70538-4
National Comprehensive Cancer Network - Breast Symptom Index Questionnaire - 16 items (NCCN-FBSI-16) [FACIT]
Active
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 | 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
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 | 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
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 | 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
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 | 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 |
|---|---|
| 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 |
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 | 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
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 | 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 |
| 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
70322-3 I have bone pain
Observation ID in Form
BP1
Fully-Specified Name
- Component
- I have bone 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 bone pain
- Source
- BP1
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
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 | 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
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 | 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
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 | 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
70561-6 I have mouth sores
Observation ID in Form
N6
Fully-Specified Name
- Component
- I have mouth sores 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 mouth sores
- Source
- N6
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 |
|---|---|
| 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
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 | 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
70309-0 I am bothered by hair loss
Observation ID in Form
B5
Fully-Specified Name
- Component
- I am bothered by hair loss 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 hair loss
- Source
- B5
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 |
| 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 | 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
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 | 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
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 | 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