Log In

Form Coding Instructions

This survey concerns the skin condition which has bothered you the most during the past week

Source: Vanderbilt University Medical Center

95980-9 During the past week, how often have you been bothered by your skin condition itching?

Fully-Specified Name

Component
During the past 1W, how often have you been bothered by your skin condition itching
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
Skindex-16

Long Common Name

During the past 1 week, how often have you been bothered by your skin condition itching [Skindex-16]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5689-6

AnswerCodeScoreAnswer ID
0 - Never bothered0LA31298-5
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
6 - Always bothered6LA31299-3

Member of these Panels

LOINCLong Common Name
95975-9Skindex-16 [Skindex-16]

95981-7 During the past week, how often have you been bothered by your skin condition burning or stinging?

Fully-Specified Name

Component
During the past 1W, how often have you been bothered by your skin condition burning or stinging
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
Skindex-16

Long Common Name

During the past 1 week, how often have you been bothered by your skin condition burning or stinging [Skindex-16]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5689-6

AnswerCodeScoreAnswer ID
0 - Never bothered0LA31298-5
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
6 - Always bothered6LA31299-3

Member of these Panels

LOINCLong Common Name
95975-9Skindex-16 [Skindex-16]

95995-7 During the past week, how often have you been bothered by your skin condition hurting?

Fully-Specified Name

Component
During the past 1W, how often have you been bothered by your skin condition hurting
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
Skindex-16

Long Common Name

During the past 1 week, how often have you been bothered by your skin condition hurting [Skindex-16]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5689-6

AnswerCodeScoreAnswer ID
0 - Never bothered0LA31298-5
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
6 - Always bothered6LA31299-3

Member of these Panels

LOINCLong Common Name
95975-9Skindex-16 [Skindex-16]

95982-5 During the past week, how often have you been bothered by your skin condition being irritated?

Fully-Specified Name

Component
During the past 1W, how often have you been bothered by your skin condition being irritated
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
Skindex-16

Long Common Name

During the past 1 week, how often have you been bothered by your skin condition being irritated [Skindex-16]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5689-6

AnswerCodeScoreAnswer ID
0 - Never bothered0LA31298-5
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
6 - Always bothered6LA31299-3

Member of these Panels

LOINCLong Common Name
95975-9Skindex-16 [Skindex-16]

95983-3 During the past week, how often have you been bothered by the persistence/reoccurrence of your skin condition?

Fully-Specified Name

Component
During the past 1W, how often have you been bothered by the persistence or reoccurrence of your skin condition
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
Skindex-16

Long Common Name

During the past 1 week, how often have you been bothered by the persistence or reoccurrence of your skin condition [Skindex-16]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5689-6

AnswerCodeScoreAnswer ID
0 - Never bothered0LA31298-5
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
6 - Always bothered6LA31299-3

Member of these Panels

LOINCLong Common Name
95975-9Skindex-16 [Skindex-16]

95984-1 During the past week, how often have you been bothered by worry about your skin condition?

Form Context

For example: that it will spread, get worse, scar, be unpredictable, etc

Source: Vanderbilt University Medical Center

Fully-Specified Name

Component
During the past 1W, how often have you been bothered by worry about your skin condition
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
Skindex-16

Long Common Name

During the past 1 week, how often have you been bothered by worry about your skin condition [Skindex-16]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5689-6

AnswerCodeScoreAnswer ID
0 - Never bothered0LA31298-5
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
6 - Always bothered6LA31299-3

Member of these Panels

LOINCLong Common Name
95975-9Skindex-16 [Skindex-16]

95985-8 During the past week, how often have you been bothered by the appearance of your skin condition?

Fully-Specified Name

Component
During the past 1W, how often have you been bothered by the appearance of your skin condition
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
Skindex-16

Long Common Name

During the past 1 week, how often have you been bothered by the appearance of your skin condition [Skindex-16]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5689-6

AnswerCodeScoreAnswer ID
0 - Never bothered0LA31298-5
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
6 - Always bothered6LA31299-3

Member of these Panels

LOINCLong Common Name
95975-9Skindex-16 [Skindex-16]

95986-6 During the past week, how often have you been bothered by frustration about your skin condition?

