46611-0
Mental residual functional capacity (RFC) assessment form
Active
Reference Information
Type | Source | Reference |
---|---|---|
Original Form | Social Security Administration | Original form upon which the LOINC panel is based. Mental residual functional capacity (RFC) assessment form |
Panel Hierarchy
Details for each LOINC in Panel LHC-Forms
LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
---|---|---|---|---|
46611-0 | Mental residual functional capacity (RFC) assessment form | |||
Indent45965-1 | Name Set | |||
Indent Indent45394-4 | Patient Last (Family) name | |||
Indent Indent45392-8 | Patient First (Given) name | |||
Indent Indent45393-6 | Middle initial | |||
Indent Indent45395-1 | Patient Name suffix | |||
Indent45396-9 | Social Security number [Identifier] | |||
Indent46635-9 | Categories [RFC] | |||
Indent46612-8 | Summary conclusions Set | |||
Indent Indent46613-6 | Remembers locations and worklike procedures [RFC] | |||
Indent Indent46614-4 | Understands and remembers very short and simple instructions [RFC] | |||
Indent Indent46615-1 | Understands and remembers detailed instructions [RFC] | |||
Indent Indent46616-9 | Carries out very short and simple instructions [RFC] | |||
Indent Indent46617-7 | Carries out detailed instructions [RFC] | |||
Indent Indent46618-5 | Maintains attention and concentration for extended periods [RFC] | |||
Indent Indent46619-3 | Performs activities within a schedule, maintains regular attendance, is punctual within customary tolerances [RFC] | |||
Indent Indent46620-1 | Sustains an ordinary routine without special supervision [RFC] | |||
Indent Indent46621-9 | Works in coordination with or proximity to others without being distracted by them [RFC] | |||
Indent Indent46622-7 | Makes simple work-related decisions [RFC] | |||
Indent Indent46623-5 | Completes normal workday and week WO interruptions from psych symptoms and performs at consistent pace WO unreasonable number and length of rests [RFC] | |||
Indent Indent46624-3 | Interacts appropriately with the general public [RFC] | |||
Indent Indent46625-0 | Asks simple questions or request assistance [RFC] | |||
Indent Indent46626-8 | Accepts instructions and respond appropriately to criticism from supervisors [RFC] | |||
Indent Indent46627-6 | Gets along with coworkers or peers WO distracting them or exhibiting behavioral extremes [RFC] | |||
Indent Indent46628-4 | Maintains socially appropriate behavior and adheres to basic standards of neatness and cleanliness [RFC] | |||
Indent Indent46629-2 | Responds appropriately to changes in the work setting [RFC] | |||
Indent Indent46630-0 | Aware of normal hazards and take appropriate precautions [RFC] | |||
Indent Indent46631-8 | Travels in unfamiliar places or use public transportation [RFC] | |||
Indent Indent46632-6 | Sets realistic goals or make plans independently of others [RFC] | |||
Indent Indent46633-4 | Remarks [RFC] | |||
Indent46634-2 | Functional capacity assessment [RFC] | |||
Indent30947-6 | Date form completed | {mm/dd/yyyy} |
Fully-Specified Name
- Component
- Mental residual functional capacity (RFC) assessment form
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
Basic Attributes
- Class
- PANEL.SURVEY.RFC
- Type
- Surveys
- First Released
- Version 2.19
- Last Updated
- Version 2.29
- Order vs. Observation
- Order
- Panel Type
- Panel
LOINC Terminology Service (API) using HL7® FHIR® Get Info
Requests to this service require a free LOINC username and password. Below is a sample of the possible capabilities. See the LOINC Terminology Service documentation for more information.
- CodeSystem lookup
- https:
//fhir.loinc.org/CodeSystem/$lookup?system=http: //loinc.org&code=46611-0 - Questionnaire definition
- https:
//fhir.loinc.org/Questionnaire/?url=http: //loinc.org/q/46611-0
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