70541-8
Functional Assessment of Cancer Therapy - Head and Neck Symptom Index Questionnaire - 10 items (FACIT - FHNSI) [FACIT]
Active
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
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
70436-1 I can swallow naturally and easily
Observation ID in Form
HN7
Fully-Specified Name
- Component
- I can swallow naturally and easily in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.66
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Survey Question
- Text
- I can swallow naturally and easily
- Source
- HN7
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
70430-4 I have pain in my mouth, throat or neck
Observation ID in Form
HN12
Fully-Specified Name
- Component
- I have pain in my mouth, throat or neck 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 in my mouth, throat or neck
- Source
- HN12
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
70432-0 I have trouble breathing
Observation ID in Form
HN3
Fully-Specified Name
- Component
- I have trouble breathing 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 trouble breathing
- Source
- HN3
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
70428-8 I am able to communicate with others
Observation ID in Form
HN10
Fully-Specified Name
- Component
- I am able to communicate with others 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 communicate with others
- Source
- HN10
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
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
70429-6 I can eat solid food
Observation ID in Form
HN11
Fully-Specified Name
- Component
- I can eat solid foods 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 can eat solid food
- Source
- HN11
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
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
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