70635-8
Functional Assessment of Cancer Therapy for patients with neurotoxicity questionnaire - 13 items - version 4 (FACT-GOG-NTX 13) [FACIT]
Active
Term Description
For patients with Neurotoxicity - 13 items
Source: Regenstrief LOINC
Panel Hierarchy
Details for each LOINC in Panel LHC-Forms
| LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
|---|---|---|---|---|
| 70635-8 | Functional Assessment of Cancer Therapy for patients with neurotoxicity questionnaire - 13 items - version 4 (FACT-GOG-NTX 13) [FACIT] | |||
| Indent70498-1 | Physical well-being [FACIT] | |||
| Indent Indent70405-6 | I have a lack of energy | |||
| Indent Indent70406-4 | I have nausea | |||
| Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
| Indent Indent70408-0 | I have pain | |||
| Indent Indent70409-8 | I am bothered by side effects of treatment | |||
| Indent Indent70410-6 | I feel ill | |||
| Indent Indent70411-4 | I am forced to spend time in bed | |||
| Indent70499-9 | Social - family well-being [FACIT] | |||
| Indent Indent70412-2 | I feel close to my friends | |||
| Indent Indent70413-0 | I get emotional support from my family | |||
| Indent Indent70414-8 | I get support from my friends | |||
| Indent Indent70415-5 | My family has accepted my illness | |||
| Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
| Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
| Indent Indent70914-7 | 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. | |||
| Indent Indent70418-9 | I am satisfied with my sex life | |||
| Indent70500-4 | Emotional well being [FACIT] | |||
| Indent Indent70392-6 | I feel sad | |||
| Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
| Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
| Indent Indent70395-9 | I am nervous | |||
| Indent Indent70396-7 | I worry about dying | |||
| Indent Indent70397-5 | I worry that my condition will get worse | |||
| Indent70501-2 | Functional well-being [FACIT] | |||
| Indent Indent70398-3 | I am able to work (include work at home) | |||
| Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
| Indent Indent70400-7 | I am able to enjoy life | |||
| Indent Indent70401-5 | I have accepted my illness | |||
| Indent Indent70402-3 | I am sleeping well | |||
| Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
| Indent Indent70404-9 | I am content with the quality of my life right now | |||
| Indent70889-1 | Additional concerns - FACT-GOG-NTX-13 [FACIT] | |||
| Indent Indent70562-4 | I have numbness or tingling in my hands | |||
| Indent Indent70625-9 | I have numbness or tingling in my feet | |||
| Indent Indent70626-7 | I feel discomfort in my hands | |||
| Indent Indent70627-5 | I feel discomfort in my feet | |||
| Indent Indent70628-3 | I have joint pain or muscle cramps | |||
| Indent Indent70425-4 | I feel weak all over | |||
| Indent Indent70477-5 | I have trouble hearing | |||
| Indent Indent70629-1 | I get a ringing or buzzing in my ears | |||
| Indent Indent70630-9 | I have trouble buttoning buttons | |||
| Indent Indent70631-7 | I have trouble feeling the shape of small objects when they are in my hand | |||
| Indent Indent70632-5 | I have trouble walking | |||
| Indent Indent70563-2 | I have pain in my hands or feet when I am exposed to cold temperatures | |||
| Indent Indent70634-1 | I have difficulty breathing when I am exposed to cold temperatures |
Fully-Specified Name
- Component
- Functional assessment of cancer therapy for patients with neurotoxicity questionnaire - 13 items - version 4
- 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 |
|---|---|
| 70672-1 | Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel |
LOINC Terminology Service (API) using HL7® FHIR® Get Info
Requests to this service require a free LOINC username and password. Below is a sample of the possible capabilities. See the LOINC Terminology Service documentation for more information.
- CodeSystem lookup
- https:
//fhir.loinc.org/CodeSystem/$lookup?system=http: //loinc.org&code=70635-8 - Questionnaire definition
- https:
//fhir.loinc.org/Questionnaire/?url=http: //loinc.org/q/70635-8
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
LOINC Copyright
Copyright © 2024 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright