Version 2.78

75822-7 Over the past week, are you able to stand up from a straight chair?

Fully-Specified Name

Component
Over the past W, are you able to stand up from a straight chair
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HAQ

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.54
Order vs. Observation
Observation

Survey Question

Text
Over the past week, are you able to stand up from a straight chair?

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
75877-1 Patient activity scale [PAS]
75876-3 Patient activity scale II [PASII]

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

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.54
Order vs. Observation
Observation

Survey Question

Text
Over the past week, are you able to walk outdoors on flat ground?

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]

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

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.54
Order vs. Observation
Observation

Survey Question

Text
Over the past week, are you able to get on and off the toilet?

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]

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

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.54
Order vs. Observation
Observation

Survey Question

Text
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?

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]

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

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.54
Order vs. Observation
Observation

Survey Question

Text
Over the past week, are you able to open car doors?

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]

75848-2 Over the past week, are you able to do outside work (such as yard work)?

Fully-Specified Name

Component
Over the past W, are you able to do outside work (such as yard work)
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HAQII

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.54
Order vs. Observation
Observation

Survey Question

Text
Over the past week, are you able to do outside work (such as yard work)?

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
75876-3 Patient activity scale II [PASII]

75849-0 Over the past week, are you able to wait in line for 15 minutes?

Fully-Specified Name

Component
Over the past W, are you able to wait in line for 15 minutes
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HAQII

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.54
Order vs. Observation
Observation

Survey Question

Text
Over the past week, are you able to wait in line for 15 minutes?

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
75876-3 Patient activity scale II [PASII]

75850-8 Over the past week, are you able to lift heavy objects?

Fully-Specified Name

Component
Over the past W, are you able to lift heavy objects
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HAQII

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.69
Change Reason
Release 2.69: SURVEY_QUEST_TEXT: Correct "life" to "lift";
Order vs. Observation
Observation

Survey Question

Text
Over the past week, are you able to lift heavy objects?

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
75876-3 Patient activity scale II [PASII]

75851-6 Over the past week, are you able to move heavy objects?

Fully-Specified Name

Component
Over the past W, are you able to move heavy objects
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HAQII

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.69
Change Reason
Release 2.69: SURVEY_QUEST_TEXT: Updated "W" to "week";
Order vs. Observation
Observation

Survey Question

Text
Over the past week, are you able to move heavy objects?

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
75876-3 Patient activity scale II [PASII]

75852-4 Over the past week, are you able to go up two or more flights of stairs?

Fully-Specified Name

Component
Over the past W, are you able to go up two or more flights of stairs
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HAQII

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.54
Order vs. Observation
Observation

Survey Question

Text
Over the past week, are you able to go up two or more flights of stairs?

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
75876-3 Patient activity scale II [PASII]

75875-5 Total score [HAQII]

Term Description

The HAQ-II score is calculated by summing all the scores of each question (a minimum of 7 must be answered) and dividing by the total number of questions answered to get a value between 0 (minimal loss of function) and 3 (completely disabled).
Source: Regenstrief LOINC

Fully-Specified Name

Component
Total score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
HAQII

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.50
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
75876-3 Patient activity scale II [PASII]

Example Units

Unit Source
{score} Example UCUM Units

75893-8 Pain severity in the past week - 0-10 numeric rating [Reported]

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.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Pain severity in the past W - 0-10 numeric rating
Property
Score
Time
1W
System
^Patient
Scale
Ord
Method
Reported

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.65
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

75844-1 Patient global assessment of disease activity - 0-10 numeric rating [Reported]

Term Description

The patient is asked to indicate his/her overall assessment of their disease activity on a scale of 0-10 where 0 is very well and 10 is very poor.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Patient global assessment of disease activity - 0-10 numeric rating
Property
Score
Time
Pt
System
^Patient
Scale
Ord
Method
Reported

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.50
Order vs. Observation
Observation

Preferred Answer List LL3120-4

Answer Code Score Answer ID
0 - Very well LA21651-7
1 LA6112-2
2 or more LA6113-0
3 LA6114-8
4 LA6115-5
5 LA10137-0
6 LA10138-8
7 LA10139-6
8 LA10140-4
9 LA10141-2
10 - Very poor LA21652-5

Member of these Panels

LOINC Long Common Name
75877-1 Patient activity scale [PAS]
75876-3 Patient activity scale II [PASII]

Example Units

Unit Source
{score} Example UCUM Units

75841-7 Total score [PASII]

Term Description

The Patient Activity Scale II (PASII), or PAS-II total score, is derived from the patient's Health Assessment Questionnaire II (HAQ-II), pain, and global severity scores. The PAS-II is calculated by multiplying the HAQ-II by 3.33 and then dividing the sum of the pain scale, PtGA and HAQ-II by 3. Assessment of disease activity for PAS-II may be defined as remission ≤0.25, minimal ≤3.7, moderate <8.0 and severe ≥8.0.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Total score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
PASII

Basic Attributes

Class
SURVEY.PASII
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.58
Order vs. Observation
Observation

Formula (Readable)

PAS-II total score= (<Pain severity score>+<PtGA score>+[<HAQ-II score> * 3.33])/3

Member of these Panels

LOINC Long Common Name
75876-3 Patient activity scale II [PASII]

Example Units

Unit Source
{score} Example UCUM Units