Version 2.74

Status Information


Term Description

This screening protocol includes 10 self-administered questions from the Centers for Disease Control and Prevention (CDC) Screening Questionnaire for Adult Immunization. Respondents are asked to respond to yes-or-no questions. The PhenX Infectious Diseases and Immunity Working Group recommend that this protocol only be used for exclusionary purposes based on contraindications.
Source: Regenstrief LOINC

Reference Information

Type Source Reference
Citation Consensus measures for Phenotypes and Exposures Department of Health and Human Services. Centers for Disease Control and Prevention (2009). Screening Questionnaire for Adult Immunization. Questions 1-10.

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
62879-2 PhenX - conditions relevant to immune response - screener - adult protocol 160801
Indent66373-2 Are you sick today?
Indent66374-0 Do you have allergies to medications, food, or any vaccine?
Indent66375-7 Have you ever had a serious reaction after receiving a vaccination?
Indent66376-5 Do you have a long-term health problem with heart disease, lung disease, asthma, kidney disease, metabolic disease (e.g., diabetes), anemia, or other blood disorder?
Indent66377-3 Do you have cancer, leukemia, AIDS, or any other immune system problem?
Indent66378-1 Do you take cortisone, prednisone, other steroids, or anticancer drugs, or have you had radiation treatments?
Indent66379-9 Have you had a seizure, brain, or other nervous system problem?
Indent66380-7 During the past year, have you received a transfusion of blood or blood products, or have you been given immune (gamma) globulin or an antiviral drug?
Indent66381-5 For women: Are you pregnant, or is there a chance you could become pregnant during the next month?
Indent66382-3 Have you received any vaccinations in the past 4 weeks?

Fully-Specified Name

PhenX - conditions relevant to immune response - screener - adult protocol 160801

Additional Names

Short Name
Immune response - adult proto

Survey Question


Basic Attributes

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

Member of these Panels

LOINC Long Common Name
62863-6 PhenX domain - Infectious diseases and immunity

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) PhenX - condiciones relevantes para la respuesta inmune - evaluador - protocolo para adultos 160801:-:Punto temporal:^ Paciente:-:PhenX
it-IT Italian (Italy) PhenX - condizioni rilevanti alla risposta immunitaria - screener - adulto, protocollo:-:Pt:^Paziente:-:PhenX
Synonyms: Panel PhenX paziente PhenX Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) PhenX - условия значимые для иммунного ответа - скринер - взрослый протокол:-:ТчкВрм:^Пациент:-:PhenX
Synonyms: Точка во времени;Момент
zh-CN Chinese (China) PhenX - 与免疫应答相关的健康状况 - 筛查工具 - 成年人方案 160801:-: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 - 与免疫应答相关的状况 - 筛查工具 - 成年人(成人、成年者、大人)方案 160801;PhenX - 与免疫应答相关的情况 - 筛查工具 - 成年人方案;PhenX - 与免疫应答相关的病情 - 筛查工具 - 成年人方案;PhenX - 与免疫应答相关的健康状况 - 筛查工具(筛查人员、筛查者) - 成人方案;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 组 组合 组合医嘱 组合类 组套

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

CodeSystem lookup$lookup?system=
Questionnaire definition