Version 2.78

64497-1 Where are you taking this questionnaire?

Observation ID in Form

1

Fully-Specified Name

Component
Where are you completing this questionnaire
Property
Loc
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Interview location

Basic Attributes

Class
ADMIN
Type
Clinical
First Released
Version 2.36
Last Updated
Version 2.72
Change Reason
Release 2.72: Status: Moved from Trial to Active for increased usability; CLASS: Moved from PHENX to ADMIN due to the general nature of the concept; SURVEY_QUEST_TEXT: Moved from the individual term level to the instance of this term in the panel.; SURVEY_QUEST_SRC: Moved from the individual term level to the instance of this term in the panel.; Release 2.71: METHOD_TYP: Updated for generalizability ; 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.

Normative Answer List LL5641-7

Answer Code Score Answer ID
Home LA14084-0
Doctor's office LA26177-8
Other location LA31152-4

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
62611-9 PhenX domain - Respiratory

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) ¿Dónde está completando este cuestionario?:Loc:Punto temporal:^ Paciente:Nominal:PhenX
it-IT Italian (Italy) Dove sta completando questo questionario:Loc:Pt:^Paziente:Nom:
Synonyms: Amministrativo paziente Posizione Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Где Вы заполняете этот опросник:Лок:ТчкВрм:^Пациент:Ном:
Synonyms: Локализация Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 您正在何处完成这份问卷:位置:时间点:^患者:名义型:
Synonyms: 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 地点;场所 您正在何处（在什么地方、在哪里）完成（填写、填写完成）这份问卷（调查问卷） 时刻;随机;随意;瞬间 行政;管理;施行;执行;经营

61577-3 In general, would you say your health is:

Observation ID in Form

2

Fully-Specified Name

Component
In general, would you say your health is
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.71
Change Reason
Release 2.71: METHOD_TYP: Removed Method because this concept is not specific to PROMIS; EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to PROMIS; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability; AnswerListId: Updated for increased usability; CLASS: Updated as the concept is not unique to PROMIS;

Survey Question

Text
In general, would you say your health is:
Source
Global01

Normative Answer List LL3193-1

Answer Code Score Answer ID
Excellent LA9206-9
Very Good LA13913-1
Good LA8967-7
Fair LA8968-5
Poor LA8969-3

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94257-3 PROMIS pediatric - global health 7 - version 1.0
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2
71934-4 Veterans Rand health survey - 12 item (VR-12)
71933-6 Veterans Rand health survey - 36 item (VR-36)

64847-7 How often do you worry about your eyesight or vision?

Observation ID in Form

3

Form Coding Instructions

INSTRUCTIONS: When you answer the question below, think about the vision correction you normally use, including glasses, contact lenses, a magnifier, or nothing at all

Source: National Eye Institute

Fully-Specified Name

Component
How much of the time do you worry about your eyesight
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Time worry eyesight

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.36
Last Updated
Version 2.71
Change Reason
Release 2.71: METHOD_TYP: Removed Method because this concept is not specific to PhenX; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability; CLASS: Moved from PhenX to Eye.Hx because this concept is not specific to PhenX; SURVEY_QUEST_TEXT: Updated for increased usability; SURVEY_QUEST_SRC: Removed because this concept is not specific to PhenX; Status: Updated due to increased use; AnswerListId: Updated to an Answer List without associated codes 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.

Normative Answer List LL5642-5

Answer Code Score Answer ID
Never LA6270-8
Rarely LA10066-1
Occasionally LA6483-7
Sometimes LA10082-8
All of the time LA6154-4

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
62677-0 PhenX domain - Ocular

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) ¿Cuánto tiempo te preocupas por tu vista?:Tipo:Punto temporal:^ Paciente:Ordinal:PhenX
it-IT Italian (Italy) Quanto si preoccupa della vista:Osservazione:Pt:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Сколько времени Вы беспокоитесь о своём зрении:Находка:ТчкВрм:^Пациент:Пор:
Synonyms: Порядковый Точка во времени;Момент
zh-CN Chinese (China) 您担心自己视力的时间有多少:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 时间(如秒);时间(如秒数) 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

99193-5 How often do you notice or think about your eyesight or vision?

Observation ID in Form

4

Fully-Specified Name

Component
Frequency of noticing or thinking about eyesight or vision
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Freq of thinking about eyesight/vision

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5642-5

Answer Code Score Answer ID
Never LA6270-8
Rarely LA10066-1
Occasionally LA6483-7
Sometimes LA10082-8
All of the time LA6154-4

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Frequenza nel notare o pensare alla vista:Osservazione:Pt:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 注意到或想到视力的频率:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 注意到或想到视力（眼神儿、目力、眼力）的频率（频次、频度、频繁程度） 目力;视觉 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录） 频次;频度;频繁性;次数;频率分布;发生次数;周率;频繁程度

64846-9 At this time, how clear is your vision using the correction you normally use, including glasses, contact lenses, a magnifier, or nothing at all?

Part Descriptions

LP203649-1   EYE.HX.NEI
Developed in collaboration with the National Institute of Health's National Eye Institute (NEI) as part of an effort to standardize the data elements collected by the National Ophthalmic Disease Genotyping and Phenotyping Network (eyeGENE). Source: Regenstrief LOINC

Observation ID in Form

5

Fully-Specified Name

Component
At the present time, how is your eyesight, using both eyes with glasses or contact lenses, if you wear them
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Eyesight both eyes

Basic Attributes

Class
EYE.HX.NEI
Type
Clinical
First Released
Version 2.36
Last Updated
Version 2.71
Change Reason
Release 2.71: AnswerListId: Updated to a more general list without associated codes; Status: Moved from Trial to Active for increased usability..; METHOD_TYP: Removed Method because this concept is not specific to PhenX; CLASS: Moved from PhenX to Eye.Hx.NEI as it more accurately reflects the true source of the term.; SURVEY_QUEST_TEXT: Moved from the individual term level to the instance of this term at the in panel.; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability; SURVEY_QUEST_SRC: Moved from the individual term level to the instance of this term at the in panel.; 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.

Normative Answer List LL5643-3

Answer Code Score Answer ID
Perfectly clear LA31153-2
Pretty clear LA31154-0
Somewhat clear LA31155-7
Not clear at all LA31156-5

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
62677-0 PhenX domain - Ocular

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) En la actualidad, ¿cómo está su vista, usando ambos ojos con anteojos o lentes de contacto, si los usa?:Tipo:Punto temporal:^ Paciente:Ordinal:PhenX
it-IT Italian (Italy) Al momento, com'è la vista, utilizzando entrambi gli occhi con occhiali o lenti a contatto, se li porta:Osservazione:Pt:^Paziente:Ord:
Synonyms: Concetti storia NEI eyeGENE Occhio Osservazione paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) В настоящее время какое у Вас зрение с использованием обоих глаз, с очками или контактными линзами, если их носите:Находка:ТчкВрм:^Пациент:Пор:
Synonyms: Порядковый Точка во времени;Момент
zh-CN Chinese (China) 目前，在使用双眼（如果您佩戴眼镜或隐形眼镜的话，同时也佩戴上眼镜或隐形眼镜）时，您的视力如何:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 时间(如秒);时间(如秒数) 目前，在使用双眼（如果您佩戴眼镜或隐形眼镜的话，同时也佩戴上它们）时，您的视力如何 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录） 眼科学与视力测定变量.病史（眼科病史、眼睛病史、眼部病史、HX）.NEI;NEI eyeGENE''s eye history concepts;NEI eyeGENE 病史（眼科病史、眼睛病史、眼部病史、HX）概念

99194-3 As long as I could see well enough to drive without wearing glasses or contact lenses, I wouldn't mind having vision that was less than perfect.

Observation ID in Form

6

Fully-Specified Name

Component
Could accept less than perfect vision if able to see well enough to drive without corrective lenses
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5644-1

Answer Code Score Answer ID
Definitely true LA14740-7
Mostly true LA14741-5
Don't know Copyright http://snomed.info/sct ID:456791000124100 Do not know (qualifier value) LA12688-0
Mostly false LA14742-3
Definitely false LA14743-1

Member of these Panels

LOINC Long Common Name
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99195-0 How much of the time do you expect to use glasses or contact lenses to see things in the distance after healing from LASIK surgery?

Observation ID in Form

7

Fully-Specified Name

Component
Expected corrective lens use frequency after healing from LASIK.distance
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5645-8

Answer Code Score Answer ID
All of the time LA6154-4
Most of the time LA14734-0
Some of the time LA14733-2
Hardly ever LA14751-4
Never LA6270-8

Member of these Panels

LOINC Long Common Name
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99196-8 How much of the time do you expect to use glasses or contact lenses to see things up close after healing from LASIK surgery?

Observation ID in Form

8

Fully-Specified Name

Component
Expected corrective lens use frequency after healing from LASIK.near
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5645-8

Answer Code Score Answer ID
All of the time LA6154-4
Most of the time LA14734-0
Some of the time LA14733-2
Hardly ever LA14751-4
Never LA6270-8

Member of these Panels

LOINC Long Common Name
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99197-6 After healing from LASIK surgery, I expect that I will have clear vision:

Observation ID in Form

9

Form Coding Instructions

please select all that apply

Source: Regenstrief Institute

Fully-Specified Name

Component
Expect clear vision after healing from LASIK
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5646-6

Answer Code Score Answer ID
With the aid of glasses to see in the distance PRGLSDS LA31157-3
With the aid of glasses for reading PRGLSRD LA31158-1
With the aid of contact lenses to see in the distance PRCNTDS LA31159-9
With the aid of contact lenses for reading PRCNTRD LA31160-7
Without glasses or contact lenses PRNOGLCT LA31161-5

Member of these Panels

LOINC Long Common Name
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99198-4 After healing from LASIK surgery, I expect my vision to be perfect.

Observation ID in Form

10

Fully-Specified Name

Component
Expect perfect vision after healing from LASIK
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5644-1

Answer Code Score Answer ID
Definitely true LA14740-7
Mostly true LA14741-5
Don't know Copyright http://snomed.info/sct ID:456791000124100 Do not know (qualifier value) LA12688-0
Mostly false LA14742-3
Definitely false LA14743-1

Member of these Panels

LOINC Long Common Name
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99199-2 I could accept less than perfect vision if I did not need glasses or contact lenses any more after healing from LASIK surgery.

Observation ID in Form

11

Fully-Specified Name

Component
Could accept less than perfect vision without corrective lenses after healing from LASIK
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5644-1

Answer Code Score Answer ID
Definitely true LA14740-7
Mostly true LA14741-5
Don't know Copyright http://snomed.info/sct ID:456791000124100 Do not know (qualifier value) LA12688-0
Mostly false LA14742-3
Definitely false LA14743-1

Member of these Panels

LOINC Long Common Name
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99200-8 Have you ever driven a car?

Observation ID in Form

12

Fully-Specified Name

Component
Ever driven a car
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Ever driven

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
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
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Ha mai guidato una macchina:Osservazione:Pt:^Paziente:Ord:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 曾经开过汽车:发现:时间点:^患者:序数型:
Synonyms: A 型 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 曾经开过汽车（小轿车、轿车、车、小汽车） 病史与体格检查

64849-3 Do you currently drive?

Observation ID in Form

13

Fully-Specified Name

Component
Currently driving, at least once in a while
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Currently driving

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.36
Last Updated
Version 2.72
Change Reason
Release 2.72: Status: Moved from Trial to Active for increased usability; COMPONENT: Updated to match current Component formatting practices; METHOD_TYP: Removed Method because this concept is not specific to PhenX; SURVEY_QUEST_TEXT: Moved from the individual term level to the instance of this term in the panel.; SURVEY_QUEST_SRC: Moved from the individual term level to the instance of this term in the panel.; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability; DefinitionDescription: Question pre-text, not definition. Moved to the Override Display Text for the instance of this term in the panel.; 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.

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
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
62677-0 PhenX domain - Ocular

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) ¿Está conduciendo actualmente, al menos de vez en cuando?:Tipo:Punto temporal:^ Paciente:Ordinal:PhenX
it-IT Italian (Italy) Attualmente guida, almeno una volta ogni tanto:Osservazione:Pt:^Paziente:Ord:
Synonyms: Osservazione paziente PhenX Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Вы в настоящее время водите, как минимум раз за интервал времени:Находка:ТчкВрм:^Пациент:Пор:
Synonyms: Порядковый Точка во времени;Момент
zh-CN Chinese (China) 您当前是否开车，至少曾经有段时间:发现:时间点:^患者:序数型:
Synonyms: A 型 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 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间

64851-9 If you gave up driving, was that mainly because of your vision, mainly for some other reason, or because of both your vision and other reasons?

Observation ID in Form

14

Fully-Specified Name

Component
If you gave up driving, was that mainly because of your vision, mainly for some other reason, or because of both your vision and other reasons
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Reason gave up driving

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.36
Last Updated
Version 2.72
Change Reason
Release 2.72: COMPONENT: Updated to include context of giving up driving.; Status: Updated due to increased use.; METHOD_TYP: Removed Method because this concept is not specific to PhenX; SURVEY_QUEST_SRC: Moved from the individual term level to the instance of this term in the panel.; SURVEY_QUEST_TEXT: Moved from the individual term level to the instance of this term in the panel.; ANSWER_LIST_TYPE: Updated from Normative to Example 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.

Normative Answer List LL5647-4

Answer Code Score Answer ID
Mainly vision LA31162-3
Mainly other reasons LA14738-1
Both vision and other reasons LA31163-1

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
62677-0 PhenX domain - Ocular

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) ¿Fue principalmente debido a su vista, principalmente por alguna otra razón, o debido tanto a su vista como a otras razones?:Tipo:Punto temporal:^ Paciente:Nominal:PhenX
it-IT Italian (Italy) Se hai smesso di guidare, è stato principalmente a causa della tua vista, principalmente per qualche altro motivo, o sia per la tua vista che per altri motivi:Osservazione:Pt:^Paziente:Nom:
Synonyms: Osservazione paziente PhenX Punto nel tempo (episodio)
zh-CN Chinese (China) 如果您放弃驾车，主要是因为您的视力问题，或者主要是因为其他某种原因，还是因为您的视力问题连同若干其他的原因:发现: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 其他的 其它 其它的 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 别的 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 另外的 如果您放弃驾车（开车、驾驶、驾驶车辆、驾驶汽车），主要是因为您的视力问题（视力），或者主要是因为其他某种原因，还是因为您的视力问题（视力）连同若干其他的原因（缘故） 时刻;随机;随意;瞬间 目力;视觉

64852-7 Because of your vision, how much difficulty do you have driving during the daytime in familiar places? Would you say you have:

Observation ID in Form

15

Form Coding Instructions

INSTRUCTIONS: When you answer the question below, think about your vision with the vision correction your normally use, including glasses, contact lenses, a magnifier, or nothing at all

Source: National Eye Institute

Fully-Specified Name

Component
How much difficulty do you have driving during the daytime in familiar places
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Diff driving day familiar places

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.36
Last Updated
Version 2.71
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. ; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability; AnswerListId: Updated to a more general list without associated codes; METHOD_TYP: Removed Method because this concept is not specific to PhenX; 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.

Normative Answer List LL5648-2

Answer Code Score Answer ID
No difficulty at all LA13948-7
A little difficulty LA15725-7
Moderate difficulty LA15726-5
A lot of difficulty LA13951-1
Never drive during the daytime because of vision LA31164-9
Never drive during the daytime for other reasons LA31165-6

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
62677-0 PhenX domain - Ocular

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) ¿Cuánta dificultad tiene para conducir durante el día en lugares conocidos?:Tipo:Punto temporal:^ Paciente:Ordinal:PhenX
it-IT Italian (Italy) Quanta difficoltà ha a guidare durante il giorno in luoghi familiari:Osservazione:Pt:^Paziente:Ord:
Synonyms: Osservazione paziente PhenX Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Насколько сложно Вам водить в дневное время в знакомых местах:Находка:ТчкВрм:^Пациент:Пор:
Synonyms: Порядковый Точка во времени;Момент
zh-CN Chinese (China) 在白天时间在熟悉的地方驾车方面，您有多大的困难:发现:时间点:^患者:序数型:
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 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 在白天时间在熟悉的地方驾车方面，您有多大的困难（难度、困难程度） 时刻;随机;随意;瞬间

99202-4 Because of your vision, how much difficulty do you have driving at night?

Observation ID in Form

16

Fully-Specified Name

Component
Level of difficulty when driving at night because of vision
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Diff driving night due to vision

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5649-0

Answer Code Score Answer ID
No difficulty at all LA13948-7
A little difficulty LA15725-7
Moderate difficulty LA15726-5
A lot of difficulty LA13951-1
Never drive at night because of vision LA31166-4
Never drive at night for other reasons LA31167-2

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Livello di difficoltà durante la guida notturna a causa della vista:Osservazione:Pt:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 因为视力问题夜间驾车时的困难程度:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 因为视力问题（视力）夜间（夜里）驾车（开车、驾驶、驾驶车辆、驾驶汽车）时的困难程度（难度） 时刻;随机;随意;瞬间 目力;视觉 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录） 程度 等级 级 级别

64854-3 Because of your vision, how much difficulty do you have driving in difficulty conditions, such as bad weather, during rush hour, on the freeway, or in city traffic?

Observation ID in Form

17

Fully-Specified Name

Component
How much difficulty do you have driving in difficult conditions, such as in bad weather, during rush hour, on the freeway, or in city traffic
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Difficult driving diff conditions

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.36
Last Updated
Version 2.71
Change Reason
Release 2.71: SURVEY_QUEST_SRC: Moved from the individual term level to the instance of this term at the in panel. ; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability.; SURVEY_QUEST_TEXT: Moved from the individual term level to the instance of this term at the in panel. ; METHOD_TYP: Removed Method because this concept is not specific to PhenX; 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.

Normative Answer List LL5650-8

Answer Code Score Answer ID
No difficulty at all LA13948-7
A little difficulty LA15725-7
Moderate difficulty LA15726-5
A lot of difficulty LA13951-1
Never drive in these conditions because of vision LA31168-0
Never drive in these conditions for other reasons LA31169-8

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
62677-0 PhenX domain - Ocular

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) ¿Cuánta dificultad tiene para conducir en condiciones difíciles, como con mal tiempo, durante las horas pico, en la autopista o en el tráfico de la ciudad?:Tipo:Punto temporal:^ Paciente:Ordinal:PhenX
it-IT Italian (Italy) Quanta difficoltà ha a guidare in condizioni difficili, ad esempio in caso di maltempo, nelle ore di punta, in autostrada o nel traffico cittadino:Osservazione:Pt:^Paziente:Ord:
Synonyms: Osservazione paziente PhenX Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Насколько сложно Вам водить в трудных условиях, таких как плохая погода, в часы-пик, на скоросном шоссе или в городе:Находка:ТчкВрм:^Пациент:Пор:
Synonyms: Порядковый Точка во времени;Момент
zh-CN Chinese (China) 在困难情况下的驾驶方面，比如在坏天气里、在交通高峰时段、在高速公路上或者在城市交通条件下，您有多大的困难:发现:时间点:^患者:序数型:
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 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 动脉狭窄 动脉狭窄（Arterial Stenosis，AS） 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 在困难情况下的驾驶方面，比如在坏天气里、在交通高峰时段、在高速公路（快车道）上或者在城市交通（市内交通）条件下，您有多大的困难（难度、困难程度） 时刻;随机;随意;瞬间

66082-9 How much difficulty do you have seeing things off to the side, like cars coming out of driveways or side streets or people coming out of doorways?

Observation ID in Form

18

Fully-Specified Name

Component
Level of difficulty seeing objects off to the side
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Diff notice objects off to side PhenX

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.36
Last Updated
Version 2.72
Change Reason
Release 2.72: COMPONENT: Updated for increased usability, Survey specific text was moved to the instance of this term at the in panel; METHOD_TYP: Removed Method because this concept is not specific to PhenX; Status: Moved from Trial to Active for increased usability; CLASS: Moved from PHENX To H&P.HX for increased usability; AnswerListId: Updated to a more general list without associated codes; SURVEY_QUEST_SRC: Moved from the individual term level to the instance of this term in the panel.; ORDER_OBS: Updated missing value.; SURVEY_QUEST_TEXT: Moved from the individual term level to the instance of this term in the panel.; ANSWER_LIST_TYPE: Updated from Normative to Example 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.
Order vs. Observation
Observation

Normative Answer List LL5652-4

Answer Code Score Answer ID
No difficulty at all LA13948-7
A little difficulty LA15725-7
Moderate difficulty LA15726-5
A lot of difficulty LA13951-1

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
62677-0 PhenX domain - Ocular

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Debido a su vista, ¿cuánta dificultad tiene para notar los objetos a los lados mientras camina?:Tipo:Punto temporal:^ Paciente:Ordinal:PhenX
it-IT Italian (Italy) A causa della vista, quanta difficoltà ha a notare oggetti laterali mentre sta camminando:Osservazione:Pt:^Paziente:Ord:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) По причине зрения насколько трудном Вам различать объекты вдоль дороги, по которой идёте:Находка:ТчкВрм:^Пациент:Пор:
Synonyms: Порядковый Точка во времени;Момент
zh-CN Chinese (China) 注意到一旁物体的难度有多大:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 因为自己视力的缘故，您在步行过程中注意到一旁的物体方面难度有多大;因为自己视力的缘故，您在行走过程中注意到一旁的物体方面难度有多大 时刻;随机;随意;瞬间 病史与体格检查 程度 等级 级 级别 边;边侧;一侧;一边;侧面

99203-2 Because of your vision, how much difficulty do you have with your daily activities?

Observation ID in Form

19

Fully-Specified Name

Component
Level of difficulty with daily activities because of vision
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Diff w/ daily activities due to vision

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5652-4

Answer Code Score Answer ID
No difficulty at all LA13948-7
A little difficulty LA15725-7
Moderate difficulty LA15726-5
A lot of difficulty LA13951-1

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Livello di difficoltà nello svolgimento delle attività quotidiane a causa della vista:Osservazione:Pt:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 因为视力问题所造成的日常活动的困难程度:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 因为视力问题（视力）所造成的（所导致的）日常活动的困难程度（难度） 时刻;随机;随意;瞬间 目力;视觉 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录） 程度 等级 级 级别

66058-9 Because of your vision, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like hiking, swimming, aerobics, team sports, or jogging)?

Observation ID in Form

20

Fully-Specified Name

Component
Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy, like golf, bowling, jogging, or walking
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Diff sports outdoor activities

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.36
Last Updated
Version 2.71
Change Reason
Release 2.71: AnswerListId: Updated to a more general list without associated codes; SURVEY_QUEST_SRC: Moved from the individual term level to the instance of this term at the in panel.; METHOD_TYP: Removed Method because this concept is not specific to PhenX; Status: Moved from Trial to Active for increased usability ; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability; SURVEY_QUEST_TEXT: Moved from the individual term level to the instance of this term at the in panel.; 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.

Normative Answer List LL5653-2

Answer Code Score Answer ID
No difficulty at all LA13948-7
A little difficulty LA15725-7
Moderate difficulty LA15726-5
A lot of difficulty LA13951-1
Never try to do these activities because of vision LA31170-6
Never try to do these activities for other reasons LA31171-4

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
62677-0 PhenX domain - Ocular

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Debido a su vista, ¿cuánta dificultad tiene para participar en deportes activos u otras actividades al aire libre que disfruta, como golf, bolos, trotar o caminar?:Tipo:Punto temporal:^ Paciente:Ordinal:PhenX
it-IT Italian (Italy) A causa della vista, quanta difficoltà ha a partecipare a sport o altre attività all'aria aperta che le piaccciono, ad esempio golf, bowling, fare jogging, o camminare:Osservazione:Pt:^Paziente:Ord:
Synonyms: Osservazione paziente PhenX Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) По причине зрения, насколько трудно Вам участвовать в активном спорте или другой деятельности вне помещений, которая доставляет удовольствие, такой как гольф, боулинг, пробежки, ходьба:Находка:ТчкВрм:^Пациент:Пор:
Synonyms: Порядковый Точка во времени;Момент
zh-CN Chinese (China) 因为自己视力的缘故，您在参加自己所喜欢的诸如高尔夫、保龄球、慢跑或散步之类的主动性体育活动或其他户外活动方面难度有多大:发现:时间点:^患者:序数型:
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 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 其他的 其它 其它的 别的 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 另外的 因为自己视力的缘故，您在参加自己所喜欢的诸如高尔夫、保龄球、慢跑或散步之类积极的体育活动或其他户外活动方面难度有多大 时刻;随机;随意;瞬间

99204-0 Because of your vision, do you take part less than you would like in active sports or other outdoor activities (like hiking, swimming, aerobics, team sports, or jogging)?

Observation ID in Form

21

Fully-Specified Name

Component
Participate less in active sports or other outdoor activities because of vision
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Less active sports/outdoor due to vision

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
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
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Partecipa meno a sport attivi o altre attività all'aperto a causa della vista:Osservazione:Pt:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 因为视力问题而较少参加剧烈的体育活动或其他的户外活动:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 其他的 其它 其它的 别的 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 另外的 因为视力问题（视力）而较少参加剧烈的体育活动（运动、体育项目）或其他的户外（室外）活动;由于视力原因，较少参加剧烈的体育活动或其他的户外活动 时刻;随机;随意;瞬间 目力;视觉 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

99205-7 Are there any recreational or sports activities that you don't do because of your vision or the type of vision correction you have?

Observation ID in Form

22

Fully-Specified Name

Component
Were recreational or sports activities avoided because of vision
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Avoid recreation/sports due to vision

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5654-0

Answer Code Score Answer ID
Yes, many LA31172-2
Yes, a few LA31173-0
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Sono state evitate attività ricreative o sportive a causa della vista:Osservazione:Pt:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 是否因为视力问题而避免过娱乐活动或体育活动:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 是否因为视力问题（视力）而避免过娱乐活动（休闲娱乐活动）或体育活动（体育运动） 目力;视觉 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

99206-5 You have noted that you have difficulty with your daily activities because of your vision. Please list those activities with which you have difficulty (e.g., watching television, using automated teller machines (ATM), etc.)

Observation ID in Form

23

Fully-Specified Name

Component
Daily activities that are difficult because of vision
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Diff daily activities due to vision

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Attività quotidiane difficili a causa della vista:Osservazione:Pt:^Paziente:Nom:
Synonyms: Occhio Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 因为视力问题而存在困难的日常活动:发现:时间点:^患者:名义型:
Synonyms: 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 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 因为视力问题（视力）而存在困难的日常活动 时刻;随机;随意;瞬间 目力;视觉 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

66078-7 How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, finding things around the house, sewing, using hand tools, or working with a computer?

Observation ID in Form

24

Fully-Specified Name

Component
How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, sewing, fixing things around the house, or using hand tools
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Difficulty see close

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.36
Last Updated
Version 2.72
Change Reason
Release 2.72: 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; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability ; SURVEY_QUEST_TEXT: Moved from the individual term level to the instance of this term at the in panel.; LONG_COMMON_NAME: Updated for accuracy and increased usability; AnswerListId: Updated to a more general list without associated codes ; METHOD_TYP: Removed Method because this concept is not specific to PhenX; 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.

Normative Answer List LL5653-2

Answer Code Score Answer ID
No difficulty at all LA13948-7
A little difficulty LA15725-7
Moderate difficulty LA15726-5
A lot of difficulty LA13951-1
Never try to do these activities because of vision LA31170-6
Never try to do these activities for other reasons LA31171-4

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
62677-0 PhenX domain - Ocular

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) ¿Cuánta dificultad tiene para realizar trabajos o pasatiempos que requieren que vea bien de cerca, como cocinar, coser, arreglar cosas en la casa o usar herramientas manuales?:Tipo:Punto temporal:^ Paciente:Ordinal:PhenX
it-IT Italian (Italy) Quanta difficoltà ha a fare il lavoro o gli hobby che richiedono di vedere bene da vicino, cucinare, cucire, sistemare le cose intorno alla casa, oppure utilizzare utensili a mano:Osservazione:Pt:^Paziente:Ord:
Synonyms: Osservazione paziente PhenX Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Насколько трудно вам заниматься работой или хобби, требующими хорошего зрения вблизи, такие как приготовление пищи, шитьё, улаживание домашних дел или использование ручных инструментов:Находка:ТчкВрм:^Пациент:Пор:
Synonyms: Порядковый Точка во времени;Момент
zh-CN Chinese (China) 在做那些需要您仔细观看的工作或业余爱好方面，比如烹调、针线活、修理家里的东西或者使用手动工具，您有多大的困难:发现:时间点:^患者:序数型:
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 从业;就职;职业;劳动;干活儿;活儿;用功;做功;上班 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 动脉狭窄 动脉狭窄（Arterial Stenosis，AS） 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 在做那些需要您仔细观看的工作或业余爱好方面，比如烹调（炒菜做饭）、针线活（缝纫）、修理家里的东西或者使用手动工具（手工工具），您有多大的困难（难度、困难程度） 时刻;随机;随意;瞬间

66077-9 How much difficulty do you have reading ordinary print in newspapers?

Observation ID in Form

25

Fully-Specified Name

Component
How much difficulty do you have reading ordinary print in newspapers
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Difficulty read newspapers

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.36
Last Updated
Version 2.72
Change Reason
Release 2.72: METHOD_TYP: Removed Method because this concept is not specific to PhenX; SURVEY_QUEST_SRC: Moved from the individual term level to the instance of this term at the in panel.; ORDER_OBS: Updated missing value.; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability.; AnswerListId: Updated to a more general list without associated codes.; SURVEY_QUEST_TEXT: 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.
Order vs. Observation
Observation

Normative Answer List LL5655-7

Answer Code Score Answer ID
No difficulty at all LA13948-7
A little difficulty LA15725-7
Moderate difficulty LA15726-5
A lot of difficulty LA13951-1
Never try to do this because of vision LA31174-8
Never try to do this for other reasons LA31175-5

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
62677-0 PhenX domain - Ocular

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) ¿Cuánta dificultad tiene para leer la letra impresa ordinaria en los periódicos?:Tipo:Punto temporal:^ Paciente:Ordinal:PhenX
it-IT Italian (Italy) Quanta difficoltà ha a leggere un giornale con caratteri normali:Osservazione:Pt:^Paziente:Ord:
Synonyms: Osservazione paziente PhenX Punto nel tempo (episodio)
ru-RU Russian (Russian Federation) Насколько трудно Вам читать обычный газетный шрифт:Находка:ТчкВрм:^Пациент:Пор:
Synonyms: Порядковый Точка во времени;Момент
zh-CN Chinese (China) 在阅读报纸上的普通印刷体文字方面，您有多大的困难:发现:时间点:^患者:序数型:
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 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 在阅读报纸上的普通印刷体文字方面，您有多大的困难（难度、困难程度） 时刻;随机;随意;瞬间

83446-5 How much difficulty do you have reading small print in a telephone book, on a medicine bottle, or on legal forms?

Observation ID in Form

26

Fully-Specified Name

Component
How difficult is it for you to read small print
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Difficulty w small print

Basic Attributes

Class
NIH.SENSORY
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5653-2

Answer Code Score Answer ID
No difficulty at all LA13948-7
A little difficulty LA15725-7
Moderate difficulty LA15726-5
A lot of difficulty LA13951-1
Never try to do these activities because of vision LA31170-6
Never try to do these activities for other reasons LA31171-4

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Quanto è difficile per lei leggere caratteri piccoli:Osservazione:Pt:^Paziente:Ord:
Synonyms: Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 您阅读小字内容有多困难:发现:时间点:^患者:序数型:
Synonyms: National Institutes of Health Toolbox;美国国立卫生研究院工具箱;美国国立健康研究院工具箱;National Institutes of Health;美国国立卫生研究院;美国国立健康研究院;NIH 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 您阅读小字内容的难度有多大 时刻;随机;随意;瞬间

99207-3 Are there daily activities that you would like to do but don't do because of your vision or the type of vision correction you have?

Observation ID in Form

27

Fully-Specified Name

Component
Are daily activities not done because of vision
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Avoid daily activities due to vision

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL6098-9

Answer Code Score Answer ID
Yes, many LA31172-2
Yes, one or a few LA32762-9
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Le attività quotidiane non vengono svolte a causa della vista:Osservazione:Pt:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 是否存在因为视力问题而没有进行的日常活动:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 是否存在因为视力问题（视力）而没有进行的日常活动 目力;视觉 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

99208-1 How much difficulty do you have judging distances, like walking down stairs or parking a car?

Observation ID in Form

28

Fully-Specified Name

Component
Level of difficulty judging distances
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Diff level judge distances

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5652-4

Answer Code Score Answer ID
No difficulty at all LA13948-7
A little difficulty LA15725-7
Moderate difficulty LA15726-5
A lot of difficulty LA13951-1

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Livello di difficoltà nel giudicare le distanze:Osservazione:Pt:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 判断距离时的困难程度:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 判断（判定）距离（远近）时的困难程度（难度）;距离（远近）判断（判定）时的困难程度（难度） 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录） 程度 等级 级 级别

99209-9 How much difficulty do you have getting used to the dark when you move from a lighted area into a dark place, like walking into a dark movie theater?

Observation ID in Form

29

Fully-Specified Name

Component
Level of difficulty getting used to the dark when moving from a lighted area into a dark place
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5652-4

Answer Code Score Answer ID
No difficulty at all LA13948-7
A little difficulty LA15725-7
Moderate difficulty LA15726-5
A lot of difficulty LA13951-1

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99210-7 How much difficulty do you have seeing because of changes in the clarity of your vision during the course of the day?

Observation ID in Form

30

Fully-Specified Name

Component
Level of difficulty seeing because of changes in vision clarity during the course of the day
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5656-5

Answer Code Score Answer ID
Don't have changes in the clarity of my vision LA31176-3
No difficulty at all LA13948-7
A little difficulty LA15725-7
Moderate difficulty LA15726-5
A lot of difficulty LA13951-1

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99211-5 How often are you bothered by changes in the clarity of your vision over the course of the day?

Observation ID in Form

31

Fully-Specified Name

Component
Frequency of being bothered by changes in the clarity of vision over the course of the day
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5642-5

Answer Code Score Answer ID
Never LA6270-8
Rarely LA10066-1
Occasionally LA6483-7
Sometimes LA10082-8
All of the time LA6154-4

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99212-3 How often when you are around bright lights at night do you see starbursts or halos that bother you or make it difficult to see?

Observation ID in Form

32

Fully-Specified Name

Component
Frequency of seeing starbursts or halos that are bothersome or make it difficult to see when around bright lights at night
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL6096-3

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

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99213-1 Have you experienced glare in the last 7 days?

Observation ID in Form

33

Fully-Specified Name

Component
Experienced glare in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Experienced glare past 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
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
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Vista abbagliata negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Una settimana Vista abbagliata negli ultimi 7 giorni
zh-CN Chinese (China) 在过去7天当中遇到过眩光:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 在过去的1个星期（1周、1个礼拜、7天）当中遇到过（碰到过、经历过）眩光（闪光、眩目的光、强烈的光、闪耀） 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

99214-9 How bothersome has it been?

Observation ID in Form

33a

Fully-Specified Name

Component
How bothersome has glare been in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Level of bother glare 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL6084-9

Answer Code Score Answer ID
Very LA29696-4
Somewhat LA13909-9
A little LA13940-4
Not at all LA6568-5

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Quanto è stato fastidioso l'abbagliamento negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Quanto è stato fastidioso l''abbagliamento negli ultimi 7 giorni Una settimana
zh-CN Chinese (China) 在过去7天当中眩光有多烦人:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 在过去的1个星期（1周、1个礼拜、7天）当中眩光（闪光、眩目的光、强烈的光、闪耀）有多（有多么）烦人（麻烦、烦心） 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

99215-6 Have you experienced distorted vision in the last 7 days?

Observation ID in Form

34

Fully-Specified Name

Component
Experienced distorted vision in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Exper distorted vision 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
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
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Vista distorta sperimentata negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Una settimana Vista distorta sperimentata negli ultimi 7 giorni
zh-CN Chinese (China) 在过去7天当中遇到过视物变形:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 在过去的1个星期（1周、1个礼拜、7天）当中遇到过（碰到过、经历过）视物变形（扭曲的影像） 目力;视觉 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

99216-4 How bothersome has it been?

