71941-9
Kansas City Cardiomyopathy Questionnaire [KCCQ]
Active
86473-6 Please indicate how much you are limited by heart failure (shortness of breath or fatigue) in your ability to do the following activities over the past 2 weeks. Dressing yourself
Observation Required in Panel
Required
Form Context
Heart failure affects different people in different ways. Some feel shortness of breath while others feel fatigue
Source: John Spertus, MD, MPHFully-Specified Name
- Component
- Dressing yourself was limited by heart failure over the past 2W
- Property
- Find
- Time
- 2W
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.63
- Order vs. Observation
- Observation
Survey Question
- Text
- Please indicate how much you are limited by heart failure (shortness of breath or fatigue) in your ability to do the following activities over the past 2 weeks. Dressing yourself
- Source
- KCCQ_Q1a
Normative Answer List LL4532-9
Answer | Code | Score | Answer ID |
---|---|---|---|
Extremely limited | 1 | LA27701-4 | |
Quite a bit limited | 2 | LA27702-2 | |
Moderately limited | 3 | LA6460-5 | |
Slightly limited | 4 | LA9605-2 | |
Not at all limited | 5 | LA27707-1 | |
Limited for other reasons or did not do the activity | 6 | LA27708-9 |
Member of these Panels
LOINC | Long Common Name |
---|---|
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86483-5 Please indicate how much you are limited by heart failure (shortness of breath or fatigue) in your ability to do the following activities over the past 2 weeks. Showering or bathing
Observation Required in Panel
Required
Form Context
Heart failure affects different people in different ways. Some feel shortness of breath while others feel fatigue
Source: John Spertus, MD, MPHFully-Specified Name
- Component
- Showering or bathing was limited by heart failure over the past 2W
- Property
- Find
- Time
- 2W
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.63
- Order vs. Observation
- Observation
Survey Question
- Text
- Please indicate how much you are limited by heart failure (shortness of breath or fatigue) in your ability to do the following activities over the past 2 weeks. Showering or bathing
- Source
- KCCQ_Q1b
Normative Answer List LL4532-9
Answer | Code | Score | Answer ID |
---|---|---|---|
Extremely limited | 1 | LA27701-4 | |
Quite a bit limited | 2 | LA27702-2 | |
Moderately limited | 3 | LA6460-5 | |
Slightly limited | 4 | LA9605-2 | |
Not at all limited | 5 | LA27707-1 | |
Limited for other reasons or did not do the activity | 6 | LA27708-9 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86923-0 | Kansas City Cardiomyopathy Questionnaire - 12 item [KCCQ-12] |
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86474-4 Please indicate how much you are limited by heart failure (shortness of breath or fatigue) in your ability to do the following activities over the past 2 weeks. Walking 1 block on level ground
Observation Required in Panel
Required
Form Context
Heart failure affects different people in different ways. Some feel shortness of breath while others feel fatigue
Source: John Spertus, MD, MPHFully-Specified Name
- Component
- Walking 1 block on level ground was limited by heart failure over the past 2W
- Property
- Find
- Time
- 2W
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.63
- Order vs. Observation
- Observation
Survey Question
- Text
- Please indicate how much you are limited by heart failure (shortness of breath or fatigue) in your ability to do the following activities over the past 2 weeks. Walking 1 block on level ground
- Source
- KCCQ_Q1c
Normative Answer List LL4532-9
Answer | Code | Score | Answer ID |
---|---|---|---|
Extremely limited | 1 | LA27701-4 | |
Quite a bit limited | 2 | LA27702-2 | |
Moderately limited | 3 | LA6460-5 | |
Slightly limited | 4 | LA9605-2 | |
Not at all limited | 5 | LA27707-1 | |
Limited for other reasons or did not do the activity | 6 | LA27708-9 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86923-0 | Kansas City Cardiomyopathy Questionnaire - 12 item [KCCQ-12] |
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86475-1 Please indicate how much you are limited by heart failure (shortness of breath or fatigue) in your ability to do the following activities over the past 2 weeks. Doing yardwork, housework or carrying groceries
Observation Required in Panel
Required
Form Context
Heart failure affects different people in different ways. Some feel shortness of breath while others feel fatigue
Source: John Spertus, MD, MPHFully-Specified Name
- Component
- Doing yardwork, housework or carrying groceries was limited by heart failure over the past 2W
- Property
- Find
- Time
- 2W
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.63
