The Medical Needs/Function Modifiers (MNFM) is a subset of the Inpatient Rehabilitation Facility – Patient Assessment Instrument (IRF-PAI). It collects information pertaining to swallowing status, clinical signs of dehydration, bladder frequency of accidents in the past seven days, and bowel frequency of accidents in the past seven days.

Attributes
Boolean	areClinicalSignsOfDehydration	Does the Patient exhibit any clinical signs of dehydration (evidence of oliguria, dry skin, orthostatic hypotension, somnolence, or agitation)? [VA SCIDO MNFM_Assessment.Signs_Of_Dehydration_YN].
«CS» Code	bladderFrequencyOfAccidents	Categorizes the frequency of the bladder accidents that the Patient has experienced in the past seven days. Possible values are: No accidents; No accidents as the patient uses a device such as a catheter; One accident; Two accidents; Three accidents; Four accidents; Five or more accidents. [VA SCIDO MNFM_Assessment.Bladder_Freq_Of_Accidents].
«CS» Code	bladderLevelOfAssistance	Categorizes the dependence of the Patient on other persons or devices when they need to empty their bladder. Possible values are: Total assistance; Maximal assistance; Moderate assistance; Minimal assistance; Modified independence (device); Complete independence (timely, safely); Activity does not occur (used only at admission). [VA SCIDO MNFM_Assessment.Bladder_Lvl_Of_Assistance].
«CS» Code	bowelFrequencyOfAccidents	Categorizes the frequency of the bowel movement accidents that the Patient has experienced in the past seven days. Possible values are: No accidents; No accidents as the patient uses a device such as a catheter; One accident; Two accidents; Three accidents; Four accidents; Five or more accidents. [VA SCIDO MNFM_Assessment.Bwl_Freq_Of_Accidents].
«CS» Code	bowelLevelOfAssistance	Categorizes the dependence of the Patient on other persons or devices for bowel movements Possible values are: Total assistance; Maximal assistance; Moderate assistance; Minimal assistance; Modified independence (device); Complete independence (timely, safely); Activity does not occur (used only at admission). [VA SCIDO MNFM_Assessment.Bwl_Lvl_Of_Assistance].
«CS» Code	etiologicDiagnosis	The etiologic problem that led to the condition for which the patient is receiving rehabilitation. [VA SCIDO MNFM_Etiologic_Diagnosis_Code].
«CS» Code	swallowingStatus	Categorizes the ability of the Patient to consume food. Possible values are: Tube/parenteral feeding; Modified food consistency/supervision; or Regular food. [VA SCIDO MNFM_Assessment.Swallowing_Status].

Attributes inherited from  FHIM::SpinalCord::SpinalCordAssessmentEvent

careEndDate,  careStartDate,  careType,  clinician,  createdBy,  createdDate,  dateRecorded,  division,  identifier,  institution,  instrumentName,  instrumentVersion,  isActive,  modifiedBy,  modifiedDate,  sciCenter,  sciCoordinator,  scoreType,  totalScore

 areClinicalSignsOfDehydration

Public Boolean areClinicalSignsOfDehydration

Does the Patient exhibit any clinical signs of dehydration (evidence of oliguria, dry skin, orthostatic hypotension, somnolence, or agitation)? [VA SCIDO MNFM_Assessment.Signs_Of_Dehydration_YN].

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	SC_MNFM
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	areClinicalSignsOfDehydration
Name Expression
Namespace	SC_MNFM
Opposite
Owner	SC_MNFM
Owning Association
Owning Template Parameter
Qualified Name	FHIM::SpinalCord::SC_MNFM::areClinicalSignsOfDehydration
Stereotype
Template Parameter
Type	Boolean
Upper	1
Upper Value	(1)
Visibility	Public

 bladderFrequencyOfAccidents

Public «CS» Code bladderFrequencyOfAccidents

Categorizes the frequency of the bladder accidents that the Patient has experienced in the past seven days. Possible values are: No accidents; No accidents as the patient uses a device such as a catheter; One accident; Two accidents; Three accidents; Four accidents; Five or more accidents. [VA SCIDO MNFM_Assessment.Bladder_Freq_Of_Accidents].

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	SC_MNFM
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	bladderFrequencyOfAccidents
Name Expression
Namespace	SC_MNFM
Opposite
Owner	SC_MNFM
Owning Association
Owning Template Parameter
Qualified Name	FHIM::SpinalCord::SC_MNFM::bladderFrequencyOfAccidents
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

 bladderLevelOfAssistance

Public «CS» Code bladderLevelOfAssistance

Categorizes the dependence of the Patient on other persons or devices when they need to empty their bladder. Possible values are: Total assistance; Maximal assistance; Moderate assistance; Minimal assistance; Modified independence (device); Complete independence (timely, safely); Activity does not occur (used only at admission). [VA SCIDO MNFM_Assessment.Bladder_Lvl_Of_Assistance].

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	SC_MNFM
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	bladderLevelOfAssistance
Name Expression
Namespace	SC_MNFM
Opposite
Owner	SC_MNFM
Owning Association
Owning Template Parameter
Qualified Name	FHIM::SpinalCord::SC_MNFM::bladderLevelOfAssistance
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

 bowelFrequencyOfAccidents

Public «CS» Code bowelFrequencyOfAccidents

Categorizes the frequency of the bowel movement accidents that the Patient has experienced in the past seven days. Possible values are: No accidents; No accidents as the patient uses a device such as a catheter; One accident; Two accidents; Three accidents; Four accidents; Five or more accidents. [VA SCIDO MNFM_Assessment.Bwl_Freq_Of_Accidents].

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	SC_MNFM
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	bowelFrequencyOfAccidents
Name Expression
Namespace	SC_MNFM
Opposite
Owner	SC_MNFM
Owning Association
Owning Template Parameter
Qualified Name	FHIM::SpinalCord::SC_MNFM::bowelFrequencyOfAccidents
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

 bowelLevelOfAssistance

Public «CS» Code bowelLevelOfAssistance

Categorizes the dependence of the Patient on other persons or devices for bowel movements Possible values are: Total assistance; Maximal assistance; Moderate assistance; Minimal assistance; Modified independence (device); Complete independence (timely, safely); Activity does not occur (used only at admission). [VA SCIDO MNFM_Assessment.Bwl_Lvl_Of_Assistance].

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	SC_MNFM
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	bowelLevelOfAssistance
Name Expression
Namespace	SC_MNFM
Opposite
Owner	SC_MNFM
Owning Association
Owning Template Parameter
Qualified Name	FHIM::SpinalCord::SC_MNFM::bowelLevelOfAssistance
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

 etiologicDiagnosis

Public «CS» Code etiologicDiagnosis

The etiologic problem that led to the condition for which the patient is receiving rehabilitation. [VA SCIDO MNFM_Etiologic_Diagnosis_Code].

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	SC_MNFM
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	etiologicDiagnosis
Name Expression
Namespace	SC_MNFM
Opposite
Owner	SC_MNFM
Owning Association
Owning Template Parameter
Qualified Name	FHIM::SpinalCord::SC_MNFM::etiologicDiagnosis
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

 swallowingStatus

Public «CS» Code swallowingStatus

Categorizes the ability of the Patient to consume food. Possible values are: Tube/parenteral feeding; Modified food consistency/supervision; or Regular food. [VA SCIDO MNFM_Assessment.Swallowing_Status].

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	SC_MNFM
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	swallowingStatus
Name Expression
Namespace	SC_MNFM
Opposite
Owner	SC_MNFM
Owning Association
Owning Template Parameter
Qualified Name	FHIM::SpinalCord::SC_MNFM::swallowingStatus
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public