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.
status
ACTIVE
Fully-Specified Name
component
Summary conclusions
property
-
time
Pt = Point in time: To identify measures at a point in time. This is a synonym for “spot” or “random” as applied to urine measurements.
system
^Patient
scale
Set = Set: Used for clinical attachments
method
Additional Names
short name
Point in time; Random; Residual Functional Capacity; Survey; Survey.RFC