- Order vs. Observation
- Observation
Survey Question
- Text
- Please indicate how much you are limited by heart failure (shortness of breath or fatigue) in your ability to do the following activities over the past 2 weeks. Doing yardwork, housework or carrying groceries
- Source
- KCCQ_Q1d
Normative Answer List LL4532-9
Answer | Code | Score | Answer ID |
---|---|---|---|
Extremely limited | 1 | LA27701-4 | |
Quite a bit limited | 2 | LA27702-2 | |
Moderately limited | 3 | LA6460-5 | |
Slightly limited | 4 | LA9605-2 | |
Not at all limited | 5 | LA27707-1 | |
Limited for other reasons or did not do the activity | 6 | LA27708-9 |
Member of these Panels
LOINC | Long Common Name |
---|---|
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86476-9 Please indicate how much you are limited by heart failure (shortness of breath or fatigue) in your ability to do the following activities over the past 2 weeks. Climbing a flight of stairs without stopping
Observation Required in Panel
Required
Form Context
Heart failure affects different people in different ways. Some feel shortness of breath while others feel fatigue
Source: John Spertus, MD, MPHFully-Specified Name
- Component
- Climbing a flight of stairs without stopping was limited by heart failure over the past 2W
- Property
- Find
- Time
- 2W
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.63
- Order vs. Observation
- Observation
Survey Question
- Text
- Please indicate how much you are limited by heart failure (shortness of breath or fatigue) in your ability to do the following activities over the past 2 weeks. Climbing a flight of stairs without stopping
- Source
- KCCQ_Q1e
Normative Answer List LL4532-9
Answer | Code | Score | Answer ID |
---|---|---|---|
Extremely limited | 1 | LA27701-4 | |
Quite a bit limited | 2 | LA27702-2 | |
Moderately limited | 3 | LA6460-5 | |
Slightly limited | 4 | LA9605-2 | |
Not at all limited | 5 | LA27707-1 | |
Limited for other reasons or did not do the activity | 6 | LA27708-9 |
Member of these Panels
LOINC | Long Common Name |
---|---|
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86477-7 Please indicate how much you are limited by heart failure (shortness of breath or fatigue) in your ability to do the following activities over the past 2 weeks. Hurrying or jogging (as if to catch a bus)
Observation Required in Panel
Required
Form Context
Heart failure affects different people in different ways. Some feel shortness of breath while others feel fatigue
Source: John Spertus, MD, MPHFully-Specified Name
- Component
- Hurrying or jogging (as if to catch a bus) was limited by heart failure over the past 2W
- Property
- Find
- Time
- 2W
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.63
- Order vs. Observation
- Observation
Survey Question
- Text
- Please indicate how much you are limited by heart failure (shortness of breath or fatigue) in your ability to do the following activities over the past 2 weeks. Hurrying or jogging (as if to catch a bus)
- Source
- KCCQ_Q1f
Normative Answer List LL4532-9
Answer | Code | Score | Answer ID |
---|---|---|---|
Extremely limited | 1 | LA27701-4 | |
Quite a bit limited | 2 | LA27702-2 | |
Moderately limited | 3 | LA6460-5 | |
Slightly limited | 4 | LA9605-2 | |
Not at all limited | 5 | LA27707-1 | |
Limited for other reasons or did not do the activity | 6 | LA27708-9 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86923-0 | Kansas City Cardiomyopathy Questionnaire - 12 item [KCCQ-12] |
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86478-5 Compared with 2 weeks ago, have your symptoms of heart failure (shortness of breath, fatigue or ankle swelling) changed? My symptoms of heart failure have become
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Change in symptoms of heart failure compared with 2W ago
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.61
- Order vs. Observation
- Observation
Survey Question
- Text
- Compared with 2 weeks ago, have your symptoms of heart failure (shortness of breath, fatigue or ankle swelling) changed? My symptoms of heart failure have become
- Source
- KCCQ_2
Normative Answer List LL4533-7
Answer | Code | Score | Answer ID |
---|---|---|---|
Much worse | 1 | LA18865-8 | |
Slightly worse | 2 | LA27710-5 | |
Not changed | 3 | LA27711-3 | |
Slightly better | 4 | LA27712-1 | |
Much better | 5 | LA18864-1 | |
I've had no symptoms over the last 2 weeks | 6 | LA27717-0 |
Member of these Panels
LOINC | Long Common Name |
---|---|
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86479-3 Over the past 2 weeks, how many times did you have swelling in your feet, ankles or legs when you woke up in the morning?
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Swelling in your feet, ankles or legs when you woke up over the past 2W
- Property
- Find
- Time
- 2W
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.61
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past 2 weeks, how many times did you have swelling in your feet, ankles or legs when you woke up in the morning?
- Source
- KCCQ_3
Normative Answer List LL4534-5
Answer | Code | Score | Answer ID |
---|---|---|---|
Every morning | 1 | LA27719-6 | |
3 or more times a week, but not every day | 2 | LA27720-4 | |
1-2 times a week | 3 | LA14506-2 | |
Less than once a week | 4 | LA27722-0 | |
Never over the past 2 weeks | 5 | LA27723-8 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86923-0 | Kansas City Cardiomyopathy Questionnaire - 12 item [KCCQ-12] |
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86480-1 Over the past 2 weeks, how much has swelling in your feet, ankles or legs bothered you? It has been
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Bothered by swelling in your feet, ankles or legs over the past 2W
- Property
- Find
- Time
- 2W
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.61
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past 2 weeks, how much has swelling in your feet, ankles or legs bothered you? It has been
- Source
- KCCQ_4
Normative Answer List LL4535-2
Answer | Code | Score | Answer ID |
---|---|---|---|
Extremely bothersome | 1 | LA27766-7 | |
Quite a bit bothersome | 2 | LA27724-6 | |
Moderately bothersome | 3 | LA27725-3 | |
Slightly bothersome | 4 | LA27726-1 | |
Not at all bothersome | 5 | LA24969-0 | |
I've had no swelling | 6 | LA27718-8 |
Member of these Panels
LOINC | Long Common Name |
---|---|
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86481-9 Over the past 2 weeks, on average, how many times has fatigue limited your ability to do what you want?
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Fatigue limited your ability to do what you wanted over the past 2W
- Property
- Find
- Time
- 2W
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.61
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past 2 weeks, on average, how many times has fatigue limited your ability to do what you want?
- Source
- KCCQ_5
Normative Answer List LL4536-0
Answer | Code | Score | Answer ID |
---|---|---|---|
All of the time | 1 | LA6154-4 | |
Several times per day | 2 | LA27729-5 | |
At least once a day | 3 | LA27730-3 | |
3 or more times per week but not every day | 4 | LA27770-9 | |
1-2 times per week | 5 | LA13834-9 | |
Less than once a week | 6 | LA27722-0 | |
Never over the past 2 weeks | 7 | LA27723-8 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86923-0 | Kansas City Cardiomyopathy Questionnaire - 12 item [KCCQ-12] |
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86482-7 Over the past 2 weeks, how much has your fatigue bothered you? It has been
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Bothered by fatigue over the past 2W
- Property
- Find
- Time
- 2W
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.61
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past 2 weeks, how much has your fatigue bothered you? It has been
- Source
- KCCQ_6
Normative Answer List LL4537-8
Answer | Code | Score | Answer ID |
---|---|---|---|
Extremely bothersome | 1 | LA27766-7 | |
Quite a bit bothersome | 2 | LA27724-6 | |
Moderately bothersome | 3 | LA27725-3 | |
Slightly bothersome | 4 | LA27726-1 | |
Not at all bothersome | 5 | LA24969-0 | |
I've had no fatigue | 6 | LA27733-7 |
Member of these Panels
LOINC | Long Common Name |
---|---|
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86472-8 Over the past 2 weeks, on average, how many times has shortness of breath limited your ability to do what you wanted?
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Shortness of breath limited your ability to do what you wanted over the past 2W
- Property
- Find
- Time
- 2W
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.61
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past 2 weeks, on average, how many times has shortness of breath limited your ability to do what you wanted?
- Source
- KCCQ_7
Normative Answer List LL4536-0
Answer | Code | Score | Answer ID |
---|---|---|---|
All of the time | 1 | LA6154-4 | |
Several times per day | 2 | LA27729-5 | |
At least once a day | 3 | LA27730-3 | |
3 or more times per week but not every day | 4 | LA27770-9 | |
1-2 times per week | 5 | LA13834-9 | |
Less than once a week | 6 | LA27722-0 | |
Never over the past 2 weeks | 7 | LA27723-8 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86923-0 | Kansas City Cardiomyopathy Questionnaire - 12 item [KCCQ-12] |
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86484-3 Over the past 2 weeks, how much has your shortness of breath bothered you? It has been...
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Bothered by shortness of breath over the past 2W
- Property
- Find
- Time
- 2W
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.63
- Change Reason
- Corrected display of the Component
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past 2 weeks, how much has your shortness of breath bothered you? It has been...
- Source
- KCCQ_8
Normative Answer List LL4538-6
Answer | Code | Score | Answer ID |
---|---|---|---|
Extremely bothersome | 1 | LA27766-7 | |
Quite a bit bothersome | 2 | LA27724-6 | |
Moderately bothersome | 3 | LA27725-3 | |
Slightly bothersome | 4 | LA27726-1 | |
Not at all bothersome | 5 | LA24969-0 | |
I've had no shortness of breath | 6 | LA27734-5 |
Member of these Panels
LOINC | Long Common Name |
---|---|
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86485-0 Over the past 2 weeks, on average, how many times have you been forced to sleep sitting up in a chair or with at least 3 pillows to prop you up because of shortness of breath?
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Sleep sitting up in a chair or with at least 3 pillows to prop you up because of shortness of breath over the past 2W
- Property
- Find
- Time
- 2W
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.61
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past 2 weeks, on average, how many times have you been forced to sleep sitting up in a chair or with at least 3 pillows to prop you up because of shortness of breath?
- Source
- KCCQ_9
Normative Answer List LL4539-4
Answer | Code | Score | Answer ID |
---|---|---|---|
Every night | 1 | LA14806-6 | |
3 or more times a week, but not every day | 2 | LA27720-4 | |
1-2 times a week | 3 | LA14506-2 | |
Less than once a week | 4 | LA27722-0 | |
Never over the past 2 weeks | 5 | LA27723-8 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86923-0 | Kansas City Cardiomyopathy Questionnaire - 12 item [KCCQ-12] |
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86486-8 How sure are you that you know what to do, or whom to call, if your heart failure gets worse?
Observation Required in Panel
Required
Form Context
Heart failure symptoms can worsen for a number of reasons
Source: John Spertus, MD, MPHFully-Specified Name
- Component
- You know what to do, or whom to call, if your heart failure gets worse
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.63
- Order vs. Observation
- Observation
Survey Question
- Text
- How sure are you that you know what to do, or whom to call, if your heart failure gets worse?
- Source
- KCCQ_10
Normative Answer List LL4540-2
Answer | Code | Score | Answer ID |
---|---|---|---|
Not at all sure | 1 | LA27735-2 | |
Not very sure | 2 | LA27736-0 | |
Somewhat sure | 3 | LA27737-8 | |
Mostly sure | 4 | LA27738-6 | |
Completely sure | 5 | LA27739-4 |
Member of these Panels
LOINC | Long Common Name |
---|---|
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86487-6 How well do you understand what things you are able to do to keep your heart failure symptoms from getting worse? (for example, weighing yourself, eating a low salt diet, etc.)
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Understand what things you are able to do to keep your heart failure symptoms from getting worse
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.61
- Order vs. Observation
- Observation
Survey Question
- Text
- How well do you understand what things you are able to do to keep your heart failure symptoms from getting worse? (for example, weighing yourself, eating a low salt diet, etc.)
- Source
- KCCQ_11
Normative Answer List LL4541-0
Answer | Code | Score | Answer ID |
---|---|---|---|
Do not understand at all | 1 | LA27740-2 | |
Do not understand very well | 2 | LA27741-0 | |
Somewhat understand | 3 | LA27742-8 | |
Mostly understand | 4 | LA27743-6 | |
Completely understand | 5 | LA27744-4 |
Member of these Panels
LOINC | Long Common Name |
---|---|
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86488-4 Over the past 2 weeks, how much has your heart failure limited your enjoyment of life?
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Enjoyment of life limited by heart failure over the past 2W
- Property
- Find
- Time
- 2W
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.61
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past 2 weeks, how much has your heart failure limited your enjoyment of life?
- Source
- KCCQ_12
Normative Answer List LL4542-8
Answer | Code | Score | Answer ID |
---|---|---|---|
It has extremely limited my enjoyment of life | 1 | LA27745-1 | |
It has limited my enjoyment of life quite a bit | 2 | LA27746-9 | |
It has moderately limited my enjoyment of life | 3 | LA27747-7 | |
It has slightly limited my enjoyment of life | 4 | LA27748-5 | |
It has not limited my enjoyment of life at all | 5 | LA27749-3 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86923-0 | Kansas City Cardiomyopathy Questionnaire - 12 item [KCCQ-12] |
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86489-2 If you had to spend the rest of your life with your heart failure the way it is right now, how would you feel about this?
Observation Required in Panel
Required
Fully-Specified Name
- Component
- How would you feel if you had to spend the rest of your life with your heart failure the way it is right now
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.61
- Order vs. Observation
- Observation
Survey Question
- Text
- If you had to spend the rest of your life with your heart failure the way it is right now, how would you feel about this?
- Source
- KCCQ_13
Normative Answer List LL4543-6
Answer | Code | Score | Answer ID |
---|---|---|---|
Not at all satisfied | 1 | LA27750-1 | |
Mostly dissatisfied | 2 | LA24976-5 | |
Somewhat satisfied | 3 | LA27752-7 | |
Mostly satisfied | 4 | LA24974-0 | |
Completely satisfied | 5 | LA27754-3 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86923-0 | Kansas City Cardiomyopathy Questionnaire - 12 item [KCCQ-12] |
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86490-0 Over the past 2 weeks, how often have you felt discouraged or down in the dumps because of your heart failure?
Observation Required in Panel
Required
Fully-Specified Name
- Component
- Felt discouraged or down in the dumps because of heart failure over the past 2W
- Property
- Find
- Time
- 2W
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.61
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past 2 weeks, how often have you felt discouraged or down in the dumps because of your heart failure?
- Source
- KCCQ_14
Normative Answer List LL4544-4
Answer | Code | Score | Answer ID |
---|---|---|---|
I felt that way all of the time | 1 | LA27755-0 | |
I felt that way most of the time | 2 | LA27756-8 | |
I occasionally felt that way | 3 | LA27757-6 | |
I rarely felt that way | 4 | LA27758-4 | |
I never felt that way | 5 | LA27759-2 |
Member of these Panels
LOINC | Long Common Name |
---|---|
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86491-8 Please indicate how your heart failure may have limited your participation in the following activities over the past 2 weeks. Hobbies, recreational activities
Observation Required in Panel
Required
Form Context
How much does your heart failure affect your lifestyle?
Source: John Spertus, MD, MPHFully-Specified Name
- Component
- Participation in hobbies, recreational activities limited by heart failure over the past 2W
- Property
- Find
- Time
- 2W
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.63
- Order vs. Observation
- Observation
Survey Question
- Text
- Please indicate how your heart failure may have limited your participation in the following activities over the past 2 weeks. Hobbies, recreational activities
- Source
- KCCQ_15a
Normative Answer List LL4545-1
Answer | Code | Score | Answer ID |
---|---|---|---|
Severely limited | 1 | LA27761-8 | |
Limited quite a bit | 2 | LA27760-0 | |
Moderately limited | 3 | LA6460-5 | |
Slightly limited | 4 | LA9605-2 | |
Did not limit at all | 5 | LA27764-2 | |
Does not apply or did not do for other reasons | 6 | LA27765-9 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86923-0 | Kansas City Cardiomyopathy Questionnaire - 12 item [KCCQ-12] |
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86492-6 Please indicate how your heart failure may have limited your participation in the following activities over the past 2 weeks. Working or doing household chores
Observation Required in Panel
Required
Form Context
How much does your heart failure affect your lifestyle?
Source: John Spertus, MD, MPHFully-Specified Name
- Component
- Participation in working or doing household chores limited by heart failure over the past 2W
- Property
- Find
- Time
- 2W
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.63
- Order vs. Observation
- Observation
Survey Question
- Text
- Please indicate how your heart failure may have limited your participation in the following activities over the past 2 weeks. Working or doing household chores
- Source
- KCCQ_15b
Normative Answer List LL4545-1
Answer | Code | Score | Answer ID |
---|---|---|---|
Severely limited | 1 | LA27761-8 | |
Limited quite a bit | 2 | LA27760-0 | |
Moderately limited | 3 | LA6460-5 | |
Slightly limited | 4 | LA9605-2 | |
Did not limit at all | 5 | LA27764-2 | |
Does not apply or did not do for other reasons | 6 | LA27765-9 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86923-0 | Kansas City Cardiomyopathy Questionnaire - 12 item [KCCQ-12] |
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86493-4 Please indicate how your heart failure may have limited your participation in the following activities over the past 2 weeks. Visiting family or friends out of your home
Observation Required in Panel
Required
Form Context
How much does your heart failure affect your lifestyle?