Fully-Specified Name

Component
During the past 1W, how often have you been bothered by frustration about your skin condition
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
Skindex-16

Long Common Name

During the past 1 week, how often have you been bothered by frustration about your skin condition [Skindex-16]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5689-6

AnswerCodeScoreAnswer ID
0 - Never bothered0LA31298-5
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
6 - Always bothered6LA31299-3

Member of these Panels

LOINCLong Common Name
95975-9Skindex-16 [Skindex-16]

95987-4 During the past week, how often have you been bothered by embarrassment about your skin condition?

Fully-Specified Name

Component
During the past 1W, how often have you been bothered by embarrassment about your skin condition
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
Skindex-16

Long Common Name

During the past 1 week, how often have you been bothered by embarrassment about your skin condition [Skindex-16]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5689-6

AnswerCodeScoreAnswer ID
0 - Never bothered0LA31298-5
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
6 - Always bothered6LA31299-3

Member of these Panels

LOINCLong Common Name
95975-9Skindex-16 [Skindex-16]

95988-2 During the past week, how often have you been bothered by being annoyed about your skin condition?

Fully-Specified Name

Component
During the past 1W, how often have you been bothered by being annoyed about your skin condition
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
Skindex-16

Long Common Name

During the past 1 week, how often have you been bothered by being annoyed about your skin condition [Skindex-16]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5689-6

AnswerCodeScoreAnswer ID
0 - Never bothered0LA31298-5
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
6 - Always bothered6LA31299-3

Member of these Panels

LOINCLong Common Name
95975-9Skindex-16 [Skindex-16]

95989-0 During the past week, how often have you been bothered by feeling depressed about your skin condition?

Fully-Specified Name

Component
During the past 1W, how often have you been bothered by feeling depressed about your skin condition
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
Skindex-16

Long Common Name

During the past 1 week, how often have you been bothered by feeling depressed about your skin condition [Skindex-16]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5689-6

AnswerCodeScoreAnswer ID
0 - Never bothered0LA31298-5
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
6 - Always bothered6LA31299-3

Member of these Panels

LOINCLong Common Name
95975-9Skindex-16 [Skindex-16]

95990-8 During the past week, how often have you been bothered by the effects of your skin condition on your interactions with others?

Form Context

For example: interactions with family, friends, close relationships, etc

Source: Vanderbilt University Medical Center

Fully-Specified Name

Component
During the past 1W, how often have you been bothered by the effects of your skin condition on your interactions with others
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
Skindex-16

Long Common Name

During the past 1 week, how often have you been bothered by the effects of your skin condition on your interactions with others [Skindex-16]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5689-6

AnswerCodeScoreAnswer ID
0 - Never bothered0LA31298-5
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
6 - Always bothered6LA31299-3

Member of these Panels

LOINCLong Common Name
95975-9Skindex-16 [Skindex-16]

95991-6 During the past week, how often have you been bothered by the effects of your skin condition on your desire to be with people?

Fully-Specified Name

Component
During the past 1W, how often have you been bothered by the effects of your skin condition on your desire to be with people
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
Skindex-16

Long Common Name

During the past 1 week, how often have you been bothered by the effects of your skin condition on your desire to be with people [Skindex-16]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5689-6

AnswerCodeScoreAnswer ID
0 - Never bothered0LA31298-5
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
6 - Always bothered6LA31299-3

Member of these Panels

LOINCLong Common Name
95975-9Skindex-16 [Skindex-16]

95992-4 During the past week, how often have you been bothered by your skin condition making it hard to show affection?

