Version 2.80

98947-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children intake questions

Form Context

To be asked on Day 0: Day 0 refers to the first contact with the patient, independently of whether they have been vaccinated, whether they are positive or negative, or of the time of infection, i.e. all cohort patients should be interviewed. It is crucial to record the date of the contact/interview

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
SARS-CoV-2-related socioeconomic questionnaire for school-age children intake questions
Property
-
Time
Pt
System
^Patient
Scale
-
Method

Basic Attributes

Class
PANEL.SURVEY.COVID
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72 (ADD)
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

64990-5 What is the school year you are attending?

Fully-Specified Name

Component
Grade in school, if applicable
Property
Hx
Time
Pt
System
^Patient
Scale
Nom
Method

Long Common Name

Grade in school, if applicable

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.36
Last Updated
Version 2.71 (MIN)
Change Reason
Release 2.71: SURVEY_QUEST_TEXT: Moved from the individual term level to the instance of this term at the in panel.; SURVEY_QUEST_SRC: Moved from the individual term level to the instance of this term at the in panel.; Status: Moved from Trial to Active for increased usability; Previous Releases: Updated the PhenX ID from "PhenX.<ID>" to "PX<ID>" in Survey Question Source field to align with the variable identifier used in the PhenX Toolkit.

Member of these Panels

LOINC Long Common Name
62611-9 PhenX domain - Respiratory
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

Language Variants Get Info

Tag Language Translation
el-GR Greek (Greece) Τάξη στο σχολείο, κατά περίπτωση:Ιστορικό:Pt:^Ασθενής:Nom:
Synonyms: Βαθμός Ιστορικό Τάξη στο σχολείο, κατά περίπτωση
es-MX Spanish (Mexico) Grado en la escuela, si aplica:Hx:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) Anno scolastico, se applicabile:Hx:Pt:^Paziente:Nom:
Synonyms: paziente PhenX Punto nel tempo (episodio) Storia;Anamnesi
ru-RU Russian (Russian Federation) Класс школы, если применимо:Hx:ТчкВрм:^Пациент:Ном:
Synonyms: История Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 适用时的学校年级:历史记录:时间点:^患者:名义型:
Synonyms: Consensus measures for Phenotypes and eXposures;PhenX;暴露;接触;表型与暴露共识指标;表现型与暴露共识指标;表型与暴露公认指标 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 时刻;随机;随意;瞬间 级;品级;成绩;评分;级别;等;等级;年级;分级 适用时在校年级

98156-3 Any disruption in your routine visits (for eventual underlying conditions) and/or periodic check-ups (such as pediatric visits, routine vaccination schedules)? Cancellation

Form Context

Since the beginning of the pandemic (February/March 2020), have you experienced:

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
Routine doctor's visits &or check-ups cancelled since the beginning of the pandemic
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Routine doctor's visits AndOr check-ups cancelled since the beginning of the pandemic

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.71
Last Updated
Version 2.71 (ADD)
Order vs. Observation
Observation

Normative Answer List LL6004-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8
Not applicable LA4720-4

Member of these Panels

LOINC Long Common Name
98154-8 SARS-CoV-2-related socioeconomic questionnaire for adults
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

98157-1 Any disruption in your routine visits (for eventual underlying conditions) and/or periodic check-ups (such as pediatric visits, routine vaccination schedules)? Postponement

Form Context

Since the beginning of the pandemic (February/March 2020), have you experienced:

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
Routine doctor's visits &or check-ups postponed since the beginning of the pandemic
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Routine doctor's visits AndOr check-ups postponed since the beginning of the pandemic

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.71
Last Updated
Version 2.71 (ADD)
Order vs. Observation
Observation

Normative Answer List LL6004-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8
Not applicable LA4720-4

Member of these Panels

LOINC Long Common Name
98154-8 SARS-CoV-2-related socioeconomic questionnaire for adults
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

98158-9 Any interruption to the treatment you regularly follow? Problems accessing medication

Form Context

Since the beginning of the pandemic (February/March 2020), have you experienced:

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
Problems accessing medication since the beginning of the pandemic
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Problems accessing medication since the beginning of the pandemic

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.71
Last Updated
Version 2.71 (ADD)
Order vs. Observation
Observation

Normative Answer List LL6004-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8
Not applicable LA4720-4

