71950-0
Health Assessment Questionnaire [HAQ]
Active
Form Coding Instructions
Please try to answer each question, even if you do not think it is related to you at this time. There are no right or wrong answers. Please answer exactly as you think or feel. Thank-you
Source: Health Assessment Questionnaire (HAQ)75820-1 Over the past week, are you able to dress yourself, including shoelaces and buttons?
Fully-Specified Name
- Component
- Over the past W, are you able to dress yourself, including shoelaces and buttons
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Long Common Name
Over the past week, are you able to dress yourself, including shoelaces and buttons [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
| 90028-2 | Routine Assessment of Patient Index Data 3 [RAPID3] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75821-9 Over the past week, are you able to shampoo your hair?
Fully-Specified Name
- Component
- Over the past W, are you able to shampoo your hair
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Long Common Name
Over the past week, are you able to shampoo your hair [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75823-5 Over the past week, are you able to get in and out of bed?
Fully-Specified Name
- Component
- Over the past W, are you able to get in and out of bed
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Long Common Name
Over the past week, are you able to get in and out of bed [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
| 90028-2 | Routine Assessment of Patient Index Data 3 [RAPID3] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75824-3 Over the past week, are you able to cut your meat?
Fully-Specified Name
- Component
- Over the past W, are you able to cut your meat
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Long Common Name
Over the past week, are you able to cut your meat [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75825-0 Over the past week, are you able to lift a full cup or glass to your mouth?
Fully-Specified Name
- Component
- Over the past W, are you able to lift a full cup or glass to your mouth
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Long Common Name
Over the past week, are you able to lift a full cup or glass to your mouth [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
| 90028-2 | Routine Assessment of Patient Index Data 3 [RAPID3] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75826-8 Over the past week, are you able to open a new milk carton?
Fully-Specified Name
- Component
- Over the past W, are you able to open a new milk carton
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Long Common Name
Over the past week, are you able to open a new milk carton [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75827-6 Over the past week, are you able to walk outdoors on flat ground?
Fully-Specified Name
- Component
- Over the past W, are you able to walk outdoors on flat ground
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Long Common Name
Over the past week, are you able to walk outdoors on flat ground [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
| 75876-3 | Patient activity scale II [PASII] |
| 90028-2 | Routine Assessment of Patient Index Data 3 [RAPID3] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75828-4 Over the past week, are you able to climb up five steps?
Fully-Specified Name
- Component
- Over the past W, are you able to climb up five steps
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Long Common Name
Over the past week, are you able to climb up five steps [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75872-2 Please check any AIDS OR DEVICES that you usually use for any of these activities:
Term Description
Aids or devices usually used to assist a patient in any of the following activities: dressing, including shoelaces and buttons; shampooing hair; standing up from a straight chair; getting in and out of bed; cutting meat; lifting a full cup or glass to mouth; open a new milk carton; walk outdoors on flat ground; climb up five steps.
Fully-Specified Name
- Component
- Aids or devices usually used for dressing & grooming, arising, eating, &or walking
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- HAQ
Long Common Name
Aids or devices usually used for dressing and grooming, arising, eating, AndOr walking [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.61 (MIN)
- Change Reason
- Corrected answer list.
- Order vs. Observation
- Observation
Normative Answer List LL3095-8
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Cane | LA15197-9 | ||
| Crutches | LA21660-8 | ||
| Walker | LA10117-2 | ||
| Wheelchair | LA21662-4 | ||
| Built up or special utensils | LA21663-2 | ||
| Special or built up chair | LA21664-0 | ||
| Devices used for dressing (button hook, zipper pull, long handled shoe horn) | LA21665-7 | ||
| Other (specify) | LA6310-2 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75873-0 Please check any categories for which you need HELP FROM ANOTHER PERSON
Fully-Specified Name
- Component
- Help from another person is usually needed for dressing & grooming, arising, eating, &or walking
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- HAQ
Long Common Name
Help from another person is usually needed for dressing and grooming, arising, eating, AndOr walking [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.50 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3097-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Dressing and grooming | LA21666-5 | ||
| Arising | LA21667-3 | ||
| Eating | LA21668-1 | ||
| Walking | LA11834-1 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75829-2 Over the past week, are you able to wash and dry your body?
Fully-Specified Name
- Component
- Over the past W, are you able to wash and dry your body
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Long Common Name
Over the past week, are you able to wash and dry your body [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
| 90028-2 | Routine Assessment of Patient Index Data 3 [RAPID3] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75830-0 Over the past week, are you able to take a tub bath?
Fully-Specified Name
- Component
- Over the past W, are you able to take a tub bath
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Long Common Name
Over the past week, are you able to take a tub bath [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75831-8 Over the past week, are you able to get on and off the toilet?
Fully-Specified Name
- Component
- Over the past W, are you able to get on and off the toilet
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Long Common Name
Over the past week, are you able to get on and off the toilet [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
| 75876-3 | Patient activity scale II [PASII] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75832-6 Over the past week, are you able to reach and get down a 5 pound object (such as a bag of sugar) from just above your head?
