Name	Value
NAME	Functional Status Assessment for Heart Failure
OID	2.16.840.1.113883.3.464.1003.118.12.1031
SHORT ID	FSAFHF31
VERSION DATE	2017-01-06 00:00:00
CODE LIST	CODES: CODE: 71938-5 CODE DESCRIPTION: Total score [MLHFQ] CODE: 71962-5 CODE DESCRIPTION: PROMIS-29 Pain interference score CODE: 71963-3 CODE DESCRIPTION: PROMIS-29 Fatigue score T-score CODE: 71964-1 CODE DESCRIPTION: PROMIS-29 Fatigue score CODE: 71965-8 CODE DESCRIPTION: PROMIS-29 Depression score T-score CODE: 71966-6 CODE DESCRIPTION: PROMIS-29 Depression score CODE: 71967-4 CODE DESCRIPTION: PROMIS-29 Anxiety score T-score CODE: 71968-2 CODE DESCRIPTION: PROMIS-29 Anxiety score CODE: 71969-0 CODE DESCRIPTION: PROMIS-10 Global Mental Health (GMH) score T-score CODE: 71970-8 CODE DESCRIPTION: PROMIS-10 Global Mental Health (GMH) score CODE: 71971-6 CODE DESCRIPTION: PROMIS-10 Global Physical Health (GPH) score T-score CODE: 71940-1 CODE DESCRIPTION: Overall summary score [KCCQ] CODE: 71972-4 CODE DESCRIPTION: PROMIS-10 Global Physical Health (GPH) score CODE: 71973-2 CODE DESCRIPTION: VR-36 Mental health (MH) score - oblique method CODE: 71974-0 CODE DESCRIPTION: VR-36 Role emotion (RE) score - oblique method CODE: 71975-7 CODE DESCRIPTION: VR-36 Social functioning (SF) score - oblique method CODE: 71976-5 CODE DESCRIPTION: VR-36 Vitality (VT) score - oblique method CODE: 71977-3 CODE DESCRIPTION: VR-36 General health (GH) score - oblique method CODE: 71978-1 CODE DESCRIPTION: VR-36 Bodily pain (BP) score - oblique method CODE: 71979-9 CODE DESCRIPTION: VR-36 Role physical (RP) score - oblique method CODE: 71980-7 CODE DESCRIPTION: VR-36 Physical functioning (PF) score - oblique method CODE: 71981-5 CODE DESCRIPTION: VR-36 Mental health (MH) score - oblique method T-score CODE: 71955-9 CODE DESCRIPTION: PROMIS-29 Sleep disturbance score T-score CODE: 71982-3 CODE DESCRIPTION: VR-36 Role emotion (RE) score - oblique method T-score CODE: 71983-1 CODE DESCRIPTION: VR-36 Social functioning (SF) score - oblique method T-score CODE: 71984-9 CODE DESCRIPTION: VR-36 Vitality (VT) score - oblique method T-score CODE: 71985-6 CODE DESCRIPTION: VR-36 General health (GH) score - oblique method T-score CODE: 71986-4 CODE DESCRIPTION: VR-36 Bodily pain (BP) score - oblique method T-score CODE: 71987-2 CODE DESCRIPTION: VR-36 Role physical (RP) score - oblique method T-score CODE: 71988-0 CODE DESCRIPTION: VR-36 Physical functioning (PF) score - oblique method T-score CODE: 71989-8 CODE DESCRIPTION: VR-36 Physical component summary (PCS) score - oblique method T-score CODE: 71990-6 CODE DESCRIPTION: VR-36 Mental component summary (MCS) score - oblique method T-score CODE: 71991-4 CODE DESCRIPTION: VR-36 Mental health (MH) score - orthogonal method CODE: 71956-7 CODE DESCRIPTION: PROMIS-29 Sleep disturbance score CODE: 71992-2 CODE DESCRIPTION: VR-36 Role emotion (RE) score - orthogonal method CODE: 71993-0 CODE DESCRIPTION: VR-36 Social functioning (SF) score - orthogonal method CODE: 71994-8 CODE DESCRIPTION: VR-36 Vitality (VT) score - orthogonal method CODE: 71995-5 CODE DESCRIPTION: VR-36 General health (GH) score - orthogonal method CODE: 71996-3 CODE DESCRIPTION: VR-36 Bodily pain (BP) score - orthogonal method CODE: 71997-1 CODE DESCRIPTION: VR-36 Role physical (RP) score - orthogonal method CODE: 71998-9 CODE DESCRIPTION: VR-36 Physical functioning (PF) score - orthogonal method CODE: 71999-7 CODE DESCRIPTION: VR-36 Mental health (MH) score - orthogonal method T-score CODE: 72000-3 CODE DESCRIPTION: VR-36 Role emotion (RE) score - orthogonal method T-score