Observation ID in Form

34a

Fully-Specified Name

Component
How bothersome has distorted vision been in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Level of bother distorted vision 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL6084-9

Answer Code Score Answer ID
Very LA29696-4
Somewhat LA13909-9
A little LA13940-4
Not at all LA6568-5

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Quanto è stata fastidiosa la vista distorta negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Quanto è stata fastidiosa la vista distorta negli ultimi 7 giorni Una settimana
zh-CN Chinese (China) 在过去7天当中视物变形有多烦人:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 在过去的1个星期（1周、1个礼拜、7天）当中视物变形（扭曲的影像）有多（有多么）烦人（麻烦、烦心） 目力;视觉 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

99217-2 Have you experienced blurry vision in the last 7 days?

Observation ID in Form

35

Fully-Specified Name

Component
Experienced blurry vision in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Blurry vision past 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
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
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Vista sfocata sperimentata negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Una settimana Vista sfocata sperimentata negli ultimi 7 giorni
zh-CN Chinese (China) 在过去7天当中遇到过视力模糊:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 在过去的1个星期（1周、1个礼拜、7天）当中遇到过（碰到过、经历过）视力模糊 目力;视觉 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

99218-0 How bothersome has it been?

Observation ID in Form

35a

Fully-Specified Name

Component
How bothersome has blurry vision been in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Level of bother blurry vision 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL6084-9

Answer Code Score Answer ID
Very LA29696-4
Somewhat LA13909-9
A little LA13940-4
Not at all LA6568-5

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Quanto è stata fastidiosa la vista offuscata negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Quanto è stata fastidiosa la vista offuscata negli ultimi 7 giorni Una settimana
zh-CN Chinese (China) 在过去7天当中视力模糊有多烦人:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 在过去的1个星期（1周、1个礼拜、7天）当中视力模糊（模糊的视力）有多（有多么）烦人（麻烦、烦心） 目力;视觉 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

99219-8 Have you experienced trouble seeing in the last 7 days?

Observation ID in Form

36

Fully-Specified Name

Component
Experienced trouble seeing in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Trouble seeing in past 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
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
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Problema con la vista sperimentato negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Problema con la vista sperimentato negli ultimi 7 giorni Una settimana
zh-CN Chinese (China) 在过去7天当中看东西遇到麻烦:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 在过去的1个星期（1周、1个礼拜、7天）当中看（看见、看清）东西遇到麻烦（困难、问题）;在过去的1个星期（1周、1个礼拜、7天）当中遇到过（碰到过、经历过）看东西困难 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

99220-6 How bothersome has it been?

Observation ID in Form

36a

Fully-Specified Name

Component
How bothersome has trouble seeing been in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Level of bother trouble seeing 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL6084-9

Answer Code Score Answer ID
Very LA29696-4
Somewhat LA13909-9
A little LA13940-4
Not at all LA6568-5

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Quanto è stato fastidioso il problema con la vista negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Quanto è stato fastidioso il problema con la vista negli ultimi 7 giorni Una settimana
zh-CN Chinese (China) 在过去7天当中看东西困难有多烦人:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 在过去的1个星期（1周、1个礼拜、7天）当中看东西（看东西方面的、视物）困难有多（有多么）烦人（麻烦、烦心） 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

99221-4 In general, how satisfied or dissatisfied are you with your present vision?

Observation ID in Form

37

Fully-Specified Name

Component
Satisfaction level with present vision
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Satisfaction level w/ vision

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5657-3

Answer Code Score Answer ID
Completely satisfied LA27754-3
Very satisfied LA14642-5
Somewhat satisfied LA27752-7
Somewhat dissatisfied LA29849-9
Very dissatisfied LA14638-3
Completely dissatisfied LA31177-1

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Livello di soddisfazione della vista attuale:Osservazione:Pt:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 对当前视觉的满意程度:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 对当前（目前、现在、当下）视觉（视力）的满意程度 时刻;随机;随意;瞬间 目力;视觉 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录） 程度 等级 级 级别

99222-2 Are you currently employed (working for pay)?

Observation ID in Form

38

Fully-Specified Name

Component
Employed
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Employed

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
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
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Impiegato:Osservazione:Pt:^Paziente:Ord:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 已就业:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 已被雇用;已受雇;已被雇佣;有工作 时刻;随机;随意;瞬间 病史与体格检查

99223-0 During the past seven days, how many hours did you miss from work because of any eye problems?

Observation ID in Form

39

Form Coding Instructions

INSTRUCTIONS: The following question asks about the effect of any problem with your eyes on your ability to work and perform regular activities during the past seven days, not including today

Source: National Eye Institute

Form Context

Include hours you missed on sick days, times you went in late, left early, etc., because of your EYE PROBLEM. Do not include time you missed to participate in this study

Source: National Eye Institute

Fully-Specified Name

Component
H missed from work because of eye problems in past 7D
Property
Time
Time
7D
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
H missed work b/c eye prob 7D [Time]

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) H mancato dal lavoro a causa di problemi agli occhi negli ultimi 7gg:Tempo:7 giorni:^Paziente:Qn:
Synonyms: H mancato dal lavoro a causa di problemi agli occhi negli ultimi 7 giorni Occhio paziente Tempo (e.g. secondi) Una settimana
zh-CN Chinese (China) 在过去7天当中因为眼睛问题所造成的工作缺勤小时数:时间:7天:^患者:定量型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 H 型 从业;就职;职业;劳动;干活儿;活儿;用功;做功;上班 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 在过去的1个星期（1周、1个礼拜、7天）当中因为（由于）眼睛（眼部）问题（疾病、状况）所造成的（所导致的）工作缺勤小时数 时间(如秒);时间(如秒数) 目;眼;眼部 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

Example Units

Unit Source
h Example UCUM Units

99224-8 During the past seven days, how many hours did you miss from work because of any other reason, such as vacation, holidays, time off to participate in this study?

Observation ID in Form

40

Fully-Specified Name

Component
H missed from work because of any non vision related reasons in past 7D
Property
Time
Time
7D
System
^Patient
Scale
Qn
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Example Units

Unit Source
h Example UCUM Units

99225-5 During the past seven days, how many hours did you actually work?

Observation ID in Form

41

Fully-Specified Name

Component
H worked in past 7D
Property
Time
Time
7D
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
H worked in past 7D Time

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) H lavorato negli ultimi 7gg:Tempo:7 giorni:^Paziente:Qn:
Synonyms: Anamnesi H lavorato negli ultimi 7 giorni paziente Tempo (e.g. secondi) Una settimana
zh-CN Chinese (China) 在过去7天当中工作的小时数:时间:7天:^患者:定量型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 H 型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 在过去的1个星期（1周、1个礼拜、7天）当中工作的小时数 时间(如秒);时间(如秒数) 病史与体格检查

Example Units

Unit Source
h Example UCUM Units

99226-3 During the past seven days, how much did eye problems affect your productivity while you were working?

Observation ID in Form

42

Form Context

Think about days you were limited in the amount or kind of work you could do, days you accomplished less than you would like, or days you could not do your work as carefully as usual. If eye problems affected your work only a little, choose a l ow number. Choose a high number if eye problems affected your work a great deal. Consider only how much eye problems affected productivity while you were working. SELECT A NUMBER

Source: National Eye Institute

Fully-Specified Name

Component
Level that eye problems affected productivity while working in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Eye prob affect prdctvty at work 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5658-1

Answer Code Score Answer ID
0: Eye problem(s) had no effect on my work LA31178-9
1 LA6112-2
2 or more LA6113-0
3 LA6114-8
4 LA6115-5
5 LA10137-0
6 LA10138-8
7 LA10139-6
8 LA10140-4
9 LA10141-2
10: Eye problem(s) completely prevented me from working LA31179-7

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Livello con cui i problemi agli occhi hanno influito sulla produttività durante il lavoro negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Una settimana
zh-CN Chinese (China) 在过去7天当中眼睛问题在工作时影响生产效率的程度:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 在过去的1个星期（1周、1个礼拜、7天）当中眼睛（眼部）问题（疾病、状况）在工作时（期间、过程中）影响生产效率（生产力、工作效率）的程度 目;眼;眼部 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录） 程度 等级 级 级别

99227-1 During the past seven days, how much did eye problems affect your ability to do your regular daily activities, other than work at a job?

Observation ID in Form

43

Form Context

By regular activities, we mean the usual activities you do, such as work around the house, shopping, childcare, exercising, studying, etc. Think about times you were limited in the amount or kind of activities you could do and times you accomplished less than you would like. If eye problems affected your activities only a little, choose a low number. Choose a high number if eye problems affected your activities a great deal. Consider only how much eye problems affected your ability to do your regular daily activities, other than work at a job. SELECT A NUMBER

Source: National Eye Institute

Fully-Specified Name

Component
Level that eye problems affected ability to do regular daily activities, other than work at a job in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Lvl eye prbs afct daily non wk activ 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5659-9

Answer Code Score Answer ID
0: Eye problem(s) had no effect on my daily activities LA31180-5
1 LA6112-2
2 or more LA6113-0
3 LA6114-8
4 LA6115-5
5 LA10137-0
6 LA10138-8
7 LA10139-6
8 LA10140-4
9 LA10141-2
10: Eye problem(s) completely prevented me from doing my regular activities LA31181-3

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Livello con cui i problemi agli occhi hanno influenzato la capacità di svolgere attività quotidiane regolari, diverse dal lavoro svolto a lavoro negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Una settimana
zh-CN Chinese (China) 在过去7天当中，除了岗位工作外，眼睛问题影响日常活动能力的程度:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 A 型 从业;就职;职业;劳动;干活儿;活儿;用功;做功;上班 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 其他的 其它 其它的 别的 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 另外的 在过去的1个星期（1周、1个礼拜、7天）当中，除了岗位工作外，眼睛问题影响日常活动能力的程度 目;眼;眼部 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录） 程度 等级 级 级别 职业;职位;岗位;任务;活儿;职责;责任;作用

99228-9 In a typical day:

Observation ID in Form

44

Form Coding Instructions

please select all that apply

Source: Regenstrief Institute

Fully-Specified Name

Component
Use of corrective lenses in a typical day
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Use of corr lens in typical day

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL6085-6

Answer Code Score Answer ID
I do not use glasses or contact lenses LA31185-4
I use glasses to correct my vision for distance LA32719-9
I use glasses to correct my vision for reading LA32720-7
I use soft contact lenses to correct my vision for distance LA32721-5
I use soft contact lenses to correct my vision for reading LA32722-3
I use hard (rigid gas permeable) contact lenses to correct my vision for distance LA32723-1
I use hard (rigid gas permeable) contact lenses to correct my vision for reading LA32724-9

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Uso di lenti correttive in una giornata tipica:Osservazione:Pt:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 通常的日子里使用矫正镜片:发现:时间点:^患者:序数型:
Synonyms: A 型 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 日;昼;白天;周几;星期几 时刻;随机;随意;瞬间 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录） 通常（典型、常规、普通、一般）的日子里使用（佩戴）矫正镜片（矫正透镜、校正镜片、矫视镜片）

99229-7 In the last 7 days, have you seen any double images?

Observation ID in Form

45

Form Context

INSTRUCTIONS: The next few questions are about double images, which some people call "ghost" or "shadow" images. By double images, we mean seeing a distorted or blurry visual image, such as the images shown below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No double images to severe double images

PROWL image for double images

Source: National Eye Institute

Fully-Specified Name

Component
Seen double images in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Seen double images in past 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5660-7

Answer Code Score Answer ID
Yes, but ONLY when NOT wearing glasses or contact lenses LA31182-1
Yes, but ONLY when wearing glasses or contact lenses LA31183-9
Yes, when wearing AND when not wearing glasses or contacts LA31184-7
No, not at all LA18387-3

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Ha visto immagini sdoppiate negli ultimi 7 gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Ha visto immagini sdoppiate negli ultimi 7 giorni Occhio Osservazione paziente Una settimana
zh-CN Chinese (China) 在过去7天当中看到过重影:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 在过去的1个星期（1周、1个礼拜、7天）当中看到过（看见过、见到过）重影（双重影像、双影） 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

99230-5 In the last 7 days, how often have you seen double images when you are wearing your best vision correction (glasses or contact lenses)?

