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

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

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 children in the past 4W

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

71320-6 Emotional well-being - FACT-Br -peds-parent_child [FACIT]

Fully-Specified Name

Component
Emotional well being - FACT-Br -peds-parent_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

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

71335-4 My child often feels inferior to other children

Observation ID in Form

pE5

Fully-Specified Name

Component
My child often feels inferior to other children 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 children
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

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

71321-4 Social and family well-being - FACT-Br -peds-parent_child [FACIT]

Fully-Specified Name

Component
Social and family well being - FACT-Br -peds-parent_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

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 other children in the past 4W

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

71276-0 Other children avoid playing with my child because s-he is different

Observation ID in Form

pSF3

Fully-Specified Name

Component
Other children avoid playing with my child because s-he is different 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
Other children avoid playing with my child because s-he is different
Source
pSF3

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

71277-8 My child prefers to play alone

Observation ID in Form

pSF5

Fully-Specified Name

Component
My child prefers to play alone 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 child prefers to play alone
Source
pSF5

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