CODE: 72001-1 CODE DESCRIPTION: VR-36 Social functioning (SF) score - orthogonal method T-score CODE: 71957-5 CODE DESCRIPTION: PROMIS-29 Satisfaction with participation in social roles score T-score CODE: 72002-9 CODE DESCRIPTION: VR-36 Vitality (VT) score - orthogonal method T-score CODE: 72003-7 CODE DESCRIPTION: VR-36 General health (GH) score - orthogonal method T-score CODE: 72004-5 CODE DESCRIPTION: VR-36 Bodily pain (BP) score - orthogonal method T-score CODE: 72005-2 CODE DESCRIPTION: VR-36 Role physical (RP) score - orthogonal method T-score CODE: 72006-0 CODE DESCRIPTION: VR-36 Physical functioning (PF) score - orthogonal method T-score CODE: 72007-8 CODE DESCRIPTION: VR-36 Physical component summary (PCS) score - orthogonal method T-score CODE: 72008-6 CODE DESCRIPTION: VR-36 Mental component summary (MCS) score - orthogonal method T-score CODE: 72009-4 CODE DESCRIPTION: VR-12 Mental health (MH) score - oblique method CODE: 72010-2 CODE DESCRIPTION: VR-12 Role emotion (RE) score - oblique method CODE: 72011-0 CODE DESCRIPTION: VR-12 Social functioning (SF) score - oblique method CODE: 71958-3 CODE DESCRIPTION: PROMIS-29 Satisfaction with participation in social roles score CODE: 72012-8 CODE DESCRIPTION: VR-12 Vitality (VT) score - oblique method CODE: 72013-6 CODE DESCRIPTION: VR-12 General health (GH) score - oblique method CODE: 72014-4 CODE DESCRIPTION: VR-12 Bodily pain (BP) score - oblique method CODE: 72015-1 CODE DESCRIPTION: VR-12 Role physical (RP) score - oblique method CODE: 72016-9 CODE DESCRIPTION: VR-12 Physical functioning (PF) score - oblique method CODE: 72017-7 CODE DESCRIPTION: VR-12 Mental health (MH) score - oblique method T-score CODE: 72018-5 CODE DESCRIPTION: VR-12 Role emotion (RE) score - oblique method T-score CODE: 72019-3 CODE DESCRIPTION: VR-12 Social functioning (SF) score - oblique method T-score CODE: 72020-1 CODE DESCRIPTION: VR-12 Vitality (VT) score - oblique method T-score CODE: 72021-9 CODE DESCRIPTION: VR-12 General health (GH) score - oblique method T-score CODE: 71959-1 CODE DESCRIPTION: PROMIS-29 Physical function score T-score CODE: 72022-7 CODE DESCRIPTION: VR-12 Bodily pain (BP) score - oblique method T-score CODE: 72023-5 CODE DESCRIPTION: VR-12 Role physical (RP) score - oblique method T-score CODE: 72024-3 CODE DESCRIPTION: VR-12 Physical functioning (PF) score - oblique method T-score CODE: 72025-0 CODE DESCRIPTION: VR-12 Physical component summary (PCS) score - oblique method T-score CODE: 72026-8 CODE DESCRIPTION: VR-12 Mental component summary (MCS) score - oblique method T-score CODE: 72027-6 CODE DESCRIPTION: VR-12 Physical component summary (PCS) score - orthogonal method T-score CODE: 72028-4 CODE DESCRIPTION: VR-12 Mental component summary (MCS) score - orthogonal method T-score CODE: 72188-6 CODE DESCRIPTION: Clinical summary score [KCCQ] CODE: 72189-4 CODE DESCRIPTION: Quality of life score [KCCQ] CODE: 72190-2 CODE DESCRIPTION: Self-efficacy score [KCCQ] CODE: 71960-9 CODE DESCRIPTION: PROMIS-29 Physical function score CODE: 72191-0 CODE DESCRIPTION: Total symptom score [KCCQ] CODE: 72192-8 CODE DESCRIPTION: Symptom burden score [KCCQ] CODE: 72193-6 CODE DESCRIPTION: Symptom frequency score [KCCQ] CODE: 72194-4 CODE DESCRIPTION: Symptom stability score [KCCQ] CODE: 72195-1 CODE DESCRIPTION: Physical limitation score [KCCQ] CODE: 72196-9 CODE DESCRIPTION: Social limitation score [KCCQ] CODE: 71961-7 CODE DESCRIPTION: PROMIS-29 Pain interference score T-score
MEASURE LIST

Functional Status Assessment for Heart Failure (1483) NLM VALUE SETS (802.2)