix value="GG0170K2"/>
            <text value="Walk 150 feet"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102986"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89379-2"/>
              <display value="Walking 10 feet on uneven surfaces"/>
            </code>
            <prefix value="GG0170L2"/>
            <text value="Walking 10 feet on uneven surfaces"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102987"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89420-4"/>
              <display value="1 step (curb)"/>
            </code>
            <prefix value="GG0170M2"/>
            <text value="1 step (curb)"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102988"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89416-2"/>
              <display value="4 steps"/>
            </code>
            <prefix value="GG0170N2"/>
            <text value="4 steps"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102989"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89418-8"/>
              <display value="12 steps"/>
            </code>
            <prefix value="GG0170O2"/>
            <text value="12 steps"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102990"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89402-2"/>
              <display value="Picking up object"/>
            </code>
            <prefix value="GG0170P2"/>
            <text value="Picking up object"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102991"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89375-0"/>
              <display value="Wheel 50 feet with two turns"/>
            </code>
            <prefix value="GG0170R2"/>
            <text value="Wheel 50 feet with two turns"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102992"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="89377-6"/>
              <display value="Wheel 150 feet"/>
            </code>
            <prefix value="GG0170S2"/>
            <text value="Wheel 150 feet"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
      </item>
      <item>
        <linkId value="102993"/>
        <prefix value="GG"/>
        <text
              value="Functional Abilities and Goals - Discharge (End of SNF PPS Stay)"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="102994"/>
          <prefix value="GG0130_3"/>
          <text value="Self-Care - Discharge Performance"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="102995"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95019-6"/>
              <display value="Eating"/>
            </code>
            <prefix value="GG0130A3"/>
            <text value="Eating"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102996"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95018-8"/>
              <display value="Oral hygiene"/>
            </code>
            <prefix value="GG0130B3"/>
            <text value="Oral hygiene"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102997"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95017-0"/>
              <display value="Toileting hygiene"/>
            </code>
            <prefix value="GG0130C3"/>
            <text value="Toileting hygiene"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102998"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95015-4"/>
              <display value="Shower/bathe self"/>
            </code>
            <prefix value="GG0130E3"/>
            <text value="Shower/bathe self"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="102999"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95014-7"/>
              <display value="Upper body dressing"/>
            </code>
            <prefix value="GG0130F3"/>
            <text value="Upper body dressing"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103000"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95013-9"/>
              <display value="Lower body dressing"/>
            </code>
            <prefix value="GG0130G3"/>
            <text value="Lower body dressing"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103001"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95012-1"/>
              <display value="Putting on/taking off footwear"/>
            </code>
            <prefix value="GG0130H3"/>
            <text value="Putting on/taking off footwear"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="103002"/>
          <prefix value="GG0170_3"/>
          <text value="Mobility - Discharge Performance"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103003"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95011-3"/>
              <display value="Roll left and right"/>
            </code>
            <prefix value="GG0170A3"/>
            <text value="Roll left and right"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103004"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95010-5"/>
              <display value="Sit to lying"/>
            </code>
            <prefix value="GG0170B3"/>
            <text value="Sit to lying"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103005"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95009-7"/>
              <display value="Lying to sitting on side of bed"/>
            </code>
            <prefix value="GG0170C3"/>
            <text value="Lying to sitting on side of bed"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103006"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95008-9"/>
              <display value="Sit to stand"/>
            </code>
            <prefix value="GG0170D3"/>
            <text value="Sit to stand"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103007"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95007-1"/>
              <display value="Chair/bed-to-chair transfer"/>
            </code>
            <prefix value="GG0170E3"/>
            <text value="Chair/bed-to-chair transfer"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103008"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95006-3"/>
              <display value="Toilet transfer"/>
            </code>
            <prefix value="GG0170F3"/>
            <text value="Toilet transfer"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103009"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95005-5"/>
              <display value="Car transfer"/>
            </code>
            <prefix value="GG0170G3"/>
            <text value="Car transfer"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103010"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95004-8"/>
              <display value="Walk 10 feet"/>
            </code>
            <prefix value="GG0170I3"/>
            <text value="Walk 10 feet"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103011"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95003-0"/>
              <display value="Walk 50 feet with two turns"/>
            </code>
            <prefix value="GG0170J3"/>
            <text value="Walk 50 feet with two turns"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103012"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95002-2"/>
              <display value="Walk 150 feet"/>
            </code>
            <prefix value="GG0170K3"/>
            <text value="Walk 150 feet"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103013"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95001-4"/>
              <display value="Walking 10 feet on uneven surfaces"/>
            </code>
            <prefix value="GG0170L3"/>
            <text value="Walking 10 feet on uneven surfaces"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103014"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95000-6"/>
              <display value="1 step (curb)"/>
            </code>
            <prefix value="GG0170M3"/>
            <text value="1 step (curb)"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103015"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="94999-0"/>
              <display value="4 steps"/>
            </code>
            <prefix value="GG0170N3"/>
            <text value="4 steps"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103016"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="94998-2"/>
              <display value="12 steps"/>
            </code>
            <prefix value="GG0170O3"/>
            <text value="12 steps"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103017"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="94997-4"/>
              <display value="Picking up object"/>
            </code>
            <prefix value="GG0170P3"/>
            <text value="Picking up object"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103018"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95738-1"/>
              <display
                       value="Does the resident use a wheelchair and/or scooter?"/>
            </code>
            <prefix value="GG0170Q3"/>
            <text value="Does the resident use a wheelchair and/or scooter?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103019"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="94992-5"/>
              <display value="Wheel 50 feet with two turns"/>
            </code>
            <prefix value="GG0170R3"/>
            <text value="Wheel 50 feet with two turns"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103020"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95739-9"/>
              <display value="Indicate the type of wheelchair or scooter used"/>
            </code>
            <prefix value="GG0170RR3"/>
            <text value="Indicate the type of wheelchair or scooter used"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA19016-7"/>
                <display value="Manual"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26847-6"/>
                <display value="Motorized"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103021"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="94991-7"/>
              <display value="Wheel 150 feet"/>
            </code>
            <prefix value="GG0170S3"/>
            <text value="Wheel 150 feet"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27993-7"/>
                <display
                         value="Independent - Resident completes the activity by themself with no assistance from a helper."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27994-5"/>
                <display
                         value="Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28870-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27996-0"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11759-0"/>
                <display
                         value="Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27998-6"/>
                <display
                         value="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."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27999-4"/>
                <display value="Resident refused"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28871-4"/>
                <display
                         value="Not applicable - Not attempted and the resident did not perform this activity prior to the current illness, exacerbation, or injury."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28227-9"/>
                <display
                         value="Not attempted due to environmental limitations (e.g., lack of equipment, weather constraints)."/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26735-3"/>
                <display
                         value="Not attempted due to medical condition or safety concerns"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103022"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="95739-9"/>
              <display value="Indicate the type of wheelchair or scooter used"/>
            </code>
            <prefix value="GG0170SS3"/>
            <text value="Indicate the type of wheelchair or scooter used"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA19016-7"/>
                <display value="Manual"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26847-6"/>
                <display value="Motorized"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
      </item>
      <item>
        <linkId value="103023"/>
        <prefix value="H"/>
        <text value="Bladder and Bowel"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="103024"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="86624-4"/>
            <display value="Appliances"/>
          </code>
          <prefix value="H0100"/>
          <text value="Appliances"/>
          <type value="choice"/>
          <repeats value="true"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27819-4"/>
              <display
                       value="Indwelling catheter (including suprapubic catheter and nephrostomy tube)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27820-2"/>
              <display value="External catheter"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27821-0"/>
              <display
                       value="Ostomy (including urostomy, ileostomy, and colostomy)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27822-8"/>
              <display value="Intermittent catheterization"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA9-3"/>
              <display value="None of the above"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103025"/>
          <prefix value="H0200"/>
          <text value="Urinary Toileting Program"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103026"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54767-9"/>
              <display
                       value="Has a trial of a toileting program (e.g., scheduled toileting, prompted voiding, or bladder training) been attempted on admission/entry or reentry or since urinary incontinence was noted in this facility?"/>
            </code>
            <prefix value="H0200A"/>
            <text
                  value="Has a trial of a toileting program (e.g., scheduled toileting, prompted voiding, or bladder training) been attempted on admission/entry or reentry or since urinary incontinence was noted in this facility?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11137-9"/>
                <display value="Unable to determine"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103027"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54768-7"/>
              <display
                       value="Response - What was the resident's response to the trial program?"/>
            </code>
            <prefix value="H0200B"/>
            <text
                  value="Response - What was the resident's response to the trial program?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11038-9"/>
                <display value="No improvement"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11039-7"/>
                <display value="Decreased wetness"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11040-5"/>
                <display value="Completely dry (continent)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11041-3"/>
                <display value="Unable to determine or trial in progress"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103028"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54769-5"/>
              <display
                       value="Current toileting program or trial - Is a toileting program (e.g., scheduled toileting, prompted voiding, or bladder training) currently being used to manage the resident's urinary continence?"/>
            </code>
            <prefix value="H0200C"/>
            <text
                  value="Current toileting program or trial - Is a toileting program (e.g., scheduled toileting, prompted voiding, or bladder training) currently being used to manage the resident's urinary continence?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="103029"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="95735-7"/>
            <display value="Urinary Continence"/>
          </code>
          <prefix value="H0300"/>
          <text value="Urinary Continence"/>
          <type value="choice"/>
          <required value="true"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11042-1"/>
              <display value="Always continent"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11043-9"/>
              <display
                       value="Occasionally incontinent (less than 7 episodes of incontinence)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11044-7"/>
              <display
                       value="Frequently incontinent (7 or more episodes of urinary incontinence, but with at least one episode of continent voiding)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11045-4"/>
              <display
                       value="Always incontinent (no episodes of continent voiding)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11046-2"/>
              <display
                       value="Not rated, resident had a catheter (indwelling, condom), urinary ostomy, or no urine output for the entire 7 days"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103030"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="95736-5"/>
            <display value="Bowel Continence"/>
          </code>
          <prefix value="H0400"/>
          <text value="Bowel Continence"/>
          <type value="choice"/>
          <required value="true"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11042-1"/>
              <display value="Always continent"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11048-8"/>
              <display
                       value="Occasionally incontinent (one episode of bowel incontinence)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11049-6"/>
              <display
                       value="Frequently incontinent (2 or more episodes of bowel incontinence, but at least one continent bowel movement)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11050-4"/>
              <display
                       value="Always incontinent (no episodes of continent bowel movements)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11051-2"/>
              <display
                       value="Not rated, resident had an ostomy or did not have a bowel movement for the entire 7 days"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103031"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="88695-2"/>
            <display value="Bowel Toileting Program"/>
          </code>
          <prefix value="H0500"/>
          <text value="Bowel Toileting Program"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103032"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54773-7"/>
            <display value="Bowel Patterns. Constipation present?"/>
          </code>
          <prefix value="H0600"/>
          <text value="Bowel Patterns. Constipation present?"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
        </item>
      </item>
      <item>
        <linkId value="106149"/>
        <prefix value="I"/>
        <text value="Active Diagnoses"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="103034"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="96095-5"/>
            <display
                     value="Indicate the resident's primary medical condition category"/>
          </code>
          <prefix value="I0020"/>
          <text
                value="Indicate the resident's primary medical condition category"/>
          <type value="choice"/>
          <required value="true"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA22099-8"/>
              <display value="Stroke"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA28875-5"/>
              <display value="Non-traumatic brain dysfunction"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA28876-3"/>
              <display value="Traumatic brain dysfunction"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA28877-1"/>
              <display value="Non-traumatic spinal cord dysfunction"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA28878-9"/>
              <display value="Traumatic spinal cord dysfunction"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA28879-7"/>
              <display value="Progressive neurological conditions"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA28880-5"/>
              <display value="Other neurological conditions"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA28881-3"/>
              <display value="Amputation"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA28882-1"/>
              <display value="Hip and knee replacement"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA28883-9"/>
              <display value="Fractures and other multiple trauma"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA28884-7"/>
              <display value="Other orthopedic conditions"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA28885-4"/>
              <display value="Debility, cardiorespiratory conditions"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA28886-2"/>
              <display value="Medically complex conditions"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="106150"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="52797-8"/>
            <display value="ICD Code"/>
          </code>
          <prefix value="I0020B"/>
          <text value="ICD Code"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103036"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="86671-5"/>
            <display value="Active Diagnoses in the last 7 days"/>
          </code>
          <prefix value="I0100-I7900"/>
          <text value="Active Diagnoses in the last 7 days"/>
          <type value="choice"/>
          <repeats value="true"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27987-9"/>
              <display value="Cancer (with or without metastasis)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27836-8"/>
              <display
                       value="Anemia (e.g., aplastic, iron deficiency, pernicious, and sickle cell)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27837-6"/>
              <display
                       value="Atrial fibrillation or other dysrhythmias (e.g. bradycardias and tachycardias)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27838-4"/>
              <display
                       value="Coronary artery disease (CAD) (e.g., angina, myocardial infarction, and atherosclerotic heart disease (ASHD))"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27839-2"/>
              <display
                       value="Deep venous thrombosis (DVT), pulmonary embolus (PE), or Pulmonary thrombo-embolism (PTE)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27840-0"/>
              <display
                       value="Heart failure (e.g., congestive heart failure (CHF) and pulmonary edema)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA7444-8"/>
              <display value="Hypertension"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27841-8"/>
              <display value="Orthostatic hypotension"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA18399-8"/>
              <display
                       value="Peripheral vascular disease (PVD) or peripheral arterial disease (PAD)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA9639-1"/>
              <display value="Cirrhosis"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27842-6"/>
              <display
                       value="Gastroesophageal reflux disease (GERD) or ulcer (e.g., esophageal, gastric, and peptic ulcers)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27843-4"/>
              <display
                       value="Ulcerative colitis, Crohn's disease, or inflammatory bowel disease"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27844-2"/>
              <display value="Benign prostatic hyperplasia (BPH)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27845-9"/>
              <display
                       value="Renal insufficiency, renal failure, or end-stage renal disease (ESRD)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27846-7"/>
              <display value="Neurogenic bladder"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27847-5"/>
              <display value="Obstructive uropathy"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27848-3"/>
              <display value="Multidrug-resistant organism (MDRO)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA7465-3"/>
              <display value="Pneumonia"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10591-8"/>
              <display value="Septicemia"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10513-2"/>
              <display value="Tuberculosis"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27849-1"/>
              <display value="Urinary tract infection (UTI) (last 30 days)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27850-9"/>
              <display
                       value="Viral hepatitis (e.g., Hepatitis A, B, C, D, and E)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27851-7"/>
              <display value="Wound infection (other than foot)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA26741-1"/>
              <display
                       value="Diabetes mellitus (DM) (e.g., diabetic retinopathy, nephropathy, and neuropathy)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27852-5"/>
              <display value="Hyponatremia"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA19699-0"/>
              <display value="Hyperkalemia"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27853-3"/>
              <display value="Hyperlipidemia (e.g., hypercholesterolemia)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27854-1"/>
              <display
                       value="Thyroid disorder (e.g., hypothyroidism, hyperthyroidism, and Hashimoto's thyroiditis)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27855-8"/>
              <display
                       value="Arthritis (e.g., degenerative joint disease (DJD), osteoarthritis, and rheumatoid arthritis (RA))"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10527-2"/>
              <display value="Osteoporosis"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27856-6"/>
              <display
                       value="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)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27857-4"/>
              <display value="Other fracture"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA22313-3"/>
              <display value="Alzheimer's disease"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA18262-8"/>
              <display value="Aphasia"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27858-2"/>
              <display value="Cerebral palsy"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27859-0"/>
              <display
                       value="Cerebrovascular accident (CVA), transient ischemic attack (TIA), or stroke"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27860-8"/>
              <display
                       value="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)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27523-2"/>
              <display value="Hemiplegia or hemiparesis"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA25276-9"/>
              <display value="Paraplegia"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27861-6"/>
              <display value="Quadriplegia"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27531-5"/>
              <display value="Multiple sclerosis (MS)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27532-3"/>
              <display value="Huntington's disease"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27533-1"/>
              <display value="Parkinson's disease"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27862-4"/>
              <display value="Tourette's syndrome"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27863-2"/>
              <display value="Seizure disorder or epilepsy"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27864-0"/>
              <display value="Traumatic brain injury (TBI)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27865-7"/>
              <display
                       value="Malnutrition (protein or calorie) or at risk for malnutrition"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27866-5"/>
              <display value="Anxiety disorder"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27867-3"/>
              <display value="Depression (other than bipolar)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29615-4"/>
              <display value="Bipolar Disorder"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27869-9"/>
              <display value="Psychotic disorder (other than schizophrenia)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27870-7"/>
              <display
                       value="Schizophrenia (e.g., schizoaffective and schizophreniform disorders)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27871-5"/>
              <display value="Post traumatic stress disorder (PTSD)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27872-3"/>
              <display
                       value="Asthma, chronic obstructive pulmonary disease (COPD), or chronic lung disease (e.g., chronic bronchitis and restrictive lung diseases such as asbestosis)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27873-1"/>
              <display value="Respiratory failure"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27874-9"/>
              <display value="Cataracts, glaucoma, or macular degeneration"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27875-6"/>
              <display
                       value="None of the above active diagnoses within the last 7 days"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103037"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="52797-8"/>
            <display value="Additional active diagnoses"/>
          </code>
          <prefix value="I8000A-I8000J"/>
          <text value="Additional active diagnoses"/>
          <type value="choice"/>
          <repeats value="true"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
            </valueCoding>
          </answerOption>
        </item>
      </item>
      <item>
        <linkId value="106182"/>
        <prefix value="J"/>
        <text value="Health Conditions"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="103039"/>
          <prefix value="J0100"/>
          <text value="Pain Management"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103040"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="71447-7"/>
              <display
                       value="At any time in the last 5 days, has the resident: Received scheduled pain medication regimen?"/>
            </code>
            <prefix value="J0100A"/>
            <text
                  value="At any time in the last 5 days, has the resident: Received scheduled pain medication regimen?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103041"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="71448-5"/>
              <display
                       value="At any time in the last 5 days, has the resident: Received PRN pain medications OR was offered and declined?"/>
            </code>
            <prefix value="J0100B"/>
            <text
                  value="At any time in the last 5 days, has the resident: Received PRN pain medications OR was offered and declined?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103042"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="71449-3"/>
              <display
                       value="At any time in the last 5 days, has the resident: Received non-medication intervention for pain?"/>
            </code>
            <prefix value="J0100C"/>
            <text
                  value="At any time in the last 5 days, has the resident: Received non-medication intervention for pain?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="103043"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54828-9"/>
            <display value="Should Pain Assessment Interview be Conducted?"/>
          </code>
          <prefix value="J0200"/>
          <text value="Should Pain Assessment Interview be Conducted?"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11150-2"/>
              <display value="No (resident is rarely/never understood)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103044"/>
          <text value="Pain Assessment Interview"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103045"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54829-7"/>
              <display
                       value="Pain Presence. Have you had pain or hurting at any time in the last 5 days?"/>
            </code>
            <prefix value="J0300"/>
            <text
                  value="Pain Presence. Have you had pain or hurting at any time in the last 5 days?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11054-6"/>
                <display value="Unable to answer"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103046"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54830-5"/>
              <display
                       value="Pain Frequency. How much of the time have you experienced pain or hurting over the last 5 days?"/>
            </code>
            <prefix value="J0400"/>
            <text
                  value="Pain Frequency. How much of the time have you experienced pain or hurting over the last 5 days?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11055-3"/>
                <display value="Almost constantly"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA6482-9"/>
                <display value="Frequently"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA6483-7"/>
                <display value="Occasionally"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10066-1"/>
                <display value="Rarely"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11054-6"/>
                <display value="Unable to answer"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103047"/>
            <prefix value="J0500"/>
            <text value="Pain Effect on Function"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="103048"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54831-3"/>
                <display
                         value="Over the past 5 days, has pain made it hard for you to sleep at night?"/>
              </code>
              <prefix value="J0500A"/>
              <text
                    value="Over the past 5 days, has pain made it hard for you to sleep at night?"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA32-8"/>
                  <display value="No"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33-6"/>
                  <display value="Yes"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11054-6"/>
                  <display value="Unable to answer"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="103049"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54832-1"/>
                <display
                         value="Over the past 5 days, have you limited your day-to-day activities because of pain?"/>
              </code>
              <prefix value="J0500B"/>
              <text
                    value="Over the past 5 days, have you limited your day-to-day activities because of pain?"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA32-8"/>
                  <display value="No"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33-6"/>
                  <display value="Yes"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11054-6"/>
                  <display value="Unable to answer"/>
                </valueCoding>
              </answerOption>
            </item>
          </item>
          <item>
            <linkId value="103050"/>
            <prefix value="J0600"/>
            <text value="Pain Intensity"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="103051"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54833-9"/>
                <display value="Numeric Rating Scale (00-10)"/>
              </code>
              <prefix value="J0600A"/>
              <text value="Numeric Rating Scale (00-10)"/>
              <type value="string"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103052"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54834-7"/>
                <display value="Verbal Descriptor Scale"/>
              </code>
              <prefix value="J0600B"/>
              <text value="Verbal Descriptor Scale"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA6752-5"/>
                  <display value="Mild"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA6751-7"/>
                  <display value="Moderate"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA6750-9"/>
                  <display value="Severe"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11063-7"/>
                  <display value="Very severe, horrible"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11054-6"/>
                  <display value="Unable to answer"/>
                </valueCoding>
              </answerOption>
            </item>
          </item>
        </item>
        <item>
          <linkId value="103053"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="58117-3"/>
            <display value="Should the Staff Assessment for Pain be Conducted?"/>
          </code>
          <prefix value="J0700"/>
          <text value="Should the Staff Assessment for Pain be Conducted?"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103054"/>
          <text value="Staff Assessment for Pain"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103055"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86673-1"/>
              <display
                       value="Indicators of Pain or Possible Pain in the last 5 days"/>
            </code>
            <prefix value="J0800"/>
            <text value="Indicators of Pain or Possible Pain in the last 5 days"/>
            <type value="choice"/>
            <repeats value="true"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10034-9"/>
                <display
                         value="Non-verbal sounds (e.g., crying, whining, gasping, moaning, or groaning)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10116-4"/>
                <display
                         value="Vocal complaints of pain (e.g., that hurts, ouch, stop)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9968-4"/>
                <display
                         value="Facial expressions (e.g., grimaces, winces, wrinkled forehead, furrowed brow, clenched teeth or jaw)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10063-8"/>
                <display
                         value="Protective body movements or postures (e.g., bracing, guarding, rubbing or massaging a body part/area, clutching or holding a body part during movement)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10032-3"/>
                <display value="None of these signs observed or documented"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103056"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="58118-1"/>
              <display
                       value="Frequency of Indicator of Pain or Possible Pain in the last 5 days. Frequency with which resident complains or shows evidence of pain or possible pain"/>
            </code>
            <prefix value="J0850"/>
            <text
                  value="Frequency of Indicator of Pain or Possible Pain in the last 5 days. Frequency with which resident complains or shows evidence of pain or possible pain"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12645-0"/>
                <display
                         value="Indicators of pain or possible pain observed 1 to 2 days"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12646-8"/>
                <display
                         value="Indicators of pain or possible pain observed 3 to 4 days"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12647-6"/>
                <display
                         value="Indicators of pain or possible pain observed daily"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="103057"/>
          <text value="Other Health Conditions"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103058"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86675-6"/>
              <display value="Shortness of Breath (dyspnea)"/>
            </code>
            <prefix value="J1100"/>
            <text value="Shortness of Breath (dyspnea)"/>
            <type value="choice"/>
            <repeats value="true"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27988-7"/>
                <display
                         value="Shortness of breath or trouble breathing with exertion (e.g., walking, bathing, transferring)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27989-5"/>
                <display
                         value="Shortness of breath or trouble breathing when sitting at rest"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27990-3"/>
                <display
                         value="Shortness of breath or trouble breathing when lying flat"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9-3"/>
                <display value="None of the above"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103059"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54845-3"/>
              <display value="Current Tobacco Use"/>
            </code>
            <prefix value="J1300"/>
            <text value="Current Tobacco Use"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103060"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54846-1"/>
              <display value="Prognosis"/>
            </code>
            <prefix value="J1400"/>
            <text value="Prognosis"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103061"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86676-4"/>
              <display value="Problem Conditions"/>
            </code>
            <prefix value="J1550"/>
            <text value="Problem Conditions"/>
            <type value="choice"/>
            <repeats value="true"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA7435-6"/>
                <display value="Fever"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA15099-7"/>
                <display value="Vomiting"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27897-0"/>
                <display value="Dehydrated"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27898-8"/>
                <display value="Internal bleeding"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9-3"/>
                <display value="None of the above"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103062"/>
            <prefix value="J1700"/>
            <text value="Fall History on Admission/Entry or Reentry"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="103063"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54850-3"/>
                <display
                         value="Did the resident have a fall any time in the last month prior to admission/entry or reentry?"/>
              </code>
              <prefix value="J1700A"/>
              <text
                    value="Did the resident have a fall any time in the last month prior to admission/entry or reentry?"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA32-8"/>
                  <display value="No"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33-6"/>
                  <display value="Yes"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11137-9"/>
                  <display value="Unable to determine"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="103064"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54851-1"/>
                <display
                         value="Did the resident have a fall any time in the last 2-6 months prior to admission/entry or reentry?"/>
              </code>
              <prefix value="J1700B"/>
              <text
                    value="Did the resident have a fall any time in the last 2-6 months prior to admission/entry or reentry?"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA32-8"/>
                  <display value="No"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33-6"/>
                  <display value="Yes"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11137-9"/>
                  <display value="Unable to determine"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="103065"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54852-9"/>
                <display
                         value="Did the resident have any fracture related to a fall in the 6 months prior to admission/entry or reentry?"/>
              </code>
              <prefix value="J1700C"/>
              <text
                    value="Did the resident have any fracture related to a fall in the 6 months prior to admission/entry or reentry?"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA32-8"/>
                  <display value="No"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA33-6"/>
                  <display value="Yes"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11137-9"/>
                  <display value="Unable to determine"/>
                </valueCoding>
              </answerOption>
            </item>
          </item>
          <item>
            <linkId value="103066"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54853-7"/>
              <display
                       value="Has the resident had any falls since admission/entry or reentry or the prior assessment (OBRA or Scheduled PPS), whichever is more recent?"/>
            </code>
            <prefix value="J1800"/>
            <text
                  value="Has the resident had any falls since admission/entry or reentry or the prior assessment (OBRA or Scheduled PPS), whichever is more recent?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103067"/>
            <prefix value="J1900"/>
            <text
                  value="Number of Falls Since Admission/Entry or Reentry or Prior Assessment (OBRA or Scheduled PPS), whichever is more recent"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="103068"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54855-2"/>
                <display value="No injury"/>
              </code>
              <prefix value="J1900A"/>
              <text value="No injury"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA137-2"/>
                  <display value="None"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA6306-0"/>
                  <display value="One"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11073-6"/>
                  <display value="Two or more"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="103069"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54856-0"/>
                <display value="Injury (except major)"/>
              </code>
              <prefix value="J1900B"/>
              <text value="Injury (except major)"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA137-2"/>
                  <display value="None"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA6306-0"/>
                  <display value="One"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11073-6"/>
                  <display value="Two or more"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="103070"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="54857-8"/>
                <display value="Major injury"/>
              </code>
              <prefix value="J1900C"/>
              <text value="Major injury"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA137-2"/>
                  <display value="None"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA6306-0"/>
                  <display value="One"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA11073-6"/>
                  <display value="Two or more"/>
                </valueCoding>
              </answerOption>
            </item>
          </item>
        </item>
        <item>
          <linkId value="103071"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="83274-1"/>
            <display value="Prior Surgery"/>
          </code>
          <prefix value="J2000"/>
          <text value="Prior Surgery"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA4489-6"/>
              <display value="Unknown"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="106183"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="90542-2"/>
            <display value="Recent Surgery Requiring Active SNF Care"/>
          </code>
          <prefix value="J2100"/>
          <text value="Recent Surgery Requiring Active SNF Care"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA4489-6"/>
              <display value="Unknown"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="106184"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="90745-1"/>
            <display value="Surgical Procedures"/>
          </code>
          <prefix value="J2300-J5000"/>
          <text value="Surgical Procedures"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29540-4"/>
              <display value="Knee Replacement - partial or total"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29541-2"/>
              <display value="Hip Replacement - partial or total"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29542-0"/>
              <display value="Ankle Replacement - partial or total"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29543-8"/>
              <display value="Shoulder Replacement - partial or total"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29544-6"/>
              <display
                       value="Spinal surgery involving the spinal cord or major spinal nerves"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29545-3"/>
              <display value="Spinal surgery involving fusion of spinal bones"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29546-1"/>
              <display value="Spinal surgery involving lamina, discs, or facets"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29547-9"/>
              <display value="Other major spinal surgery"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29548-7"/>
              <display
                       value="Other orthopedic surgery involving repair fractures of the shoulder (including clavicle and scapula) or arm (but not hand)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29549-5"/>
              <display
                       value="Other orthopedic surgery involving repair fractures of the pelvis, hip, leg, knee, or ankle (not foot)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29550-3"/>
              <display
                       value="Other orthopedic surgery involving repair but not replace joints"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29551-1"/>
              <display
                       value="Other orthopedic surgery involving repair other bones (such as hand, foot, jaw)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29552-9"/>
              <display value="Other major orthopedic surgery"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29553-7"/>
              <display
                       value="Neurological surgery involving the brain, surrounding tissue or blood vessels, (excludes skull and skin but includes cranial nerves)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29554-5"/>
              <display
                       value="Neurological surgery involving the peripheral or autonomic nervous system - open or percutaneous"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29555-2"/>
              <display
                       value="Neurological surgery insertion or removal of spinal or brain neurostimulators, electrodes, catheters, or CSF drainage devices"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29556-0"/>
              <display value="Other major neurological surgery"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29557-8"/>
              <display
                       value="Cardiopulmonary surgery involving the heart or major blood vessels - open or percutaneous procedures"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29558-6"/>
              <display
                       value="Cardiopulmonary surgery involving the respiratory system, including lungs, bronchi, trachea, larynx, or vocal cords - open or endoscopic"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29562-8"/>
              <display value="Other major cardiopulmonary surgery"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29563-6"/>
              <display
                       value="Genitourinary surgery involving genital systems (such as prostate, testes, ovaries, uterus, vagina, external genitalia)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29564-4"/>
              <display
                       value="Genitourinary surgery involving the kidneys, ureters, adrenal glands, or bladder - open or laparoscopic (includes creation or removal of nephrostomies or urostomies)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29566-9"/>
              <display value="Other major genitourinary surgery"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29567-7"/>
              <display
                       value="Other major surgery involving tendons, ligaments, or muscles"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29568-5"/>
              <display
                       value="Other major surgery 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"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29569-3"/>
              <display
                       value="Other major surgery involving the endocrine organs (such as thyroid, parathyroid), neck, lymph nodes, or thymus - open"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29570-1"/>
              <display value="Other major surgery involving the breast"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29571-9"/>
              <display
                       value="Other major surgery involving repair of deep ulcers, internal brachytherapy, bone marrow or stem cell harvest or transplant"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA29572-7"/>
              <display value="Other major surgery not listed above"/>
            </valueCoding>
          </answerOption>
        </item>
      </item>
      <item>
        <linkId value="106270"/>
        <prefix value="K"/>
        <text value="Swallowing/Nutritional Status"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="103073"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="86677-2"/>
            <display
                     value="Swallowing Disorder. Signs and symptoms of possible swallowing disorder"/>
          </code>
          <prefix value="K0100"/>
          <text
                value="Swallowing Disorder. Signs and symptoms of possible swallowing disorder"/>
          <type value="choice"/>
          <repeats value="true"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10001-8"/>
              <display
                       value="Loss of liquids/solids from mouth when eating or drinking"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA9977-5"/>
              <display
                       value="Holding food in mouth/cheeks or residual food in mouth after meals"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA9961-9"/>
              <display
                       value="Coughing or choking during meals or when swallowing medications"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA9952-8"/>
              <display value="Complaints of difficulty or pain with swallowing"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA9-3"/>
              <display value="None of the above"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103074"/>
          <prefix value="K0200"/>
          <text value="Height and Weight"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103075"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="103692-0"/>
              <display value="Height (in inches)"/>
            </code>
            <prefix value="K0200A"/>
            <text value="Height (in inches)"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103076"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="103693-8"/>
              <display value="Weight (in pounds)"/>
            </code>
            <prefix value="K0200B"/>
            <text value="Weight (in pounds)"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <linkId value="103077"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54863-6"/>
            <display
                     value="Weight Loss. Loss of 5% or more in the last month or loss of 10% or more in last 6 months"/>
          </code>
          <prefix value="K0300"/>
          <text
                value="Weight Loss. Loss of 5% or more in the last month or loss of 10% or more in last 6 months"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11074-4"/>
              <display value="No or unknown"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11075-1"/>
              <display value="Yes, on physician-prescribed weight-loss regimen"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11076-9"/>
              <display
                       value="Yes, not on physician-prescribed weight-loss regimen"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103078"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="86678-0"/>
            <display
                     value="Weight Gain. Gain of 5% or more in the last month or gain of 10% or more in last 6 months"/>
          </code>
          <prefix value="K0310"/>
          <text
                value="Weight Gain. Gain of 5% or more in the last month or gain of 10% or more in last 6 months"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11074-4"/>
              <display value="No or unknown"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA18602-5"/>
              <display value="Yes, on physician-prescribed weight-gain regimen"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA18603-3"/>
              <display
                       value="Yes, not on physician-prescribed weight-gain regimen"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103079"/>
          <prefix value="K0510"/>
          <text value="Nutritional Approaches"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103080"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="71444-4"/>
              <display value="Nutritional Approaches. While NOT a Resident"/>
            </code>
            <prefix value="K0510_1"/>
            <text value="Nutritional Approaches. While NOT a Resident"/>
            <type value="choice"/>
            <repeats value="true"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA18604-1"/>
                <display value="Parenteral/IV feeding"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA18605-8"/>
                <display value="Feeding tube - nasogastric or abdominal (PEG)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9-3"/>
                <display value="None of the above"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103081"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="71445-1"/>
              <display value="Nutritional Approaches. While a Resident"/>
            </code>
            <prefix value="K0510_2"/>
            <text value="Nutritional Approaches. While a Resident"/>
            <type value="choice"/>
            <repeats value="true"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA18604-1"/>
                <display value="Parenteral/IV feeding"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA18605-8"/>
                <display value="Feeding tube - nasogastric or abdominal (PEG)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA18606-6"/>
                <display
                         value="Mechanically altered diet - require change in texture of food or liquids (e.g., pureed food, thickened liquids)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA18607-4"/>
                <display
                         value="Therapeutic diet (e.g., low salt, diabetic, low cholesterol)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9-3"/>
                <display value="None of the above"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="106271"/>
          <prefix value="K0710"/>
          <text value="Percent Intake by Artificial Route"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103084"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86681-4"/>
              <display
                       value="Proportion of total calories the resident received through parenteral or tube feeding. While a Resident"/>
            </code>
            <prefix value="K0710A2"/>
            <text
                  value="Proportion of total calories the resident received through parenteral or tube feeding. While a Resident"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11077-7"/>
                <display value="25% or less"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11078-5"/>
                <display value="26-50%"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11079-3"/>
                <display value="51% or more"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103085"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86687-1"/>
              <display
                       value="Proportion of total calories the resident received through parenteral or tube feeding. During Entire 7 Days"/>
            </code>
            <prefix value="K0710A3"/>
            <text
                  value="Proportion of total calories the resident received through parenteral or tube feeding. During Entire 7 Days"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11077-7"/>
                <display value="25% or less"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11078-5"/>
                <display value="26-50%"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11079-3"/>
                <display value="51% or more"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103087"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86683-0"/>
              <display
                       value="Average fluid intake per day by IV or tube feeding. While a Resident"/>
            </code>
            <prefix value="K0710B2"/>
            <text
                  value="Average fluid intake per day by IV or tube feeding. While a Resident"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11080-1"/>
                <display value="500 cc/day or less"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11081-9"/>
                <display value="501 cc/day or more"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103088"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86684-8"/>
              <display
                       value="Average fluid intake per day by IV or tube feeding. During Entire 7 Days"/>
            </code>
            <prefix value="K0710B3"/>
            <text
                  value="Average fluid intake per day by IV or tube feeding. During Entire 7 Days"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11080-1"/>
                <display value="500 cc/day or less"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11081-9"/>
                <display value="501 cc/day or more"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
      </item>
      <item>
        <linkId value="103089"/>
        <prefix value="L"/>
        <text value="Oral/Dental Status"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="103090"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="86706-9"/>
            <display value="Dental"/>
          </code>
          <prefix value="L0200"/>
          <text value="Dental"/>
          <type value="choice"/>
          <repeats value="true"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27932-5"/>
              <display
                       value="Broken or loosely fitting full or partial denture (chipped, cracked, uncleanable, or loose)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27933-3"/>
              <display
                       value="No natural teeth or tooth fragment(s) (edentulous)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27934-1"/>
              <display
                       value="Abnormal mouth tissue (ulcers, masses, oral lesions, including under denture or partial if one is worn)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27935-8"/>
              <display value="Obvious or likely cavity or broken natural teeth"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27936-6"/>
              <display value="Inflamed or bleeding gums or loose natural teeth"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27937-4"/>
              <display
                       value="Mouth or facial pain, discomfort or difficulty with chewing"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27938-2"/>
              <display value="Unable to examine"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27939-0"/>
              <display value="None of the above were present"/>
            </valueCoding>
          </answerOption>
        </item>
      </item>
      <item>
        <linkId value="103091"/>
        <prefix value="M"/>
        <text value="Skin Conditions"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="103092"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="86708-5"/>
            <display value="Determination of Pressure Ulcer/Injury Risk"/>
          </code>
          <prefix value="M0100"/>
          <text value="Determination of Pressure Ulcer/Injury Risk"/>
          <type value="choice"/>
          <repeats value="true"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA28887-0"/>
              <display
                       value="Resident has a pressure ulcer/injury, a scar over bony prominence, or a non-removable dressing/device"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27941-6"/>
              <display
                       value="Formal assessment instrument/tool (e.g., Braden, Norton, or other)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27942-4"/>
              <display value="Clinical assessment"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA9-3"/>
              <display value="None of the above"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103093"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="57280-0"/>
            <display value="Risk of Pressure Ulcers/Injuries"/>
          </code>
          <prefix value="M0150"/>
          <text value="Risk of Pressure Ulcers/Injuries"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103094"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="58214-8"/>
            <display value="Unhealed Pressure Ulcers/Injuries"/>
          </code>
          <prefix value="M0210"/>
          <text value="Unhealed Pressure Ulcers/Injuries"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103095"/>
          <prefix value="M0300"/>
          <text
                value="Current Number of Unhealed Pressure Ulcers/Injuries at Each Stage"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103096"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54884-2"/>
              <display value="Number of Stage 1 pressure injuries"/>
            </code>
            <prefix value="M0300A1"/>
            <text value="Number of Stage 1 pressure injuries"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103097"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="55124-2"/>
              <display value="Number of Stage 2 pressure ulcers"/>
            </code>
            <prefix value="M0300B1"/>
            <text value="Number of Stage 2 pressure ulcers"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103098"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54886-7"/>
              <display
                       value="Number of these Stage 2 pressure ulcers that were present upon admission/entry or reentry"/>
            </code>
            <prefix value="M0300B2"/>
            <text
                  value="Number of these Stage 2 pressure ulcers that were present upon admission/entry or reentry"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103099"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="55125-9"/>
              <display value="Number of Stage 3 pressure ulcers"/>
            </code>
            <prefix value="M0300C1"/>
            <text value="Number of Stage 3 pressure ulcers"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103100"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54887-5"/>
              <display
                       value="Number of these Stage 3 pressure ulcers that were present upon admission/entry or reentry"/>
            </code>
            <prefix value="M0300C2"/>
            <text
                  value="Number of these Stage 3 pressure ulcers that were present upon admission/entry or reentry"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103101"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="55126-7"/>
              <display value="Number of Stage 4 pressure ulcers"/>
            </code>
            <prefix value="M0300D1"/>
            <text value="Number of Stage 4 pressure ulcers"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103102"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54890-9"/>
              <display
                       value="Number of these Stage 4 pressure ulcers that were present upon admission/entry or reentry"/>
            </code>
            <prefix value="M0300D2"/>
            <text
                  value="Number of these Stage 4 pressure ulcers that were present upon admission/entry or reentry"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103103"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54893-3"/>
              <display
                       value="Number of unstageable pressure ulcers/injuries due to non-removable dressing/device"/>
            </code>
            <prefix value="M0300E1"/>
            <text
                  value="Number of unstageable pressure ulcers/injuries due to non-removable dressing/device"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103104"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54894-1"/>
              <display
                       value="Number of these unstageable pressure ulcers/injuries that were present upon admission/entry or reentry"/>
            </code>
            <prefix value="M0300E2"/>
            <text
                  value="Number of these unstageable pressure ulcers/injuries that were present upon admission/entry or reentry"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103105"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54946-9"/>
              <display
                       value="Number of unstageable pressure ulcers due to coverage of wound bed by slough and/or eschar"/>
            </code>
            <prefix value="M0300F1"/>
            <text
                  value="Number of unstageable pressure ulcers due to coverage of wound bed by slough and/or eschar"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103106"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54947-7"/>
              <display
                       value="Number of these unstageable pressure ulcers that were present upon admission/entry or reentry"/>
            </code>
            <prefix value="M0300F2"/>
            <text
                  value="Number of these unstageable pressure ulcers that were present upon admission/entry or reentry"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103107"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54950-1"/>
              <display
                       value="Number of unstageable pressure injuries presenting as deep tissue injury"/>
            </code>
            <prefix value="M0300G1"/>
            <text
                  value="Number of unstageable pressure injuries presenting as deep tissue injury"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103108"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54951-9"/>
              <display
                       value="Number of these unstageable pressure injuries that were present upon admission/entry or reentry"/>
            </code>
            <prefix value="M0300G2"/>
            <text
                  value="Number of these unstageable pressure injuries that were present upon admission/entry or reentry"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <linkId value="103109"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54970-9"/>
            <display value="Number of Venous and Arterial Ulcers"/>
          </code>
          <prefix value="M1030"/>
          <text value="Number of Venous and Arterial Ulcers"/>
          <type value="decimal"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="103110"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="88696-0"/>
            <display value="Other Ulcers, Wounds and Skin Problems"/>
          </code>
          <prefix value="M1040"/>
          <text value="Other Ulcers, Wounds and Skin Problems"/>
          <type value="choice"/>
          <repeats value="true"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27943-2"/>
              <display
                       value="Infection of the foot (e.g., cellulitis, purulent drainage)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27944-0"/>
              <display value="Diabetic foot ulcer(s)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27945-7"/>
              <display value="Other open lesion(s) on the foot"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27946-5"/>
              <display
                       value="Open lesion(s) other than ulcers, rashes, cuts (e.g., cancer lesion)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27947-3"/>
              <display value="Surgical wound(s)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27948-1"/>
              <display value="Burn(s) (second or third degree)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA18608-2"/>
              <display value="Skin tear(s)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27950-7"/>
              <display
                       value="Moisture associated skin damage (MASD) (e.g., incontinence-associated dermatitis [IAD], perspiration, drainage)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27939-0"/>
              <display value="None of the above were present"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103111"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="86748-1"/>
            <display value="Skin and Ulcer/Injury Treatments"/>
          </code>
          <prefix value="M1200"/>
          <text value="Skin and Ulcer/Injury Treatments"/>
          <type value="choice"/>
          <repeats value="true"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27951-5"/>
              <display value="Pressure reducing device for chair"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27952-3"/>
              <display value="Pressure reducing device for bed"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27953-1"/>
              <display value="Turning/repositioning program"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27954-9"/>
              <display
                       value="Nutrition or hydration intervention to manage skin problems"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA28888-8"/>
              <display value="Pressure ulcer/injury care"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27956-4"/>
              <display value="Surgical wound care"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27957-2"/>
              <display
                       value="Application of nonsurgical dressings (with or without topical medications) other than to feet"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27958-0"/>
              <display
                       value="Applications of ointments/medications other than to feet"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27959-8"/>
              <display
                       value="Application of dressings to feet (with or without topical medications)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27960-6"/>
              <display value="None of the above were provided"/>
            </valueCoding>
          </answerOption>
        </item>
      </item>
      <item>
        <linkId value="103112"/>
        <prefix value="N"/>
        <text value="Medications"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="103113"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54982-4"/>
            <display
                     value="Injections. Record the number of days that injections of any type were received during the last 7 days or since admission/entry or reentry if less than 7 days."/>
          </code>
          <prefix value="N0300"/>
          <text
                value="Injections. Record the number of days that injections of any type were received during the last 7 days or since admission/entry or reentry if less than 7 days."/>
          <type value="decimal"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="103114"/>
          <prefix value="N0350"/>
          <text value="Insulin"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103115"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="58127-2"/>
              <display
                       value="Insulin injections - Record the number of days that insulin injections were received during the last 7 days or since admission/entry or reentry if less than 7 days"/>
            </code>
            <prefix value="N0350A"/>
            <text
                  value="Insulin injections - Record the number of days that insulin injections were received during the last 7 days or since admission/entry or reentry if less than 7 days"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103116"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="58128-0"/>
              <display
                       value="Orders for insulin - Record the number of days the physician (or authorized assistant or practitioner) changed the resident's insulin orders during the last 7 days or since admission/entry or reentry if less than 7 days"/>
            </code>
            <prefix value="N0350B"/>
            <text
                  value="Orders for insulin - Record the number of days the physician (or authorized assistant or practitioner) changed the resident's insulin orders during the last 7 days or since admission/entry or reentry if less than 7 days"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <linkId value="103117"/>
          <prefix value="N0410"/>
          <text value="Medications Received"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103118"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86751-5"/>
              <display value="Antipsychotic"/>
            </code>
            <prefix value="N0410A"/>
            <text value="Antipsychotic"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103119"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86752-3"/>
              <display value="Antianxiety"/>
            </code>
            <prefix value="N0410B"/>
            <text value="Antianxiety"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103120"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86753-1"/>
              <display value="Antidepressant"/>
            </code>
            <prefix value="N0410C"/>
            <text value="Antidepressant"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103121"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86754-9"/>
              <display value="Hypnotic"/>
            </code>
            <prefix value="N0410D"/>
            <text value="Hypnotic"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103122"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86755-6"/>
              <display
                       value="Anticoagulant (e.g., warfarin, heparin, or low-molecular weight heparin)"/>
            </code>
            <prefix value="N0410E"/>
            <text
                  value="Anticoagulant (e.g., warfarin, heparin, or low-molecular weight heparin)"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103123"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86756-4"/>
              <display value="Antibiotic"/>
            </code>
            <prefix value="N0410F"/>
            <text value="Antibiotic"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103124"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86757-2"/>
              <display value="Diuretic"/>
            </code>
            <prefix value="N0410G"/>
            <text value="Diuretic"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103125"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="88291-0"/>
              <display value="Opioid"/>
            </code>
            <prefix value="N0410H"/>
            <text value="Opioid"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <linkId value="103126"/>
          <prefix value="N0450"/>
          <text value="Antipsychotic Medication Review"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103127"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="88296-9"/>
              <display
                       value="Did the resident receive antipsychotic medications since admission/entry or reentry or the prior OBRA assessment, whichever is more recent?"/>
            </code>
            <prefix value="N0450A"/>
            <text
                  value="Did the resident receive antipsychotic medications since admission/entry or reentry or the prior OBRA assessment, whichever is more recent?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28462-2"/>
                <display value="No - Antipsychotics were not received"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28463-0"/>
                <display
                         value="Yes - Antipsychotics were received on a routine basis only"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28464-8"/>
                <display
                         value="Yes - Antipsychotics were received on a PRN basis only"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28465-5"/>
                <display
                         value="Yes - Antipsychotics were received on a routine and PRN basis"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103128"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="88297-7"/>
              <display
                       value="Has a gradual dose reduction (GDR) been attempted?"/>
            </code>
            <prefix value="N0450B"/>
            <text value="Has a gradual dose reduction (GDR) been attempted?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103129"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="88298-5"/>
              <display value="Date of last attempted GDR"/>
            </code>
            <prefix value="N0450C"/>
            <text value="Date of last attempted GDR"/>
            <type value="date"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103130"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="88299-3"/>
              <display
                       value="Physician documented GDR as clinically contraindicated"/>
            </code>
            <prefix value="N0450D"/>
            <text value="Physician documented GDR as clinically contraindicated"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28466-3"/>
                <display
                         value="No - GDR has not been documented by a physician as clinically contraindicated"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28467-1"/>
                <display
                         value="Yes - GDR has been documented by a physician as clinically contraindicated"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103131"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="88300-9"/>
              <display
                       value="Date physician documented GDR as clinically contraindicated"/>
            </code>
            <prefix value="N0450E"/>
            <text
                  value="Date physician documented GDR as clinically contraindicated"/>
            <type value="date"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <linkId value="103132"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="57255-2"/>
            <display
                     value="Drug Regimen Review: Did a complete drug regimen review identify potential clinically significant medication issues?"/>
          </code>
          <prefix value="N2001"/>
          <text
                value="Drug Regimen Review: Did a complete drug regimen review identify potential clinically significant medication issues?"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27634-7"/>
              <display value="No - No issues found during review"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27635-4"/>
              <display value="Yes - Issues found during review"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA27636-2"/>
              <display value="NA - Resident is not taking any medications"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103133"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="57281-8"/>
            <display
                     value="Medication Follow-up: Did the facility 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?"/>
          </code>
          <prefix value="N2003"/>
          <text
                value="Medication Follow-up: Did the facility 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?"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103134"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="57256-0"/>
            <display
                     value="Did the facility 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?"/>
          </code>
          <prefix value="N2005"/>
          <text
                value="Did the facility 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?"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA28935-7"/>
              <display
                       value="NA - There were no potential clinically significant medication issues identified since admission or resident is not taking any medications"/>
            </valueCoding>
          </answerOption>
        </item>
      </item>
      <item>
        <linkId value="109478"/>
        <prefix value="O"/>
        <text value="Special Treatments, Procedures, and Programs"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="103136"/>
          <prefix value="O0100"/>
          <text value="Special Treatments, Procedures, and Programs"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103137"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86760-6"/>
              <display value="While NOT a Resident"/>
            </code>
            <prefix value="O0100_1"/>
            <text value="While NOT a Resident"/>
            <type value="choice"/>
            <repeats value="true"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA6172-6"/>
                <display value="Chemotherapy"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA4351-8"/>
                <display value="Radiation"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27962-2"/>
                <display value="Oxygen therapy"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27963-0"/>
                <display value="Suctioning"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27964-8"/>
                <display value="Tracheostomy care"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28889-6"/>
                <display
                         value="Invasive mechanical ventilator (ventilator or respirator)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28890-4"/>
                <display value="Non-invasive mechanical ventilator (BiPAP/CPAP)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27972-1"/>
                <display value="IV medications"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27966-3"/>
                <display value="Transfusions"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA7216-0"/>
                <display value="Dialysis"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA6217-9"/>
                <display value="Hospice care"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27970-5"/>
                <display
                         value="Isolation or quarantine for active infectious disease (does not include standard body/fluid precautions)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9-3"/>
                <display value="None of the above"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103138"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86761-4"/>
              <display value="While a Resident"/>
            </code>
            <prefix value="O0100_2"/>
            <text value="While a Resident"/>
            <type value="choice"/>
            <repeats value="true"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA6172-6"/>
                <display value="Chemotherapy"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA4351-8"/>
                <display value="Radiation"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27962-2"/>
                <display value="Oxygen therapy"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27963-0"/>
                <display value="Suctioning"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27964-8"/>
                <display value="Tracheostomy care"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28889-6"/>
                <display
                         value="Invasive mechanical ventilator (ventilator or respirator)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28890-4"/>
                <display value="Non-invasive mechanical ventilator (BiPAP/CPAP)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27972-1"/>
                <display value="IV medications"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27966-3"/>
                <display value="Transfusions"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA7216-0"/>
                <display value="Dialysis"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA6217-9"/>
                <display value="Hospice care"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27970-5"/>
                <display
                         value="Isolation or quarantine for active infectious disease (does not include standard body/fluid precautions)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9-3"/>
                <display value="None of the above"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="103139"/>
          <prefix value="O0250"/>
          <text value="Influenza Vaccine"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103140"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="55019-4"/>
              <display
                       value="Did the resident receive the influenza vaccine in this facility for this year's influenza vaccination season?"/>
            </code>
            <prefix value="O0250A"/>
            <text
                  value="Did the resident receive the influenza vaccine in this facility for this year's influenza vaccination season?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103141"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="58131-4"/>
              <display value="Date influenza vaccine received"/>
            </code>
            <prefix value="O0250B"/>
            <text value="Date influenza vaccine received"/>
            <type value="date"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103142"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="55020-2"/>
              <display value="If influenza vaccine not received, state reason:"/>
            </code>
            <prefix value="O0250C"/>
            <text value="If influenza vaccine not received, state reason:"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28194-1"/>
                <display
                         value="Resident not in this facility during this year's influenza vaccination season"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA184-4"/>
                <display value="Received outside of this facility"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11091-8"/>
                <display value="Not eligible - medical contraindication"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA186-9"/>
                <display value="Offered and declined"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA187-7"/>
                <display value="Not offered"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA26746-0"/>
                <display
                         value="Inability to obtain influenza vaccine due to a declared shortage"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9-3"/>
                <display value="None of the above"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="103143"/>
          <prefix value="O0300"/>
          <text value="Pneumococcal Vaccine"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103144"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="55022-8"/>
              <display
                       value="Is the resident's Pneumococcal vaccination up to date?"/>
            </code>
            <prefix value="O0300A"/>
            <text value="Is the resident's Pneumococcal vaccination up to date?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103145"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45956-0"/>
              <display
                       value="If Pneumococcal vaccine not received, state reason:"/>
            </code>
            <prefix value="O0300B"/>
            <text value="If Pneumococcal vaccine not received, state reason:"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11091-8"/>
                <display value="Not eligible - medical contraindication"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA186-9"/>
                <display value="Offered and declined"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA187-7"/>
                <display value="Not offered"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="103146"/>
          <prefix value="O0400"/>
          <text value="Therapies"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103147"/>
            <prefix value="O0400A"/>
            <text value="Speech-Language Pathology and Audiology Services"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="103148"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="58218-9"/>
                <display
                         value="Individual minutes - record the total number of minutes this therapy was administered to the resident individually
    in the last 7 days"/>
              </code>
              <prefix value="O0400A1"/>
              <text
                    value="Individual minutes - record the total number of minutes this therapy was administered to the resident individually
    in the last 7 days"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103149"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="58133-0"/>
                <display
                         value="Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident in the last 7 days"/>
              </code>
              <prefix value="O0400A2"/>
              <text
                    value="Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident in the last 7 days"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103150"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="58134-8"/>
                <display
                         value="Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents in the last 7 days"/>
              </code>
              <prefix value="O0400A3"/>
              <text
                    value="Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents in the last 7 days"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103151"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="86765-5"/>
                <display
                         value="Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions in the last 7 days"/>
              </code>
              <prefix value="O0400A3A"/>
              <text
                    value="Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions in the last 7 days"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103152"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="45760-6"/>
                <display
                         value="Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days"/>
              </code>
              <prefix value="O0400A4"/>
              <text
                    value="Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103153"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="55025-1"/>
                <display
                         value="Therapy start date - record the date the most recent therapy regimen (since the most recent entry) started"/>
              </code>
              <prefix value="O0400A5"/>
              <text
                    value="Therapy start date - record the date the most recent therapy regimen (since the most recent entry) started"/>
              <type value="date"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103154"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="55026-9"/>
                <display
                         value="Therapy end date - record the date the most recent therapy regimen (since the most recent entry) ended"/>
              </code>
              <prefix value="O0400A6"/>
              <text
                    value="Therapy end date - record the date the most recent therapy regimen (since the most recent entry) ended"/>
              <type value="date"/>
              <repeats value="false"/>
            </item>
          </item>
          <item>
            <linkId value="103155"/>
            <prefix value="O0400B"/>
            <text value="Occupational Therapy"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="103156"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="58219-7"/>
                <display
                         value="Individual minutes - record the total number of minutes this therapy was administered to the resident individually in the last 7 days"/>
              </code>
              <prefix value="O0400B1"/>
              <text
                    value="Individual minutes - record the total number of minutes this therapy was administered to the resident individually in the last 7 days"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103157"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="58136-3"/>
                <display
                         value="Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident in the last 7 days"/>
              </code>
              <prefix value="O0400B2"/>
              <text
                    value="Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident in the last 7 days"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103158"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="58137-1"/>
                <display
                         value="Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents in the last 7 days"/>
              </code>
              <prefix value="O0400B3"/>
              <text
                    value="Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents in the last 7 days"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103159"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="86764-8"/>
                <display
                         value="Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions in the last 7 days"/>
              </code>
              <prefix value="O0400B3A"/>
              <text
                    value="Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions in the last 7 days"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103160"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="45762-2"/>
                <display
                         value="Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days"/>
              </code>
              <prefix value="O0400B4"/>
              <text
                    value="Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103161"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="55027-7"/>
                <display
                         value="Therapy start date - record the date the most recent therapy regimen (since the most recent entry) started"/>
              </code>
              <prefix value="O0400B5"/>
              <text
                    value="Therapy start date - record the date the most recent therapy regimen (since the most recent entry) started"/>
              <type value="date"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103162"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="55028-5"/>
                <display
                         value="Therapy end date - record the date the most recent therapy regimen (since the most recent entry) ended"/>
              </code>
              <prefix value="O0400B6"/>
              <text
                    value="Therapy end date - record the date the most recent therapy regimen (since the most recent entry) ended"/>
              <type value="date"/>
              <repeats value="false"/>
            </item>
          </item>
          <item>
            <linkId value="103163"/>
            <prefix value="O0400C"/>
            <text value="Physical Therapy"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="103164"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="58220-5"/>
                <display
                         value="Individual minutes - record the total number of minutes this therapy was administered to the resident individually in the last 7 days"/>
              </code>
              <prefix value="O0400C1"/>
              <text
                    value="Individual minutes - record the total number of minutes this therapy was administered to the resident individually in the last 7 days"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103165"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="58139-7"/>
                <display
