45965-1 Name Set

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Name

Property

-

Time

Pt

System

^Patient

Scale

Set

Method

Basic Attributes

Class

PANEL.SURVEY.MDS

Type

Surveys

First Released

Version 2.17

Last Updated

Version 2.73

Order vs. Observation

Order

Panel Type

Organizer

HL7^® Attributes

HL7^® Field ID

PID-5

Member of these Panels

Related Names

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

45394-4 Patient Last (Family) name

Observation ID in Form

AA1c

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Last name

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Patient Last name

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.70

Change Reason

Release 2.70: LONG_COMMON_NAME: Added "Patient" to distinguish from the general "Last name" term that does not distinguish between various subjects (patient, provider, contact, etc.).; SHORTNAME: Added "Patient" to distinguish from the general "Last name" term that does not distinguish between various subjects (patient, provider, contact, etc.).;

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-5.1

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• Nominal
• Past
• Person name
• Point in time
• Random

Related Codes

45392-8 Patient First (Given) name

Observation ID in Form

AA1a

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

First name

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Patient First name

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.70

Change Reason

Release 2.70: LONG_COMMON_NAME: Added "Patient" to distinguish from the general "First name" term that does not distinguish between various subjects (patient, provider, contact, etc.).; SHORTNAME: Added "Patient" to distinguish from the general "First name" term that does not distinguish between various subjects (patient, provider, contact, etc.).;

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-5.2

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• Given name
• Nominal
• Person name
• Point in time
• Random

Related Codes

45393-6 Middle initial

Observation ID in Form

AA1b

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Middle initial

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Middle initial

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.66

Change Reason

Change PROPERTY from ID to Pn to match convention for other name terms

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-5.3

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• Nominal
• Person name
• Point in time
• Random

Related Codes

45395-1 Patient Name suffix

Observation ID in Form

AA1d

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Name suffix

Property

Pn

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Patient Name suffix

Basic Attributes

Class

ADMIN.PATIENT

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.70

Change Reason

Release 2.70: SHORTNAME: Added "Patient" to distinguish from the general "Name suffix" term that does not distinguish between various subjects (patient, provider, contact, etc.).; LONG_COMMON_NAME: Added "Patient" to distinguish from the general "Name suffix" term that does not distinguish between various subjects (patient, provider, contact, etc.).; Previous Releases: Changed CLASS to ADMIN

Order vs. Observation

Both

HL7^® Attributes

HL7^® Field ID

PID-5.4

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• ADMIN.PATIENT
• Nominal
• Person name
• Point in time
• Random

Related Codes

45396-9 Social Security number [Identifier]

Observation ID in Form

AA5a

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Social Security number

Property

ID

Time

Pt

System

^Patient

Scale

Nom

Method

Additional Names

Short Name

Social Security #

Basic Attributes

Class

ADMIN.PATIENT.ID

Type

Clinical

First Released

Version 2.17

Last Updated

Version 2.73

Change Reason

Updated Class from SURVEY.MDS to ADMIN; Capitalized Security in Component

Order vs. Observation

Both

Common Test Rank Get Info

6170

HL7^® Attributes

HL7^® Field ID

PID-19

Member of these Panels

Language Variants Get Info

Related Names

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

Related Codes

46638-3 IP CDB claim numberholder [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

IP CDB claim numberholder

Property

ID

Time

Pt

System

^Patient

Scale

Nom

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Member of these Panels

Related Names

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

46639-1 Primary diagnosis [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Diagnosis.primary

Property

Imp

Time

Pt

System

^Patient

Scale

Nar

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Order vs. Observation

Observation

Member of these Panels

Related Names

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

46640-9 Secondary diagnosis [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Secondary diagnosis

Property

Imp

Time

Pt

System

^Patient

Scale

Nar

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.73

Order vs. Observation

Observation

Common Test Rank Get Info

5480

Member of these Panels

Related Names

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

46641-7 Other alleged impairments [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Other alleged impairments

Property

Imp

Time

Pt

System

^Patient

Scale

Nar

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Order vs. Observation

Observation

Member of these Panels

Related Names

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

46642-5 Limitations section Set [RFC]

