Version 2.78

Status Information

Status
TRIAL

Term Description

The Self Evaluation plus Medication Survey is a self-administered instrument which was developed from the questionnaires used in the Collaborative Association Study of Psoriasis (CASP), which is a Genetic Association Information Network (GAIN) genome-wide association study (GWAS). The Self Evaluation plus Medication Survey collects information on individuals with psoriasis and controls, and their family history of psoriasis and other autoimmune diseases. Additionally, for individuals with psoriasis the questionnaire collects information regarding their symptoms and medication use and its effectiveness. The PhenX Skin, Bone, Muscle and Joint Working Group (WG) recommends that investigators provide participants with an informed consent form which allows future contact for physician validation of their diagnosis and to update information on their health status. Immediately following the alcohol and tobacco questions, the Self Evaluation plus Medication Survey asked questions regarding the respondent's weight and height. These questions have been deleted. The Working Group recommends that this information be obtained via the PhenX measures titled Weight and Height, respectively. These measures are located in the PhenX Toolkit, under the Anthropometrics domain.
Source: Regenstrief LOINC

Reference Information

Type Source Reference
Citation Consensus measures for Phenotypes and Exposures The Self Evaluation plus Medication Survey was provided by the Psoriasis Genetics Laboratory, Department of Dermatology, University of Michigan Medical School, Ann Arbor, MI. Of note, the questions in this survey have been renumbered 1-31.
Article Consensus measures for Phenotypes and Exposures Nair, R. P., Stuart, P. E., Nistor, I., Hiremagalore, R., Chia, N. V. C., Jenisch, S., Weichenthal, M., Abeasis, G. R., Lim, H. W., Christophers, E., Voorhees, J. J., & Elder, J. T. (2006). Sequence and haplotype analysis supports HLA-C as the Psoriasis Susceptibility 1 gene. American Journal of Human Genetics, 78, 827-851. PMCID: PMC1474031.
Article Consensus measures for Phenotypes and Exposures Nair, R. P., Ruether, A., Stuart, P. E., Jenisch, S., Tejasvi, T., Hiremagalore, R., Schreiber, S., Kabelitz, D., Lim, H. W., Voorhees, J. J., Christophers, E., Elder, J. T., & Weichenthal, M. (2008). Polymorphisms of the IL12B and IL23R genes are associated with psoriasis. Journal of Investigative Dermatology, 128, 1653-1661. PMCID: PMC2739284.
Article Consensus measures for Phenotypes and Exposures Nair, R. P., Callis Duffin, K., Helms, C., Ding, J., Stuart, P. E., Goldgar, D., Gudjonsson, J., Li, Y., Tejasvi, T., Feng, B. J., Ruether, A., Schreiber, S., Weichenthal, M., Gladman, D., Rahman, P., Schrodi, S. J., Prahalad, S., Guthery, S. L., Fischer, J., Liao, W., Kwok, P., Menter, A., Lathrop, G. M., Wise, C., Begovich, A. B., Voorhees, J. J., Elder, J. T., Krueger, G. G., Bowcock, A. M., & Abecasis, G. R. (2009). Genome-wide scan of psoriasis reveals association with IL-23 and NF-kB pathways. Nature Genetics, 41(2), 199-204. PMCID: PMC2745122.
Article Consensus measures for Phenotypes and Exposures de Cid, R., Riveira-Munoz, E., Zeeuwen, P. L. J. M., Robarge, J., Liao, W., Dannhauser, E. N., Giardina, E., Stuart, P. E., Nair, R. P., Helms, C., Escarams, G., Ballana, E., Martn-Ezquerra, G., den Heijer, M., Kamsteeg, M., Joosten, I., Eichler, E. E., Lzaro, C., Pujol, R. M., Armengol, L., Abecasis, G., Elder, J. T., Novelli, G., Armour, J. A. L., Kwok, P., Bowcock, A., Schalkwijk, J., & Estivill, X. (2009). Deletion of the late cornified envelope (LCE) 3B and 3C genes as a susceptibility factor for psoriasis. Nature Genetics, 41(2), 211-215. NIHMSID: NIHMS213228.
Article Consensus measures for Phenotypes and Exposures Stuart, P. E., Nair, R. P., Hiremagalore, R., Kullavanijaya, P., Kullavanijaya, P., Tejasvi, T., Lim, H. W., Voorhees, J. J., & Elder, J. T. (2010). Comparison of MHC Class I risk haplotypes in Thai and Caucasian psoriatics reveals locus heterogeneity at PSORS1. Tissue Antigens, July 1 [E-pub ahead of print]. NIHMSID: NIHMS215411
Article Consensus measures for Phenotypes and Exposures Stuart, P. E., Nair, R. P., Ellinghaus, E., Ding, J., Tejasvi, T., Gudjonsson, J. E., Li, Y., Weidinger, S., Eberlein, B., Gieger, C., Wichmann, H. E., Kunz, M., Ike, R., Mroweitz, U., Lim, H. W., Voorhees, J. J., Abecasis, G. R., Weichenthal, M., Franke, A., Rahman, P., Gladman, D., & Elder, J. T. (in press). Genome-wide association analysis identifies three psoriasis susceptibility loci. Nature Genetics.

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
62906-3 PhenX - personal and family history of psoriasis protocol 170501
Indent65223-0 Age of onset a
Indent63932-8 Age at diagnosis? a
Indent66535-6 Is the physician who diagnosed you a dermatologist:
Indent67101-6 Name of your current dermatologist
Indent66536-4 Have you been told by a rheumatologist that you have psoriatic arthritis?
Indent66537-2 Have you been diagnosed with Crohn's disease or another inflammatory bowel disorder?
Indent29308-4 Diagnosis 0..*
Indent63931-0 Date of diagnosis?
Indent66538-0 Have you been diagnosed with any type of autoimmune disease (lupus, scleroderma, etc.)?
Indent66539-8 Do you have any blood relatives affected with psoriasis?
Indent66540-6 Do you have any blood relatives with inflammatory bowel disease?
Indent66541-4 Do you have any blood relatives with any type of autoimmune disease?
Indent66542-2 What color is an average spot of your psoriasis?
Indent66543-0 How thick is an average spot of your psoriasis?
Indent66544-8 How scaly is an average spot of your psoriasis?
Indent66546-3 Has a dermatologist told you that you have pustular psoriasis?
Indent66545-5 Do you have nail psoriasis?
Indent67103-2 On the drawings below, mark areas of your body affected with psoriasis NOW. Face
Indent8251-1 Service comment
Indent67104-0 On the drawings below, mark areas of your body affected with psoriasis WHEN IT WAS THE WORST IT HAS EVER BEEN. Face
Indent66547-1 Things to smoke [PhenX]
Indent66548-9 How many of the following do you smoke per day?
Indent66549-7 Topical Medications (creams, lotions, etc.), Systemic medications (oral medications), Biologicals (injected), Phototherapy
Indent66550-5 Psoriasis treatment duration [PhenX]
Indent66551-3 Psoriasis treatment effectiveness [PhenX]
Indent66552-1 Biologicals (injected) Other, please describe
Indent66553-9 Other systemics [PhenX]
Indent66554-7 Other topicals [PhenX]

Fully-Specified Name

Component
PhenX - personal and family history of psoriasis protocol 170501
Property
-
Time
Pt
System
^Patient
Scale
-
Method
PhenX

Additional Names

Short Name
Pers fam hx psoriasis proto

Survey Question

Source
PX170501

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
62896-6 PhenX domain - Skin, bone, muscle and joint

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) PhenX - protocolo 170501 de antecedentes personales y familiares de psoriasis:-:Punto temporal:^ Paciente:-:PhenX
it-IT Italian (Italy) PhenX - anamnesi personale e familiare di psoriasi, protocollo:-:Pt:^Paziente:-:PhenX
Synonyms: Panel PhenX paziente PhenX Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) PhenX - личная и семейная история псориаз протокол:-:ТчкВрм:^Пациент:-:PhenX
Synonyms: Точка во времени;Момент
zh-CN Chinese (China) PhenX - 银屑病个人与家族史方案 170501:-: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 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
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=62906-3
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/62906-3