71950-0
Health Assessment Questionnaire [HAQ]
Active
75820-1 Over the past week, are you able to dress yourself, including shoelaces and buttons?
Fully-Specified Name
- Component
- Over the past W, are you able to dress yourself, including shoelaces and buttons
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past week, are you able to dress yourself, including shoelaces and buttons?
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
| 90028-2 | Routine Assessment of Patient Index Data 3 [RAPID3] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75821-9 Over the past week, are you able to shampoo your hair?
Fully-Specified Name
- Component
- Over the past W, are you able to shampoo your hair
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past week, are you able to shampoo your hair?
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75823-5 Over the past week, are you able to get in and out of bed?
Fully-Specified Name
- Component
- Over the past W, are you able to get in and out of bed
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past week, are you able to get in and out of bed?
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
| 90028-2 | Routine Assessment of Patient Index Data 3 [RAPID3] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75824-3 Over the past week, are you able to cut your meat?
Fully-Specified Name
- Component
- Over the past W, are you able to cut your meat
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past week, are you able to cut your meat?
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75825-0 Over the past week, are you able to lift a full cup or glass to your mouth?
Fully-Specified Name
- Component
- Over the past W, are you able to lift a full cup or glass to your mouth
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past week, are you able to lift a full cup or glass to your mouth?
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
| 90028-2 | Routine Assessment of Patient Index Data 3 [RAPID3] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75826-8 Over the past week, are you able to open a new milk carton?
Fully-Specified Name
- Component
- Over the past W, are you able to open a new milk carton
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past week, are you able to open a new milk carton?
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75827-6 Over the past week, are you able to walk outdoors on flat ground?
Fully-Specified Name
- Component
- Over the past W, are you able to walk outdoors on flat ground
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past week, are you able to walk outdoors on flat ground?
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
| 75876-3 | Patient activity scale II [PASII] |
| 90028-2 | Routine Assessment of Patient Index Data 3 [RAPID3] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75828-4 Over the past week, are you able to climb up five steps?
Fully-Specified Name
- Component
- Over the past W, are you able to climb up five steps
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past week, are you able to climb up five steps?
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75872-2 Please check any AIDS OR DEVICES that you usually use for any of these activities:
Term Description
Aids or devices usually used to assist a patient in any of the following activities: dressing, including shoelaces and buttons; shampooing hair; standing up from a straight chair; getting in and out of bed; cutting meat; lifting a full cup or glass to mouth; open a new milk carton; walk outdoors on flat ground; climb up five steps.
Source: Regenstrief LOINC
Fully-Specified Name
- Component
- Aids or devices usually used for dressing & grooming, arising, eating, &or walking
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.61
- Change Reason
- Corrected answer list.
- Order vs. Observation
- Observation
Normative Answer List LL3095-8
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Cane | LA15197-9 | ||
| Crutches | LA21660-8 | ||
| Walker | LA10117-2 | ||
| Wheelchair | LA21662-4 | ||
| Built up or special utensils | LA21663-2 | ||
| Special or built up chair | LA21664-0 | ||
| Devices used for dressing (button hook, zipper pull, long handled shoe horn) | LA21665-7 | ||
| Other (specify) | LA6310-2 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75873-0 Please check any categories for which you need HELP FROM ANOTHER PERSON
Fully-Specified Name
- Component
- Help from another person is usually needed for dressing & grooming, arising, eating, &or walking
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.50
- Order vs. Observation
- Observation
Normative Answer List LL3097-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Dressing and grooming | LA21666-5 | ||
| Arising | LA21667-3 | ||
| Eating | LA21668-1 | ||
| Walking | LA11834-1 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75829-2 Over the past week, are you able to wash and dry your body?
Fully-Specified Name
- Component
- Over the past W, are you able to wash and dry your body
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past week, are you able to wash and dry your body?
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
| 90028-2 | Routine Assessment of Patient Index Data 3 [RAPID3] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75830-0 Over the past week, are you able to take a tub bath?
Fully-Specified Name
- Component
- Over the past W, are you able to take a tub bath
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past week, are you able to take a tub bath?
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75831-8 Over the past week, are you able to get on and off the toilet?
Fully-Specified Name
- Component
- Over the past W, are you able to get on and off the toilet
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past week, are you able to get on and off the toilet?
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
| 75876-3 | Patient activity scale II [PASII] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75832-6 Over the past week, are you able to reach and get down a 5 pound object (such as a bag of sugar) from just above your head?
Fully-Specified Name
- Component
- Over the past W, are you able to reach and get down a 5 pound object (such as a bag of sugar) from just above your head
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past week, are you able to reach and get down a 5 pound object (such as a bag of sugar) from just above your head?
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
| 75876-3 | Patient activity scale II [PASII] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75833-4 Over the past week, are you able to bend down and pick up clothing from the floor?
Fully-Specified Name
- Component
- Over the past W, are you able to bend down and pick up clothing from the floor
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past week, are you able to bend down and pick up clothing from the floor?
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
| 90028-2 | Routine Assessment of Patient Index Data 3 [RAPID3] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75834-2 Over the past week, are you able to open car doors?
Fully-Specified Name
- Component
- Over the past W, are you able to open car doors
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past week, are you able to open car doors?
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
| 75876-3 | Patient activity scale II [PASII] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75835-9 Over the past week, are you able to open jars which have been previously opened?
Fully-Specified Name
- Component
- Over the past W, are you able to open jars which have been previously opened
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past week, are you able to open jars which have been previously opened?
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75836-7 Over the past week, are you able to turn faucets on and off?
Fully-Specified Name
- Component
- Over the past W, are you able to turn faucets on and off
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past week, are you able to turn faucets on and off?
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
| 90028-2 | Routine Assessment of Patient Index Data 3 [RAPID3] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75837-5 Over the past week, are you able to run errands and shop?
Fully-Specified Name
- Component
- Over the past W, are you able to run errands and shop
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past week, are you able to run errands and shop?
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75838-3 Over the past week, are you able to get in and out of a car?
Fully-Specified Name
- Component
- Over the past W, are you able to get in and out of a car
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past week, are you able to get in and out of a car?
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75839-1 Over the past week, are you able to do chores such as vacuuming or yard work?
Fully-Specified Name
- Component
- Over the past W, are you able to do chores such as vacuuming or yard work
- Property
- Find
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.54
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the past week, are you able to do chores such as vacuuming or yard work?
Normative Answer List LL3066-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 0 | LA13921-4 | |
| With some difficulty | 1 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 3 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75879-7 Please check any AIDS OR DEVICES that you usually use for any of these activities:
Fully-Specified Name
- Component
- Aids or devices usually used for hygiene, reach, grip, &or activities
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.50
- Order vs. Observation
- Observation
Normative Answer List LL3099-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Bathtub bar | LA21670-7 | ||
| Raised toilet seat | LA21671-5 | ||
| Jar opener for jars previously opened | LA21672-3 | ||
| Long-handled appliances for reach | LA21673-1 | ||
| Long-handled appliances in bathroom | LA21674-9 | ||
| Other (specify) | LA6310-2 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75878-9 Please check any categories for which you NEED HELP FROM ANOTHER PERSON
Fully-Specified Name
- Component
- Help from another person usually needed for hygiene, reach, gripping and opening things, &or errands and chores
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
- HAQ
Basic Attributes
- Class
- SURVEY.HAQ
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.50
- Order vs. Observation
- Observation
Normative Answer List LL3102-2
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Hygiene | LA21675-6 | ||
| Reach | LA21676-4 | ||
| Gripping and opening things | LA21677-2 | ||
| Errands and chores | LA21678-0 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 75877-1 | Patient activity scale [PAS] |
Copyright
- Organization
- Health Assessment Questionnaire (HAQ)
- Copyright
- Copyright © Stanford University.
- Terms of Use
- Used with permission.
- URL
- https://www.selfmanagementresource.com/
75893-8 How much PAIN have you had because of your illness in the PAST WEEK?
Term Description
The patient is asked to indicate his/her level of pain in the past week on a scale of 0-10 where 0 is no pain and 10 is severe pain or the worst pain that can be imagined.
Source: Regenstrief LOINC
Fully-Specified Name
- Component
- Pain severity in the past W - 0-10 numeric rating
- Property
- Score
- Time
- 1W
- System
- ^Patient
- Scale
- Ord
- Method
- Reported
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.50
- Last Updated
- Version 2.65
- Change Reason
- Answer List Type changed from NORMATIVE to EXAMPLE to accommodate Override Answer Lists.
- Order vs. Observation
- Observation
Normative Answer List LL2335-9
| 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 | |
| 6 | 6 | LA10138-8 | |
| 7 | 7 | LA10139-6 | |
| 8 | 8 | LA10140-4 | |
| 9 | 9 | LA10141-2 | |
| 10 | 10 | LA13942-0 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 71950-0 | Health Assessment Questionnaire [HAQ] |
| 91148-7 | Pain intensity, Enjoyment of life, General activity scale [PEG] |
| 75877-1 | Patient activity scale [PAS] |
| 75876-3 | Patient activity scale II [PASII] |
| 100062-9 | Standard Dermatology Outcome Measures panel |
Example Units
| Unit | Source |
|---|---|
| {score} | Example UCUM Units |