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 (MIN)
Panel Type
Panel

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL333-6

AnswerCodeScoreAnswer ID
less than 10 poundsLA6464-7
10 poundsLA6469-6
20 poundsLA6465-4
50 poundsLA6466-2
100 pounds or moreLA6467-0

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL334-4

AnswerCodeScoreAnswer ID
less than 10 poundsLA6464-7
10 poundsLA6469-6
25 poundsLA6470-4
50 pounds or moreLA6471-2

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL335-1

AnswerCodeScoreAnswer ID
Less than 2 hours in an 8-hour workdayLA6472-0
at least 2 hours in an 8-hour workdayLA6474-6
about 6 hours in an 8-hour workdayLA6475-3
medically required hand-held assistive device is necessary for ambulationLA6476-1

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL336-9

AnswerCodeScoreAnswer ID
Less than about 6 hours in an 8-hour workdayLA6477-9
about 6 hours in an 8-hour workdayLA6475-3
must periodically alternate sitting and standing to relieve pain or discomfort. (If checked, explain in 6.)LA6479-5

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL337-7

AnswerCodeScoreAnswer ID
Unlimited, other than as shown for lift and/or carryLA6478-7
limited in upper extremities (describe nature and degree)LA6480-3
limited in lower extremities (describe nature and degree)LA6481-1

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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.

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 (MIN)

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)
Panel Type
Panel

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [RFC]

46653-2 Climbing [RFC]

Term Description

ramp/stairs; ladder/rope/scaffolds

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 (MIN)

Normative Answer List LL338-5

AnswerCodeScoreAnswer ID
FrequentlyLA6482-9
OccasionallyLA6483-7
NeverLA6270-8

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL338-5

AnswerCodeScoreAnswer ID
FrequentlyLA6482-9
OccasionallyLA6483-7
NeverLA6270-8

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL338-5

AnswerCodeScoreAnswer ID
FrequentlyLA6482-9
OccasionallyLA6483-7
NeverLA6270-8

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL338-5

AnswerCodeScoreAnswer ID
FrequentlyLA6482-9
OccasionallyLA6483-7
NeverLA6270-8

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL338-5

AnswerCodeScoreAnswer ID
FrequentlyLA6482-9
OccasionallyLA6483-7
NeverLA6270-8

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL338-5

AnswerCodeScoreAnswer ID
FrequentlyLA6482-9
OccasionallyLA6483-7
NeverLA6270-8

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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.

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 (MIN)

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)
Panel Type
Panel

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL339-3

AnswerCodeScoreAnswer ID
LimitedLA6484-5
UnlimitedLA6485-2

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL339-3

AnswerCodeScoreAnswer ID
LimitedLA6484-5
UnlimitedLA6485-2

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL339-3

AnswerCodeScoreAnswer ID
LimitedLA6484-5
UnlimitedLA6485-2

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL339-3

AnswerCodeScoreAnswer ID
LimitedLA6484-5
UnlimitedLA6485-2

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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.

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 (MIN)

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)
Panel Type
Panel

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL339-3

AnswerCodeScoreAnswer ID
LimitedLA6484-5
UnlimitedLA6485-2

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL339-3

AnswerCodeScoreAnswer ID
LimitedLA6484-5
UnlimitedLA6485-2

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL339-3

AnswerCodeScoreAnswer ID
LimitedLA6484-5
UnlimitedLA6485-2

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL339-3

AnswerCodeScoreAnswer ID
LimitedLA6484-5
UnlimitedLA6485-2

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL339-3

AnswerCodeScoreAnswer ID
LimitedLA6484-5
UnlimitedLA6485-2

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL339-3

AnswerCodeScoreAnswer ID
LimitedLA6484-5
UnlimitedLA6485-2

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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.

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 (MIN)

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)
Panel Type
Panel

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL339-3

AnswerCodeScoreAnswer ID
LimitedLA6484-5
UnlimitedLA6485-2

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL339-3

AnswerCodeScoreAnswer ID
LimitedLA6484-5
UnlimitedLA6485-2

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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.

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 (MIN)

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)
Panel Type
Panel

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL340-1

AnswerCodeScoreAnswer ID
UnlimitedLA6485-2
Avoid concentrated exposureLA6486-0
Avoid even moderate exposureLA6487-8
Avoid all exposureLA6488-6

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL340-1

AnswerCodeScoreAnswer ID
UnlimitedLA6485-2
Avoid concentrated exposureLA6486-0
Avoid even moderate exposureLA6487-8
Avoid all exposureLA6488-6

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL340-1

AnswerCodeScoreAnswer ID
UnlimitedLA6485-2
Avoid concentrated exposureLA6486-0
Avoid even moderate exposureLA6487-8
Avoid all exposureLA6488-6

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL340-1

AnswerCodeScoreAnswer ID
UnlimitedLA6485-2
Avoid concentrated exposureLA6486-0
Avoid even moderate exposureLA6487-8
Avoid all exposureLA6488-6

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL340-1

AnswerCodeScoreAnswer ID
UnlimitedLA6485-2
Avoid concentrated exposureLA6486-0
Avoid even moderate exposureLA6487-8
Avoid all exposureLA6488-6

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL340-1

AnswerCodeScoreAnswer ID
UnlimitedLA6485-2
Avoid concentrated exposureLA6486-0
Avoid even moderate exposureLA6487-8
Avoid all exposureLA6488-6

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL340-1

AnswerCodeScoreAnswer ID
UnlimitedLA6485-2
Avoid concentrated exposureLA6486-0
Avoid even moderate exposureLA6487-8
Avoid all exposureLA6488-6

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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 (MIN)

Normative Answer List LL340-1

AnswerCodeScoreAnswer ID
UnlimitedLA6485-2
Avoid concentrated exposureLA6486-0
Avoid even moderate exposureLA6487-8
Avoid all exposureLA6488-6

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [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.

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 (MIN)

Member of these Panels

LOINCLong Common Name
46637-5Residual physical functional capacity (RFC) assessment form [RFC]