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
70674-7 Functional Assessment of Chronic Illness Therapy (FACIT) - Symptom Specific Measures Panel
Indent70676-2 Functional Assessment of Anorexia-Cachexia Treatment Questionnaire - version 4 (FAACT) [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
IndentIndent70893-3 Additional concerns - FAACT [FACIT]
IndentIndentIndent70350-4 I have a good appetite
IndentIndentIndent70677-0 The amount I eat is sufficient to meet my needs
IndentIndentIndent70678-8 I am worried about my weight
IndentIndentIndent70679-6 Most food tastes unpleasant to me
IndentIndentIndent70680-4 I am concerned about how thin I look
IndentIndentIndent70681-2 My interest in food drops as soon as I try to eat
IndentIndentIndent70682-0 I have difficulty eating rich or heavy foods
IndentIndentIndent70683-8 My family or friends are pressuring me to eat
IndentIndentIndent70479-1 I have been vomiting
IndentIndentIndent70684-6 When I eat, I seem to get full quickly
IndentIndentIndent70301-7 I have a pain in my stomach area
IndentIndentIndent70685-3 My general health is improving
Indent70686-1 Functional Assessment of Chronic Illness Therapy for patients with abdominal symptoms questionnaire - version 4 (FACIT-AD)
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
IndentIndent70904-8 Additional concerns - FACIT-AD [FACIT]
IndentIndentIndent70480-9 I have cramps in my stomach area
IndentIndentIndent70301-7 I have a pain in my stomach area
IndentIndentIndent70687-9 Stomach pain interferes with my daily functioning
Indent70688-7 Functional Assessment of Chronic Illness Therapy for patients with ascites questionnaire (FACIT-AI)
IndentIndent70350-4 I have a good appetite
IndentIndent70402-3 I am sleeping well
IndentIndent70320-7 I am able to get around by myself
IndentIndent70305-8 I have been short of breath
IndentIndent70406-4 I have nausea
IndentIndent70479-1 I have been vomiting
IndentIndent70301-7 I have a pain in my stomach area
IndentIndent70478-3 I have swelling in my stomach area
IndentIndent70405-6 I have a lack of energy
IndentIndent70684-6 When I eat, I seem to get full quickly
IndentIndent70315-7 I urinate more frequently than usual
IndentIndent70365-2 I am bothered by constipation
IndentIndent70689-5 I have been emotionally distressed
Indent70690-3 Functional Assessment of Chronic Illness Therapy for patients with cervical dysplasia questionnaire - version 4 (FACIT-CD)
IndentIndent70905-5 Physical well-being - FACIT-CD [FACIT]
IndentIndentIndent70841-2 I have discomfort in my pelvic area
IndentIndentIndent70842-0 I have pain in my pelvic area
IndentIndentIndent70843-8 I have cramping in my pelvic area
IndentIndentIndent70360-3 I am bothered by discharge or bleeding from my vagina
IndentIndentIndent70409-8 I am bothered by side effects of treatment
IndentIndentIndent70844-6 Are you sexually active or would you like to be sexually active?