Member of these Panels

LOINC Long Common Name
98154-8 SARS-CoV-2-related socioeconomic questionnaire for adults
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

98159-7 Any interruption to the treatment you regularly follow? Postponement of your treatment sessions

Form Context

Since the beginning of the pandemic (February/March 2020), have you experienced:

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
Treatment sessions postponed by doctor or patient since the beginning of the pandemic
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Treatment sessions postponed by doctor or patient since the beginning of the pandemic

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.71
Last Updated
Version 2.71 (ADD)
Order vs. Observation
Observation

Normative Answer List LL6004-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8
Not applicable LA4720-4

Member of these Panels

LOINC Long Common Name
98154-8 SARS-CoV-2-related socioeconomic questionnaire for adults
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

98160-5 Any interruption to the treatment you regularly follow? Cancellation of your treatment session

Form Context

Since the beginning of the pandemic (February/March 2020), have you experienced:

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
Treatment sessions cancelled by doctor or patient since the beginning of the pandemic
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Treatment sessions cancelled by doctor or patient since the beginning of the pandemic

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.71
Last Updated
Version 2.71 (ADD)
Order vs. Observation
Observation

Normative Answer List LL6004-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8
Not applicable LA4720-4

Member of these Panels

LOINC Long Common Name
98154-8 SARS-CoV-2-related socioeconomic questionnaire for adults
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

98873-3 Were classes suspended at your school?

Form Context

Since the beginning of the pandemic (February/March 2020)

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
Were classes suspended
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Were classes suspended

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72 (ADD)
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

98874-1 For how long were classes suspended?

Form Context

Since the beginning of the pandemic (February/March 2020)

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
How long were classes suspended
Property
Time
Time
Pt
System
^Patient
Scale
Qn
Method

Long Common Name

How long were classes suspended

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

Example Units

Unit Source
wk Example UCUM Units

98875-8 Were you able to follow some forms of distance learning?

Form Context

Since the beginning of the pandemic (February/March 2020)

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
Able to participate in remote learning
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Able to participate in remote learning

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72 (ADD)
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

98876-6 Why could you not follow distance learning?

Form Context

Since the beginning of the pandemic (February/March 2020)

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
Reason for not participating in remote learning
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Reason for not participating in remote learning

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72 (ADD)
Order vs. Observation
Observation

Normative Answer List LL6030-2

Answer Code Score Answer ID
Distance learning was not organized at the school LA32584-7
I was not interested/I was bored LA32585-4
I could not rely on good techncial mans (computer or WiFi) LA32586-2
Other LA46-8

Member of these Panels

LOINC Long Common Name
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

98877-4 In total, how many weeks of school can you estimate you have lost?

Form Context

Since the beginning of the pandemic (February/March 2020)

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
Amount of school lost
Property
Time
Time
Pt
System
^Patient
Scale
Qn
Method

Long Common Name

Amount of school lost

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

Example Units

Unit Source
wk Example UCUM Units

98948-3 SARS-CoV-2-related socioeconomic questionnaire for school-age children 12 month follow-up

Form Context

To be asked at month 12: Follow-up interviews after Day 0

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
SARS-CoV-2-related socioeconomic questionnaire for school-age children 12Mo follow-up
Property
-
Time
12Mo
System
^Patient
Scale
-
Method

Basic Attributes

Class
PANEL.SURVEY.COVID
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72 (ADD)
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINC Long Common Name
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

98174-6 Any disruption in your routine visitis and/or periodic check-ups? Cancellation

Form Context

Over the last 12 months, have you experienced:

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
Routine doctor's visits &or check-ups cancelled in the last 12Mo
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

Routine doctor's visits AndOr check-ups cancelled in the last 12 months

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.71
Last Updated
Version 2.71 (ADD)
Order vs. Observation
Observation

Normative Answer List LL6004-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8
Not applicable LA4720-4

Member of these Panels

LOINC Long Common Name
98154-8 SARS-CoV-2-related socioeconomic questionnaire for adults
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

98175-3 Any disruption in your routine visits and/or periodic check-ups? Postponement

Form Context

Over the last 12 months, have you experienced any disruption in your routine doctor's visits (related to underlying conditions) and/or periodic check-ups (for example, regular gynecology visits for preventive reasons)?