                         value="Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident in the last 7 days"/>
              </code>
              <prefix value="O0400C2"/>
              <text
                    value="Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident in the last 7 days"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103166"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="58140-5"/>
                <display
                         value="Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents in the last 7 days"/>
              </code>
              <prefix value="O0400C3"/>
              <text
                    value="Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents in the last 7 days"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103167"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="86766-3"/>
                <display
                         value="Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions in the last 7 days"/>
              </code>
              <prefix value="O0400C3A"/>
              <text
                    value="Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions in the last 7 days"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103168"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="45764-8"/>
                <display
                         value="Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days"/>
              </code>
              <prefix value="O0400C4"/>
              <text
                    value="Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103169"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="55029-3"/>
                <display
                         value="Therapy start date - record the date the most recent therapy regimen (since the most recent entry) started"/>
              </code>
              <prefix value="O0400C5"/>
              <text
                    value="Therapy start date - record the date the most recent therapy regimen (since the most recent entry) started"/>
              <type value="date"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103170"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="55030-1"/>
                <display
                         value="Therapy end date - record the date the most recent
    therapy regimen (since the most recent entry) ended"/>
              </code>
              <prefix value="O0400C6"/>
              <text
                    value="Therapy end date - record the date the most recent
    therapy regimen (since the most recent entry) ended"/>
              <type value="date"/>
              <repeats value="false"/>
            </item>
          </item>
          <item>
            <linkId value="103171"/>
            <prefix value="O0400D"/>
            <text value="Respiratory Therapy"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="103172"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="45767-1"/>
                <display
                         value="Total minutes - record the total number of minutes this therapy was administered to the resident in the last 7 days"/>
              </code>
              <prefix value="O0400D1"/>
              <text
                    value="Total minutes - record the total number of minutes this therapy was administered to the resident in the last 7 days"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103173"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="45766-3"/>
                <display
                         value="Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days"/>
              </code>
              <prefix value="O0400D2"/>
              <text
                    value="Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
          </item>
          <item>
            <linkId value="103174"/>
            <prefix value="O0400E"/>
            <text
                  value="Psychological Therapy (by any licensed mental health professional)"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="103175"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="45852-1"/>
                <display
                         value="Total minutes - record the total number of minutes this therapy was administered to the resident in the last 7 days"/>
              </code>
              <prefix value="O0400E1"/>
              <text
                    value="Total minutes - record the total number of minutes this therapy was administered to the resident in the last 7 days"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103176"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="45768-9"/>
                <display
                         value="Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days."/>
              </code>
              <prefix value="O0400E2"/>
              <text
                    value="Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days."/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
          </item>
          <item>
            <linkId value="103177"/>
            <prefix value="O0400F"/>
            <text
                  value="Recreational Therapy (includes recreational and music therapy)"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="103178"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="55035-0"/>
                <display
                         value="Total minutes - record the total number of minutes this therapy was administered to the resident in the last 7 days"/>
              </code>
              <prefix value="O0400F1"/>
              <text
                    value="Total minutes - record the total number of minutes this therapy was administered to the resident in the last 7 days"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103179"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="55036-8"/>
                <display
                         value="Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days"/>
              </code>
              <prefix value="O0400F2"/>
              <text
                    value="Days - record the number of days this therapy was administered for at least 15 minutes a day in the last 7 days"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
          </item>
        </item>
        <item>
          <linkId value="103180"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="86769-7"/>
            <display
                     value="Distinct Calendar Days of Therapy. Record the number of calendar days that the resident received Speech-Language Pathology and Audiology Services, Occupational Therapy, or Physical Therapy for at least 15 minutes in the past 7 days."/>
          </code>
          <prefix value="O0420"/>
          <text
                value="Distinct Calendar Days of Therapy. Record the number of calendar days that the resident received Speech-Language Pathology and Audiology Services, Occupational Therapy, or Physical Therapy for at least 15 minutes in the past 7 days."/>
          <type value="decimal"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="109459"/>
          <prefix value="O0425"/>
          <text value="Part A Therapies"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="109462"/>
            <prefix value="O0425A"/>
            <text value="Speech-Language Pathology and Audiology Services"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="109468"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="90539-8"/>
                <display
                         value="Individual minutes - record the total number of minutes this therapy was administered to the resident individually since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              </code>
              <prefix value="O0425A1"/>
              <text
                    value="Individual minutes - record the total number of minutes this therapy was administered to the resident individually since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="109471"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="90536-4"/>
                <display
                         value="Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              </code>
              <prefix value="O0425A2"/>
              <text
                    value="Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="109469"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="90538-0"/>
                <display
                         value="Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              </code>
              <prefix value="O0425A3"/>
              <text
                    value="Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="109470"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="90537-2"/>
                <display
                         value="Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              </code>
              <prefix value="O0425A4"/>
              <text
                    value="Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="109472"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="90551-3"/>
                <display
                         value="Days - record the number of days this therapy was administered for at least 15 minutes a day since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              </code>
              <prefix value="O0425A5"/>
              <text
                    value="Days - record the number of days this therapy was administered for at least 15 minutes a day since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
          </item>
          <item>
            <linkId value="109461"/>
            <prefix value="O0425B"/>
            <text value="Occupational Therapy"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="109463"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="90531-5"/>
                <display
                         value="Individual minutes - record the total number of minutes this therapy was administered to the resident individually since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              </code>
              <prefix value="O0425B1"/>
              <text
                    value="Individual minutes - record the total number of minutes this therapy was administered to the resident individually since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="109467"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="90527-3"/>
                <display
                         value="Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              </code>
              <prefix value="O0425B2"/>
              <text
                    value="Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="109465"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="90529-9"/>
                <display
                         value="Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              </code>
              <prefix value="O0425B3"/>
              <text
                    value="Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="109466"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="90528-1"/>
                <display
                         value="Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              </code>
              <prefix value="O0425B4"/>
              <text
                    value="Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="109464"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="90530-7"/>
                <display
                         value="Days - record the number of days this therapy was administered for at least 15 minutes a day since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              </code>
              <prefix value="O0425B5"/>
              <text
                    value="Days - record the number of days this therapy was administered for at least 15 minutes a day since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
          </item>
          <item>
            <linkId value="109460"/>
            <prefix value="O0425C"/>
            <text value="Physical Therapy"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="109473"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="90535-6"/>
                <display
                         value="Individual minutes - record the total number of minutes this therapy was administered to the resident individually since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              </code>
              <prefix value="O0425C1"/>
              <text
                    value="Individual minutes - record the total number of minutes this therapy was administered to the resident individually since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="109476"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="90532-3"/>
                <display
                         value="Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              </code>
              <prefix value="O0425C2"/>
              <text
                    value="Concurrent minutes - record the total number of minutes this therapy was administered to the resident concurrently with one other resident since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="109474"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="90534-9"/>
                <display
                         value="Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              </code>
              <prefix value="O0425C3"/>
              <text
                    value="Group minutes - record the total number of minutes this therapy was administered to the resident as part of a group of residents since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="109475"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="90533-1"/>
                <display
                         value="Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              </code>
              <prefix value="O0425C4"/>
              <text
                    value="Co-treatment minutes - record the total number of minutes this therapy was administered to the resident in co-treatment sessions since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="109477"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="90550-5"/>
                <display
                         value="Days - record the number of days this therapy was administered for at least 15 minutes a day since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              </code>
              <prefix value="O0425C5"/>
              <text
                    value="Days - record the number of days this therapy was administered for at least 15 minutes a day since the start date of the resident's most recent Medicare Part A stay (A2400B)"/>
              <type value="decimal"/>
              <repeats value="false"/>
            </item>
          </item>
        </item>
        <item>
          <linkId value="109479"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="90548-9"/>
            <display value="Distinct Calendar Days of Part A Therapy"/>
          </code>
          <prefix value="O0430"/>
          <text value="Distinct Calendar Days of Part A Therapy"/>
          <type value="decimal"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="103184"/>
          <prefix value="O0500"/>
          <text value="Restorative Nursing Programs"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103185"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86774-7"/>
              <display value="Technique. Range of motion (passive)"/>
            </code>
            <prefix value="O0500A"/>
            <text value="Technique. Range of motion (passive)"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103186"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86775-4"/>
              <display value="Technique. Range of motion (active)"/>
            </code>
            <prefix value="O0500B"/>
            <text value="Technique. Range of motion (active)"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103187"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86776-2"/>
              <display value="Technique. Splint or brace assistance"/>
            </code>
            <prefix value="O0500C"/>
            <text value="Technique. Splint or brace assistance"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103188"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86777-0"/>
              <display value="Training and Skill Practice In: Bed mobility"/>
            </code>
            <prefix value="O0500D"/>
            <text value="Training and Skill Practice In: Bed mobility"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103189"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86778-8"/>
              <display value="Training and Skill Practice In: Transfer"/>
            </code>
            <prefix value="O0500E"/>
            <text value="Training and Skill Practice In: Transfer"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103190"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86779-6"/>
              <display value="Training and Skill Practice In: Walking"/>
            </code>
            <prefix value="O0500F"/>
            <text value="Training and Skill Practice In: Walking"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103191"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86780-4"/>
              <display
                       value="Training and Skill Practice In: Dressing and/or grooming"/>
            </code>
            <prefix value="O0500G"/>
            <text
                  value="Training and Skill Practice In: Dressing and/or grooming"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103192"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86781-2"/>
              <display
                       value="Training and Skill Practice In: Eating and/or swallowing"/>
            </code>
            <prefix value="O0500H"/>
            <text
                  value="Training and Skill Practice In: Eating and/or swallowing"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103193"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86782-0"/>
              <display
                       value="Training and Skill Practice In: Amputation/prostheses care"/>
            </code>
            <prefix value="O0500I"/>
            <text
                  value="Training and Skill Practice In: Amputation/prostheses care"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103194"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86783-8"/>
              <display value="Training and Skill Practice In: Communication"/>
            </code>
            <prefix value="O0500J"/>
            <text value="Training and Skill Practice In: Communication"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <linkId value="103195"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="55040-0"/>
            <display
                     value="Physician Examinations. Over the last 14 days, on how many days did the physician (or authorized assistant or practitioner) examine the resident?"/>
          </code>
          <prefix value="O0600"/>
          <text
                value="Physician Examinations. Over the last 14 days, on how many days did the physician (or authorized assistant or practitioner) examine the resident?"/>
          <type value="decimal"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="103196"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="55041-8"/>
            <display
                     value="Physician Orders. Over the last 14 days, on how many days did the physician (or authorized assistant or practitioner) change the resident's orders?"/>
          </code>
          <prefix value="O0700"/>
          <text
                value="Physician Orders. Over the last 14 days, on how many days did the physician (or authorized assistant or practitioner) change the resident's orders?"/>
          <type value="decimal"/>
          <repeats value="false"/>
        </item>
      </item>
      <item>
        <linkId value="103197"/>
        <prefix value="P"/>
        <text value="Restraints and Alarms"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="103198"/>
          <prefix value="P0100"/>
          <text value="Physical Restraints"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103199"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86786-1"/>
              <display value="Used in Bed. Bed rail"/>
            </code>
            <prefix value="P0100A"/>
