70532-7
Functional Assessment of Cancer Therapy - Prostate Symptom Index Questionnaire - 8 items (FAPSI-8) [FACIT]
Active
Form Coding Instructions
Please circle or mark one number per line to indicate your response as it applies to the past 7 days
Source: Functional Assessment of Chronic Illness Therapy70405-6 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
Long Common Name
I have a lack of energy in the past 7 days [FACIT]
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.66 (MIN)
- Change Reason
- 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 | Code | 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
Long Common Name
I have pain in the past 7 days [FACIT]
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.66 (MIN)
- Change Reason
- 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 | Code | 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
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
Long Common Name
I worry that my condition will get worse in the past 7 days [FACIT]
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.66 (MIN)
- Change Reason
- 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 | Code | 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
70346-2 I am losing weight
Observation ID in Form
C2
Fully-Specified Name
- Component
- I am losing weight in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Long Common Name
I am losing weight in the past 7 days [FACIT]
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.66 (MIN)
- Change Reason
- 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 | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70505-3 | Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel |
| 70506-1 | Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel |
| 70673-9 | Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel |
Copyright
- Organization
- Functional Assessment of Chronic Illness Therapy
- Copyright
- Copyright © 2010 FACIT.org.
- Terms of Use
- Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
- URL
- http://www.facit.org/FACITOrg/AboutUs/Copyright
70481-7 I have certain parts of my body where I experience pain
Observation ID in Form
P2
Fully-Specified Name
- Component
- I have certain parts of my body where I experience pain in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Long Common Name
I have certain parts of my body where I experience pain in the past 7 days [FACIT]
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.66 (MIN)
- Change Reason
- 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 | Code | 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
70558-2 My pain keeps me from doing things I want to do
Observation ID in Form
P3
Fully-Specified Name
- Component
- My pain keeps me from doing things I want to do in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Long Common Name
My pain keeps me from doing things I want to do in the past 7 days [FACIT]
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.66 (MIN)
- Change Reason
- 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 | Code | 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
- 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
70566-5 I have difficulty urinating
Observation ID in Form
P7
Fully-Specified Name
- Component
- I have difficulty urinating in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Long Common Name
I have difficulty urinating in the past 7 days [FACIT]
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.66 (MIN)
- Change Reason
- 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 | Code | 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
- 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
70559-0 My problems with urinating limit my activities
Observation ID in Form
P8
Fully-Specified Name
- Component
- My problems with urinating limit my activities in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Long Common Name
My problems with urinating limit my activities in the past 7 days [FACIT]
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.66 (MIN)
- Change Reason
- 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 | Code | 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
- 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