Observation ID in Form

46a

Form Context

INSTRUCTIONS: The next few questions are about double images, which some people call "ghost" or "shadow" images. By double images, we mean seeing a distorted or blurry visual image, such as the images shown below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No double images to severe double images

PROWL image for double images

Source: National Eye Institute

Fully-Specified Name

Component
Frequency of seeing double images when wearing best corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Freq see dble imge w best corr lens p 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5661-5

Answer Code Score Answer ID
I do not use glasses or contact lenses LA31185-4
Never LA6270-8
Rarely LA10066-1
Sometimes LA10082-8
Often LA10044-8
Always LA9933-8

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Frequenza di visualizzazione di immagini doppie quando si indossano migliori lenti correttive negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Una settimana
zh-CN Chinese (China) 过去7天当中佩戴最好的矫正镜片时看到过重影的频率:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录） 过去的1个星期（1周、1个礼拜、7天）当中佩戴最好的（最佳的）矫正镜片（矫正透镜、校正镜片、矫视镜片）时看到过（看见过、见到过）重影（双重影像、双影）的频率（频次、频度、频繁程度） 频次;频度;频繁性;次数;频率分布;发生次数;周率;频繁程度

99231-3 In the last 7 days, how often have you seen double images when you are NOT wearing any vision correction (glasses or contact lenses)?

Observation ID in Form

46b

Form Context

INSTRUCTIONS: The next few questions are about double images, which some people call "ghost" or "shadow" images. By double images, we mean seeing a distorted or blurry visual image, such as the images shown below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No double images to severe double images

PROWL image for double images

Source: National Eye Institute

Fully-Specified Name

Component
Frequency of seeing double images when not wearing corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Freq double images w/o corr lens pst 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5662-3

Answer Code Score Answer ID
Never LA6270-8
Rarely LA10066-1
Sometimes LA10082-8
Often LA10044-8
Always LA9933-8
I always use glasses or contact lenses LA31186-2

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Frequenza di visualizzazione di immagini doppie quando non si indossano lenti correttive negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Frequenza di visualizzazione di immagini doppie quando non si indossano lenti correttive negli ultimi 7 giorni Occhio Osservazione paziente Una settimana
zh-CN Chinese (China) 过去7天当中没有佩戴矫正镜片时看到过重影的频率:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录） 过去的1个星期（1周、1个礼拜、7天）当中没有（不、未）佩戴矫正镜片（矫正透镜、校正镜片、矫视镜片）时看到过（看见过、见到过）重影（双重影像、双影）的频率（频次、频度、频繁程度） 频次;频度;频繁性;次数;频率分布;发生次数;周率;频繁程度

99232-1 In the last 7 days, how bothersome have the double images been when you are wearing your best vision correction (glasses or contact lenses)?

Observation ID in Form

47a

Form Context

INSTRUCTIONS: The next few questions are about double images, which some people call "ghost" or "shadow" images. By double images, we mean seeing a distorted or blurry visual image, such as the images shown below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No double images to severe double images

PROWL image for double images

Source: National Eye Institute

Fully-Specified Name

Component
How bothersome have double images been when wearing best corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Bother lvl dble images w best corr p 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5663-1

Answer Code Score Answer ID
I do not use glasses or contact lenses LA31185-4
Extremely bothersome LA27766-7
Very bothersome LA31187-0
Somewhat bothersome LA31188-8
A little bothersome LA31189-6
Not at all bothersome LA24969-0

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Quanto è stato fastidioso la visualizzazione di immagini doppie quando si indossano le migliori lenti correttive negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Quanto è stato fastidioso la visualizzazione di immagini doppie quando si indossano le migliori lenti correttive negli ultimi 7 giorni Una settimana
zh-CN Chinese (China) 在过去7天当中佩戴最好的矫正镜片时重影有多烦人:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 在过去的1个星期（1周、1个礼拜、7天）当中佩戴最好的（最佳的）矫正镜片（矫正透镜、校正镜片、矫视镜片）时重影（双重影像、双影）有多（有多么）烦人（麻烦、烦心） 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

99233-9 In the last 7 days, how bothersome have the double images been when you are NOT wearing any vision correction (glasses or contact lenses)?

Observation ID in Form

47b

Form Context

INSTRUCTIONS: The next few questions are about double images, which some people call "ghost" or "shadow" images. By double images, we mean seeing a distorted or blurry visual image, such as the images shown below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No double images to severe double images

PROWL image for double images

Source: National Eye Institute

Fully-Specified Name

Component
How bothersome have double images been when not wearing corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Bother lvl double images w/o corr pst 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5664-9

Answer Code Score Answer ID
Extremely bothersome LA27766-7
Very bothersome LA31187-0
Somewhat bothersome LA31188-8
A little bothersome LA31189-6
Not at all bothersome LA24969-0
I always use glasses or contact lenses LA31186-2

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Quanto è stato fastidioso la visualizzazione di immagini doppie quando non si indossavano lenti correttive negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Quanto è stato fastidioso la visualizzazione di immagini doppie quando non si indossavano lenti correttive negli ultimi 7 giorni Una settimana
zh-CN Chinese (China) 在过去7天当中没有佩戴矫正镜片时重影有多烦人:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 在过去的1个星期（1周、1个礼拜、7天）当中没有（不、未）佩戴矫正镜片（矫正透镜、校正镜片、矫视镜片）时重影（双重影像、双影）有多（有多么）烦人（麻烦、烦心） 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

99234-7 In the last 7 days, how much difficulty have you had doing your usual activities because you see double images when you are wearing your best vision correction (glasses or contact lenses)?

Observation ID in Form

48a

Form Context

INSTRUCTIONS: The next few questions are about double images, which some people call "ghost" or "shadow" images. By double images, we mean seeing a distorted or blurry visual image, such as the images shown below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No double images to severe double images

PROWL image for double images

Source: National Eye Institute

Fully-Specified Name

Component
Level of difficulty doing usual activities because of double images when wearing best corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Diff lvl bc dbl image w best cor lens 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5665-6

Answer Code Score Answer ID
I do not use glasses or contact lenses LA31185-4
No difficulty at all LA13948-7
Very little difficulty LA31190-4
Moderate difficulty LA15726-5
A lot of difficulty LA13951-1
So much difficulty that I can no longer do some of my usual activities LA31191-2

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Livello di difficoltà nello svolgere le normali attività a causa di immagini doppie quando indossa le migliori lenti correttive negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Livello di difficoltà nello svolgere le normali attività a causa di immagini doppie quando indossa le migliori lenti correttive negli ultimi 7 giorni Occhio Osservazione paziente Una settimana
zh-CN Chinese (China) 过去7天当中佩戴最好的矫正镜片时因为重影而进行常规活动的困难程度:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录） 程度 等级 级 级别 过去的1个星期（1周、1个礼拜、7天）当中佩戴最好的（最佳的）矫正镜片（矫正透镜、校正镜片、矫视镜片）时因为（由于）重影（双重影像、双影）而进行（开展）常规（普通、日常）活动的困难程度（难度）

99235-4 In the last 7 days, how much difficulty have you had doing your usual activities because you see double images when you are NOT wearing any vision correction (glasses or contact lenses)?

Observation ID in Form

48b

Form Context

INSTRUCTIONS: The next few questions are about double images, which some people call "ghost" or "shadow" images. By double images, we mean seeing a distorted or blurry visual image, such as the images shown below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No double images to severe double images

PROWL image for double images

Source: National Eye Institute

Fully-Specified Name

Component
Level of difficulty doing usual activities because of double images when not wearing corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Dif lvl bc dbl image w/o corr lens p 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5666-4

Answer Code Score Answer ID
No difficulty at all LA13948-7
Very little difficulty LA31190-4
Moderate difficulty LA15726-5
A lot of difficulty LA13951-1
So much difficulty that I can no longer do some of my usual activities LA31191-2
I always use glasses or contact lenses LA31186-2

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Livello di difficoltà nello svolgere le normali attività a causa di immagini doppie quando non indossa lenti correttive negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Livello di difficoltà nello svolgere le normali attività a causa di immagini doppie quando non indossa lenti correttive negli ultimi 7 giorni Occhio Osservazione paziente Una settimana
zh-CN Chinese (China) 过去7天当中没有佩戴矫正镜片时因为重影而进行常规活动的困难程度:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录） 程度 等级 级 级别 过去的1个星期（1周、1个礼拜、7天）当中没有（不、未）佩戴矫正镜片（矫正透镜、校正镜片、矫视镜片）时因为（由于）重影（双重影像、双影）而进行（开展）常规（普通、日常）活动的困难程度（难度）

99236-2 When you use your best vision correction (glasses or contact lenses) do the double images you see:

Observation ID in Form

49

Form Context

INSTRUCTIONS: The next few questions are about double images, which some people call "ghost" or "shadow" images. By double images, we mean seeing a distorted or blurry visual image, such as the images shown below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No double images to severe double images

PROWL image for double images

Source: National Eye Institute

Fully-Specified Name

Component
Impact of best corrective lenses on double images
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Best corr lens impact on double images

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5667-2

Answer Code Score Answer ID
I do not use glasses or contact lenses LA31185-4
Go away completely LA31192-0
Go away mostly LA31193-8
Go away a little LA31194-6
Not change LA31195-3
Get a little worse LA31196-1
Get a lot worse LA31197-9

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Impatto delle migliori lenti correttive su immagini doppie:Osservazione:Pt:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 最好的矫正镜片对重影的影响:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 最好的（最佳的）矫正镜片（矫正透镜、校正镜片、矫视镜片）对重影（双重影像、双影）的影响（作用、效果） 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

99213-1 In the last 7 days, have you noticed any glare?

Observation ID in Form

50

Form Context

INSTRUCTIONS: The next few questions are about glare. By glare, we mean difficulty seeing well when there are bright lights like headlights or sunlight, such as shown in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No glare to severe glare

PROWL image for glare

Source: National Eye Institute

Fully-Specified Name

Component
Experienced glare in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Experienced glare past 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5660-7

Answer Code Score Answer ID
Yes, but ONLY when NOT wearing glasses or contact lenses LA31182-1
Yes, but ONLY when wearing glasses or contact lenses LA31183-9
Yes, when wearing AND when not wearing glasses or contacts LA31184-7
No, not at all LA18387-3

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Vista abbagliata negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Una settimana Vista abbagliata negli ultimi 7 giorni
zh-CN Chinese (China) 在过去7天当中遇到过眩光:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 在过去的1个星期（1周、1个礼拜、7天）当中遇到过（碰到过、经历过）眩光（闪光、眩目的光、强烈的光、闪耀） 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

99237-0 In the last 7 days, how often have you noticed glare when you are wearing your best vision correction (glasses or contact lenses)?

Observation ID in Form

51a

Form Context

INSTRUCTIONS: The next few questions are about glare. By glare, we mean difficulty seeing well when there are bright lights like headlights or sunlight, such as shown in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No glare to severe glare

PROWL image for glare

Source: National Eye Institute

Fully-Specified Name

Component
Frequency of noticing glare when wearing best corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Freq notice glar w best corr lens p 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5661-5

Answer Code Score Answer ID
I do not use glasses or contact lenses LA31185-4
Never LA6270-8
Rarely LA10066-1
Sometimes LA10082-8
Often LA10044-8
Always LA9933-8

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Frequenza di abbagliamento notato quando si indossano migliori lenti correttive negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Frequenza di abbagliamento notato quando si indossano migliori lenti correttive negli ultimi 7 giorni Occhio Osservazione paziente Una settimana
zh-CN Chinese (China) 过去7天当中佩戴最好的矫正镜片时注意到眩光的频率:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录） 过去的1个星期（1周、1个礼拜、7天）当中佩戴最好的（最佳的）矫正镜片（矫正透镜、校正镜片、矫视镜片）时注意到（看到、见到）眩光（闪光、眩目的光、强烈的光、闪耀）的频率（频次、频度、频繁程度） 频次;频度;频繁性;次数;频率分布;发生次数;周率;频繁程度

99238-8 In the last 7 days, how often have you noticed glare when you are NOT wearing any vision correction (glasses or contact lenses)?

