Version 2.78

105472-5 In the last 12 months, did a doctor or other health provider give you instructions about what to do about a specific illness or health condition?

Fully-Specified Name

Component
Did a doctor or other health provider give you instructions about what to do about a specific illness or health condition
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Instructions abt cond 12Mo

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
In the last 12 months, did a doctor or other health provider give you instructions about what to do about a specific illness or health condition?
Source
PX281101010000

Example Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
105485-7 PhenX - healthcare communications protocol 281101

105473-3 In the last 12 months, how often were these instructions easy to understand?

Fully-Specified Name

Component
How often were these instructions easy to understand
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Instr ease understand 12Mo

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
In the last 12 months, how often were these instructions easy to understand?
Source
PX281101020000

Example Answer List LL6843-8

Answer Code Score Answer ID
Never LA6270-8
Sometimes LA10082-8
Usually LA14747-2
Always LA9933-8

Member of these Panels

LOINC Long Common Name
105485-7 PhenX - healthcare communications protocol 281101

105474-1 In the last 12 months, how often did doctors or other health providers ask you to describe how you were going to follow these instructions?

Fully-Specified Name

Component
How often did doctors or other health providers ask you to describe how you were going to follow these instructions
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
How oft desc foll instr 12Mo

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
In the last 12 months, how often did doctors or other health providers ask you to describe how you were going to follow these instructions?
Source
PX281101030000

Example Answer List LL6843-8

Answer Code Score Answer ID
Never LA6270-8
Sometimes LA10082-8
Usually LA14747-2
Always LA9933-8

Member of these Panels

LOINC Long Common Name
105485-7 PhenX - healthcare communications protocol 281101

105475-8 In the last 12 months, did you have to fill out or sign any forms at a doctor's or other health provider's office?

Fully-Specified Name

Component
Did you have to fill out or sign any forms at a doctor or other health provider office
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Fill sign form 12Mo

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
In the last 12 months, did you have to fill out or sign any forms at a doctor's or other health provider's office?
Source
PX281101040000

Example Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
105485-7 PhenX - healthcare communications protocol 281101

105476-6 In the last 12 months, how often were you offered help in filling out a form at the doctor's or other health provider's office?

Fully-Specified Name

Component
How often were you offered help in filling out a form at the doctors or other health providers office
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
How oft help fill form 12Mo

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
In the last 12 months, how often were you offered help in filling out a form at the doctor's or other health provider's office?
Source
PX281101050000

Example Answer List LL6843-8

Answer Code Score Answer ID
Never LA6270-8
Sometimes LA10082-8
Usually LA14747-2
Always LA9933-8

Member of these Panels

LOINC Long Common Name
105485-7 PhenX - healthcare communications protocol 281101

105477-4 In the last 12 months, how often did doctors or other health professionals explain things in a way that was easy to understand?

Fully-Specified Name

Component
How often did doctors or other health professionals explain things in a way that was easy to understand
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
How oft explain underst 12Mo

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
In the last 12 months, how often did doctors or other health professionals explain things in a way that was easy to understand?
Source
PX281101060000

Example Answer List LL6843-8

Answer Code Score Answer ID
Never LA6270-8
Sometimes LA10082-8
Usually LA14747-2
Always LA9933-8

Member of these Panels

LOINC Long Common Name
105485-7 PhenX - healthcare communications protocol 281101

105478-2 In the last 12 months, how often did doctors or other health professionals listen carefully to you?

Fully-Specified Name

Component
How often did doctors or other health professionals listen carefully to you
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
How oft listen 12Mo

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
In the last 12 months, how often did doctors or other health professionals listen carefully to you?
Source
PX281101070000

Example Answer List LL6843-8

Answer Code Score Answer ID
Never LA6270-8
Sometimes LA10082-8
Usually LA14747-2
Always LA9933-8

Member of these Panels

LOINC Long Common Name
105485-7 PhenX - healthcare communications protocol 281101

105479-0 In the last 12 months, how often did doctors or other health professionals show respect for what you had to say?

Fully-Specified Name

Component
How often did doctors or other health professionals show respect for what you had to say
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
How oft respect say 12Mo

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
In the last 12 months, how often did doctors or other health professionals show respect for what you had to say?
Source
PX281101080000

Example Answer List LL6843-8

Answer Code Score Answer ID
Never LA6270-8
Sometimes LA10082-8
Usually LA14747-2
Always LA9933-8

Member of these Panels

LOINC Long Common Name
105485-7 PhenX - healthcare communications protocol 281101

105480-8 In the last 12 months, how often did doctors or other health professionals spend enough time with you?

Fully-Specified Name

Component
How often did doctors or other health professionals spend enough time with you
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
How oft spend enough time 12Mo

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
In the last 12 months, how often did doctors or other health professionals spend enough time with you?
Source
PX281101090000

Example Answer List LL6843-8

Answer Code Score Answer ID
Never LA6270-8
Sometimes LA10082-8
Usually LA14747-2
Always LA9933-8

Member of these Panels

LOINC Long Common Name
105485-7 PhenX - healthcare communications protocol 281101

105481-6 Specialists are doctors like surgeons, heart doctors, allergy doctors, skin doctors, and other doctors who specialize in one area of health care. In the last 12 months, did you make any appointments to see a specialist?

