Version 2.77

Reference Information

Type Source Reference
Citation David Cella, PhDCopyright Copyright © 2010 David Cella, PhD. FACIT Copyright FACIT Copyright

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
Indent70982-4 Functional Assessment of Chronic Illness Therapy - Dyspnea Questionnaire - 10 items (FACIT-Dyspnea - 10)
IndentIndent70971-7 How short of breath did you get dressing yourself without help?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70972-5 How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70973-3 How short of breath did you get walking up 20 stairs, 2 flights, without stopping?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70974-1 How short of breath did you get preparing meals?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70975-8 How short of breath did you get washing dishes?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70976-6 How short of breath did you get sweeping or mopping?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70977-4 How short of breath did you get making a bed?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70978-2 How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70979-0 How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70980-8 How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
Indent70983-2 Functional Assessment of Chronic Illness Therapy - Dyspnea Questionnaire - 33 items (FACIT-Dyspnea - 33)
IndentIndent70971-7 How short of breath did you get dressing yourself without help?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70972-5 How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70973-3 How short of breath did you get walking up 20 stairs, 2 flights, without stopping?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70974-1 How short of breath did you get preparing meals?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70975-8 How short of breath did you get washing dishes?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70976-6 How short of breath did you get sweeping or mopping?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70977-4 How short of breath did you get making a bed?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70978-2 How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70979-0 How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70980-8 How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70984-0 How short of breath did you get taking a bath?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70985-7 How short of breath did you get taking a shower?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70986-5 How short of breath did you get putting on socks or stockings?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70987-3 How short of breath did you get standing for at least 5 minutes?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70988-1 How short of breath did you get walking 10 steps/paces on flat ground at a normal speed without stopping?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70989-9 How short of breath did you get walking 1/2 mile, almost 1 km, on flat ground at a normal speed, without stopping?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70990-7 How short of breath did you get walking up 5 stairs without stopping?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70991-5 How short of breath did you get walking up 10 stairs, 1 flight, without stopping?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70992-3 How short of breath did you get walking up 30 stairs, 3 flights, without stopping?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent71006-1 How short of breath did you get scrubbing the floor or counter?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70993-1 How short of breath did you get lifting something weighing less than 5 lbs, about 2 kg, like a houseplant?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70994-9 How short of breath did you get lifting something weighing 5-10 lbs, about 2-4.5 kg, like a basket of clothes?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70995-6 How short of breath did you get lifting something weighing more than 20 lbs, about 9 kg, like a medium-sized suitcase?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70996-4 How short of breath did you get carrying something weighing less than 5 lbs, about 2 kg, like a houseplant, from one room to another?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70997-2 How short of breath did you get carrying something weighing 5-10 lbs, about 2-4.5 kg, like a basket of clothes, from one room to another
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70998-0 How short of breath did you get getting in or out of a car?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent70999-8 How short of breath did you get dining out?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent71000-4 How short of breath did you get low-intensity leisure activity - gardening, etc?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent71001-2 How short of breath did you get moderate-intensity leisure activity - bicycling on level terrain, etc?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent71002-0 How short of breath did you get walking, faster than your usual speed, for 50 steps without stopping?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent71003-8 How short of breath did you get walking, faster than your usual speed, for at least 1 mile, a little more than 1.5 km, without stopping?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent71004-6 How short of breath did you get singing or humming?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
IndentIndent71005-3 How short of breath did you get talking while walking?
