46637-5  Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form: -: Pt: ^Patient: -: RFC assessment  

PANEL HIERARCHY  (view this panel in the LForms viewer)

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  46637-5   Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form [RFC]Residual physical functional capacity (RFC) assessment form: -: Pt: ^Patient: -: RFC assessment    
       45965-1   Name SetName SetName: -: Pt: ^Patient: Set:    
            45394-4   Last nameLast nameLast name: Pn: Pt: ^Patient: Nom:    
            45392-8   First nameFirst nameFirst name: Pn: Pt: ^Patient: Nom:    
            45393-6   Middle initialMiddle initialMiddle initial: Pn: Pt: ^Patient: Nom:    
            45395-1   Name suffixName suffixName suffix: Pn: Pt: ^Patient: Nom:    
       45396-9   Social Security number [Identifier]Social Security number [Identifier]Social Security number: ID: Pt: ^Patient: Nom:    
       46638-3   IP CDB claim numberholder [RFC]IP CDB claim numberholder [RFC]IP CDB claim numberholder: ID: Pt: ^Patient: Nom: RFC assessment    
       46639-1   Primary diagnosis [RFC]Primary diagnosis [RFC]Diagnosis.primary: Imp: Pt: ^Patient: Nar: RFC assessment    
       46640-9   Secondary diagnosis [RFC]Secondary diagnosis [RFC]Secondary diagnosis: Imp: Pt: ^Patient: Nar: RFC assessment    
       46641-7   Other alleged impairments [RFC]Other alleged impairments [RFC]Other alleged impairments: Imp: Pt: ^Patient: Nar: RFC assessment    
       46642-5   Limitations section Set [RFC]Limitations section Set [RFC]Limitations section: -: Pt: ^Patient: Set: RFC assessment    
            46643-3   Exertional limitations Set [RFC]Exertional limitations Set [RFC]Exertional limitations: -: Pt: ^Patient: Set: RFC assessment    
                 46644-1   No exertional limitations [RFC]No exertional limitations [RFC]No exertional limitations: Arb: Pt: ^Patient: Ord: RFC assessment    
                 46645-8   Occasionally lift/​carry [RFC]Occasionally lift/​carry [RFC]Occasionally lift &or carry: Find: Pt: ^Patient: Ord: RFC assessment    
                 46646-6   Frequently lift/​carry [RFC]Frequently lift/​carry [RFC]Frequently lift &or carry: Find: Pt: ^Patient: Ord: RFC assessment    
                 46647-4   Stand/​walk [RFC]Stand/​walk [RFC]Stand &or walk: Find: Pt: ^Patient: Ord: RFC assessment    
                 46648-2   Sit [RFC]Sit [RFC]Sit: Find: Pt: ^Patient: Ord: RFC assessment    
                 46649-0   Push/​pull [RFC]Push/​pull [RFC]Push &or pull: Find: Pt: ^Patient: Ord: RFC assessment    
                 46650-8   Exertional limitations [RFC]Exertional limitations [RFC]Exertional limitations: Find: Pt: ^Patient: Nar: RFC assessment    
            46651-6   Postural limitations Set [RFC]Postural limitations Set [RFC]Postural limitations: -: Pt: ^Patient: Set: RFC assessment    
                 46652-4   No postural limitations [RFC]No postural limitations [RFC]No postural limitations: Arb: Pt: ^Patient: Ord: RFC assessment    
                 46653-2   Climbing [RFC]Climbing [RFC]Climbing: Find: Pt: ^Patient: Ord: RFC assessment    
                 46654-0   Balancing [RFC]Balancing [RFC]Balancing: Find: Pt: ^Patient: Ord: RFC assessment    
                 46655-7   Stooping [RFC]Stooping [RFC]Stooping: Find: Pt: ^Patient: Ord: RFC assessment    
                 46656-5   Kneeling [RFC]Kneeling [RFC]Kneeling: Find: Pt: ^Patient: Ord: RFC assessment    
                 46657-3   Crouching [RFC]Crouching [RFC]Crouching: Find: Pt: ^Patient: Ord: RFC assessment    
                 46658-1   Crawling [RFC]Crawling [RFC]Crawling: Find: Pt: ^Patient: Ord: RFC assessment    
                 46659-9   Postural limitations [RFC]Postural limitations [RFC]Postural limitations: Find: Pt: ^Patient: Nar: RFC assessment    
            46660-7   Manipulative limitations Set [RFC]Manipulative limitations Set [RFC]Manipulative limitations: -: Pt: ^Patient: Set: RFC assessment    
                 46661-5   No manipulative limitations [RFC]No manipulative limitations [RFC]No manipulative limitations: Arb: Pt: ^Patient: Ord: RFC assessment    
                 46662-3   Reaching in all directions [RFC]Reaching in all directions [RFC]Reaching in all directions: Find: Pt: ^Patient: Ord: RFC assessment    
                 46663-1   Handling [RFC]Handling [RFC]Handling: Find: Pt: ^Patient: Ord: RFC assessment    
                 46664-9   Fingering [RFC]Fingering [RFC]Fingering: Find: Pt: ^Patient: Ord: RFC assessment    
                 46665-6   Feeling [RFC]Feeling [RFC]Feeling: Find: Pt: ^Patient: Ord: RFC assessment    
                 46666-4   Manipulative limitations [RFC]Manipulative limitations [RFC]Manipulative limitations: Find: Pt: ^Patient: Nar: RFC assessment    
            46667-2   Visual limitations Set [RFC]Visual limitations Set [RFC]Visual limitations: -: Pt: ^Patient: Set: RFC assessment    
                 46668-0   No visual limitations [RFC]No visual limitations [RFC]No visual limitations: Arb: Pt: ^Patient: Ord: RFC assessment    
                 46669-8   Near acuity [RFC]Near acuity [RFC]Near acuity: Find: Pt: ^Patient: Ord: RFC assessment    
                 46670-6   Far acuity [RFC]Far acuity [RFC]Far acuity: Find: Pt: ^Patient: Ord: RFC assessment    
                 46671-4   Depth perception [RFC]Depth perception [RFC]Depth perception: Find: Pt: ^Patient: Ord: RFC assessment    
                 46672-2   Accommodation [RFC]Accommodation [RFC]Accommodation: Find: Pt: ^Patient: Ord: RFC assessment    
                 46673-0   Color vision [RFC]Color vision [RFC]Color vision: Find: Pt: ^Patient: Ord: RFC assessment    
                 46674-8   Field of vision [RFC]Field of vision [RFC]Field of vision: Find: Pt: ^Patient: Ord: RFC assessment    
                 46675-5   Visual limitations [RFC]Visual limitations [RFC]Visual limitations: Find: Pt: ^Patient: Nar: RFC assessment    
            46676-3   Communicative limitation Set [RFC]Communicative limitation Set [RFC]Communicative limitation: -: Pt: ^Patient: Set: RFC assessment    
                 46677-1   No communicative limitations [RFC]No communicative limitations [RFC]No communicative limitations: Arb: Pt: ^Patient: Ord: RFC assessment    
                 46678-9   Hearing [RFC]Hearing [RFC]Hearing: Find: Pt: ^Patient: Ord: RFC assessment    
                 46679-7   Speaking [RFC]Speaking [RFC]Speaking: Find: Pt: ^Patient: Ord: RFC assessment    
                 46680-5   Communicative limitation [RFC]Communicative limitation [RFC]Communicative limitation: Find: Pt: ^Patient: Nar: RFC assessment    
            46681-3   Environmental limitations Set [RFC]Environmental limitations Set [RFC]Environmental limitations: Find: Pt: ^Patient: Set: RFC assessment    
                 46682-1   Extreme cold [RFC]Extreme cold [RFC]Extreme cold: Find: Pt: ^Patient: Ord: RFC assessment    
                 46683-9   Extreme heat [RFC]Extreme heat [RFC]Extreme heat: Find: Pt: ^Patient: Ord: RFC assessment    
                 46684-7   Wetness [RFC]Wetness [RFC]Wetness: Find: Pt: ^Patient: Ord: RFC assessment    
                 46685-4   Humidity [RFC]Humidity [RFC]Humidity: Find: Pt: ^Patient: Ord: RFC assessment    
                 46686-2   Noise [RFC]Noise [RFC]Noise: Find: Pt: ^Patient: Ord: RFC assessment    
                 46687-0   Vibrations [RFC]Vibrations [RFC]Vibrations: Find: Pt: ^Patient: Ord: RFC assessment    
                 46688-8   Fumes, odors, dusts, gases, poor ventilation, etc [RFC]Fumes, odors, dusts, gases, poor ventilation, etc [RFC]Fumes, odors, dusts, gases, poor ventilation, etc: Find: Pt: ^Patient: Ord: RFC assessment    
                 46689-6   Hazards [RFC]Hazards [RFC]Hazards: Find: Pt: ^Patient: Ord: RFC assessment    
                 46690-4   Environmental limitations [RFC]Environmental limitations [RFC]Environmental limitations: Find: Pt: ^Patient: Nar: RFC assessment    
       46691-2   Symptoms [RFC]Symptoms [RFC]Symptoms: Find: Pt: ^Patient: Nar: RFC assessment    
       46692-0   Treatment or examining source statements Set [RFC]Treatment or examining source statements Set [RFC]Treatment or examining source statements: -: Pt: ^Patient: Set: RFC assessment    
            46693-8   Treating or examining source statement regarding claimant's physical capacities in file [RFC]Treating or examining source statement regarding claimant's physical capacities in file [RFC]Treating or examining source statement regarding claimant's physical capacities in file: Arb: Pt: ^Patient: Ord: RFC assessment    
            46694-6   Treating or examining source conclusions about the claimant's limitations or restrictions which are significantly different from your file [RFC]Treating or examining source conclusions about the claimant's limitations or restrictions which are significantly different from your file [RFC]Treating or examining source conclusions about the claimant's limitations or restrictions which are significantly different from your file: Arb: Pt: ^Patient: Nom: RFC assessment    
            46695-3   Why conclusions are not supported by the evidence in file [RFC]Why conclusions are not supported by the evidence in file [RFC]Why conclusions are not supported by the evidence in file: Imp: Pt: ^Patient: Nar: RFC assessment    
            46697-9   Date [RFC]Date [RFC]Date: Date: Pt: ^Patient: Qn: RFC assessment    
       46696-1   Additional comments [RFC]Additional comments [RFC]Additional comments: Imp: Pt: ^Patient: Nar: RFC assessment    
 