Fully-Specified Name

Component
Did you make any appointments to see a specialist
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Appnt see specialist 12Mo

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
Specialists are doctors like surgeons, heart doctors, allergy doctors, skin doctors, and other doctors who specialize in one area of health care. In the last 12 months, did you make any appointments to see a specialist?
Source
PX281101100000

Example Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
105485-7 PhenX - healthcare communications protocol 281101

105482-4 In the last 12 months, how often did you get an appointment to see a specialist as soon as you needed?

Fully-Specified Name

Component
How often did you get an appointment to see a specialist as soon as you needed
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
How oft appoint as need 12Mo

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
In the last 12 months, how often did you get an appointment to see a specialist as soon as you needed?
Source
PX281101110000

Example Answer List LL6843-8

Answer Code Score Answer ID
Never LA6270-8
Sometimes LA10082-8
Usually LA14747-2
Always LA9933-8

Member of these Panels

LOINC Long Common Name
105485-7 PhenX - healthcare communications protocol 281101

30947-6 Date form completed

Fully-Specified Name

Component
Date form completed
Property
Date
Time
Pt
System
Form
Scale
Qn
Method

Additional Names

Short Name
Date form completed

Basic Attributes

Class
ADMIN
Type
Clinical
First Released
Version 2.04
Last Updated
Version 2.61
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
97887-4 Core Outcome Measures Index for the Back [COMI]
97327-1 Core Outcome Measures Index for the Neck [COMI]
69412-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
85645-0 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
85671-6 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 3.00 [CMS Assessment]
85662-5 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 3.00 [CMS Assessment]
85668-2 Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 3.00 [CMS Assessment]
100203-9 Knee Society Score post-op panel [Knee Society Score]
100159-3 Knee Society Score pre-op panel [Knee Society Score]
103949-4 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
103948-6 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Expired - version 5.1 during assessment period [CMS Assessment]
103946-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 during assessment period [CMS Assessment]
103947-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Unplanned Discharge - version 5.1 during assessment period [CMS Assessment]
101111-3 MDS v3.0 - RAI v1.18.11 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
101105-5 MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
101107-1 MDS v3.0 - RAI v1.18.11 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
101109-7 MDS v3.0 - RAI v1.18.11 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
101110-5 MDS v3.0 - RAI v1.18.11 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
101106-3 MDS v3.0 - RAI v1.18.11 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
101113-9 MDS v3.0 - RAI v1.18.11 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
101112-1 MDS v3.0 - RAI v1.18.11 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
104608-5 MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
103564-1 MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9 MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
105201-8 MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
104552-5 MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1 MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7 MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3 MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
46611-0 Mental residual functional capacity (RFC) assessment form
74725-3 Patient safety event report - hospital - device or medical AndOr surgical supply, including health information technology (HIT) - version 1.2 [AHRQ]
74495-3 Patient safety event report - hospital - healthcare event reporting form (HERF) - version 1.2 [AHRQ]
74080-3 Patient safety event report - hospital - medication or other substance - version 1.2 [AHRQ]
74502-6 Patient safety event report - hospital - patient information form (PIF) - version 1.2 [AHRQ]
74501-8 Patient safety event report - hospital - summary of initial report (SIR) - version 1.2 [AHRQ]
105485-7 PhenX - healthcare communications protocol 281101
60687-1 Test of Infant Motor Performance Version 5.1
55140-8 Vaccine Adverse Event Reporting System (VAERS) panel

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) fecha de formulario completo:marca de tiempo:fecha y hora:punto en el tiempo:forma:cuantitativo:
es-MX Spanish (Mexico) Formulario de fecha completado:Fecha:Punto temporal:Formulario:Cuantitativo:
it-IT Italian (Italy) Data completamento form:Data:Pt:Modulo:Qn:
Synonyms: Amministrativo Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Data formulário preenchido:TmStp:Pt:Forma:Qn:
Synonyms: Time stamp; Date and time; Timestamp; Point in time; Random; Quantitative; QNT; Quant; Quan; VACCINE
ru-RU Russian (Russian Federation) Дата форма заполнение:Дата:ТчкВрм:Форма:Колич:
Synonyms: Дата заполнения формы Количественный Точка во времени;Момент
zh-CN Chinese (China) 表单完成日期:日期:时间点:表单:定量型:
Synonyms: 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 日子;几号 时刻;随机;随意;瞬间 行政;管理;施行;执行;经营 表单填写日期 表格;表;窗体

Example Units

Unit Source
{mm/dd/yyyy} Example UCUM Units

105483-2 Who completed this form?

Fully-Specified Name

Component
Who completed this form
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Who comp form

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
Who completed this form?
Source
PX281101130000

Example Answer List LL6845-3

Answer Code Score Answer ID
Person named on front of this form LA34417-8
Someone else LA34418-6

Member of these Panels

LOINC Long Common Name
105485-7 PhenX - healthcare communications protocol 281101

105484-0 If Someone Else, what is person's relationship to the person named on the front of this form?

Fully-Specified Name

Component
If someone else, what is person's relationship to the person named on the front of this form
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Rship person on form

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
If Someone Else, what is person's relationship to the person named on the front of this form?
Source
PX281101140000

Example Answer List LL6846-1

Answer Code Score Answer ID
Husband or wife LA15637-4
Unmarried partner LA15646-5
Son or daughter LA34420-2
Other relative LA15640-8
Not related LA34422-8

Member of these Panels

LOINC Long Common Name
105485-7 PhenX - healthcare communications protocol 281101