Version 2.78

85598-1 Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by causing swelling in your ankles or legs?

Observation Required in Panel

Required

Fully-Specified Name

Component
Did your heart failure prevent you from living as you wanted during the past Mo (4W) by causing swelling in your ankles or legs
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.63
Change Reason
Corrected the lookback period in the Component and Timing from "M" and "1M", respectively, to "Mo" and "1Mo", to represent one month rather than one minute.
Order vs. Observation
Observation

Survey Question

Text
Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by causing swelling in your ankles or legs?
Source
MLHFQ_Q1

Normative Answer List LL4460-3

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

85619-5 Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making you sit or lie down to rest during the day?

Observation Required in Panel

Required

Fully-Specified Name

Component
Did your heart failure prevent you from living as you wanted during the past Mo (4W) by making you sit or lie down to rest during the day
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.63
Change Reason
Corrected the lookback period in the Component and Timing from "M" and "1M", respectively, to "Mo" and "1Mo", to represent one month rather than one minute.
Order vs. Observation
Observation

Survey Question

Text
Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making you sit or lie down to rest during the day?
Source
MLHFQ_Q2

Normative Answer List LL4460-3

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

85599-9 Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making your walking about or climbing stairs difficult?

Observation Required in Panel

Required

Fully-Specified Name

Component
Did your heart failure prevent you from living as you wanted during the past Mo (4W) by making your walking about or climbing stairs difficult
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.63
Change Reason
Corrected the lookback period in the Component and Timing from "M" and "1M", respectively, to "Mo" and "1Mo", to represent one month rather than one minute.
Order vs. Observation
Observation

Survey Question

Text
Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making your walking about or climbing stairs difficult?
Source
MLHFQ_Q3

Normative Answer List LL4460-3

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

85600-5 Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making your working around the house or yard difficult?

Observation Required in Panel

Required

Fully-Specified Name

Component
Did your heart failure prevent you from living as you wanted during the past Mo (4W) by making your working around the house or yard difficult
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.63
Change Reason
Corrected the lookback period in the Component and Timing from "M" and "1M", respectively, to "Mo" and "1Mo", to represent one month rather than one minute.
Order vs. Observation
Observation

Survey Question

Text
Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making your working around the house or yard difficult?
Source
MLHFQ_Q4

Normative Answer List LL4460-3

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

85601-3 Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making your going places away from home difficult?

Observation Required in Panel

Required

Fully-Specified Name

Component
Did your heart failure prevent you from living as you wanted during the past Mo (4W) by making your going places away from home difficult
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.77
Change Reason
Corrected the lookback period in the Component and Timing from "M" and "1M", respectively, to "Mo" and "1Mo", to represent one month rather than one minute.
Order vs. Observation
Observation

Survey Question

Text
Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making your going places away from home difficult?
Source
MLHFQ_Q5

Normative Answer List LL4460-3

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

85602-1 Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making your sleeping well at night difficult?

Observation Required in Panel

Required

Fully-Specified Name

Component
Did your heart failure prevent you from living as you wanted during the past Mo (4W) by making your sleeping well at night difficult
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.63
Change Reason
Corrected the lookback period in the Component and Timing from "M" and "1M", respectively, to "Mo" and "1Mo", to represent one month rather than one minute.
Order vs. Observation
Observation

Survey Question

Text
Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making your sleeping well at night difficult?
Source
MLHFQ_Q6

Normative Answer List LL4460-3

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

85603-9 Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making your relating to or doing things with your friends or family difficult?

Observation Required in Panel

Required

Fully-Specified Name

Component
Did your heart failure prevent you from living as you wanted during the past Mo (4W) by making your relating to or doing things with your friends or family difficult
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.63
Change Reason
Corrected the lookback period in the Component and Timing from "M" and "1M", respectively, to "Mo" and "1Mo", to represent one month rather than one minute.
Order vs. Observation
Observation

Survey Question

Text
Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making your relating to or doing things with your friends or family difficult?
Source
MLHFQ_Q7

Normative Answer List LL4460-3

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

85604-7 Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making your working to earn a living difficult?

Observation Required in Panel

Required

Fully-Specified Name

Component
Did your heart failure prevent you from living as you wanted during the past Mo (4W) by making your working to earn a living difficult
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.63
Change Reason
Corrected the lookback period in the Component and Timing from "M" and "1M", respectively, to "Mo" and "1Mo", to represent one month rather than one minute.
Order vs. Observation
Observation

Survey Question

Text
Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making your working to earn a living difficult?
Source
MLHFQ_Q8

Normative Answer List LL4460-3

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

85605-4 Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making your recreational pastimes, sports or hobbies difficult?

Observation Required in Panel

Required

Fully-Specified Name

Component
Did your heart failure prevent you from living as you wanted during the past Mo (4W) by making your recreational pastimes, sports or hobbies difficult
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.63
Change Reason
Corrected the lookback period in the Component and Timing from "M" and "1M", respectively, to "Mo" and "1Mo", to represent one month rather than one minute.
Order vs. Observation
Observation

Survey Question

Text
Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making your recreational pastimes, sports or hobbies difficult?
Source
MLHFQ_Q9

Normative Answer List LL4460-3

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

85606-2 Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making your sexual activities difficult?

Observation Required in Panel

Required

Fully-Specified Name

Component
Did your heart failure prevent you from living as you wanted during the past Mo (4W) by making your sexual activities difficult
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.63
Change Reason
Corrected the lookback period in the Component and Timing from "M" and "1M", respectively, to "Mo" and "1Mo", to represent one month rather than one minute.
Order vs. Observation
Observation

Survey Question

Text
Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making your sexual activities difficult?
Source
MLHFQ_Q10

Normative Answer List LL4460-3

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

85607-0 Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making you eat less of the foods you like?

Observation Required in Panel

Required

Fully-Specified Name

Component
Did your heart failure prevent you from living as you wanted during the past Mo (4W) by making you eat less of the foods you like
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.63
Change Reason
Corrected the lookback period in the Component and Timing from "M" and "1M", respectively, to "Mo" and "1Mo", to represent one month rather than one minute.
Order vs. Observation
Observation

Survey Question

Text
Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making you eat less of the foods you like?
Source
MLHFQ_Q11

Normative Answer List LL4460-3

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

85608-8 Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making you short of breath?

Observation Required in Panel

Required

Fully-Specified Name

Component
Did your heart failure prevent you from living as you wanted during the past Mo (4W) by making you short of breath
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.63
Change Reason
Corrected the lookback period in the Component and Timing from "M" and "1M", respectively, to "Mo" and "1Mo", to represent one month rather than one minute.
Order vs. Observation
Observation

Survey Question

Text
Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making you short of breath?
Source
MLHFQ_Q12

Normative Answer List LL4460-3

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

85620-3 Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making you tired, fatigued or low on energy?

Observation Required in Panel

Required

Fully-Specified Name

Component
Did your heart failure prevent you from living as you wanted during the past Mo (4W) by making you tired, fatigued or low on energy
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.63
Change Reason
Corrected the lookback period in the Component and Timing from "M" and "1M", respectively, to "Mo" and "1Mo", to represent one month rather than one minute.
Order vs. Observation
Observation

Survey Question

Text
Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making you tired, fatigued or low on energy?
Source
MLHFQ_Q13

Normative Answer List LL4460-3

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

85610-4 Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making you stay in a hospital?

Observation Required in Panel

Required

Fully-Specified Name

Component
Did your heart failure prevent you from living as you wanted during the past Mo (4W) by making you stay in a hospital
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.63
Change Reason
Corrected the lookback period in the Component and Timing from "M" and "1M", respectively, to "Mo" and "1Mo", to represent one month rather than one minute.
Order vs. Observation
Observation

Survey Question

Text
Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making you stay in a hospital?
Source
MLHFQ_Q14

Normative Answer List LL4460-3

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

85611-2 Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by costing you money for medical care?

Observation Required in Panel

Required

Fully-Specified Name

Component
Did your heart failure prevent you from living as you wanted during the past Mo (4W) by costing you money for medical care
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.63
Change Reason
Corrected the lookback period in the Component and Timing from "M" and "1M", respectively, to "Mo" and "1Mo", to represent one month rather than one minute.
Order vs. Observation
Observation

Survey Question

Text
Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by costing you money for medical care?
Source
MLHFQ_Q15

Normative Answer List LL4460-3

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

85612-0 Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by giving you side effects from treatments?

