Version 2.78

Reference Information

Type Source Reference
Citation David Cella, PhDCopyright Copyright © 2010 David Cella, PhD. FACIT Copyright FACIT Copyright

Panel Hierarchy

Details for each LOINC in Panel LHC-Forms

LOINC Name R/O/C Cardinality Example UCUM Units
70672-1 Functional Assessment of Chronic Illness Therapy (FACIT) - Treatment Specific Measures Panel
Indent70571-5 Treatment for bone disease expectations
IndentIndent70572-3 I believe that treatment for bone disease will take up my time
IndentIndent70573-1 I believe that my treatment for bone disease will take up my family's time
IndentIndent70574-9 I worry about side effects from treatment for bone disease
IndentIndent70575-6 I believe that my treatment for bone disease will cause me physical pain
IndentIndent70576-4 I believe that receiving treatment for bone disease will be inconvenient
IndentIndent70577-2 I worry that my treatment for bone disease will not be effective
IndentIndent70578-0 I believe that treatment for bone disease will be harmful to me
IndentIndent70579-8 I believe that my treatment schedule for bone disease will be stressful to me
IndentIndent70580-6 I believe that my treatment schedule for bone disease will be stressful to my family
IndentIndent70581-4 I believe that I will be bothered by side effects of treatment for bone disease
IndentIndent70582-2 I believe that waiting up to 60M before eating breakfast in the morning will be inconvenient
IndentIndent70583-0 I believe that an infusion for my bone treatment will cause me physical pain
IndentIndent70584-8 I believe that having my blood drawn will be inconvenient
Indent70585-5 Functional Assessment of Cancer Therapy for patients receiving enteral feeding questionnaire - version 1 (FACT-EF) [FACIT]
IndentIndent70586-3 I experience a pleasant feeling of fullness during or after my tube feeding
IndentIndent70587-1 I feel uncomfortably full during or after my tube feeding
IndentIndent70588-9 I have constipation during or after my tube feeding
IndentIndent70589-7 I experience vomiting during or after my tube feeding
IndentIndent70590-5 Tube feeding limits what I can do inside the house (for example housework, watching TV or reading)
IndentIndent70591-3 Tube feeding limits what I can do outside of the house (for example shopping, driving or yard work)
IndentIndent70592-1 Tube feeding limits my activities with my friends
IndentIndent70593-9 During the use of tube feeding, I can eat and drink by mouth
IndentIndent70594-7 I miss being able to take more food or drink by mouth now that I have a feeding tube
IndentIndent70595-4 I have the desire to eat
IndentIndent70596-2 I worry that having a feeding tube means my health is worse
IndentIndent70597-0 I worry about the tube coming out by accident
IndentIndent70598-8 I worry about the tube getting plugged or blocked
IndentIndent70599-6 I worry about getting an infection from the feeding tube
IndentIndent70600-2 I worry about losing weight because I have a feeding tube
IndentIndent70601-0 I feel that I have lost control of my food choices because I have a feeding tube
IndentIndent70602-8 I feel dependent on others because I have a feeding tube
IndentIndent70603-6 I feel left out when others are eating
IndentIndent70604-4 I am more confident about my nutrition because of my feeding tube
IndentIndent70605-1 Getting a feeding tube was the right decision for me
Indent70606-9 Functional Assessment of Cancer Therapy for patients with EGFRI inhibitors questionnaire - 18 items (FACT-EGFRI-18) [FACIT]
IndentIndent70607-7 My skin or scalp feels irritated
IndentIndent70608-5 My skin or scalp is dry or "flaky"
IndentIndent70609-3 My skin or scalp itches
IndentIndent70610-1 My skin bleeds easily
IndentIndent70611-9 I am bothered by a change in my skins sensitivity to the sun
IndentIndent70612-7 My skin condition interferes with my ability to sleep
IndentIndent70613-5 My skin condition affects my mood
IndentIndent70614-3 My skin condition interferes with my social life
IndentIndent70615-0 I am embarrassed by my skin condition
IndentIndent70616-8 I avoid going out in public because of how my skin looks
IndentIndent70617-6 I feel unattractive because of how my skin looks
IndentIndent70618-4 Changes in my skin condition make daily life difficult
IndentIndent70619-2 The skin side effects from treatment have interfered with household tasks
IndentIndent70620-0 My eyes are dry
IndentIndent70621-8 I am bothered by sensitivity around my fingernails or toenails
IndentIndent70622-6 Sensitivity around my fingernails makes it difficult to perform household tasks
IndentIndent70309-0 I am bothered by hair loss
