Version 2.78

71142-4 Pediatric - Functional Assessment of Anorexia Cachexia - Adolescent Questionnaire - version 1 (Peds-FAACT - adoles) [FACIT]

Term Description

Pediatric - Functional Assessment of Anorexia Cachexia-Adolescent
Source: Regenstrief LOINC

Fully-Specified Name

Component
Pediatric - functional assessment of anorexia cachexia - adolescent questionnaire - version 1
Property
-
Time
Pt
System
^Patient
Scale
-
Method
FACIT

Basic Attributes

Class
PANEL.SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.73
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71216-6 Physical well-being - FACIT-peds [FACIT]

Fully-Specified Name

Component
Physical well being - FACIT-peds
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71163-0 I lose balance or fall down easily

Observation ID in Form

pP1

Fully-Specified Name

Component
I lose balance or fall down 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I lose balance or fall down easily
Source
pP1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71164-8 I have trouble getting myself dressed

Observation ID in Form

pP2

Fully-Specified Name

Component
I have trouble getting myself dressed 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I have trouble getting myself dressed
Source
pP2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71165-5 I have trouble running like other people

Observation ID in Form

pP3a

Fully-Specified Name

Component
I have trouble running like other people 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I have trouble running like other people
Source
pP3a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

70528-5 I get tired easily

Observation ID in Form

pP4

Fully-Specified Name

Component
I get tired 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 get tired easily
Source
BMT6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel
70672-1 Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

71166-3 My arms or legs feel weak

Observation ID in Form

pP5

Fully-Specified Name

Component
My arms or legs feel weak 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My arms or legs feel weak
Source
pP5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71167-1 I get ill easily

Observation ID in Form

pP6

Fully-Specified Name

Component
I get ill 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I get ill easily
Source
pP6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71168-9 I have trouble writing with a pen or pencil

Observation ID in Form

pP7

Fully-Specified Name

Component
I have trouble writing with a pen or pencil 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I have trouble writing with a pen or pencil
Source
pP7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

70408-0 I have pain

Observation ID in Form

pF8

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

71217-4 Emotional well-being and illness experience FACIT

Fully-Specified Name

Component
Emotional well being and illness experience - FAACT-peds-adoles
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71169-7 I feel happy

Observation ID in Form

pE1

Fully-Specified Name

Component
I feel happy 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I feel happy
Source
pE1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71170-5 When I try to do something, I usually believe I will do it well

Observation ID in Form

pE2

Fully-Specified Name

Component
When I try to do something, I usually believe I will do it 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
When I try to do something, I usually believe I will do it well
Source
pE2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71171-3 The cancer/tumor experience makes me a stronger person

Observation ID in Form

pE3

Fully-Specified Name

Component
The cancer-tumor experience makes me a stronger person 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
The cancer/tumor experience makes me a stronger person
Source
pE3

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71172-1 The cancer/tumor experience has taught me to appreciate life

Observation ID in Form

pE4

Fully-Specified Name

Component
The cancer-tumor experience has taught me to appreciate 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
The cancer/tumor experience has taught me to appreciate life
Source
pE4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71173-9 I often feel that other people are better than me

Observation ID in Form

pE5a

Fully-Specified Name

Component
I often feel that other people are better than me 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I often feel that other people are better than me
Source
pE5a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71174-7 I worry about getting another cancer/tumor

Observation ID in Form

pE6

Fully-Specified Name

Component
I worry about getting another cancer-tumor 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I worry about getting another cancer/tumor
Source
pE6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71175-4 I often switch from good moods to bad moods

Observation ID in Form

pE7

Fully-Specified Name

Component
I often switch from good moods to bad moods 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I often switch from good moods to bad moods
Source
pE7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71176-2 I worry when I go back to the hospital or clinic

Observation ID in Form

pE8

Fully-Specified Name

Component
I worry when I go back to the hospital or clinic 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I worry when I go back to the hospital or clinic
Source
pE8

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71177-0 I get nervous (frightened) easily

Observation ID in Form

pE9

Fully-Specified Name

Component
I get nervous - frightened 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I get nervous (frightened) easily
Source
pE9

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71178-8 I worry about having a good life in the future

Observation ID in Form

pE10

Fully-Specified Name

Component
I worry about having a good life in the future 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I worry about having a good life in the future
Source
pE10

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71179-6 I worry about being able to have a girlfriend or boyfriend because of my illness

Observation ID in Form

pE11a

Fully-Specified Name

Component
I worry about being able to have a girlfriend or boyfriend because of my illness 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I worry about being able to have a girlfriend or boyfriend because of my illness
Source
pE11a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71180-4 I worry about being able to go to college because of my illness

Observation ID in Form

pE12a

Fully-Specified Name

Component
I worry about being able to go to college because of my illness 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I worry about being able to go to college because of my illness
Source
pE12a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71181-2 I worry about getting a job because of my illness

Observation ID in Form

pE13a

Fully-Specified Name

Component
I worry about getting a job because of my illness 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I worry about getting a job because of my illness
Source
pE13a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71218-2 Social - family well-being - FAACT-peds [FACIT]

Fully-Specified Name

Component
Social - family well being - FAACT-peds
Property
-
Time
Pt
System
^Patient
Scale
-
Method
FACIT

Basic Attributes

Class
PANEL.SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.73
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71182-0 Other people pick on (tease) me

Observation ID in Form

pSF1a

Fully-Specified Name

Component
Other people pick on - tease me 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Other people pick on (tease) me
Source
pSF1a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71192-9 I think I have fewer friends than others in the past 7D

Observation ID in Form

pSF2a

Fully-Specified Name

Component
I think I have fewer friends than other children 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I think I have fewer friends than other children
Source
pSF2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71193-7 Other people avoid hanging out with me because I am in the past 7D

Observation ID in Form

pSF3a

Fully-Specified Name

Component
Other children avoid playing with me because I am different 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Other children avoid playing with me because I am different
Source
pSF3

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71185-3 I feel lonely

Observation ID in Form

pSF4

Fully-Specified Name

Component
I feel lonely 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I feel lonely
Source
pSF4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71194-5 I would rather do something by myself than with other people in the past 7D

Observation ID in Form

pSF5a

Fully-Specified Name

Component
I would rather play alone than with other children 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I would rather play alone than with other children
Source
pSF5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71187-9 My parents worry too much about me

Observation ID in Form

pSF6

Fully-Specified Name

Component
My parents worry too much about me 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My parents worry too much about me
Source
pSF6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71188-7 My parents spoil me

Observation ID in Form

pSF7

Fully-Specified Name

Component
My parents spoil me 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My parents spoil me
Source
pSF7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71226-5 Additional concerns - FAACT-child_adoles [FACIT]

Fully-Specified Name

Component
Additional concerns - FAACT-child_adoles
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71152-3 I eat as much as I want

Observation ID in Form

pAC1

Fully-Specified Name

Component
I eat as much as I want 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I eat as much as I want
Source
pAC1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71153-1 I eat enough food for me to do whatever I need to do

Observation ID in Form

pAC2

Fully-Specified Name

Component
I eat enough food for me to do whatever I need to do 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I eat enough food for me to do whatever I need to do
Source
pAC2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

70678-8 I am worried about my weight

Observation ID in Form

pAC3

Fully-Specified Name

Component
I am worried about my weight 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 worried about my weight
Source
ACT2

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
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

71154-9 Most food tastes bad to me

Observation ID in Form

pAC4

Fully-Specified Name

Component
Most food tastes bad to me 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Most food tastes bad to me
Source
pAC4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71189-5 I am worried about how thin I am

Observation ID in Form

pAC5

Fully-Specified Name

Component
I am worried about how thin I am 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I am worried about how thin I am
Source
pAC5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71155-6 As soon as I start eating, I feel like stopping

Observation ID in Form

pAC6

Fully-Specified Name

Component
As soon as I start eating, I feel like stopping 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
As soon as I start eating, I feel like stopping
Source
pAC6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71156-4 I am afraid to eat because it may make me sick

Observation ID in Form

pAC7

Fully-Specified Name

Component
I am afraid to eat because it may make me sick 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I am afraid to eat because it may make me sick
Source
pAC7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71157-2 My family or friends try to get me to eat more

Observation ID in Form

pAC8

Fully-Specified Name

Component
My family or friends try to get me to eat more 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My family or friends try to get me to eat more
Source
pAC8

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71158-0 I have been throwing up

Observation ID in Form

pAC9

Fully-Specified Name

Component
I have been throwing up 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I have been throwing up
Source
pAC9

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

70684-6 When I eat, I seem to get full quickly

Observation ID in Form

pAC10

Fully-Specified Name

Component
When I eat, I seem to get full quickly 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
When I eat, I seem to get full quickly
Source
ACT10

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
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

71159-8 I have pain in my stomach

Observation ID in Form

pAC11

Fully-Specified Name

Component
I have pain in my stomach 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I have pain in my stomach
Source
pAC11

