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Functional assessment of anorexia-cachexia treatment questionnaire - version 4:-:Pt:^Patient:-:FACIT
?
©
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Functional assessment of chronic illness therapy for patients with abdominal symptoms questionnaire - version 4:-:Pt:^Patient:-:FACIT
?
©
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Functional assessment of chronic illness therapy for patients with ascites questionnaire:-:Pt:^Patient:-:FACIT
?
©
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Functional assessment of chronic illness therapy for patients with cervical dysplasia questionnaire - version 4:-:Pt:^Patient:-:FACIT
?
©
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Functional assessment of chronic illness therapy - diarrhea questionnaire - version 4:-:Pt:^Patient:-:FACIT
?
©
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Functional assessment of chronic illness therapy - fatigue questionnaire - version 4:-:Pt:^Patient:-:FACIT
?
©
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Functional assessment of chronic illness therapy - fatigue questionnaire -13 items - version 4:-:Pt:^Patient:-:FACIT
?
©
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Functional assessment of cancer therapy for patients with anemia - fatigue questionnaire - version 4:-:Pt:^Patient:-:FACIT
?
©
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Functional assessment of cancer therapy for patients with lymphedema questionnaire - version 4:-:Pt:^Patient:-:FACIT
?
©
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Functional assessment of cancer therapy for patients with bone pain questionnaire:-:Pt:^Patient:-:FACIT
?
©
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Functional assessment of cancer therapy for patients with cognitive function issues questionnaire - version 3:-:Pt:^Patient:-:FACIT
?
©
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Functional assessment of cancer therapy for patients with endocrine symptoms questionnaire - version 4:-:Pt:^Patient:-:FACIT
?
©
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Functional assessment of cancer therapy for patients with neutropenia questionnaire - version 4:-:Pt:^Patient:-:FACIT
?
©
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Functional assessment of cancer therapy for patients with thrombocytopenia questionnaire - 11 items - version 4:-:Pt:^Patient:-:FACIT
?
©
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Functional assessment of cancer therapy for patients with thrombocytopenia questionnaire - 18 items - version 4:-:Pt:^Patient:-:FACIT
?
©
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Functional assessment of incontinence therapy - fecal questionnaire - version 4:-:Pt:^Patient:-:FACIT
?
©
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Functional assessment of incontinence therapy - urinary questionnaire - version 4:-:Pt:^Patient:-:FACIT
?
©
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Physical well being:-:Pt:^Patient:-:FACIT
©
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Physical well being:-:Pt:^Patient:-:FACIT
©
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I have a good appetite in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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Physical well being - FACIT-CD:-:Pt:^Patient:-:FACIT
©
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Physical well being:-:Pt:^Patient:-:FACIT
©
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Physical well being:-:Pt:^Patient:-:FACIT
©
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I feel fatigued in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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Physical well being:-:Pt:^Patient:-:FACIT
©
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Physical well being:-:Pt:^Patient:-:FACIT
©
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In how many places in your body have you felt bone pain:Find:Pt:^Patient:Ord:FACIT
©
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Perceived cognitive impairments:-:Pt:^Patient:-:FACIT
©
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Physical well being:-:Pt:^Patient:-:FACIT
©
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Physical well being:-:Pt:^Patient:-:FACIT
©
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Physical well being:-:Pt:^Patient:-:FACIT
©
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Physical well being:-:Pt:^Patient:-:FACIT
©
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Physical well being:-:Pt:^Patient:-:FACIT
©
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Physical well being:-:Pt:^Patient:-:FACIT
©
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Social - family well being:-:Pt:^Patient:-:FACIT
©
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Social - family well being:-:Pt:^Patient:-:FACIT
©
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I am sleeping well in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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Treatment satisfaction:-:Pt:^Patient:-:FACIT
©
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Social - family well being:-:Pt:^Patient:-:FACIT
©
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Social - family well being:-:Pt:^Patient:-:FACIT
©
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I feel weak all over in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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Social - family well being:-:Pt:^Patient:-:FACIT
©
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Social - family well being:-:Pt:^Patient:-:FACIT
©
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I am content with the quality of my life right now in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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Comments from others:-:Pt:^Patient:-:FACIT
©
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Social - family well being:-:Pt:^Patient:-:FACIT
©
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Social - family well being:-:Pt:^Patient:-:FACIT
©
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Social - family well being:-:Pt:^Patient:-:FACIT
©
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Social - family well being:-:Pt:^Patient:-:FACIT
©
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Social - family well being:-:Pt:^Patient:-:FACIT
©
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Social - family well being:-:Pt:^Patient:-:FACIT
©
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Emotional well being:-:Pt:^Patient:-:FACIT
©
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Emotional well being:-:Pt:^Patient:-:FACIT
©
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I am able to get around by myself in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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General perceptions:-:Pt:^Patient:-:FACIT
©
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Emotional well being:-:Pt:^Patient:-:FACIT
©
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Emotional well being:-:Pt:^Patient:-:FACIT
©
|
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I feel listless - washed out - in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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Emotional well being:-:Pt:^Patient:-:FACIT
©
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Emotional well being:-:Pt:^Patient:-:FACIT
©
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I have certain parts of my body where I experience pain in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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Perceived cognitive abilities:-:Pt:^Patient:-:FACIT
©
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Emotional well being:-:Pt:^Patient:-:FACIT
©
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Emotional well being:-:Pt:^Patient:-:FACIT
©
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Emotional well being:-:Pt:^Patient:-:FACIT
©
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Emotional well being:-:Pt:^Patient:-:FACIT
©
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Emotional well being:-:Pt:^Patient:-:FACIT
©
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Emotional well being:-:Pt:^Patient:-:FACIT
©
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Functional well being:-:Pt:^Patient:-:FACIT
©
|
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Functional well being:-:Pt:^Patient:-:FACIT
©
|
