Version 2.80

70971-7 How short of breath did you get dressing yourself without help?

Observation ID in Form

1

Fully-Specified Name

Component
How short of breath did you get dressing yourself without help in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get dressing yourself without help in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70972-5 How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping?

Observation ID in Form

2

Fully-Specified Name

Component
How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70973-3 How short of breath did you get walking up 20 stairs, 2 flights, without stopping?

Observation ID in Form

3

Fully-Specified Name

Component
How short of breath did you get walking up 20 stairs - 2 flights - without stopping in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get walking up 20 stairs - 2 flights - without stopping in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70974-1 How short of breath did you get preparing meals?

Observation ID in Form

4

Fully-Specified Name

Component
How short of breath did you get preparing meals in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get preparing meals in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70975-8 How short of breath did you get washing dishes?

Observation ID in Form

5

Fully-Specified Name

Component
How short of breath did you get washing dishes in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get washing dishes in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70976-6 How short of breath did you get sweeping or mopping?

Observation ID in Form

6

Fully-Specified Name

Component
How short of breath did you get sweeping or mopping in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get sweeping or mopping in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70977-4 How short of breath did you get making a bed?

Observation ID in Form

7

Fully-Specified Name

Component
How short of breath did you get making a bed in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get making a bed in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70978-2 How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries?

Observation ID in Form

8

Fully-Specified Name

Component
How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70979-0 How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another?

Observation ID in Form

9

Fully-Specified Name

Component
How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70980-8 How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping?

Observation ID in Form

10

Fully-Specified Name

Component
How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70984-0 How short of breath did you get taking a bath?

Observation ID in Form

11

Fully-Specified Name

Component
How short of breath did you get taking a bath without help in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get taking a bath without help in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70985-7 How short of breath did you get taking a shower?

Observation ID in Form

12

Fully-Specified Name

Component
How short of breath did you get taking a shower in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get taking a shower in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70986-5 How short of breath did you get putting on socks or stockings?

Observation ID in Form

13

Fully-Specified Name

Component
How short of breath did you get putting on socks or stockings in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get putting on socks or stockings in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70987-3 How short of breath did you get standing for at least 5 minutes?

Observation ID in Form

14

Fully-Specified Name

Component
How short of breath did you get standing for at least 5M in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get standing for at least 5 minutes in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70988-1 How short of breath did you get walking 10 steps/paces on flat ground at a normal speed without stopping?

Observation ID in Form

15

Fully-Specified Name

Component
How short of breath did you get walking 10 steps - paces on flat ground at a normal speed without stopping in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get walking 10 steps - paces on flat ground at a normal speed without stopping in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70989-9 How short of breath did you get walking 1/2 mile, almost 1 km, on flat ground at a normal speed, without stopping?

Observation ID in Form

16

Fully-Specified Name

Component
How short of breath did you get walking half a mile, almost 1 km, on flat ground at a normal speed, without stopping in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get walking half a mile, almost 1 km, on flat ground at a normal speed, without stopping in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70990-7 How short of breath did you get walking up 5 stairs without stopping?

Observation ID in Form

17

Fully-Specified Name

Component
How short of breath did you get walking up 5 stairs without stopping in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get walking up 5 stairs without stopping in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70991-5 How short of breath did you get walking up 10 stairs, 1 flight, without stopping?

Observation ID in Form

18

Fully-Specified Name

Component
How short of breath did you get walking up 10 stairs, 1 flight, without stopping in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get walking up 10 stairs, 1 flight, without stopping in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70992-3 How short of breath did you get walking up 30 stairs, 3 flights, without stopping?

Observation ID in Form

19

Fully-Specified Name

Component
How short of breath did you get walking up 30 stairs, 3 flights, without stopping in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get walking up 30 stairs, 3 flights, without stopping in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

71006-1 How short of breath did you get scrubbing the floor or counter?

Observation ID in Form

20

Fully-Specified Name

Component
How short of breath did you get scrubbing the floor or counter in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get scrubbing the floor or counter in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70993-1 How short of breath did you get lifting something weighing less than 5 lbs, about 2 kg, like a houseplant?