Fully-Specified Name
- Component
- Over the past W, are you able to reach and get down a 5 pound object (such as a bag of sugar) from just above your head
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Long Common Name
Over the past week, are you able to reach and get down a 5 pound object (such as a bag of sugar) from just above your head [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
| 75876-3 | Patient activity scale II [PASII] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75833-4 Over the past week, are you able to bend down and pick up clothing from the floor?
Fully-Specified Name
- Component
- Over the past W, are you able to bend down and pick up clothing from the floor
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Long Common Name
Over the past week, are you able to bend down and pick up clothing from the floor [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
| 90028-2 | Routine Assessment of Patient Index Data 3 [RAPID3] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75834-2 Over the past week, are you able to open car doors?
Fully-Specified Name
- Component
- Over the past W, are you able to open car doors
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Long Common Name
Over the past week, are you able to open car doors [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
| 75876-3 | Patient activity scale II [PASII] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75835-9 Over the past week, are you able to open jars which have been previously opened?
Fully-Specified Name
- Component
- Over the past W, are you able to open jars which have been previously opened
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Long Common Name
Over the past week, are you able to open jars which have been previously opened [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75836-7 Over the past week, are you able to turn faucets on and off?
Fully-Specified Name
- Component
- Over the past W, are you able to turn faucets on and off
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Long Common Name
Over the past week, are you able to turn faucets on and off [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
| 90028-2 | Routine Assessment of Patient Index Data 3 [RAPID3] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75837-5 Over the past week, are you able to run errands and shop?
Fully-Specified Name
- Component
- Over the past W, are you able to run errands and shop
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Long Common Name
Over the past week, are you able to run errands and shop [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75838-3 Over the past week, are you able to get in and out of a car?
Fully-Specified Name
- Component
- Over the past W, are you able to get in and out of a car
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Long Common Name
Over the past week, are you able to get in and out of a car [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75839-1 Over the past week, are you able to do chores such as vacuuming or yard work?
Fully-Specified Name
- Component
- Over the past W, are you able to do chores such as vacuuming or yard work
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Long Common Name
Over the past week, are you able to do chores such as vacuuming or yard work [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75879-7 Please check any AIDS OR DEVICES that you usually use for any of these activities:
Fully-Specified Name
- Component
- Aids or devices usually used for hygiene, reach, grip, &or activities
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- HAQ
Long Common Name
Aids or devices usually used for hygiene, reach, grip, AndOr activities [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.50 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3099-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Bathtub bar | LA21670-7 | ||
| Raised toilet seat | LA21671-5 | ||
| Jar opener for jars previously opened | LA21672-3 | ||
| Long-handled appliances for reach | LA21673-1 | ||
| Long-handled appliances in bathroom | LA21674-9 | ||
| Other (specify) | LA6310-2 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75878-9 Please check any categories for which you NEED HELP FROM ANOTHER PERSON
Fully-Specified Name
- Component
- Help from another person usually needed for hygiene, reach, gripping and opening things, &or errands and chores
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- HAQ
Long Common Name
Help from another person usually needed for hygiene, reach, gripping and opening things, AndOr errands and chores [HAQ]
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.50 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL3102-2
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Hygiene | LA21675-6 | ||
| Reach | LA21676-4 | ||
| Gripping and opening things | LA21677-2 | ||
| Errands and chores | LA21678-0 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75893-8 How much PAIN have you had because of your illness in the PAST WEEK?
Term Description
The patient is asked to indicate his/her level of pain in the past week on a scale of 0-10 where 0 is no pain and 10 is severe pain or the worst pain that can be imagined.
Fully-Specified Name
- Component
- Pain severity in the past W - 0-10 numeric rating
- Property
- Score
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- Reported
Long Common Name
Pain severity in the past week - 0-10 numeric rating [Reported]
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.65 (MIN)
- Change Reason
- Answer List Type changed from NORMATIVE to EXAMPLE to accommodate Override Answer Lists.
- Order vs. Observation
- Observation
Normative Answer List LL2335-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| 0 | 0 | LA6111-4 | |
| 1 | 1 | LA6112-2 | |
| 2 or more | 2 | LA6113-0 | |
| 3 | 3 | LA6114-8 | |
| 4 | 4 | LA6115-5 | |
| 5 | 5 | LA10137-0 | |
| 6 | 6 | LA10138-8 | |
| 7 | 7 | LA10139-6 | |
| 8 | 8 | LA10140-4 | |
| 9 | 9 | LA10141-2 | |
| 10 | 10 | LA13942-0 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 91148-7 | Pain intensity, Enjoyment of life, General activity scale [PEG] |
| 75877-1 | Patient activity scale [PAS] |
| 75876-3 | Patient activity scale II [PASII] |
| 100062-9 | Standard Dermatology Outcome Measures panel |
Example Units
| Unit | Source |
|---|---|
| {score} | Example UCUM Units |