            <text value="Used in Bed. Bed rail"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA157-0"/>
                <display value="Not used"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA158-8"/>
                <display value="Used less than daily"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA159-6"/>
                <display value="Used daily"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103200"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86787-9"/>
              <display value="Used in Bed. Trunk restraint"/>
            </code>
            <prefix value="P0100B"/>
            <text value="Used in Bed. Trunk restraint"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA157-0"/>
                <display value="Not used"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA158-8"/>
                <display value="Used less than daily"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA159-6"/>
                <display value="Used daily"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103201"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86788-7"/>
              <display value="Used in Bed. Limb restraint"/>
            </code>
            <prefix value="P0100C"/>
            <text value="Used in Bed. Limb restraint"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA157-0"/>
                <display value="Not used"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA158-8"/>
                <display value="Used less than daily"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA159-6"/>
                <display value="Used daily"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103202"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86789-5"/>
              <display value="Used in Bed. Other"/>
            </code>
            <prefix value="P0100D"/>
            <text value="Used in Bed. Other"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA157-0"/>
                <display value="Not used"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA158-8"/>
                <display value="Used less than daily"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA159-6"/>
                <display value="Used daily"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103203"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86790-3"/>
              <display value="Used in Chair or Out of Bed. Trunk restraint"/>
            </code>
            <prefix value="P0100E"/>
            <text value="Used in Chair or Out of Bed. Trunk restraint"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA157-0"/>
                <display value="Not used"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA158-8"/>
                <display value="Used less than daily"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA159-6"/>
                <display value="Used daily"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103204"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86791-1"/>
              <display value="Used in Chair or Out of Bed. Limb restraint"/>
            </code>
            <prefix value="P0100F"/>
            <text value="Used in Chair or Out of Bed. Limb restraint"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA157-0"/>
                <display value="Not used"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA158-8"/>
                <display value="Used less than daily"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA159-6"/>
                <display value="Used daily"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103205"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86792-9"/>
              <display
                       value="Used in Chair or Out of Bed. Chair prevents rising"/>
            </code>
            <prefix value="P0100G"/>
            <text value="Used in Chair or Out of Bed. Chair prevents rising"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA157-0"/>
                <display value="Not used"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA158-8"/>
                <display value="Used less than daily"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA159-6"/>
                <display value="Used daily"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103206"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86793-7"/>
              <display value="Used in Chair or Out of Bed. Other"/>
            </code>
            <prefix value="P0100H"/>
            <text value="Used in Chair or Out of Bed. Other"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA157-0"/>
                <display value="Not used"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA158-8"/>
                <display value="Used less than daily"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA159-6"/>
                <display value="Used daily"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="103207"/>
          <prefix value="P0200"/>
          <text value="Alarms"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103208"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="88310-8"/>
              <display value="Bed alarm"/>
            </code>
            <prefix value="P0200A"/>
            <text value="Bed alarm"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA157-0"/>
                <display value="Not used"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA158-8"/>
                <display value="Used less than daily"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA159-6"/>
                <display value="Used daily"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103209"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="88311-6"/>
              <display value="Chair alarm"/>
            </code>
            <prefix value="P0200B"/>
            <text value="Chair alarm"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA157-0"/>
                <display value="Not used"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA158-8"/>
                <display value="Used less than daily"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA159-6"/>
                <display value="Used daily"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103210"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="88312-4"/>
              <display value="Floor mat alarm"/>
            </code>
            <prefix value="P0200C"/>
            <text value="Floor mat alarm"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA157-0"/>
                <display value="Not used"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA158-8"/>
                <display value="Used less than daily"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA159-6"/>
                <display value="Used daily"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103211"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="88313-2"/>
              <display value="Motion sensor alarm"/>
            </code>
            <prefix value="P0200D"/>
            <text value="Motion sensor alarm"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA157-0"/>
                <display value="Not used"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA158-8"/>
                <display value="Used less than daily"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA159-6"/>
                <display value="Used daily"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103212"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="88314-0"/>
              <display value="Wander/elopement alarm"/>
            </code>
            <prefix value="P0200E"/>
            <text value="Wander/elopement alarm"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA157-0"/>
                <display value="Not used"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA158-8"/>
                <display value="Used less than daily"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA159-6"/>
                <display value="Used daily"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103213"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="88308-2"/>
              <display value="Other alarm"/>
            </code>
            <prefix value="P0200F"/>
            <text value="Other alarm"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA157-0"/>
                <display value="Not used"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA158-8"/>
                <display value="Used less than daily"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA159-6"/>
                <display value="Used daily"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
      </item>
      <item>
        <linkId value="103214"/>
        <prefix value="Q"/>
        <text value="Participation in Assessment and Goal Setting"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="103215"/>
          <prefix value="Q0100"/>
          <text value="Participation in Assessment"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103216"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="55054-1"/>
              <display value="Resident participated in assessment"/>
            </code>
            <prefix value="Q0100A"/>
            <text value="Resident participated in assessment"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103217"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="55074-9"/>
              <display
                       value="Family or significant other participated in assessment"/>
            </code>
            <prefix value="Q0100B"/>
            <text value="Family or significant other participated in assessment"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27973-9"/>
                <display value="Resident has no family or significant other"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103218"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="58221-3"/>
              <display
                       value="Guardian or legally authorized representative participated in assessment"/>
            </code>
            <prefix value="Q0100C"/>
            <text
                  value="Guardian or legally authorized representative participated in assessment"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA27974-7"/>
                <display
                         value="Resident has no guardian or legally authorized representative"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="103219"/>
          <prefix value="Q0300"/>
          <text value="Resident's Overall Expectation"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103220"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="55057-4"/>
              <display
                       value="Select one for resident's overall goal established during assessment process"/>
            </code>
            <prefix value="Q0300A"/>
            <text
                  value="Select one for resident's overall goal established during assessment process"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA30462-8"/>
                <display value="Discharge to the community"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA30463-6"/>
                <display value="Remain in this facility"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA30464-4"/>
                <display value="Discharge to another facility/institution"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11107-2"/>
                <display value="Unknown or uncertain"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103221"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="55058-2"/>
              <display value="Indicate information source for Q0300A"/>
            </code>
            <prefix value="Q0300B"/>
            <text value="Indicate information source for Q0300A"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11019-9"/>
                <display value="Resident"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11116-3"/>
                <display
                         value="If not resident, then family or significant other"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12652-6"/>
                <display
                         value="If not resident, family, or significant other, then guardian or legally authorized representative"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11107-2"/>
                <display value="Unknown or uncertain"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="103222"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="58146-2"/>
            <display
                     value="Discharge Plan. Is active discharge planning already occurring for the resident to return to the community?"/>
          </code>
          <prefix value="Q0400A"/>
          <text
                value="Discharge Plan. Is active discharge planning already occurring for the resident to return to the community?"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103223"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="86795-2"/>
            <display
                     value="Resident's Preference to Avoid Being Asked Question Q0500B"/>
          </code>
          <prefix value="Q0490"/>
          <text
                value="Resident's Preference to Avoid Being Asked Question Q0500B"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103224"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="58149-6"/>
            <display
                     value="Return to Community. Do you want to talk to someone about the possiblity of leaving this facility and returning to live and receive services in the community?"/>
          </code>
          <prefix value="Q0500B"/>
          <text
                value="Return to Community. Do you want to talk to someone about the possiblity of leaving this facility and returning to live and receive services in the community?"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA11107-2"/>
              <display value="Unknown or uncertain"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103225"/>
          <prefix value="Q0550"/>
          <text
                value="Resident's Preference to Avoid Being Asked Question Q0500B Again"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103226"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86797-8"/>
              <display
                       value="Does the resident (or family or significant other or guardian or legally authorized representative if resident is unable to understand or respond) want to be asked about returning to the community on all assessments?"/>
            </code>
            <prefix value="Q0550A"/>
            <text
                  value="Does the resident (or family or significant other or guardian or legally authorized representative if resident is unable to understand or respond) want to be asked about returning to the community on all assessments?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA21297-9"/>
                <display value="Information not available"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103227"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86798-6"/>
              <display value="Indicate information source for Q0550A"/>
            </code>
            <prefix value="Q0550B"/>
            <text value="Indicate information source for Q0550A"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11019-9"/>
                <display value="Resident"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA11116-3"/>
                <display
                         value="If not resident, then family or significant other"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12652-6"/>
                <display
                         value="If not resident, family, or significant other, then guardian or legally authorized representative"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9-3"/>
                <display value="None of the above"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="103228"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="58150-4"/>
            <display
                     value="Referral. Has a referral been made to the Local Contact Agency?"/>
          </code>
          <prefix value="Q0600"/>
          <text
                value="Referral. Has a referral been made to the Local Contact Agency?"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA12660-9"/>
              <display value="No - referral not needed"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA18611-6"/>
              <display value="No - referral is or may be needed"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA18610-8"/>
              <display value="Yes - referral made"/>
            </valueCoding>
          </answerOption>
        </item>
      </item>
      <item>
        <linkId value="103229"/>
        <prefix value="V"/>
        <text value="Care Area Assessment (CAA) Summary"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="103230"/>
          <prefix value="V0100"/>
          <text
                value="Items From the Most Recent Prior OBRA or Scheduled PPS Assessment"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103231"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54583-0"/>
              <display
                       value="Prior Assessment Federal OBRA Reason for Assessment"/>
            </code>
            <prefix value="V0100A"/>
            <text value="Prior Assessment Federal OBRA Reason for Assessment"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10-4"/>
                <display value="Admission assessment (required by day 14)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA15-3"/>
                <display value="Quarterly review assessment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12-0"/>
                <display value="Annual assessment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA13-8"/>
                <display value="Significant change in status assessment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10888-8"/>
                <display
                         value="Significant correction to prior comprehensive assessment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10889-6"/>
                <display
                         value="Significant correction to prior quarterly assessment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9-3"/>
                <display value="None of the above"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103232"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54584-8"/>
              <display value="Prior Assessment PPS Reason for Assessment"/>
            </code>
            <prefix value="V0100B"/>
            <text value="Prior Assessment PPS Reason for Assessment"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10894-6"/>
                <display value="5-day scheduled assessment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA29577-6"/>
                <display value="IPA - Interim Payment Assessment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9-3"/>
                <display value="None of the above"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103233"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54593-9"/>
              <display value="Prior Assessment Reference Date"/>
            </code>
            <prefix value="V0100C"/>
            <text value="Prior Assessment Reference Date"/>
            <type value="date"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103234"/>
            <prefix value="V0100D"/>
            <text
                  value="Prior Assessment Brief Interview for Mental Status (BIMS) Summary Score"/>
            <type value="decimal"/>
          </item>
          <item>
            <linkId value="103235"/>
            <prefix value="V0100E"/>
            <text
                  value="Prior Assessment Resident Mood Interview (PHQ-9©) Total Severity Score"/>
            <type value="decimal"/>
          </item>
          <item>
            <linkId value="103236"/>
            <prefix value="V0100F"/>
            <text
                  value="Prior Assessment Staff Assessment of Resident Mood (PHQ-9-OV) Total Severity Score"/>
            <type value="decimal"/>
          </item>
        </item>
        <item>
          <linkId value="103237"/>
          <prefix value="V0200"/>
          <text value="CAAs and Care Planning"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103238"/>
            <prefix value="V0200A"/>
            <text value="CAA Results"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="103239"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="87212-7"/>
                <display value="Care Area Triggered"/>
