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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

Standard Code Book (SCB)  

Health Factors

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1-25 of 90 items displayed
 
  

Code Category Health Factor Code Health Factor Standards Outcome
C018  ECOG PERFORMANCE STATUS  F115  ECOG 0 - ACTIVE  Use the Eastern Cooperative Oncology Group (ECOG) performance status to assess how a patient's disease is progressing, assess how the diseaase affects the daily living abilities of the patient, and determine appropriate treatment and prognosis. 1.Assess the patient's ability to perform daily tasks. 2.Document the result using the associated health factor codes.   Fully active, able to carry on all pre-disease performance without restriction 
C018  ECOG PERFORMANCE STATUS  F116  ECOG 1 - SOME RESTRICTION  Use the Eastern Cooperative Oncology Group (ECOG) performance status to assess how a patient's disease is progressing, assess how the diseaase affects the daily living abilities of the patient, and determine appropriate treatment and prognosis. 1.Assess the patient's ability to perform daily tasks. 2.Document the result using the associated health factor codes.   Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work 
C018  ECOG PERFORMANCE STATUS  F117  ECOG 2 - UNABLE TO WORK  Use the Eastern Cooperative Oncology Group (ECOG) performance status to assess how a patient's disease is progressing, assess how the diseaase affects the daily living abilities of the patient, and determine appropriate treatment and prognosis. 1.Assess the patient's ability to perform daily tasks. 2.Document the result using the associated health factor codes.   Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours 
C018  ECOG PERFORMANCE STATUS  F118  ECOG 3 - LIMITED SELF CARE  Use the Eastern Cooperative Oncology Group (ECOG) performance status to assess how a patient's disease is progressing, assess how the diseaase affects the daily living abilities of the patient, and determine appropriate treatment and prognosis. 1.Assess the patient's ability to perform daily tasks. 2.Document the result using the associated health factor codes.   Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours 
C018  ECOG PERFORMANCE STATUS  F119  ECOG 4 - COMPLETELY DISABLED  Use the Eastern Cooperative Oncology Group (ECOG) performance status to assess how a patient's disease is progressing, assess how the diseaase affects the daily living abilities of the patient, and determine appropriate treatment and prognosis. 1.Assess the patient's ability to perform daily tasks. 2.Document the result using the associated health factor codes.   Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair  
C018  ECOG PERFORMANCE STATUS  F123  ECOG 5 - DEAD  Use the Eastern Cooperative Oncology Group (ECOG) performance status to assess how a patient's disease is progressing, assess how the diseaase affects the daily living abilities of the patient, and determine appropriate treatment and prognosis. 1.Assess the patient's ability to perform daily tasks. 2.Document the result using the associated health factor codes.   Dead 
C017  TOBACCO (SMOKING)  F002  CURRENT SMOKER, STATUS UNKNOWN  Use this health factor to document whether the patient smokes tobacco (cigarettes, pipe, or cigars) or has a history of smoking. 1. Ask the patient if he or she smokes tobacco or has smoked tobacco in the past (cigarettes, pipe, or cigars). 2. Ask the patient if he or she smokes tobacco products for cultural or religious purposes. 3. Document the Smoking Assessment factor screening results using the associated health factor codes.   Currently smokes tobacco (cigarettes, cigars, pipe, etc.) but the amount smoked is unknown. 
C017  TOBACCO (SMOKING)  F004  PREVIOUS (FORMER) SMOKER  Use this health factor to document whether the patient smokes tobacco (cigarettes, pipe, or cigars) or has a history of smoking. 1. Ask the patient if he or she smokes tobacco or has smoked tobacco in the past (cigarettes, pipe, or cigars). 2. Ask the patient if he or she smokes tobacco products for cultural or religious purposes. 3. Document the Smoking Assessment factor screening results using the associated health factor codes.   Has quit smoking tobacco for six months or more. 
C017  TOBACCO (SMOKING)  F024  CESSATION-SMOKER  Use this health factor to document whether the patient smokes tobacco (cigarettes, pipe, or cigars) or has a history of smoking. 1. Ask the patient if he or she smokes tobacco or has smoked tobacco in the past (cigarettes, pipe, or cigars). 2. Ask the patient if he or she smokes tobacco products for cultural or religious purposes. 3. Document the Smoking Assessment factor screening results using the associated health factor codes.   Is transitioning from a Current Smoker to a Previous Smoker. The time period between the stop date and the present date is less than six months. 
C017  TOBACCO (SMOKING)  F035  CEREMONIAL USE ONLY  Use this health factor to document whether the patient smokes tobacco (cigarettes, pipe, or cigars) or has a history of smoking. 1. Ask the patient if he or she smokes tobacco or has smoked tobacco in the past (cigarettes, pipe, or cigars). 2. Ask the patient if he or she smokes tobacco products for cultural or religious purposes. 3. Document the Smoking Assessment factor screening results using the associated health factor codes.   Uses tobacco for ceremonial or religious purposes only. 
C017  TOBACCO (SMOKING)  F108  CURRENT SMOKER, EVERY DAY  Use this health factor to document whether the patient smokes tobacco (cigarettes, pipe, or cigars) or has a history of smoking. 1. Ask the patient if he or she smokes tobacco or has smoked tobacco in the past (cigarettes, pipe, or cigars). 2. Ask the patient if he or she smokes tobacco products for cultural or religious purposes. 3. Document the Smoking Assessment factor screening results using the associated health factor codes.   Currently smokes tobacco (cigarettes, cigars, pipe, etc.) every day. 
C017  TOBACCO (SMOKING)  F109  CURRENT SMOKER, SOME DAY  Use this health factor to document whether the patient smokes tobacco (cigarettes, pipe, or cigars) or has a history of smoking. 1. Ask the patient if he or she smokes tobacco or has smoked tobacco in the past (cigarettes, pipe, or cigars). 2. Ask the patient if he or she smokes tobacco products for cultural or religious purposes. 3. Document the Smoking Assessment factor screening results using the associated health factor codes.   Currently smokes tobacco (cigarettes, cigars, pipe, etc.) on some days (but not every day) 
C017  TOBACCO (SMOKING)  F110  NEVER SMOKED  Use this health factor to document whether the patient smokes tobacco (cigarettes, pipe, or cigars) or has a history of smoking. 1. Ask the patient if he or she smokes tobacco or has smoked tobacco in the past (cigarettes, pipe, or cigars). 2. Ask the patient if he or she smokes tobacco products for cultural or religious purposes. 3. Document the Smoking Assessment factor screening results using the associated health factor codes.   Does not and has never smoked tobacco products. 
C017  TOBACCO (SMOKING)  F111  SMOKING STATUS UNKNOWN  Use this health factor to document whether the patient smokes tobacco (cigarettes, pipe, or cigars) or has a history of smoking. 1. Ask the patient if he or she smokes tobacco or has smoked tobacco in the past (cigarettes, pipe, or cigars). 2. Ask the patient if he or she smokes tobacco products for cultural or religious purposes. 3. Document the Smoking Assessment factor screening results using the associated health factor codes.   Unable to assess the patient’s smoking status (patient may be unconscious or unresponsive). 
C017  TOBACCO (SMOKING)  F121  HEAVY TOBACCO USER  Use this health factor to document whether the patient smokes tobacco (cigarettes, pipe, or cigars) or has a history of smoking. 1. Ask the patient if he or she smokes tobacco or has smoked tobacco in the past (cigarettes, pipe, or cigars). 2. Ask the patient if he or she smokes tobacco products for cultural or religious purposes. 3. Document the Smoking Assessment factor screening results using the associated health factor codes.   Currently smokes = 10 cigarettes per day. 
C017  TOBACCO (SMOKING)  F122  LIGHT TOBACCO USER  Use this health factor to document whether the patient smokes tobacco (cigarettes, pipe, or cigars) or has a history of smoking. 1. Ask the patient if he or she smokes tobacco or has smoked tobacco in the past (cigarettes, pipe, or cigars). 2. Ask the patient if he or she smokes tobacco products for cultural or religious purposes. 3. Document the Smoking Assessment factor screening results using the associated health factor codes.   Currently smokes < 10 cigarettes per day. 
