LOINC Panel Details

Panel: 89070-7 - ADAPTABLE patient reported item set:-:Pt:^Patient:-:ADAPTABLE

• 89070-7 - ADAPTABLE patient reported item set:-:Pt:^Patient:-:ADAPTABLE (Seq: 2121, Type: N/A) None
  • 89071-5 - Enrollment item set:-:Pt:^Patient:-:ADAPTABLE (Seq: 1, Type: N/A) None
    • 11382-9 - Medication allergy Reported (Are you allergic to aspirin?) (Seq: 1, Type: N/A) None
    • 89062-4 - Hx of Severe bleeding due to aspirin use (Have you had a severe bleeding problem in the past with aspirin?) (Seq: 2, Type: N/A) None
    • 89075-6 - Willing to change aspirin dose:Find:Pt:^Patient:Ord: (If you are currently taking aspirin, are you willing to change the dose?) (Seq: 3, Type: N/A) None
    • 89063-2 - Anticoagulant med used (Are you currently taking any of these anticoagulant medications?) (Seq: 4, Type: N/A) None
    • 82810-3 - Pregnancy status (Are you currently pregnant?) (Seq: 5, Type: N/A) None
    • 63895-7 - Breastfeeding status (Are you currently nursing?) (Seq: 6, Type: N/A) None
    • 64438-5 - Health self assess (In general, how would you describe your current health?) (Seq: 7, Type: N/A) None
    • 61635-9 - Are you able to run errands and shop:Find:Pt:^Patient:Ord:PROMIS (I am able to run errands and shop) (Seq: 8, Type: N/A) None
    • 61967-6 - I felt depressed in past 7D:Find:7D:^Patient:Ord:PROMIS (I felt depressed in past 7 days) (Seq: 9, Type: N/A) None
    • 61878-5 - I feel fatigued during the past 7D:Find:7D:^Patient:Ord:PROMIS (I feel fatigued during the past 7 days) (Seq: 10, Type: N/A) None
    • 61998-1 - I had a problem with my sleep 7D:Find:7D:^Patient:Ord:PROMIS (I had a problem with my sleep 7 days) (Seq: 11, Type: N/A) None
    • 89084-8 - I have trouble doing all of my regular leisure activities with others in the past 7D:Find:7D:^Patient:Ord:ADAPTABLE (I have trouble doing all of my regular leisure activities with others in the past 7 days) (Seq: 12, Type: N/A) None
    • 61758-9 - How much did pain interfere with your day to day activities in past 7D:Find:7D:^Patient:Ord:PROMIS (How much did pain interfere with your day to day activities in past 7 days?) (Seq: 13, Type: N/A) None
    • 89080-6 - Satisfaction with using ADAPTABLE web site:Find:Pt:^Patient:Ord:ADAPTABLE (How would you rate your overall experience in using the ADAPTABLE web site today?) (Seq: 14, Type: N/A) None
    • 89077-2 - Adequacy of information on+time spent reading ADAPTABLE web site:Find:Pt:^Patient:Ord:ADAPTABLE (Did the information provided and time spent reading the Adaptable web site feel:) (Seq: 15, Type: N/A) None
    • 54125-0 - Patient name (Seq: 16, Type: N/A) None
    • 46098-0 - Sex (Gender) (Seq: 17, Type: N/A) None
    • 21112-8 - Birth date (Date of Birth) (Seq: 18, Type: N/A) {mm/dd/yyyy}
  • 89082-2 - Early visit item set:-:Pt:^Patient:-:ADAPTABLE (Seq: 2, Type: N/A) None
    • 56799-0 - Address (Patient's home/mailing address) (Seq: 1, Type: N/A) None
    • 42077-8 - Phone # (Best contact phone number) (Seq: 2, Type: N/A) None
    • 89057-4 - Permission text messages (You have my permission to send text reminder messages for upcoming visits to my cell phone number. (There may be a charge for this)) (Seq: 3, Type: N/A) None
    • 45396-9 - Social Security # (Last 4 digits of SSN) (Seq: 4, Type: N/A) None
    • 89059-0 - Secondary contact name (Full name of relative/friend who does not live with the patient) (Seq: 5, Type: N/A) None
    • 89060-8 - Contact Phone # (Patient's secondary contact's phone number) (Seq: 6, Type: N/A) None
    • 89058-2 - Contact email address (Patient's secondary contact's email address) (Seq: 7, Type: N/A) None
    • 32624-9 - Race (Seq: 8, Type: N/A) None
    • 56051-6 - Hispanic or Latino (Is your ethnicity Hispanic?) (Seq: 9, Type: N/A) None
    • 69431-5 - Medicare enrollment status:Find:Pt:^Patient:Nom: (Are you covered through Medicare?) (Seq: 10, Type: N/A) None
    • 76437-3 - Primary insurance (Select your insurance provider:) (Seq: 11, Type: N/A) None
    • 89061-6 - Ins group num (Seq: 12, Type: N/A) None
    • 76435-7 - Pt ID (Insurance number) (Seq: 13, Type: N/A) None
    • 76698-0 - Pt ID assign auth (Seq: 14, Type: N/A) None
    • 64234-8 - Current smoker (Are you currently a cigarette smoker (at least one cigarette a day)?) (Seq: 15, Type: N/A) None