              </code>
              <prefix value="V0200A_A"/>
              <text value="Care Area Triggered"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA7426-5"/>
                  <display value="Delirium"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28159-4"/>
                  <display value="Cognitive loss/dementia"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28160-2"/>
                  <display value="Visual function"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28161-0"/>
                  <display value="Communication"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28162-8"/>
                  <display value="ADL functional/rehabilitation potential"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28163-6"/>
                  <display value="Urinary incontinence and indwelling catheter"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28165-1"/>
                  <display value="Psychosocial well-being"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28166-9"/>
                  <display value="Mood state"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28167-7"/>
                  <display value="Behavioral symptoms"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28168-5"/>
                  <display value="Activities"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA17133-2"/>
                  <display value="Falls"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28169-3"/>
                  <display value="Nutritional status"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28170-1"/>
                  <display value="Feeding tube"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28171-9"/>
                  <display value="Dehydration/fluid maintenance"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28172-7"/>
                  <display value="Dental care"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA19028-2"/>
                  <display value="Pressure ulcer"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28173-5"/>
                  <display value="Psychotropic drug use"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28174-3"/>
                  <display value="Physical restraints"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA7460-4"/>
                  <display value="Pain"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28175-0"/>
                  <display value="Return to community referral"/>
                </valueCoding>
              </answerOption>
            </item>
            <item>
              <linkId value="103240"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="87213-5"/>
                <display value="Care Planning Decision"/>
              </code>
              <prefix value="V0200A_B"/>
              <text value="Care Planning Decision"/>
              <type value="choice"/>
              <repeats value="false"/>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA7426-5"/>
                  <display value="Delirium"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28159-4"/>
                  <display value="Cognitive loss/dementia"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28160-2"/>
                  <display value="Visual function"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28161-0"/>
                  <display value="Communication"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28162-8"/>
                  <display value="ADL functional/rehabilitation potential"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28163-6"/>
                  <display value="Urinary incontinence and indwelling catheter"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28165-1"/>
                  <display value="Psychosocial well-being"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28166-9"/>
                  <display value="Mood state"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28167-7"/>
                  <display value="Behavioral symptoms"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28168-5"/>
                  <display value="Activities"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA17133-2"/>
                  <display value="Falls"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28169-3"/>
                  <display value="Nutritional status"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28170-1"/>
                  <display value="Feeding tube"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28171-9"/>
                  <display value="Dehydration/fluid maintenance"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28172-7"/>
                  <display value="Dental care"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA19028-2"/>
                  <display value="Pressure ulcer"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28173-5"/>
                  <display value="Psychotropic drug use"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28174-3"/>
                  <display value="Physical restraints"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA7460-4"/>
                  <display value="Pain"/>
                </valueCoding>
              </answerOption>
              <answerOption>
                <valueCoding>
                  <system value="http://loinc.org"/>
                  <code value="LA28175-0"/>
                  <display value="Return to community referral"/>
                </valueCoding>
              </answerOption>
            </item>
          </item>
        </item>
      </item>
      <item>
        <linkId value="109861"/>
        <prefix value="X"/>
        <text value="Correction Request"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="103242"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="85632-8"/>
            <display value="Type of Provider"/>
          </code>
          <prefix value="X0150"/>
          <text value="Type of Provider"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10882-1"/>
              <display value="Nursing home (SNF/NF)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10883-9"/>
              <display value="Swing bed"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103243"/>
          <prefix value="X0200"/>
          <text value="Name of Resident"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103244"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45392-8"/>
              <display value="Patient First name"/>
            </code>
            <prefix value="X0200A"/>
            <text value="Patient First name"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103245"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="45394-4"/>
              <display value="Patient Last name"/>
            </code>
            <prefix value="X0200C"/>
            <text value="Patient Last name"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <linkId value="103246"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="46098-0"/>
            <display value="Gender"/>
          </code>
          <prefix value="X0300"/>
          <text value="Gender"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA2-8"/>
              <display value="Male"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA3-6"/>
              <display value="Female"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="103247"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="21112-8"/>
            <display value="Birth Date"/>
          </code>
          <prefix value="X0400"/>
          <text value="Birth Date"/>
          <type value="decimal"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="103248"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="45396-9"/>
            <display value="Social Security Number"/>
          </code>
          <prefix value="X0500"/>
          <text value="Social Security Number"/>
          <type value="string"/>
          <repeats value="false"/>
        </item>
        <item>
          <linkId value="110233"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="90522-4"/>
            <display
                     value="Optional State Assessment. Is this assessment for state payment purposes only?"/>
          </code>
          <prefix value="X0570A"/>
          <text
                value="Optional State Assessment. Is this assessment for state payment purposes only?"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA32-8"/>
              <display value="No"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA33-6"/>
              <display value="Yes"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="109825"/>
          <prefix value="X0600"/>
          <text value="Type of Assessment"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103250"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54583-0"/>
              <display value="Federal OBRA Reason for Assessment"/>
            </code>
            <prefix value="X0600A"/>
            <text value="Federal OBRA Reason for Assessment"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10-4"/>
                <display value="Admission assessment (required by day 14)"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA15-3"/>
                <display value="Quarterly review assessment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12-0"/>
                <display value="Annual assessment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA13-8"/>
                <display value="Significant change in status assessment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10888-8"/>
                <display
                         value="Significant correction to prior comprehensive assessment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10889-6"/>
                <display
                         value="Significant correction to prior quarterly assessment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9-3"/>
                <display value="None of the above"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103251"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54584-8"/>
              <display value="PPS Assessment"/>
            </code>
            <prefix value="X0600B"/>
            <text value="PPS Assessment"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA10894-6"/>
                <display value="5-day scheduled assessment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA29577-6"/>
                <display value="IPA - Interim Payment Assessment"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9-3"/>
                <display value="None of the above"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103254"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="58108-2"/>
              <display value="Entry/discharge reporting"/>
            </code>
            <prefix value="X0600F"/>
            <text value="Entry/discharge reporting"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12627-8"/>
                <display value="Entry tracking record"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12628-6"/>
                <display value="Discharge assessment - return not anticipated"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12629-4"/>
                <display value="Discharge assessment - return anticipated"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA12630-2"/>
                <display value="Death in facility tracking record"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA9-3"/>
                <display value="None of the above"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103255"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="86525-3"/>
              <display value="Is this a SNF Part A PPS Discharge Assessment?"/>
            </code>
            <prefix value="X0600H"/>
            <text value="Is this a SNF Part A PPS Discharge Assessment?"/>
            <type value="choice"/>
            <repeats value="false"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA32-8"/>
                <display value="No"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA33-6"/>
                <display value="Yes"/>
              </valueCoding>
            </answerOption>
          </item>
        </item>
        <item>
          <linkId value="103256"/>
          <prefix value="X0700"/>
          <text value="Date on existing record to be modified/inactivated"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103257"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="54593-9"/>
              <display value="Assessment Reference Date"/>
            </code>
            <prefix value="X0700A"/>
            <text value="Assessment Reference Date"/>
            <type value="date"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103258"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="52525-3"/>
              <display value="Discharge Date"/>
            </code>
            <prefix value="X0700B"/>
            <text value="Discharge Date"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103259"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="50786-3"/>
              <display value="Entry Date"/>
            </code>
            <prefix value="X0700C"/>
            <text value="Entry Date"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <linkId value="103260"/>
          <text value="Correction Attestation Section"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103261"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="58200-7"/>
              <display value="Correction Number"/>
            </code>
            <prefix value="X0800"/>
            <text value="Correction Number"/>
            <type value="decimal"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="103262"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="87217-6"/>
              <display value="Reasons for Modification"/>
            </code>
            <prefix value="X0900"/>
            <text value="Reasons for Modification"/>
            <type value="choice"/>
            <repeats value="true"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA7512-2"/>
                <display value="Transcription error"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28176-8"/>
                <display value="Data entry error"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28177-6"/>
                <display value="Software product error"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28178-4"/>
                <display value="Item coding error"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28180-0"/>
                <display value="Other error requiring modification"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103263"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="87225-9"/>
              <display value="Reasons for Inactivation"/>
            </code>
            <prefix value="X1050"/>
            <text value="Reasons for Inactivation"/>
            <type value="choice"/>
            <repeats value="true"/>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28181-8"/>
                <display value="Event did not occur"/>
              </valueCoding>
            </answerOption>
            <answerOption>
              <valueCoding>
                <system value="http://loinc.org"/>
                <code value="LA28183-4"/>
                <display value="Other error requiring inactivation"/>
              </valueCoding>
            </answerOption>
          </item>
          <item>
            <linkId value="103264"/>
            <prefix value="X1100"/>
            <text value="RN Assessment Coordinator Attestation of Completion"/>
            <type value="group"/>
            <required value="true"/>
            <item>
              <linkId value="103265"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="87219-2"/>
                <display value="Attesting individual's first name"/>
              </code>
              <prefix value="X1100A"/>
              <text value="Attesting individual's first name"/>
              <type value="string"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103266"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="87220-0"/>
                <display value="Attesting individual's last name"/>
              </code>
              <prefix value="X1100B"/>
              <text value="Attesting individual's last name"/>
              <type value="string"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103267"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="87221-8"/>
                <display value="Attesting individual's title"/>
              </code>
              <prefix value="X1100C"/>
              <text value="Attesting individual's title"/>
              <type value="string"/>
              <repeats value="false"/>
            </item>
            <item>
              <linkId value="103268"/>
              <code>
                <system value="http://loinc.org"/>
                <code value="87222-6"/>
                <display value="Attestation date"/>
              </code>
              <prefix value="X1100E"/>
              <text value="Attestation date"/>
              <type value="date"/>
              <repeats value="false"/>
            </item>
          </item>
        </item>
      </item>
      <item>
        <linkId value="110082"/>
        <prefix value="Z"/>
        <text value="Assessment Administration"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="110044"/>
          <prefix value="Z0100"/>
          <text value="Medicare Part A Billing"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103271"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="55065-7"/>
              <display value="Medicare Part A HIPPS code"/>
            </code>
            <prefix value="Z0100A"/>
            <text value="Medicare Part A HIPPS code"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="112457"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="55081-4"/>
              <display value="Version code"/>
            </code>
            <prefix value="Z0100B"/>
            <text value="Version code"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <linkId value="112461"/>
          <prefix value="Z0200"/>
          <text value="State Medicaid Billing (if required by the state)"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103278"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="55068-1"/>
              <display value="Case Mix group"/>
            </code>
            <prefix value="Z0200A"/>
            <text value="Case Mix group"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="112458"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="55081-4"/>
              <display value="Version code"/>
            </code>
            <prefix value="Z0200B"/>
            <text value="Version code"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <linkId value="112462"/>
          <prefix value="Z0250"/>
          <text
                value="Alternate State Medicaid Billing (if required by the state)"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103281"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="58212-2"/>
              <display value="Case Mix group"/>
            </code>
            <prefix value="Z0250A"/>
            <text value="Case Mix group"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="112459"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="55081-4"/>
              <display value="Version code"/>
            </code>
            <prefix value="Z0250B"/>
            <text value="Version code"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
        </item>
        <item>
          <linkId value="112463"/>
          <prefix value="Z0300"/>
          <text value="Insurance Billing"/>
          <type value="group"/>
          <required value="true"/>
          <item>
            <linkId value="103284"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="55071-5"/>
              <display value="Billing code"/>
            </code>
            <prefix value="Z0300A"/>
            <text value="Billing code"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
          <item>
            <linkId value="112460"/>
            <code>
              <system value="http://loinc.org"/>
              <code value="55081-4"/>
              <display value="Billing version"/>
            </code>
            <prefix value="Z0300B"/>
            <text value="Billing version"/>
            <type value="string"/>
            <repeats value="false"/>
          </item>
        </item>
      </item>
    </Questionnaire>