Log In

Term Description

Functional status assessment describes the patient's status of normal functioning at the time a care record was created. Functional statuses include information regarding the patient relative to ambulatory ability, mental status or competency, activities of daily living (ADLs) (i.e. bathing, dressing, feeding, grooming), home/living situation having an effect on the health status of the patient, ability to care for self, social activity (i.e. issues with social cognition, participation with friends and acquaintances other than family members), occupation activity (i.e. activities partly or directly related to working), housework or volunteering, family and home responsibilities or activities related to home and family, communication ability (i.e. issues with speech, writing or cognition required for communication), and perception, including sight, hearing, taste, skin sensation, kinesthetic sense, proprioception, or balance.

LOINC Names Get Info

Fully-Specified Name
Functional status assessment note:Find:Pt:{Setting}:Doc:{Role}
Long Common Name
Functional Status Assessment Note
Short Name
Functional Status Note

Part Model Get Info

  • Component
    Functional status assessment note
    LP72616-3
    • Analyte
      Functional status assessment note
      LP72616-3
      • Component Numerator
        Functional status assessment note
        LP72616-3
        • Component Numerator Core
          Functional status assessment note
          LP72616-3
        • Component Numerator Core Suffix
          NULL
           
      • Component Denominator
        NULL
         
        • Component Denominator Core
          NULL
           
        • Component Denominator Core Suffix
          NULL
           
    • Challenge
      NULL
       
    • Adjustment
      NULL
       
    • Count
      NULL
       
  • Property
    Find
    LP6813-2
  • Time
    Pt
    LP6960-1
  • System
    {Setting}
    LP32887-9
    • System Core
      {Setting}
      LP32887-9
    • Super System
      NULL
       
  • Scale
    Doc
    LP32888-7
  • Method
    {Role}
    LP187178-1

Basic Attributes

Class
DOC.ONTOLOGY
Type
Clinical
First Released
Version 2.19
Last Updated
Version 2.67 (MIN)
Change Reason
Previous Releases: Based on Clinical LOINC Committee approval on 2/17/2012, "note" was added to the Component as the Kind of Document.; Based on Clinical LOINC Committee decision during the September 2014 meeting, {Provider} was changed to {Author Type} to emphasize a greater breadth of potential document authors. At the September 2015 Clinical LOINC Committee meeting, the Committee decided to change {Author Type} to {Role} to align with the 'Role' axis name in the LOINC Document Ontology.;
Order vs. Observation
Both
HL7® Attachment Structure
No implementation guide exists

Member of these Panels

LOINCLong Common Name
81898-9Composite triage and nursing note - recommended IHE set
81222-2Consultation note - recommended C-CDA R2.0 and R2.1 sections
72232-2Continuity of Care Document - recommended C-CDA R1.1 sections
81214-9Continuity of Care Document - recommended C-CDA R2.0 and R2.1 sections
48769-4Continuity of Care panel
55168-9Data Elements for Emergency Department Systems (DEEDS) Release 1.1
72229-8Discharge summary - recommended C-CDA R1.1 sections
81219-8Discharge summary - recommended C-CDA R2.0 sections
81218-0Discharge summary - recommended C-CDA R2.1 sections
81242-0Enhanced discharge summary - recommended CDP Set 1 R1.0 sections
81615-7Enhanced discharge summary - recommended CDP Set 1 R1.1 sections
81243-8Enhanced encounter note - recommended CDP Set 1 R1.0 and R1.1 sections
81245-3Interval document - recommended CDP Set 1 R1.0 and R1.1 sections
82308-8Oncology plan of care and summary - recommended CDA R1.2 sections
74293-2Oncology plan of care and summary - recommended CDA set
74449-0Patient plan of care - recommended IHE set
81223-0Referral note - recommended C-CDA R2.0 and R2.1 sections
81221-4Transfer summary note - recommended C-CDA R2.0 sections
81614-0Transfer summary note - recommended C-CDA R2.1 sections

Member of these Groups Get Info

LOINC GroupGroup Name
LG41826-5{Setting}|ANYTypeofService|ANYKindofDocument|ANYRole|ANYSubjectMatterDomain

Language Variants Get Info

TagLanguageTranslation
cs-CZCzech (Czechia)hodnocení funkčních schopností:Nález:Časový bod:{Nastavení}:Dokument:{Role}
de-DEGerman (Germany)Beurteilung des Funktionsstatus - Dokumentation:Befund:Zeitpunkt:{Setting}:Dokument:{Funktion}
el-GRGreek (Greece)Σημείωμα αξιολόγησης λειτουργικής κατάστασης:Εύρεση:Pt:{Ρυθμίσεις}:Doc:{Ρόλος}
Synonyms: {Ρόλος} {Ρυθμίσεις} Doc DOC.ONTOLOGY Pt Αξιολόγηση Εύρεση Κατάσταση Λειτουργική κατάσταση Σημείωμα αξιολόγησης Σημείωμα αξιολόγησης λειτουργικής κατάστασης Σημείωση
es-MXSpanish (Mexico)Nota de evaluación del estado funcional:Tipo:Punto temporal:{Configuración}:Documento:{Role}
it-ITItalian (Italy)Stato funzionale, nota di valutazione:Osservazione:Pt:{Setting}:Doc:{Role}
Synonyms: Documentazione dell''ontologia Nota di valutazione dello stato funzionale Osservazione Punto nel tempo (episodio) Ruolo non specificato
nl-NLDutch (Netherlands)beoordeling van functioneren:bevinding:moment:{instelling}:document:{rol}
zh-CNChinese (China)功能状态评估记录:发现:时间点:{环境}:文档型:{角色}
Synonyms: 临床文档型;临床文档;文档;文书;医疗文书;临床医疗文书 事件发生的地方;场景;环境;背景 功能（机能）状态（状况、情况）（评价、估计、估价、评论、估定、估算）记录;功能状况评估记录;功能情况评估记录 功能状况;功能情况 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 文档本体;临床文档本体;文档本体;文书本体;医疗文书本体;临床医疗文书本体 时刻;随机;随意;瞬间 未加明确说明的角色 状况;情况 笔记;按语;注释;说明;票据;单据;证明书 评价;估计;估价;评论;估定;估算 评估（评价、估计、估价、评论、估定、估算）记录

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=47420-5