70673-9  Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT  

PANEL HIERARCHY  (view this panel in the LForms viewer)

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT    
       70982-4   Functional Assessment of Chronic Illness Therapy - Dyspnea Questionnaire - 10 items (FACIT-Dyspnea - 10)Functional Assessment of Chronic Illness Therapy - Dyspnea Questionnaire - 10 items (FACIT-Dyspnea - 10)Functional assessment of chronic illness therapy - dyspnea questionnaire - 10 items: -: Pt: ^Patient: -: FACIT    
            70971-7   How short of breath did you get dressing yourself without help?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70972-5   How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70973-3   How short of breath did you get walking up 20 stairs, 2 flights, without stopping?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70974-1   How short of breath did you get preparing meals?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70975-8   How short of breath did you get washing dishes?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70976-6   How short of breath did you get sweeping or mopping?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70977-4   How short of breath did you get making a bed?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70978-2   How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70979-0   How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70980-8   How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping?    
            70981-6   Please indicate why you did not do this in the past 7 days    
       70983-2   Functional Assessment of Chronic Illness Therapy - Dyspnea Questionnaire - 33 items (FACIT-Dyspnea - 33)Functional Assessment of Chronic Illness Therapy - Dyspnea Questionnaire - 33 items (FACIT-Dyspnea - 33)Functional assessment of chronic illness therapy - dyspnea questionnaire - 33 items: -: Pt: ^Patient: -: FACIT    
            70971-7   How short of breath did you get dressing yourself without help?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70972-5   How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70973-3   How short of breath did you get walking up 20 stairs, 2 flights, without stopping?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70974-1   How short of breath did you get preparing meals?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70975-8   How short of breath did you get washing dishes?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70976-6   How short of breath did you get sweeping or mopping?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70977-4   How short of breath did you get making a bed?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70978-2   How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70979-0   How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70980-8   How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70984-0   How short of breath did you get taking a bath?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70985-7   How short of breath did you get taking a shower?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70986-5   How short of breath did you get putting on socks or stockings?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70987-3   How short of breath did you get standing for at least 5 minutes?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70988-1   How short of breath did you get walking 10 steps/paces on flat ground at a normal speed without stopping?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70989-9   How short of breath did you get walking 1/2 mile, almost 1 km, on flat ground at a normal speed, without stopping?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70990-7   How short of breath did you get walking up 5 stairs without stopping?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70991-5   How short of breath did you get walking up 10 stairs, 1 flight, without stopping?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70992-3   How short of breath did you get walking up 30 stairs, 3 flights, without stopping?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            71006-1   How short of breath did you get scrubbing the floor or counter?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70993-1   How short of breath did you get lifting something weighing less than 5 lbs, about 2 kg, like a houseplant?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70994-9   How short of breath did you get lifting something weighing 5-10 lbs, about 2-4.5 kg, like a basket of clothes?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70995-6   How short of breath did you get lifting something weighing more than 20 lbs, about 9 kg, like a medium-sized suitcase?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70996-4   How short of breath did you get carrying something weighing less than 5 lbs, about 2 kg, like a houseplant, from one room to another?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70997-2   How short of breath did you get carrying something weighing 5-10 lbs, about 2-4.5 kg, like a basket of clothes, from one room to another    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70998-0   How short of breath did you get getting in or out of a car?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            70999-8   How short of breath did you get dining out?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            71000-4   How short of breath did you get low-intensity leisure activity - gardening, etc?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            71001-2   How short of breath did you get moderate-intensity leisure activity - bicycling on level terrain, etc?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            71002-0   How short of breath did you get walking, faster than your usual speed, for 50 steps without stopping?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            71003-8   How short of breath did you get walking, faster than your usual speed, for at least 1 mile, a little more than 1.5 km, without stopping?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            71004-6   How short of breath did you get singing or humming?    
            70981-6   Please indicate why you did not do this in the past 7 days    
            71005-3   How short of breath did you get talking while walking?    
            70981-6   Please indicate why you did not do this in the past 7 days    
       71007-9   Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal)Functional assessment of chronic illness therapy - palliative care questionnaire: -: Pt: ^Patient: -: FACIT    
            70498-1   Physical well-being [FACIT]Physical well-being [FACIT]Physical well being: -: Pt: ^Patient: -: FACIT    
                 70405-6   I have a lack of energy    
                 70406-4   I have nausea    
                 70407-2   Because of my physical condition, I have trouble meeting the needs of my family    
                 70408-0   I have pain    
                 70409-8   I am bothered by side effects of treatment    
                 70410-6   I feel ill    
                 70411-4   I am forced to spend time in bed    
            70499-9   Social - family well-being [FACIT]Social - family well-being [FACIT]Social - family well being: -: Pt: ^Patient: -: FACIT    
                 70412-2   I feel close to my friends    
                 70413-0   I get emotional support from my family    
                 70414-8   I get support from my friends    
                 70415-5   My family has accepted my illness    
                 70416-3   I am satisfied with family communication about my illness    
                 70417-1   I felt close to my partner, or the person who is my main support    
                 70914-7   Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.    
                 70418-9   I am satisfied with my sex life    
            70500-4   Emotional well being [FACIT]Emotional well being [FACIT]Emotional well being: -: Pt: ^Patient: -: FACIT    
                 70392-6   I feel sad    
                 70393-4   I am satisfied with how I am coping with my illness    
                 70394-2   I am losing hope in the fight against my illness    
                 70395-9   I am nervous    
                 70396-7   I worry about dying    
                 70397-5   I worry that my condition will get worse    
            70501-2   Functional well-being [FACIT]Functional well-being [FACIT]Functional well being: -: Pt: ^Patient: -: FACIT    
                 70398-3   I am able to work (include work at home)    
