Version 2.80

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