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71160-6 I feel like I am getting better

Observation ID in Form

pAC12

Fully-Specified Name

Component
I feel like I am getting better 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I feel like I am getting better
Source
pAC12

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71190-3 Please tell us anything else that you think would be important about how you feel about food and eating

Fully-Specified Name

Component
What would be important about how you feel about eating, food, and how food affects your life in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Nar
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Text
Please tell us anything else that you think would be important about how you feel about food and eating

Member of these Panels

LOINC Long Common Name
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71143-2 Pediatric - Functional Assessment of Anorexia Cachexia - Child Questionnaire - version 1 (Peds-FAACT - child) [FACIT]

Term Description

Pediatric - Functional Assessment of Anorexia Cachexia-Child
Source: Regenstrief LOINC

Fully-Specified Name

Component
Pediatric - functional assessment of anorexia cachexia - child questionnaire - version 1
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71216-6 Physical well-being - FACIT-peds [FACIT]

Fully-Specified Name

Component
Physical well being - FACIT-peds
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71163-0 I lose balance or fall down easily

Observation ID in Form

pP1

Fully-Specified Name

Component
I lose balance or fall down 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I lose balance or fall down easily
Source
pP1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71164-8 I have trouble getting myself dressed

Observation ID in Form

pP2

Fully-Specified Name

Component
I have trouble getting myself dressed 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I have trouble getting myself dressed
Source
pP2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71165-5 I have trouble running like other children

Observation ID in Form

pP3a

Fully-Specified Name

Component
I have trouble running like other people 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I have trouble running like other people
Source
pP3a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

70528-5 I get tired easily

Observation ID in Form

pP4

Fully-Specified Name

Component
I get tired 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 get tired easily
Source
BMT6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel
70672-1 Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

71166-3 My arms or legs feel weak

Observation ID in Form

pP5

Fully-Specified Name

Component
My arms or legs feel weak 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My arms or legs feel weak
Source
pP5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71167-1 I get ill easily

Observation ID in Form

pP6

Fully-Specified Name

Component
I get ill 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I get ill easily
Source
pP6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71168-9 I have trouble writing with a pen or pencil

Observation ID in Form

pP7

Fully-Specified Name

Component
I have trouble writing with a pen or pencil 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I have trouble writing with a pen or pencil
Source
pP7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

70408-0 I have pain

Observation ID in Form

pF8

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

71343-8 Emotional well-being and illness experience - FAACT-peds-child [FACIT]

Term Description

Subset of
Source: Regenstrief LOINC

Fully-Specified Name

Component
Emotional well being and illness experience - FAACT-peds-child
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71169-7 I feel happy

Observation ID in Form

pE1

Fully-Specified Name

Component
I feel happy 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I feel happy
Source
pE1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71170-5 When I try to do something, I usually believe I will do it well

Observation ID in Form

pE2

Fully-Specified Name

Component
When I try to do something, I usually believe I will do it 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
When I try to do something, I usually believe I will do it well
Source
pE2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71171-3 The cancer/tumor experience makes me a stronger person

Observation ID in Form

pE3

Fully-Specified Name

Component
The cancer-tumor experience makes me a stronger person 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
The cancer/tumor experience makes me a stronger person
Source
pE3

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71172-1 The cancer/tumor experience has taught me to appreciate life

Observation ID in Form

pE4

Fully-Specified Name

Component
The cancer-tumor experience has taught me to appreciate 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
The cancer/tumor experience has taught me to appreciate life
Source
pE4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71233-1 I often feel that other children are better than me

Observation ID in Form

pE5

Fully-Specified Name

Component
I often feel that other children are better than me 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I often feel that other children are better than me
Source
pE5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71174-7 I worry about getting another cancer/tumor

Observation ID in Form

pE6

Fully-Specified Name

Component
I worry about getting another cancer-tumor 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I worry about getting another cancer/tumor
Source
pE6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71175-4 I often switch from good moods to bad moods

Observation ID in Form

pE7

Fully-Specified Name

Component
I often switch from good moods to bad moods 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I often switch from good moods to bad moods
Source
pE7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71176-2 I worry when I go back to the hospital or clinic

Observation ID in Form

pE8

Fully-Specified Name

Component
I worry when I go back to the hospital or clinic 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I worry when I go back to the hospital or clinic
Source
pE8

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71177-0 I get nervous (frightened) easily

Observation ID in Form

pE9

Fully-Specified Name

Component
I get nervous - frightened 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I get nervous (frightened) easily
Source
pE9

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71178-8 I worry about having a good life in the future

Observation ID in Form

pE10

Fully-Specified Name

Component
I worry about having a good life in the future 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I worry about having a good life in the future
Source
pE10

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71179-6 I worry about being able to have a girlfriend or boyfriend because of my illness

Observation ID in Form

pE11a

Fully-Specified Name

Component
I worry about being able to have a girlfriend or boyfriend because of my illness 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I worry about being able to have a girlfriend or boyfriend because of my illness
Source
pE11a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71180-4 I worry about being able to go to college because of my illness

Observation ID in Form

pE12a

Fully-Specified Name

Component
I worry about being able to go to college because of my illness 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I worry about being able to go to college because of my illness
Source
pE12a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71181-2 I worry about getting a job because of my illness

Observation ID in Form

pE13a

Fully-Specified Name

Component
I worry about getting a job because of my illness 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I worry about getting a job because of my illness
Source
pE13a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71218-2 Social - family well-being - FAACT-peds [FACIT]

Fully-Specified Name

Component
Social - family well being - FAACT-peds
Property
-
Time
Pt
System
^Patient
Scale
-
Method
FACIT

Basic Attributes

Class
PANEL.SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.73
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71182-0 Other children pick on - tease me in the past 7D

Observation ID in Form

pSF1

Fully-Specified Name

Component
Other people pick on - tease me 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Other people pick on (tease) me
Source
pSF1a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71192-9 I think I have fewer friends than other children

Observation ID in Form

pSF3

Fully-Specified Name

Component
I think I have fewer friends than other children 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I think I have fewer friends than other children
Source
pSF2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71193-7 Other children avoid playing with me because I am different

Observation ID in Form

pSF3

Fully-Specified Name

Component
Other children avoid playing with me because I am different 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Other children avoid playing with me because I am different
Source
pSF3

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71185-3 I feel lonely

Observation ID in Form

pSF4

Fully-Specified Name

Component
I feel lonely 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I feel lonely
Source
pSF4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71194-5 I would rather play alone than with other children

Observation ID in Form

pSF5

Fully-Specified Name

Component
I would rather play alone than with other children 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I would rather play alone than with other children
Source
pSF5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71187-9 My parents worry too much about me

Observation ID in Form

pSF6

Fully-Specified Name

Component
My parents worry too much about me 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My parents worry too much about me
Source
pSF6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71188-7 My parents spoil me

Observation ID in Form

pSF7

Fully-Specified Name

Component
My parents spoil me 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My parents spoil me
Source
pSF7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71226-5 Additional concerns - FAACT-child_adoles [FACIT]

Fully-Specified Name

Component
Additional concerns - FAACT-child_adoles
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71152-3 I eat as much as I want

Observation ID in Form

pAC1

Fully-Specified Name

Component
I eat as much as I want 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I eat as much as I want
Source
pAC1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71153-1 I eat enough food for me to do whatever I need to do

Observation ID in Form

pAC2

Fully-Specified Name

Component
I eat enough food for me to do whatever I need to do 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I eat enough food for me to do whatever I need to do
Source
pAC2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

70678-8 I am worried about my weight

Observation ID in Form

pAC3

Fully-Specified Name

Component
I am worried about my weight 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 worried about my weight
Source
ACT2

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
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

71154-9 Most food tastes bad to me

Observation ID in Form

pAC4

Fully-Specified Name

Component
Most food tastes bad to me 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Most food tastes bad to me
Source
pAC4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71189-5 I am worried about how thin I am

Observation ID in Form

pAC5

Fully-Specified Name

Component
I am worried about how thin I am 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I am worried about how thin I am
Source
pAC5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71155-6 As soon as I start eating, I feel like stopping

Observation ID in Form

pAC6

Fully-Specified Name

Component
As soon as I start eating, I feel like stopping 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
As soon as I start eating, I feel like stopping
Source
pAC6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71156-4 I am afraid to eat because it may make me sick

Observation ID in Form

pAC7

Fully-Specified Name

Component
I am afraid to eat because it may make me sick 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I am afraid to eat because it may make me sick
Source
pAC7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71157-2 My family or friends try to get me to eat more

Observation ID in Form

pAC8

Fully-Specified Name

Component
My family or friends try to get me to eat more 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My family or friends try to get me to eat more
Source
pAC8

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71158-0 I have been throwing up