Term Description

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).
Source: Regenstrief LOINC

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Limitations section

Property

-

Time

Pt

System

^Patient

Scale

Set

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Panel Type

Panel

Member of these Panels

Related Names

• Point in time
• Random
• Residual Functional Capacity
• RFCA
• Survey
• Survey.RFC

46643-3 Exertional limitations Set [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Exertional limitations

Property

-

Time

Pt

System

^Patient

Scale

Set

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Panel Type

Panel

Member of these Panels

Related Names

• Point in time
• Random
• Residual Functional Capacity
• RFCA
• Survey
• Survey.RFC

46644-1 No exertional limitations [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

No exertional limitations

Property

Arb

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Member of these Panels

Related Names

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

46645-8 Occasionally lift/carry [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Occasionally lift &or carry

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL333-6

Member of these Panels

Related Names

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

46646-6 Frequently lift/carry [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Frequently lift &or carry

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL334-4

Member of these Panels

Related Names

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

46647-4 Stand/walk [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Stand &or walk

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL335-1

Member of these Panels

Related Names

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

46648-2 Sit [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Sit

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL336-9

Member of these Panels

Related Names

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

46649-0 Push/pull [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Push &or pull

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL337-7

Member of these Panels

Related Names

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

46650-8 Exertional limitations [RFC]

Term Description

Explain how and why the evidence supports your conclusions in item 1 through 5. Cite the specific facts upon which
your conclusions are based.
Source: Regenstrief LOINC

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Exertional limitations

Property

Find

Time

Pt

System

^Patient

Scale

Nar

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Member of these Panels

Related Names

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

46651-6 Postural limitations Set [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Postural limitations

Property

-

Time

Pt

System

^Patient

Scale

Set

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Panel Type

Panel

Member of these Panels

Related Names

• Point in time
• Random
• Residual Functional Capacity
• RFCA
• Survey
• Survey.RFC

46652-4 No postural limitations [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

No postural limitations

Property

Arb

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Member of these Panels

Related Names

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

46653-2 Climbing [RFC]

Term Description

ramp/stairs; ladder/rope/scaffolds
Source: Regenstrief LOINC

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Climbing

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL338-5

Member of these Panels

Related Names

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

46654-0 Balancing [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Balancing

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL338-5

Member of these Panels

Related Names

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

46655-7 Stooping [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Stooping

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL338-5

Member of these Panels

Related Names

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

46656-5 Kneeling [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Kneeling

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL338-5

Member of these Panels

Related Names

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

46657-3 Crouching [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Crouching

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL338-5

Member of these Panels

Related Names

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

46658-1 Crawling [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Crawling

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL338-5

Member of these Panels

Related Names

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

46659-9 Postural limitations [RFC]

Term Description

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.
Source: Regenstrief LOINC

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Postural limitations

Property

Find

Time

Pt

System

^Patient

Scale

Nar

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Member of these Panels

Related Names

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

46660-7 Manipulative limitations Set [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Manipulative limitations

Property

-

Time

Pt

System

^Patient

Scale

Set

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Panel Type

Panel

Member of these Panels

Related Names

• Point in time
• Random
• Residual Functional Capacity
• RFCA
• Survey
• Survey.RFC

46661-5 No manipulative limitations [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

No manipulative limitations

Property

Arb

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Member of these Panels

Related Names

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

46662-3 Reaching in all directions [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Reaching in all directions

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL339-3

Member of these Panels

Related Names

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

46663-1 Handling [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Handling

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL339-3

Member of these Panels

Related Names

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

46664-9 Fingering [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Fingering

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL339-3

Member of these Panels

Related Names

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

46665-6 Feeling [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Feeling

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL339-3

Member of these Panels

Related Names

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

46666-4 Manipulative limitations [RFC]

Term Description

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.
Source: Regenstrief LOINC

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Manipulative limitations

Property

Find

Time

Pt

System

^Patient

Scale

Nar

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Member of these Panels

Related Names

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

46667-2 Visual limitations Set [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Visual limitations

Property

-

Time

Pt

System

^Patient

Scale

Set

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Panel Type

Panel

Member of these Panels

Related Names

• Point in time
• Random
• Residual Functional Capacity
• RFCA
• Survey
• Survey.RFC

46668-0 No visual limitations [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

No visual limitations

Property

Arb

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Member of these Panels

Related Names

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

46669-8 Near acuity [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Near acuity

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL339-3

Member of these Panels

Related Names

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

46670-6 Far acuity [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Far acuity

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL339-3

Member of these Panels

Related Names

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

46671-4 Depth perception [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Depth perception

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL339-3

Member of these Panels

Related Names

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

46672-2 Accommodation [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Accommodation

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL339-3

Member of these Panels

Related Names

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

46673-0 Color vision [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Color vision

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL339-3

Member of these Panels

Related Names

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

46674-8 Field of vision [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Field of vision

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL339-3

Member of these Panels

Related Names

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

46675-5 Visual limitations [RFC]

Term Description

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.
Source: Regenstrief LOINC

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Visual limitations

Property

Find

Time

Pt

System

^Patient

Scale

Nar

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Member of these Panels

Related Names

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

46676-3 Communicative limitation Set [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Communicative limitation

Property

-

Time

Pt

System

^Patient

Scale

Set

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Panel Type

Panel

Member of these Panels

Related Names

• Point in time
• Random
• Residual Functional Capacity
• RFCA
• Survey
• Survey.RFC

46677-1 No communicative limitations [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

No communicative limitations

Property

Arb

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Member of these Panels

Related Names

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

46678-9 Hearing [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Hearing

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL339-3

Member of these Panels

Related Names

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

46679-7 Speaking [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Speaking

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL339-3

Member of these Panels

Related Names

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

46680-5 Communicative limitation [RFC]

Term Description

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.
Source: Regenstrief LOINC

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Communicative limitation

Property

Find

Time

Pt

System

^Patient

Scale

Nar

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Member of these Panels

Related Names

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

46681-3 Environmental limitations Set [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Environmental limitations

Property

Find

Time

Pt

System

^Patient

Scale

Set

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Panel Type

Panel

Member of these Panels

Related Names

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

46682-1 Extreme cold [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Extreme cold

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL340-1

Member of these Panels

Related Names

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

46683-9 Extreme heat [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Extreme heat

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL340-1

Member of these Panels

Related Names

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

46684-7 Wetness [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Wetness

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL340-1

Member of these Panels

Related Names

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

46685-4 Humidity [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Humidity

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL340-1

Member of these Panels

Related Names

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

46686-2 Noise [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Noise

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL340-1

Member of these Panels

Related Names

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

46687-0 Vibrations [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Vibrations

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL340-1

Member of these Panels

Related Names

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

46688-8 Fumes, odors, dusts, gases, poor ventilation, etc [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Fumes, odors, dusts, gases, poor ventilation, etc

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL340-1

Member of these Panels

Related Names

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

46689-6 Hazards [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Hazards

Property

Find

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Normative Answer List LL340-1

Member of these Panels

Related Names

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

46690-4 Environmental limitations [RFC]

Term Description

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.
Source: Regenstrief LOINC

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Environmental limitations

Property

Find

Time

Pt

System

^Patient

Scale

Nar

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Member of these Panels

Related Names

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

46691-2 Symptoms [RFC]

Term Description

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
Source: Regenstrief LOINC

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Symptoms

Property

Find

Time

Pt

System

^Patient

Scale

Nar

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Member of these Panels

Related Names

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

46692-0 Treatment or examining source statements Set [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Treatment or examining source statements

Property

-

Time

Pt

System

^Patient

Scale

Set

Method

RFC assessment

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.44

Panel Type

Panel

Member of these Panels

Related Names

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

46693-8 Treating or examining source statement regarding claimant's physical capacities in file [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Treating or examining source statement regarding claimant's physical capacities in file

Property

Arb

Time

Pt

System

^Patient

Scale

Ord

Method

RFC assessment