| 83184-2 | Feeding or eating ability | |
| 83185-9 | Transferring ability | |
| 96767-9 | Grooming ability | |
| 83183-4 | Toileting ability | |
| 83181-8 | Bathing ability | |
| 83186-7 | Ambulation ability | |
| 96758-8 | Stairs ability | |
| 83182-6 | Dressing ability | |
| 96759-6 | Bowel control ability | |
| 96760-4 | Bladder control ability | |
| 96761-2 | Total score Barthel Index | |
| 96762-0 | Barthel index | |