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

46635-9 Categories [RFC]

Term Description

From Section IB (medical dispositions) of the Psychiatric Review Technique Form (PRTF).
Source: Regenstrief LOINC

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Categories

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 2.54

Member of these Panels

Related Names

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

46612-8 Summary conclusions Set

Term Description

This section is for recording summary conclusions derived from the evidence in file. Each mental activity is to be within the context of the individual's capacity to sustain that activity over a normal workday and workweek, on an ongoing basis. Detailed explanation of the degree of limitation for each category (A through D), as well as any other assessment information you deem appropriate, is to be recorded in Section III (Functional Capacity Assessment).
If rating category 5 is checked for any of the following items, you MUST specify in Section II the evidence that is needed to make the assessment. II you conclude that the record is so inadequately documented that no accurate functional capacity assessment can be made, indicate in Section II what development is necessary, but DO NOT COMPLETE SECTION III.
Source: Regenstrief LOINC

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Summary conclusions

Property

-

Time

Pt

System

^Patient

Scale

Set

Method

Basic Attributes

Class

SURVEY.RFC

Type

Surveys

First Released

Version 2.19

Last Updated

Version 2.27

Order vs. Observation

Order

Panel Type

Panel

Member of these Panels

Related Names

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

46613-6 Remembers locations and worklike procedures [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Remembers locations & worklike procedures

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 LL332-8

Member of these Panels

Related Names

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

46614-4 Understands and remembers very short and simple instructions [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Understands & remembers very short & simple instructions

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 LL332-8

Member of these Panels

Related Names

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

46615-1 Understands and remembers detailed instructions [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Understands & remembers detailed instructions

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 LL332-8

Member of these Panels

Related Names

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

46616-9 Carries out very short and simple instructions [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Carries out very short & simple instructions

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 LL332-8

Member of these Panels

Related Names

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

46617-7 Carries out detailed instructions [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Carries out detailed instructions

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 LL332-8

Member of these Panels

Related Names

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

46618-5 Maintains attention and concentration for extended periods [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Maintains attention & concentration for extended periods

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 LL332-8

Member of these Panels

Related Names

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

46619-3 Performs activities within a schedule, maintains regular attendance, is punctual within customary tolerances [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Performs activities within a schedule, maintains regular attendance, is punctual within customary tolerances

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 LL332-8

Member of these Panels

Related Names

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

46620-1 Sustains an ordinary routine without special supervision [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Sustains an ordinary routine without special supervision

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 LL332-8

Member of these Panels

Related Names

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

46621-9 Works in coordination with or proximity to others without being distracted by them [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Works in coordination with or proximity to others without being distracted by them

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 LL332-8

Member of these Panels

Related Names

• Finding
• Findings
• Ordinal
• Point in time
• QL
• Qual
• Qualitative
• Random
• Residual Functional Capacity
• RFCA
• Screen
• Survey
• Survey.RFC
• Works in coordination with or proximity to others W/O being distracted by them

46622-7 Makes simple work-related decisions [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Makes simple work-related decisions

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 LL332-8

Member of these Panels

Related Names

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

46623-5 Completes normal workday and week WO interruptions from psych symptoms and performs at consistent pace WO unreasonable number and length of rests [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Completes normal workday & week WO interruptions from psych symptoms & performs at consistent pace WO unreasonable number & length of rests

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 LL332-8

Member of these Panels

Related Names

• Completes normal workday & week WO interruptions from psych symptoms & performs at consistent pace WO unreasonable # & length of rests
• Control
• Finding
• Findings
• Len
• No
• Num
• Ordinal
• Point in time
• QL
• Qual
• Qualitative
• Random
• Residual Functional Capacity
• RFCA
• Screen
• Survey
• Survey.RFC
• Sx

46624-3 Interacts appropriately with the general public [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Interacts appropriately with the general public

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 LL332-8

Member of these Panels

Related Names

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

46625-0 Asks simple questions or request assistance [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Asks simple questions or request assistance

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 LL332-8

Member of these Panels

Related Names

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

46626-8 Accepts instructions and respond appropriately to criticism from supervisors [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Accepts instructions & respond appropriately to criticism from supervisors

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 LL332-8

Member of these Panels

Related Names

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

46627-6 Gets along with coworkers or peers WO distracting them or exhibiting behavioral extremes [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Gets along with coworkers or peers WO distracting them or exhibiting behavioral extremes

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 LL332-8

Member of these Panels

Related Names

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

46628-4 Maintains socially appropriate behavior and adheres to basic standards of neatness and cleanliness [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Maintains socially appropriate behavior & adheres to basic standards of neatness & cleanliness

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 LL332-8

Member of these Panels

Related Names

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

46629-2 Responds appropriately to changes in the work setting [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Responds appropriately to changes in the work setting

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 LL332-8

Member of these Panels

Related Names

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

46630-0 Aware of normal hazards and take appropriate precautions [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Aware of normal hazards & take appropriate precautions

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 LL332-8

Member of these Panels

Related Names

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

46631-8 Travels in unfamiliar places or use public transportation [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Travels in unfamiliar places or use public transportation

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 LL332-8

Member of these Panels

Related Names

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

46632-6 Sets realistic goals or make plans independently of others [RFC]

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Sets realistic goals or make plans independently of others

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 LL332-8

Member of these Panels

Related Names

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

46633-4 Remarks [RFC]

Term Description

If you checked box 5 for any of the preceding items or if any other documentation deficiencies were identified, you MUST specify what additional documentation is needed. Cite the item number(s), as well as any other specific deficiency, and indicate the development to be undertaken.
Source: Regenstrief LOINC

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Remarks

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

46634-2 Functional capacity assessment [RFC]

Term Description

Record in this section the elaborations on the preceding capacities, Complete this section ONLY after the SUMMARY CONCLUSIONS section has been completed- Explain your summary conclusions in narrative form. Include any information which clarifies limitation or Junction. Be especially careful to explain conclusions that differ from those Of treating medical sources or from the individual's allegations.
Source: Regenstrief LOINC

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component

Functional capacity assessment

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

30947-6 Date form completed

Fully-Specified Name

Component

Date form completed

Property

Date

Time

Pt

System

Form

Scale

Qn

Method

Additional Names

Short Name

Date form completed

Basic Attributes

Class

ADMIN

Type

Clinical

First Released

Version 2.04

Last Updated

Version 2.61

Order vs. Observation

Observation

Member of these Panels

Language Variants Get Info

Related Names

• ADMIN
• Point in time
• QNT
• Quan
• Quant
• Quantitative
• Random

Example Units

Related Codes