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Residual physical functional capacity (RFC) assessment form  Pt  ^Patient  RFC assessment
  Long Common Name:  Residual physical functional capacity (RFC) assessment form [RFC]

TERM DEFINITION/DESCRIPTION(S)
  RFC assessment is a function-by-function assessment based upon all of the relevant evidence of an individual's ability to do work-related activities, based on the following: medical history, medical signs and laboratory findings, the effects of treatment, reports of daily activities, lay evidence, recorded observations, effects of symptoms, evidence from attempts to work, need for structured living arrangement, work evaluations, and medical source statements.
 
 

TYPE OF ENTRY
Question

ORIGINAL FORM
  Description: Original form upon which the LOINC panel is based.
 
 

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.RFC/Survey
  Panel Type: Panel
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Order vs. Obs.: Order
  Status: Active

PARTS

Part Type    Part No.  Part Name   
Component   LP75576-6  Residual physical functional capacity (RFC) assessment form 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 
Fragments for synonyms   LP21059-8  Panel 

RELATED NAMES
  Pan Point in time Survey
  Panel Random Survey.RFC
  Panl Residual Functional Capacity  
  Physical RFC assessment form Residual Functional Capacity Assessment (RFC)  
  Pnl RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:44 PM
  Attachment Units Required: N
  Long Common Name: Residual physical functional capacity (RFC) assessment form [RFC]
  Fully Specified Name: Residual physical functional capacity (RFC) assessment form: -: Pt: ^Patient: -: RFC assessment
     
  Component Word Count: 7
  ID: 40069
  # of Panel Elements: 67
  Status (Raw): ACTIVE



Selected information about each LOINC that is part of this panel



45965-1   Name SetName SetName: -: Pt: ^Patient: Set:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Name  Pt  ^Patient  Set 
  Long Common Name:  Name Set

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.MDS/Survey
  Panel Type: Organizer
  First Released in Version: 2.17
  Last Updated in Version: 2.52
  Order vs. Obs.: Order
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-5

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45963-6 MDS basic assessment tracking form - version 2.0
  45981-8 MDS full assessment form - version 2.0
  46102-0 MDS quarterly assessment form - version 2.0
  46103-8 MDS quarterly assessment form - version 2.0 - optional version for RUG-III
  46104-6 MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  46611-0 Mental residual functional capacity (RFC) assessment form
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  

PARTS

Part Type    Part No.  Part Name   
Component   LP72974-6  Name 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7754-7  Set 
Fragments for synonyms   LP21059-8  Panel 

RELATED NAMES
  Pan Pnl Survey
  Panel Point in time SURVEY.MDS
  Panl Random  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:44 PM
  Attachment Units Required: N
  Long Common Name: Name Set
  Fully Specified Name: Name: -: Pt: ^Patient: Set:
     
  Component Word Count: 1
  ID: 39362
  Status (Raw): ACTIVE


45394-4   Last nameLast nameLast name: Pn: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Last name  Pn  Pt  ^Patient  Nom 
  Long Common Name:  Last name
  Short Name:  Last name

OBSERVATION ID IN FORM
AA1c

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: ADMIN.PATIENT/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.66
  Order vs. Obs.: Both
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-5.1

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45963-6 MDS basic assessment tracking form - version 2.0
  45981-8 MDS full assessment form - version 2.0
  46102-0 MDS quarterly assessment form - version 2.0
  46103-8 MDS quarterly assessment form - version 2.0 - optional version for RUG-III
  46104-6 MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  46611-0 Mental residual functional capacity (RFC) assessment form
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  47245-6 HIV treatment form Document
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  54580-6 Minimum Data Set - version 3.0
  55140-8 Vaccine Adverse Event Reporting System (VAERS) panel
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  62812-3 PhenX domain - Physical activity and physical fitness
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  70297-7 ESRD patient information panel
  76464-7 American Physical Therapy Association registry panel
  79191-3 Patient demographics panel
  80399-9 Occupational exposure information panel
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75019-7  Last name 
Property   LP6844-7  Pn   [Person name] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP200101-6  Last 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  姓氏:人员姓名:时间点:^患者:名义型:姓氏:人员姓名:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Cognome:Pn:Pt:^Paziente:Nom:Cognome:Pn:Pt:^Paziente:Nom:
  Spanish (SPAIN)  (From: Regenstrief-generated full translation based on part translation provided by the Clinical Laboratory Committee of SERVICIO EXTREMEÑO DE SALUD, with the support of BITAC MAP.)
 
  Apellido:Pn:Punto temporal:^paciente:Nom:Apellido:Pn:Punto temporal:^paciente:Nom:
  Turkish (TURKEY)  (From: Regenstrief-generated full translation based on part translation provided by LOINC Turkish Translation Group and the Turkish Ministry of Health)
 
  Soyad:KişiAdı:Zmlı:^Hasta:Snf:Soyad:KişiAdı:Zmlı:^Hasta:Snf:

RELATED NAMES
  ADMIN Past Random
  ADMIN.PATIENT Person name  
  Nominal Point in time  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   5A     1.4 
   CMS IRF-PAI   5A     1.5 
   CMS IRF-PAI   5A     2.0 
   CMS IRF-PAI   5A     3.0 
   CMS LCDS   A0500C     3.00 
   CMS LCDS   A0500C     4.00 
   CMS MDS   A0500C     1.15.1 
   CMS MDS   A0500C     1.17.1 
   CMS MDS   A0500C     1.14.1 
   CMS MDS   A0500C     1.16.1 
   CMS MDS   X0200C     1.16.1 
   CMS MDS   X0200C     1.15.1 
   CMS MDS   X0200C     1.17.1 
   CMS MDS   X0200C     1.14.1 
   CMS OASIS   M0040     C2 
   CMS OASIS   M0040     D 
   https://www.phenxtoolkit.org   PX150801010300   PX150801_Participant_Last_Name   

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:44 PM
  Attachment Units Required: N
  Long Common Name: Last name
  Shortname: Last name
  Fully Specified Name: Last name: Pn: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38743
  Status (Raw): ACTIVE


45392-8   First nameFirst nameFirst name: Pn: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
First name  Pn  Pt  ^Patient  Nom 
  Long Common Name:  First name
  Short Name:  First name

OBSERVATION ID IN FORM
AA1a

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: ADMIN.PATIENT/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.66
  Order vs. Obs.: Both
  Status: Active

HL7 ATTRIBUTES
  HL7 Field ID: PID-5.2

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45963-6 MDS basic assessment tracking form - version 2.0
  45981-8 MDS full assessment form - version 2.0
  46102-0 MDS quarterly assessment form - version 2.0
  46103-8 MDS quarterly assessment form - version 2.0 - optional version for RUG-III
  46104-6 MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  46611-0 Mental residual functional capacity (RFC) assessment form
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  47245-6 HIV treatment form Document
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52747-3 Continuity Assessment Record and Evaluation (CARE) tool - Expired
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  54580-6 Minimum Data Set - version 3.0
  55140-8 Vaccine Adverse Event Reporting System (VAERS) panel
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  62812-3 PhenX domain - Physical activity and physical fitness
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  70297-7 ESRD patient information panel
  76464-7 American Physical Therapy Association registry panel
  79191-3 Patient demographics panel
  80399-9 Occupational exposure information panel
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74855-5  First name 
Property   LP6844-7  Pn   [Person name] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  名字:人员姓名:时间点:^患者:名义型:名字:人员姓名:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Primo nome:Pn:Pt:^Paziente:Nom:Primo nome:Pn:Pt:^Paziente:Nom:
  Spanish (SPAIN)  (From: Regenstrief-generated full translation based on part translation provided by the Clinical Laboratory Committee of SERVICIO EXTREMEÑO DE SALUD, with the support of BITAC MAP.)
 