IndentIndentIndent70382-7 I have pain or discomfort with intercourse
IndentIndentIndent70694-5 I have to limit my sexual activity because of the infection
IndentIndentIndent70695-2 I worry about spreading the infection
IndentIndent70691-1 Treatment satisfaction [FACIT]
IndentIndentIndent70845-3 I have confidence in my doctors
IndentIndentIndent70846-1 I feel that I received the treatment that was right for me
IndentIndentIndent70847-9 My doctor gave me explanations that I could understand
IndentIndentIndent70848-7 My doctor explained the possible benefits of my treatmen
IndentIndent70692-9 General perceptions [FACIT]
IndentIndentIndent70398-3 I am able to work (include work at home)
IndentIndentIndent70400-7 I am able to enjoy life
IndentIndentIndent70696-0 I am hopeful about the future
IndentIndentIndent70697-8 I find comfort in my faith or spiritual beliefs
IndentIndentIndent70404-9 I am content with the quality of my life right now
IndentIndentIndent70698-6 I feel that I can manage things that come up around this infection
IndentIndentIndent70699-4 I have accepted that I have this infection
IndentIndent70906-3 Emotional well being - FACIT-CD [FACIT]
IndentIndentIndent70700-0 I worry that the infection will get worse
IndentIndentIndent70701-8 I have hidden this problem so others will not notice
IndentIndentIndent70702-6 I have concerns about my ability to become pregnant
IndentIndentIndent70648-1 The cost of my treatment is a burden on me or my family
IndentIndentIndent70703-4 I worry about other peoples attitudes towards me
IndentIndentIndent70704-2 I feel embarrassed about the infection
IndentIndentIndent70705-9 I tend to blame myself for the infection
IndentIndentIndent70706-7 I was careful who I told about the infection
IndentIndentIndent70707-5 I have had difficulty telling my partner/spouse about the infection
IndentIndentIndent70708-3 I am frustrated by the infection
IndentIndentIndent70709-1 I am depressed about the infection
IndentIndent70693-7 Relationships [FACIT]
IndentIndentIndent70710-9 I have told my partner/spouse about my infection
IndentIndentIndent70711-7 I get emotional support from my partner/spouse
IndentIndentIndent70712-5 I have told family members about my infection
IndentIndentIndent70713-3 I get emotional support from family members
IndentIndentIndent70412-2 I feel close to my friends
IndentIndentIndent70714-1 I have people to help me if I need it
Indent70715-8 Functional Assessment of Chronic Illness Therapy-Diarrhea Questionnaire - version 4 (FACIT-D)
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
IndentIndent70894-1 Additional concerns - FACIT-D [FACIT]
IndentIndentIndent70347-0 I have control of my bowels
IndentIndentIndent70716-6 I move my bowels more frequently than usual
IndentIndentIndent70717-4 I am afraid to be far from a toilet
IndentIndentIndent70718-2 I have to limit my social activity because of diarrhea
IndentIndentIndent70719-0 I have to limit my physical activity because of diarrhea
IndentIndentIndent70720-8 I have to limit my sexual activity because of diarrhea
IndentIndentIndent70721-6 I am embarrassed by having diarrhea
IndentIndentIndent70722-4 I have abdominal cramps or discomfort due to my diarrhea
IndentIndentIndent70723-2 My problem with diarrhea keeps/wakes me up at night
IndentIndentIndent70724-0 I must move my bowels frequently to avoid accidents
IndentIndentIndent70725-7 I wear protection for soiling of stool
Indent70726-5 Functional Assessment of Chronic Illness Therapy-Fatigue Questionnaire - version 4 (FACIT-F)
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
IndentIndent70895-8 Additional concerns - FACIT-F [FACIT]
IndentIndentIndent70426-2 I feel fatigued
IndentIndentIndent70425-4 I feel weak all over
IndentIndentIndent70727-3 I feel listless ("washed out")
IndentIndentIndent70304-1 I feel tired
IndentIndentIndent70728-1 I have trouble starting things because I am tired
IndentIndentIndent70729-9 I have trouble finishing things because I am tired
IndentIndentIndent70730-7 I have energy
IndentIndentIndent61890-0 During the past 7 days - I am able to do my usual activities
IndentIndentIndent70731-5 I need to sleep during the day
IndentIndentIndent70732-3 I am too tired to eat
IndentIndentIndent70303-3 I need help doing my usual activities
IndentIndentIndent70733-1 I am frustrated by being too tired to do the things I want to do