                 70399-1   My work (include work at home) is fulfilling    
                 70400-7   I am able to enjoy life    
                 70401-5   I have accepted my illness    
                 70402-3   I am sleeping well    
                 70403-1   I am enjoying the things I usually do for fun    
                 70404-9   I am content with the quality of my life right now    
            71008-7   Additional concerns - FACIT-Pal [FACIT]Additional concerns - FACIT-Pal [FACIT]Additional concerns - FACIT-Pal: -: Pt: ^Patient: -: FACIT    
                 71009-5   I maintain contact with my friends    
                 71010-3   I have family members who will take on my responsibilities    
                 71011-1   I feel that my family appreciates me    
                 71012-9   I feel like a burden to my family    
                 70305-8   I have been short of breath    
                 71013-7   I am constipated    
                 70346-2   I am losing weight    
                 70479-1   I have been vomiting    
                 71014-5   I have swelling in parts of my body    
                 71015-2   My mouth and throat are dry    
                 70341-3   I feel independent    
                 71016-0   I feel useful    
                 71017-8   I make each day count    
                 71018-6   I have peace of mind    
                 71019-4   I feel hopeful    
                 71020-2   I am able to make decisions    
                 70441-1   My thinking is clear    
                 71021-0   I have been able to reconcile (make peace) with other people    
                 71022-8   I am able to openly discuss my concerns with the people closest to me    
       71439-4   Functional Assessment of Chronic Illness Therapy Spiritual Well-being Questionnaire - version 4 (FACIT-Sp)Functional Assessment of Chronic Illness Therapy Spiritual Well-being Questionnaire - version 4 (FACIT-Sp)Functional assessment of chronic illness therapy - spiritual well being questionnaire - version 4: -: Pt: ^Patient: -: FACIT    
            70498-1   Physical well-being [FACIT]Physical well-being [FACIT]Physical well being: -: Pt: ^Patient: -: FACIT    
                 70405-6   I have a lack of energy    
                 70406-4   I have nausea    
                 70407-2   Because of my physical condition, I have trouble meeting the needs of my family    
                 70408-0   I have pain    
                 70409-8   I am bothered by side effects of treatment    
                 70410-6   I feel ill    
                 70411-4   I am forced to spend time in bed    
            70499-9   Social - family well-being [FACIT]Social - family well-being [FACIT]Social - family well being: -: Pt: ^Patient: -: FACIT    
                 70412-2   I feel close to my friends    
                 70413-0   I get emotional support from my family    
                 70414-8   I get support from my friends    
                 70415-5   My family has accepted my illness    
                 70416-3   I am satisfied with family communication about my illness    
                 70417-1   I felt close to my partner, or the person who is my main support    
                 70914-7   Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.    
                 70418-9   I am satisfied with my sex life    
            70500-4   Emotional well being [FACIT]Emotional well being [FACIT]Emotional well being: -: Pt: ^Patient: -: FACIT    
                 70392-6   I feel sad    
                 70393-4   I am satisfied with how I am coping with my illness    
                 70394-2   I am losing hope in the fight against my illness    
                 70395-9   I am nervous    
                 70396-7   I worry about dying    
                 70397-5   I worry that my condition will get worse    
            70501-2   Functional well-being [FACIT]Functional well-being [FACIT]Functional well being: -: Pt: ^Patient: -: FACIT    
                 70398-3   I am able to work (include work at home)    
                 70399-1   My work (include work at home) is fulfilling    
                 70400-7   I am able to enjoy life    
                 70401-5   I have accepted my illness    
                 70402-3   I am sleeping well    
                 70403-1   I am enjoying the things I usually do for fun    
                 70404-9   I am content with the quality of my life right now    
            71131-7   Additional concerns - FACIT-Sp [FACIT]Additional concerns - FACIT-Sp [FACIT]Additional concerns - FACIT-Sp: -: Pt: ^Patient: -: FACIT    
                 71024-4   I feel peaceful    
                 71025-1   I have a reason for living    
                 71026-9   My life has been productive    
                 71027-7   I have trouble feeling peace of mind    
                 71028-5   I feel a sense of purpose in my life    
                 71029-3   I am able to reach down deep into myself for comfort    
                 71030-1   I feel a sense of harmony within myself    
                 71031-9   My life lacks meaning and purpose    
                 70697-8   I find comfort in my faith or spiritual beliefs    
                 71032-7   I find strength in my faith or spiritual beliefs    
                 71033-5   My illness has strengthened my faith or spiritual beliefs    
                 71034-3   I know that whatever happens with my illness things will be okay    
       71023-6   Functional Assessment of Chronic Illness Therapy - Spiritual well-being Questionnaire - 12 items - version 4 (FACIT-Sp-12)Functional Assessment of Chronic Illness Therapy - Spiritual well-being Questionnaire - 12 items - version 4 (FACIT-Sp-12)Functional assessment of chronic illness therapy - spiritual well being questionnaire - 12 items - version 4: -: Pt: ^Patient: -: FACIT    
            71024-4   I feel peaceful    
            71025-1   I have a reason for living    
            71026-9   My life has been productive    
            71027-7   I have trouble feeling peace of mind    
            71028-5   I feel a sense of purpose in my life    
            71029-3   I am able to reach down deep into myself for comfort    
            71030-1   I feel a sense of harmony within myself    
            71031-9   My life lacks meaning and purpose    
            70697-8   I find comfort in my faith or spiritual beliefs    
            71032-7   I find strength in my faith or spiritual beliefs    
            71033-5   My illness has strengthened my faith or spiritual beliefs    
            71034-3   I know that whatever happens with my illness things will be okay    
       71035-0   Functional Assessment of Chronic Illness Therapy - Spiritual well-being, expanded version questionnaire - version 4 (FACIT-Sp-Ex)Functional Assessment of Chronic Illness Therapy - Spiritual well-being, expanded version questionnaire - version 4 (FACIT-Sp-Ex)Functional assessment of chronic illness therapy - spiritual well being, expanded version questionnaire - version 4: -: Pt: ^Patient: -: FACIT    
            71024-4   I feel peaceful    
            71025-1   I have a reason for living    
            71026-9   My life has been productive    
            71027-7   I have trouble feeling peace of mind    
            71028-5   I feel a sense of purpose in my life    
            71029-3   I am able to reach down deep into myself for comfort    
            71030-1   I feel a sense of harmony within myself    
            71031-9   My life lacks meaning and purpose    
            70697-8   I find comfort in my faith or spiritual beliefs    
            71032-7   I find strength in my faith or spiritual beliefs    
            71033-5   My illness has strengthened my faith or spiritual beliefs    
            71034-3   I know that whatever happens with my illness things will be okay    
            71036-8   I feel connected to a higher power (or God)    
            71037-6   I feel connected to other people    
            71038-4   I feel loved    
            71039-2   I feel love for others    
            71040-0   I am able to forgive others for any harm they have ever caused me    
            71041-8   I feel forgiven for any harm I may have ever caused    
            71042-6   Throughout the course of my day, I feel a sense of thankfulness for my life    
            71043-4   Throughout the course of my day, I feel a sense of thankfulness for what others bring to my life    
            71019-4   I feel hopeful    
            71044-2   I feel a sense of appreciation for the beauty of nature    
            71045-9   I feel compassion for others in the difficulties they are facing    