  Nombre:Pn:Punto temporal:^paciente:Nom:Nombre:Pn:Punto temporal:^paciente:Nom:
  Turkish (TURKEY)  (From: Regenstrief-generated full translation based on part translation provided by LOINC Turkish Translation Group and the Turkish Ministry of Health)
 
  Ad:KişiAdı:Zmlı:^Hasta:Snf:Ad:KişiAdı:Zmlı:^Hasta:Snf:

RELATED NAMES
  ADMIN Nominal Random
  ADMIN.PATIENT Person name  
  Given name Point in time  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   4     1.4 
   CMS IRF-PAI   4     1.5 
   CMS IRF-PAI   4     2.0 
   CMS IRF-PAI   4     3.0 
   CMS LCDS   A0500A     3.00 
   CMS LCDS   A0500A     4.00 
   CMS MDS   A0500A     1.15.1 
   CMS MDS   A0500A     1.17.1 
   CMS MDS   A0500A     1.14.1 
   CMS MDS   A0500A     1.16.1 
   CMS MDS   X0200A     1.16.1 
   CMS MDS   X0200A     1.15.1 
   CMS MDS   X0200A     1.17.1 
   CMS MDS   X0200A     1.14.1 
   CMS OASIS   M0040     C2 
   CMS OASIS   M0040     D 
   https://www.phenxtoolkit.org   PX150801010100   PX150801_Participant_First_Name   

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:44 PM
  Attachment Units Required: N
  Long Common Name: First name
  Shortname: First name
  Fully Specified Name: First name: Pn: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38740
  Status (Raw): ACTIVE


45393-6   Middle initialMiddle initialMiddle initial: Pn: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Middle initial  Pn  Pt  ^Patient  Nom 
  Long Common Name:  Middle initial
  Short Name:  Middle initial

OBSERVATION ID IN FORM
AA1b

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: ADMIN.PATIENT/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.66
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Change PROPERTY from ID to Pn to match convention for other name terms.

HL7 ATTRIBUTES
  HL7 Field ID: PID-5.3

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45963-6 MDS basic assessment tracking form - version 2.0
  45981-8 MDS full assessment form - version 2.0
  46102-0 MDS quarterly assessment form - version 2.0
  46103-8 MDS quarterly assessment form - version 2.0 - optional version for RUG-III
  46104-6 MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  46611-0 Mental residual functional capacity (RFC) assessment form
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  54580-6 Minimum Data Set - version 3.0
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  62812-3 PhenX domain - Physical activity and physical fitness
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  70297-7 ESRD patient information panel
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75126-0  Middle initial 
Property   LP6844-7  Pn   [Person name] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  中间名首字母:人员姓名:时间点:^患者:名义型:中间名首字母:人员姓名:时间点:^患者:名义型:
  Italian (ITALY)  (From: Regenstrief-generated full translation based on part translation provided by Consiglio Nazionale delle Ricerche)
 
  Iniziale secondo nome:Pn:Pt:^Paziente:Nom:Iniziale secondo nome:Pn:Pt:^Paziente:Nom:

RELATED NAMES
  ADMIN Person name  
  ADMIN.PATIENT Point in time  
  Nominal Random  

RELATED CODES
Code System Code Code Text Code Version
   CMS LCDS   A0500B     3.00 
   CMS LCDS   A0500B     4.00 
   CMS MDS   A0500B     1.16.1 
   CMS MDS   A0500B     1.15.1 
   CMS MDS   A0500B     1.14.1 
   CMS MDS   A0500B     1.17.1 
   CMS OASIS   M0040     D 
   CMS OASIS   M0040     C2 
   https://www.phenxtoolkit.org   PX150801010200   PX150801_Participant_Middle_Initial   

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:44 PM
  Attachment Units Required: N
  Long Common Name: Middle initial
  Shortname: Middle initial
  Fully Specified Name: Middle initial: Pn: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38742
  Status (Raw): ACTIVE


45395-1   Name suffixName suffixName suffix: Pn: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Name suffix  Pn  Pt  ^Patient  Nom 
  Long Common Name:  Name suffix
  Short Name:  Name suffix

OBSERVATION ID IN FORM
AA1d

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: ADMIN.PATIENT/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.66
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Changed CLASS to ADMIN.

HL7 ATTRIBUTES
  HL7 Field ID: PID-5.4

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45963-6 MDS basic assessment tracking form - version 2.0
  45981-8 MDS full assessment form - version 2.0
  46102-0 MDS quarterly assessment form - version 2.0
  46103-8 MDS quarterly assessment form - version 2.0 - optional version for RUG-III
  46104-6 MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  46611-0 Mental residual functional capacity (RFC) assessment form
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  54580-6 Minimum Data Set - version 3.0
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  70297-7 ESRD patient information panel
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75158-3  Name suffix 
Property   LP6844-7  Pn   [Person name] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  姓名后缀:人员姓名:时间点:^患者:名义型:姓名后缀:人员姓名:时间点:^患者:名义型:

RELATED NAMES
  ADMIN Person name  
  ADMIN.PATIENT Point in time  
  Nominal Random  

RELATED CODES
Code System Code Code Text Code Version
   CMS LCDS   A0500D     3.00 
   CMS LCDS   A0500D     4.00 
   CMS MDS   A0500D     1.16.1 
   CMS MDS   A0500D     1.15.1 
   CMS MDS   A0500D     1.14.1 
   CMS MDS   A0500D     1.17.1 
   CMS OASIS   M0040     D 
   CMS OASIS   M0040     C2 

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:44 PM
  Attachment Units Required: N
  Long Common Name: Name suffix
  Shortname: Name suffix
  Fully Specified Name: Name suffix: Pn: Pt: ^Patient: Nom:
     
  Component Word Count: 2
  ID: 38744
  Status (Raw): ACTIVE


45396-9   Social Security number [Identifier]Social Security number [Identifier]Social Security number: ID: Pt: ^Patient: Nom:  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Social Security number  ID  Pt  ^Patient  Nom 
  Long Common Name:  Social Security number [Identifier]
  Short Name:  Social Security #

OBSERVATION ID IN FORM
AA5a

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: ADMIN.PATIENT.ID/Clinical
  First Released in Version: 2.17
  Last Updated in Version: 2.66
  Order vs. Obs.: Both
  Status: Active.
Change Reason: Updated Class from SURVEY.MDS to ADMIN; Capitalized Security in Component.

HL7 ATTRIBUTES
  HL7 Field ID: PID-19

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  45963-6 MDS basic assessment tracking form - version 2.0
  46462-8 Outcome and assessment information set (OASIS) form - version B1
  46611-0 Mental residual functional capacity (RFC) assessment form
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  52743-2 Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
  52744-0 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
  52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
  52746-5 Continuity Assessment Record and Evaluation (CARE) tool - Interim
  52748-1 Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
  54580-6 Minimum Data Set - version 3.0
  55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
  57039-0 Outcome and assessment information set (OASIS) form - version C
  57190-1 Outcome and assessment information set (OASIS) form - version C - Start of care
  62812-3 PhenX domain - Physical activity and physical fitness
  67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
  68359-9 End Stage Renal Disease (ESRD) Death Notification - OMB CMS form 2746
  69412-5 Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
  70297-7 ESRD patient information panel
  76464-7 American Physical Therapy Association registry panel
  83265-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
  85645-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
  85662-5 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
  85668-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
  85671-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
  85907-4 Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
  86522-0 MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  86856-2 MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
  86870-3 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment]
  86871-1 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  86872-9 MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  86873-7 MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  86874-5 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA start of therapy (NS/SS) item set [CMS Assessment]
  86875-2 MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed tracking (NT/ST) item set [CMS Assessment]
  86876-0 MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
  86877-8 MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  87414-9 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
  87506-2 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 4.00 [CMS Assessment]
  87507-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 4.00 [CMS Assessment]
  87508-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 4.00 [CMS Assessment]
  87509-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 [CMS Assessment]
  88279-5 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88280-3 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88281-1 MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88282-9 MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88283-7 MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88284-5 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88285-2 MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88286-0 MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88287-8 MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88288-6 MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88292-8 MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  88329-8 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
  88373-6 Outcome and assessment information set (OASIS) form - version D - Start of care [CMS Assessment]
  88945-1 MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
  88946-9 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
  88947-7 MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
  88948-5 MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  88949-3 MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
  88950-1 MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
  88951-9 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment]
  88952-7 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA start of therapy (NS and SS) item set [CMS Assessment]
  88953-5 MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  88954-3 MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  88955-0 MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
  89963-3 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 [CMS Assessment]
  90473-0 MDS v3.0 - RAI v1.17.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
  90474-8 MDS v3.0 - RAI v1.17.1 - Nursing home PPS (NP) item set [CMS Assessment]
  90475-5 MDS v3.0 - RAI v1.17.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
  90476-3 MDS v3.0 - RAI v1.17.1 - Swing bed PPS (SP) item set [CMS Assessment]
  90477-1 MDS v3.0 - RAI v1.17.1 - Nursing home discharge (ND) item set [CMS Assessment]
  90478-9 MDS v3.0 - RAI v1.17.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment]
  90479-7 MDS v3.0 - RAI v1.17.1 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
  90480-5 MDS v3.0 - RAI v1.17.1 - Interim Payment Assessment (IPA) item set [CMS Assessment]
  90481-3 MDS v3.0 - RAI v1.17.1 - Optional State Assessment (OSA) item set [CMS Assessment]
  91552-0 MDS v3.0 - RAI v1.17.1 - Swing bed discharge (SD) item set [CMS Assessment]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75647-5  Social Security number 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Fragments for synonyms   LP31795-5  ID 