IndentIndent70981-6 Please indicate why you did not do this in the past 7 days
Indent71007-9 Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 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.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent71008-7 Additional concerns - FACIT-Pal [FACIT]
IndentIndentIndent71009-5 I maintain contact with my friends
IndentIndentIndent71010-3 I have family members who will take on my responsibilities
IndentIndentIndent71011-1 I feel that my family appreciates me
IndentIndentIndent71012-9 I feel like a burden to my family
IndentIndentIndent70305-8 I have been short of breath
IndentIndentIndent71013-7 I am constipated
IndentIndentIndent70346-2 I am losing weight
IndentIndentIndent70479-1 I have been vomiting
IndentIndentIndent71014-5 I have swelling in parts of my body
IndentIndentIndent71015-2 My mouth and throat are dry
IndentIndentIndent70341-3 I feel independent
IndentIndentIndent71016-0 I feel useful
IndentIndentIndent71017-8 I make each day count
IndentIndentIndent71018-6 I have peace of mind
IndentIndentIndent71019-4 I feel hopeful
IndentIndentIndent71020-2 I am able to make decisions
IndentIndentIndent70441-1 My thinking is clear
IndentIndentIndent71021-0 I have been able to reconcile (make peace) with other people
IndentIndentIndent71022-8 I am able to openly discuss my concerns with the people closest to me
Indent71439-4 Functional Assessment of Chronic Illness Therapy Spiritual Well-being Questionnaire - version 4 (FACIT-Sp)
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 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.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent71131-7 Additional concerns - FACIT-Sp [FACIT]
IndentIndentIndent71024-4 I feel peaceful
IndentIndentIndent71025-1 I have a reason for living
IndentIndentIndent71026-9 My life has been productive
IndentIndentIndent71027-7 I have trouble feeling peace of mind
IndentIndentIndent71028-5 I feel a sense of purpose in my life
IndentIndentIndent71029-3 I am able to reach down deep into myself for comfort
IndentIndentIndent71030-1 I feel a sense of harmony within myself
IndentIndentIndent71031-9 My life lacks meaning and purpose
IndentIndentIndent70697-8 I find comfort in my faith or spiritual beliefs
IndentIndentIndent71032-7 I find strength in my faith or spiritual beliefs
IndentIndentIndent71033-5 My illness has strengthened my faith or spiritual beliefs
IndentIndentIndent71034-3 I know that whatever happens with my illness things will be okay
Indent71023-6 Functional Assessment of Chronic Illness Therapy - Spiritual well-being Questionnaire - 12 items - version 4 (FACIT-Sp-12)
IndentIndent71024-4 I feel peaceful
IndentIndent71025-1 I have a reason for living
IndentIndent71026-9 My life has been productive
IndentIndent71027-7 I have trouble feeling peace of mind
IndentIndent71028-5 I feel a sense of purpose in my life
IndentIndent71029-3 I am able to reach down deep into myself for comfort
IndentIndent71030-1 I feel a sense of harmony within myself
IndentIndent71031-9 My life lacks meaning and purpose
IndentIndent70697-8 I find comfort in my faith or spiritual beliefs
IndentIndent71032-7 I find strength in my faith or spiritual beliefs
IndentIndent71033-5 My illness has strengthened my faith or spiritual beliefs
IndentIndent71034-3 I know that whatever happens with my illness things will be okay
Indent71035-0 Functional Assessment of Chronic Illness Therapy - Spiritual well-being, expanded version questionnaire - version 4 (FACIT-Sp-Ex)
IndentIndent71024-4 I feel peaceful
IndentIndent71025-1 I have a reason for living
IndentIndent71026-9 My life has been productive
IndentIndent71027-7 I have trouble feeling peace of mind
IndentIndent71028-5 I feel a sense of purpose in my life
IndentIndent71029-3 I am able to reach down deep into myself for comfort
IndentIndent71030-1 I feel a sense of harmony within myself
IndentIndent71031-9 My life lacks meaning and purpose
IndentIndent70697-8 I find comfort in my faith or spiritual beliefs
IndentIndent71032-7 I find strength in my faith or spiritual beliefs
IndentIndent71033-5 My illness has strengthened my faith or spiritual beliefs
IndentIndent71034-3 I know that whatever happens with my illness things will be okay
IndentIndent71036-8 I feel connected to a higher power (or God)
IndentIndent71037-6 I feel connected to other people
IndentIndent71038-4 I feel loved
IndentIndent71039-2 I feel love for others
IndentIndent71040-0 I am able to forgive others for any harm they have ever caused me
IndentIndent71041-8 I feel forgiven for any harm I may have ever caused
IndentIndent71042-6 Throughout the course of my day, I feel a sense of thankfulness for my life
IndentIndent71043-4 Throughout the course of my day, I feel a sense of thankfulness for what others bring to my life
IndentIndent71019-4 I feel hopeful
IndentIndent71044-2 I feel a sense of appreciation for the beauty of nature
