Functional ADL Section GG

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Trace DC88-10

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1. Purpose and clinical relevance

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9. Weak vs. strong documentation

Weak — does not survive

Why it fails

Strong — defensible

“ADLs done. Total care.”

No item-level usual performance, no assist type/amount — Section GG and the function score unsupported.

The GG-capture model note in §3: item-level usual performance across shifts with assist level and device, and the GG0130/GG0170 linkage.

“Transfers with assist.”

Ambiguous — supervision? partial? maximal? — not codable.

“Chair-to-bed transfers with a walker and supervision, consistent across shifts (coded supervision).”

Best-episode captured

Coding the most-independent moment overstates function.

Capture usual (typical) performance across the window from all shifts/disciplines.

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