Observation ID in Form

51b

Form Context

INSTRUCTIONS: The next few questions are about glare. By glare, we mean difficulty seeing well when there are bright lights like headlights or sunlight, such as shown in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No glare to severe glare

PROWL image for glare

Source: National Eye Institute

Fully-Specified Name

Component
Frequency of noticing glare when not wearing corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Freq notice glar w/o corr lens p 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5662-3

Answer Code Score Answer ID
Never LA6270-8
Rarely LA10066-1
Sometimes LA10082-8
Often LA10044-8
Always LA9933-8
I always use glasses or contact lenses LA31186-2

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Frequenza di abbagliamento notato quando non si indossano lenti correttive negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Frequenza di abbagliamento notato quando non si indossano lenti correttive negli ultimi 7 giorni Occhio Osservazione paziente Una settimana
zh-CN Chinese (China) 过去7天当中没有佩戴矫正镜片时注意到眩光的频率:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录） 过去的1个星期（1周、1个礼拜、7天）当中没有（不、未）佩戴矫正镜片（矫正透镜、校正镜片、矫视镜片）时注意到（看到、见到）眩光（闪光、眩目的光、强烈的光、闪耀）的频率（频次、频度、频繁程度） 频次;频度;频繁性;次数;频率分布;发生次数;周率;频繁程度

99239-6 In the last 7 days, how bothersome has the glare been when you are wearing your best vision correction (glasses or contact lenses)?

Observation ID in Form

52a

Form Context

INSTRUCTIONS: The next few questions are about glare. By glare, we mean difficulty seeing well when there are bright lights like headlights or sunlight, such as shown in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No glare to severe glare

PROWL image for glare

Source: National Eye Institute

Fully-Specified Name

Component
How bothersome has glare been when wearing best corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Bother level glare w best corr pst 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5663-1

Answer Code Score Answer ID
I do not use glasses or contact lenses LA31185-4
Extremely bothersome LA27766-7
Very bothersome LA31187-0
Somewhat bothersome LA31188-8
A little bothersome LA31189-6
Not at all bothersome LA24969-0

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Quanto è stato fastidioso l'abbagliamento quando si indossano le migliori lenti correttive negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Quanto è stato fastidioso l''abbagliamento quando si indossano le migliori lenti correttive negli ultimi 7 giorni Una settimana
zh-CN Chinese (China) 在过去7天当中佩戴最好的矫正镜片时眩光有多烦人:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 在过去的1个星期（1周、1个礼拜、7天）当中佩戴最好的（最佳的）矫正镜片（矫正透镜、校正镜片、矫视镜片）时眩光（闪光、眩目的光、强烈的光、闪耀）有多（有多么）烦人（麻烦、烦心） 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

99240-4 In the last 7 days, how bothersome has the glare been when you are NOT wearing any vision correction (glasses or contact lenses)?

Observation ID in Form

52b

Form Context

INSTRUCTIONS: The next few questions are about glare. By glare, we mean difficulty seeing well when there are bright lights like headlights or sunlight, such as shown in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No glare to severe glare

PROWL image for glare

Source: National Eye Institute

Fully-Specified Name

Component
How bothersome has glare been when not wearing corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Bother level of glare w/o corr past 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5664-9

Answer Code Score Answer ID
Extremely bothersome LA27766-7
Very bothersome LA31187-0
Somewhat bothersome LA31188-8
A little bothersome LA31189-6
Not at all bothersome LA24969-0
I always use glasses or contact lenses LA31186-2

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Quanto è stato fastidioso l'abbagliamento quando non si indossavano lenti correttive negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Occhio Osservazione paziente Quanto è stato fastidioso l''abbagliamento quando non si indossavano lenti correttive negli ultimi 7 giorni Una settimana
zh-CN Chinese (China) 在过去7天当中没有佩戴矫正镜片时眩光有多烦人:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 在过去的1个星期（1周、1个礼拜、7天）当中没有（不、未）佩戴矫正镜片（矫正透镜、校正镜片、矫视镜片）时眩光（闪光、眩目的光、强烈的光、闪耀）有多（有多么）烦人（麻烦、烦心） 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

99241-2 In the last 7 days, how much difficulty have you had doing your usual activities because you noticed glare when you are wearing your best vision correction (glasses or contact lenses)?

Observation ID in Form

53a

Form Context

INSTRUCTIONS: The next few questions are about glare. By glare, we mean difficulty seeing well when there are bright lights like headlights or sunlight, such as shown in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No glare to severe glare

PROWL image for glare

Source: National Eye Institute

Fully-Specified Name

Component
Level of difficulty doing usual activities because of glare when wearing best corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Diff lvl b/c glare w best corr lens p 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5665-6

Answer Code Score Answer ID
I do not use glasses or contact lenses LA31185-4
No difficulty at all LA13948-7
Very little difficulty LA31190-4
Moderate difficulty LA15726-5
A lot of difficulty LA13951-1
So much difficulty that I can no longer do some of my usual activities LA31191-2

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Livello di difficoltà nello svolgere le normali attività a causa dell'abbagliamento quando indossa le migliori lenti correttive negli ultimi 7gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Livello di difficoltà nello svolgere le normali attività a causa dell''abbagliamento quando indossa le migliori lenti correttive negli ultimi 7 giorni Occhio Osservazione paziente Una settimana
zh-CN Chinese (China) 过去7天当中佩戴最好的矫正镜片时因为眩光而进行常规活动的困难程度:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录） 程度 等级 级 级别 过去的1个星期（1周、1个礼拜、7天）当中佩戴最好的（最佳的）矫正镜片（矫正透镜、校正镜片、矫视镜片）时因为（由于）眩光（闪光、眩目的光、强烈的光、闪耀）而进行（开展）常规（普通、日常）活动的困难程度（难度）

99242-0 In the last 7 days, how much difficulty have you had doing your usual activities because you notice glare when you are NOT wearing any vision correction (glasses or contact lenses)?

Observation ID in Form

53b

Form Context

INSTRUCTIONS: The next few questions are about glare. By glare, we mean difficulty seeing well when there are bright lights like headlights or sunlight, such as shown in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No glare to severe glare

PROWL image for glare

Source: National Eye Institute

Fully-Specified Name

Component
Level of difficulty doing usual activities because of glare when not wearing corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5666-4

Answer Code Score Answer ID
No difficulty at all LA13948-7
Very little difficulty LA31190-4
Moderate difficulty LA15726-5
A lot of difficulty LA13951-1
So much difficulty that I can no longer do some of my usual activities LA31191-2
I always use glasses or contact lenses LA31186-2

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99243-8 When you use your best vision correction (glasses or contact lenses) does the glare you notice

Observation ID in Form

54

Form Context

INSTRUCTIONS: The next few questions are about glare. By glare, we mean difficulty seeing well when there are bright lights like headlights or sunlight, such as shown in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No glare to severe glare

PROWL image for glare

Source: National Eye Institute

Fully-Specified Name

Component
Impact of best corrective lenses on glare
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5667-2

Answer Code Score Answer ID
I do not use glasses or contact lenses LA31185-4
Go away completely LA31192-0
Go away mostly LA31193-8
Go away a little LA31194-6
Not change LA31195-3
Get a little worse LA31196-1
Get a lot worse LA31197-9

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99244-6 In the last 7 days, have you seen any halos?

Observation ID in Form

55

Form Context

INSTRUCTIONS: The next few questions are about halos. By halos, we mean seeing a fuzzy cloud of light around lighted objects, such as the ones shown in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No halos to severe halos

PROWL image for halos

Source: National Eye Institute

Fully-Specified Name

Component
Seen halos in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Seen halos in past 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5660-7

Answer Code Score Answer ID
Yes, but ONLY when NOT wearing glasses or contact lenses LA31182-1
Yes, but ONLY when wearing glasses or contact lenses LA31183-9
Yes, when wearing AND when not wearing glasses or contacts LA31184-7
No, not at all LA18387-3

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Ha visto aloni negli ultimi 7 gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Ha visto aloni negli ultimi 7 giorni Occhio Osservazione paziente Una settimana
zh-CN Chinese (China) 在过去7天当中看到过光晕:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 在过去的1个星期（1周、1个礼拜、7天）当中看到过（看见过、见到过）光晕（光环、荣光、晕、晕圈、晕轮、光圈、晕圈） 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

99245-3 In the last 7 days, how often have you seen halos when you are wearing your best vision correction (glasses or contact lenses)?

Observation ID in Form

56a

Form Context

INSTRUCTIONS: The next few questions are about halos. By halos, we mean seeing a fuzzy cloud of light around lighted objects, such as the ones shown in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No halos to severe halos

PROWL image for halos

Source: National Eye Institute

Fully-Specified Name

Component
Frequency of seeing halos when wearing best corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5661-5

Answer Code Score Answer ID
I do not use glasses or contact lenses LA31185-4
Never LA6270-8
Rarely LA10066-1
Sometimes LA10082-8
Often LA10044-8
Always LA9933-8

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99246-1 In the last 7 days, how often have you seen halos when you are NOT wearing any vision correction (glasses or contact lenses)?

Observation ID in Form

56b

Form Context

INSTRUCTIONS: The next few questions are about halos. By halos, we mean seeing a fuzzy cloud of light around lighted objects, such as the ones shown in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No halos to severe halos

PROWL image for halos

Source: National Eye Institute

Fully-Specified Name

Component
Frequency of seeing halos when not wearing corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5662-3

Answer Code Score Answer ID
Never LA6270-8
Rarely LA10066-1
Sometimes LA10082-8
Often LA10044-8
Always LA9933-8
I always use glasses or contact lenses LA31186-2

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99247-9 In the last 7 days, how bothersome have the halos been when you are wearing your best vision correction (glasses or contact lenses)?

Observation ID in Form

57a

Form Context

INSTRUCTIONS: The next few questions are about halos. By halos, we mean seeing a fuzzy cloud of light around lighted objects, such as the ones shown in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No halos to severe halos

PROWL image for halos

Source: National Eye Institute

Fully-Specified Name

Component
How bothersome have halos been when wearing best corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5663-1

Answer Code Score Answer ID
I do not use glasses or contact lenses LA31185-4
Extremely bothersome LA27766-7
Very bothersome LA31187-0
Somewhat bothersome LA31188-8
A little bothersome LA31189-6
Not at all bothersome LA24969-0

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99248-7 In the last 7 days, how bothersome have the halos been when you are NOT wearing any vision correction (glasses or contact lenses)?

Observation ID in Form

57b

Form Context

INSTRUCTIONS: The next few questions are about halos. By halos, we mean seeing a fuzzy cloud of light around lighted objects, such as the ones shown in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No halos to severe halos

PROWL image for halos

Source: National Eye Institute

Fully-Specified Name

Component
How bothersome have halos been when not wearing corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5664-9

Answer Code Score Answer ID
Extremely bothersome LA27766-7
Very bothersome LA31187-0
Somewhat bothersome LA31188-8
A little bothersome LA31189-6
Not at all bothersome LA24969-0
I always use glasses or contact lenses LA31186-2

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99249-5 In the last 7 days, how much difficulty have you had doing your usual activities because you see halos when you are wearing your best vision correction (glasses or contact lenses)?

Observation ID in Form

58a

Form Context

INSTRUCTIONS: The next few questions are about halos. By halos, we mean seeing a fuzzy cloud of light around lighted objects, such as the ones shown in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No halos to severe halos

PROWL image for halos

Source: National Eye Institute

Fully-Specified Name

Component
Level of difficulty doing usual activities because of halos when wearing best corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5665-6

Answer Code Score Answer ID
I do not use glasses or contact lenses LA31185-4
No difficulty at all LA13948-7
Very little difficulty LA31190-4
Moderate difficulty LA15726-5
A lot of difficulty LA13951-1
So much difficulty that I can no longer do some of my usual activities LA31191-2

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99250-3 In the last 7 days, how much difficulty have you had doing your usual activities because you see halos when you are NOT wearing any vision correction (glasses or contact lenses)?

Observation ID in Form

58b

Form Context

INSTRUCTIONS: The next few questions are about halos. By halos, we mean seeing a fuzzy cloud of light around lighted objects, such as the ones shown in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No halos to severe halos

PROWL image for halos

Source: National Eye Institute

Fully-Specified Name

Component
Level of difficulty doing usual activities because of halos when not wearing corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5666-4

Answer Code Score Answer ID
No difficulty at all LA13948-7
Very little difficulty LA31190-4
Moderate difficulty LA15726-5
A lot of difficulty LA13951-1
So much difficulty that I can no longer do some of my usual activities LA31191-2
I always use glasses or contact lenses LA31186-2

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99251-1 When you use your best vision correction (glasses or contact lenses) do the halos you see:

Observation ID in Form

59

Form Context

INSTRUCTIONS: The next few questions are about halos. By halos, we mean seeing a fuzzy cloud of light around lighted objects, such as the ones shown in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No halos to severe halos

PROWL image for halos

Source: National Eye Institute

Fully-Specified Name

Component
Impact of best corrective lenses on halos
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5667-2

Answer Code Score Answer ID
I do not use glasses or contact lenses LA31185-4
Go away completely LA31192-0
Go away mostly LA31193-8
Go away a little LA31194-6
Not change LA31195-3
Get a little worse LA31196-1
Get a lot worse LA31197-9

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99252-9 In the last 7 days, have you seen any starbursts?

Observation ID in Form

60

Form Context

INSTRUCTIONS: The next few questions are about starbursts. By starbursts, we mean seeing rays of light coming out from lighted objects, such as in the car headlights in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No starbursts to severe starbursts

PROWL image for starbursts

Source: National Eye Institute

Fully-Specified Name

Component
Seen starbursts in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Seen starbursts in past 7D

Basic Attributes

Class
EYE.HX
Type
Clinical
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5660-7

Answer Code Score Answer ID
Yes, but ONLY when NOT wearing glasses or contact lenses LA31182-1
Yes, but ONLY when wearing glasses or contact lenses LA31183-9
Yes, when wearing AND when not wearing glasses or contacts LA31184-7
No, not at all LA18387-3

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Language Variants Get Info

Tag Language Translation
it-IT Italian (Italy) Ha visto starburst negli ultimi 7 gg:Osservazione:7 giorni:^Paziente:Ord:
Synonyms: Ha visto starburst negli ultimi 7 giorni Occhio Osservazione paziente Una settimana
zh-CN Chinese (China) 在过去7天当中看到过星状亮光:发现:7天:^患者:序数型:
Synonyms: 1个星期;1周;1个礼拜;1星期;1礼拜 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 在过去的1个星期（1周、1个礼拜、7天）当中看到过（看见过、见到过）星状亮光（星状光芒） 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 眼科学与视力测定变量.病史（历史纪录、历史、病史纪录）

99253-7 In the last 7 days, how often have you seen starbursts when you are wearing your best vision correction (glasses or contact lenses)?

Observation ID in Form

61a

Form Context

INSTRUCTIONS: The next few questions are about starbursts. By starbursts, we mean seeing rays of light coming out from lighted objects, such as in the car headlights in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No starbursts to severe starbursts

PROWL image for starbursts

Source: National Eye Institute

Fully-Specified Name

Component
Frequency of seeing starbursts when wearing best corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5661-5

Answer Code Score Answer ID
I do not use glasses or contact lenses LA31185-4
Never LA6270-8
Rarely LA10066-1
Sometimes LA10082-8
Often LA10044-8
Always LA9933-8

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99254-5 In the last 7 days, how often have you seen starbursts when you are NOT wearing any vision correction (glasses or contact lenses)?

Observation ID in Form

61b

Form Context

INSTRUCTIONS: The next few questions are about starbursts. By starbursts, we mean seeing rays of light coming out from lighted objects, such as in the car headlights in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No starbursts to severe starbursts

PROWL image for starbursts

Source: National Eye Institute

Fully-Specified Name

Component
Frequency of seeing starbursts when not wearing corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5662-3

Answer Code Score Answer ID
Never LA6270-8
Rarely LA10066-1
Sometimes LA10082-8
Often LA10044-8
Always LA9933-8
I always use glasses or contact lenses LA31186-2

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99255-2 In the last 7 days, how bothersome have the starbursts been when you are wearing your best vision correction (glasses or contact lenses)?

Observation ID in Form

62a

Form Context

INSTRUCTIONS: The next few questions are about starbursts. By starbursts, we mean seeing rays of light coming out from lighted objects, such as in the car headlights in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No starbursts to severe starbursts

PROWL image for starbursts

Source: National Eye Institute

Fully-Specified Name

Component
How bothersome have starbursts been when wearing best corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5663-1

Answer Code Score Answer ID
I do not use glasses or contact lenses LA31185-4
Extremely bothersome LA27766-7
Very bothersome LA31187-0
Somewhat bothersome LA31188-8
A little bothersome LA31189-6
Not at all bothersome LA24969-0

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99256-0 In the last 7 days, how bothersome have the starbursts been when you are NOT wearing any vision correction (glasses or contact lenses)?

Observation ID in Form

62b

Form Context

INSTRUCTIONS: The next few questions are about starbursts. By starbursts, we mean seeing rays of light coming out from lighted objects, such as in the car headlights in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No starbursts to severe starbursts

PROWL image for starbursts

Source: National Eye Institute

Fully-Specified Name

Component
How bothersome have starbursts been when not wearing corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5664-9

Answer Code Score Answer ID
Extremely bothersome LA27766-7
Very bothersome LA31187-0
Somewhat bothersome LA31188-8
A little bothersome LA31189-6
Not at all bothersome LA24969-0
I always use glasses or contact lenses LA31186-2

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99257-8 In the last 7 days, how much difficulty have you had doing your usual activities because you see starbursts when you are wearing your best vision correction (glasses or contact lenses)?

Observation ID in Form

63a

Form Context

INSTRUCTIONS: The next few questions are about starbursts. By starbursts, we mean seeing rays of light coming out from lighted objects, such as in the car headlights in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No starbursts to severe starbursts

PROWL image for starbursts

Source: National Eye Institute

Fully-Specified Name

Component
Level of difficulty doing usual activities because of starbursts when wearing best corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5665-6

Answer Code Score Answer ID
I do not use glasses or contact lenses LA31185-4
No difficulty at all LA13948-7
Very little difficulty LA31190-4
Moderate difficulty LA15726-5
A lot of difficulty LA13951-1
So much difficulty that I can no longer do some of my usual activities LA31191-2

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99258-6 In the last 7 days, how much difficulty have you had doing your usual activities because you see starbursts when you are NOT wearing any vision correction (glasses or contact lenses)?

Observation ID in Form

63b

Form Context

INSTRUCTIONS: The next few questions are about starbursts. By starbursts, we mean seeing rays of light coming out from lighted objects, such as in the car headlights in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No starbursts to severe starbursts

PROWL image for starbursts

Source: National Eye Institute

Fully-Specified Name

Component
Level of difficulty doing usual activities because of starbursts when not wearing corrective lenses in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5666-4

Answer Code Score Answer ID
No difficulty at all LA13948-7
Very little difficulty LA31190-4
Moderate difficulty LA15726-5
A lot of difficulty LA13951-1
So much difficulty that I can no longer do some of my usual activities LA31191-2
I always use glasses or contact lenses LA31186-2

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99259-4 When you use your best vision correction (glasses or contact lenses) do the starbursts you see:

Observation ID in Form

64

Form Context

INSTRUCTIONS: The next few questions are about starbursts. By starbursts, we mean seeing rays of light coming out from lighted objects, such as in the car headlights in the images below. These images may not represent exactly what you see and your symptoms may be more or less severe than what is shown

Source: National Eye Institute

Image

No starbursts to severe starbursts

PROWL image for starbursts

Source: National Eye Institute

Fully-Specified Name

Component
Impact of best corrective lenses on starbursts
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL5667-2

Answer Code Score Answer ID
I do not use glasses or contact lenses LA31185-4
Go away completely LA31192-0
Go away mostly LA31193-8
Go away a little LA31194-6
Not change LA31195-3
Get a little worse LA31196-1
Get a lot worse LA31197-9

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99260-2 How do you get information about LASIK surgery?

Observation ID in Form

73

Form Coding Instructions

please select all that apply

Source: Regenstrief Institute

Fully-Specified Name

Component
Information source for medical procedure
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Normative Answer List LL6087-2

Answer Code Score Answer ID
Discussions with LASIK surgeon LA32727-2
Discussions with any other eye care professional (e.g., ophthalmologist or optometrist) LA32728-0
Discussions with another physician, not an opthalmologist LA32729-8
Eye care professional's office pamphlets LA32730-6
Eye care professional's office videos LA32731-4
Internet websites LA32726-4
Newspaper or magazine articles LA32732-2
Television/Radio LA32733-0
Discussion with another patient LA32734-8
Discussions with family or friends who have not had LASIK surgery LA32735-5
Discussions with family or friends who have had LASIK surgery LA32736-3
Other LA46-8

Member of these Panels

LOINC Long Common Name
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99261-0 Have you ever been told by a LASIK surgeon or any other eye care professional that you should not have LASIK surgery performed?

Observation ID in Form

74

Fully-Specified Name

Component
Told not to have LASIK by an eye care professional
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
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
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

44250-9 Over the last 2 weeks, how often have you been bothered by having little interest or pleasure in doing things?

Observation ID in Form

75

Fully-Specified Name

Component
Little interest or pleasure in doing things in last 2W
Property
Find
Time
2W
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PHQ
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.72
Change Reason
Release 2.72: AnswerListId: Updated to a more general list without associated codes; METHOD_TYP: Removed Method because this concept is not specific to PHQ; SURVEY_QUEST_TEXT: Moved from the individual term level to the instance of this term in the panel; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability; EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to PHQ9; SURVEY_QUEST_SRC: Moved from the individual term level to the instance of this term in the panel.;
Order vs. Observation
Observation

Normative Answer List LL6099-7

Answer Code Score Answer ID
Not at all LA6568-5
Several days LA6569-3
More than half the days LA6570-1
Nearly every day LA6571-9

Member of these Panels

LOINC Long Common Name
97023-6 Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
57039-0 Deprecated Outcome and assessment information set (OASIS) form - version C
57191-9 Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1 Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
86189-8 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
88368-6 Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6 Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
69729-2 Patient Health Questionnaire - Somatic, Anxiety, and Depressive Symptoms (PHQ-SADS) [Reported]
69723-5 Patient Health Questionnaire (PHQ) [Reported]
55757-9 Patient Health Questionnaire 2 item (PHQ-2) [Reported]
69724-3 Patient Health Questionnaire 4 item (PHQ-4) [Reported]
94329-0 Patient Health Questionnaire 8 item (PHQ-8) [Reported]
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
44249-1 PHQ-9 quick depression assessment panel [Reported.PHQ]

44255-8 Over the last 2 weeks, how often have you been bothered by feeling down, depressed, or hopeless?

Observation ID in Form

76

Fully-Specified Name

Component
Feeling down, depressed, or hopeless in last 2W
Property
Find
Time
2W
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PHQ
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.72
Change Reason
Release 2.72: METHOD_TYP: Removed Method because this concept is not specific to PHQ; EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to PHQ; SURVEY_QUEST_SRC: Moved from the individual term level to the instance of this term in the panel.; SURVEY_QUEST_TEXT: Moved from the individual term level to the instance of this term in the panel.; AnswerListId: Updated to a more general list without associated codes; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability;
Order vs. Observation
Observation

Normative Answer List LL6099-7

Answer Code Score Answer ID
Not at all LA6568-5
Several days LA6569-3
More than half the days LA6570-1
Nearly every day LA6571-9

Member of these Panels

LOINC Long Common Name
97023-6 Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
57039-0 Deprecated Outcome and assessment information set (OASIS) form - version C
57191-9 Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1 Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
86189-8 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
88368-6 Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6 Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
69729-2 Patient Health Questionnaire - Somatic, Anxiety, and Depressive Symptoms (PHQ-SADS) [Reported]
69723-5 Patient Health Questionnaire (PHQ) [Reported]
55757-9 Patient Health Questionnaire 2 item (PHQ-2) [Reported]
69724-3 Patient Health Questionnaire 4 item (PHQ-4) [Reported]
94329-0 Patient Health Questionnaire 8 item (PHQ-8) [Reported]
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
44249-1 PHQ-9 quick depression assessment panel [Reported.PHQ]

69725-0 Over the last 2 weeks, how often have you been bothered by feeling nervous, anxious, or on edge?

Observation ID in Form

77

Fully-Specified Name

Component
Feeling nervous, anxious or on edge in last 2W
Property
Find
Time
2W
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PHQ
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.72
Change Reason
Release 2.72: SURVEY_QUEST_TEXT: Moved from the individual term level to the instance of this term in the panel.; EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to PHQ; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability; SURVEY_QUEST_SRC: Moved from the individual term level to the instance of this term in the panel.; METHOD_TYP: Removed Method because this concept is not specific to PHQ; AnswerListId: Updated to a more general list without associated codes;

Normative Answer List LL6099-7

Answer Code Score Answer ID
Not at all LA6568-5
Several days LA6569-3
More than half the days LA6570-1
Nearly every day LA6571-9

Member of these Panels

LOINC Long Common Name
69737-5 Generalized anxiety disorder 7 item (GAD-7)
69729-2 Patient Health Questionnaire - Somatic, Anxiety, and Depressive Symptoms (PHQ-SADS) [Reported]
69724-3 Patient Health Questionnaire 4 item (PHQ-4) [Reported]
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

68509-9 Over the last 2 weeks, how often have you been bothered by not being able to stop or control worrying?

