LOINC Panel Details 70516-0 Functional Assessment of Cancer Therapy for patients with leukemia questionnaire

70498-1 Physical well-being [FACIT]

Fully-Specified Name

Component: Physical well being
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: FACIT

Basic Attributes

Class: PANEL.SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.50
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70405-6 I have a lack of energy

Observation ID in Form

GP1

Fully-Specified Name

Component: I have a lack of energy in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I have a lack of energy
Source: GP1

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70406-4 I have nausea

Observation ID in Form

GP2

Fully-Specified Name

Component: I have nausea in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I have nausea
Source: GP2

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70407-2 Because of my physical condition, I have trouble meeting the needs of my family

Observation ID in Form

GP3

Fully-Specified Name

Component: Because of my physical condition, I have trouble meeting the needs of my family in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: Because of my physical condition, I have trouble meeting the needs of my family
Source: GP3

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70408-0 I have pain

Observation ID in Form

GP4

Fully-Specified Name

Component: I have pain in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I have pain
Source: GP4

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70675-4	Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70409-8 I am bothered by side effects of treatment

Observation ID in Form

GP5

Fully-Specified Name

Component: I am bothered by side effects of treatment in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I am bothered by side effects of treatment
Source: GP5

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70410-6 I feel ill

Observation ID in Form

GP6

Fully-Specified Name

Component: I feel ill in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I feel ill
Source: GP6

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70411-4 I am forced to spend time in bed

Observation ID in Form

GP7

Fully-Specified Name

Component: I am forced to spend time in bed in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I am forced to spend time in bed
Source: GP7

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70499-9 Social - family well-being [FACIT]

Fully-Specified Name

Component: Social - family well being
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: FACIT

Basic Attributes

Class: PANEL.SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.50
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70412-2 I feel close to my friends

Observation ID in Form

GS1

Fully-Specified Name

Component: I feel close to my friends in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I feel close to my friends
Source: GS1

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70413-0 I get emotional support from my family

Observation ID in Form

GS2

Fully-Specified Name

Component: I get emotional support from my family in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I get emotional support from my family
Source: GS2

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70414-8 I get support from my friends

Observation ID in Form

GS3

Fully-Specified Name

Component: I get support from my friends in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I get support from my friends
Source: GS3

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70415-5 My family has accepted my illness

Observation ID in Form

GS4

Fully-Specified Name

Component: My family has accepted my illness in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: My family has accepted my illness
Source: GS4

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70416-3 I am satisfied with family communication about my illness

Observation ID in Form

GS5

Fully-Specified Name

Component: I am satisfied with family communication about my illness in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I am satisfied with family communication about my illness
Source: GS5

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70417-1 I felt close to my partner, or the person who is my main support

Observation ID in Form

GS6

Fully-Specified Name

Component: I feel close to my partner, or the person who is my main support, in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I felt close to my partner, or the person who is my main support
Source: GS6

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.

Observation ID in Form

Q1

Fully-Specified Name

Component: Would you like to answer the question referring to your sex life
Property: Find
Time: Pt
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.50

Survey Question

Text: Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
Source: Q1

Normative 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
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

70418-9 I am satisfied with my sex life

Observation ID in Form

GS7

Fully-Specified Name

Component: I am satisfied with my sex life in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I am satisfied with my sex life
Source: GS7

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70500-4 Emotional well being [FACIT]

Fully-Specified Name

Component: Emotional well being
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: FACIT

Basic Attributes

Class: PANEL.SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.50
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70392-6 I feel sad

Observation ID in Form

GE1

Fully-Specified Name

Component: I feel sad in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I feel sad
Source: GE1

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70393-4 I am satisfied with how I am coping with my illness

Observation ID in Form

GE2

Fully-Specified Name

Component: I am satisfied with how I am coping with my illness in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I am satisfied with how I am coping with my illness
Source: GE2

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70394-2 I am losing hope in the fight against my illness

Observation ID in Form

GE3

Fully-Specified Name

Component: I am losing hope in the fight against my illness in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I am losing hope in the fight against my illness
Source: GE3

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70395-9 I am nervous

Observation ID in Form

GE4

Fully-Specified Name

Component: I feel nervous in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I am nervous
Source: GE4

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70396-7 I worry about dying

Observation ID in Form

GE5

Fully-Specified Name

Component: I worry about dying in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I worry about dying
Source: GE5

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70397-5 I worry that my condition will get worse

Observation ID in Form

GE6

Fully-Specified Name

Component: I worry that my condition will get worse in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I worry that my condition will get worse
Source: GE6

