71148-1
Pediatric - patients with brain cancer - Child Questionnaire - version 2 (Peds-FACT-Br - child) [FACIT]
Active
71216-6 Physical well-being - FACIT-peds [FACIT]
Fully-Specified Name
- Component
- Physical well being - FACIT-peds
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
- FACIT
Basic Attributes
- Class
- PANEL.SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.50
- Panel Type
- Panel
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71163-0 I lose balance or fall down easily
Observation ID in Form
pP1
Fully-Specified Name
- Component
- I lose balance or fall down easily in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I lose balance or fall down easily
- Source
- pP1
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71164-8 I have trouble getting myself dressed
Observation ID in Form
pP2
Fully-Specified Name
- Component
- I have trouble getting myself dressed in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I have trouble getting myself dressed
- Source
- pP2
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71165-5 I have trouble running like other children
Observation ID in Form
pP3a
Fully-Specified Name
- Component
- I have trouble running like other people in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I have trouble running like other people
- Source
- pP3a
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
70528-5 I get tired easily
Observation ID in Form
pP4
Fully-Specified Name
- Component
- I get tired easily in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.66
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Survey Question
- Text
- I get tired easily
- Source
- BMT6
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70505-3 | Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel |
| 70506-1 | Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel |
| 70673-9 | Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel |
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
| 70672-1 | Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel |
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
71166-3 My arms or legs feel weak
Observation ID in Form
pP5
Fully-Specified Name
- Component
- My arms or legs feel weak in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- My arms or legs feel weak
- Source
- pP5
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71167-1 I get ill easily
Observation ID in Form
pP6
Fully-Specified Name
- Component
- I get ill easily in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I get ill easily
- Source
- pP6
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71168-9 I have trouble writing with a pen or pencil
Observation ID in Form
pP7
Fully-Specified Name
- Component
- I have trouble writing with a pen or pencil in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I have trouble writing with a pen or pencil
- Source
- pP7
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
70408-0 I have pain
Observation ID in Form
pF8
Fully-Specified Name
- Component
- I have pain in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.66
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
Survey Question
- Text
- I have pain
- Source
- GP4
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70505-3 | Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Measures Panel |
| 70506-1 | Functional Assessment of Chronic Illness Therapy (FACIT) - Cancer Specific Symptom Indexes Panel |
| 70504-6 | Functional Assessment of Chronic Illness Therapy (FACIT) - General Measures Panel |
| 70673-9 | Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel |
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
| 70674-7 | Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel |
| 70672-1 | Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel |
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
71316-4 Emotional well-being and illness experience - FACT-Br -peds-child [FACIT]
Fully-Specified Name
- Component
- Emotional well being and illness experience - FACT-Br -peds-child
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
- FACIT
Basic Attributes
- Class
- PANEL.SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.50
- Panel Type
- Panel
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71285-1 I feel happy
Observation ID in Form
pE1
Fully-Specified Name
- Component
- I feel happy in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I feel happy
- Source
- pE1
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71286-9 When I try to do something, I usually believe I will do it well
Observation ID in Form
pE2
Fully-Specified Name
- Component
- When I try to do something, I usually believe I will do it well in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- When I try to do something, I usually believe I will do it well
- Source
- pE2
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71287-7 The illness experience makes me a stronger person
Observation ID in Form
pE3
Fully-Specified Name
- Component
- The illness experience makes me a stronger person in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- The illness experience makes me a stronger person
- Source
- pE3
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71288-5 The illness experience has taught me to appreciate life
Observation ID in Form
pE4
Fully-Specified Name
- Component
- The illness experience has taught me to appreciate life in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- The illness experience has taught me to appreciate life
- Source
- pE4
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71289-3 I often feel that other children are better than me in the past 4W
Observation ID in Form
pE5a
Fully-Specified Name
- Component
- I often feel that other people are better than me in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I often feel that other people are better than me
- Source
- pE5
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71290-1 I worry about being sick again
Observation ID in Form
pE6
Fully-Specified Name
- Component
- I worry about being sick again in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I worry about being sick again
- Source
- pE6
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71291-9 I often switch from good moods to bad moods
Observation ID in Form
pE7
Fully-Specified Name
- Component
- I often switch from good moods to bad moods in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I often switch from good moods to bad moods
- Source
- pE7
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71292-7 I worry when I go back to the hospital or clinic
Observation ID in Form
pE8
Fully-Specified Name
- Component
- I worry when I go back to the hospital or clinic in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I worry when I go back to the hospital or clinic
- Source
- pE8
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71293-5 I get nervous - frightened easily
Observation ID in Form
pE9
Fully-Specified Name
- Component
- I get nervous - frightened easily in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I get nervous - frightened easily
- Source
- pE9
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71294-3 I worry about having a good life in the future
Observation ID in Form
pE10
Fully-Specified Name
- Component
- I worry about having a good life in the future in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I worry about having a good life in the future
- Source
- pE10
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71317-2 Social - family well-being - FACT-Br-peds [FACIT]
Fully-Specified Name
- Component
- Social - family well being - FACT-Br-peds
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
- FACIT
Basic Attributes
- Class
- PANEL.SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.50
- Panel Type
- Panel
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71298-4 Other people pick on - tease me
Observation ID in Form
pSF1a
Fully-Specified Name
- Component
- Other people pick on - tease me in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- Other people pick on - tease me
- Source
- pSF1a
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71299-2 I think I have fewer friends than others
Observation ID in Form
pSF2a
Fully-Specified Name
- Component
- I think I have fewer friends than others in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I think I have fewer friends than others
- Source
- pSF2a
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71300-8 Other people avoid hanging out with me because of my illness history
Observation ID in Form
pSF3a
Fully-Specified Name
- Component
- Other people avoid hanging out with me because of my illness history in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- Other people avoid hanging out with me because of my illness history
- Source
- pSF3a
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71301-6 I feel lonely
Observation ID in Form
pSF4
Fully-Specified Name
- Component
- I feel lonely in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I feel lonely
- Source
- pSF4
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71302-4 I would rather do something by myself than with other people
Observation ID in Form
pSF5a
Fully-Specified Name
- Component
- I would rather do something by myself than with other people in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I would rather do something by myself than with other people
- Source
- pSF5a
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71228-1 Additional concerns - FACT-Br-peds [FACIT]
Fully-Specified Name
- Component
- Additional concerns - FACT-Br-peds
- Property
- -
- Time
- Pt
- System
- ^Patient
- Scale
- -
- Method
- FACIT
Basic Attributes
- Class
- PANEL.SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.50
- Panel Type
- Panel
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71303-2 I am bothered by being shorter than other people
Observation ID in Form
pB1
Fully-Specified Name
- Component
- I am bothered by being shorter than other people in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I am bothered by being shorter than other people
- Source
- pB1
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71304-0 I am bothered by being unable to see well
Observation ID in Form
pB2
Fully-Specified Name
- Component
- I am bothered by being unable to see well in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I am bothered by being unable to see well
- Source
- pB2
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71305-7 I am bothered by being unable to hear well
Observation ID in Form
pB3
Fully-Specified Name
- Component
- I am bothered by being unable to hear well in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I am bothered by being unable to hear well
- Source
- pB3
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71306-5 I am bothered by headaches
Observation ID in Form
pB4
Fully-Specified Name
- Component
- I am bothered by headaches in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I am bothered by headaches
- Source
- pB4
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71307-3 When I speak, people have trouble understanding
Observation ID in Form
pB5
Fully-Specified Name
- Component
- When I speak, people have trouble understanding me in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- When I speak, people have trouble understanding
- Source
- pB5
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71308-1 I need to work harder than other people to get my school work done
Observation ID in Form
pB6
Fully-Specified Name
- Component
- I need to work harder than other people to get my school work done in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I need to work harder than other people to get my school work done
- Source
- pB6
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71309-9 My grades are worse than they were before I was sick
Observation ID in Form
pB7
Fully-Specified Name
- Component
- My grades are worse than they were before I was sick in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- My grades are worse than they were before I was sick
- Source
- pB7
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71310-7 I forget things easily
Observation ID in Form
pB8
Fully-Specified Name
- Component
- I forget things easily in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I forget things easily
- Source
- pB8
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71311-5 It is hard for me to concentrate in school
Observation ID in Form
pB9
Fully-Specified Name
- Component
- It is hard for me to concentrate in school in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- It is hard for me to concentrate in school
- Source
- pB9
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71312-3 I have to read things several times so I can understand them
Observation ID in Form
pB10
Fully-Specified Name
- Component
- I have to read things several times so I can understand them in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- I have to read things several times so I can understand them
- Source
- pB10
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71313-1 When I play games or sports, I react more slowly than most people my age
Observation ID in Form
pB11
Fully-Specified Name
- Component
- When I play games or sports, I react more slowly than most people my age in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- When I play games or sports, I react more slowly than most people my age
- Source
- pB11
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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
71314-9 It is hard for me to find the right words to say what I mean
Observation ID in Form
pB12
Fully-Specified Name
- Component
- It is hard for me to find the right words to say what I mean in the past 4W
- Property
- Find
- Time
- 4W
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Change Reason
- Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.
- Order vs. Observation
- Observation
Survey Question
- Text
- It is hard for me to find the right words to say what I mean
- Source
- pB12
Normative Answer List LL5215-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 0 | LA6568-5 | |
| A little bit | 1 | LA13863-8 | |
| Somewhat | 2 | LA13909-9 | |
| Quite a bit | 3 | LA13902-4 | |
| Very much | 4 | LA13914-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70675-4 | Functional Assessment of Chronic Illness Therapy (FACIT) - Pediatric Measures Panel |
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