Version 2.78

Status Information

Status
TRIAL

Term Description

This protocol obtains information about the personal history of respiratory symptoms and illnesses. Duration of disease, other allergic diseases, occupational history, smoking status, and family history of selected respiratory diseases are also assessed. Supplemental questions were added from other studies in areas judged to be inadequately covered by this questionnaire.
Source: Regenstrief LOINC

Reference Information

Type Source Reference
Citation Consensus measures for Phenotypes and Exposures The American Thoracic Society-Division of Lung Diseases 1978 Questionnaire (ATS-DLD 78), questions 7-28 (source for questions 1A-22A).
Citation Consensus measures for Phenotypes and Exposures Genetic Epidemiology of COPD Study (COPDGene), Respiratory Disease Questionnaire, Version 08, January 2008, (source for questions 23-32).
Article Consensus measures for Phenotypes and Exposures Ferris, B.G. (1978). American Thoracic Society (ATS) statement: epidemiology standardization project. American Review of Respiratory Disease, 118, 1-120.

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
62625-9 PhenX - respiratory - personal - family hx of respiratory symptoms - diseases - adult protocol 090901
Indent64145-6 Do you usually have a cough?
Indent64146-4 Do you usually cough as much as 4 to 6 times a day, 4 or more days out of the week?
Indent64147-2 Do you usually cough at all on getting up, or first thing in the morning?
Indent64148-0 Do you usually cough at all during the rest of the day or at night?
Indent64149-8 Do you usually cough like this on most days for 3 consecutive months or more during the year?
Indent64150-6 For how many years have you had this cough? a
Indent64151-4 Do you usually bring up phlegm from your chest?
Indent64152-2 Do you usually bring up phlegm like this as much as twice a day, 4 or more days out of the week?
Indent64153-0 Do you usually bring up phlegm at all on getting up or first thing in the morning?
Indent64154-8 Do you usually bring up phlegm at all during the rest of the day or at night?
Indent64155-5 Do you bring up phlegm like this on most days for 3 consecutive months or more during the year?
Indent64156-3 For how many years have you had trouble with phlegm? a
Indent64157-1 Have you had periods or episodes of (increased*) cough and phlegm lasting for 3 weeks or more each year?
Indent64158-9 For how long have you had at least 1 such episode per year? a
Indent64159-7 Does your chest ever sound wheezy or whistling when you have a cold?
Indent64160-5 Does your chest ever sound wheezy or whistling occasionally apart from colds?
Indent64161-3 Does your chest ever sound wheezy or whistling most days or nights?
Indent64162-1 For how many years has this been present? a
Indent64163-9 Have you ever had an attack of wheezing that has made you feel short of breath?
Indent64164-7 How old were you when you had your first such attack? a
Indent64165-4 Have you had 2 or more such episodes?
Indent64166-2 Have you ever required medicine or treatment for the(se) attack(s)?
Indent64167-0 If disabled from walking by any condition other than heart or lung disease, please describe nature of condition(s).
Indent64168-8 Are you troubled by shortness of breath when hurrying on the level or walking up a slight hill?
Indent64169-6 Do you have to walk slower than people of your age on the level because of breathlessness?
Indent64170-4 Do you ever have to stop for breath when walking at your own pace on the level?
Indent64171-2 Do you ever have to stop for breath after walking about 100 yards (or after a few minutes) on the level?
Indent64172-0 Are you too breathless to leave the house or breathless on dressing or undressing?
Indent64173-8 If you get a cold, does it usually go to your chest?
Indent64174-6 During the past 3 years, have you had any chest illnesses that have kept you off work, indoors at home, or in bed?
Indent64175-3 Did you produce phlegm with any of these chest illnesses?
Indent64176-1 In the last 3 years, how many such illnesses, with (increased) phlegm, did you have which lasted a week or more? /(3.a)
Indent64177-9 Did you have any lung trouble before the age of 16?
Indent64178-7 Have you ever had attacks of bronchitis?
Indent64179-5 Was it confirmed by a doctor?
Indent64180-3 At what age was your first attack? a
Indent64181-1 Have you ever had pneumonia (include bronchopneumonia)?
Indent64182-9 Was it confirmed by a doctor?
Indent64183-7 At what age did you first have it? a
Indent64184-5 Have you ever had Hay fever?
Indent64185-2 Was it confirmed by a doctor?
Indent64186-0 At what age did it start? a
Indent64187-8 Have you ever had chronic bronchitis?
Indent64189-4 Do you still have it?
Indent64188-6 Was it confirmed by a doctor?
Indent64190-2 At what age did it start? a
Indent64191-0 Have you ever had emphysema?
Indent64192-8 Do you still have it?
Indent64193-6 Was it confirmed by a doctor?
Indent64194-4 At what age did it start? a
Indent64195-1 Have you ever had asthma?
Indent64196-9 Do you still have it?
Indent64197-7 Was it confirmed by a doctor?
Indent64198-5 At what age did it start? a
Indent64199-3 If you no longer have it, at what age did it stop? a
Indent64200-9 Have you ever had Any other chest illnesses?
Indent64201-7 Please specify chest illnesses you had.
Indent64236-3 Have you ever had Any chest operations?
Indent64237-1 Please specify chest operations you had.
Indent64202-5 Have you ever had any chest injuries?
Indent64203-3 Please specify chest injuries you had.
Indent64204-1 Has doctor ever told you that you had heart trouble?
Indent64205-8 Have you ever had treatment for heart trouble in the past 10 years?
Indent58295-7 Has a doctor or nurse ever said that you have High blood pressure or hypertension?
Indent64206-6 Have you had any treatment for high blood pressure (hypertension) in the past 10 years?
Indent64207-4 Have you ever worked full time (30 hours per week or more) for 6 months or more?
Indent64208-2 Have you ever worked for a year or more in any dusty job?
Indent64209-0 Dusty job. Specify job/industry.
Indent64235-5 Dusty job. Total years worked? a
Indent64210-8 Dusty job. Was dust exposure
Indent64211-6 Have you ever been exposed to gas or chemical fumes in your work?
Indent64212-4 Gas or chemical fumes Specify job/industry.
Indent64213-2 Gas or chemical fumes Total years worked? a
Indent64214-0 Gas or chemical fumes. Was gas or chemical fumes exposure
Indent63749-6 What kind of business or industry {did you/did SP} work in for the longest period of time as a (DISPLAY LONGEST OCCUPATION)?
Indent63751-2 About how long did you work at that job or business d;wk;mo;a
Indent63755-3 What was the job title of the (first/next) job (you/your___) held at this company?
Indent63742-1 What kind of business or industry is this?
Indent64216-5 Have you ever smoked cigarettes?
Indent64217-3 Do you now smoke cigarettes (as of 1 month ago)?
Indent64218-1 How many cigarettes do you smoke per day now? /d
Indent64219-9 On the average of the entire time you smoked, how many cigarettes did you smoke per day? /d
Indent64220-7 Do or did you inhale the cigarette smoke?
Indent64221-5 Have you ever smoked a pipe regularly?
Indent64222-3 How old were you when you started to smoke a pipe regularly? a
Indent64223-1 If you have stopped smoking a pipe completely, how old were you when you stopped? a
Indent64224-9 On the average over the entire time you smoked a pipe, how much pipe tobacco did you smoke per week? [oz_av]/wk
Indent64225-6 How much pipe tobacco are you smoking now?
Indent64226-4 Do or did you inhale the pipe smoke?
Indent64227-2 Have you ever smoked cigars regularly?
Indent64228-0 How old were you when you started smoking cigars regularly? a
Indent64229-8 If you have stopped smoking cigars completely, how old were you when you stopped? a
Indent64230-6 On the average over the entire time you smoked cigars, how many cigars did you smoke per week? /wk
Indent64232-2 Do or did you inhale the cigar smoke?
Indent64231-4 How many cigars are you smoking per week now? /wk
Indent64238-9 Natural parent [PhenX]
Indent64239-7 Were either of your natural parents ever told by a doctor that they had a chronic lung condition such as: Chronic bronchitis?
Indent64240-5 Were either of your natural parents ever told by a doctor that they had a chronic lung condition such as: Emphysema?
Indent64241-3 Were either of your natural parents ever told by a doctor that they had a chronic lung condition such as: Asthma?
Indent64242-1 Were either of your natural parents ever told by a doctor that they had a chronic lung condition such as: Lung cancer?
Indent64243-9 Were either of your natural parents ever told by a doctor that they had a chronic lung condition such as: Other chest conditions?
Indent64244-7 Have you ever had wheezing or whistling in your chest?
Indent64245-4 About how old were you when you first had wheezing or whistling in your chest? a
Indent64246-2 In the last 12 months, have you had wheezing or whistling in your chest at any time?
Indent64247-0 In the last 12 months, does your chest ever sound wheezy or whistling: When you have a cold?
Indent64248-8 In the last 12 months, does your chest ever sound wheezy or whistling: More than once a week?
Indent64249-6 In the last 12 months, does your chest ever sound wheezy or whistling: Most days and nights?
Indent64250-4 In the last 12 months, have you been awakened from sleep by coughing, apart from a cough associated with a cold or chest infection?
Indent64251-2 In the last 12 months, have you been awakened from sleep by shortness of breath or a feeling of tightness in your chest?
Indent64252-0 In the past 12 months, have you been bothered by sneezing or a runny or blocked nose when you did not have a cold or the flu?
Indent64253-8 In the past 12 months, have you been bothered by watery, itchy, or burning eyes when you did not have a cold or the flu?
Indent64254-6 In the past 12 months, have you had periods or episodes of cough with phlegm that lasted 1 week or more?
Indent64255-3 For how many years have you had at least one such episode per year? a
Indent64256-1 About how many such episodes have you had in the past 12 months? {#}
Indent64257-9 In the past year, have you been to the emergency room or hospitalized for lung problems?
Indent64258-7 How many times? {#}
Indent64259-5 In the past year, have you been treated with antibiotics for a chest illness?
Indent64260-3 How many times? {#}
Indent64261-1 In the past year, have you been treated with steroid pills or injections, such as prednisone or solumedrol, for a chest illness?
Indent64262-9 How many times? {#}

Fully-Specified Name

Component
PhenX - respiratory - personal - family hx of respiratory symptoms - diseases - adult protocol 090901
Property
-
Time
Pt
System
^Patient
Scale
-
Method
PhenX

Additional Names

Short Name
Resp fam hx resp sympt adult proto

Survey Question

Source
PX090901

Basic Attributes

Class
PANEL.PHENX
Type
Clinical
First Released
Version 2.36
Last Updated
Version 2.66
Change Reason
Updated the PhenX ID from "PhenX.<ID>" to "PX<ID>" in Survey Question Source field to align with the variable identifier used in the PhenX Toolkit.; Added the PhenX protocol ID to the Component to clearly define the protocol version for which this panel is based upon.
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
62611-9 PhenX domain - Respiratory

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) PhenX - respiratorio - personal - familiar de síntomas respiratorios - enfermedades - protocolo para adultos 090901:-:Punto temporal:^ Paciente:-:PhenX
it-IT Italian (Italy) PhenX - respiratorio - anamensi personale - familiare di sintomi respiratori - malattie - adulto, protocollo:-:Pt:^Paziente:-:PhenX
Synonyms: Panel PhenX paziente PhenX Punto nel tempo (episodio) Sintomi e malattie
ru-RU Russian (Russian Federation) PhenX - дыхание - личный - семейная история дыхательных симптомов - болезни - взрослый протокол:-:ТчкВрм:^Пациент:-:PhenX
Synonyms: Точка во времени;Момент
zh-CN Chinese (China) PhenX - 呼吸系统 - 个人 - 呼吸系统症状与疾病家族史 - 成年人方案 090901:-:时间点:^患者:-:PhenX
Synonyms: Consensus measures for Phenotypes and eXposures;PhenX;暴露;接触;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 Consensus measures for Phenotypes and eXposures;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 PhenX - 呼吸系统 - 个人 - 呼吸系统症状与疾病家族史 - 成年人（成人、成年者、大人）方案 090901;Consensus measures for Phenotypes and eXposures;PhenX;暴露;接触;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 医嘱套餐 医嘱套餐类 医嘱套餐组 医嘱组 医嘱组.PhenX;组套（组合、医嘱组、套餐、套餐医嘱、医嘱套餐、组合申请、组合项目）.PhenX;Consensus measures for Phenotypes and eXposures;PhenX;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标;PhenX 医嘱组 医嘱组合 医嘱组合类 医嘱组套 医嘱组套类 医嘱组类 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 多重;多重型;多重标尺类型;多重精度类型 套餐 套餐医嘱 套餐医嘱组 套餐医嘱组类 实验室医嘱套餐 实验室医嘱套餐类 实验室医嘱组 实验室医嘱组合类 实验室医嘱组套 实验室医嘱组套类 实验室套餐医嘱组 实验室套餐医嘱组类 实验室检验项目医嘱组合类 实验室检验项目组合类 时刻;随机;随意;瞬间 检验医嘱组合类 检验项目医嘱组合类 检验项目组合类 症状和疾病 症状类 组 组合 组合医嘱 组合类 组套

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

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=62625-9
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/62625-9