Observation ID in Form

21

Fully-Specified Name

Component
How short of breath did you get lifting something weighing less than 5 lbs, about 2 kg, like a houseplant, in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get lifting something weighing less than 5 lbs, about 2 kg, like a houseplant, in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70994-9 How short of breath did you get lifting something weighing 5-10 lbs, about 2-4.5 kg, like a basket of clothes?

Observation ID in Form

22

Fully-Specified Name

Component
How short of breath did you get lifting something weighing 5-10 lbs, about 2-4.5 kg, like a basket of clothes in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get lifting something weighing 5-10 lbs, about 2-4.5 kg, like a basket of clothes in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70995-6 How short of breath did you get lifting something weighing more than 20 lbs, about 9 kg, like a medium-sized suitcase?

Observation ID in Form

23

Fully-Specified Name

Component
How short of breath did you get lifting something weighing more than 20 lbs, about 9 kg, like a medium-sized suitcase in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get lifting something weighing more than 20 lbs, about 9 kg, like a medium-sized suitcase in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70996-4 How short of breath did you get carrying something weighing less than 5 lbs, about 2 kg, like a houseplant, from one room to another?

Observation ID in Form

24

Fully-Specified Name

Component
How short of breath did you get carrying something weighing less than 5 lbs, about 2 kg, like a houseplant, from one room to another in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get carrying something weighing less than 5 lbs, about 2 kg, like a houseplant, from one room to another in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70997-2 How short of breath did you get carrying something weighing 5-10 lbs, about 2-4.5 kg, like a basket of clothes, from one room to another

Fully-Specified Name

Component
How short of breath did you get carrying something weighing 5-10 lbs, about 2-4.5 kg, like a basket of clothes, from one room to another in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get carrying something weighing 5-10 lbs, about 2-4.5 kg, like a basket of clothes, from one room to another in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70998-0 How short of breath did you get getting in or out of a car?

Observation ID in Form

26

Fully-Specified Name

Component
How short of breath did you get getting in or out of a car in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get getting in or out of a car in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70999-8 How short of breath did you get dining out?

Observation ID in Form

27

Fully-Specified Name

Component
How short of breath did you get dining out in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get dining out in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

71000-4 How short of breath did you get low-intensity leisure activity - gardening, etc?

Observation ID in Form

28

Fully-Specified Name

Component
How short of breath did you get low-intensity leisure activity - gardening, etc, in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get low-intensity leisure activity - gardening, etc, in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

71001-2 How short of breath did you get moderate-intensity leisure activity - bicycling on level terrain, etc?

Observation ID in Form

29

Fully-Specified Name

Component
How short of breath did you get moderate-intensity leisure activity - bicycling on level terrain, etc, in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get moderate-intensity leisure activity - bicycling on level terrain, etc, in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

71002-0 How short of breath did you get walking, faster than your usual speed, for 50 steps without stopping?

Observation ID in Form

30

Fully-Specified Name

Component
How short of breath did you get walking, faster than your usual speed, for 50 steps without stopping in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get walking, faster than your usual speed, for 50 steps without stopping in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

71003-8 How short of breath did you get walking, faster than your usual speed, for at least 1 mile, a little more than 1.5 km, without stopping?

Observation ID in Form

31

Fully-Specified Name

Component
How short of breath did you get walking, faster than your usual speed, for at least 1 mile, a little more than 1.5 km, without stopping in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get walking, faster than your usual speed, for at least 1 mile, a little more than 1.5 km, without stopping in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

71004-6 How short of breath did you get singing or humming?

Observation ID in Form

32

Fully-Specified Name

Component
How short of breath did you get singing or humming in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get singing or humming in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

71005-3 How short of breath did you get talking while walking?

Observation ID in Form

33

Fully-Specified Name

Component
How short of breath did you get talking while walking in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

How short of breath did you get talking while walking in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

70981-6 Please indicate why you did not do this in the past 7 days

Fully-Specified Name

Component
Why you did not do this in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
FACIT

Long Common Name

Why you did not do this in the past 7 days [FACIT]

Basic Attributes

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

Normative Answer List LL2075-1

Answer Code Score Answer ID
I have stopped trying, or knew I could not do this activity because of my shortness of breath LA18538-1
I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc. LA18539-9

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel