Version 2.78

71318-0 Physical well-being - FACT-Br -peds-parent [FACIT]

Fully-Specified Name

Component
Physical well being - FACT-Br -peds-parent
Property
-
Time
Pt
System
^Patient
Scale
-
Method
FACIT

Basic Attributes

Class
PANEL.SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.50
Panel Type
Panel

Member of these Panels

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

71195-2 My child loses balance or falls down easily

Observation ID in Form

pP1

Fully-Specified Name

Component
My child loses balance or falls down easily in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

Text
My child loses balance or falls down easily
Source
pP1

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71196-0 My child has trouble getting dressed on his-her own

Observation ID in Form

pP2

Fully-Specified Name

Component
My child has trouble getting dressed on his-her own in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

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

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71197-8 My child has trouble running like other people

Observation ID in Form

pP3

Fully-Specified Name

Component
My child has trouble running like other people in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

Text
My child has trouble running like other people
Source
pP3a

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71198-6 My child gets tired easily

Observation ID in Form

pP4

Fully-Specified Name

Component
My child gets tired easily in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

Text
My child gets tired easily
Source
pP4

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71199-4 My child's arms or legs seem weak

Observation ID in Form

pP5

Fully-Specified Name

Component
My child's arms or legs seem weak in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

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

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71200-0 My child gets ill

Observation ID in Form

pP6

Fully-Specified Name

Component
My child gets ill easily in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

Text
My child gets ill
Source
pP6

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71201-8 My child has trouble writing with a pen or pencil

Observation ID in Form

pP7

Fully-Specified Name

Component
My child has trouble writing with a pen or pencil in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

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

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71319-8 Emotional well being - FACT-Br -peds-parent_adoles [FACIT]

Fully-Specified Name

Component
Emotional well being - FACT-Br -peds-parent_adoles
Property
-
Time
Pt
System
^Patient
Scale
-
Method
FACIT

Basic Attributes

Class
PANEL.SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.50
Panel Type
Panel

Member of these Panels

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

71203-4 My child seems happy

Observation ID in Form

pE1

Fully-Specified Name

Component
My child seems happy in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

Text
My child seems happy
Source
pE1

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71204-2 When my child tries to do something, s/he usually believes s/he will do it well

Observation ID in Form

pE2

Fully-Specified Name

Component
When my child tries to do something, s-he usually believes s-he will do it well in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

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

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71232-3 The illness experience makes my child a stronger person

Observation ID in Form

pE3

Fully-Specified Name

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

Basic Attributes

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

Survey Question

Text
The illness experience makes my child a stronger person
Source
pE3

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71231-5 The illness experience has taught my child to appreciate life

Observation ID in Form

pE4

Fully-Specified Name

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

Basic Attributes

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

Survey Question

Text
The illness experience has taught my child to appreciate life
Source
pE4

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71207-5 My child often feels inferior to other people

Observation ID in Form

pE5

Fully-Specified Name

Component
My child often feels inferior to other people in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

Text
My child often feels inferior to other people
Source
pE5a

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71208-3 My child worries about getting another cancer/tumor

Observation ID in Form

pE6

Fully-Specified Name

Component
My child worries about getting another cancer-tumor in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

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

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71209-1 My child is moody or irritable

Observation ID in Form

pE7

Fully-Specified Name

Component
My child is moody or irritable in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

Text
My child is moody or irritable
Source
pE7

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71210-9 My child worries when we go back to the hospital or clinic

Observation ID in Form

pE8

Fully-Specified Name

Component
My child worries when we go back to the hospital or clinic in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

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

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71211-7 My child gets nervous (frightened) easily

Observation ID in Form

pE9

Fully-Specified Name

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

Basic Attributes

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

Survey Question

Text
My child gets nervous (frightened) easily
Source
pE9

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71212-5 My child worries about having a good life in the future

Observation ID in Form

pE10

Fully-Specified Name

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

Basic Attributes

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

Survey Question

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

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71322-2 Social and family well-being - FACT-Br -peds-parent_adoles [FACIT]

Fully-Specified Name

Component
Social and family well being - FACT-Br -peds-parent_adoles
Property
-
Time
Pt
System
^Patient
Scale
-
Method
FACIT

Basic Attributes

Class
PANEL.SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.50
Panel Type
Panel

Member of these Panels

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

71219-0 Other people pick on (tease) my child

Observation ID in Form

pSF1a

Fully-Specified Name

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

Basic Attributes

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

Survey Question

Text
Other people pick on (tease) my child
Source
pSF1a

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71220-8 My child has fewer friends than others

Observation ID in Form

pSF2a

Fully-Specified Name

Component
My child has fewer friends than others in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

Text
My child has fewer friends than others
Source
pSF2a

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71221-6 Other people avoid hanging out with my child because s/he is different

Observation ID in Form

pSF3a

Fully-Specified Name

Component
Other people avoid hanging out with my child because s-he is different in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

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

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71222-4 My child seems lonely

Observation ID in Form

pSF4

Fully-Specified Name

Component
My child seems lonely in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

Text
My child seems lonely
Source
pSF4

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71223-2 My child prefers to do something alone

Observation ID in Form

pSF5a

Fully-Specified Name

Component
My child prefers to do something alone in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

Text
My child prefers to do something alone
Source
pSF5a

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71229-9 Additional concerns - FACT-Br-parent [FACIT]

Fully-Specified Name

Component
Additional concerns - FACT-Br-parent
Property
-
Time
Pt
System
^Patient
Scale
-
Method
FACIT

Basic Attributes

Class
PANEL.SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.50
Panel Type
Panel

Member of these Panels

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

71323-0 My child is bothered by being shorter than his-her peers

Observation ID in Form

pB1

Fully-Specified Name

Component
My child is bothered by being shorter than his-her peers in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

Text
My child is bothered by being shorter than his-her peers
Source
pB1

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71324-8 My child is bothered by poor vision

Observation ID in Form

pB2

Fully-Specified Name

Component
My child is bothered by poor vision in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

Text
My child is bothered by poor vision
Source
pB2

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71325-5 My child is bothered by poor hearing

Observation ID in Form

pB3

Fully-Specified Name

Component
My child is bothered by poor hearing in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

Text
My child is bothered by poor hearing
Source
pB3

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71326-3 My child is bothered by headaches

Observation ID in Form

pB4

Fully-Specified Name

Component
My child is bothered by headaches in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

Text
My child is bothered by headaches
Source
pB4

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71327-1 My child's speech is hard for others to understand

Observation ID in Form

pB5

Fully-Specified Name

Component
My child's speech is hard for others to understand in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

Text
My child's speech is hard for others to understand
Source
pB5

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71328-9 My child needs to work harder than his-her peers to get school work done

Observation ID in Form

pB6

Fully-Specified Name

Component
My child needs to work harder than his-her peers to get school work done in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

Text
My child needs to work harder than his-her peers to get school work done
Source
pB6

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71329-7 My child's school performance is worse than it was before s-he was diagnosed

Observation ID in Form

pB7

Fully-Specified Name

Component
My child's school performance is worse than it was before s-he was diagnosed in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

Text
My child's school performance is worse than it was before s-he was diagnosed
Source
pB7

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71330-5 My child forgets things easily

Observation ID in Form

pB8

Fully-Specified Name

Component
My child forgets things easily in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

Text
My child forgets things easily
Source
pB8

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71331-3 It is hard for my child to concentrate in school

Observation ID in Form

pB9

Fully-Specified Name

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

Basic Attributes

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

Survey Question

Text
It is hard for my child to concentrate in school
Source
pB9

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71332-1 My child has to read things several times so s-he can understand them

Observation ID in Form

pB10

Fully-Specified Name

Component
My child has to read things several times so s-he can understand them in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

Text
My child has to read things several times so s-he can understand them
Source
pB10

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71333-9 When my child plays games or sports, s-he reacts more slowly than his-her peers

Observation ID in Form

pB11

Fully-Specified Name

Component
When my child plays games or sports, s-he reacts more slowly than his-her peers in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

Text
When my child plays games or sports, s-he reacts more slowly than his-her peers
Source
pB11

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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

71334-7 My child has difficulty using the right words

Observation ID in Form

pB12

Fully-Specified Name

Component
My child has difficulty using the right words in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
FACIT

Basic Attributes

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

Survey Question

Text
My child has difficulty using the right words
Source
pB12

Normative Answer List LL5215-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
A little bit 1 LA13863-8
Somewhat 2 LA13909-9
Quite a bit 3 LA13902-4
Very much 4 LA13914-9

Member of these Panels

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