LOINC Panel Details

Panel: 70633-3 - Functional assessment of cancer therapy for patients with neurotoxicity questionnaire - 12 items - version 4:-:Pt:^Patient:-:FACIT

• 70633-3 - Functional assessment of cancer therapy for patients with neurotoxicity questionnaire - 12 items - version 4:-:Pt:^Patient:-:FACIT (Seq: 5, Type: N/A) None
  • 70498-1 - Physical well being:-:Pt:^Patient:-:FACIT (Seq: 1, Type: N/A) None
    • 70405-6 - I have a lack of energy in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 1, Type: N/A) None
    • 70406-4 - I have nausea in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 2, Type: N/A) None
    • 70407-2 - Because of my physical condition, I have trouble meeting the needs of my family in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 3, Type: N/A) None
    • 70408-0 - I have pain in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 4, Type: N/A) None
    • 70409-8 - I am bothered by side effects of treatment in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 5, Type: N/A) None
    • 70410-6 - I feel ill in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 6, Type: N/A) None
    • 70411-4 - I am forced to spend time in bed in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 7, Type: N/A) None
  • 70499-9 - Social - family well being:-:Pt:^Patient:-:FACIT (Seq: 2, Type: N/A) None
    • 70412-2 - I feel close to my friends in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 1, Type: N/A) None
    • 70413-0 - I get emotional support from my family in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 2, Type: N/A) None
    • 70414-8 - I get support from my friends in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 3, Type: N/A) None
    • 70415-5 - My family has accepted my illness in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 4, Type: N/A) None
    • 70416-3 - I am satisfied with family communication about my illness in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 5, Type: N/A) None
    • 70417-1 - I feel close to my partner, or the person who is my main support, in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 6, Type: N/A) None
    • 70914-7 - Would you like to answer the question referring to your sex life:Find:Pt:^Patient:Ord:FACIT (Seq: 7, Type: N/A) None
    • 70418-9 - I am satisfied with my sex life in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 8, Type: N/A) None
  • 70500-4 - Emotional well being:-:Pt:^Patient:-:FACIT (Seq: 3, Type: N/A) None
    • 70392-6 - I feel sad in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 1, Type: N/A) None
    • 70393-4 - I am satisfied with how I am coping with my illness in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 2, Type: N/A) None
    • 70394-2 - I am losing hope in the fight against my illness in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 3, Type: N/A) None
    • 70395-9 - I feel nervous in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 4, Type: N/A) None
    • 70396-7 - I worry about dying in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 5, Type: N/A) None
    • 70397-5 - I worry that my condition will get worse in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 6, Type: N/A) None
  • 70501-2 - Functional well being:-:Pt:^Patient:-:FACIT (Seq: 4, Type: N/A) None
    • 70398-3 - I am able to work - include work at home - in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 1, Type: N/A) None
    • 70399-1 - My work - include work at home - is fulfilling in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 2, Type: N/A) None
    • 70400-7 - I am able to enjoy life in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 3, Type: N/A) None
    • 70401-5 - I have accepted my illness in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 4, Type: N/A) None
    • 70402-3 - I am sleeping well in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 5, Type: N/A) None
    • 70403-1 - I am enjoying the things I usually do for fun in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 6, Type: N/A) None
    • 70404-9 - I am content with the quality of my life right now in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 7, Type: N/A) None
  • 70888-3 - Additional concerns - FACT-GOG-NTX-12:-:Pt:^Patient:-:FACIT (Seq: 5, Type: N/A) None
    • 70562-4 - I have numbness or tingling in my hands in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 1, Type: N/A) None
    • 70625-9 - I have numbness or tingling in my feet in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 2, Type: N/A) None
    • 70626-7 - I feel discomfort in my hands in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 3, Type: N/A) None
    • 70627-5 - I feel discomfort in my feet in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 4, Type: N/A) None
    • 70628-3 - I have joint pain or muscle cramps in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 5, Type: N/A) None
    • 70425-4 - I feel weak all over in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 6, Type: N/A) None
    • 70477-5 - I have trouble hearing in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 7, Type: N/A) None
    • 70629-1 - I get a ringing or buzzing in my ears in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 8, Type: N/A) None
    • 70630-9 - I have trouble buttoning buttons in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 9, Type: N/A) None
    • 70631-7 - I have trouble feeling the shape of small objects when they are in my hand in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 10, Type: N/A) None
    • 70632-5 - I have trouble walking in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 11, Type: N/A) None
    • 70563-2 - I have pain in my hands or feet when I am exposed to cold temperatures in the past 7D:Find:7D:^Patient:Ord:FACIT (Seq: 12, Type: N/A) None