LANGUAGE VARIANTS
  Chinese (CHINA)  (From: Regenstrief-generated full translation based on part translation provided by Lin Zhang, A LOINC volunteer from China)
 
  社会安全号码:标识符:时间点:^患者:名义型:社会安全号码:标识符:时间点:^患者:名义型:

RELATED NAMES
  ADMIN Intradermal Random
  ADMIN.PATIENT No Social Security #
  ADMIN.PATIENT.ID Nominal  
  Ident Num  
  Identifier Point in time  

RELATED CODES
Code System Code Code Text Code Version
   CMS IRF-PAI   7     1.4 
   CMS IRF-PAI   7     1.5 
   CMS IRF-PAI   7     2.0 
   CMS IRF-PAI   7     3.0 
   CMS LCDS   A0600A     3.00 
   CMS LCDS   A0600A     4.00 
   CMS MDS   A0600A     1.15.1 
   CMS MDS   A0600A     1.17.1 
   CMS MDS   A0600A     1.14.1 
   CMS MDS   A0600A     1.16.1 
   CMS MDS   X0500     1.16.1 
   CMS MDS   X0500     1.15.1 
   CMS MDS   X0500     1.17.1 
   CMS MDS   X0500     1.14.1 
   CMS OASIS   M0064     C2 
   CMS OASIS   M0064     D 
   https://www.phenxtoolkit.org   PX150701050000   PX150701_SSN   

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:44 PM
  Attachment Units Required: N
  Long Common Name: Social Security number [Identifier]
  Shortname: Social Security #
  Fully Specified Name: Social Security number: ID: Pt: ^Patient: Nom:
     
  Component Word Count: 3
  ID: 38745
  Status (Raw): ACTIVE


46638-3   IP CDB claim numberholder [RFC]IP CDB claim numberholder [RFC]IP CDB claim numberholder: ID: Pt: ^Patient: Nom: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
IP CDB claim numberholder  ID  Pt  ^Patient  Nom  RFC assessment
  Long Common Name:  IP CDB claim numberholder [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74994-2  IP CDB claim numberholder 
Property   LP6818-1  ID   [Identifier] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 
Fragments for synonyms   LP57578-4  CDB 

RELATED NAMES
  Childhood Disability Benefits Nominal RFCA
  Ident Point in time Survey
  Identifier Random Survey.RFC
  IP CDB claim #holder Residual Functional Capacity  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:45 PM
  Attachment Units Required: N
  Long Common Name: IP CDB claim numberholder [RFC]
  Fully Specified Name: IP CDB claim numberholder: ID: Pt: ^Patient: Nom: RFC assessment
     
  Component Word Count: 4
  ID: 40070
  Status (Raw): ACTIVE


46639-1   Primary diagnosis [RFC]Primary diagnosis [RFC]Diagnosis.primary: Imp: Pt: ^Patient: Nar: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Diagnosis.primary  Imp  Pt  ^Patient  Nar  RFC assessment
  Long Common Name:  Primary diagnosis [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Order vs. Obs.: Observation
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74727-6  Diagnosis.primary 
Property   LP6819-9  Imp   [Impression/interpretation of study] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Dx Interpretation RFCA
  Dx.primary Narrative Survey
  Impression Point in time Survey.RFC
  Impression/interpretation of study Random  
  Impressions Report  
  Interp Residual Functional Capacity  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:45 PM
  Attachment Units Required: N
  Long Common Name: Primary diagnosis [RFC]
  Fully Specified Name: Diagnosis.primary: Imp: Pt: ^Patient: Nar: RFC assessment
     
  Component Word Count: 2
  ID: 40071
  Status (Raw): ACTIVE


46640-9   Secondary diagnosis [RFC]Secondary diagnosis [RFC]Secondary diagnosis: Imp: Pt: ^Patient: Nar: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Secondary diagnosis  Imp  Pt  ^Patient  Nar  RFC assessment
  Long Common Name:  Secondary diagnosis [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  Common Lab Results Rank: #686
  Common SI Lab Results Rank: #686
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Order vs. Obs.: Observation
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75594-9  Secondary diagnosis 
Property   LP6819-9  Imp   [Impression/interpretation of study] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Dx Narrative Secondary Dx
  Impression Point in time Survey
  Impression/interpretation of study Random Survey.RFC
  Impressions Report  
  Interp Residual Functional Capacity  
  Interpretation RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:45 PM
  Attachment Units Required: N
  Long Common Name: Secondary diagnosis [RFC]
  Fully Specified Name: Secondary diagnosis: Imp: Pt: ^Patient: Nar: RFC assessment
     
  Component Word Count: 2
  ID: 40072
  Status (Raw): ACTIVE


46641-7   Other alleged impairments [RFC]Other alleged impairments [RFC]Other alleged impairments: Imp: Pt: ^Patient: Nar: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Other alleged impairments  Imp  Pt  ^Patient  Nar  RFC assessment
  Long Common Name:  Other alleged impairments [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Order vs. Obs.: Observation
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75288-8  Other alleged impairments 
Property   LP6819-9  Imp   [Impression/interpretation of study] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 
Fragments for synonyms   LP21049-9  Other 

RELATED NAMES
  Impression Narrative Residual Functional Capacity
  Impression/interpretation of study Othr RFCA
  Impressions Point in time Survey
  Interp Random Survey.RFC
  Interpretation Report  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:45 PM
  Attachment Units Required: N
  Long Common Name: Other alleged impairments [RFC]
  Fully Specified Name: Other alleged impairments: Imp: Pt: ^Patient: Nar: RFC assessment
     
  Component Word Count: 3
  ID: 40073
  Status (Raw): ACTIVE


46642-5   Limitations section Set [RFC]Limitations section Set [RFC]Limitations section: -: Pt: ^Patient: Set: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Limitations section  Pt  ^Patient  Set  RFC assessment
  Long Common Name:  Limitations section Set [RFC]

TERM DEFINITION/DESCRIPTION(S)
  Base your conclusions on all evidence in file (clinical and laboratory findings; symptoms; observations; lay evidence; reports of daily activities; etc.).
Check the blocks which reflect your reasoned judgment.
Describe how the evidence substantiates your conclusions. (Cite specific clinical and laboratory findings, observations, lay evidence, etc.).
Ensure that you have requested:
o Apropriate treating and examining source statements regarding the individual's capacities (DI 22505.OOOff. and DI 22510.OOOff.) and that you have given appropriate weight to treating source conclusions. (See Section III)
o Considered and responded to any alleged limitations imposed by symptoms (pain, fatigue, etc.) attributable, in your judgment, to a medically determinable impairment. Discuss your assessment of symptom-related limitations in the explanation for your conclusions in A - F below. (See also Section II.)
o Responded to all allegations of physical limitations or factors which can cause physical limitations.
Frequently means occurring one-third to two-thirds of an 8-hour workday (cumulative, not continuous). Occasionally means occurring from very little up to one-third of an 8-hour workday (cumulative, not continuous).
 
 

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  Panel Type: Panel
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75031-2  Limitations section 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7754-7  Set 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Point in time RFCA  
  Random Survey  
  Residual Functional Capacity Survey.RFC  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:45 PM
  Attachment Units Required: N
  Long Common Name: Limitations section Set [RFC]
  Fully Specified Name: Limitations section: -: Pt: ^Patient: Set: RFC assessment
     
  Component Word Count: 2
  ID: 40074
  Status (Raw): ACTIVE


46643-3   Exertional limitations Set [RFC]Exertional limitations Set [RFC]Exertional limitations: -: Pt: ^Patient: Set: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Exertional limitations  Pt  ^Patient  Set  RFC assessment
  Long Common Name:  Exertional limitations Set [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  Panel Type: Panel
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74812-6  Exertional limitations 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7754-7  Set 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Point in time RFCA  
  Random Survey  
  Residual Functional Capacity Survey.RFC  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:45 PM
  Attachment Units Required: N
  Long Common Name: Exertional limitations Set [RFC]
  Fully Specified Name: Exertional limitations: -: Pt: ^Patient: Set: RFC assessment
     
  Component Word Count: 2
  ID: 40075
  Status (Raw): ACTIVE


46644-1   No exertional limitations [RFC]No exertional limitations [RFC]No exertional limitations: Arb: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
No exertional limitations  Arb  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  No exertional limitations [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75178-1  No exertional limitations 
Property   LP6781-1  Arb   [Arbitrary] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Arbitrary Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  
  Qual Screen  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:45 PM
  Attachment Units Required: N
  Long Common Name: No exertional limitations [RFC]
  Fully Specified Name: No exertional limitations: Arb: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 3
  ID: 40076
  Status (Raw): ACTIVE