       71046-7   Functional Assessment of Chronic Illness Therapy - Spiritual well-being - non-illness questionnaire - version 4 (FACIT-Sp - non-illness)Functional Assessment of Chronic Illness Therapy - Spiritual well-being - non-illness questionnaire - version 4 (FACIT-Sp - non-illness)Functional assessment of chronic illness therapy - spiritual well being - non-illness questionnaire - version 4: -: Pt: ^Patient: -: FACIT    
            70498-1   Physical well-being [FACIT]Physical well-being [FACIT]Physical well being: -: Pt: ^Patient: -: FACIT    
                 70405-6   I have a lack of energy    
                 70406-4   I have nausea    
                 70407-2   Because of my physical condition, I have trouble meeting the needs of my family    
                 70408-0   I have pain    
                 70409-8   I am bothered by side effects of treatment    
                 70410-6   I feel ill    
                 70411-4   I am forced to spend time in bed    
            70499-9   Social - family well-being [FACIT]Social - family well-being [FACIT]Social - family well being: -: Pt: ^Patient: -: FACIT    
                 70412-2   I feel close to my friends    
                 70413-0   I get emotional support from my family    
                 70414-8   I get support from my friends    
                 70415-5   My family has accepted my illness    
                 70416-3   I am satisfied with family communication about my illness    
                 70417-1   I felt close to my partner, or the person who is my main support    
                 70914-7   Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.    
                 70418-9   I am satisfied with my sex life    
            70500-4   Emotional well being [FACIT]Emotional well being [FACIT]Emotional well being: -: Pt: ^Patient: -: FACIT    
                 70392-6   I feel sad    
                 70393-4   I am satisfied with how I am coping with my illness    
                 70394-2   I am losing hope in the fight against my illness    
                 70395-9   I am nervous    
                 70396-7   I worry about dying    
                 70397-5   I worry that my condition will get worse    
            70501-2   Functional well-being [FACIT]Functional well-being [FACIT]Functional well being: -: Pt: ^Patient: -: FACIT    
                 70398-3   I am able to work (include work at home)    
                 70399-1   My work (include work at home) is fulfilling    
                 70400-7   I am able to enjoy life    
                 70401-5   I have accepted my illness    
                 70402-3   I am sleeping well    
                 70403-1   I am enjoying the things I usually do for fun    
                 70404-9   I am content with the quality of my life right now    
            71132-5   Additional concerns - FACIT-Sp-NI [FACIT]Additional concerns - FACIT-Sp-NI [FACIT]Additional concerns - FACIT-Sp-NI: -: Pt: ^Patient: -: FACIT    
                 71024-4   I feel peaceful    
                 71025-1   I have a reason for living    
                 71026-9   My life has been productive    
                 71027-7   I have trouble feeling peace of mind    
                 71028-5   I feel a sense of purpose in my life    
                 71029-3   I am able to reach down deep into myself for comfort    
                 71030-1   I feel a sense of harmony within myself    
                 71031-9   My life lacks meaning and purpose    
                 70697-8   I find comfort in my faith or spiritual beliefs    
                 71032-7   I find strength in my faith or spiritual beliefs    
                 71124-2   Difficult times have strengthened my faith or spiritual beliefs    
                 71125-9   Even during difficult times, I know that things will be okay    
       71047-5   Functional Assessment of Chronic Illness Therapy - Satisfaction with Pharmacist Scale - version 4 (FACIT - SWiP)Functional Assessment of Chronic Illness Therapy - Satisfaction with Pharmacist Scale - version 4 (FACIT - SWiP)Functional assessment of chronic illness therapy - satisfaction with pharmacist scale - version 4: -: Pt: ^Patient: -: FACIT    
            71048-3   My pharmacist advises me on the proper use of my medicines    
            71049-1   My pharmacist advises me on the adverse (side) effects of my medicines    
            71050-9   I have confidence in my pharmacist(s)    
            71051-7   My pharmacist is available to answer my questions    
            71052-5   My pharmacist helps with the arrangements necessary to obtain my medicines    
            71053-3   My pharmacist is aware of my treatment-related needs    
            71054-1   My pharmacist responds to my treatment-related needs    
       71055-8   Functional Assessment of Chronic Illness Therapy - Treatment satisfaction - General Questionnaire - version 1 (FACIT-TS-G)Functional Assessment of Chronic Illness Therapy - Treatment satisfaction - General Questionnaire - version 1 (FACIT-TS-G)Functional assessment of chronic illness therapy - treatment satisfaction - general questionnaire - version 1: -: Pt: ^Patient: -: FACIT    
            71064-0   Name of treatment [FACIT]Name of treatment [FACIT]Name of treatment: Find: Pt: ^Patient: Nom: FACIT    
            71056-6   Compared to what you expected, how do you rate the effectiveness of the treatment so far?    
            71057-4   Compared to what you expected, how do you rate the side effects of treatment so far?    
            71058-2   Did your doctor(s) help you evaluate the effects of your treatment so far?    
            71059-0   Do you feel you received the treatment that was right for you?    
            71060-8   Are you satisfied with the effects of this treatment so far?    
            71061-6   Would you recommend this treatment to others with your illness?    
            71062-4   Would you choose this treatment again?    
            71063-2   How do you rate this treatment overall [FACIT]How do you rate this treatment overall [FACIT]How do you rate this treatment overall: Find: Pt: ^Patient: Ord: FACIT    
            8251-1   Do you have any comments    
       71065-7   Functional Assessment of Chronic Illness therapy - Treatment satisfaction - patient satisfaction questionnaire - version 1 (FACIT-TS-PS)Functional Assessment of Chronic Illness therapy - Treatment satisfaction - patient satisfaction questionnaire - version 1 (FACIT-TS-PS)Functional assessment of chronic illness therapy - treatment satisfaction - patient satisfaction questionnaire - version 1: -: Pt: ^Patient: -: FACIT    
            71066-5   Please mark one box to choose the visit(s) you would like to rate 1..3   
            71067-3   Explanations [FACIT]Explanations [FACIT]Explanations: -: Pt: ^Patient: -: FACIT    
                 71068-1   Did your doctor(s) give explanations that you could understand?    
                 71069-9   Did your doctor(s) explain the possible benefits of your treatment?    
                 71070-7   Did your doctor-s explain the possible side effects or risks of your treatment    
                 71071-5   Did you have an opportunity to ask questions?    
            71072-3   Interpersonal [FACIT]Interpersonal [FACIT]Interpersonal: -: Pt: ^Patient: -: FACIT    
                 71073-1   Did you get to say the things that were important to you?    
                 71074-9   Did your doctor(s) seem to understand what was important to you?    
                 71075-6   Did your doctor(s) show genuine concern for you?    
            71076-4   Comprehensive care [FACIT]Comprehensive care [FACIT]Comprehensive care: -: Pt: ^Patient: -: FACIT    
                 71077-2   Did your doctor(s) seem to understand your needs?    
                 71078-0   Did you feel that the treatment staff worked together towards the same goal?    
                 71079-8   Were you able to talk to your doctor(s) when you needed to    
                 71080-6   Did the treatment staff discuss how your health and treatment may affect your normal work (including housework)?    
                 71081-4   Did the treatment staff discuss how your health and treatment may affect your normal daily activities?    
                 71082-2   Did the treatment staff discuss how your health and treatment may affect your personal relationships?    
                 71083-0   Did the treatment staff discuss how your health and treatment may affect you emotionally?    
            71084-8   Technical quality [FACIT]Technical quality [FACIT]Technical quality: -: Pt: ^Patient: -: FACIT    
                 71085-5   Did you feel your doctors had experience treating your illness?    