IndentIndent71045-9 I feel compassion for others in the difficulties they are facing
Indent71046-7 Functional Assessment of Chronic Illness Therapy - Spiritual well-being - non-illness questionnaire - version 4 (FACIT-Sp - non-illness)
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 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.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent71132-5 Additional concerns - FACIT-Sp-NI [FACIT]
IndentIndentIndent71024-4 I feel peaceful
IndentIndentIndent71025-1 I have a reason for living
IndentIndentIndent71026-9 My life has been productive
IndentIndentIndent71027-7 I have trouble feeling peace of mind
IndentIndentIndent71028-5 I feel a sense of purpose in my life
IndentIndentIndent71029-3 I am able to reach down deep into myself for comfort
IndentIndentIndent71030-1 I feel a sense of harmony within myself
IndentIndentIndent71031-9 My life lacks meaning and purpose
IndentIndentIndent70697-8 I find comfort in my faith or spiritual beliefs
IndentIndentIndent71032-7 I find strength in my faith or spiritual beliefs
IndentIndentIndent71124-2 Difficult times have strengthened my faith or spiritual beliefs
IndentIndentIndent71125-9 Even during difficult times, I know that things will be okay
Indent71047-5 Functional Assessment of Chronic Illness Therapy - Satisfaction with Pharmacist Scale - version 4 (FACIT - SWiP)
IndentIndent71048-3 My pharmacist advises me on the proper use of my medicines
IndentIndent71049-1 My pharmacist advises me on the adverse (side) effects of my medicines
IndentIndent71050-9 I have confidence in my pharmacist(s)
IndentIndent71051-7 My pharmacist is available to answer my questions
IndentIndent71052-5 My pharmacist helps with the arrangements necessary to obtain my medicines
IndentIndent71053-3 My pharmacist is aware of my treatment-related needs
IndentIndent71054-1 My pharmacist responds to my treatment-related needs
Indent71055-8 Functional Assessment of Chronic Illness Therapy - Treatment satisfaction - General Questionnaire - version 1 (FACIT-TS-G)
IndentIndent71064-0 Name of treatment [FACIT]
IndentIndent71056-6 Compared to what you expected, how do you rate the effectiveness of the treatment so far?
IndentIndent71057-4 Compared to what you expected, how do you rate the side effects of treatment so far?
IndentIndent71058-2 Did your doctor(s) help you evaluate the effects of your treatment so far?
IndentIndent71059-0 Do you feel you received the treatment that was right for you?
IndentIndent71060-8 Are you satisfied with the effects of this treatment so far?
IndentIndent71061-6 Would you recommend this treatment to others with your illness?
IndentIndent71062-4 Would you choose this treatment again?
IndentIndent71063-2 How do you rate this treatment overall [FACIT]
IndentIndent8251-1 Do you have any comments
Indent71065-7 Functional Assessment of Chronic Illness therapy - Treatment satisfaction - patient satisfaction questionnaire - version 1 (FACIT-TS-PS)
IndentIndent71066-5 Please mark one box to choose the visit(s) you would like to rate 1..3
IndentIndent71067-3 Explanations [FACIT]
IndentIndentIndent71068-1 Did your doctor(s) give explanations that you could understand?
IndentIndentIndent71069-9 Did your doctor(s) explain the possible benefits of your treatment?
IndentIndentIndent71070-7 Did your doctor-s explain the possible side effects or risks of your treatment
IndentIndentIndent71071-5 Did you have an opportunity to ask questions?
IndentIndent71072-3 Interpersonal [FACIT]
IndentIndentIndent71073-1 Did you get to say the things that were important to you?
IndentIndentIndent71074-9 Did your doctor(s) seem to understand what was important to you?
IndentIndentIndent71075-6 Did your doctor(s) show genuine concern for you?
IndentIndent71076-4 Comprehensive care [FACIT]
IndentIndentIndent71077-2 Did your doctor(s) seem to understand your needs?
IndentIndentIndent71078-0 Did you feel that the treatment staff worked together towards the same goal?
IndentIndentIndent71079-8 Were you able to talk to your doctor(s) when you needed to
IndentIndentIndent71080-6 Did the treatment staff discuss how your health and treatment may affect your normal work (including housework)?
IndentIndentIndent71081-4 Did the treatment staff discuss how your health and treatment may affect your normal daily activities?
IndentIndentIndent71082-2 Did the treatment staff discuss how your health and treatment may affect your personal relationships?
IndentIndentIndent71083-0 Did the treatment staff discuss how your health and treatment may affect you emotionally?
IndentIndent71084-8 Technical quality [FACIT]
IndentIndentIndent71085-5 Did you feel your doctors had experience treating your illness?
IndentIndentIndent71086-3 Did you feel your doctor(s) knew about the latest medical developments for your illness?
IndentIndentIndent71087-1 Was the treatment staff thorough in examining and treating you?