Observation ID in Form

pAC9

Fully-Specified Name

Component
I have been throwing up 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I have been throwing up
Source
pAC9

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

70684-6 When I eat, I seem to get full quickly

Observation ID in Form

pAC10

Fully-Specified Name

Component
When I eat, I seem to get full quickly 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
When I eat, I seem to get full quickly
Source
ACT10

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
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

71159-8 I have pain in my stomach

Observation ID in Form

pAC11

Fully-Specified Name

Component
I have pain in my stomach 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I have pain in my stomach
Source
pAC11

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71160-6 I feel like I am getting better

Observation ID in Form

pAC12

Fully-Specified Name

Component
I feel like I am getting better 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I feel like I am getting better
Source
pAC12

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71190-3 Please tell us anything else that you think would be important about how you feel about food and eating

Fully-Specified Name

Component
What would be important about how you feel about eating, food, and how food affects your life in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Nar
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Text
Please tell us anything else that you think would be important about how you feel about food and eating

Member of these Panels

LOINC Long Common Name
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71144-0 Pediatric - Functional Assessment of Anorexia Cachexia - Parent_adolescent Questionniare - version 1 (Peds-FAACT - adoles) [FACIT]

Term Description

Pediatric - Functional Assessment of Anorexia Cachexia-Parent of adolescent
Source: Regenstrief LOINC

Fully-Specified Name

Component
Pediatric - functional assessment of anorexia cachexia - parent_adolescent questionnaire - version 1
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71234-9 Physical well being - FAACT-peds - parent [FACIT]

Fully-Specified Name

Component
Physical well being - FAACT-peds - parent
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71265-3 My child loses balance or falls down easily

Observation ID in Form

pP1

Fully-Specified Name

Component
My child loses balance or falls down 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child loses balance or falls down easily
Source
pP1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71266-1 My child has trouble getting dressed on his-her own

Observation ID in Form

pP2

Fully-Specified Name

Component
My child has trouble getting dressed on his-her own 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has trouble getting dressed on his-her own
Source
pP2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71267-9 My child has trouble running like other people

Observation ID in Form

pP3a

Fully-Specified Name

Component
My child has trouble running like other people 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has trouble running like other people
Source
pP3a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71268-7 My child gets tired

Observation ID in Form

pP4

Fully-Specified Name

Component
My child gets tired 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child gets tired
Source
pP4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71269-5 My child's arms or legs seem weak

Observation ID in Form

pP5

Fully-Specified Name

Component
My child's arms or legs seem weak 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child's arms or legs seem weak
Source
pP5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71270-3 My child gets ill easily

Observation ID in Form

pP6

Fully-Specified Name

Component
My child gets ill 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child gets ill easily
Source
pP6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71271-1 My child has trouble writing with a pen or pencil

Observation ID in Form

pP7

Fully-Specified Name

Component
My child has trouble writing with a pen or pencil 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has trouble writing with a pen or pencil
Source
pP7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71202-6 My child has pain

Observation ID in Form

pF8

Fully-Specified Name

Component
My child has 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has pain
Source
pF8

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71235-6 Emotional well being - FAACT-peds - parent_adoles [FACIT]

Fully-Specified Name

Component
Emotional well being - FAACT-peds - parent_adoles
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71236-4 My child seems happy

Observation ID in Form

pE1

Fully-Specified Name

Component
My child seems happy 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child seems happy
Source
pE1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71237-2 When my child tries to do something, s-he usually believes s-he will do it well

Observation ID in Form

pE2

Fully-Specified Name

Component
When my child tries to do something, s-he usually believes s-he will do it 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
When my child tries to do something, s-he usually believes s-he will do it well
Source
pE2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71205-9 The cancer/tumor experience makes my child a stronger person

Observation ID in Form

pE3

Fully-Specified Name

Component
The cancer-tumor experience makes my child a stronger person 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
The cancer/tumor experience makes my child a stronger person
Source
pE3

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71206-7 The cancer-tumor experience has taught my child to appreciate life

Observation ID in Form

pE4

Fully-Specified Name

Component
The cancer-tumor experience has taught my child to appreciate 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
The cancer-tumor experience has taught my child to appreciate life
Source
pE4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71238-0 My child often feels inferior to other people

Observation ID in Form

pE5a

Fully-Specified Name

Component
My child often feels inferior to other people 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child often feels inferior to other people
Source
pE5a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71239-8 My child worries about getting another cancer-tumor

Observation ID in Form

pE6

Fully-Specified Name

Component
My child worries about getting another cancer-tumor 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child worries about getting another cancer-tumor
Source
pE6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71240-6 My child is moody or irritable

Observation ID in Form

pE7

Fully-Specified Name

Component
My child is moody or irritable 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child is moody or irritable
Source
pE7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71241-4 My child worries when we go back to the hospital or clinic

Observation ID in Form

pE8

Fully-Specified Name

Component
My child worries when we go back to the hospital or clinic 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child worries when we go back to the hospital or clinic
Source
pE8

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71242-2 My child gets nervous - frightened easily

Observation ID in Form

pE9

Fully-Specified Name

Component
My child gets nervous - frightened 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child gets nervous - frightened easily
Source
pE9

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71243-0 My child worries about having a good life in the future

Observation ID in Form

pE10

Fully-Specified Name

Component
My child worries about having a good life in the future 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child worries about having a good life in the future
Source
pE10

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71244-8 My child worries about being able to have a girlfriend or boyfriend because of his-her illness

Observation ID in Form

pE11a

Fully-Specified Name

Component
My child worries about being able to have a girlfriend or boyfriend because of his-her illness 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child worries about being able to have a girlfriend or boyfriend because of his-her illness
Source
pE11a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71245-5 My child worries about being able to go to college because of his-her illness

Observation ID in Form

pE12a

Fully-Specified Name

Component
My child worries about being able to go to college because of his-her illness 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child worries about being able to go to college because of his-her illness
Source
pE12a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71246-3 My child worries about getting a job because of his-her illness

Observation ID in Form

pE13a

Fully-Specified Name

Component
My child worries about getting a job because of his-her illness 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child worries about getting a job because of his-her illness
Source
pE13a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71264-6 Social - family well-being - FAACT-parent_adoles [FACIT]

Fully-Specified Name

Component
Social - family well being - FAACT-parent_adoles
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71272-9 Other people pick on - tease my child

Observation ID in Form

pSF1a

Fully-Specified Name

Component
Other people pick on - tease my child 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Other people pick on - tease my child
Source
pSF1a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71247-1 My child has fewer friends than others

Observation ID in Form

pSF2a

Fully-Specified Name

Component
My child has fewer friends than 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has fewer friends than others
Source
pSF2a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71248-9 Other people avoid hanging out with my child because s-he is different

Observation ID in Form

pSF3a

Fully-Specified Name

Component
Other people avoid hanging out with my child because s-he is different 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Other people avoid hanging out with my child because s-he is different
Source
pSF3a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71249-7 My child seems lonely

Observation ID in Form

pSF4

Fully-Specified Name

Component
My child seems lonely 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child seems lonely
Source
pSF4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71250-5 My child prefers to do something alone

Observation ID in Form

pSF5a

Fully-Specified Name

Component
My child prefers to do something alone 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child prefers to do something alone
Source
pSF5a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71224-0 My child thinks I worry too much about him/her

Observation ID in Form

pSF6

Fully-Specified Name

Component
My child thinks I worry too much about him-her 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child thinks I worry too much about him/her
Source
pSF6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71225-7 My child thinks I spoil him/her

Observation ID in Form

pSF7

Fully-Specified Name

Component
My child thinks I spoil him-her 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child thinks I spoil him/her
Source
pSF7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71251-3 Additional concerns - FAACT-parent [FACIT]

Fully-Specified Name

Component
Additional concerns - FAACT-parent
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71252-1 My child eats as much as s-he wants

Observation ID in Form

pAC1

Fully-Specified Name

Component
My child eats as much as s-he wants 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child eats as much as s-he wants

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71253-9 My child eats enough to do whatever s-he needs to do

Observation ID in Form

pAC2

Fully-Specified Name

Component
My child eats enough to do whatever s-he needs to do 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child eats enough to do whatever s-he needs to do

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71254-7 My child is worried about his-her weight

Observation ID in Form

pAC3

Fully-Specified Name

Component
My child is worried about his-her weight 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child is worried about his-her weight

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71255-4 Most food tastes bad to my child

Observation ID in Form

pAC4

Fully-Specified Name

Component
Most food tastes bad to my child 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Most food tastes bad to my child

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71256-2 My child is worried about how thin s-he is

Observation ID in Form

pAC5

Fully-Specified Name

Component
My child is worried about how thin s-he is 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child is worried about how thin s-he is

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71257-0 As soon as my child starts eating, s-he feels like stopping

Observation ID in Form

pAC6

Fully-Specified Name

Component
As soon as my child starts eating, s-he feels like stopping 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
As soon as my child starts eating, s-he feels like stopping

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71258-8 My child is afraid to eat because it may make her-him sick

Observation ID in Form

pAC7

Fully-Specified Name

Component
My child is afraid to eat because it may make her-him sick 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child is afraid to eat because it may make her-him sick

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71273-7 Family or friends try to get my child to eat more

Observation ID in Form

pAC8

Fully-Specified Name

Component
Family or friends try to get my child to eat more 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Family or friends try to get my child to eat more
Source
pAC8

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71260-4 My child has been throwing up

Observation ID in Form

pAC9

Fully-Specified Name

Component
My child has been throwing up 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has been throwing up

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71261-2 When my child eats, s-he seems to get full quickly

Observation ID in Form

pAC10

Fully-Specified Name

Component
When my child eats, s-he seems to get full quickly 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
When my child eats, s-he seems to get full quickly

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71262-0 My child has pain in his-her stomach

Observation ID in Form

pAC11

Fully-Specified Name

Component
My child has pain in his-her stomach 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has pain in his-her stomach

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71263-8 My child feels like s-he is getting better

Observation ID in Form

pAC12

Fully-Specified Name

Component
My child feels like s-he is getting better 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child feels like s-he is getting better

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71190-3 Please tell us anything else that you think would be important about how you feel about food and eating

Fully-Specified Name

Component
What would be important about how you feel about eating, food, and how food affects your life in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Nar
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Text
Please tell us anything else that you think would be important about how you feel about food and eating

Member of these Panels

LOINC Long Common Name
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71145-7 Pediatric - Functional Assessment of Anorexia Cachexia - Parent_child Questionnaire - version 1 (Peds-FAACT - parent_child) [FACIT]

Term Description

Pediatric - Functional Assessment of Anorexia Cachexia-Parent of child
Source: Regenstrief LOINC

Fully-Specified Name

Component
Pediatric - functional assessment of anorexia cachexia - parent_child questionnaire - version 1
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71234-9 Physical well being - FAACT-peds - parent [FACIT]

Fully-Specified Name

Component
Physical well being - FAACT-peds - parent
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71265-3 My child loses balance or falls down easily

Observation ID in Form

pP1

Fully-Specified Name

Component
My child loses balance or falls down 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child loses balance or falls down easily
Source
pP1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71266-1 My child has trouble getting dressed on his-her own

Observation ID in Form

pP2

Fully-Specified Name

Component
My child has trouble getting dressed on his-her own 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has trouble getting dressed on his-her own
Source
pP2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71267-9 My child has trouble running like other children in the past 7D

Observation ID in Form

pP3

Fully-Specified Name

Component
My child has trouble running like other people 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has trouble running like other people
Source
pP3a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71268-7 My child gets tired

Observation ID in Form

pP4

Fully-Specified Name

Component
My child gets tired 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child gets tired
Source
pP4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71269-5 My child's arms or legs seem weak

Observation ID in Form

pP5

Fully-Specified Name

Component
My child's arms or legs seem weak 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child's arms or legs seem weak
Source
pP5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71270-3 My child gets ill easily

Observation ID in Form

pP6

Fully-Specified Name

Component
My child gets ill 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child gets ill easily
Source
pP6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71271-1 My child has trouble writing with a pen or pencil

Observation ID in Form

pP7

Fully-Specified Name

Component
My child has trouble writing with a pen or pencil 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has trouble writing with a pen or pencil
Source
pP7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71202-6 My child has pain

Observation ID in Form

pF8

Fully-Specified Name

Component
My child has 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has pain
Source
pF8

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71274-5 Emotional well being - FAACT-peds - parent_child [FACIT]

Fully-Specified Name

Component
Emotional well being - FAACT-peds - parent_child
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71236-4 My child seems happy

Fully-Specified Name

Component
My child seems happy 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child seems happy
Source
pE1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71237-2 When my child tries to do something, s-he usually believes s-he will do it well

Observation ID in Form

pE2

Fully-Specified Name

Component
When my child tries to do something, s-he usually believes s-he will do it 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
When my child tries to do something, s-he usually believes s-he will do it well
Source
pE2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71205-9 The cancer/tumor experience makes my child a stronger person

Observation ID in Form

pE3

Fully-Specified Name

Component
The cancer-tumor experience makes my child a stronger person 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
The cancer/tumor experience makes my child a stronger person
Source
pE3

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71206-7 The cancer-tumor experience has taught my child to appreciate life

Observation ID in Form

pE4

Fully-Specified Name

Component
The cancer-tumor experience has taught my child to appreciate 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
The cancer-tumor experience has taught my child to appreciate life
Source
pE4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71238-0 My child often feels inferior to other children in the past 7D

Observation ID in Form

pE5

Fully-Specified Name

Component
My child often feels inferior to other people 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child often feels inferior to other people
Source
pE5a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71239-8 My child worries about getting another cancer-tumor

Observation ID in Form

pE6

Fully-Specified Name

Component
My child worries about getting another cancer-tumor 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child worries about getting another cancer-tumor
Source
pE6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71240-6 My child is moody or irritable

Observation ID in Form

pE7

Fully-Specified Name

Component
My child is moody or irritable 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child is moody or irritable
Source
pE7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71241-4 My child worries when we go back to the hospital or clinic

Observation ID in Form

pE8

Fully-Specified Name

Component
My child worries when we go back to the hospital or clinic 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child worries when we go back to the hospital or clinic
Source
pE8

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71242-2 My child gets nervous - frightened easily

Observation ID in Form

pE9

Fully-Specified Name

Component
My child gets nervous - frightened 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child gets nervous - frightened easily
Source
pE9

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71243-0 My child worries about having a good life in the future

Observation ID in Form

pE10

Fully-Specified Name

Component
My child worries about having a good life in the future 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child worries about having a good life in the future
Source
pE10

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71275-2 Social well being - FAACT-peds - parent_child [FACIT]

Fully-Specified Name

Component
Social well being - FAACT-peds - parent_child
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71272-9 Other people pick on - tease my child

Observation ID in Form

pSF1a

Fully-Specified Name

Component
Other people pick on - tease my child 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Other people pick on - tease my child
Source
pSF1a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71247-1 My child has fewer friends than others

Observation ID in Form

pSF2a

Fully-Specified Name

Component
My child has fewer friends than 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has fewer friends than others
Source
pSF2a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71276-0 Other children avoid playing with my child because s-he is different

Observation ID in Form

pSF3

Fully-Specified Name

Component
Other children avoid playing with my child because s-he is different 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Other children avoid playing with my child because s-he is different
Source
pSF3

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71249-7 My child seems lonely

Observation ID in Form

pSF4

Fully-Specified Name

Component
My child seems lonely 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child seems lonely
Source
pSF4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71277-8 My child prefers to play alone

Observation ID in Form

pSF5

Fully-Specified Name

Component
My child prefers to play alone 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child prefers to play alone
Source
pSF5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71224-0 My child thinks I worry too much about him/her

Observation ID in Form

pSF6

Fully-Specified Name

Component
My child thinks I worry too much about him-her 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child thinks I worry too much about him/her
Source
pSF6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71225-7 My child thinks I spoil him/her

Observation ID in Form

pSF7

Fully-Specified Name

Component
My child thinks I spoil him-her 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child thinks I spoil him/her
Source
pSF7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71251-3 Additional concerns - FAACT-parent [FACIT]

Fully-Specified Name

Component
Additional concerns - FAACT-parent
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71252-1 My child eats as much as s-he wants

Observation ID in Form

pAC1

Fully-Specified Name

Component
My child eats as much as s-he wants 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child eats as much as s-he wants

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71253-9 My child eats enough to do whatever s-he needs to do

Observation ID in Form

pAC2

Fully-Specified Name

Component
My child eats enough to do whatever s-he needs to do 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child eats enough to do whatever s-he needs to do

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71254-7 My child is worried about his-her weight

Observation ID in Form

pAC3

Fully-Specified Name

Component
My child is worried about his-her weight 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child is worried about his-her weight

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71255-4 Most food tastes bad to my child

Observation ID in Form

pAC4

Fully-Specified Name

Component
Most food tastes bad to my child 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Most food tastes bad to my child

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71256-2 My child is worried about how thin s-he is

Observation ID in Form

pAC5

Fully-Specified Name

Component
My child is worried about how thin s-he is 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child is worried about how thin s-he is

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71257-0 As soon as my child starts eating, s-he feels like stopping

Observation ID in Form

pAC6

Fully-Specified Name

Component
As soon as my child starts eating, s-he feels like stopping 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
As soon as my child starts eating, s-he feels like stopping

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71258-8 My child is afraid to eat because it may make her-him sick

Observation ID in Form

pAC7

Fully-Specified Name

Component
My child is afraid to eat because it may make her-him sick 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child is afraid to eat because it may make her-him sick

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71273-7 Family or friends try to get my child to eat more

Observation ID in Form

pAC8

Fully-Specified Name

Component
Family or friends try to get my child to eat more 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Family or friends try to get my child to eat more
Source
pAC8

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71260-4 My child has been throwing up

Observation ID in Form

pAC9

Fully-Specified Name

Component
My child has been throwing up 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has been throwing up

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71261-2 When my child eats, s-he seems to get full quickly

Observation ID in Form

pAC10

Fully-Specified Name

Component
When my child eats, s-he seems to get full quickly 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
When my child eats, s-he seems to get full quickly

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71262-0 My child has pain in his-her stomach

Observation ID in Form

pAC11

Fully-Specified Name

Component
My child has pain in his-her stomach 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has pain in his-her stomach

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71263-8 My child feels like s-he is getting better

Observation ID in Form

pAC12

Fully-Specified Name

Component
My child feels like s-he is getting better 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child feels like s-he is getting better

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71146-5 Pediatric - Functional Assessment of Anorexia Cachexia Questionnaire - 10 items - version 2 (Peds-FAACT- 10 - v2) [FACIT]

Term Description

Pediatric - Functional Assessment of Anorexia Cachexia- 10 item version
Source: Regenstrief LOINC

Fully-Specified Name

Component
Pediatric - functional assessment of anorexia cachexia questionnaire - 10 items - version 2
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71152-3 I eat as much as I want

Observation ID in Form

pAC1

Fully-Specified Name

Component
I eat as much as I want 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I eat as much as I want
Source
pAC1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71153-1 I eat enough food for me to do whatever I need to do

Observation ID in Form

pAC2

Fully-Specified Name

Component
I eat enough food for me to do whatever I need to do 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I eat enough food for me to do whatever I need to do
Source
pAC2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71154-9 Most food tastes bad to me

Observation ID in Form

pAC4

Fully-Specified Name

Component
Most food tastes bad to me 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Most food tastes bad to me
Source
pAC4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71155-6 As soon as I start eating, I feel like stopping

Observation ID in Form

pAC6

Fully-Specified Name

Component
As soon as I start eating, I feel like stopping 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
As soon as I start eating, I feel like stopping
Source
pAC6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71156-4 I am afraid to eat because it may make me sick

Observation ID in Form

pAC7

Fully-Specified Name

Component
I am afraid to eat because it may make me sick 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I am afraid to eat because it may make me sick
Source
pAC7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71157-2 My family or friends try to get me to eat more

Observation ID in Form

pAC8

Fully-Specified Name

Component
My family or friends try to get me to eat more 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My family or friends try to get me to eat more
Source
pAC8

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71158-0 I have been throwing up

Observation ID in Form

pAC9

Fully-Specified Name

Component
I have been throwing up 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I have been throwing up
Source
pAC9

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

70684-6 When I eat, I seem to get full quickly

Observation ID in Form

pAC10

Fully-Specified Name

Component
When I eat, I seem to get full quickly 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
When I eat, I seem to get full quickly
Source
ACT10

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
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

71159-8 I have pain in my stomach

Observation ID in Form

pAC11

Fully-Specified Name

Component
I have pain in my stomach 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I have pain in my stomach
Source
pAC11

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71160-6 I feel like I am getting better

Observation ID in Form

pAC12

Fully-Specified Name

Component
I feel like I am getting better 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I feel like I am getting better
Source
pAC12

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71147-3 Pediatric - patients with brain cancer - Adolescent Questionnaire - version 2 (Peds-FACT-Br - adoles) [FACIT]

Term Description

Pediatric - For patients with Brain cancer-Adolescent
Source: Regenstrief LOINC

Fully-Specified Name

Component
Pediatric - patients with brain cancer - adolescent questionnaire - version 2
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71216-6 Physical well-being - FACIT-peds [FACIT]

Fully-Specified Name

Component
Physical well being - FACIT-peds
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71163-0 I lose balance or fall down easily

Observation ID in Form

pP1

Fully-Specified Name

Component
I lose balance or fall down 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I lose balance or fall down easily
Source
pP1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71164-8 I have trouble getting myself dressed

Observation ID in Form

pP2

Fully-Specified Name

Component
I have trouble getting myself dressed 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I have trouble getting myself dressed
Source
pP2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71165-5 I have trouble running like other children

Observation ID in Form

pP3a

Fully-Specified Name

Component
I have trouble running like other people 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I have trouble running like other people
Source
pP3a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

70528-5 I get tired easily

Observation ID in Form

pP4

Fully-Specified Name

Component
I get tired 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 get tired easily
Source
BMT6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel
70672-1 Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

71166-3 My arms or legs feel weak

Observation ID in Form

pP5

Fully-Specified Name

Component
My arms or legs feel weak 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My arms or legs feel weak
Source
pP5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71167-1 I get ill easily

Observation ID in Form

pP6

Fully-Specified Name

Component
I get ill 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I get ill easily
Source
pP6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71168-9 I have trouble writing with a pen or pencil

Observation ID in Form

pP7

Fully-Specified Name

Component
I have trouble writing with a pen or pencil 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I have trouble writing with a pen or pencil
Source
pP7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

70408-0 I have pain

Observation ID in Form

pF8

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

71315-6 Emotional well-being and illness experience - FACT-Br -peds-adoles [FACIT]

Fully-Specified Name

Component
Emotional well being and illness experience - FACT-Br -peds-adoles
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71285-1 I feel happy

Observation ID in Form

pE1

Fully-Specified Name

Component
I feel happy in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I feel happy
Source
pE1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71286-9 When I try to do something, I usually believe I will do it well

Observation ID in Form

pE2

Fully-Specified Name

Component
When I try to do something, I usually believe I will do it well in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
When I try to do something, I usually believe I will do it well
Source
pE2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71287-7 The illness experience makes me a stronger person

Observation ID in Form

pE3

Fully-Specified Name

Component
The illness experience makes me a stronger person in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
The illness experience makes me a stronger person
Source
pE3

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71288-5 The illness experience has taught me to appreciate life

Observation ID in Form

pE4

Fully-Specified Name

Component
The illness experience has taught me to appreciate life in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
The illness experience has taught me to appreciate life
Source
pE4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71289-3 I often feel that other people are better than me

Observation ID in Form

pE5a

Fully-Specified Name

Component
I often feel that other people are better than me in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I often feel that other people are better than me
Source
pE5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71290-1 I worry about being sick again

Observation ID in Form

pE6

Fully-Specified Name

Component
I worry about being sick again in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I worry about being sick again
Source
pE6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71291-9 I often switch from good moods to bad moods

Observation ID in Form

pE7

Fully-Specified Name

Component
I often switch from good moods to bad moods in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I often switch from good moods to bad moods
Source
pE7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71292-7 I worry when I go back to the hospital or clinic

Observation ID in Form

pE8

Fully-Specified Name

Component
I worry when I go back to the hospital or clinic in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I worry when I go back to the hospital or clinic
Source
pE8

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71293-5 I get nervous - frightened easily

Observation ID in Form

pE9

Fully-Specified Name

Component
I get nervous - frightened easily in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I get nervous - frightened easily
Source
pE9

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71294-3 I worry about having a good life in the future

Observation ID in Form

pE10

Fully-Specified Name

Component
I worry about having a good life in the future in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I worry about having a good life in the future
Source
pE10

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71295-0 I worry about being able to date because of my illness history

Observation ID in Form

pE11a

Fully-Specified Name

Component
I worry about being able to date because of my illness history in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I worry about being able to date because of my illness history
Source
pE11a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71296-8 I worry about being able to go to college because of my illness history

Observation ID in Form

pE12a

Fully-Specified Name

Component
I worry about being able to go to college because of my illness history in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I worry about being able to go to college because of my illness history
Source
pE12a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71297-6 I worry about getting a job to support myself because of my illness history

Observation ID in Form

pE13a

Fully-Specified Name

Component
I worry about getting a job to support myself because of my illness history in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I worry about getting a job to support myself because of my illness history
Source
pE13a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71317-2 Social - family well-being - FACT-Br-peds [FACIT]

Fully-Specified Name

Component
Social - family well being - FACT-Br-peds
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71298-4 Other people pick on - tease me

Observation ID in Form

pSF1a

Fully-Specified Name

Component
Other people pick on - tease me in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Other people pick on - tease me
Source
pSF1a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71299-2 I think I have fewer friends than others

Observation ID in Form

pSF2a

Fully-Specified Name

Component
I think I have fewer friends than others in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I think I have fewer friends than others
Source
pSF2a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71300-8 Other people avoid hanging out with me because of my illness history

Observation ID in Form

pSF3a

Fully-Specified Name

Component
Other people avoid hanging out with me because of my illness history in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Other people avoid hanging out with me because of my illness history
Source
pSF3a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71301-6 I feel lonely

Observation ID in Form

pSF4

Fully-Specified Name

Component
I feel lonely in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I feel lonely
Source
pSF4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71302-4 I would rather do something by myself than with other people

Observation ID in Form

pSF5a

Fully-Specified Name

Component
I would rather do something by myself than with other people in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I would rather do something by myself than with other people
Source
pSF5a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71228-1 Additional concerns - FACT-Br-peds [FACIT]

Fully-Specified Name

Component
Additional concerns - FACT-Br-peds
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71303-2 I am bothered by being shorter than other people

Observation ID in Form

pB1

Fully-Specified Name

Component
I am bothered by being shorter than other people in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I am bothered by being shorter than other people
Source
pB1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71304-0 I am bothered by being unable to see well

Observation ID in Form

pB2

Fully-Specified Name

Component
I am bothered by being unable to see well in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I am bothered by being unable to see well
Source
pB2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71305-7 I am bothered by being unable to hear well

Observation ID in Form

pB3

Fully-Specified Name

Component
I am bothered by being unable to hear well in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I am bothered by being unable to hear well
Source
pB3

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71306-5 I am bothered by headaches

Fully-Specified Name

Component
I am bothered by headaches in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I am bothered by headaches
Source
pB4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71307-3 When I speak, people have trouble understanding

Fully-Specified Name

Component
When I speak, people have trouble understanding me in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
When I speak, people have trouble understanding
Source
pB5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71308-1 I need to work harder than other people to get my school work done

Fully-Specified Name

Component
I need to work harder than other people to get my school work done in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I need to work harder than other people to get my school work done
Source
pB6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71309-9 My grades are worse than they were before I was sick

Fully-Specified Name

Component
My grades are worse than they were before I was sick in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My grades are worse than they were before I was sick
Source
pB7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71310-7 I forget things easily

Fully-Specified Name

Component
I forget things easily in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I forget things easily
Source
pB8

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71311-5 It is hard for me to concentrate in school

Fully-Specified Name

Component
It is hard for me to concentrate in school in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
It is hard for me to concentrate in school
Source
pB9

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71312-3 I have to read things several times so I can understand them

Fully-Specified Name

Component
I have to read things several times so I can understand them in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I have to read things several times so I can understand them
Source
pB10

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71313-1 When I play games or sports, I react more slowly than most people my age

Fully-Specified Name

Component
When I play games or sports, I react more slowly than most people my age in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
When I play games or sports, I react more slowly than most people my age
Source
pB11

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71314-9 It is hard for me to find the right words to say what I mean

Fully-Specified Name

Component
It is hard for me to find the right words to say what I mean in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
It is hard for me to find the right words to say what I mean
Source
pB12

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71148-1 Pediatric - patients with brain cancer - Child Questionnaire - version 2 (Peds-FACT-Br - child) [FACIT]

Term Description

Pediatric - For patients with Brain cancer-Child
Source: Regenstrief LOINC

Fully-Specified Name

Component
Pediatric - patients with brain cancer - child questionnaire - version 2
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71216-6 Physical well-being - FACIT-peds [FACIT]

Fully-Specified Name

Component
Physical well being - FACIT-peds
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71163-0 I lose balance or fall down easily

Observation ID in Form

pP1

Fully-Specified Name

Component
I lose balance or fall down 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I lose balance or fall down easily
Source
pP1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71164-8 I have trouble getting myself dressed

Observation ID in Form

pP2

Fully-Specified Name

Component
I have trouble getting myself dressed 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I have trouble getting myself dressed
Source
pP2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71165-5 I have trouble running like other children

Observation ID in Form

pP3a

Fully-Specified Name

Component
I have trouble running like other people 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I have trouble running like other people
Source
pP3a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

70528-5 I get tired easily

Observation ID in Form

pP4

Fully-Specified Name

Component
I get tired 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 get tired easily
Source
BMT6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel
70672-1 Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel

71166-3 My arms or legs feel weak

Observation ID in Form

pP5

Fully-Specified Name

Component
My arms or legs feel weak 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My arms or legs feel weak
Source
pP5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71167-1 I get ill easily

Observation ID in Form

pP6

Fully-Specified Name

Component
I get ill 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I get ill easily
Source
pP6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71168-9 I have trouble writing with a pen or pencil

Observation ID in Form

pP7

Fully-Specified Name

Component
I have trouble writing with a pen or pencil 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I have trouble writing with a pen or pencil
Source
pP7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

70408-0 I have pain

Observation ID in Form

pF8

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

71316-4 Emotional well-being and illness experience - FACT-Br -peds-child [FACIT]

Fully-Specified Name

Component
Emotional well being and illness experience - FACT-Br -peds-child
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71285-1 I feel happy

Observation ID in Form

pE1

Fully-Specified Name

Component
I feel happy in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I feel happy
Source
pE1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71286-9 When I try to do something, I usually believe I will do it well

Observation ID in Form

pE2

Fully-Specified Name

Component
When I try to do something, I usually believe I will do it well in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
When I try to do something, I usually believe I will do it well
Source
pE2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71287-7 The illness experience makes me a stronger person

Observation ID in Form

pE3

Fully-Specified Name

Component
The illness experience makes me a stronger person in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
The illness experience makes me a stronger person
Source
pE3

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71288-5 The illness experience has taught me to appreciate life

Observation ID in Form

pE4

Fully-Specified Name

Component
The illness experience has taught me to appreciate life in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
The illness experience has taught me to appreciate life
Source
pE4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71289-3 I often feel that other children are better than me in the past 4W

Observation ID in Form

pE5a

Fully-Specified Name

Component
I often feel that other people are better than me in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I often feel that other people are better than me
Source
pE5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71290-1 I worry about being sick again

Observation ID in Form

pE6

Fully-Specified Name

Component
I worry about being sick again in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I worry about being sick again
Source
pE6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71291-9 I often switch from good moods to bad moods

Observation ID in Form

pE7

Fully-Specified Name

Component
I often switch from good moods to bad moods in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I often switch from good moods to bad moods
Source
pE7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71292-7 I worry when I go back to the hospital or clinic

Observation ID in Form

pE8

Fully-Specified Name

Component
I worry when I go back to the hospital or clinic in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I worry when I go back to the hospital or clinic
Source
pE8

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71293-5 I get nervous - frightened easily

Observation ID in Form

pE9

Fully-Specified Name

Component
I get nervous - frightened easily in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I get nervous - frightened easily
Source
pE9

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71294-3 I worry about having a good life in the future

Observation ID in Form

pE10

Fully-Specified Name

Component
I worry about having a good life in the future in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I worry about having a good life in the future
Source
pE10

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71317-2 Social - family well-being - FACT-Br-peds [FACIT]

Fully-Specified Name

Component
Social - family well being - FACT-Br-peds
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71298-4 Other people pick on - tease me

Observation ID in Form

pSF1a

Fully-Specified Name

Component
Other people pick on - tease me in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Other people pick on - tease me
Source
pSF1a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71299-2 I think I have fewer friends than others

Observation ID in Form

pSF2a

Fully-Specified Name

Component
I think I have fewer friends than others in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I think I have fewer friends than others
Source
pSF2a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71300-8 Other people avoid hanging out with me because of my illness history

Observation ID in Form

pSF3a

Fully-Specified Name

Component
Other people avoid hanging out with me because of my illness history in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Other people avoid hanging out with me because of my illness history
Source
pSF3a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71301-6 I feel lonely

Observation ID in Form

pSF4

Fully-Specified Name

Component
I feel lonely in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I feel lonely
Source
pSF4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71302-4 I would rather do something by myself than with other people

Observation ID in Form

pSF5a

Fully-Specified Name

Component
I would rather do something by myself than with other people in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I would rather do something by myself than with other people
Source
pSF5a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71228-1 Additional concerns - FACT-Br-peds [FACIT]

Fully-Specified Name

Component
Additional concerns - FACT-Br-peds
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71303-2 I am bothered by being shorter than other people

Observation ID in Form

pB1

Fully-Specified Name

Component
I am bothered by being shorter than other people in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I am bothered by being shorter than other people
Source
pB1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71304-0 I am bothered by being unable to see well

Observation ID in Form

pB2

Fully-Specified Name

Component
I am bothered by being unable to see well in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I am bothered by being unable to see well
Source
pB2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71305-7 I am bothered by being unable to hear well

Observation ID in Form

pB3

Fully-Specified Name

Component
I am bothered by being unable to hear well in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I am bothered by being unable to hear well
Source
pB3

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71306-5 I am bothered by headaches

Observation ID in Form

pB4

Fully-Specified Name

Component
I am bothered by headaches in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I am bothered by headaches
Source
pB4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71307-3 When I speak, people have trouble understanding

Observation ID in Form

pB5

Fully-Specified Name

Component
When I speak, people have trouble understanding me in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
When I speak, people have trouble understanding
Source
pB5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71308-1 I need to work harder than other people to get my school work done

Observation ID in Form

pB6

Fully-Specified Name

Component
I need to work harder than other people to get my school work done in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I need to work harder than other people to get my school work done
Source
pB6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71309-9 My grades are worse than they were before I was sick

Observation ID in Form

pB7

Fully-Specified Name

Component
My grades are worse than they were before I was sick in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My grades are worse than they were before I was sick
Source
pB7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71310-7 I forget things easily

Observation ID in Form

pB8

Fully-Specified Name

Component
I forget things easily in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I forget things easily
Source
pB8

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71311-5 It is hard for me to concentrate in school

Observation ID in Form

pB9

Fully-Specified Name

Component
It is hard for me to concentrate in school in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
It is hard for me to concentrate in school
Source
pB9

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71312-3 I have to read things several times so I can understand them

Observation ID in Form

pB10

Fully-Specified Name

Component
I have to read things several times so I can understand them in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I have to read things several times so I can understand them
Source
pB10

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71313-1 When I play games or sports, I react more slowly than most people my age

Observation ID in Form

pB11

Fully-Specified Name

Component
When I play games or sports, I react more slowly than most people my age in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
When I play games or sports, I react more slowly than most people my age
Source
pB11

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71314-9 It is hard for me to find the right words to say what I mean

Observation ID in Form

pB12

Fully-Specified Name

Component
It is hard for me to find the right words to say what I mean in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
It is hard for me to find the right words to say what I mean
Source
pB12

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71149-9 Pediatric - Patients with brain cancer - Parent_adolescent Questionnaire - version 1 (Peds-FACT-Br - parent_adoles) [FACIT]

Term Description

Pediatric - For patients with Brain cancer-Parent of adolescent
Source: Regenstrief LOINC

Fully-Specified Name

Component
Pediatric - patients with brain cancer - parent_adolescent questionnaire - version 1
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71318-0 Physical well-being - FACT-Br -peds-parent [FACIT]

Fully-Specified Name

Component
Physical well being - FACT-Br -peds-parent
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71195-2 My child loses balance or falls down easily

Observation ID in Form

pP1

Fully-Specified Name

Component
My child loses balance or falls down easily in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child loses balance or falls down easily
Source
pP1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71196-0 My child has trouble getting dressed on his-her own

Observation ID in Form

pP2

Fully-Specified Name

Component
My child has trouble getting dressed on his-her own in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has trouble getting dressed on his-her own
Source
pP2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71197-8 My child has trouble running like other people

Observation ID in Form

pP3

Fully-Specified Name

Component
My child has trouble running like other people in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has trouble running like other people
Source
pP3a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71198-6 My child gets tired easily

Observation ID in Form

pP4

Fully-Specified Name

Component
My child gets tired easily in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child gets tired easily
Source
pP4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71199-4 My child's arms or legs seem weak

Observation ID in Form

pP5

Fully-Specified Name

Component
My child's arms or legs seem weak in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child's arms or legs seem weak
Source
pP5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71200-0 My child gets ill

Observation ID in Form

pP6

Fully-Specified Name

Component
My child gets ill easily in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child gets ill
Source
pP6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71201-8 My child has trouble writing with a pen or pencil

Observation ID in Form

pP7

Fully-Specified Name

Component
My child has trouble writing with a pen or pencil in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has trouble writing with a pen or pencil
Source
pP7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71319-8 Emotional well being - FACT-Br -peds-parent_adoles [FACIT]

Fully-Specified Name

Component
Emotional well being - FACT-Br -peds-parent_adoles
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71203-4 My child seems happy

Observation ID in Form

pE1

Fully-Specified Name

Component
My child seems happy in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child seems happy
Source
pE1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71204-2 When my child tries to do something, s/he usually believes s/he will do it well

Observation ID in Form

pE2

Fully-Specified Name

Component
When my child tries to do something, s-he usually believes s-he will do it well in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
When my child tries to do something, s/he usually believes s/he will do it well
Source
pE2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71232-3 The illness experience makes my child a stronger person

Observation ID in Form

pE3

Fully-Specified Name

Component
The illness experience makes my child a stronger person in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
The illness experience makes my child a stronger person
Source
pE3

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71231-5 The illness experience has taught my child to appreciate life

Observation ID in Form

pE4

Fully-Specified Name

Component
The illness experience has taught my child to appreciate life in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
The illness experience has taught my child to appreciate life
Source
pE4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71207-5 My child often feels inferior to other people

Observation ID in Form

pE5

Fully-Specified Name

Component
My child often feels inferior to other people in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child often feels inferior to other people
Source
pE5a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71208-3 My child worries about getting another cancer/tumor

Observation ID in Form

pE6

Fully-Specified Name

Component
My child worries about getting another cancer-tumor in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child worries about getting another cancer/tumor
Source
pE6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71209-1 My child is moody or irritable

Observation ID in Form

pE7

Fully-Specified Name

Component
My child is moody or irritable in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child is moody or irritable
Source
pE7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71210-9 My child worries when we go back to the hospital or clinic

Observation ID in Form

pE8

Fully-Specified Name

Component
My child worries when we go back to the hospital or clinic in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child worries when we go back to the hospital or clinic
Source
pE8

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71211-7 My child gets nervous (frightened) easily

Observation ID in Form

pE9

Fully-Specified Name

Component
My child gets nervous - frightened easily in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child gets nervous (frightened) easily
Source
pE9

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71212-5 My child worries about having a good life in the future

Observation ID in Form

pE10

Fully-Specified Name

Component
My child worries about having a good life in the future in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child worries about having a good life in the future
Source
pE10

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71322-2 Social and family well-being - FACT-Br -peds-parent_adoles [FACIT]

Fully-Specified Name

Component
Social and family well being - FACT-Br -peds-parent_adoles
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71219-0 Other people pick on (tease) my child

Observation ID in Form

pSF1a

Fully-Specified Name

Component
Other people pick on - tease my child in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Other people pick on (tease) my child
Source
pSF1a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71220-8 My child has fewer friends than others

Observation ID in Form

pSF2a

Fully-Specified Name

Component
My child has fewer friends than others in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has fewer friends than others
Source
pSF2a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71221-6 Other people avoid hanging out with my child because s/he is different

Observation ID in Form

pSF3a

Fully-Specified Name

Component
Other people avoid hanging out with my child because s-he is different in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Other people avoid hanging out with my child because s/he is different
Source
pSF3a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71222-4 My child seems lonely

Observation ID in Form

pSF4

Fully-Specified Name

Component
My child seems lonely in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child seems lonely
Source
pSF4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71223-2 My child prefers to do something alone

Observation ID in Form

pSF5a

Fully-Specified Name

Component
My child prefers to do something alone in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child prefers to do something alone
Source
pSF5a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71229-9 Additional concerns - FACT-Br-parent [FACIT]

Fully-Specified Name

Component
Additional concerns - FACT-Br-parent
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71323-0 My child is bothered by being shorter than his-her peers

Observation ID in Form

pB1

Fully-Specified Name

Component
My child is bothered by being shorter than his-her peers in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child is bothered by being shorter than his-her peers
Source
pB1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71324-8 My child is bothered by poor vision

Observation ID in Form

pB2

Fully-Specified Name

Component
My child is bothered by poor vision in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child is bothered by poor vision
Source
pB2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71325-5 My child is bothered by poor hearing

Observation ID in Form

pB3

Fully-Specified Name

Component
My child is bothered by poor hearing in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child is bothered by poor hearing
Source
pB3

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71326-3 My child is bothered by headaches

Observation ID in Form

pB4

Fully-Specified Name

Component
My child is bothered by headaches in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child is bothered by headaches
Source
pB4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71327-1 My child's speech is hard for others to understand

Observation ID in Form

pB5

Fully-Specified Name

Component
My child's speech is hard for others to understand in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child's speech is hard for others to understand
Source
pB5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71328-9 My child needs to work harder than his-her peers to get school work done

Observation ID in Form

pB6

Fully-Specified Name

Component
My child needs to work harder than his-her peers to get school work done in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child needs to work harder than his-her peers to get school work done
Source
pB6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71329-7 My child's school performance is worse than it was before s-he was diagnosed

Observation ID in Form

pB7

Fully-Specified Name

Component
My child's school performance is worse than it was before s-he was diagnosed in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child's school performance is worse than it was before s-he was diagnosed
Source
pB7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71330-5 My child forgets things easily

Observation ID in Form

pB8

Fully-Specified Name

Component
My child forgets things easily in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child forgets things easily
Source
pB8

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71331-3 It is hard for my child to concentrate in school

Observation ID in Form

pB9

Fully-Specified Name

Component
It is hard for my child to concentrate in school in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
It is hard for my child to concentrate in school
Source
pB9

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71332-1 My child has to read things several times so s-he can understand them

Observation ID in Form

pB10

Fully-Specified Name

Component
My child has to read things several times so s-he can understand them in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has to read things several times so s-he can understand them
Source
pB10

