71133-3
Functional Assessment of HIV Infection Questionnaire - version 4 (FAHI) [FACIT]
Active
Term Description
Functional Assessment of HIV Infection
Source: Regenstrief LOINC
Panel Hierarchy
Details for each LOINC in Panel LHC-Forms
LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
---|---|---|---|---|
71133-3 | Functional Assessment of HIV Infection Questionnaire - version 4 (FAHI) [FACIT] | |||
Indent71126-7 | Physical well-being - FAHI [FACIT] | |||
Indent Indent70405-6 | I have a lack of energy | |||
Indent Indent70406-4 | I have nausea | |||
Indent Indent70408-0 | I have pain | |||
Indent Indent70409-8 | I am bothered by side effects of treatment | |||
Indent Indent70411-4 | I am forced to spend time in bed | |||
Indent Indent70305-8 | I have been short of breath | |||
Indent Indent70312-4 | I am bothered by a change in weight | |||
Indent Indent70528-5 | I get tired easily | |||
Indent Indent70426-2 | I feel fatigued | |||
Indent Indent70425-4 | I feel weak all over | |||
Indent Indent70442-9 | I have been coughing | |||
Indent Indent70410-6 | I feel ill | |||
Indent Indent70407-2 | Because of my physical condition, I have trouble meeting the needs of my family | |||
Indent71127-5 | Emotional well-being - living with HIV [FACIT] | |||
Indent Indent70392-6 | I feel sad | |||
Indent Indent70395-9 | I am nervous | |||
Indent Indent70396-7 | I worry about dying | |||
Indent Indent70397-5 | I worry that my condition will get worse | |||
Indent Indent71134-1 | I am unhappy with my appearance | |||
Indent Indent71135-8 | It is hard to tell other people about my infection | |||
Indent Indent71136-6 | I worry about spreading my infection | |||
Indent Indent71137-4 | I am concerned about what the future holds for me | |||
Indent Indent70311-6 | I worry about the effect of stress on my illness | |||
Indent Indent71138-2 | I am embarrassed by my illness | |||
Indent71128-3 | Functional and global well-being [FACIT] | |||
Indent Indent70398-3 | I am able to work (include work at home) | |||
Indent Indent70399-1 | My work (include work at home) is fulfilling | |||
Indent Indent70400-7 | I am able to enjoy life | |||
Indent Indent70401-5 | I have accepted my illness | |||
Indent Indent70402-3 | I am sleeping well | |||
Indent Indent70403-1 | I am enjoying the things I usually do for fun | |||
Indent Indent70404-9 | I am content with the quality of my life right now | |||
Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
Indent Indent70394-2 | I am losing hope in the fight against my illness | |||
Indent Indent70308-2 | I feel sexually attractive | |||
Indent Indent70350-4 | I have a good appetite | |||
Indent Indent70654-9 | I feel motivated to do things | |||
Indent Indent70696-0 | I am hopeful about the future | |||
Indent71129-1 | Social well-being [FACIT] | |||
Indent Indent70412-2 | I feel close to my friends | |||
Indent Indent70413-0 | I get emotional support from my family | |||
Indent Indent70414-8 | I get support from my friends | |||
Indent Indent70415-5 | My family has accepted my illness | |||
Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
Indent Indent70714-1 | I have people to help me if I need it | |||
Indent Indent70914-7 | Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section. | |||
Indent Indent70418-9 | I am satisfied with my sex life | |||
Indent71130-9 | Cognitive functioning [FACIT] | |||
Indent Indent70441-1 | My thinking is clear | |||
Indent Indent70530-1 | I have trouble concentrating | |||
Indent Indent70651-5 | I have trouble remembering things | |||
Indent71118-4 | Thinking and fatigue [FACIT] | |||
Indent Indent70405-6 | I have a lack of energy | |||
Indent Indent70304-1 | I feel tired | |||
Indent Indent70728-1 | I have trouble starting things because I am tired | |||
Indent Indent70729-9 | I have trouble finishing things because I am tired | |||
Indent Indent70815-6 | I need to rest during the day | |||
Indent Indent70651-5 | I have trouble remembering things | |||
Indent Indent70530-1 | I have trouble concentrating | |||
Indent Indent71139-0 | My thinking is slower than before | |||
Indent Indent71140-8 | I have trouble learning new tasks or directions | |||
Indent71141-6 | Social - family well-being - FAMS [FACIT] | |||
Indent Indent70412-2 | I feel close to my friends | |||
Indent Indent70413-0 | I get emotional support from my family | |||
Indent Indent70414-8 | I get support from my friends | |||
Indent Indent70415-5 | My family has accepted my illness | |||
Indent Indent70416-3 | I am satisfied with family communication about my illness | |||
Indent Indent71119-2 | My family has trouble understanding when my condition gets worse | |||
Indent Indent71120-0 | I feel left out of things | |||
Indent71121-8 | Additional concerns - FAMS [FACIT] | |||
Indent Indent70409-8 | I am bothered by side effects of treatment | |||
Indent Indent70411-4 | I am forced to spend time in bed | |||
Indent Indent70417-1 | I felt close to my partner, or the person who is my main support | |||
Indent Indent70418-9 | I am satisfied with my sex life | |||
Indent Indent70393-4 | I am satisfied with how I am coping with my illness | |||
Indent Indent70395-9 | I am nervous | |||
Indent Indent70397-5 | I worry that my condition will get worse | |||
Indent Indent70402-3 | I am sleeping well | |||
Indent Indent71122-6 | Heat worsens my symptoms | |||
Indent Indent70314-0 | I have trouble controlling my urine | |||
Indent Indent70315-7 | I urinate more frequently than usual | |||
Indent Indent70527-7 | I am bothered by the chills | |||
Indent Indent70344-7 | I am bothered by fevers (episodes of high body temperature) | |||
Indent Indent71123-4 | I am bothered by muscle spasms |
Fully-Specified Name
- Component
- Functional assessment of HIV infection questionnaire - version 4
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
- FACIT
Basic Attributes
- Class
- PANEL.SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.50
- Panel Type
- Panel
Member of these Panels
LOINC | Long Common Name |
---|---|
70673-9 | Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel |
LOINC Terminology Service (API) using HL7® FHIR® Get Info
Requests to this service require a free LOINC username and password. Below is a sample of the possible capabilities. See the LOINC Terminology Service documentation for more information.
- CodeSystem lookup
- https:
//fhir.loinc.org/CodeSystem/$lookup?system=http: //loinc.org&code=71133-3 - Questionnaire definition
- https:
//fhir.loinc.org/Questionnaire/?url=http: //loinc.org/q/71133-3
Copyright
- Organization
- Functional Assessment of Chronic Illness Therapy
- Copyright
- Copyright © 2010 FACIT.org.
- Terms of Use
- Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
- URL
- http://www.facit.org/FACITOrg/AboutUs/Copyright
LOINC Copyright
Copyright © 2024 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright