Version 2.78

82669-3 In the past 4 weeks, how much of the time did your asthma keep you from getting as much done at work, school or at home?

Observation Required in Panel

Required

Fully-Specified Name

Component
How much of the time did your asthma keep you from getting as much done at work, school or at home in the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
ACT

Basic Attributes

Class
SURVEY.ACT
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
In the past 4 weeks, how much of the time did your asthma keep you from getting as much done at work, school or at home?

Normative Answer List LL1257-6

Answer Code Score Answer ID
All of the time 1 LA6154-4
Most of the time 2 LA14734-0
Some of the time 3 LA14733-2
A little of the time 4 LA14732-4
None of the time 5 LA6297-1

Member of these Panels

LOINC Long Common Name
82674-3 Asthma Control Test [ACT]

82670-1 During the past 4 weeks, how often have you had shortness of breath?

Observation Required in Panel

Required

Fully-Specified Name

Component
How often have you had shortness of breath during the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
ACT

Basic Attributes

Class
SURVEY.ACT
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
During the past 4 weeks, how often have you had shortness of breath?

Normative Answer List LL4057-7

Answer Code Score Answer ID
More than once a day 1 1 LA15267-0
Once a day 2 2 LA13897-6
3 to 6 times a week 3 3 LA26456-6
Once or twice a week 4 4 LA26457-4
Not at all 5 5 LA6568-5

Member of these Panels

LOINC Long Common Name
82674-3 Asthma Control Test [ACT]

82671-9 During the past 4 weeks, how often did your asthma symptoms (wheezing, coughing, shortness of breath, chest tightness or pain) wake you up at night or earlier than usual in the morning?

Observation Required in Panel

Required

Fully-Specified Name

Component
How often did your asthma symptoms (wheezing, coughing, shortness of breath, chest tightness or pain) wake you up at night or earlier than usual in the morning during the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
ACT

Basic Attributes

Class
SURVEY.ACT
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
During the past 4 weeks, how often did your asthma symptoms (wheezing, coughing, shortness of breath, chest tightness or pain) wake you up at night or earlier than usual in the morning?

Normative Answer List LL4058-5

Answer Code Score Answer ID
4 or more nights a week 1 1 LA26458-2
2 to 3 nights a week 2 2 LA26459-0
Once a week 3 3 LA26461-6
Once or twice 4 4 LA26460-8
Not at all 5 5 LA6568-5

Member of these Panels

LOINC Long Common Name
82674-3 Asthma Control Test [ACT]

82672-7 During the past 4 weeks, how often have you used your rescue inhaler or nebulizer medication (such as albuterol)?

Observation Required in Panel

Required

Fully-Specified Name

Component
How often have you used your rescue inhaler or nebulizer medication (such as albuterol) during the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
ACT

Basic Attributes

Class
SURVEY.ACT
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
During the past 4 weeks, how often have you used your rescue inhaler or nebulizer medication (such as albuterol)?

Normative Answer List LL4059-3

Answer Code Score Answer ID
3 or more times per day 1 1 LA13850-5
1 or 2 times per day 2 2 LA26462-4
2 or 3 times per week 3 3 LA26463-2
Once a week or less 4 4 LA13898-4
Not at all 5 5 LA6568-5

Member of these Panels

LOINC Long Common Name
82674-3 Asthma Control Test [ACT]

82673-5 How would you rate your asthma control during the past 4 weeks?

Observation Required in Panel

Required

Fully-Specified Name

Component
How would you rate your asthma control during the past 4W
Property
Find
Time
4W
System
^Patient
Scale
Ord
Method
ACT

Basic Attributes

Class
SURVEY.ACT
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
How would you rate your asthma control during the past 4 weeks?

Normative Answer List LL4060-1

Answer Code Score Answer ID
Not at all controlled 1 1 LA26465-7
Poorly controlled 2 2 LA26466-5
Somewhat controlled 3 3 LA26467-3
Well controlled 4 4 LA26468-1
Completely controlled 5 5 LA26469-9

Member of these Panels

LOINC Long Common Name
82674-3 Asthma Control Test [ACT]

82668-5 Total score [ACT]

Term Description

Each item is scored on a scale of 1-5, with higher scores indicating greater asthma control. A total score of 20 or higher indicates well-controlled asthma PMID: 19767070, while a total score of 19 or less indicates poorly controlled asthma PMID: 16522452.
Source: Regenstrief LOINC

Observation Required in Panel

Required

Fully-Specified Name

Component
Total score
Property
Score
Time
4W
System
^Patient
Scale
Qn
Method
ACT

Basic Attributes

Class
SURVEY.ACT
Type
Surveys
First Released
Version 2.58
Last Updated
Version 2.66
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
82674-3 Asthma Control Test [ACT]

Example Units

Unit Source
{score} Example UCUM Units