46645-8   Occasionally lift/​carry [RFC]Occasionally lift/​carry [RFC]Occasionally lift &or carry: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Occasionally lift &or carry  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Occasionally lift/carry [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL333-6)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       less than 10 pounds       LA6464-7  
  2       10 pounds       LA6469-6  
  3       20 pounds       LA6465-4  
  4       50 pounds       LA6466-2  
  5       100 pounds or more       LA6467-0  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75262-3  Occasionally lift &or carry   [Occasionally lift/carry] 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:45 PM
  Attachment Units Required: N
  Long Common Name: Occasionally lift/carry [RFC]
  Fully Specified Name: Occasionally lift &or carry: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 4
  ID: 40077
  Status (Raw): ACTIVE


46646-6   Frequently lift/​carry [RFC]Frequently lift/​carry [RFC]Frequently lift &or carry: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Frequently lift &or carry  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Frequently lift/carry [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL334-4)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       less than 10 pounds       LA6464-7  
  2       10 pounds       LA6469-6  
  3       25 pounds       LA6470-4  
  4       50 pounds or more       LA6471-2  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74872-0  Frequently lift &or carry   [Frequently lift/carry] 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:45 PM
  Attachment Units Required: N
  Long Common Name: Frequently lift/carry [RFC]
  Fully Specified Name: Frequently lift &or carry: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 4
  ID: 40078
  Status (Raw): ACTIVE


46647-4   Stand/​walk [RFC]Stand/​walk [RFC]Stand &or walk: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Stand &or walk  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Stand/walk [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL335-1)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Less than 2 hours in an 8-hour workday       LA6472-0  
  2       at least 2 hours in an 8-hour workday       LA6474-6  
  3       about 6 hours in an 8-hour workday       LA6475-3  
  4       medically required hand-held assistive device is necessary for ambulation       LA6476-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75666-5  Stand &or walk   [Stand/walk] 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:45 PM
  Attachment Units Required: N
  Long Common Name: Stand/walk [RFC]
  Fully Specified Name: Stand &or walk: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 3
  ID: 40079
  Status (Raw): ACTIVE


46648-2   Sit [RFC]Sit [RFC]Sit: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Sit  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Sit [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL336-9)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Less than about 6 hours in an 8-hour workday       LA6477-9  
  2       about 6 hours in an 8-hour workday       LA6475-3  
  3       must periodically alternate sitting and standing to relieve pain or discomfort. (If checked, explain in 6.)       LA6479-5  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75624-4  Sit 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:46 PM
  Attachment Units Required: N
  Long Common Name: Sit [RFC]
  Fully Specified Name: Sit: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 1
  ID: 40080
  Status (Raw): ACTIVE


46649-0   Push/​pull [RFC]Push/​pull [RFC]Push &or pull: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Push &or pull  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Push/pull [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL337-7)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Unlimited, other than as shown for lift and/or carry       LA6478-7  
  2       limited in upper extremities (describe nature and degree)       LA6480-3  
  3       limited in lower extremities (describe nature and degree)       LA6481-1  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75480-1  Push &or pull   [Push/pull] 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:46 PM
  Attachment Units Required: N
  Long Common Name: Push/pull [RFC]
  Fully Specified Name: Push &or pull: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 3
  ID: 40082
  Status (Raw): ACTIVE


46650-8   Exertional limitations [RFC]Exertional limitations [RFC]Exertional limitations: Find: Pt: ^Patient: Nar: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Exertional limitations  Find  Pt  ^Patient  Nar  RFC assessment
  Long Common Name:  Exertional limitations [RFC]

TERM DEFINITION/DESCRIPTION(S)
  Explain how and why the evidence supports your conclusions in item 1 through 5. Cite the specific facts upon which
your conclusions are based.
 
 

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74812-6  Exertional limitations 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Random Survey
  Findings Report Survey.RFC
  Narrative Residual Functional Capacity  
  Point in time RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:46 PM
  Attachment Units Required: N
  Long Common Name: Exertional limitations [RFC]
  Fully Specified Name: Exertional limitations: Find: Pt: ^Patient: Nar: RFC assessment
     
  Component Word Count: 2
  ID: 40083
  Status (Raw): ACTIVE


46651-6   Postural limitations Set [RFC]Postural limitations Set [RFC]Postural limitations: -: Pt: ^Patient: Set: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Postural limitations  Pt  ^Patient  Set  RFC assessment
  Long Common Name:  Postural limitations Set [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  Panel Type: Panel
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75402-5  Postural limitations 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7754-7  Set 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Point in time RFCA  
  Random Survey  
  Residual Functional Capacity Survey.RFC  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:46 PM
  Attachment Units Required: N
  Long Common Name: Postural limitations Set [RFC]
  Fully Specified Name: Postural limitations: -: Pt: ^Patient: Set: RFC assessment
     
  Component Word Count: 2
  ID: 40084
  Status (Raw): ACTIVE


46652-4   No postural limitations [RFC]No postural limitations [RFC]No postural limitations: Arb: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
No postural limitations  Arb  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  No postural limitations [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75184-9  No postural limitations 
Property   LP6781-1  Arb   [Arbitrary] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Arbitrary Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  
  Qual Screen  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:46 PM
  Attachment Units Required: N
  Long Common Name: No postural limitations [RFC]
  Fully Specified Name: No postural limitations: Arb: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 3
  ID: 40085
  Status (Raw): ACTIVE


46653-2   Climbing [RFC]Climbing [RFC]Climbing: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Climbing  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Climbing [RFC]

TERM DEFINITION/DESCRIPTION(S)
  ramp/stairs; ladder/rope/scaffolds
 
 

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL338-5)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Frequently       LA6482-9  
  2       Occasionally       LA6483-7  
  3       Never       LA6270-8  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74622-9  Climbing 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:46 PM
  Attachment Units Required: N
  Long Common Name: Climbing [RFC]
  Fully Specified Name: Climbing: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 1
  ID: 40086
  Status (Raw): ACTIVE


46654-0   Balancing [RFC]Balancing [RFC]Balancing: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Balancing  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Balancing [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL338-5)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Frequently       LA6482-9  
  2       Occasionally       LA6483-7  
  3       Never       LA6270-8  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74529-6  Balancing 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:46 PM
  Attachment Units Required: N
  Long Common Name: Balancing [RFC]
  Fully Specified Name: Balancing: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 1
  ID: 40087
  Status (Raw): ACTIVE


46655-7   Stooping [RFC]Stooping [RFC]Stooping: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Stooping  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Stooping [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL338-5)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Frequently       LA6482-9  
  2       Occasionally       LA6483-7  
  3       Never       LA6270-8  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75683-0  Stooping 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:46 PM
  Attachment Units Required: N
  Long Common Name: Stooping [RFC]
  Fully Specified Name: Stooping: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 1
  ID: 40088
  Status (Raw): ACTIVE


46656-5   Kneeling [RFC]Kneeling [RFC]Kneeling: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Kneeling  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Kneeling [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL338-5)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Frequently       LA6482-9  
  2       Occasionally       LA6483-7  
  3       Never       LA6270-8  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75001-5  Kneeling 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:46 PM
  Attachment Units Required: N
  Long Common Name: Kneeling [RFC]
  Fully Specified Name: Kneeling: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 1
  ID: 40090
  Status (Raw): ACTIVE


46657-3   Crouching [RFC]Crouching [RFC]Crouching: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Crouching  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Crouching [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL338-5)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Frequently       LA6482-9  
  2       Occasionally       LA6483-7  
  3       Never       LA6270-8  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74661-7  Crouching 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:47 PM
  Attachment Units Required: N
  Long Common Name: Crouching [RFC]
  Fully Specified Name: Crouching: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 1
  ID: 40091
  Status (Raw): ACTIVE


46658-1   Crawling [RFC]Crawling [RFC]Crawling: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Crawling  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Crawling [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL338-5)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Frequently       LA6482-9  
  2       Occasionally       LA6483-7  
  3       Never       LA6270-8  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74660-9  Crawling 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:47 PM
  Attachment Units Required: N
  Long Common Name: Crawling [RFC]
  Fully Specified Name: Crawling: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 1
  ID: 40092
  Status (Raw): ACTIVE


46659-9   Postural limitations [RFC]Postural limitations [RFC]Postural limitations: Find: Pt: ^Patient: Nar: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Postural limitations  Find  Pt  ^Patient  Nar  RFC assessment
  Long Common Name:  Postural limitations [RFC]

TERM DEFINITION/DESCRIPTION(S)
  When less than two-thirds of the time for frequently or less than one-third for occasionally, fully describe and explain. Also explain how and why the evidence supports your conclusions in items 1 through 6. Cite the specific facts upon which your conclusions are based.
 