Source: John Spertus, MD, MPHFully-Specified Name
- Component
- Participation in visiting family or friends out of your home limited by heart failure over the past 2W
- Property
- Find
- Time
- 2W
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.63
- Order vs. Observation
- Observation
Survey Question
- Text
- Please indicate how your heart failure may have limited your participation in the following activities over the past 2 weeks. Visiting family or friends out of your home
- Source
- KCCQ_15c
Normative Answer List LL4545-1
Answer | Code | Score | Answer ID |
---|---|---|---|
Severely limited | 1 | LA27761-8 | |
Limited quite a bit | 2 | LA27760-0 | |
Moderately limited | 3 | LA6460-5 | |
Slightly limited | 4 | LA9605-2 | |
Did not limit at all | 5 | LA27764-2 | |
Does not apply or did not do for other reasons | 6 | LA27765-9 |
Member of these Panels
LOINC | Long Common Name |
---|---|
86923-0 | Kansas City Cardiomyopathy Questionnaire - 12 item [KCCQ-12] |
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
86494-2 Please indicate how your heart failure may have limited your participation in the following activities over the past 2 weeks. Intimate relationships with loved ones
Observation Required in Panel
Required
Form Context
How much does your heart failure affect your lifestyle?
Source: John Spertus, MD, MPHFully-Specified Name
- Component
- Participation in intimate relationships with loved ones limited by heart failure over the past 2W
- Property
- Find
- Time
- 2W
- System
- ^Patient
- Scale
- Ord
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.61
- Last Updated
- Version 2.63
- Order vs. Observation
- Observation
Survey Question
- Text
- Please indicate how your heart failure may have limited your participation in the following activities over the past 2 weeks. Intimate relationships with loved ones
- Source
- KCCQ_15d
Normative Answer List LL4545-1
Answer | Code | Score | Answer ID |
---|---|---|---|
Severely limited | 1 | LA27761-8 | |
Limited quite a bit | 2 | LA27760-0 | |
Moderately limited | 3 | LA6460-5 | |
Slightly limited | 4 | LA9605-2 | |
Did not limit at all | 5 | LA27764-2 | |
Does not apply or did not do for other reasons | 6 | LA27765-9 |
Member of these Panels
LOINC | Long Common Name |
---|---|
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
72195-1 KCCQ physical limitation score
Term Description
KCCQ physical limitation score is calculated from the average of responses to 6 items (1a through 1f).
Source: Regenstrief LOINC
Fully-Specified Name
- Component
- Physical limitation score
- Property
- Score
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.42
- Last Updated
- Version 2.67
- Order vs. Observation
- Observation
Survey Question
- Text
- KCCQ physical limitation score
Member of these Panels
LOINC | Long Common Name |
---|---|
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Example Units
Unit | Source |
---|---|
{score} | Example UCUM Units |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
72196-9 KCCQ social limitation score
Term Description
KCCQ social limitation score is calculated from the average of responses to 4 items (15a through 15d).
Source: Regenstrief LOINC
Fully-Specified Name
- Component
- Social limitation score
- Property
- Score
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.42
- Last Updated
- Version 2.67
- Order vs. Observation
- Observation
Survey Question
- Text
- KCCQ social limitation score
Member of these Panels
LOINC | Long Common Name |
---|---|
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Example Units
Unit | Source |
---|---|
{score} | Example UCUM Units |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
72189-4 KCCQ quality of life score
Term Description
KCCQ quality of life score is calculated from the average of responses to 3 items (12 through 14).
Source: Regenstrief LOINC
Fully-Specified Name
- Component
- Quality of life score
- Property
- Score
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.42
- Last Updated
- Version 2.67
- Order vs. Observation
- Observation
Survey Question
- Text
- KCCQ quality of life score
Member of these Panels
LOINC | Long Common Name |
---|---|
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Example Units
Unit | Source |
---|---|
{score} | Example UCUM Units |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
72190-2 KCCQ self-efficacy score
Term Description
KCCQ self-efficacy score is calculated from the average of responses to 2 items (10 and 11).
Source: Regenstrief LOINC
Fully-Specified Name
- Component
- Self-efficacy score
- Property
- Score
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.42
- Last Updated
- Version 2.67
- Order vs. Observation
- Observation
Survey Question
- Text
- KCCQ self-efficacy score
Member of these Panels
LOINC | Long Common Name |
---|---|
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Example Units
Unit | Source |
---|---|
{score} | Example UCUM Units |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
72192-8 KCCQ symptom burden score
Term Description
KCCQ symptom burden score is calculated from the average of responses to 3 items (4, 6, and 8).
Source: Regenstrief LOINC
Fully-Specified Name
- Component
- Symptom burden score
- Property
- Score
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.42
- Last Updated
- Version 2.67
- Order vs. Observation
- Observation
Survey Question
- Text
- KCCQ symptom burden score
Member of these Panels
LOINC | Long Common Name |
---|---|
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Example Units
Unit | Source |
---|---|
{score} | Example UCUM Units |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
72193-6 KCCQ symptom frequency score
Term Description
KCCQ symptom frequency score is calculated from the average of responses to 4 items (3, 5, 7, and 9).
Source: Regenstrief LOINC
Fully-Specified Name
- Component
- Symptom frequency score
- Property
- Score
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.42
- Last Updated
- Version 2.67
- Order vs. Observation
- Observation
Survey Question
- Text
- KCCQ symptom frequency score
Member of these Panels
LOINC | Long Common Name |
---|---|
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Example Units
Unit | Source |
---|---|
{score} | Example UCUM Units |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
72194-4 KCCQ symptom stability score
Term Description
KCCQ symptom stability score is calculated from the response to 1 item (2).
Source: Regenstrief LOINC
Fully-Specified Name
- Component
- Symptom stability score
- Property
- Score
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.42
- Last Updated
- Version 2.67
- Order vs. Observation
- Observation
Survey Question
- Text
- KCCQ symptom stability score
Member of these Panels
LOINC | Long Common Name |
---|---|
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Example Units
Unit | Source |
---|---|
{score} | Example UCUM Units |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
72191-0 KCCQ total symptom score
Term Description
KCCQ total symptom score is the mean of the following available summary scores: KCCQ symptom frequency score, KCCQ symptom burden score.
Source: Regenstrief LOINC
Fully-Specified Name
- Component
- Total symptom score
- Property
- Score
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.42
- Last Updated
- Version 2.67
- Order vs. Observation
- Observation
Survey Question
- Text
- KCCQ total symptom score
Member of these Panels
LOINC | Long Common Name |
---|---|
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Example Units
Unit | Source |
---|---|
{score} | Example UCUM Units |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
72188-6 KCCQ clinical summary score
Term Description
KCCQ clinical summary score is the mean of the following available summary scores: KCCQ physical limitation score, KCCQ total symptom score.
Source: Regenstrief LOINC
Fully-Specified Name
- Component
- Clinical summary score
- Property
- Score
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.42
- Last Updated
- Version 2.67
- Order vs. Observation
- Observation
Survey Question
- Text
- KCCQ clinical summary score
Member of these Panels
LOINC | Long Common Name |
---|---|
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Example Units
Unit | Source |
---|---|
{score} | Example UCUM Units |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org
71940-1 KCCQ overall summary score
Term Description
KCCQ overall summary score is the sum of responses from all 23 items.
Source: Regenstrief LOINC
Reference Information
Fully-Specified Name
- Component
- Overall summary score
- Property
- Score
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- KCCQ
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Order vs. Observation
- Observation
Survey Question
- Text
- KCCQ overall summary score
Member of these Panels
LOINC | Long Common Name |
---|---|
71941-9 | Kansas City Cardiomyopathy Questionnaire [KCCQ] |
Example Units
Unit | Source |
---|---|
{score} | Example UCUM Units |
Copyright
- Organization
- John Spertus, MD, MPH
- Copyright
- Copyright © 1996-2005 John Spertus, MD, MPH.
- Terms of Use
- Used with permission.
- URL
- http://www.cvoutcomes.org