Observation ID in Form

78

Fully-Specified Name

Component
Not able to stop or control worrying in the last 2W
Property
Find
Time
2W
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.SAMHSA
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.72
Change Reason
Release 2.72: METHOD_TYP: Removed Method because this concept is not specific to SAMHSA; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability; SURVEY_QUEST_TEXT: Moved from the individual term level to the instance of this term in the panel.; AnswerListId: Updated to a more general list without associated codes;

Normative Answer List LL6099-7

Answer Code Score Answer ID
Not at all LA6568-5
Several days LA6569-3
More than half the days LA6570-1
Nearly every day LA6571-9

Member of these Panels

LOINC Long Common Name
68899-4 Core behavioral and psychosocial data elements for the electronic health record [SAMHSA]
69737-5 Generalized anxiety disorder 7 item (GAD-7)
69729-2 Patient Health Questionnaire - Somatic, Anxiety, and Depressive Symptoms (PHQ-SADS) [Reported]
69724-3 Patient Health Questionnaire 4 item (PHQ-4) [Reported]
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

99423-6 About how many minutes do you think it took you to fill out this questionnaire? If you completed this survey in multiple sessions, estimate the total time you spent on the survey. Your best estimate is fine.

Observation ID in Form

101

Fully-Specified Name

Component
Time to complete survey
Property
Time
Time
Pt
System
^Patient
Scale
Qn
Method

Basic Attributes

Class
SURVEY.PROWL
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]

Example Units

Unit Source
min Example UCUM Units

82589-3 What is the highest level of education you have completed?

Part Descriptions

LP72877-1   Highest level of education
The highest level of education attained. Source: Centers for Disease Control and Prevention

Observation ID in Form

106

Fully-Specified Name

Component
Highest level of education
Property
Hx
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Highest level of educ

Basic Attributes

Class
ADMIN.PATIENT.DEMOG
Type
Clinical
First Released
Version 2.58
Last Updated
Version 2.73
Change Reason
Removed the Method of Reported
Order vs. Observation
Observation
Common Test Rank Get Info
294

Normative Answer List LL6101-1

Answer Code Score Answer ID
8th grade or less LA12455-4
Some high school, but did not graduate LA32764-5
High school graduate or GED LA32765-2
Some college or 2-year degree LA32766-0
4-year college graduate LA32767-8
More than 4-yearcollege degree LA32768-6

Member of these Panels

LOINC Long Common Name
55169-7 Data Elements for Emergency Department Systems (DEEDS) Release 1.0
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
45969-3 Deprecated MDS background information at admission form - version 2.0
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
93025-5 Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]
98154-8 SARS-CoV-2-related socioeconomic questionnaire for adults

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) El mas alto nivel de educación:Hx:Punto temporal:^ Paciente:Ordinal:
it-IT Italian (Italy) Livello più elevato di istruzione:Hx:Pt:^Paziente:Ord:
Synonyms: Amministrativo Dati demografici del paziente Paziente Punto nel tempo (episodio) Storia;Anamnesi
ru-RU Russian (Russian Federation) Уровень образования:Hx:ТчкВрм:^Пациент:Пор:
Synonyms: История Порядковый Точка во времени;Момент
zh-CN Chinese (China) 文化程度:历史记录:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史;史;病史 教育程度;教育水平;教育等级;受教育程度 时刻;随机;随意;瞬间 程度 等级 级 级别 行政;管理;施行;执行;经营 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员） 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.人口统计学信息（人口统计学、人口统计、人口统计数据、人口统计学数据、人口统计特征、人口统计学特征、个人基本信息、人员基本信息、个人基本资料、个人基本数据）

77244-2 Which category best describes your household income?

Observation ID in Form

107

Fully-Specified Name

Component
Total combined household income range in last 12Mo
Property
NRat
Time
12Mo
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.HWS
Type
Surveys
First Released
Version 2.52
Last Updated
Version 2.72
Change Reason
Release 2.72: Status: Moved from Trial to Active for increased usability; SURVEY_QUEST_TEXT: Moved from the individual term level to the instance of this term in the panel.; SURVEY_QUEST_SRC: Moved from the individual term level to the instance of this term in the panel.; Previous Releases: Changed Y to 12Mo in Component Name based on current LOINC model
Order vs. Observation
Observation

Normative Answer List LL6102-9

Answer Code Score Answer ID
Less than $25,000 LA32769-4
$25,000-$49,999 LA32770-2
$50,000-$74,999 LA32771-0
$75,000-$99,999 LA32772-8
$100,000-$149,000 LA32773-6
$150,000 or more LA32774-4

Member of these Panels

LOINC Long Common Name
86636-8 Family planning report - FPAR 2.0 set
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
77249-1 Weight management summary - recommended IHE set

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

69854-8 Are you Hispanic, Latino, or of Spanish origin?

Term Description

This term is used for reporting ethnicity based on, but not limited in use to, the Department of Health and Human Services, Affordable Care Act Section 4302.
Source: Regenstrief LOINC

Reference Information

Type Source Reference
Citation Health and Human Services Health and Human Services standard on race, ethnicity, sex, primary language and disability status Health and Human Services std on race, ethnicity, sex, primary language and disability status
Citation Health and Human Services Dorsey ,Rashida, PhD, MPH, Graham Garth, MD, MPH, New HHS Data Standards for Race, Ethnicity, Sex, Primary Language, and Disability Status, JAMA, December 7, 2011-Vol 306, No. 21, pp 2378-79

Observation ID in Form

108

Fully-Specified Name

Component
Hispanic, latino-a, or spanish origin
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Hispanic, latino-a, or spanish

Basic Attributes

Class
ADMIN.PATIENT.DEMOG
Type
Clinical
First Released
Version 2.40
Last Updated
Version 2.68
Change Reason
Release 2.68: CLASS: Moved term to the more representative Class for this concept.; COMPONENT: Updated Component name to represent the clinical concept rather than the specific question from the original source since the question asked will vary across forms and assessments.; Previous Releases: Removed Method since this a general concept that can be applied in other use-cases. Updated Answer list type to EXAMPLE. Assigned Answer list type of NORMATIVE within the context of the Health and Human Services (HHS) panel [LOINC: 69919-9]. Updated Scale from Ord to Nom based on the answer list.

Normative Answer List LL2006-6

Answer Code Score Answer ID
No, not of Hispanic, Latino-a, or of Spanish origin a LA18367-5
Yes, Mexican, Mexican-American, Chicano-a b LA18368-3
Yes, Puerto Rican c LA18369-1
Yes, Cuban d LA18370-9
Yes, another Hispanic, Latino-a, or Spanish origin e LA18371-7

Member of these Panels

LOINC Long Common Name
103991-6 CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
93128-7 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
93222-8 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
101111-3 MDS v3.0 - RAI v1.18.11 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
101108-9 MDS v3.0 - RAI v1.18.11 - Nursing home and Swing bed tracking (NT and ST) item set [CMS Assessment]
101105-5 MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
101107-1 MDS v3.0 - RAI v1.18.11 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
101109-7 MDS v3.0 - RAI v1.18.11 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
101110-5 MDS v3.0 - RAI v1.18.11 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
101106-3 MDS v3.0 - RAI v1.18.11 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
101113-9 MDS v3.0 - RAI v1.18.11 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
101112-1 MDS v3.0 - RAI v1.18.11 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
104608-5 MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment]
105008-7 MDS v3.0 - RAI v1.19.1 - Nursing home and Swing bed tracking (NT ST) item set during assessment period [CMS Assessment]
103564-1 MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9 MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
105201-8 MDS v3.0 - RAI v1.19.1 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment]
104552-5 MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1 MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7 MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3 MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
99131-5 Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
94158-3 PhenX - ethnicity protocol 010502
69919-9 Race, ethnicity, sex, primary language, disability - Health and Human Services (HHS) panel [HHS.ACA Section 4302]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Origen hispano, latino-a o español:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (Italy) E' ispanico, latino-a, o di origine spagnola:Osservazione:Pt:^Paziente:Nom:
Synonyms: Amministrativo Dati demografici del paziente Osservazione Paziente Punto nel tempo (episodio)
pl-PL Polish (Poland) Pochodzenie hiszpańskie lub latynoskie:wynik:punkt w czasie:^pacjent:cecha:
Synonyms: Pochodzenie Pochodzenie hiszpańskie lub latynoskie
ru-RU Russian (Russian Federation) У Вас от испаноговорящие, латиноамериканские или испанские корни:Находка:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (China) 西班牙裔血统、拉丁裔血统还是西班牙裔血统:发现:时间点:^患者:名义型:
Synonyms: A 型 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 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 您究竟是西班牙裔血统、拉丁裔血统还是西班牙裔血统;拉美裔;西班牙裔;拉美裔血统 成因;来源 时刻;随机;随意;瞬间 行政;管理;施行;执行;经营 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员） 行政管理（行政、管理、施行、执行、经营）.患者（病人、病患、病号、伤病员）.人口统计学信息（人口统计学、人口统计、人口统计数据、人口统计学数据、人口统计特征、人口统计学特征、个人基本信息、人员基本信息、个人基本资料、个人基本数据）

32624-9 What is your race?

Observation ID in Form

109

Form Coding Instructions

please select all that apply

Source: Regenstrief Institute

Fully-Specified Name

Component
Race
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Race

Basic Attributes

Class
CLIN
Type
Clinical
First Released
Version 2.09
Last Updated
Version 2.73
Common Test Rank Get Info
1224

HL7® Attributes

HL7® Field ID
PID-10

Normative Answer List LL6100-3

Answer Code Score Answer ID
White LA4457-3
Black or African American LA10610-6
American Indian or Alaska Native LA6155-1
Asian Indian LA14048-5
Asian LA6156-9
Samoan or Native Hawaiian LA32763-7
Other Pacific Islander LA14047-7
Other, specify LA46-8

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
58735-2 Alpha-1-Fetoprotein panel - Amniotic fluid
48802-3 Alpha-1-Fetoprotein panel - Serum or Plasma
55168-9 Data Elements for Emergency Department Systems (DEEDS) Release 1.1
45963-6 Deprecated MDS basic assessment tracking form - version 2.0
86636-8 Family planning report - FPAR 2.0 set
49085-4 First and Second trimester integrated maternal screen panel
48798-3 First trimester maternal screen panel - Serum or Plasma
49086-2 First trimester maternal screen with nuchal translucency panel
49087-0 Maternal screen clinical predictors panel
82259-3 Metabolic equivalent of task and Resting metabolic rate panel
80399-9 Occupational exposure information panel
79191-3 Patient demographics panel
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
93025-5 Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]
48799-1 Second trimester penta maternal screen panel - Serum or Plasma
48800-7 Second trimester quad maternal screen panel - Serum or Plasma
35086-8 Second trimester triple maternal screen panel - Serum or Plasma

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) raza:tipo:punto en el tiempo:^paciente:Nominal:
es-MX Spanish (Mexico) Raza:Tipo:Punto temporal:^ Paciente:Nominal:
fr-BE French (Belgium) Race:Type:Temps ponctuel:^Patient:Nominal:
it-IT Italian (Italy) Razza:Tipo:Pt:^Paziente:Nom:
Synonyms: Clinico paziente Punto nel tempo (episodio)
nl-NL Dutch (Netherlands) ras:type:moment:^patiënt:nominaal:
pt-BR Portuguese (Brazil) Raça:Tipo:Pt:^Paciente:Nom:
Synonyms: Ethnicity; Typ; Point in time; Random; Nominal
ru-RU Russian (Russian Federation) раса:Тип:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
tr-TR Turkish (Turkey) Irk:Tip:Zmlı:^Hasta:Snf:
Synonyms: Tür
uk-UA Ukrainian (Ukraine) Раса:Тип:МоментЧасу:^Пацієнт:Категорійно:
Synonyms: AOEObservation; CLIN; Ethnicity; Nominal; Point in time; Random; Typ
zh-CN Chinese (China) 种族:类型:时间点:^患者:名义型:
Synonyms: 人种;族;民族;种 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 型 时刻;随机;随意;瞬间