 

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75402-5  Postural limitations 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Random Survey
  Findings Report Survey.RFC
  Narrative Residual Functional Capacity  
  Point in time RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:47 PM
  Attachment Units Required: N
  Long Common Name: Postural limitations [RFC]
  Fully Specified Name: Postural limitations: Find: Pt: ^Patient: Nar: RFC assessment
     
  Component Word Count: 2
  ID: 40093
  Status (Raw): ACTIVE


46660-7   Manipulative limitations Set [RFC]Manipulative limitations Set [RFC]Manipulative limitations: -: Pt: ^Patient: Set: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Manipulative limitations  Pt  ^Patient  Set  RFC assessment
  Long Common Name:  Manipulative limitations Set [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  Panel Type: Panel
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75080-9  Manipulative limitations 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7754-7  Set 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Point in time RFCA  
  Random Survey  
  Residual Functional Capacity Survey.RFC  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:47 PM
  Attachment Units Required: N
  Long Common Name: Manipulative limitations Set [RFC]
  Fully Specified Name: Manipulative limitations: -: Pt: ^Patient: Set: RFC assessment
     
  Component Word Count: 2
  ID: 40094
  Status (Raw): ACTIVE


46661-5   No manipulative limitations [RFC]No manipulative limitations [RFC]No manipulative limitations: Arb: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
No manipulative limitations  Arb  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  No manipulative limitations [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75180-7  No manipulative limitations 
Property   LP6781-1  Arb   [Arbitrary] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Arbitrary Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  
  Qual Screen  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:47 PM
  Attachment Units Required: N
  Long Common Name: No manipulative limitations [RFC]
  Fully Specified Name: No manipulative limitations: Arb: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 3
  ID: 40095
  Status (Raw): ACTIVE


46662-3   Reaching in all directions [RFC]Reaching in all directions [RFC]Reaching in all directions: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Reaching in all directions  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Reaching in all directions [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL339-3)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Limited       LA6484-5  
  2       Unlimited       LA6485-2  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75488-4  Reaching in all directions 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:47 PM
  Attachment Units Required: N
  Long Common Name: Reaching in all directions [RFC]
  Fully Specified Name: Reaching in all directions: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 4
  ID: 40096
  Status (Raw): ACTIVE


46663-1   Handling [RFC]Handling [RFC]Handling: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Handling  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Handling [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL339-3)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Limited       LA6484-5  
  2       Unlimited       LA6485-2  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74903-3  Handling 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:47 PM
  Attachment Units Required: N
  Long Common Name: Handling [RFC]
  Fully Specified Name: Handling: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 1
  ID: 40097
  Status (Raw): ACTIVE


46664-9   Fingering [RFC]Fingering [RFC]Fingering: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Fingering  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Fingering [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL339-3)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Limited       LA6484-5  
  2       Unlimited       LA6485-2  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74854-8  Fingering 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:47 PM
  Attachment Units Required: N
  Long Common Name: Fingering [RFC]
  Fully Specified Name: Fingering: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 1
  ID: 40099
  Status (Raw): ACTIVE


46665-6   Feeling [RFC]Feeling [RFC]Feeling: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Feeling  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Feeling [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL339-3)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Limited       LA6484-5  
  2       Unlimited       LA6485-2  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74841-5  Feeling 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:47 PM
  Attachment Units Required: N
  Long Common Name: Feeling [RFC]
  Fully Specified Name: Feeling: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 1
  ID: 40100
  Status (Raw): ACTIVE


46666-4   Manipulative limitations [RFC]Manipulative limitations [RFC]Manipulative limitations: Find: Pt: ^Patient: Nar: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Manipulative limitations  Find  Pt  ^Patient  Nar  RFC assessment
  Long Common Name:  Manipulative limitations [RFC]

TERM DEFINITION/DESCRIPTION(S)
  Describe how the activities checked "limited" are impaired. Also, explain how and why the evidence supports your
conclusions in item 1 through 4. Cite the specific facts upon which your conclusions are based.
 
 

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75080-9  Manipulative limitations 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Random Survey
  Findings Report Survey.RFC
  Narrative Residual Functional Capacity  
  Point in time RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:47 PM
  Attachment Units Required: N
  Long Common Name: Manipulative limitations [RFC]
  Fully Specified Name: Manipulative limitations: Find: Pt: ^Patient: Nar: RFC assessment
     
  Component Word Count: 2
  ID: 40101
  Status (Raw): ACTIVE


46667-2   Visual limitations Set [RFC]Visual limitations Set [RFC]Visual limitations: -: Pt: ^Patient: Set: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Visual limitations  Pt  ^Patient  Set  RFC assessment
  Long Common Name:  Visual limitations Set [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  Panel Type: Panel
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75860-4  Visual limitations 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7754-7  Set 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Point in time RFCA  
  Random Survey  
  Residual Functional Capacity Survey.RFC  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:47 PM
  Attachment Units Required: N
  Long Common Name: Visual limitations Set [RFC]
  Fully Specified Name: Visual limitations: -: Pt: ^Patient: Set: RFC assessment
     
  Component Word Count: 2
  ID: 40102
  Status (Raw): ACTIVE


46668-0   No visual limitations [RFC]No visual limitations [RFC]No visual limitations: Arb: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
No visual limitations  Arb  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  No visual limitations [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75187-2  No visual limitations 
Property   LP6781-1  Arb   [Arbitrary] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Arbitrary Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  
  Qual Screen  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:48 PM
  Attachment Units Required: N
  Long Common Name: No visual limitations [RFC]
  Fully Specified Name: No visual limitations: Arb: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 3
  ID: 40103
  Status (Raw): ACTIVE


46669-8   Near acuity [RFC]Near acuity [RFC]Near acuity: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Near acuity  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Near acuity [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL339-3)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Limited       LA6484-5  
  2       Unlimited       LA6485-2  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75163-3  Near acuity 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:48 PM
  Attachment Units Required: N
  Long Common Name: Near acuity [RFC]
  Fully Specified Name: Near acuity: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 2
  ID: 40104
  Status (Raw): ACTIVE


46670-6   Far acuity [RFC]Far acuity [RFC]Far acuity: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Far acuity  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Far acuity [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL339-3)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Limited       LA6484-5  
  2       Unlimited       LA6485-2  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74830-8  Far acuity 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:48 PM
  Attachment Units Required: N
  Long Common Name: Far acuity [RFC]
  Fully Specified Name: Far acuity: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 2
  ID: 40105
  Status (Raw): ACTIVE


46671-4   Depth perception [RFC]Depth perception [RFC]Depth perception: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Depth perception  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Depth perception [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL339-3)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Limited       LA6484-5  
  2       Unlimited       LA6485-2  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74720-1  Depth perception 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Dpth QL RFCA
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:48 PM
  Attachment Units Required: N
  Long Common Name: Depth perception [RFC]
  Fully Specified Name: Depth perception: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 2
  ID: 40106
  Status (Raw): ACTIVE


46672-2   Accommodation [RFC]Accommodation [RFC]Accommodation: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Accommodation  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Accommodation [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL339-3)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Limited       LA6484-5  
  2       Unlimited       LA6485-2  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74406-7  Accommodation 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:48 PM
  Attachment Units Required: N
  Long Common Name: Accommodation [RFC]
  Fully Specified Name: Accommodation: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 1
  ID: 40108
  Status (Raw): ACTIVE


46673-0   Color vision [RFC]Color vision [RFC]Color vision: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Color vision  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Color vision [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL339-3)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Limited       LA6484-5  
  2       Unlimited       LA6485-2  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74631-0  Color vision 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Appearance QL Screen
  Colour Qual Survey
  Finding Qualitative Survey.RFC
  Findings Random  
  Ordinal Residual Functional Capacity  
  Point in time RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:48 PM
  Attachment Units Required: N
  Long Common Name: Color vision [RFC]
  Fully Specified Name: Color vision: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 2
  ID: 40109
  Status (Raw): ACTIVE


46674-8   Field of vision [RFC]Field of vision [RFC]Field of vision: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Field of vision  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Field of vision [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL339-3)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Limited       LA6484-5  
  2       Unlimited       LA6485-2  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74850-6  Field of vision 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:48 PM
  Attachment Units Required: N
  Long Common Name: Field of vision [RFC]
  Fully Specified Name: Field of vision: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 3
  ID: 40110
  Status (Raw): ACTIVE


46675-5   Visual limitations [RFC]Visual limitations [RFC]Visual limitations: Find: Pt: ^Patient: Nar: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Visual limitations  Find  Pt  ^Patient  Nar  RFC assessment
  Long Common Name:  Visual limitations [RFC]

TERM DEFINITION/DESCRIPTION(S)
  Describe how the faculties checked "limited" are impaired. Also explain how and why the evidence supports your
conclusions in item 1 through 6. Cite the specific facts upon which your conclusions are based.
 
 

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75860-4  Visual limitations 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Random Survey
  Findings Report Survey.RFC
  Narrative Residual Functional Capacity  
  Point in time RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:48 PM
  Attachment Units Required: N
  Long Common Name: Visual limitations [RFC]
  Fully Specified Name: Visual limitations: Find: Pt: ^Patient: Nar: RFC assessment
     
  Component Word Count: 2
  ID: 40111
  Status (Raw): ACTIVE


46676-3   Communicative limitation Set [RFC]Communicative limitation Set [RFC]Communicative limitation: -: Pt: ^Patient: Set: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Communicative limitation  Pt  ^Patient  Set  RFC assessment
  Long Common Name:  Communicative limitation Set [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  Panel Type: Panel
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74640-1  Communicative limitation 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7754-7  Set 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Point in time RFCA  
  Random Survey  
  Residual Functional Capacity Survey.RFC  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:48 PM
  Attachment Units Required: N
  Long Common Name: Communicative limitation Set [RFC]
  Fully Specified Name: Communicative limitation: -: Pt: ^Patient: Set: RFC assessment
     
  Component Word Count: 2
  ID: 40112
  Status (Raw): ACTIVE


46677-1   No communicative limitations [RFC]No communicative limitations [RFC]No communicative limitations: Arb: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
No communicative limitations  Arb  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  No communicative limitations [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75176-5  No communicative limitations 
Property   LP6781-1  Arb   [Arbitrary] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Arbitrary Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  
  Qual Screen  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:48 PM
  Attachment Units Required: N
  Long Common Name: No communicative limitations [RFC]
  Fully Specified Name: No communicative limitations: Arb: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 3
  ID: 40113
  Status (Raw): ACTIVE


46678-9   Hearing [RFC]Hearing [RFC]Hearing: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Hearing  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Hearing [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL339-3)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Limited       LA6484-5  
  2       Unlimited       LA6485-2  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74913-2  Hearing 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:49 PM
  Attachment Units Required: N
  Long Common Name: Hearing [RFC]
  Fully Specified Name: Hearing: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 1
  ID: 40114
  Status (Raw): ACTIVE


46679-7   Speaking [RFC]Speaking [RFC]Speaking: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Speaking  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Speaking [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL339-3)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Limited       LA6484-5  
  2       Unlimited       LA6485-2  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75652-5  Speaking 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:49 PM
  Attachment Units Required: N
  Long Common Name: Speaking [RFC]
  Fully Specified Name: Speaking: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 1
  ID: 40115
  Status (Raw): ACTIVE


46680-5   Communicative limitation [RFC]Communicative limitation [RFC]Communicative limitation: Find: Pt: ^Patient: Nar: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Communicative limitation  Find  Pt  ^Patient  Nar  RFC assessment
  Long Common Name:  Communicative limitation [RFC]

TERM DEFINITION/DESCRIPTION(S)
  Describe how the faculties checked "limited" are impaired. Also, explain how and why the evidence supports your
conclusions in items 1 and 2. Cite the specific facts upon which your conclusions are based.
 
 

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74640-1  Communicative limitation 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Random Survey
  Findings Report Survey.RFC
  Narrative Residual Functional Capacity  
  Point in time RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:49 PM
  Attachment Units Required: N
  Long Common Name: Communicative limitation [RFC]
  Fully Specified Name: Communicative limitation: Find: Pt: ^Patient: Nar: RFC assessment
     
  Component Word Count: 2
  ID: 40117
  Status (Raw): ACTIVE


46681-3   Environmental limitations Set [RFC]Environmental limitations Set [RFC]Environmental limitations: Find: Pt: ^Patient: Set: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Environmental limitations  Find  Pt  ^Patient  Set  RFC assessment
  Long Common Name:  Environmental limitations Set [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  Panel Type: Panel
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74807-6  Environmental limitations 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7754-7  Set 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Random Survey
  Findings Residual Functional Capacity Survey.RFC
  Point in time RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:49 PM
  Attachment Units Required: N
  Long Common Name: Environmental limitations Set [RFC]
  Fully Specified Name: Environmental limitations: Find: Pt: ^Patient: Set: RFC assessment
     
  Component Word Count: 2
  ID: 40118
  Status (Raw): ACTIVE


46682-1   Extreme cold [RFC]Extreme cold [RFC]Extreme cold: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Extreme cold  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Extreme cold [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL340-1)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Unlimited       LA6485-2  
  2       Avoid concentrated exposure       LA6486-0  
  3       Avoid even moderate exposure       LA6487-8  
  4       Avoid all exposure       LA6488-6  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74820-9  Extreme cold 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:49 PM
  Attachment Units Required: N
  Long Common Name: Extreme cold [RFC]
  Fully Specified Name: Extreme cold: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 2
  ID: 40119
  Status (Raw): ACTIVE


46683-9   Extreme heat [RFC]Extreme heat [RFC]Extreme heat: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Extreme heat  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Extreme heat [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL340-1)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Unlimited       LA6485-2  
  2       Avoid concentrated exposure       LA6486-0  
  3       Avoid even moderate exposure       LA6487-8  
  4       Avoid all exposure       LA6488-6  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74821-7  Extreme heat 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:49 PM
  Attachment Units Required: N
  Long Common Name: Extreme heat [RFC]
  Fully Specified Name: Extreme heat: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 2
  ID: 40120
  Status (Raw): ACTIVE


46684-7   Wetness [RFC]Wetness [RFC]Wetness: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Wetness  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Wetness [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL340-1)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Unlimited       LA6485-2  
  2       Avoid concentrated exposure       LA6486-0  
  3       Avoid even moderate exposure       LA6487-8  
  4       Avoid all exposure       LA6488-6  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75888-5  Wetness 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:49 PM
  Attachment Units Required: N
  Long Common Name: Wetness [RFC]
  Fully Specified Name: Wetness: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 1
  ID: 40121
  Status (Raw): ACTIVE


46685-4   Humidity [RFC]Humidity [RFC]Humidity: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Humidity  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Humidity [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL340-1)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Unlimited       LA6485-2  
  2       Avoid concentrated exposure       LA6486-0  
  3       Avoid even moderate exposure       LA6487-8  
  4       Avoid all exposure       LA6488-6  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74940-5  Humidity 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:49 PM
  Attachment Units Required: N
  Long Common Name: Humidity [RFC]
  Fully Specified Name: Humidity: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 1
  ID: 40122
  Status (Raw): ACTIVE


46686-2   Noise [RFC]Noise [RFC]Noise: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Noise  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Noise [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL340-1)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Unlimited       LA6485-2  
  2       Avoid concentrated exposure       LA6486-0  
  3       Avoid even moderate exposure       LA6487-8  
  4       Avoid all exposure       LA6488-6  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75188-0  Noise 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:49 PM
  Attachment Units Required: N
  Long Common Name: Noise [RFC]
  Fully Specified Name: Noise: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 1
  ID: 40123
  Status (Raw): ACTIVE


46687-0   Vibrations [RFC]Vibrations [RFC]Vibrations: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Vibrations  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Vibrations [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL340-1)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Unlimited       LA6485-2  
  2       Avoid concentrated exposure       LA6486-0  
  3       Avoid even moderate exposure       LA6487-8  
  4       Avoid all exposure       LA6488-6  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75852-1  Vibrations 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:49 PM
  Attachment Units Required: N
  Long Common Name: Vibrations [RFC]
  Fully Specified Name: Vibrations: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 1
  ID: 40124
  Status (Raw): ACTIVE


46688-8   Fumes, odors, dusts, gases, poor ventilation, etc [RFC]Fumes, odors, dusts, gases, poor ventilation, etc [RFC]Fumes, odors, dusts, gases, poor ventilation, etc: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Fumes, odors, dusts, gases, poor ventilation, etc  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Fumes, odors, dusts, gases, poor ventilation, etc [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL340-1)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Unlimited       LA6485-2  
  2       Avoid concentrated exposure       LA6486-0  
  3       Avoid even moderate exposure       LA6487-8  
  4       Avoid all exposure       LA6488-6  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74874-6  Fumes, odors, dusts, gases, poor ventilation, etc 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:49 PM
  Attachment Units Required: N
  Long Common Name: Fumes, odors, dusts, gases, poor ventilation, etc [RFC]
  Fully Specified Name: Fumes, odors, dusts, gases, poor ventilation, etc: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 7
  ID: 40125
  Status (Raw): ACTIVE


46689-6   Hazards [RFC]Hazards [RFC]Hazards: Find: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Hazards  Find  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Hazards [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL340-1)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Unlimited       LA6485-2  
  2       Avoid concentrated exposure       LA6486-0  
  3       Avoid even moderate exposure       LA6487-8  
  4       Avoid all exposure       LA6488-6  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74907-4  Hazards 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Qual Screen
  Findings Qualitative Survey
  Ordinal Random Survey.RFC
  Point in time Residual Functional Capacity  
  QL RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:50 PM
  Attachment Units Required: N
  Long Common Name: Hazards [RFC]
  Fully Specified Name: Hazards: Find: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 1
  ID: 40126
  Status (Raw): ACTIVE


46690-4   Environmental limitations [RFC]Environmental limitations [RFC]Environmental limitations: Find: Pt: ^Patient: Nar: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Environmental limitations  Find  Pt  ^Patient  Nar  RFC assessment
  Long Common Name:  Environmental limitations [RFC]

TERM DEFINITION/DESCRIPTION(S)
  Describe how these environmental factors impair activities and identify hazards to be avoided. Also, explain how
and why the evidence supports your conclusions in items 1 through 8. Cite the specific facts upon which your
conclusions are based.
 