    • 89076-4 - Aspirin usage^pre enrollment in ADAPTABLE study:Find:Pt:^Patient:Ord:ADAPTABLE (Before joining ADAPTABLE were you regularly taking aspirin?) (Seq: 16, Type: N/A) None
    • 89066-5 - Year aspirin regimen began (What year did you begin regularly taking aspirin?) (Seq: 17, Type: N/A) {yyyy}
    • 89081-4 - Aspirin dose^pre enrollment in ADAPTABLE study:Mass:Pt:Dose:Qn:ADAPTABLE (What dosage were you taking BEFORE joining ADAPTABLE?) (Seq: 18, Type: N/A) mg
    • 89074-9 - Aspirin usage^post enrollment in ADAPTABLE study:Find:Pt:^Patient:Ord:ADAPTABLE (Now that you are a part of ADAPTABLE are you regularly taking aspirin?) (Seq: 19, Type: N/A) None
    • 89072-3 - Aspirin dose^post enrollment in ADAPTABLE study:Mass:Pt:^Patient:Qn:ADAPTABLE (Which dose are you taking?) (Seq: 20, Type: N/A) mg
    • 89069-9 - Enteric coated aspirin (Is your aspirin tablet enteric coated?) (Seq: 21, Type: N/A) None
    • 89073-1 - Reason for discontinuing aspirin use:Find:Pt:^Patient:Nom: (Why did you stop taking aspirin?) (Seq: 22, Type: N/A) None
    • 89068-1 - Date aspirin discontinued (When did you stop taking aspirin?) (Seq: 23, Type: N/A) {mm/dd/yyyy}
    • 89067-3 - Blood thinning med used (Are you currently taking any of these blood thinning medications?) (Seq: 24, Type: N/A) None
    • 89065-7 - NSAID used several times a week (Are you currently taking any nonsteroidal anti-inflammatory drugs (NSAIDs) several times a week?) (Seq: 25, Type: N/A) None
    • 89064-0 - Stomach upset meds (Are you currently taking any of these medications that are typically for stomach upset?) (Seq: 26, Type: N/A) None
    • 89078-0 - Hospitalization^post enrollment in ADAPTABLE study:Find:Pt:^Patient:Ord:ADAPTABLE (Have you been hospitalized since you joined the ADAPTABLE study?) (Seq: 27, Type: N/A) None
    • 58237-9 - Hospital Name (Where were you hospitalized?) (Seq: 28, Type: N/A) None
    • 65833-6 - Address:Addr:Pt:Facility:Nom: (Hospital address) (Seq: 29, Type: N/A) None
    • 52455-3 - Admission date (When were you hospitalized?) (Seq: 30, Type: N/A) {mm/dd/yyyy}
    • 86947-9 - Reason for hospitalization (Seq: 31, Type: N/A) None
    • 89079-8 - Events^during hospitalization:Find:RptPeriod:^Patient:Nom:ADAPTABLE (Did any of the following occur during the hospitalization?) (Seq: 32, Type: N/A) None
  • 89083-0 - Follow-up visit item set:-:Pt:^Patient:-:ADAPTABLE (Seq: 3, Type: N/A) None
    • 89074-9 - Aspirin usage^post enrollment in ADAPTABLE study:Find:Pt:^Patient:Ord:ADAPTABLE (Now that you are a part of ADAPTABLE are you regularly taking aspirin?) (Seq: 1, Type: N/A) None
    • 89072-3 - Aspirin dose^post enrollment in ADAPTABLE study:Mass:Pt:^Patient:Qn:ADAPTABLE (Which dose are you taking?) (Seq: 2, Type: N/A) mg
    • 89069-9 - Enteric coated aspirin (Is your aspirin tablet enteric coated?) (Seq: 3, Type: N/A) None
    • 89073-1 - Reason for discontinuing aspirin use:Find:Pt:^Patient:Nom: (Why did you stop taking aspirin?) (Seq: 4, Type: N/A) None
    • 89068-1 - Date aspirin discontinued (When did you stop taking aspirin?) (Seq: 5, Type: N/A) {mm/dd/yyyy}
    • 89067-3 - Blood thinning med used (Are you currently taking any of these blood thinning medications?) (Seq: 6, Type: N/A) None
    • 89065-7 - NSAID used several times a week (Are you currently taking any nonsteroidal anti-inflammatory drugs (NSAIDs) several times a week?) (Seq: 7, Type: N/A) None
    • 89064-0 - Stomach upset meds (Are you currently taking any of these medications that are typically for stomach upset?) (Seq: 8, Type: N/A) None
    • 89078-0 - Hospitalization^post enrollment in ADAPTABLE study:Find:Pt:^Patient:Ord:ADAPTABLE (Have you been hospitalized since you joined the ADAPTABLE study?) (Seq: 9, Type: N/A) None
    • 58237-9 - Hospital Name (Where were you hospitalized?) (Seq: 10, Type: N/A) None
    • 65833-6 - Address:Addr:Pt:Facility:Nom: (Hospital address) (Seq: 11, Type: N/A) None
    • 52455-3 - Admission date (When were you hospitalized?) (Seq: 12, Type: N/A) {mm/dd/yyyy}
    • 86947-9 - Reason for hospitalization (Seq: 13, Type: N/A) None
    • 89079-8 - Events^during hospitalization:Find:RptPeriod:^Patient:Nom:ADAPTABLE (Did any of the following occur during the hospitalization?) (Seq: 14, Type: N/A) None