LOINC Panel Details 70518-6 Functional Assessment of Cancer Therapy for patients with melanoma 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

70882-6 Additional concerns - FACT-M [FACIT]

Fully-Specified Name

Component: Additional concerns - FACT-M
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

70453-6 I have pain at my melanoma site or surgical site

Observation ID in Form

M1

Fully-Specified Name

Component: I have pain at my melanoma site or surgical site 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 at my melanoma site or surgical site
Source: M1

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
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

70462-7 I have noticed new changes in my skin (lumps, bumps, color)

Observation ID in Form

M2

Fully-Specified Name

Component: I have noticed new changes in my skin - lumps, bumps, color 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 noticed new changes in my skin (lumps, bumps, color)
Source: M2

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
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

70463-5 I worry about the appearance of surgical scars

Observation ID in Form

M3

Fully-Specified Name

Component: I worry about the appearance of surgical scars 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 the appearance of surgical scars
Source: M3

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
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

70305-8 I have been short of breath

Observation ID in Form

B1

Fully-Specified Name

Component: I have been short of breath in the past 7D
Property: Find
Time: 7D
System: ^Patient
Scale: Ord
Method

Basic Attributes

Class: SURVEY.GNHLTH
Type: Surveys
First Released: Version 2.40
Last Updated: Version 2.72
Change Reason: Release 2.72: SURVEY_QUEST_TEXT: Moved to Form Data table.; METHOD_TYP: Removed Method to increase usability.; Previous Releases: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

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
99357-6	COVID-19 health questions panel
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
98520-0	PROMIS item bank - dyspnea characteristics - version 1.0

Related Codes

Code System	Code	Code Text	Code Version
https://www.phenxtoolkit.org	PX940101020300	PX940101_Covid19_Health_Questions_Symptoms_Past_Week_Short_Breath

70440-3 I have to limit my physical activity because of my condition

Observation ID in Form

ITU4

Fully-Specified Name

Component: I have to limit my physical activity because of my condition 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 to limit my physical activity because of my condition
Source: ITU4

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
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

70302-5 I get headaches

Observation ID in Form

An10

Fully-Specified Name

Component: I get headaches 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 headaches
Source: An10

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

70421-3 I have had fevers (episodes of high body temperature)

Observation ID in Form

Hep3

Fully-Specified Name

Component: I have had 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 have had fevers (episodes of high body temperature)
Source: Hep3

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
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

70345-4 I have swelling or cramps in my stomach

Observation ID in Form

C1

Fully-Specified Name

Component: I have swelling or cramps in my stomach area 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 swelling or cramps in my stomach
Source: C1

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

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

70464-3 I have aches and pains in my bones

Observation ID in Form

M5

Fully-Specified Name

Component: I have aches and pains in my bones 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 aches and pains in my bones
Source: M5

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

70465-0 I have noticed blood in my stool

Observation ID in Form

M6

Fully-Specified Name

Component: I have noticed blood in my stool 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 noticed blood in my stool
Source: M6

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

70439-5 I have to limit my social activity because of my condition

Observation ID in Form

ITU3

Fully-Specified Name

Component: I have to limit my social activity because of my condition 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 to limit my social activity because of my condition
Source: ITU3

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

70469-2 I feel overwhelmed by my condition

Observation ID in Form

MS8

Fully-Specified Name

Component: I feel overwhelmed by my condition 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 overwhelmed by my condition
Source: MS8

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

70466-8 I isolate myself from others because of my condition

Observation ID in Form

M8

Fully-Specified Name

Component: I isolate myself from others because of my condition 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 isolate myself from others because of my condition
Source: M8

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

70467-6 I have difficulty thinking clearly - remembering, concentrating

Observation ID in Form

M9

Fully-Specified Name

Component: I have difficulty thinking clearly - remembering, concentrating - 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 difficulty thinking clearly - remembering, concentrating
Source: M9

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

70426-2 I feel fatigued

Observation ID in Form

HI7

Fully-Specified Name

Component: I feel fatigued 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 fatigued
Source: HI7

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

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

70454-4 I have swelling at my melanoma site

Observation ID in Form

M10

Fully-Specified Name

Component: I have swelling at my melanoma site 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 swelling at my melanoma site
Source: M10

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

70455-1 I have swelling as a result of surgery

Observation ID in Form

M11

Fully-Specified Name

Component: I have swelling as a result of surgery 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 swelling as a result of surgery
Source: M11

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

70456-9 I am bothered by the amount of swelling

Observation ID in Form

M12

Fully-Specified Name

Component: I am bothered by the amount of swelling 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 amount of swelling
Source: M12

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

70457-7 Movement of my swollen area is painful

Observation ID in Form

M13

Fully-Specified Name

Component: Movement of my swollen area is painful 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: Movement of my swollen area is painful
Source: M13

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

70458-5 Swelling keeps me from doing the things I want to do

Observation ID in Form

M14

Fully-Specified Name

Component: Swelling keeps me from doing the things I want to do 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: Swelling keeps me from doing the things I want to do
Source: M14

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

70459-3 Swelling keeps me from wearing clothes or shoes I want to wear

Observation ID in Form

M15

Fully-Specified Name

Component: Swelling keeps me from wearing clothes or shoes I want to wear 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: Swelling keeps me from wearing clothes or shoes I want to wear
Source: M15

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

70460-1 I feel numbness at my surgical site

Observation ID in Form

M16

Fully-Specified Name

Component: I feel numbness at my surgical site 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 numbness at my surgical site
Source: M16

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

70461-9 I have good range of movement in my arm or leg

Observation ID in Form

M17

Fully-Specified Name

Component: I have good range of movement in my arm or leg 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 good range of movement in my arm or leg
Source: M17

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

70518-6

Functional Assessment of Cancer Therapy for patients with melanoma questionnaire - version 4 (FACT-M) [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