Observation Required in Panel

Required

Fully-Specified Name

Component
Did your heart failure prevent you from living as you wanted during the past Mo (4W) by giving you side effects from treatments
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.63
Change Reason
Corrected the lookback period in the Component and Timing from "M" and "1M", respectively, to "Mo" and "1Mo", to represent one month rather than one minute.
Order vs. Observation
Observation

Survey Question

Text
Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by giving you side effects from treatments?
Source
MLHFQ_Q16

Normative Answer List LL4460-3

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

85613-8 Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making you feel you are a burden to your family or friends?

Observation Required in Panel

Required

Fully-Specified Name

Component
Did your heart failure prevent you from living as you wanted during the past Mo (4W) by making you feel you are a burden to your family or friends
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.63
Change Reason
Corrected the lookback period in the Component and Timing from "M" and "1M", respectively, to "Mo" and "1Mo", to represent one month rather than one minute.
Order vs. Observation
Observation

Survey Question

Text
Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making you feel you are a burden to your family or friends?
Source
MLHFQ_Q17

Normative Answer List LL4460-3

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

85614-6 Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making you feel a loss of self-control in your life?

Observation Required in Panel

Required

Fully-Specified Name

Component
Did your heart failure prevent you from living as you wanted during the past Mo (4W) by making you feel a loss of self-control in your life
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.63
Change Reason
Corrected the lookback period in the Component and Timing from "M" and "1M", respectively, to "Mo" and "1Mo", to represent one month rather than one minute.
Order vs. Observation
Observation

Survey Question

Text
Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making you feel a loss of self-control in your life?
Source
MLHFQ_Q18

Normative Answer List LL4460-3

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

85615-3 Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making you worry?

Observation Required in Panel

Required

Fully-Specified Name

Component
Did your heart failure prevent you from living as you wanted during the past Mo (4W) by making you worry
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.63
Change Reason
Corrected the lookback period in the Component and Timing from "M" and "1M", respectively, to "Mo" and "1Mo", to represent one month rather than one minute.
Order vs. Observation
Observation

Survey Question

Text
Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making you worry?
Source
MLHFQ_Q19

Normative Answer List LL4460-3

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

85616-1 Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making it difficult for you to concentrate or remember things?

Observation Required in Panel

Required

Fully-Specified Name

Component
Did your heart failure prevent you from living as you wanted during the past Mo (4W) by making it difficult for you to concentrate or remember things
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.63
Change Reason
Corrected the lookback period in the Component and Timing from "M" and "1M", respectively, to "Mo" and "1Mo", to represent one month rather than one minute.
Order vs. Observation
Observation

Survey Question

Text
Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making it difficult for you to concentrate or remember things?
Source
MLHFQ_Q20

Normative Answer List LL4460-3

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

85617-9 Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making you feel depressed?

Observation Required in Panel

Required

Fully-Specified Name

Component
Did your heart failure prevent you from living as you wanted during the past Mo (4W) by making you feel depressed
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.63
Change Reason
Corrected the lookback period in the Component and Timing from "M" and "1M", respectively, to "Mo" and "1Mo", to represent one month rather than one minute.
Order vs. Observation
Observation

Survey Question

Text
Did your heart failure prevent you from living as you wanted during the past month (4 weeks) by making you feel depressed?
Source
MLHFQ_Q21

Normative Answer List LL4460-3

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

85618-7 Physical score [MLHFQ]

Term Description

The physical subscore reported as part of the Minnesota Living with Heart Failure (R) Questionnaire is calculated by adding the numeric responses to 8 specific self-assessments regarding whether or not a patient's heart failure prevented them from living as they wanted during the past month (4 weeks) from a physical perspective. The 8 assessments used (by question number in survey) are: 2 - making you sit or lie down to rest during the day; 3- making your walking about or climbing stairs difficult; 4 - making your working around the house or yard difficult; 5 - making your going places away from home difficult; 6 - making your sleeping well at night difficult; 7 - making your relating to or doing things with your friends or family difficult; 12 - making you short of breath and 13 - making you tired, fatigued, or low on energy.

The responses are based on a scale of 0-5 where 0 = No, 1 = Very Little and 5 = Very Much; therefore, the physical subscore is out of a total of 40 points, with a higher score indicating increasing difficulty.
Source: Regenstrief LOINC

Observation Required in Panel

Required

Form Coding Instructions

If one or more responses are missing at baseline, then assign a zero for the missing baseline value(s) and carry the zero value(s) forward to every subsequent questionnaire completed by that subject regardless of whether he/she answers the question after the baseline assessment. If a response is available at baseline, but subsequently missing, then carry the baseline response forward to complete the missing value. These rules will neutralize the effects of missing values when calculating and comparing changes in scores

Source: Minnesota Living with Heart Failure Questionnaire

Fully-Specified Name

Component
Physical score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.61
Order vs. Observation
Observation

Formula (Readable)

The sum of the numeric responses to questions 2, 3, 4, 5, 6, 7, 12 and 13

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

Example Units

Unit Source
{score} Example UCUM Units

85609-6 Emotional score [MLHFQ]

Term Description

The emotional subscore reported as part of the Minnesota Living with Heart Failure (R) Questionnaire is calculated by adding the numeric responses to 5 specific self-assessments regarding whether or not a patient's heart failure prevented them from living as they wanted during the past month (4 weeks) from an emotional perspective. The 5 assessments used (by question number in survey) are: 17 - making you feel you are a burden to your family or friends; 18 - making you feel a loss of self-control in your life; 19 - making you worry; 20 - making it difficult for you to concentrate or remember things and 21 - making you feel depressed.

The responses are based on a scale of 0-5 where 0 = No, 1 = Very Little and 5 = Very Much; therefore the emotional subscore is out of a total of 25 points, with a higher score indicating increasing difficulty.
Source: Regenstrief LOINC

Observation Required in Panel

Required

Form Coding Instructions

If one or more responses are missing at baseline, then assign a zero for the missing baseline value(s) and carry the zero value(s) forward to every subsequent questionnaire completed by that subject regardless of whether he/she answers the question after the baseline assessment. If a response is available at baseline, but subsequently missing, then carry the baseline response forward to complete the missing value. These rules will neutralize the effects of missing values when calculating and comparing changes in scores

Source: Minnesota Living with Heart Failure Questionnaire

Fully-Specified Name

Component
Emotional score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.61
Last Updated
Version 2.61
Order vs. Observation
Observation

Formula (Readable)

The sum of the numeric responses to questions 17, 18, 19, 20 and 21

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

Example Units

Unit Source
{score} Example UCUM Units

71938-5 Total score [MLHFQ]

Term Description

The total score in the Minnesota Living With Heart Failure Questionnaire is the sum of the responses to all 21 questions. Based on the 6-point, zero to five, Likert scale to show how much each of 21 life characteristics prevented them from living as they desired, the lower the score, the less the patient feels their heart failure is impacting their life. One study was able to identify three levels of Quality of Life (QOL) and determined that a score of less than 26 indicated a good QOL, between 26 and 45 a moderate QOL, and greater than 45 a poor QOL. PMID: 19965089
Source: Regenstrief LOINC

Observation Required in Panel

Required

Form Coding Instructions

If one or more responses are missing at baseline, then assign a zero for the missing baseline value(s) and carry the zero value(s) forward to every subsequent questionnaire completed by that subject regardless of whether he/she answers the question after the baseline assessment. If a response is available at baseline, but subsequently missing, then carry the baseline response forward to complete the missing value. These rules will neutralize the effects of missing values when calculating and comparing changes in scores

Source: Minnesota Living with Heart Failure Questionnaire

Fully-Specified Name

Component
Total score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
MLHFQ

Basic Attributes

Class
SURVEY.MLHFQ
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.61
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
71939-3 Minnesota Living with Heart Failure Questionnaire [MLHFQ]

Example Units

Unit Source
{score} Example UCUM Units