                 71086-3   Did you feel your doctor(s) knew about the latest medical developments for your illness?    
                 71087-1   Was the treatment staff thorough in examining and treating you?    
            71088-9   Decision-making [FACIT]Decision-making [FACIT]Decision-making: -: Pt: ^Patient: -: FACIT    
                 71089-7   Did your doctor(s) discuss other treatments, example, alternative medicine or new for treatments?    
                 71090-5   Were you encouraged to participate in decisions about your health care?    
                 71091-3   Did you have enough time to make decisions about your health care    
                 71092-1   Did you have enough information to make decisions about your health care?    
                 71093-9   Did your doctor(s) seem to respect your opinions?    
            71094-7   Nurses [FACIT]Nurses [FACIT]Nurses: -: Pt: ^Patient: -: FACIT    
                 71095-4   Did your nurses give explanations that you could understand?    
                 71096-2   Did your nurses show genuine concern for you?    
                 71097-0   Did your nurse(s) seem to understand your needs    
            71098-8   Trust [FACIT]Trust [FACIT]Trust: -: Pt: ^Patient: -: FACIT    
                 71099-6   Did you feel that the treatment staff answered your questions honestly?    
                 71100-2   Did the treatment staff respect your privacy?    
                 71101-0   Did you have confidence in your doctor(s)?    
                 71102-8   Did you trust your doctor(s) suggestions for treatment?    
            71103-6   Overall [FACIT]Overall [FACIT]Overall: -: Pt: ^Patient: -: FACIT    
                 71104-4   Would you recommend this clinic or office to others?    
                 71105-1   Would you choose this clinic or office again?    
                 71106-9   How do you rate the care you received?    
                 8251-1   Do you have any comments    
       71133-3   Functional Assessment of HIV Infection Questionnaire - version 4 (FAHI) [FACIT]Functional Assessment of HIV Infection Questionnaire - version 4 (FAHI) [FACIT]Functional assessment of HIV infection questionnaire - version 4: -: Pt: ^Patient: -: FACIT    
            71126-7   Physical well-being - FAHI [FACIT]Physical well-being - FAHI [FACIT]Physical well being - FAHI: -: Pt: ^Patient: -: FACIT    
                 70405-6   I have a lack of energy    
                 70406-4   I have nausea    
                 70408-0   I have pain    
                 70409-8   I am bothered by side effects of treatment    
                 70411-4   I am forced to spend time in bed    
                 70305-8   I have been short of breath    
                 70312-4   I am bothered by a change in weight    
                 70528-5   I get tired easily    
                 70426-2   I feel fatigued    
                 70425-4   I feel weak all    
                 70442-9   I have been coughing    
                 70410-6   I feel ill    
                 70407-2   Because of my physical condition, I have trouble meeting the needs of my family    
            71127-5   Emotional well-being - living with HIV [FACIT]Emotional well-being - living with HIV [FACIT]Emotional well being - living with HIV: -: Pt: ^Patient: -: FACIT    
                 70392-6   I feel sad    
                 70395-9   I am nervous    
                 70396-7   I worry about dying    
                 70397-5   I worry that my condition will get worse    
                 71134-1   I am unhappy with my appearance    
                 71135-8   It is hard to tell other people about my infection    
                 71136-6   I worry about spreading my infection    
                 71137-4   I am concerned about what the future holds for me    
                 70311-6   I worry about the effect of stress on my illness    
                 71138-2   I am embarrassed by my illness    
            71128-3   Functional and global well-being [FACIT]Functional and global well-being [FACIT]Functional and global well being: -: Pt: ^Patient: -: FACIT    
                 70398-3   I am able to work (include work at home)    
                 70399-1   My work (include work at home) is fulfilling    
                 70400-7   I am able to enjoy life    
                 70401-5   I have accepted my illness    
                 70402-3   I am sleeping well    
                 70403-1   I am enjoying the things I usually do for fun    
                 70404-9   I am content with the quality of my life right now    
                 70393-4   I am satisfied with how I am coping with my illness    
                 70394-2   I am losing hope in the fight against my illness    
                 70308-2   I feel sexually attractive    
                 70350-4   I have a good appetite    
                 70654-9   I feel motivated to do things    
                 70696-0   I am hopeful about the future    
            71129-1   Social well-being [FACIT]Social well-being [FACIT]Social well being: -: Pt: ^Patient: -: FACIT    
                 70412-2   I feel close to my friends    
                 70413-0   I get emotional support from my family    
                 70414-8   I get support from my friends    
                 70415-5   My family has accepted my illness    
                 70416-3   I am satisfied with family communication about my illness    
                 70417-1   I felt close to my partner, or the person who is my main support    
                 70714-1   I have people to help me if I need it    
                 70914-7   Regardless of your current level of sexual activity, please answer the following question. If you prefer not to answer it, please mark this box and go to the next section.    
                 70418-9   I am satisfied with my sex life    
            71130-9   Cognitive functioning [FACIT]Cognitive functioning [FACIT]Cognitive functioning: -: Pt: ^Patient: -: FACIT    
                 70441-1   My thinking is clear    
                 70530-1   I have trouble concentrating    
                 70651-5   I have trouble remembering things    
            71118-4   Thinking and fatigue [FACIT]Thinking and fatigue [FACIT]Thinking and fatigue: -: Pt: ^Patient: -: FACIT    
                 70405-6   I have a lack of energy    
                 70304-1   I feel tired    
                 70728-1   I have trouble starting things because I am tired    
                 70729-9   I have trouble finishing things because I am tired    
                 70815-6   I need to rest during the day    
                 70651-5   I have trouble remembering things    
                 70530-1   I have trouble concentrating    
                 71139-0   My thinking is slower than before    
                 71140-8   I have trouble learning new tasks or directions    
            71141-6   Social - family well-being - FAMS [FACIT]Social - family well-being - FAMS [FACIT]Social - family well being - FAMS: -: Pt: ^Patient: -: FACIT    
                 70412-2   I feel close to my friends    
                 70413-0   I get emotional support from my family    
                 70414-8   I get support from my friends    
                 70415-5   My family has accepted my illness    
                 70416-3   I am satisfied with family communication about my illness    
                 71119-2   My family has trouble understanding when my condition gets worse    
                 71120-0   I feel left out of things    
            71121-8   Additional concerns - FAMS [FACIT]Additional concerns - FAMS [FACIT]Additional concerns - FAMS: -: Pt: ^Patient: -: FACIT    
                 70409-8   I am bothered by side effects of treatment    
                 70411-4   I am forced to spend time in bed    
                 70417-1   I felt close to my partner, or the person who is my main support    
                 70418-9   I am satisfied with my sex life    
                 70393-4   I am satisfied with how I am coping with my illness    
                 70395-9   I am nervous    
                 70397-5   I worry that my condition will get worse    
                 70402-3   I am sleeping well    
                 71122-6   Heat worsens my symptoms    
                 70314-0   I have trouble controlling my urine    
                 70315-7   I urinate more frequently than usual    
                 70527-7   I am bothered by the chills    
                 70344-7   I am bothered by fevers (episodes of high body temperature)    
                 71123-4   I am bothered by muscle spasms    
 

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Functional assessment of chronic illness therapy - non cancer specific measures panel  Pt  ^Patient  FACIT
  Long Common Name:  Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel

COPYRIGHT NOTICE
Functional Assessment of Chronic Illness Therapy Copyright notice;

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.GNHLTH/Survey
  Panel Type: Panel
  First Released in Version: 2.40
  Last Updated in Version: 2.50
  Status: Active

PARTS

Part Type    Part No.  Part Name   
Component   LP146866-1  Functional assessment of chronic illness therapy - non cancer specific measures panel   [Functional assessment of chronic illness therapy - non cancer specific measures] 
Property   LP6769-6 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP28586-3  Specific 
Fragments for synonyms   LP21059-8  Panel 

RELATED NAMES
  FACIT Panl Spec
  FACIT - non CA specific measures pnl Pnl SURVEY.GNHLTH
  Pan Point in time  
  PANEL.SURVEY.GNHLTH Random  

CHANGE HISTORY
  Change Type: MIN

CITATION
  Description: FACIT Copyright
  Copyright: Copyright © 2010 David Cella, PhD.
 
 

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:21:54 PM
  Attachment Units Required: N
  Long Common Name: Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel
  Fully Specified Name: Functional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT
     
  Component Word Count: 11
  ID: 69996
  # of Panel Elements: 420
  Status (Raw): ACTIVE



Selected information about each LOINC that is part of this panel



70982-4   Functional Assessment of Chronic Illness Therapy - Dyspnea Questionnaire - 10 items (FACIT-Dyspnea - 10)Functional Assessment of Chronic Illness Therapy - Dyspnea Questionnaire - 10 items (FACIT-Dyspnea - 10)Functional assessment of chronic illness therapy - dyspnea questionnaire - 10 items: -: Pt: ^Patient: -: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Functional assessment of chronic illness therapy - dyspnea questionnaire - 10 items  Pt  ^Patient  FACIT
  Long Common Name:  Functional Assessment of Chronic Illness Therapy - Dyspnea Questionnaire - 10 items (FACIT-Dyspnea - 10)

TERM DEFINITION/DESCRIPTION(S)
  Functional Assessment of Chronic Illness Therapy - Dyspnea - 10 items
 
 

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.GNHLTH/Survey
  Panel Type: Panel
  First Released in Version: 2.40
  Last Updated in Version: 2.50
  Status: Active

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148666-3  Functional assessment of chronic illness therapy - dyspnea questionnaire - 10 items 
Property   LP6769-6 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP21059-8  Panel 

RELATED NAMES
  FACIT Panel Point in time
  FACIT-Dyspnea PANEL.SURVEY.GNHLTH Random
  FACIT-Dyspnea - 10 items Panl SURVEY.GNHLTH
  Pan Pnl  

CHANGE HISTORY
  Change Type: MIN

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:21:54 PM
  Attachment Units Required: N
  Long Common Name: Functional Assessment of Chronic Illness Therapy - Dyspnea Questionnaire - 10 items (FACIT-Dyspnea - 10)
  Fully Specified Name: Functional assessment of chronic illness therapy - dyspnea questionnaire - 10 items: -: Pt: ^Patient: -: FACIT
     
  Component Word Count: 10
  ID: 70305
  Status (Raw): ACTIVE


70971-7   How short of breath did you get dressing yourself without help in the past 7 days [FACIT]How short of breath did you get dressing yourself without help in the past 7 days [FACIT]How short of breath did you get dressing yourself without help in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get dressing yourself without help in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get dressing yourself without help in the past 7 days [FACIT]

OBSERVATION ID IN FORM
1

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get dressing yourself without help?
Source: 1

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT
  90967-1   PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0: -: 7D: ^Patient: -: PROMIS

PARTS

Part Type    Part No.  Part Name   
Component   LP148655-6  How short of breath did you get dressing yourself without help in the past 7D   [How short of breath did you get dressing yourself without help in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ql SOB dressing past 7D
  Findings Qual SURVEY.GNHLTH
  Last Qualitative  
  Ordinal Screen  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:21:54 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get dressing yourself without help in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get dressing yourself without help in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 15
  ID: 70294
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:21:55 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70972-5   How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping in the past 7 days [FACIT]How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping in the past 7 days [FACIT]How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping in the past 7 days [FACIT]

OBSERVATION ID IN FORM
2

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping?
Source: 2

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT
  90967-1   PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0: -: 7D: ^Patient: -: PROMIS

PARTS

Part Type    Part No.  Part Name   
Component   LP148656-4  How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping in the past 7D   [How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 
Fragments for synonyms   LP15963-9  Normal 

RELATED NAMES
  Control Ql SURVEY.GNHLTH
  Finding Qual Walking 50 steps normal speed w /o stopping past 7D
  Findings Qualitative  
  Last Screen  
  Ordinal SOB walking 50 steps normal speed w/o stopping past 7D  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:21:55 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 24
  ID: 70295
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:21:55 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70973-3   How short of breath did you get walking up 20 stairs - 2 flights - without stopping in the past 7 days [FACIT]How short of breath did you get walking up 20 stairs - 2 flights - without stopping in the past 7 days [FACIT]How short of breath did you get walking up 20 stairs - 2 flights - without stopping in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get walking up 20 stairs - 2 flights - without stopping in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get walking up 20 stairs - 2 flights - without stopping in the past 7 days [FACIT]

OBSERVATION ID IN FORM
3

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get walking up 20 stairs, 2 flights, without stopping?
Source: 3

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT
  90967-1   PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0: -: 7D: ^Patient: -: PROMIS

PARTS

Part Type    Part No.  Part Name   
Component   LP148657-2  How short of breath did you get walking up 20 stairs - 2 flights - without stopping in the past 7D   [How short of breath did you get walking up 20 stairs - 2 flights - without stopping in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP20740-4 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Screen
  Findings Ql SOB walking up 20 stairs w/o stopping past 7D
  II Qual SURVEY.GNHLTH
  Last Qualitative  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:21:55 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get walking up 20 stairs - 2 flights - without stopping in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get walking up 20 stairs - 2 flights - without stopping in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 19
  ID: 70296
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:21:56 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70974-1   How short of breath did you get preparing meals in the past 7 days [FACIT]How short of breath did you get preparing meals in the past 7 days [FACIT]How short of breath did you get preparing meals in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get preparing meals in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get preparing meals in the past 7 days [FACIT]

OBSERVATION ID IN FORM
4

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get preparing meals?
Source: 4

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT
  90967-1   PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0: -: 7D: ^Patient: -: PROMIS

PARTS

Part Type    Part No.  Part Name   
Component   LP148658-0  How short of breath did you get preparing meals in the past 7D   [How short of breath did you get preparing meals in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ql SOB preparing meals past 7D
  Findings Qual SURVEY.GNHLTH
  Last Qualitative  
  Ordinal Screen  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:21:56 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get preparing meals in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get preparing meals in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 13
  ID: 70297
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:21:56 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70975-8   How short of breath did you get washing dishes in the past 7 days [FACIT]How short of breath did you get washing dishes in the past 7 days [FACIT]How short of breath did you get washing dishes in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get washing dishes in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get washing dishes in the past 7 days [FACIT]

OBSERVATION ID IN FORM
5

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get washing dishes?
Source: 5

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT
  90967-1   PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0: -: 7D: ^Patient: -: PROMIS

PARTS

Part Type    Part No.  Part Name   
Component   LP148659-8  How short of breath did you get washing dishes in the past 7D   [How short of breath did you get washing dishes in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ql SOB washing dishes past 7D
  Findings Qual SURVEY.GNHLTH
  Last Qualitative  
  Ordinal Screen  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:21:57 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get washing dishes in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get washing dishes in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 13
  ID: 70298
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:21:57 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70976-6   How short of breath did you get sweeping or mopping in the past 7 days [FACIT]How short of breath did you get sweeping or mopping in the past 7 days [FACIT]How short of breath did you get sweeping or mopping in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get sweeping or mopping in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get sweeping or mopping in the past 7 days [FACIT]

OBSERVATION ID IN FORM
6

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get sweeping or mopping?
Source: 6

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT
  90967-1   PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0: -: 7D: ^Patient: -: PROMIS

PARTS

Part Type    Part No.  Part Name   
Component   LP148660-6  How short of breath did you get sweeping or mopping in the past 7D   [How short of breath did you get sweeping or mopping in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ql SOB sweeping or mopping past 7D
  Findings Qual SURVEY.GNHLTH
  Last Qualitative  
  Ordinal Screen  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:21:57 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get sweeping or mopping in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get sweeping or mopping in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 14
  ID: 70299
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:21:58 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70977-4   How short of breath did you get making a bed in the past 7 days [FACIT]How short of breath did you get making a bed in the past 7 days [FACIT]How short of breath did you get making a bed in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get making a bed in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get making a bed in the past 7 days [FACIT]

OBSERVATION ID IN FORM
7

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get making a bed?
Source: 7

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT
  90967-1   PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0: -: 7D: ^Patient: -: PROMIS

PARTS

Part Type    Part No.  Part Name   
Component   LP148661-4  How short of breath did you get making a bed in the past 7D   [How short of breath did you get making a bed in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ql SOB making a bed past 7D
  Findings Qual SURVEY.GNHLTH
  Last Qualitative  
  Ordinal Screen  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:21:58 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get making a bed in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get making a bed in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 14
  ID: 70300
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:21:58 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70978-2   How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, in the past 7 days [FACIT]How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, in the past 7 days [FACIT]How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, in the past 7 days [FACIT]

OBSERVATION ID IN FORM
8

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries?
Source: 8

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT
  90967-1   PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0: -: 7D: ^Patient: -: PROMIS

PARTS

Part Type    Part No.  Part Name   
Component   LP148662-2  How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, in the past 7D   [How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ql SOB lifting 10-20 lbs past 7D
  Findings Qual SURVEY.GNHLTH
  Last Qualitative  
  Ordinal Screen  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:21:59 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 26
  ID: 70301
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:21:59 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70979-0   How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another in the past 7 days [FACIT]How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another in the past 7 days [FACIT]How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another in the past 7 days [FACIT]

OBSERVATION ID IN FORM
9

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another?
Source: 9

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT
  90967-1   PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0: -: 7D: ^Patient: -: PROMIS

PARTS

Part Type    Part No.  Part Name   
Component   LP148663-0  How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another in the past 7D   [How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ql SOB carrying 10-20 lbs one room to another past 7D
  Findings Qual SURVEY.GNHLTH
  Last Qualitative  
  Ordinal Screen  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:21:59 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 31
  ID: 70302
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:00 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70980-8   How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping in the past 7 days [FACIT]How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping in the past 7 days [FACIT]How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping in the past 7 days [FACIT]

OBSERVATION ID IN FORM
10

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping?
Source: 10

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT
  90967-1   PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0: -: 7D: ^Patient: -: PROMIS

PARTS

Part Type    Part No.  Part Name   
Component   LP148664-8  How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping in the past 7D   [How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 
Fragments for synonyms   LP21265-1 

RELATED NAMES
  Finding Ordinal Screen
  Findings Ql SOB walking faster than usual .5 mile w/o stopping past 7D
  i Qual SURVEY.GNHLTH
  Last Qualitative  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:00 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 26
  ID: 70303
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:00 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70983-2   Functional Assessment of Chronic Illness Therapy - Dyspnea Questionnaire - 33 items (FACIT-Dyspnea - 33)Functional Assessment of Chronic Illness Therapy - Dyspnea Questionnaire - 33 items (FACIT-Dyspnea - 33)Functional assessment of chronic illness therapy - dyspnea questionnaire - 33 items: -: Pt: ^Patient: -: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Functional assessment of chronic illness therapy - dyspnea questionnaire - 33 items  Pt  ^Patient  FACIT
  Long Common Name:  Functional Assessment of Chronic Illness Therapy - Dyspnea Questionnaire - 33 items (FACIT-Dyspnea - 33)

TERM DEFINITION/DESCRIPTION(S)
  Functional Assessment of Chronic Illness Therapy - Dyspnea - 33 items
 
 

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.GNHLTH/Survey
  Panel Type: Panel
  First Released in Version: 2.40
  Last Updated in Version: 2.50
  Status: Active

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148667-1  Functional assessment of chronic illness therapy - dyspnea questionnaire - 33 items 
Property   LP6769-6 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP21059-8  Panel 

RELATED NAMES
  FACIT Panel Point in time
  FACIT-Dyspnea PANEL.SURVEY.GNHLTH Random
  FACIT-Dyspnea - 33 item bank Panl SURVEY.GNHLTH
  Pan Pnl  

CHANGE HISTORY
  Change Type: MIN

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:00 PM
  Attachment Units Required: N
  Long Common Name: Functional Assessment of Chronic Illness Therapy - Dyspnea Questionnaire - 33 items (FACIT-Dyspnea - 33)
  Fully Specified Name: Functional assessment of chronic illness therapy - dyspnea questionnaire - 33 items: -: Pt: ^Patient: -: FACIT
     
  Component Word Count: 10
  ID: 70306
  Status (Raw): ACTIVE


70971-7   How short of breath did you get dressing yourself without help in the past 7 days [FACIT]How short of breath did you get dressing yourself without help in the past 7 days [FACIT]How short of breath did you get dressing yourself without help in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get dressing yourself without help in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get dressing yourself without help in the past 7 days [FACIT]

OBSERVATION ID IN FORM
1

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get dressing yourself without help?
Source: 1

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT
  90967-1   PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0: -: 7D: ^Patient: -: PROMIS

PARTS

Part Type    Part No.  Part Name   
Component   LP148655-6  How short of breath did you get dressing yourself without help in the past 7D   [How short of breath did you get dressing yourself without help in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ql SOB dressing past 7D
  Findings Qual SURVEY.GNHLTH
  Last Qualitative  
  Ordinal Screen  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:01 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get dressing yourself without help in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get dressing yourself without help in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 15
  ID: 70294
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:01 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70972-5   How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping in the past 7 days [FACIT]How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping in the past 7 days [FACIT]How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping in the past 7 days [FACIT]

OBSERVATION ID IN FORM
2

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping?
Source: 2

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT
  90967-1   PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0: -: 7D: ^Patient: -: PROMIS

PARTS

Part Type    Part No.  Part Name   
Component   LP148656-4  How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping in the past 7D   [How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 
Fragments for synonyms   LP15963-9  Normal 

RELATED NAMES
  Control Ql SURVEY.GNHLTH
  Finding Qual Walking 50 steps normal speed w /o stopping past 7D
  Findings Qualitative  
  Last Screen  
  Ordinal SOB walking 50 steps normal speed w/o stopping past 7D  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:01 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 24
  ID: 70295
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:02 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70973-3   How short of breath did you get walking up 20 stairs - 2 flights - without stopping in the past 7 days [FACIT]How short of breath did you get walking up 20 stairs - 2 flights - without stopping in the past 7 days [FACIT]How short of breath did you get walking up 20 stairs - 2 flights - without stopping in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get walking up 20 stairs - 2 flights - without stopping in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get walking up 20 stairs - 2 flights - without stopping in the past 7 days [FACIT]

OBSERVATION ID IN FORM
3

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get walking up 20 stairs, 2 flights, without stopping?
Source: 3

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT
  90967-1   PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0: -: 7D: ^Patient: -: PROMIS

PARTS

Part Type    Part No.  Part Name   
Component   LP148657-2  How short of breath did you get walking up 20 stairs - 2 flights - without stopping in the past 7D   [How short of breath did you get walking up 20 stairs - 2 flights - without stopping in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP20740-4 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Screen
  Findings Ql SOB walking up 20 stairs w/o stopping past 7D
  II Qual SURVEY.GNHLTH
  Last Qualitative  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:02 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get walking up 20 stairs - 2 flights - without stopping in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get walking up 20 stairs - 2 flights - without stopping in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 19
  ID: 70296
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:02 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70974-1   How short of breath did you get preparing meals in the past 7 days [FACIT]How short of breath did you get preparing meals in the past 7 days [FACIT]How short of breath did you get preparing meals in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get preparing meals in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get preparing meals in the past 7 days [FACIT]

OBSERVATION ID IN FORM
4

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get preparing meals?
Source: 4

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT
  90967-1   PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0: -: 7D: ^Patient: -: PROMIS

PARTS

Part Type    Part No.  Part Name   
Component   LP148658-0  How short of breath did you get preparing meals in the past 7D   [How short of breath did you get preparing meals in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ql SOB preparing meals past 7D
  Findings Qual SURVEY.GNHLTH
  Last Qualitative  
  Ordinal Screen  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:03 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get preparing meals in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get preparing meals in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 13
  ID: 70297
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:03 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70975-8   How short of breath did you get washing dishes in the past 7 days [FACIT]How short of breath did you get washing dishes in the past 7 days [FACIT]How short of breath did you get washing dishes in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get washing dishes in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get washing dishes in the past 7 days [FACIT]

OBSERVATION ID IN FORM
5

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get washing dishes?
Source: 5

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT
  90967-1   PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0: -: 7D: ^Patient: -: PROMIS

PARTS

Part Type    Part No.  Part Name   
Component   LP148659-8  How short of breath did you get washing dishes in the past 7D   [How short of breath did you get washing dishes in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ql SOB washing dishes past 7D
  Findings Qual SURVEY.GNHLTH
  Last Qualitative  
  Ordinal Screen  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:03 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get washing dishes in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get washing dishes in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 13
  ID: 70298
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:04 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70976-6   How short of breath did you get sweeping or mopping in the past 7 days [FACIT]How short of breath did you get sweeping or mopping in the past 7 days [FACIT]How short of breath did you get sweeping or mopping in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get sweeping or mopping in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get sweeping or mopping in the past 7 days [FACIT]

OBSERVATION ID IN FORM
6

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get sweeping or mopping?
Source: 6

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT
  90967-1   PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0: -: 7D: ^Patient: -: PROMIS

PARTS

Part Type    Part No.  Part Name   
Component   LP148660-6  How short of breath did you get sweeping or mopping in the past 7D   [How short of breath did you get sweeping or mopping in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ql SOB sweeping or mopping past 7D
  Findings Qual SURVEY.GNHLTH
  Last Qualitative  
  Ordinal Screen  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:04 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get sweeping or mopping in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get sweeping or mopping in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 14
  ID: 70299
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:04 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70977-4   How short of breath did you get making a bed in the past 7 days [FACIT]How short of breath did you get making a bed in the past 7 days [FACIT]How short of breath did you get making a bed in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get making a bed in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get making a bed in the past 7 days [FACIT]

OBSERVATION ID IN FORM
7

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get making a bed?
Source: 7

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT
  90967-1   PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0: -: 7D: ^Patient: -: PROMIS

PARTS

Part Type    Part No.  Part Name   
Component   LP148661-4  How short of breath did you get making a bed in the past 7D   [How short of breath did you get making a bed in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ql SOB making a bed past 7D
  Findings Qual SURVEY.GNHLTH
  Last Qualitative  
  Ordinal Screen  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:05 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get making a bed in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get making a bed in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 14
  ID: 70300
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:05 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70978-2   How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, in the past 7 days [FACIT]How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, in the past 7 days [FACIT]How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, in the past 7 days [FACIT]

OBSERVATION ID IN FORM
8

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries?
Source: 8

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT
  90967-1   PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0: -: 7D: ^Patient: -: PROMIS

PARTS

Part Type    Part No.  Part Name   
Component   LP148662-2  How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, in the past 7D   [How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ql SOB lifting 10-20 lbs past 7D
  Findings Qual SURVEY.GNHLTH
  Last Qualitative  
  Ordinal Screen  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:05 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 26
  ID: 70301
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:05 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70979-0   How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another in the past 7 days [FACIT]How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another in the past 7 days [FACIT]How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another in the past 7 days [FACIT]

OBSERVATION ID IN FORM
9

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another?
Source: 9

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT
  90967-1   PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0: -: 7D: ^Patient: -: PROMIS

PARTS

Part Type    Part No.  Part Name   
Component   LP148663-0  How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another in the past 7D   [How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ql SOB carrying 10-20 lbs one room to another past 7D
  Findings Qual SURVEY.GNHLTH
  Last Qualitative  
  Ordinal Screen  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:06 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 31
  ID: 70302
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:06 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70980-8   How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping in the past 7 days [FACIT]How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping in the past 7 days [FACIT]How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping in the past 7 days [FACIT]

OBSERVATION ID IN FORM
10

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping?
Source: 10

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT
  90967-1   PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0PROMIS short form - dyspnea functional limitations 10a - version 1.0: -: 7D: ^Patient: -: PROMIS

PARTS

Part Type    Part No.  Part Name   
Component   LP148664-8  How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping in the past 7D   [How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 
Fragments for synonyms   LP21265-1 

RELATED NAMES
  Finding Ordinal Screen
  Findings Ql SOB walking faster than usual .5 mile w/o stopping past 7D
  i Qual SURVEY.GNHLTH
  Last Qualitative  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:06 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 26
  ID: 70303
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:07 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70984-0   How short of breath did you get taking a bath without help in the past 7 days [FACIT]How short of breath did you get taking a bath without help in the past 7 days [FACIT]How short of breath did you get taking a bath without help in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get taking a bath without help in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get taking a bath without help in the past 7 days [FACIT]

OBSERVATION ID IN FORM
11

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get taking a bath?
Source: 11

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148668-9  How short of breath did you get taking a bath without help in the past 7D   [How short of breath did you get taking a bath without help in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ql SOB taking a bath past 7D
  Findings Qual SURVEY.GNHLTH
  Last Qualitative  
  Ordinal Screen  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:07 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get taking a bath without help in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get taking a bath without help in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 16
  ID: 70307
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:07 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70985-7   How short of breath did you get taking a shower in the past 7 days [FACIT]How short of breath did you get taking a shower in the past 7 days [FACIT]How short of breath did you get taking a shower in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get taking a shower in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get taking a shower in the past 7 days [FACIT]

OBSERVATION ID IN FORM
12

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get taking a shower?
Source: 12

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148669-7  How short of breath did you get taking a shower in the past 7D   [How short of breath did you get taking a shower in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ql SOB taking a shower past 7D
  Findings Qual SURVEY.GNHLTH
  Last Qualitative  
  Ordinal Screen  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:08 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get taking a shower in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get taking a shower in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 14
  ID: 70308
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:08 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70986-5   How short of breath did you get putting on socks or stockings in the past 7 days [FACIT]How short of breath did you get putting on socks or stockings in the past 7 days [FACIT]How short of breath did you get putting on socks or stockings in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get putting on socks or stockings in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get putting on socks or stockings in the past 7 days [FACIT]

