Version 2.78

71066-5 Please mark one box to choose the visit(s) you would like to rate

Observation ID in Form

1

Fully-Specified Name

Component
Visits you would like to rate
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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 mark one box to choose the visit(s) you would like to rate
Source
1

Normative Answer List LL2074-4

Answer Code Score Answer ID
My most recent visit LA18535-7
Several of my most recent visits LA18536-5
My experience in general LA18537-3

Member of these Panels

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

71067-3 Explanations [FACIT]

Fully-Specified Name

Component
Explanations
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
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

71068-1 Did your doctor(s) give explanations that you could understand?

Observation ID in Form

TS9

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did your doctor-s give explanations that you could understand
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did your doctor(s) give explanations that you could understand?
Source
TS9

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71069-9 Did your doctor(s) explain the possible benefits of your treatment?

Observation ID in Form

TS10

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did your doctor-s explain the possible benefits of your treatment
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did your doctor(s) explain the possible benefits of your treatment?
Source
TS10

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71070-7 Did your doctor-s explain the possible side effects or risks of your treatment

Observation ID in Form

TS11

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did your doctor-s explain the possible side effects or risks of your treatment
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did your doctor-s explain the possible side effects or risks of your treatment
Source
TS11

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71071-5 Did you have an opportunity to ask questions?

Observation ID in Form

TS12

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did you have an opportunity to ask questions
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did you have an opportunity to ask questions?
Source
TS12

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71072-3 Interpersonal [FACIT]

Fully-Specified Name

Component
Interpersonal
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
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

71073-1 Did you get to say the things that were important to you?

Observation ID in Form

TS13

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did you get to say the things that were important to you
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did you get to say the things that were important to you?
Source
TS13

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71074-9 Did your doctor(s) seem to understand what was important to you?

Observation ID in Form

TS14

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did your doctor-s seem to understand what was important to you
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did your doctor(s) seem to understand what was important to you?
Source
TS14

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71075-6 Did your doctor(s) show genuine concern for you?

Observation ID in Form

TS15

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did your doctor-s show genuine concern for you
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did your doctor(s) show genuine concern for you?
Source
TS15

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71076-4 Comprehensive care [FACIT]

Fully-Specified Name

Component
Comprehensive care
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
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

71077-2 Did your doctor(s) seem to understand your needs?

Observation ID in Form

TS16

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did your doctor-s seem to understand your needs
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did your doctor(s) seem to understand your needs?
Source
TS16

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71078-0 Did you feel that the treatment staff worked together towards the same goal?

Observation ID in Form

TS17

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did you feel that the treatment staff worked together towards the same goal
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did you feel that the treatment staff worked together towards the same goal?
Source
TS17

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71079-8 Were you able to talk to your doctor(s) when you needed to

Observation ID in Form

TS18

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Were you able to talk to your doctor-s when you needed to
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Were you able to talk to your doctor(s) when you needed to
Source
TS18

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71080-6 Did the treatment staff discuss how your health and treatment may affect your normal work (including housework)?

Observation ID in Form

TS19

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did the treatment staff discuss how your health and treatment may affect your normal work - including housework
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did the treatment staff discuss how your health and treatment may affect your normal work (including housework)?
Source
TS19

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71081-4 Did the treatment staff discuss how your health and treatment may affect your normal daily activities?

Observation ID in Form

TS20

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did the treatment staff discuss how your health and treatment may affect your normal daily activities
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did the treatment staff discuss how your health and treatment may affect your normal daily activities?
Source
TS20

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71082-2 Did the treatment staff discuss how your health and treatment may affect your personal relationships?

Observation ID in Form

TS21

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did the treatment staff discuss how your health and treatment may affect your personal relationships
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did the treatment staff discuss how your health and treatment may affect your personal relationships?
Source
TS21

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71083-0 Did the treatment staff discuss how your health and treatment may affect you emotionally?

Observation ID in Form

TS22

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did the treatment staff discuss how your health and treatment may affect you emotionally
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did the treatment staff discuss how your health and treatment may affect you emotionally?
Source
TS22

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71084-8 Technical quality [FACIT]

Fully-Specified Name

Component
Technical quality
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
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

71085-5 Did you feel your doctors had experience treating your illness?

Observation ID in Form

TS23

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did you feel your doctors had experience treating your illness
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did you feel your doctors had experience treating your illness?
Source
TS23

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71086-3 Did you feel your doctor(s) knew about the latest medical developments for your illness?

Observation ID in Form

TS24

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did you feel your doctor-s knew about the latest medical developments for your illness
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did you feel your doctor(s) knew about the latest medical developments for your illness?
Source
TS24

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71087-1 Was the treatment staff thorough in examining and treating you?

Observation ID in Form

TS25

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Was the treatment staff thorough in examining and treating you
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Was the treatment staff thorough in examining and treating you?
Source
TS25

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71088-9 Decision-making [FACIT]

Fully-Specified Name

Component
Decision-making
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
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

71089-7 Did your doctor(s) discuss other treatments, example, alternative medicine or new for treatments?

Observation ID in Form

TS26

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did your doctor-s discuss other treatments, example, alternative medicine or new for treatments
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did your doctor(s) discuss other treatments, example, alternative medicine or new for treatments?
Source
TS26

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71090-5 Were you encouraged to participate in decisions about your health care?

Observation ID in Form

TS27

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Were you encouraged to participate in decisions about your health care
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Were you encouraged to participate in decisions about your health care?
Source
TS27

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71091-3 Did you have enough time to make decisions about your health care

Observation ID in Form

TS28

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did you have enough time to make decisions about your health care
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did you have enough time to make decisions about your health care
Source
TS28

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71092-1 Did you have enough information to make decisions about your health care?

Observation ID in Form

TS29

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did you have enough information to make decisions about your health care
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did you have enough information to make decisions about your health care?
Source
TS29

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71093-9 Did your doctor(s) seem to respect your opinions?

Observation ID in Form

TS30

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did your doctor-s seem to respect your opinions
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did your doctor(s) seem to respect your opinions?
Source
TS30

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71094-7 Nurses [FACIT]

Fully-Specified Name

Component
Nurses
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
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

71095-4 Did your nurses give explanations that you could understand?

Observation ID in Form

TS31

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did your nurses give explanations that you could understand
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did your nurses give explanations that you could understand?
Source
TS31

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71096-2 Did your nurses show genuine concern for you?

Observation ID in Form

TS32

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did your nurses show genuine concern for you
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did your nurses show genuine concern for you?
Source
TS32

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71097-0 Did your nurse(s) seem to understand your needs

Observation ID in Form

TS33

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did your nurse-s seem to understand your needs
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did your nurse(s) seem to understand your needs
Source
TS33

Normative Answer List LL2087-6

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, but not as much as I wanted 1 LA18540-7
Yes, almost as much as I wanted 2 LA18541-5
Yes, as much as I wanted 3 LA18542-3

Member of these Panels

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

71098-8 Trust [FACIT]

Fully-Specified Name

Component
Trust
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
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

71099-6 Did you feel that the treatment staff answered your questions honestly?

Observation ID in Form

TS34

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did you feel that the treatment staff answered your questions honestly
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did you feel that the treatment staff answered your questions honestly?
Source
TS34

Normative Answer List LL2088-4

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, to some extent 1 LA18532-4
Yes, for the most part 2 LA18533-2
Yes, completely 3 LA18534-0

Member of these Panels

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

71100-2 Did the treatment staff respect your privacy?

Observation ID in Form

TS35

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did the treatment staff respect your privacy
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did the treatment staff respect your privacy?
Source
TS35

Normative Answer List LL2088-4

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, to some extent 1 LA18532-4
Yes, for the most part 2 LA18533-2
Yes, completely 3 LA18534-0

Member of these Panels

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

71101-0 Did you have confidence in your doctor(s)?

Observation ID in Form

TS36

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did you have confidence in your doctor-s
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did you have confidence in your doctor(s)?
Source
TS36

Normative Answer List LL2088-4

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, to some extent 1 LA18532-4
Yes, for the most part 2 LA18533-2
Yes, completely 3 LA18534-0

Member of these Panels

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

71102-8 Did you trust your doctor(s) suggestions for treatment?

Observation ID in Form

TS37

Form Coding Instructions

For items TS9-TS37, multiply the item response (LOINC score) by 100 and divide by 3 to get the 0-100 response ( item response number X 100/3). Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Did you trust your doctor-s suggestions for treatment
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Did you trust your doctor(s) suggestions for treatment?
Source
TS37

Normative Answer List LL2088-4

Answer Code Score Answer ID
No, not at all 0 LA18387-3
Yes, to some extent 1 LA18532-4
Yes, for the most part 2 LA18533-2
Yes, completely 3 LA18534-0

Member of these Panels

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

71103-6 Overall [FACIT]

Fully-Specified Name

Component
Overall
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
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

71104-4 Would you recommend this clinic or office to others?

Observation ID in Form

TS38

Form Coding Instructions

For items TS4, TS5, TS6, TS7, TS38 and TS39, multiply the item response ( LOINC score) by 100 and divide by 2 to get the 0-100 response ( item response number X 100)/2. Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Would you recommend this clinic or office to others
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Would you recommend this clinic or office to others?
Source
TS38

Normative Answer List LL2070-2

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 0 0 LA32-8
Maybe 1 1 LA12696-3
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 2 2 LA33-6

Member of these Panels

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

71105-1 Would you choose this clinic or office again?

Observation ID in Form

TS39

Form Coding Instructions

For items TS4, TS5, TS6, TS7, TS38 and TS39, multiply the item response ( LOINC score) by 100 and divide by 2 to get the 0-100 response ( item response number X 100)/2. Items TS1, TS2, TS3, and TS8 are currently treated as single items pending further research

Source: Functional Assessment of Chronic Illness Therapy

Fully-Specified Name

Component
Would you choose this clinic or office again
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
Would you choose this clinic or office again?
Source
TS39

Normative Answer List LL2070-2

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 0 0 LA32-8
Maybe 1 1 LA12696-3
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 2 2 LA33-6

Member of these Panels

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

71106-9 How do you rate the care you received?

Observation ID in Form

TS40

Fully-Specified Name

Component
How do you rate the care you received
Property
Find
Time
Pt
System
^Patient
Scale
Ord
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
How do you rate the care you received?
Source
TS40

Normative Answer List LL2073-6

Answer Code Score Answer ID
Poor 0 0 LA8969-3
Fair 1 1 LA8968-5
Good 2 2 LA8967-7
Very Good 3 3 LA13913-1
Excellent 4 4 LA9206-9

Member of these Panels

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

8251-1 Do you have any comments

Part Descriptions

LP17773-0   Service comment
Service comment terms (Service comment, Service comment 02, Service comment 03, etc.) were requested by a lab to use as an OBX lab result message for user-defined text results. Source: Regenstrief LOINC

Fully-Specified Name

Component
Service comment
Property
Imp
Time
Pt
System
XXX
Scale
Nom
Method

Additional Names

Short Name
Service Cmnt-Imp
Display Name
Service comment [Interp]
Consumer Name Alpha Get Info
Service comment, Specimen

Basic Attributes

Class
MISC
Type
Laboratory
First Released
Version 1.0h(2)
Last Updated
Version 2.73
Order vs. Observation
Observation
Common Test Rank Get Info
117

HL7® Attributes

HL7® Field ID
NTE-3

Member of these Panels

LOINC Long Common Name
95405-7 Assay related variables panel [PhenX]
67868-0 End Stage Renal Disease (ESRD) Medical Evidence Report, Medicare Entitlement AndOr Patient Registration - OMB CMS form 2728
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
93340-8 PhenX - complete blood count protocol 220501
62787-7 PhenX domain - Diabetes
62949-3 PhenX domain - Gastrointestinal
62863-6 PhenX domain - Infectious diseases and immunity
62755-4 PhenX domain - Neurology
62812-3 PhenX domain - Physical activity and physical fitness
62611-9 PhenX domain - Respiratory
62896-6 PhenX domain - Skin, bone, muscle and joint
74028-2 Virtual Medical Record for Clinical Decision Support panel HL7.VMR-CDS

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) comentario del servicio, 01:impresión/interpretación del estudio:punto en el tiempo:XXX:Nominal:
es-ES Spanish (Spain) Comentario del servicio 01:Impresión/interpretación del estudio:Punto temporal:XXX:Nom:
es-MX Spanish (Mexico) Comentario de servicio:Impresión / interpretación del estudio:Punto temporal:XXX:Nominal:
fr-FR French (France) Commentaire de service:Interprétation:Ponctuel:Milieux divers:Résultat nominal:
it-IT Italian (Italy) Commento di servizio 01:Imp:Pt:XXX:Nom:
Synonyms: Impressione/interpretazione di studio Miscellanea Punto nel tempo (episodio)
pt-BR Portuguese (Brazil) Comentários de serviço 01:Imp:Pt:XXX:Nom:
Synonyms: ; Service Cmnt 01; Remarks; Interpretation; Interp; Impression; Impressions; Point in time; Random; Miscellaneous; Unspecified; Other; Nominal; Com; Comm; Commt; Comments; cmnt; cmmt
ru-RU Russian (Russian Federation) Служебный комментарий:Впчт:ТчкВрм:XXX:Ном:
Synonyms: Впечатление/интерпретация исследования Номинальный;Именной Точка во времени;Момент
tr-TR Turkish (Turkey) Servis önerisi:İzlnm:Zmlı:XXX:Snf:
zh-CN Chinese (China) 服务注释:印象:时间点:XXX:名义型:
Synonyms: 不明的;其他;将在相应消息内其他部分之中加以详细说明;未作详细说明的;未作说明的;未做说明的标本;未加规定的;未加说明的标本;杂项 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 印象是一种诊断陈述，始终是对其他某种观察指标的解释或抽象（一系列检验项目结果、一幅图像或者整个某位病人），而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释 备注 备注;评论;注解;说明;评语 意见 时刻;随机;随意;瞬间 服务注释（备注、注解、评论说明、意见） 杂项;杂项类;杂项试验 注解 短评 解说 解释 评定 评注 评论 评语 说明