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70501-2 Functional well-being [FACIT]

Fully-Specified Name

Component: Functional well being
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: FACIT

Basic Attributes

Class: PANEL.SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.50
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70398-3 I am able to work (include work at home)

Observation ID in Form

GF1

Fully-Specified Name

Component: I am able to work - include work at home - in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I am able to work (include work at home)
Source: GF1

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70399-1 My work (include work at home) is fulfilling

Observation ID in Form

GF2

Fully-Specified Name

Component: My work - include work at home - is fulfilling in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: My work (include work at home) is fulfilling
Source: GF2

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70400-7 I am able to enjoy life

Observation ID in Form

GF3

Fully-Specified Name

Component: I am able to enjoy life in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I am able to enjoy life
Source: GF3

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70401-5 I have accepted my illness

Observation ID in Form

GF4

Fully-Specified Name

Component: I have accepted my illness in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I have accepted my illness
Source: GF4

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70402-3 I am sleeping well

Observation ID in Form

GF5

Fully-Specified Name

Component: I am sleeping well in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I am sleeping well
Source: GF5

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70403-1 I am enjoying the things I usually do for fun

Observation ID in Form

GF6

Fully-Specified Name

Component: I am enjoying the things I usually do for fun in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I am enjoying the things I usually do for fun
Source: GF6

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70404-9 I am content with the quality of my life right now

Observation ID in Form

GF7

Fully-Specified Name

Component: I am content with the quality of my life right now in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I am content with the quality of my life right now
Source: GF7

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70504-6	Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70880-0 Additional concerns - FACT-Leu [FACIT]

Fully-Specified Name

Component: Additional concerns - FACT-Leu
Property: -
Time: Pt
System: ^Patient
Scale: -
Method: FACIT

Basic Attributes

Class: PANEL.SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.50
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70344-7 I am bothered by fevers (episodes of high body temperature)

Observation ID in Form

BRM3

Fully-Specified Name

Component: I am bothered by fevers - episodes of high body temperature - in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I am bothered by fevers (episodes of high body temperature)
Source: BRM3

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70481-7 I have certain parts of my body where I experience pain

Observation ID in Form

P2

Fully-Specified Name

Component: I have certain parts of my body where I experience pain in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I have certain parts of my body where I experience pain
Source: P2

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70527-7 I am bothered by the chills

Observation ID in Form

BRM2

Fully-Specified Name

Component: I am bothered by the chills in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I am bothered by the chills
Source: BRM2

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Copyright: Copyright © 2010 FACIT.org.
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70379-3 I have night sweats

Observation ID in Form

ES3

Fully-Specified Name

Component: I have night sweats in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I have night sweats
Source: ES3

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70446-0 I am bothered by lumps or swelling in certain part of my body (e.g. neck, armpits, or groin)

Observation ID in Form

Leu1

Fully-Specified Name

Component: I am bothered by lumps or swelling in certain part of my body - neck, armpits, or groin - in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I am bothered by lumps or swelling in certain part of my body (e.g. neck, armpits, or groin)
Source: Leu1

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70484-1 I bleed easily

Observation ID in Form

TH1

Fully-Specified Name

Component: I bleed easily in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I bleed easily
Source: TH1

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70485-8 I bruise easily

Observation ID in Form

TH2

Fully-Specified Name

Component: I bruise easily in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I bruise easily
Source: TH2

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70425-4 I feel weak all over

Observation ID in Form

HI12

Fully-Specified Name

Component: I feel weak all over in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.67
Change Reason: Release 2.67: SURVEY_QUEST_TEXT: Corrected the omission of "over" from Survey Question Text; Previous Releases: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I feel weak all over
Source: HI12

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70528-5 I get tired easily

Observation ID in Form

BMT6

Fully-Specified Name

Component: I get tired easily in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I get tired easily
Source: BMT6

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70675-4	Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70346-2 I am losing weight

Observation ID in Form

C2

Fully-Specified Name

Component: I am losing weight in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I am losing weight
Source: C2

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70350-4 I have a good appetite

Observation ID in Form

C6

Fully-Specified Name

Component: I have a good appetite in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I have a good appetite
Source: C6

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70673-9	Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

61890-0 During the past 7 days - I am able to do my usual activities

Observation ID in Form

An7

Fully-Specified Name

Component: I am able to do my usual activities in past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: PROMIS

Basic Attributes

Class: SURVEY.PROMIS
Type: Surveys
First Released: Version 2.34
Last Updated: Version 2.54

Survey Question

Text: During the past 7 days - I am able to do my usual activities
Source: An7

Normative Answer List LL1017-4

Answer	Score	Answer ID
Not at all	1	LA6568-5
A little bit	2	LA13863-8
Somewhat	3	LA13909-9
Quite a bit	4	LA13902-4
Very much	5	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
61795-1	PROMIS item bank - fatigue - version 1.0

Copyright

Organization: PROMIS
Copyright: Copyright © 2010 PROMIS Health Organization or other individuals/entities that have contributed information and materials to Assessment Center, and are being used with the permission of the copyright holders.
Terms of Use: Use of PROMIS instruments (e.g., item banks, short forms, profile measures) are subject to the PROMIS Terms and Conditions available at: http://www.assessmentcenter.net/TandC.aspx
URL: http://www.healthmeasures.net/explore-measurement-systems/promis

70485-8 I bruise easily

Observation ID in Form

TH2

Fully-Specified Name

Component: I bruise easily in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I bruise easily
Source: TH2

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70470-0 I worry about getting infections

Observation ID in Form

N3

Fully-Specified Name

Component: I worry about getting infections in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I worry about getting infections
Source: N3

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70674-7	Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70448-6 I feel uncertain about my future health

Observation ID in Form

Leu5

Fully-Specified Name

Component: I feel uncertain about my future health in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I feel uncertain about my future health
Source: Leu5

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70449-4 I worry that I might get new symptoms of my illness

Observation ID in Form

Leu6

Fully-Specified Name

Component: I worry that I might get new symptoms of my illness in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I worry that I might get new symptoms of my illness
Source: Leu6

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70319-9 I have emotional ups and downs

Observation ID in Form

BRM9

Fully-Specified Name

Component: I have emotional ups and downs in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I have emotional ups and downs
Source: BRM9

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel
70506-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel
70672-1	Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70450-2 I feel isolated from others because of my illness or treatment

Observation ID in Form

Leu7

Fully-Specified Name

Component: I feel isolated from others because of my illness or treatment in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method: FACIT

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.66
Change Reason: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Survey Question

Text: I feel isolated from others because of my illness or treatment
Source: Leu7

Normative Answer List LL5215-0

Answer	Score	Answer ID
Not at all	0	LA6568-5
A little bit	1	LA13863-8
Somewhat	2	LA13909-9
Quite a bit	3	LA13902-4
Very much	4	LA13914-9

Member of these Panels

LOINC	Long Common Name
70505-3	Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel

Copyright

Organization: Functional Assessment of Chronic Illness Therapy
Terms of Use: Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
URL: http://www.facit.org/FACITOrg/AboutUs/Copyright

70516-0

Functional Assessment of Cancer Therapy for patients with leukemia questionnaire - version 4 (FACT-Leu) [FACIT]

Active

70498-1 Physical well-being [FACIT]

Fully-Specified Name

Basic Attributes

Member of these Panels

Related Names

Copyright

70405-6 I have a lack of energy

Observation ID in Form

Fully-Specified Name

Basic Attributes

Survey Question

Normative Answer List LL5215-0

Member of these Panels

Related Names

Copyright

70406-4 I have nausea

Observation ID in Form

Fully-Specified Name

Basic Attributes

Survey Question

Normative Answer List LL5215-0

Member of these Panels

Related Names

Copyright

70407-2 Because of my physical condition, I have trouble meeting the needs of my family

Observation ID in Form

Fully-Specified Name

Basic Attributes

Survey Question

Normative Answer List LL5215-0

Member of these Panels

Related Names

Copyright

70408-0 I have pain

Observation ID in Form

Fully-Specified Name

Basic Attributes

Survey Question

Normative Answer List LL5215-0

Member of these Panels

Related Names

Copyright

70409-8 I am bothered by side effects of treatment

Observation ID in Form

Fully-Specified Name

Basic Attributes

Survey Question

Normative Answer List LL5215-0

Member of these Panels

Related Names

Copyright

70410-6 I feel ill

Observation ID in Form

Fully-Specified Name

Basic Attributes

Survey Question

Normative Answer List LL5215-0

Member of these Panels

Related Names

Copyright

70411-4 I am forced to spend time in bed

Observation ID in Form

Fully-Specified Name

Basic Attributes

Survey Question

Normative Answer List LL5215-0

Member of these Panels

Related Names

Copyright

70499-9 Social - family well-being [FACIT]

Fully-Specified Name

Basic Attributes

Member of these Panels

Related Names

Copyright

70412-2 I feel close to my friends

Observation ID in Form