OBSERVATION ID IN FORM
13

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get putting on socks or stockings?
Source: 13

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148670-5  How short of breath did you get putting on socks or stockings in the past 7D   [How short of breath did you get putting on socks or stockings in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ql SOB putting on socks past 7D
  Findings Qual SURVEY.GNHLTH
  Last Qualitative  
  Ordinal Screen  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:08 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get putting on socks or stockings in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get putting on socks or stockings in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 16
  ID: 70309
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:09 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70987-3   How short of breath did you get standing for at least 5 minutes in the past 7 days [FACIT]How short of breath did you get standing for at least 5 minutes in the past 7 days [FACIT]How short of breath did you get standing for at least 5M in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get standing for at least 5M in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get standing for at least 5 minutes in the past 7 days [FACIT]

OBSERVATION ID IN FORM
14

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get standing for at least 5 minutes?
Source: 14

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148671-3  How short of breath did you get standing for at least 5M in the past 7D   [How short of breath did you get standing for at least 5 minutes in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ql SOB standing 5M past 7D
  Findings Qual SURVEY.GNHLTH
  Last Qualitative  
  Ordinal Screen  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:09 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get standing for at least 5 minutes in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get standing for at least 5M in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 16
  ID: 70310
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:09 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70988-1   How short of breath did you get walking 10 steps - paces on flat ground at a normal speed without stopping in the past 7 days [FACIT]How short of breath did you get walking 10 steps - paces on flat ground at a normal speed without stopping in the past 7 days [FACIT]How short of breath did you get walking 10 steps - paces on flat ground at a normal speed without stopping in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get walking 10 steps - paces on flat ground at a normal speed without stopping in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get walking 10 steps - paces on flat ground at a normal speed without stopping in the past 7 days [FACIT]

OBSERVATION ID IN FORM
15

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get walking 10 steps/paces on flat ground at a normal speed without stopping?
Source: 15

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148672-1  How short of breath did you get walking 10 steps - paces on flat ground at a normal speed without stopping in the past 7D   [How short of breath did you get walking 10 steps - paces on flat ground at a normal speed without stopping in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP15963-9  Normal 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Control Ordinal Screen
  Finding Ql SOB did you get walking 10 steps past 7D
  Findings Qual SURVEY.GNHLTH
  Last Qualitative  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:09 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get walking 10 steps - paces on flat ground at a normal speed without stopping in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get walking 10 steps - paces on flat ground at a normal speed without stopping in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 24
  ID: 70311
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:10 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70989-9   How short of breath did you get walking half a mile, almost 1 km, on flat ground at a normal speed, without stopping in the past 7 days [FACIT]How short of breath did you get walking half a mile, almost 1 km, on flat ground at a normal speed, without stopping in the past 7 days [FACIT]How short of breath did you get walking half a mile, almost 1 km, on flat ground at a normal speed, without stopping in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get walking half a mile, almost 1 km, on flat ground at a normal speed, without stopping in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get walking half a mile, almost 1 km, on flat ground at a normal speed, without stopping in the past 7 days [FACIT]

OBSERVATION ID IN FORM
16

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get walking 1/2 mile, almost 1 km, on flat ground at a normal speed, without stopping?
Source: 16

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148673-9  How short of breath did you get walking half a mile, almost 1 km, on flat ground at a normal speed, without stopping in the past 7D   [How short of breath did you get walking half a mile, almost 1 km, on flat ground at a normal speed, without stopping in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP21265-1 
Fragments for synonyms   LP15963-9  Normal 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Control Ordinal SOB walking .5 mile normal speed w/o stopping past 7D
  Finding Ql SURVEY.GNHLTH
  Findings Qual  
  i Qualitative  
  Last Screen  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:10 PM
  Attachment Units Required: N
  Long Common Name: How short of breath did you get walking half a mile, almost 1 km, on flat ground at a normal speed, without stopping in the past 7 days [FACIT]
  Fully Specified Name: How short of breath did you get walking half a mile, almost 1 km, on flat ground at a normal speed, without stopping in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 27
  ID: 70312
  Status (Raw): ACTIVE


70981-6   Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7 days [FACIT]Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
Why you did not do this in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  Why you did not do this in the past 7 days [FACIT]

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL2075-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       I have stopped trying, or knew I could not do this activity because of my shortness of breath       LA18538-1  
  2       I did not do this activity for some other reason (including not having a chance to do it, other health issues, etc.       LA18539-9  

SURVEY QUESTION
Text: Please indicate why you did not do this in the past 7 days

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148665-5  Why you did not do this in the past 7D   [Why you did not do this in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ordinal Qualitative
  Findings Ql Screen
  Last Qual SURVEY.GNHLTH

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:10 PM
  Attachment Units Required: N
  Long Common Name: Why you did not do this in the past 7 days [FACIT]
  Fully Specified Name: Why you did not do this in the past 7D: Find: 7D: ^Patient: Ord: FACIT
     
  Component Word Count: 10
  ID: 70304
  Status (Raw): ACTIVE


70990-7   How short of breath did you get walking up 5 stairs without stopping in the past 7 days [FACIT]How short of breath did you get walking up 5 stairs without stopping in the past 7 days [FACIT]How short of breath did you get walking up 5 stairs without stopping in the past 7D: Find: 7D: ^Patient: Ord: FACIT  

NAME
  Fully-Specified Name: 
Component   Property   Time   System   Scale   Method
How short of breath did you get walking up 5 stairs without stopping in the past 7D  Find  7D  ^Patient  Ord  FACIT
  Long Common Name:  How short of breath did you get walking up 5 stairs without stopping in the past 7 days [FACIT]

OBSERVATION ID IN FORM
17

BASIC ATTRIBUTES
  Class/Type: SURVEY.GNHLTH/Survey
  First Released in Version: 2.40
  Last Updated in Version: 2.54
  Status: Active

NORMATIVE ANSWER LIST    (LL3980-1)  
 
Source: Functional Assessment of Chronic Illness Therapy
  SEQ#        Answer        Answer ID    
  1       No shortness of breath       LA26121-6  
  2       Mildly short of breath       LA26122-4  
  3       Moderately short of breath       LA26123-2  
  4       Severely short of breath       LA26124-0  
  5       I did not do this in the past 7 days       LA26125-7  

SURVEY QUESTION
Text: How short of breath did you get walking up 5 stairs without stopping?
Source: 17

MEMBER OF THESE PANELS
  70673-9   Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures PanelFunctional assessment of chronic illness therapy - non cancer specific measures panel: -: Pt: ^Patient: -: FACIT

PARTS

Part Type    Part No.  Part Name   
Component   LP148674-7  How short of breath did you get walking up 5 stairs without stopping in the past 7D   [How short of breath did you get walking up 5 stairs without stopping in the past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP146110-4  FACIT 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding Ql SOB walking up 5 stairs w/o stopping past 7D
  Findings Qual SURVEY.GNHLTH
  Last Qualitative  
  Ordinal Screen  

CHANGE HISTORY
  Change Type: MAJ

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 FACIT.org. Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.

INTERNAL FIELDS
  Detail Page Created On: 12/12/2018 9:22:11 PM