Source: Charite - Universitatsmedizin Berlin

Form Context

Over the last 12 months, have you experienced:

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
Routine doctor's visits &or check-ups postponed in the last 12Mo
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

Routine doctor's visits AndOr check-ups postponed in the last 12 months

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.71
Last Updated
Version 2.71 (ADD)
Order vs. Observation
Observation

Normative Answer List LL6004-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8
Not applicable LA4720-4

Member of these Panels

LOINC Long Common Name
98154-8 SARS-CoV-2-related socioeconomic questionnaire for adults
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

98176-1 Any interruption to the treatment your regularly follow? Problems accessing medication

Form Context

Over the last 12 months, have you experienced any interruption to the treatment you regularly require?

Source: Charite - Universitatsmedizin Berlin

Form Context

Over the last 12 months, have you experienced:

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
Problems accessing medication in last 12Mo
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

Problems accessing medication in last 12 months

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.71
Last Updated
Version 2.71 (ADD)
Order vs. Observation
Observation

Normative Answer List LL6004-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8
Not applicable LA4720-4

Member of these Panels

LOINC Long Common Name
98154-8 SARS-CoV-2-related socioeconomic questionnaire for adults
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

98177-9 Any interruption to the treatment you regularly follow? Postponement of your treatment session

Form Context

Over the last 12 months, have you experienced any interruption to the treatment you regularly require?

Source: Charite - Universitatsmedizin Berlin

Form Context

Over the last 12 months, have you experienced:

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
Treatment sessions postponed by doctor or patient in the last 12Mo
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

Treatment sessions postponed by doctor or patient in the last 12 months

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.71
Last Updated
Version 2.71 (ADD)
Order vs. Observation
Observation

Normative Answer List LL6004-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8
Not applicable LA4720-4

Member of these Panels

LOINC Long Common Name
98154-8 SARS-CoV-2-related socioeconomic questionnaire for adults
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

98178-7 Any interruption to the threatment you regularly follow? Cancellation of your treatment session

Form Context

Over the last 12 months, have you experienced:

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
Treatment sessions cancelled by doctor or patient in the last 12Mo
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

Treatment sessions cancelled by doctor or patient in the last 12 months

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.71
Last Updated
Version 2.71 (ADD)
Order vs. Observation
Observation

Normative Answer List LL6004-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8
Not applicable LA4720-4

Member of these Panels

LOINC Long Common Name
98154-8 SARS-CoV-2-related socioeconomic questionnaire for adults
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

98949-1 Were classes suspended at your school?

Form Context

Over the last 12 months:

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
Were classes suspended in last 12Mo
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

Were classes suspended in last 12 months

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72 (ADD)
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

98950-9 For how long were classes suspended?

Form Context

Over the last 12 months:

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
How long were classes suspended in last 12Mo
Property
Time
Time
12Mo
System
^Patient
Scale
Qn
Method

Long Common Name

How long were classes suspended in last 12 months

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

Example Units

Unit Source
wk Example UCUM Units

98953-3 Were you able to follow some forms of distance learning?

Form Context

Over the last 12 months:

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
Able to participate in remote learning in last 12Mo
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

Able to participate in remote learning in last 12 months

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72 (ADD)
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

98952-5 Why could you not follow distance learning?

Form Context

Over the last 12 months:

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
Reason for not participating in remote learning in last 12Mo
Property
Find
Time
12Mo
System
^Patient
Scale
Nom
Method

Long Common Name

Reason for not participating in remote learning in last 12 months

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72 (ADD)
Order vs. Observation
Observation

Normative Answer List LL6030-2

Answer Code Score Answer ID
Distance learning was not organized at the school LA32584-7
I was not interested/I was bored LA32585-4
I could not rely on good techncial mans (computer or WiFi) LA32586-2
Other LA46-8

Member of these Panels

LOINC Long Common Name
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

98951-7 In total, how many weeks of school can you estimate you have lost?

Form Context

Over the last 12 months:

Source: Charite - Universitatsmedizin Berlin

Fully-Specified Name

Component
Amount of school lost in last 12Mo
Property
Time
Time
12Mo
System
^Patient
Scale
Qn
Method

Long Common Name

Amount of school lost in last 12 months

Basic Attributes

Class
SURVEY.COVID
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
98872-5 SARS-CoV-2-related socioeconomic questionnaire for school-age children

Example Units

Unit Source
wk Example UCUM Units