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71333-9 When my child plays games or sports, s-he reacts more slowly than his-her peers

Observation ID in Form

pB11

Fully-Specified Name

Component
When my child plays games or sports, s-he reacts more slowly than his-her peers in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
When my child plays games or sports, s-he reacts more slowly than his-her peers
Source
pB11

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71334-7 My child has difficulty using the right words

Observation ID in Form

pB12

Fully-Specified Name

Component
My child has difficulty using the right words in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has difficulty using the right words
Source
pB12

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71150-7 Pediatric - Patients with brain cancer - Parent_child Questionnaire - version 1 (Peds-FACT-Br - parent_child) [FACIT]

Term Description

Pediatric - For patients with Brain cancer-Parent of child
Source: Regenstrief LOINC

Fully-Specified Name

Component
Pediatric - patients with brain cancer - parent_child questionnaire - version 1
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71318-0 Physical well-being - FACT-Br -peds-parent [FACIT]

Fully-Specified Name

Component
Physical well being - FACT-Br -peds-parent
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71195-2 My child loses balance or falls down easily

Fully-Specified Name

Component
My child loses balance or falls down easily in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child loses balance or falls down easily
Source
pP1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71196-0 My child has trouble getting dressed on his-her own

Fully-Specified Name

Component
My child has trouble getting dressed on his-her own in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has trouble getting dressed on his-her own
Source
pP2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71197-8 My child has trouble running like other children in the past 4W

Observation ID in Form

pP3

Fully-Specified Name

Component
My child has trouble running like other people in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has trouble running like other people
Source
pP3a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71198-6 My child gets tired easily

Observation ID in Form

pP4

Fully-Specified Name

Component
My child gets tired easily in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child gets tired easily
Source
pP4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71199-4 My child's arms or legs seem weak

Observation ID in Form

pP5

Fully-Specified Name

Component
My child's arms or legs seem weak in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child's arms or legs seem weak
Source
pP5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71200-0 My child gets ill

Observation ID in Form

pP6

Fully-Specified Name

Component
My child gets ill easily in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child gets ill
Source
pP6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71201-8 My child has trouble writing with a pen or pencil

Observation ID in Form

pP7

Fully-Specified Name

Component
My child has trouble writing with a pen or pencil in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has trouble writing with a pen or pencil
Source
pP7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71320-6 Emotional well-being - FACT-Br -peds-parent_child [FACIT]

Fully-Specified Name

Component
Emotional well being - FACT-Br -peds-parent_child
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71203-4 My child seems happy

Observation ID in Form

pE1

Fully-Specified Name

Component
My child seems happy in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child seems happy
Source
pE1

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71204-2 When my child tries to do something, s/he usually believes s/he will do it well

Observation ID in Form

pE2

Fully-Specified Name

Component
When my child tries to do something, s-he usually believes s-he will do it well in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
When my child tries to do something, s/he usually believes s/he will do it well
Source
pE2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71232-3 The illness experience makes my child a stronger person

Observation ID in Form

pE3

Fully-Specified Name

Component
The illness experience makes my child a stronger person in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
The illness experience makes my child a stronger person
Source
pE3

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71231-5 The illness experience has taught my child to appreciate life

Observation ID in Form

pE4

Fully-Specified Name

Component
The illness experience has taught my child to appreciate life in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
The illness experience has taught my child to appreciate life
Source
pE4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71335-4 My child often feels inferior to other children

Observation ID in Form

pE5

Fully-Specified Name

Component
My child often feels inferior to other children in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child often feels inferior to other children
Source
pE5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71208-3 My child worries about getting another cancer/tumor

Observation ID in Form

pE6

Fully-Specified Name

Component
My child worries about getting another cancer-tumor in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child worries about getting another cancer/tumor
Source
pE6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71209-1 My child is moody or irritable

Observation ID in Form

pE7

Fully-Specified Name

Component
My child is moody or irritable in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child is moody or irritable
Source
pE7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71210-9 My child worries when we go back to the hospital or clinic

Observation ID in Form

pE8

Fully-Specified Name

Component
My child worries when we go back to the hospital or clinic in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child worries when we go back to the hospital or clinic
Source
pE8

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71211-7 My child gets nervous (frightened) easily

Observation ID in Form

pE9

Fully-Specified Name

Component
My child gets nervous - frightened easily in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child gets nervous (frightened) easily
Source
pE9

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71212-5 My child worries about having a good life in the future

Observation ID in Form

pE10

Fully-Specified Name

Component
My child worries about having a good life in the future in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child worries about having a good life in the future
Source
pE10

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71321-4 Social and family well-being - FACT-Br -peds-parent_child [FACIT]

Fully-Specified Name

Component
Social and family well being - FACT-Br -peds-parent_child
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71219-0 Other people pick on (tease) my child

Observation ID in Form

pSF1a

Fully-Specified Name

Component
Other people pick on - tease my child in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Other people pick on (tease) my child
Source
pSF1a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71220-8 My child has fewer friends than other children in the past 4W

Observation ID in Form

pSF2a

Fully-Specified Name

Component
My child has fewer friends than others in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child has fewer friends than others
Source
pSF2a

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71276-0 Other children avoid playing with my child because s-he is different

Observation ID in Form

pSF3

Fully-Specified Name

Component
Other children avoid playing with my child because s-he is different 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Other children avoid playing with my child because s-he is different
Source
pSF3

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71222-4 My child seems lonely

Observation ID in Form

pSF4

Fully-Specified Name

Component
My child seems lonely in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child seems lonely
Source
pSF4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71277-8 My child prefers to play alone

Observation ID in Form

pSF5

Fully-Specified Name

Component
My child prefers to play alone 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
My child prefers to play alone
Source
pSF5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71151-5 Pediatric - Functional Assessment of Chronic Illness Therapy - Fatigue Questionnaire (Peds-FACIT-Fatigue)

Term Description

Pediatric - Functional Assessment of Chronic Illness Therapy-Fatigue
Source: Regenstrief LOINC

Form Coding Instructions

Below is a list of statements that other people with your illness have said are important. Please circle or mark one number per line to indicate your response as it applies to the past 7 days

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Pediatric - functional assessment of chronic illness therapy - fatigue questionnaire
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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

70304-1 I feel tired

Observation ID in Form

pF1

Fully-Specified Name

Component
I feel tired 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 tired
Source
An2/pF1

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
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

71161-4 I have energy (or strength)

Observation ID in Form

pF2

Fully-Specified Name

Component
I have energy or strength 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I have energy (or strength)
Source
pF2

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71162-2 I could do my usual things at home

Observation ID in Form

pF3

Fully-Specified Name

Component
I could do my usual things 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I could do my usual things at home
Source
pF3

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71379-2 I had trouble starting things because I was too tired

Observation ID in Form

pF4

Fully-Specified Name

Component
I had trouble starting things because I was too tired 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I had trouble starting things because I was too tired
Source
pF4

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71380-0 I had trouble finishing things because I was too tired

Observation ID in Form

pF5

Fully-Specified Name

Component
I had trouble finishing things because I was too tired 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I had trouble finishing things because I was too tired
Source
pF5

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71381-8 I needed to sleep during the day

Observation ID in Form

pF6

Fully-Specified Name

Component
I needed to sleep during the day 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I needed to sleep during the day
Source
pF6

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71382-6 I got upset by being too tired to do things I wanted to do

Observation ID in Form

pF7

Fully-Specified Name

Component
I got upset by being too tired to do things I wanted to do 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I got upset by being too tired to do things I wanted to do
Source
pF7

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71383-4 Being tired made it hard for me to play or go out with my friends as much as I'd like

Observation ID in Form

pF8

Fully-Specified Name

Component
Being tired made it hard for me to play or go out with my friends as much as I'd like 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Being tired made it hard for me to play or go out with my friends as much as I'd like
Source
pF8

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71336-2 I feel weak

Observation ID in Form

pF10

Fully-Specified Name

Component
I feel weak 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I feel weak
Source
pF10

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71385-9 I needed help doing my usual things at home

Observation ID in Form

pF9

Fully-Specified Name

Component
I needed help doing my usual things 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I needed help doing my usual things at home
Source
pF9

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71384-2 I was too tired to eat

Observation ID in Form

pF11

Fully-Specified Name

Component
I was too tired to eat 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
I was too tired to eat
Source
pF11

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71337-0 Being tired made me sad

Observation ID in Form

pF12

Fully-Specified Name

Component
Being tired made me sad 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Being tired made me sad
Source
pF12

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel

71338-8 Being tired made me mad-angry

Observation ID in Form

pF13

Fully-Specified Name

Component
Being tired made me mad-angry 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 2.67
Change Reason
Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Order vs. Observation
Observation

Survey Question

Text
Being tired made me mad-angry
Source
pF13

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
70675-4 Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel