70649-9
Functional Assessment of Cancer Therapy for patients receiving biologic response modifiers questionnaire - version 4 (FACT-BRM) [FACIT]
Active
Term Description
For patients receiving Biologic Response Modifiers
Source: Regenstrief LOINC
Panel Hierarchy
Details for each LOINC in Panel LHC-Forms
| LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
|---|---|---|---|---|
| 70649-9 | Functional Assessment of Cancer Therapy for patients receiving biologic response modifiers questionnaire - version 4 (FACT-BRM) [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 | |||
| Indent70912-1 | Additional concerns - physical [FACIT] | |||
| Indent Indent70528-5 | I get tired easily | |||
| Indent Indent70425-4 | I feel weak all over | |||
| Indent Indent70350-4 | I have a good appetite | |||
| Indent Indent70670-5 | I have pain in my joints | |||
| Indent Indent70527-7 | I am bothered by the chills | |||
| Indent Indent70344-7 | I am bothered by fevers (episodes of high body temperature) | |||
| Indent Indent70650-7 | I am bothered by sweating | |||
| Indent70913-9 | Additional concerns - mental [FACIT] | |||
| Indent Indent70530-1 | I have trouble concentrating | |||
| Indent Indent70651-5 | I have trouble remembering things | |||
| Indent Indent70652-3 | I get depressed easily | |||
| Indent Indent70653-1 | I get annoyed easily | |||
| Indent Indent70319-9 | I have emotional ups and downs | |||
| Indent Indent70654-9 | I feel motivated to do things |
Fully-Specified Name
- Component
- Functional assessment of cancer therapy for patients receiving biologic response modifiers questionnaire - 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=70649-9 - Questionnaire definition
- https:
//fhir.loinc.org/Questionnaire/?url=http: //loinc.org/q/70649-9
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