Version 2.78

70971-7 How short of breath did you get dressing yourself without help?

Fully-Specified Name

Component
How short of breath did you get dressing yourself without help 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
Order vs. Observation
Observation

Survey Question

Text
How short of breath did you get dressing yourself without help?
Source
1

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

70972-5 How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping?

Fully-Specified Name

Component
How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping 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
Order vs. Observation
Observation

Survey Question

Text
How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping?
Source
2

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

70973-3 How short of breath did you get walking up 20 stairs, 2 flights, without stopping?

Fully-Specified Name

Component
How short of breath did you get walking up 20 stairs - 2 flights - without stopping 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
Order vs. Observation
Observation

Survey Question

Text
How short of breath did you get walking up 20 stairs, 2 flights, without stopping?
Source
3

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

70974-1 How short of breath did you get preparing meals?

Fully-Specified Name

Component
How short of breath did you get preparing meals 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
Order vs. Observation
Observation

Survey Question

Text
How short of breath did you get preparing meals?
Source
4

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

70975-8 How short of breath did you get washing dishes?

Fully-Specified Name

Component
How short of breath did you get washing dishes 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
Order vs. Observation
Observation

Survey Question

Text
How short of breath did you get washing dishes?
Source
5

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

70976-6 How short of breath did you get sweeping or mopping?

Fully-Specified Name

Component
How short of breath did you get sweeping or mopping 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
Order vs. Observation
Observation

Survey Question

Text
How short of breath did you get sweeping or mopping?
Source
6

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

70977-4 How short of breath did you get making a bed?

Fully-Specified Name

Component
How short of breath did you get making a bed 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
Order vs. Observation
Observation

Survey Question

Text
How short of breath did you get making a bed?
Source
7

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

70978-2 How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries?

Fully-Specified Name

Component
How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, 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
Order vs. Observation
Observation

Survey Question

Text
How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries?
Source
8

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

70979-0 How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another?

Fully-Specified Name

Component
How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another 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
Order vs. Observation
Observation

Survey Question

Text
How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another?
Source
9

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

70980-8 How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping?

Fully-Specified Name

Component
How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping 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
Order vs. Observation
Observation

Survey Question

Text
How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping?
Source
10

Normative Answer List LL3980-1

Answer Code Score Answer ID
No shortness of breath LA26121-6
Mildly short of breath LA26122-4
Moderately short of breath LA26123-2
Severely short of breath LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
70673-9 Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

90968-9 PROMIS short form - dyspnea functional limitations 10a - version 1.0 raw score

Fully-Specified Name

Component
PROMIS short form - dyspnea functional limitations 10a - version 1.0 raw score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.65
Last Updated
Version 2.65
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

Example Units

Unit Source
{score} Example UCUM Units

90410-2 PROMIS dyspnea functional limitations - version 1.0 T score

Fully-Specified Name

Component
PROMIS dyspnea functional limitations - version 1.0 T-score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.65
Last Updated
Version 2.65
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

Example Units

Unit Source
{Tscore} Example UCUM Units