Fully-Specified Name

Component
During the past 1W, how often have you been bothered by your skin condition making it hard to show affection
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
Skindex-16

Long Common Name

During the past 1 week, how often have you been bothered by your skin condition making it hard to show affection [Skindex-16]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5689-6

AnswerCodeScoreAnswer ID
0 - Never bothered0LA31298-5
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
6 - Always bothered6LA31299-3

Member of these Panels

LOINCLong Common Name
95975-9Skindex-16 [Skindex-16]

95993-2 During the past week, how often have you been bothered by the effects of your skin condition on your daily activities?

Fully-Specified Name

Component
During the past 1W, how often have you been bothered by the effects of your skin condition on your daily activities
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
Skindex-16

Long Common Name

During the past 1 week, how often have you been bothered by the effects of your skin condition on your daily activities [Skindex-16]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5689-6

AnswerCodeScoreAnswer ID
0 - Never bothered0LA31298-5
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
6 - Always bothered6LA31299-3

Member of these Panels

LOINCLong Common Name
95975-9Skindex-16 [Skindex-16]

95994-0 During the past week, how often have you been bothered by your skin condition making it hard to work or do what you enjoy?

Fully-Specified Name

Component
During the past 1W, how often have you been bothered by your skin condition making it hard to work or do what you enjoy
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
Skindex-16

Long Common Name

During the past 1 week, how often have you been bothered by your skin condition making it hard to work or do what you enjoy [Skindex-16]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5689-6

AnswerCodeScoreAnswer ID
0 - Never bothered0LA31298-5
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
6 - Always bothered6LA31299-3

Member of these Panels

LOINCLong Common Name
95975-9Skindex-16 [Skindex-16]

95976-7 Symptom score [Skindex-16]

Term Description

Skindex Symptom Scores combine the responses to questions concerning itching, burning, pain, irritation and bleeding, which are then converted to a linear scale of 0 to 100. Each scale score for a given domain (Symptoms, Emotions, or Functioning) represents the average of the patient's responses to questions for that domain. Higher scores are associated with lower quality of life. PMID: 22284137

Fully-Specified Name

Component
Symptom score
Property
Score
Time
1W
System
^Patient
Scale
Qn
Method
Skindex-16

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
95975-9Skindex-16 [Skindex-16]

Example Units

UnitSource
{score}Example UCUM Units

95977-5 Emotion score [Skindex-16]

Term Description

Skindex Emotion Scores combine the responses to questions concerning worry, embarrassment, shame, frustration and depression, which are then converted to a linear scale of 0 to 100. Each scale score for a given domain (Symptoms, Emotions, or Functioning) represents the average of the patient's responses to questions for that domain. Higher scores are associated with lower quality of life. PMID: 22284137

Fully-Specified Name

Component
Emotion score
Property
Score
Time
1W
System
^Patient
Scale
Qn
Method
Skindex-16

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
95975-9Skindex-16 [Skindex-16]

Example Units

UnitSource
{score}Example UCUM Units

95978-3 Function score [Skindex-16]

Term Description

Skindex Functioning Scores combine the responses to questions concerning affects on relationships, staying home, work, and sleep, which are then converted to a linear scale of 0 to 100. Each scale score for a given domain (Symptoms, Emotions, or Functioning) represents the average of the patient's responses to questions for that domain. Higher scores are associated with lower quality of life. PMID: 22284137

Fully-Specified Name

Component
Function score
Property
Score
Time
1W
System
^Patient
Scale
Qn
Method
Skindex-16

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
95975-9Skindex-16 [Skindex-16]

Example Units

UnitSource
{score}Example UCUM Units

95979-1 Total score [Skindex-16]

Term Description

Skindex Total Scores represent an average of the responses to all questions asked across the three domains, Symptom, Emotion and Function. The scores are summed, multiplied by 16.667, then divided by the number of questions asked to present scores in a linear (0-100) scale. As with individual domain scores, higher total scores are associated with lower quality of life.

Fully-Specified Name

Component
Total score
Property
Score
Time
1W
System
^Patient
Scale
Qn
Method
Skindex-16

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
95975-9Skindex-16 [Skindex-16]

Example Units

UnitSource
{score}Example UCUM Units