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]