IndentIndentIndent70734-9 I have to limit my social activity because I am tired
Indent70735-6 Functional Assessment of Chronic Illness Therapy-Fatigue Questionnaire -13 items - version 4 (FACIT - fatigue 13)
IndentIndent70426-2 I feel fatigued
IndentIndent70425-4 I feel weak all over
IndentIndent70727-3 I feel listless ("washed out")
IndentIndent70304-1 I feel tired
IndentIndent70728-1 I have trouble starting things because I am tired
IndentIndent70729-9 I have trouble finishing things because I am tired
IndentIndent70730-7 I have energy
IndentIndent61890-0 During the past 7 days - I am able to do my usual activities
IndentIndent70731-5 I need to sleep during the day
IndentIndent70732-3 I am too tired to eat
IndentIndent70303-3 I need help doing my usual activities
IndentIndent70733-1 I am frustrated by being too tired to do the things I want to do
IndentIndent70734-9 I have to limit my social activity because I am tired
Indent70736-4 Functional Assessment of Cancer Therapy for patients with anemia - fatigue questionnaire - version 4 (FACT-An) [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
IndentIndent70896-6 Additional concerns - FACT-An [FACIT]
IndentIndentIndent70426-2 I feel fatigued
IndentIndentIndent70425-4 I feel weak all over
IndentIndentIndent70727-3 I feel listless ("washed out")
IndentIndentIndent70304-1 I feel tired
IndentIndentIndent70728-1 I have trouble starting things because I am tired
IndentIndentIndent70729-9 I have trouble finishing things because I am tired
IndentIndentIndent70730-7 I have energy
IndentIndentIndent70632-5 I have trouble walking
IndentIndentIndent61890-0 During the past 7 days - I am able to do my usual activities
IndentIndentIndent70731-5 I need to sleep during the day
IndentIndentIndent70560-8 I feel light-headed (dizzy)
IndentIndentIndent70302-5 I get headaches
IndentIndentIndent70305-8 I have been short of breath
IndentIndentIndent70737-2 I have pain in my chest
IndentIndentIndent70732-3 I am too tired to eat
IndentIndentIndent70317-3 I am interested in sex
IndentIndentIndent70738-0 I am motivated to do my usual activities
IndentIndentIndent70303-3 I need help doing my usual activities
IndentIndentIndent70733-1 I am frustrated by being too tired to do the things I want to do
IndentIndentIndent70734-9 I have to limit my social activity because I am tired
Indent70739-8 Functional Assessment of Cancer Therapy for Patients with lymphedema questionnaire - version 4 (FACT-B + 4) [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
IndentIndent70897-4 Additional concerns - FACT-B+4 [FACIT]
IndentIndentIndent70305-8 I have been short of breath
IndentIndentIndent70306-6 I am self-conscious about the way I dress
IndentIndentIndent70307-4 One or more of my arms are swollen or tender
IndentIndentIndent70308-2 I feel sexually attractive
IndentIndentIndent70309-0 I am bothered by hair loss
IndentIndentIndent70310-8 I worry that other members of my family might someday get the same illness I have
IndentIndentIndent70311-6 I worry about the effect of stress on my illness
IndentIndentIndent70312-4 I am bothered by a change in weight
IndentIndentIndent70313-2 I am able to feel like a woman
IndentIndentIndent70481-7 I have certain parts of my body where I experience pain
IndentIndentIndent70740-6 On which side was your breast operation
IndentIndentIndent70741-4 Movement of my arm on this side is painful
IndentIndentIndent70742-2 I have a poor range of arm movements on this side
IndentIndentIndent70743-0 My arm on this side feels numb
IndentIndentIndent70744-8 I have stiffness of my arm on this side
Indent70745-5 Functional Assessment of Cancer Therapy for patients with bone pain questionnaire (FACT-BP) [FACIT]
IndentIndent70746-3 In how many places in your body have you felt bone pain
IndentIndent70404-9 I am content with the quality of my life right now
IndentIndent70481-7 I have certain parts of my body where I experience pain
IndentIndent70322-3 I have bone pain
IndentIndent70747-1 It hurts when I put weight or pressure on the place where I have bone pain
IndentIndent70748-9 I have bone pain even when I sit or lie still
IndentIndent70749-7 I need help doing my usual activities because of bone pain
IndentIndent70750-5 I am forced to rest during the day because of bone pain
IndentIndent70751-3 I have trouble walking because of bone pain
IndentIndent70752-1 Bone pain interferes with my ability to care for myself (bathing, dressing, eating, etc.)
IndentIndent70753-9 Bone pain interferes with my social activities
IndentIndent70754-7 Bone pain wakes me up at night
IndentIndent70755-4 I am frustrated by my bone pain
IndentIndent70756-2 I feel depressed about my bone pain
IndentIndent70757-0 I worry that my bone pain will get worse
IndentIndent70758-8 My family has trouble understanding when my bone pain interferes with my activity
Indent70759-6 Functional Assessment of Cancer Therapy for patients with cognitive function issues questionnaire - version 3 (FACT-Cog) [FACIT]
IndentIndent70849-5 Perceived cognitive impairments [FACIT]
IndentIndentIndent70760-4 I have had trouble forming thoughts
IndentIndentIndent70761-2 My thinking has been slow
IndentIndentIndent70762-0 I have had trouble concentrating
IndentIndentIndent70763-8 I have had trouble finding my way to a familiar place
IndentIndentIndent70764-6 I have had trouble remembering where I put things, like my keys or my wallet
IndentIndentIndent70765-3 I have had trouble remembering new information, like phone numbers or simple instructions
IndentIndentIndent70766-1 I have had trouble recalling the name of an object while talking to someone
IndentIndentIndent70767-9 I have had trouble finding the right words to express myself
IndentIndentIndent70768-7 I have used the wrong word when I referred to an object
IndentIndentIndent70769-5 I have had trouble saying what I mean in conversations with others
IndentIndentIndent70770-3 I have walked into a room and forgotten what I meant to get or do there
IndentIndentIndent70771-1 I have had to work really hard to pay attention or I would make a mistake
IndentIndentIndent70772-9 I have forgotten names of people soon after being introduced
IndentIndentIndent70773-7 My reactions in everyday situations have been slow
IndentIndentIndent70776-0 I have had to work harder than usual to keep track of what I was doing
IndentIndentIndent70777-8 My thinking has been slower than usual
IndentIndentIndent70778-6 I have had to work harder than usual to express myself clearly
IndentIndentIndent70779-4 I have had to use written lists more often than usual so I would not forget things
IndentIndentIndent70781-0 I have trouble shifting back and forth between different activities that require thinking
IndentIndent70774-5 Comments from others [FACIT]
IndentIndentIndent70775-2 Other people have told me I seemed to have trouble remembering information
IndentIndentIndent70782-8 Other people have told me I seemed to have trouble speaking clearly
IndentIndentIndent70783-6 Other people have told me I seemed to have trouble thinking clearly
IndentIndentIndent70784-4 Other people have told me I seemed confused
IndentIndent70785-1 Perceived cognitive abilities [FACIT]
IndentIndentIndent70786-9 I have been able to concentrate
IndentIndentIndent70787-7 I have been able to bring to mind words that I wanted to use while talking to someone
IndentIndentIndent70788-5 I have been able to remember things, like where I left my keys or wallet
IndentIndentIndent70789-3 I have been able to remember to do things, like take medicine or buy something I needed
IndentIndentIndent70790-1 I am able to pay attention and keep track of what I am doing without extra effort
IndentIndentIndent70791-9 My mind is as sharp as it has always been
IndentIndentIndent70792-7 My memory is as good as it has always been
IndentIndentIndent70793-5 I am able to shift back and forth between two activities that require thinking
IndentIndentIndent70794-3 I am able to keep track of what I am doing, even if I am interrupted
IndentIndent70795-0 Impact on quality of life [FACIT]
IndentIndentIndent70796-8 I have been upset about these problems
IndentIndentIndent70797-6 These problems have interfered with my ability to work
IndentIndentIndent70798-4 These problems have interfered with my ability to do things I enjoy
IndentIndentIndent70799-2 These problems have interfered with the quality of my life
Indent70800-8 Functional Assessment of Cancer Therapy for patients with endocrine symptoms questionnaire - version 4 (FACT-ES) [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
IndentIndent70898-2 Additional concerns - FACT-ES [FACIT]
IndentIndentIndent70376-9 I have hot flashes
IndentIndentIndent70378-5 I have cold sweats
IndentIndentIndent70379-3 I have night sweats
IndentIndentIndent70380-1 I have vaginal discharge
IndentIndentIndent70801-6 I have vaginal itching/irritation
IndentIndentIndent70381-9 I have vaginal bleeding or spotting
IndentIndentIndent70802-4 I have vaginal dryness
IndentIndentIndent70382-7 I have pain or discomfort with intercourse
IndentIndentIndent70803-2 I have lost interest in sex
IndentIndentIndent70377-7 I have gained weight
IndentIndentIndent70560-8 I feel light-headed (dizzy)
IndentIndentIndent70479-1 I have been vomiting
IndentIndentIndent70349-6 I have diarrhea
IndentIndentIndent70302-5 I get headaches
IndentIndentIndent70656-4 I feel bloated
IndentIndentIndent70804-0 I have breast sensitivity/tenderness
IndentIndentIndent70805-7 I have mood swings
IndentIndentIndent70806-5 I am irritable
IndentIndentIndent70670-5 I have pain in my joints
Indent70807-3 Functional assessment of cancer therapy for patients with neutropenia questionnaire - version 4 (FACT-N) [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
IndentIndent70899-0 Additional concerns - FACT-N [FACIT]
IndentIndentIndent70808-1 I worry about getting sick due to low blood counts
IndentIndentIndent70809-9 I avoid public places for fear of getting an infection
IndentIndentIndent70810-7 I get aches and pains that bother me
IndentIndentIndent70303-3 I need help doing my usual activities
IndentIndentIndent70470-0 I worry about getting infections
IndentIndentIndent70811-5 I worry my condition will not improve if my treatment is delayed
IndentIndentIndent70730-7 I have energy
IndentIndentIndent70344-7 I am bothered by fevers (episodes of high body temperature)
IndentIndentIndent70527-7 I am bothered by the chills
IndentIndentIndent70379-3 I have night sweats
IndentIndentIndent70734-9 I have to limit my social activity because I am tired
IndentIndentIndent70815-6 I need to rest during the day
IndentIndentIndent70727-3 I feel listless ("washed out")
IndentIndentIndent70738-0 I am motivated to do my usual activities
IndentIndentIndent70561-6 I have mouth sores
IndentIndentIndent70812-3 My partner worries about me when my blood counts are low
IndentIndentIndent70813-1 My low blood counts interfere with my intimate relationships
IndentIndentIndent70728-1 I have trouble starting things because I am tired
IndentIndentIndent70814-9 I am bothered by headaches
Indent70816-4 Functional Assessment of Cancer Therapy for patients with thrombocytopenia questionnaire -11 items - version 4 (FACT-Th11) [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
IndentIndent70900-6 Additional concerns - FACT-Th11 [FACIT]
IndentIndentIndent70730-7 I have energy
IndentIndentIndent61890-0 During the past 7 days - I am able to do my usual activities
IndentIndentIndent70484-1 I bleed easily
IndentIndentIndent70485-8 I bruise easily
IndentIndentIndent70817-2 I worry about problems with bruising or bleeding
IndentIndentIndent70818-0 I am bothered by nosebleeds
IndentIndentIndent70819-8 I am bothered by pinpoint bruising beneath my skin
IndentIndentIndent70820-6 I am bothered by blood in my urine or stool
IndentIndentIndent70821-4 I avoid or limit physical activity, because of concern with bleeding or bruising
IndentIndentIndent70822-2 I am frustrated by not being able to do my usual activities
IndentIndentIndent70823-0 I worry that my treatment will be delayed, because of low blood counts