IndentIndent71088-9 Decision-making [FACIT]
IndentIndentIndent71089-7 Did your doctor(s) discuss other treatments, example, alternative medicine or new for treatments?
IndentIndentIndent71090-5 Were you encouraged to participate in decisions about your health care?
IndentIndentIndent71091-3 Did you have enough time to make decisions about your health care
IndentIndentIndent71092-1 Did you have enough information to make decisions about your health care?
IndentIndentIndent71093-9 Did your doctor(s) seem to respect your opinions?
IndentIndent71094-7 Nurses [FACIT]
IndentIndentIndent71095-4 Did your nurses give explanations that you could understand?
IndentIndentIndent71096-2 Did your nurses show genuine concern for you?
IndentIndentIndent71097-0 Did your nurse(s) seem to understand your needs
IndentIndent71098-8 Trust [FACIT]
IndentIndentIndent71099-6 Did you feel that the treatment staff answered your questions honestly?
IndentIndentIndent71100-2 Did the treatment staff respect your privacy?
IndentIndentIndent71101-0 Did you have confidence in your doctor(s)?
IndentIndentIndent71102-8 Did you trust your doctor(s) suggestions for treatment?
IndentIndent71103-6 Overall [FACIT]
IndentIndentIndent71104-4 Would you recommend this clinic or office to others?
IndentIndentIndent71105-1 Would you choose this clinic or office again?
IndentIndentIndent71106-9 How do you rate the care you received?
IndentIndentIndent8251-1 Do you have any comments
Indent71133-3 Functional Assessment of HIV Infection Questionnaire - version 4 (FAHI) [FACIT]
IndentIndent71126-7 Physical well-being - FAHI [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndentIndent70305-8 I have been short of breath
IndentIndentIndent70312-4 I am bothered by a change in weight
IndentIndentIndent70528-5 I get tired easily
IndentIndentIndent70426-2 I feel fatigued
IndentIndentIndent70425-4 I feel weak all over
IndentIndentIndent70442-9 I have been coughing
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndent71127-5 Emotional well-being - living with HIV [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndentIndent71134-1 I am unhappy with my appearance
IndentIndentIndent71135-8 It is hard to tell other people about my infection
IndentIndentIndent71136-6 I worry about spreading my infection
IndentIndentIndent71137-4 I am concerned about what the future holds for me
IndentIndentIndent70311-6 I worry about the effect of stress on my illness
IndentIndentIndent71138-2 I am embarrassed by my illness
IndentIndent71128-3 Functional and global well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70308-2 I feel sexually attractive
IndentIndentIndent70350-4 I have a good appetite
IndentIndentIndent70654-9 I feel motivated to do things
IndentIndentIndent70696-0 I am hopeful about the future
IndentIndent71129-1 Social well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70714-1 I have people to help me if I need it
IndentIndentIndent70914-7 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.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent71130-9 Cognitive functioning [FACIT]
IndentIndentIndent70441-1 My thinking is clear
IndentIndentIndent70530-1 I have trouble concentrating
IndentIndentIndent70651-5 I have trouble remembering things
IndentIndent71118-4 Thinking and fatigue [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70304-1 I feel tired
IndentIndentIndent70728-1 I have trouble starting things because I am tired
IndentIndentIndent70729-9 I have trouble finishing things because I am tired
IndentIndentIndent70815-6 I need to rest during the day
IndentIndentIndent70651-5 I have trouble remembering things
IndentIndentIndent70530-1 I have trouble concentrating
IndentIndentIndent71139-0 My thinking is slower than before
IndentIndentIndent71140-8 I have trouble learning new tasks or directions
IndentIndent71141-6 Social - family well-being - FAMS [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent71119-2 My family has trouble understanding when my condition gets worse
IndentIndentIndent71120-0 I feel left out of things
IndentIndent71121-8 Additional concerns - FAMS [FACIT]
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent71122-6 Heat worsens my symptoms
IndentIndentIndent70314-0 I have trouble controlling my urine
IndentIndentIndent70315-7 I urinate more frequently than usual
IndentIndentIndent70527-7 I am bothered by the chills
IndentIndentIndent70344-7 I am bothered by fevers (episodes of high body temperature)
IndentIndentIndent71123-4 I am bothered by muscle spasms

Fully-Specified Name

Component
Functional assessment of chronic illness therapy - non cancer specific measures panel
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

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=70673-9
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/70673-9