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I have been short of breath in the past 7D:Find:7D:^Patient:Ord:
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Emotional well being - FACIT-CD:-:Pt:^Patient:-:FACIT
©
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Functional well being:-:Pt:^Patient:-:FACIT
©
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Functional well being:-:Pt:^Patient:-:FACIT
©
|
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I feel tired in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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|
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Functional well being:-:Pt:^Patient:-:FACIT
©
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Functional well being:-:Pt:^Patient:-:FACIT
©
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I have bone pain in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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Impact on quality of life:-:Pt:^Patient:-:FACIT
©
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Functional well being:-:Pt:^Patient:-:FACIT
©
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Functional well being:-:Pt:^Patient:-:FACIT
©
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Functional well being:-:Pt:^Patient:-:FACIT
©
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Functional well being:-:Pt:^Patient:-:FACIT
©
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Functional well being:-:Pt:^Patient:-:FACIT
©
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Functional well being:-:Pt:^Patient:-:FACIT
©
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Additional concerns - FAACT:-:Pt:^Patient:-:FACIT
©
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Additional concerns - FACIT-AD:-:Pt:^Patient:-:FACIT
©
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I have nausea in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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Relationships:-:Pt:^Patient:-:FACIT
©
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Additional concerns - FACIT-D:-:Pt:^Patient:-:FACIT
©
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Additional concerns - FACIT-F:-:Pt:^Patient:-:FACIT
©
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I have trouble starting things because I am tired in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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Additional concerns - FACT-An:-:Pt:^Patient:-:FACIT
©
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Additional concerns - FACT-B+4:-:Pt:^Patient:-:FACIT
©
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It hurts when I put weight or pressure on the place where I have bone pain in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
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Additional concerns - FACT-ES:-:Pt:^Patient:-:FACIT
©
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Additional concerns - FACT-N:-:Pt:^Patient:-:FACIT
©
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Additional concerns - FACT-Th11:-:Pt:^Patient:-:FACIT
©
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Additional concerns - FACT-Th18:-:Pt:^Patient:-:FACIT
©
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Additional concerns - FAIT-F:-:Pt:^Patient:-:FACIT
©
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Additional concerns - FAIT-U:-:Pt:^Patient:-:FACIT
©
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I have been vomiting in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have trouble finishing things because I am tired in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have bone pain even when I sit or lie still in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have pain in my stomach area in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have energy in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I need help doing my usual activities because of bone pain in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have swelling in my stomach area in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am able to do my usual activities in past 7D:Find:7D:^Patient:Ord:PROMIS
©
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I am forced to rest during the day because of bone pain in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have a lack of energy in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I need to sleep during the day in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have trouble walking because of bone pain in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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When I eat, I seem to get full quickly in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am too tired to eat in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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Bone pain interferes with my ability to care for myself - bathing, dressing, eating, etc - in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I urinate more frequently than usual in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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I need help doing my usual activities in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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Bone pain interferes with my social activities in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am bothered by constipation in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am frustrated by being too tired to do the things I want to do in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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Bone pain wakes me up at night in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have been emotionally distressed in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have to limit my social activity because I am tired in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am frustrated by my bone pain in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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I feel depressed about my bone pain in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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I worry that my bone pain will get worse in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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My family has trouble understanding when my bone pain interferes with my activity in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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I have a lack of energy in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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|
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I feel close to my friends in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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|
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I feel sad in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am able to work - include work at home - in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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|
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I have confidence in my doctors in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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|
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I am able to work - include work at home - in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
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I have told my partner - spouse about my infection in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
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Other people have told me I seemed to have trouble remembering information in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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I have been able to concentrate in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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|
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I have been upset about these problems in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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|
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I have had trouble forming thoughts in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
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I have a good appetite in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
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I have control of my bowels in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
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I feel fatigued in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I feel fatigued in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have been short of breath in the past 7D:Find:7D:^Patient:Ord:
|
|
|
|
I have hot flashes in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
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I worry about getting sick due to low blood counts in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have energy in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have energy in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am comfortable discussing my condition with friends in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
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I have trouble controlling my urine in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have cramps in my stomach area in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have discomfort in my pelvic area in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
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I worry that the infection will get worse in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have nausea in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I get emotional support from my family in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am satisfied with how I am coping with my illness in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
My work - include work at home - is fulfilling in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I feel that I received the treatment that was right for me in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am able to enjoy life in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I get emotional support from my partner - spouse in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
Other people have told me I seemed to have trouble speaking clearly in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have been able to bring to mind words that I wanted to use while talking to someone in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
These problems have interfered with my ability to work in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
My thinking has been slow in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
The amount I eat is sufficient to meet my needs in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I move my bowels more frequently than usual in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I feel weak all over in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I feel weak all over in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am self-conscious about the way I dress in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have cold sweats in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I avoid public places for fear of getting an infection in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am able to do my usual activities in past 7D:Find:7D:^Patient:Ord:PROMIS
©
|
|
|
|
I am able to do my usual activities in past 7D:Find:7D:^Patient:Ord:PROMIS
©
|
|
|
|
I have control of my bowels in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am comfortable discussing my condition with friends in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have pain in my stomach area in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have pain in my pelvic area in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have hidden this problem so others will not notice in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
Because of my physical condition, I have trouble meeting the needs of my family in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I get support from my friends in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am losing hope in the fight against my illness in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am able to enjoy life in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
My doctor gave me explanations that I could understand in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am hopeful about the future in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have told family members about my infection in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
Other people have told me I seemed to have trouble thinking clearly in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have been able to remember things, like where I left my keys or wallet, in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
These problems have interfered with my ability to do things I enjoy in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have had trouble concentrating in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am worried about my weight in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am afraid to be far from a toilet in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I feel listless - washed out - in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I feel listless - washed out - in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
One or more of my arms are swollen or tender in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have night sweats in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I get aches and pains that bother me in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I bleed easily in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I bleed easily in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I move my bowels more frequently than usual in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I urinate more frequently than usual in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
Stomach pain interferes with my daily functioning in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have cramping in my pelvic area in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have concerns about my ability to become pregnant in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have pain in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
My family has accepted my illness in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I feel nervous in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have accepted my illness in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
My doctor explained the possible benefits of my treatment in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I find comfort in my faith or spiritual beliefs in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I get emotional support from family members in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
Other people have told me I seemed confused in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have been able to remember to do things, like take medicine or buy something I needed, in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
These problems have interfered with the quality of my life in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have had trouble finding my way to a familiar place in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
Most food tastes unpleasant to me in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
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I have to limit my social activity because of diarrhea in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I feel tired in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I feel tired in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I feel sexually attractive in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have vaginal discharge in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I need help doing my usual activities in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I bruise easily in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I bruise easily in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am afraid to be far from a toilet in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am afraid to be far from a toilet in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am bothered by discharge or bleeding from my vagina in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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The cost of my treatment is a burden on me or my family in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am bothered by side effects of treatment in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am satisfied with family communication about my illness in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I worry about dying in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am sleeping well in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am