 

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74807-6  Environmental limitations 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Random Survey
  Findings Report Survey.RFC
  Narrative Residual Functional Capacity  
  Point in time RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:50 PM
  Attachment Units Required: N
  Long Common Name: Environmental limitations [RFC]
  Fully Specified Name: Environmental limitations: Find: Pt: ^Patient: Nar: RFC assessment
     
  Component Word Count: 2
  ID: 40127
  Status (Raw): ACTIVE


46691-2   Symptoms [RFC]Symptoms [RFC]Symptoms: Find: Pt: ^Patient: Nar: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Symptoms  Find  Pt  ^Patient  Nar  RFC assessment
  Long Common Name:  Symptoms [RFC]

TERM DEFINITION/DESCRIPTION(S)
  For symptoms alleged by the claimant to produce physical limitations, and for which the following have not previously been addressed in section I, discuss whether:
A. The symptom(s) is attributable, in your judgment, to a medically determinable impairment.
B. The severity or duration of the symptom(s), in your judgment, is disproportionate to the expected severity or expected
duration on the basis of the claimant's medically determinable impairment(s).
C. The severity of the symptom(s) and its alleged effect on function is consistent, in your judgment, with the total medical
and nonmedical evidence, including statements by the claimant and others, observations regarding activities of daily
living, and alterations of usual behavior or habits
 
 

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75708-5  Symptoms 
Property   LP6813-2  Find   [Finding] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Finding Random Survey
  Findings Report Survey.RFC
  Narrative Residual Functional Capacity Sx
  Point in time RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:50 PM
  Attachment Units Required: N
  Long Common Name: Symptoms [RFC]
  Fully Specified Name: Symptoms: Find: Pt: ^Patient: Nar: RFC assessment
     
  Component Word Count: 1
  ID: 40128
  Status (Raw): ACTIVE


46692-0   Treatment or examining source statements Set [RFC]Treatment or examining source statements Set [RFC]Treatment or examining source statements: -: Pt: ^Patient: Set: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Treatment or examining source statements  Pt  ^Patient  Set  RFC assessment
  Long Common Name:  Treatment or examining source statements Set [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  Panel Type: Panel
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75790-3  Treatment or examining source statements 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7754-7  Set 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP100632-1  Treatment 
Fragments for synonyms   LP21212-3  Source 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Point in time RFCA Survey.RFC
  Random Srce Tx
  Residual Functional Capacity Survey Tx or examining source statements

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:50 PM
  Attachment Units Required: N
  Long Common Name: Treatment or examining source statements Set [RFC]
  Fully Specified Name: Treatment or examining source statements: -: Pt: ^Patient: Set: RFC assessment
     
  Component Word Count: 5
  ID: 40129
  Status (Raw): ACTIVE


46693-8   Treating or examining source statement regarding claimant's physical capacities in file [RFC]Treating or examining source statement regarding claimant's physical capacities in file [RFC]Treating or examining source statement regarding claimant's physical capacities in file: Arb: Pt: ^Patient: Ord: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Treating or examining source statement regarding claimant's physical capacities in file  Arb  Pt  ^Patient  Ord  RFC assessment
  Long Common Name:  Treating or examining source statement regarding claimant's physical capacities in file [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL342-7)  
 
Source: 
  SEQ#        Answer        Answer ID    
  1       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  LA33-6  
  2       No (Includes situations in which there was no source or when the source(s) did not provide a statement regarding the claimant's physical capacities.)       LA6489-4  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75789-5  Treating or examining source statement regarding claimant's physical capacities in file 
Property   LP6781-1  Arb   [Arbitrary] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP21212-3  Source 
Fragments for synonyms   LP75926-3  S' 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Arbitrary Qualitative Screen
  Ordinal Random Srce
  Point in time Residual Functional Capacity Survey
  QL RFCA Survey.RFC
  Qual S prime  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:50 PM
  Attachment Units Required: N
  Long Common Name: Treating or examining source statement regarding claimant's physical capacities in file [RFC]
  Fully Specified Name: Treating or examining source statement regarding claimant's physical capacities in file: Arb: Pt: ^Patient: Ord: RFC assessment
     
  Component Word Count: 12
  ID: 40130
  Status (Raw): ACTIVE


46694-6   Treating or examining source conclusions about the claimant's limitations or restrictions which are significantly different from your file [RFC]Treating or examining source conclusions about the claimant's limitations or restrictions which are significantly different from your file [RFC]Treating or examining source conclusions about the claimant's limitations or restrictions which are significantly different from your file: Arb: Pt: ^Patient: Nom: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Treating or examining source conclusions about the claimant's limitations or restrictions which are significantly different from your file  Arb  Pt  ^Patient  Nom  RFC assessment
  Long Common Name:  Treating or examining source conclusions about the claimant's limitations or restrictions which are significantly different from your file [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Status: Active

NORMATIVE ANSWER LIST    (LL361-7)  
 
Source: Regenstrief Institute
  SEQ#        Answer        Answer ID    
  1       Yes
http://snomed.info/sct ©: 373066001 Yes (qualifier value)    
  LA33-6  
  2       No
http://snomed.info/sct ©: 373067005 No (qualifier value)    
  LA32-8  

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75788-7  Treating or examining source conclusions about the claimant's limitations or restrictions which are significantly different from your file 
Property   LP6781-1  Arb   [Arbitrary] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7750-5  Nom 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP21212-3  Source 
Fragments for synonyms   LP75926-3  S' 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Arbitrary Residual Functional Capacity Survey
  Nominal RFCA Survey.RFC
  Point in time S prime  
  Random Srce  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:50 PM
  Attachment Units Required: N
  Long Common Name: Treating or examining source conclusions about the claimant's limitations or restrictions which are significantly different from your file [RFC]
  Fully Specified Name: Treating or examining source conclusions about the claimant's limitations or restrictions which are significantly different from your file: Arb: Pt: ^Patient: Nom: RFC assessment
     
  Component Word Count: 19
  ID: 40131
  Status (Raw): ACTIVE


46695-3   Why conclusions are not supported by the evidence in file [RFC]Why conclusions are not supported by the evidence in file [RFC]Why conclusions are not supported by the evidence in file: Imp: Pt: ^Patient: Nar: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Why conclusions are not supported by the evidence in file  Imp  Pt  ^Patient  Nar  RFC assessment
  Long Common Name:  Why conclusions are not supported by the evidence in file [RFC]

TERM DEFINITION/DESCRIPTION(S)
  (Cite the source's name and the
statement date.)
 
 

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Order vs. Obs.: Observation
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP75902-4  Why conclusions are not supported by the evidence in file 
Property   LP6819-9  Imp   [Impression/interpretation of study] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Impression Narrative RFCA
  Impression/interpretation of study Point in time Survey
  Impressions Random Survey.RFC
  Interp Report  
  Interpretation Residual Functional Capacity  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:50 PM
  Attachment Units Required: N
  Long Common Name: Why conclusions are not supported by the evidence in file [RFC]
  Fully Specified Name: Why conclusions are not supported by the evidence in file: Imp: Pt: ^Patient: Nar: RFC assessment
     
  Component Word Count: 10
  ID: 40132
  Status (Raw): ACTIVE


46697-9   Date [RFC]Date [RFC]Date: Date: Pt: ^Patient: Qn: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Date  Date  Pt  ^Patient  Qn  RFC assessment
  Long Common Name:  Date [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.50
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74693-0  Date 
Property   LP182451-7  Date 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Point in time Quantitative Survey
  QNT Random Survey.RFC
  Quan Residual Functional Capacity  
  Quant RFCA  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:50 PM
  Attachment Units Required: N
  Long Common Name: Date [RFC]
  Fully Specified Name: Date: Date: Pt: ^Patient: Qn: RFC assessment
     
  Component Word Count: 1
  ID: 40134
  Status (Raw): ACTIVE


46696-1   Additional comments [RFC]Additional comments [RFC]Additional comments: Imp: Pt: ^Patient: Nar: RFC assessment  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
Additional comments  Imp  Pt  ^Patient  Nar  RFC assessment
  Long Common Name:  Additional comments [RFC]

TYPE OF ENTRY
Question

BASIC ATTRIBUTES
  Class/Type: SURVEY.RFC/Survey
  First Released in Version: 2.19
  Last Updated in Version: 2.44
  Order vs. Obs.: Observation
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  46637-5 Residual physical functional capacity (RFC) assessment form [RFC]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP74431-5  Additional comments 
Property   LP6819-9  Imp   [Impression/interpretation of study] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7749-7  Nar 
Method   LP40486-0  RFC assessment 
Fragments for synonyms   LP35025-3  Additional 
Fragments for synonyms   LP57617-0  RFC 

RELATED NAMES
  Add Interpretation RFCA
  Addl comments Narrative Survey
  Impression Point in time Survey.RFC
  Impression/interpretation of study Random  
  Impressions Report  
  Interp Residual Functional Capacity  

CHANGE HISTORY
  Change Type: MIN

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 5:26:50 PM
  Attachment Units Required: N
  Long Common Name: Additional comments [RFC]
  Fully Specified Name: Additional comments: Imp: Pt: ^Patient: Nar: RFC assessment
     
  Component Word Count: 2
  ID: 40133
  Status (Raw): ACTIVE

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