IndentIndent70623-4 I am bothered by increased facial hair
Indent70624-2 Functional Assessment of Cancer Therapy for patients with neurotoxicity questionnaire - version 4 (FACT-GOG-NTX) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70887-5 Additional concerns - FACT-GOG-NTX [FACIT]
IndentIndentIndent70562-4 I have numbness or tingling in my hands
IndentIndentIndent70625-9 I have numbness or tingling in my feet
IndentIndentIndent70626-7 I feel discomfort in my hands
IndentIndentIndent70627-5 I feel discomfort in my feet
IndentIndentIndent70628-3 I have joint pain or muscle cramps
IndentIndentIndent70425-4 I feel weak all over
IndentIndentIndent70477-5 I have trouble hearing
IndentIndentIndent70629-1 I get a ringing or buzzing in my ears
IndentIndentIndent70630-9 I have trouble buttoning buttons
IndentIndentIndent70631-7 I have trouble feeling the shape of small objects when they are in my hand
IndentIndentIndent70632-5 I have trouble walking
Indent70633-3 Functional Assessment of Cancer Therapy for patients with neurotoxicity questionnaire - 12 items - version 4 (FACT-GOG-NTX 12) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70888-3 Additional concerns - FACT-GOG-NTX-12 [FACIT]
IndentIndentIndent70562-4 I have numbness or tingling in my hands
IndentIndentIndent70625-9 I have numbness or tingling in my feet
IndentIndentIndent70626-7 I feel discomfort in my hands
IndentIndentIndent70627-5 I feel discomfort in my feet
IndentIndentIndent70628-3 I have joint pain or muscle cramps
IndentIndentIndent70425-4 I feel weak all over
IndentIndentIndent70477-5 I have trouble hearing
IndentIndentIndent70629-1 I get a ringing or buzzing in my ears
IndentIndentIndent70630-9 I have trouble buttoning buttons
IndentIndentIndent70631-7 I have trouble feeling the shape of small objects when they are in my hand
IndentIndentIndent70632-5 I have trouble walking
IndentIndentIndent70563-2 I have pain in my hands or feet when I am exposed to cold temperatures
Indent70635-8 Functional Assessment of Cancer Therapy for patients with neurotoxicity questionnaire - 13 items - version 4 (FACT-GOG-NTX 13) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70889-1 Additional concerns - FACT-GOG-NTX-13 [FACIT]
IndentIndentIndent70562-4 I have numbness or tingling in my hands
IndentIndentIndent70625-9 I have numbness or tingling in my feet
IndentIndentIndent70626-7 I feel discomfort in my hands
IndentIndentIndent70627-5 I feel discomfort in my feet
IndentIndentIndent70628-3 I have joint pain or muscle cramps
IndentIndentIndent70425-4 I feel weak all over
IndentIndentIndent70477-5 I have trouble hearing
IndentIndentIndent70629-1 I get a ringing or buzzing in my ears
IndentIndentIndent70630-9 I have trouble buttoning buttons
IndentIndentIndent70631-7 I have trouble feeling the shape of small objects when they are in my hand
IndentIndentIndent70632-5 I have trouble walking
IndentIndentIndent70563-2 I have pain in my hands or feet when I am exposed to cold temperatures
IndentIndentIndent70634-1 I have difficulty breathing when I am exposed to cold temperatures
Indent70636-6 Functional Assessment of Cancer Therapy for patients with neurotoxicity questionnaire - 4 items - version 4 (FACT-GOG-NTX-4) [FACIT]
IndentIndent70562-4 I have numbness or tingling in my hands
IndentIndent70625-9 I have numbness or tingling in my feet
IndentIndent70626-7 I feel discomfort in my hands
IndentIndent70627-5 I feel discomfort in my feet
Indent70637-4 Functional Assessment of Cancer Therapy for patients undergoing bone marrow transplantation questionnaire - version 4 (FACT-BMT) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70890-9 Additional concerns - FACT-BMT [FACIT]
IndentIndentIndent70638-2 I am concerned about keeping my job (include work at home)
IndentIndentIndent70639-0 I feel distant from other people
IndentIndentIndent70640-8 I worry that the transplant will not work
IndentIndentIndent70641-6 The effects of treatment are worse than I had imagined
IndentIndentIndent70350-4 I have a good appetite
IndentIndentIndent70351-2 I like the appearance of my body
IndentIndentIndent70320-7 I am able to get around by myself
IndentIndentIndent70528-5 I get tired easily
IndentIndentIndent70317-3 I am interested in sex
IndentIndentIndent70321-5 I have concerns about my ability to have children
IndentIndentIndent70642-4 I have confidence in my nurse(s)
IndentIndentIndent70643-2 I regret having the bone marrow transplant
IndentIndentIndent70663-0 I can remember things
IndentIndentIndent70323-1 I am able to concentrate
IndentIndentIndent70644-0 I have frequent colds/infections
IndentIndentIndent70645-7 My eyesight is blurry
IndentIndentIndent70668-9 I am bothered by a change in the way food tastes
IndentIndentIndent70646-5 I have tremors
IndentIndentIndent70305-8 I have been short of breath
IndentIndentIndent70565-7 I am bothered by skin problems
IndentIndentIndent70669-7 I have trouble with my bowels
IndentIndentIndent70647-3 My illness is a personal hardship for my close family members
IndentIndentIndent70648-1 The cost of my treatment is a burden on me or my family
Indent70649-9 Functional Assessment of Cancer Therapy for patients receiving biologic response modifiers questionnaire - version 4 (FACT-BRM) [FACIT]
IndentIndent70498-1 Physical well-being [FACIT]
IndentIndentIndent70405-6 I have a lack of energy
IndentIndentIndent70406-4 I have nausea
IndentIndentIndent70407-2 Because of my physical condition, I have trouble meeting the needs of my family
IndentIndentIndent70408-0 I have pain
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70410-6 I feel ill
IndentIndentIndent70411-4 I am forced to spend time in bed
IndentIndent70499-9 Social - family well-being [FACIT]
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70413-0 I get emotional support from my family
IndentIndentIndent70414-8 I get support from my friends
IndentIndentIndent70415-5 My family has accepted my illness
IndentIndentIndent70416-3 I am satisfied with family communication about my illness
IndentIndentIndent70417-1 I felt close to my partner, or the person who is my main support
IndentIndentIndent70914-7 Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.
IndentIndentIndent70418-9 I am satisfied with my sex life
IndentIndent70500-4 Emotional well being [FACIT]
IndentIndentIndent70392-6 I feel sad
IndentIndentIndent70393-4 I am satisfied with how I am coping with my illness
IndentIndentIndent70394-2 I am losing hope in the fight against my illness
IndentIndentIndent70395-9 I am nervous
IndentIndentIndent70396-7 I worry about dying
IndentIndentIndent70397-5 I worry that my condition will get worse
IndentIndent70501-2 Functional well-being [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70399-1 My work (include work at home) is fulfilling
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70401-5 I have accepted my illness
IndentIndentIndent70402-3 I am sleeping well
IndentIndentIndent70403-1 I am enjoying the things I usually do for fun
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70912-1 Additional concerns - physical [FACIT]
IndentIndentIndent70528-5 I get tired easily
IndentIndentIndent70425-4 I feel weak all over
IndentIndentIndent70350-4 I have a good appetite
IndentIndentIndent70670-5 I have pain in my joints
IndentIndentIndent70527-7 I am bothered by the chills
IndentIndentIndent70344-7 I am bothered by fevers (episodes of high body temperature)
IndentIndentIndent70650-7 I am bothered by sweating
IndentIndent70913-9 Additional concerns - mental [FACIT]
IndentIndentIndent70530-1 I have trouble concentrating
IndentIndentIndent70651-5 I have trouble remembering things
IndentIndentIndent70652-3 I get depressed easily
IndentIndentIndent70653-1 I get annoyed easily
IndentIndentIndent70319-9 I have emotional ups and downs
IndentIndentIndent70654-9 I feel motivated to do things
Indent70655-6 Functional Assessment of Cancer Therapy - Taxane Questionnaire - version 4 (FACT-Taxane) [FACIT]
IndentIndent70562-4 I have numbness or tingling in my hands
IndentIndent70625-9 I have numbness or tingling in my feet
IndentIndent70626-7 I feel discomfort in my hands
IndentIndent70627-5 I feel discomfort in my feet
IndentIndent70628-3 I have joint pain or muscle cramps
IndentIndent70425-4 I feel weak all over
IndentIndent70477-5 I have trouble hearing
IndentIndent70629-1 I get a ringing or buzzing in my ears
IndentIndent70630-9 I have trouble buttoning buttons
IndentIndent70631-7 I have trouble feeling the shape of small objects when they are in my hand
IndentIndent70632-5 I have trouble walking
IndentIndent70656-4 I feel bloated
IndentIndent70657-2 My hands are swollen
IndentIndent70658-0 My legs or feet are swollen
IndentIndent70659-8 I have pain in my fingertips
IndentIndent70660-6 I am bothered by the way my hands or nails look

Fully-Specified Name

Component
Functional assessment of chronic illness therapy - treatment specific measures panel
Property
-
Time
Pt
System
^Patient
Scale
-
Method
FACIT

Basic Attributes

Class
PANEL.SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.50
Panel Type
Panel

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=70672-1
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/70672-1