content with the quality of my life right now in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I feel close to my friends in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am able to pay attention and keep track of what I am doing without extra effort in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have had trouble remembering where I put things, like my keys or my wallet in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am concerned about how thin I look in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have to limit my physical activity because of diarrhea in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have trouble starting things because I am tired in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have trouble starting things because I am tired in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am bothered by hair loss in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have vaginal itching - irritation - in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I worry about getting infections in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I worry about problems with bruising or bleeding in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I worry about problems with bruising or bleeding in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have to limit my social activity because of my condition in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have to limit my social activity because of my condition in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am bothered by side effects of treatment in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I worry about other peoples attitudes towards me in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I feel ill in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I feel close to my partner, or the person who is my main support, in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I worry that my condition will get worse in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am enjoying the things I usually do for fun in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I feel that I can manage things that come up around this infection in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have people to help me if I need it in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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My mind is as sharp as it has always been in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have had trouble remembering new information, like phone numbers or simple instructions in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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My interest in food drops as soon as I try to eat in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have to limit my sexual activity because of diarrhea in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have trouble finishing things because I am tired in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have trouble finishing things because I am tired in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I worry that other members of my family might someday get the same illness I have in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have vaginal bleeding or spotting in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I worry my condition will not improve if my treatment is delayed in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am bothered by nosebleeds in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I worry about the possibility of serious bleeding in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have to limit my physical activity because of my condition in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have to limit my physical activity because of my condition in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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Are you sexually active or would you like to be sexually active:Find:Pt:^Patient:Ord:FACIT
©
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I feel embarrassed about the infection in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am forced to spend time in bed in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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Would you like to answer the question referring to your sex life:Find:Pt:^Patient:Ord:FACIT
©
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I am content with the quality of my life right now in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have accepted that I have this infection in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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My memory is as good as it has always been in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have had trouble recalling the name of an object while talking to someone in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have difficulty eating rich or heavy foods in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am embarrassed by having diarrhea in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have energy in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have energy in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I worry about the effect of stress on my illness in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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I have vaginal dryness in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I have energy in the past 7D:Find:7D:^Patient:Ord:FACIT
©
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I am bothered by pinpoint bruising beneath my skin in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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I am bothered by nosebleeds in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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|
I have to limit my sexual activity because of my condition in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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|
I have to limit my sexual activity because of my condition in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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|
I have pain or discomfort with intercourse in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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|
I tend to blame myself for the infection in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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|
|
I am satisfied with my sex life in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
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|
I am able to shift back and forth between two activities that require thinking in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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|
I have had trouble finding the right words to express myself in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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|
My family or friends are pressuring me to eat in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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|
I have abdominal cramps or discomfort due to my diarrhea in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
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|
I am able to do my usual activities in past 7D:Find:7D:^Patient:Ord:PROMIS
©
|
|
|
|
I have trouble walking in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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|
I am bothered by a change in weight in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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|
I have pain or discomfort with intercourse in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
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|
|
I am bothered by fevers - episodes of high body temperature - in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
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|
I am bothered by blood in my urine or stool in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am bothered by bleeding in my gums or mouth in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am embarrassed by my condition in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am embarrassed by my condition in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have to limit my sexual activity because of the infection in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I was careful who I told about the infection in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am able to keep track of what I am doing, even if I am interrupted in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have used the wrong word when I referred to an object in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have been vomiting in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
My problem with diarrhea keeps - wakes - me up at night in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I need to sleep during the day in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am able to do my usual activities in past 7D:Find:7D:^Patient:Ord:PROMIS
©
|
|
|
|
I am able to feel like a woman in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have lost interest in sex in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am bothered by the chills in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I avoid or limit physical activity, because of concern with bleeding or bruising, in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am bothered by pinpoint bruising beneath my skin in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
My condition wakes or keeps me up at night in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
My condition wakes me up at night in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I worry about spreading the infection in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have had difficulty telling my partner - spouse about the infection in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have had trouble saying what I mean in conversations with others in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
When I eat, I seem to get full quickly in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I must move my bowels frequently to avoid accidents in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am too tired to eat in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I need to sleep during the day in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have certain parts of my body where I experience pain in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have gained weight in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have night sweats in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am frustrated by not being able to do my usual activities in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am bothered by blood in my urine or stool in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I must move my bowels frequently to avoid accidents in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I must urinate frequently to avoid leaking in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am frustrated by the infection in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have walked into a room and forgotten what I meant to get or do there in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have pain in my stomach area in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I wear protection for soiling of stool in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I need help doing my usual activities in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I feel light-headed, dizzy in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
On which side was your breast operation:Find:Pt:^Patient:Nom:FACIT
©
|
|
|
|
I feel light-headed, dizzy in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have to limit my social activity because I am tired in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I worry that my treatment will be delayed, because of low blood counts, in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am inconvenienced by platelet transfusions in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I can be far from home - work without fearing soilage in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I wear protection for leakage of urine in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am depressed about the infection in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have had to work really hard to pay attention or I would make a mistake in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
My general health is improving in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am frustrated by being too tired to do the things I want to do in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I get headaches in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
Movement of my arm on this side is painful in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have been vomiting in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I need to rest during the day in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I feel fatigued in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I wear protection for soiling of stool in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have forgotten names of people soon after being introduced in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have to limit my social activity because I am tired in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have been short of breath in the past 7D:Find:7D:^Patient:Ord:
|
|
|
|
I have a poor range of arm movements on this side in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have diarrhea in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I feel listless - washed out - in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I avoid or limit physical activity, because of concern with bleeding or bruising, in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
My reactions in everyday situations have been slow in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have pain in my chest in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
My arm on this side feels numb in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I get headaches in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am motivated to do my usual activities in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I avoid or limit social activity, because of concern with bleeding or bruising, in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have had to work harder than usual to keep track of what I was doing in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am too tired to eat in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have stiffness of my arm on this side in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I feel bloated in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have mouth sores in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am frustrated by not being able to do my usual activities in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
My thinking has been slower than usual in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am interested in sex in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have breast sensitivity - tenderness - in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
My partner worries about me when my blood counts are low in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I worry that my treatment will be delayed, because of low blood counts, in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have had to work harder than usual to express myself clearly in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am motivated to do my usual activities in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have mood swings in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
My low blood counts interfere with my intimate relationships in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I worry that my treatment dose will be reduced, because of low blood counts, in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have had to use written lists more often than usual so I would not forget things in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I need help doing my usual activities in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am irritable in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have trouble starting things because I am tired in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
For women only - I am bothered by vaginal bleeding in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have trouble shifting back and forth between different activities that require thinking in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am frustrated by being too tired to do the things I want to do in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have pain in my joints in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I am bothered by headaches in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|
|
I have to limit my social activity because I am tired in the past 7D:Find:7D:^Patient:Ord:FACIT
©
|
|
|