Indent70824-8 Functional Assessment of Cancer Therapy for patients with thrombocytopenia questionnaire -18 items - version 4 (FACT-Th18) [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
IndentIndent70901-4 Additional concerns - FACT-Th18 [FACIT]
IndentIndentIndent70730-7 I have energy
IndentIndentIndent61890-0 During the past 7 days - I am able to do my usual activities
IndentIndentIndent70484-1 I bleed easily
IndentIndentIndent70485-8 I bruise easily
IndentIndentIndent70817-2 I worry about problems with bruising or bleeding
IndentIndentIndent70825-5 I worry about the possibility of serious bleeding
IndentIndentIndent70818-0 I am bothered by nosebleeds
IndentIndentIndent70826-3 I am bothered by bleeding in my gums or mouth
IndentIndentIndent70819-8 I am bothered by pinpoint bruising beneath my skin
IndentIndentIndent70820-6 I am bothered by blood in my urine or stool
IndentIndentIndent70827-1 I am inconvenienced by platelet transfusions
IndentIndentIndent70426-2 I feel fatigued
IndentIndentIndent70821-4 I avoid or limit physical activity, because of concern with bleeding or bruising
IndentIndentIndent70828-9 I avoid or limit social activity, because of concern with bleeding or bruising
IndentIndentIndent70822-2 I am frustrated by not being able to do my usual activities
IndentIndentIndent70823-0 I worry that my treatment will be delayed, because of low blood counts
IndentIndentIndent70829-7 I worry that my treatment dose will be reduced, because of low blood counts
IndentIndentIndent70830-5 (For women only) I am bothered by vaginal bleeding
Indent70831-3 Functional Assessment of Incontinence Therapy - Fecal Questionnaire - version 4 ( [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
IndentIndent70902-2 Additional concerns - FAIT-F [FACIT]
IndentIndentIndent70832-1 I am comfortable discussing my condition with friends
IndentIndentIndent70347-0 I have control of my bowels
IndentIndentIndent70716-6 I move my bowels more frequently than usual
IndentIndentIndent70717-4 I am afraid to be far from a toilet
IndentIndentIndent70439-5 I have to limit my social activity because of my condition
IndentIndentIndent70440-3 I have to limit my physical activity because of my condition
IndentIndentIndent70833-9 I have to limit my sexual activity because of my condition
IndentIndentIndent70834-7 I am embarrassed by my condition
IndentIndentIndent70835-4 My condition wakes or keeps me up at night
IndentIndentIndent70724-0 I must move my bowels frequently to avoid accidents
IndentIndentIndent70836-2 I can be far from home/work without fearing soilage
IndentIndentIndent70725-7 I wear protection for soiling of stool
Indent70837-0 Functional Assessment of Incontinence Therapy - Urinary Questionnaire - version 4 (FAIT-U) [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
IndentIndent70903-0 Additional concerns - FAIT-U [FACIT]
IndentIndentIndent70314-0 I have trouble controlling my urine
IndentIndentIndent70832-1 I am comfortable discussing my condition with friends
IndentIndentIndent70315-7 I urinate more frequently than usual
IndentIndentIndent70717-4 I am afraid to be far from a toilet
IndentIndentIndent70439-5 I have to limit my social activity because of my condition
IndentIndentIndent70440-3 I have to limit my physical activity because of my condition
IndentIndentIndent70833-9 I have to limit my sexual activity because of my condition
IndentIndentIndent70834-7 I am embarrassed by my condition
IndentIndentIndent70838-8 My condition wakes me up at night
IndentIndentIndent70839-6 I must urinate frequently to avoid leaking
IndentIndentIndent70840-4 I wear protection for leakage of urine

Fully-Specified Name

Component
Functional assessment of chronic illness therapy - symptom 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=70674-7
Questionnaire definition
https://fhir.loinc.org/Questionnaire/?url=http://loinc.org/q/70674-7