C016  TOBACCO (SMOKELESS - CHEWING/DIP)  F003  CURRENT SMOKELESS  Use this health factor to document whether the patient uses smokeless tobacco (chewing tobacco, dip) or has a history of using smokeless tobaccco. 1. Ask the patient if he or she uses smokeless tobacco products (Chewing tobacco, snuff, dip, etc.). 2. Document the health factor screening results using the associated health factor codes.  Currently uses smokeless tobacco (chew, dip, snuff, etc.). 
C016  TOBACCO (SMOKELESS - CHEWING/DIP)  F005  PREVIOUS (FORMER) SMOKELESS  Use this health factor to document whether the patient uses smokeless tobacco (chewing tobacco, dip) or has a history of using smokeless tobaccco. 1. Ask the patient if he or she uses smokeless tobacco products (Chewing tobacco, snuff, dip, etc.). 2. Document the health factor screening results using the associated health factor codes.  Has quit smokeless tobacco for six months or more. 
C016  TOBACCO (SMOKELESS - CHEWING/DIP)  F023  CESSATION-SMOKELESS  Use this health factor to document whether the patient uses smokeless tobacco (chewing tobacco, dip) or has a history of using smokeless tobaccco. 1. Ask the patient if he or she uses smokeless tobacco products (Chewing tobacco, snuff, dip, etc.). 2. Document the health factor screening results using the associated health factor codes.  Is transitioning from a Current Smokeless tobacco user to a Previous Smokeless tobacco user. The time period between stopping smokeless tobacco and the present date is less than six months. 
C016  TOBACCO (SMOKELESS - CHEWING/DIP)  F106  NEVER USED SMOKELESS TOBACCO  Use this health factor to document whether the patient uses smokeless tobacco (chewing tobacco, dip) or has a history of using smokeless tobaccco. 1. Ask the patient if he or she uses smokeless tobacco products (Chewing tobacco, snuff, dip, etc.). 2. Document the health factor screening results using the associated health factor codes.  Does not and has never used smokeless tobacco products. 
C016  TOBACCO (SMOKELESS - CHEWING/DIP)  F107  SMOKELESS TOBACCO, STATUS UNKNOWN  Use this health factor to document whether the patient uses smokeless tobacco (chewing tobacco, dip) or has a history of using smokeless tobaccco. 1. Ask the patient if he or she uses smokeless tobacco products (Chewing tobacco, snuff, dip, etc.). 2. Document the health factor screening results using the associated health factor codes.  Unable to assess the patient's smokeless tobacco use status (they may be unconscious or unresponsive). 
C015  TOBACCO (EXPOSURE)  F006  SMOKER IN HOME  Use this health factor to document whether the patient is exposed to tobacco smoke at home or work. 1. Ask the patient if he or she is exposed to tobacco smoke at work. 2. Ask the patient if anyone uses tobacco products at home. 3. ocument the health factor screening results using the associated health factor codes.   Is exposed to secondhand smoke at home. 
C015  TOBACCO (EXPOSURE)  F025  SMOKE FREE HOME  Use this health factor to document whether the patient is exposed to tobacco smoke at home or work. 1. Ask the patient if he or she is exposed to tobacco smoke at work. 2. Ask the patient if anyone uses tobacco products at home. 3. ocument the health factor screening results using the associated health factor codes.   There is no exposure to tobacco smoke at home. 
C015  TOBACCO (EXPOSURE)  F031  EXPOSURE TO ENVIRONMENTAL TOBACCO SMOKE  Use this health factor to document whether the patient is exposed to tobacco smoke at home or work. 1. Ask the patient if he or she is exposed to tobacco smoke at work. 2. Ask the patient if anyone uses tobacco products at home. 3. ocument the health factor screening results using the associated health factor codes.   Is exposed to secondhand smoke at work or outside the home. 
C014  OCCUPATION  F093  DAYSHIFT  Use Occupation to identify various qualities of the patient's occupation that may influence health outcomes. 1. Ask the patient what type of job he or she does. 2. Ask the patient what hours he or she works. 3. Ask the patient if there are any risks involved in his or her work. 4. Document the health factor screening results using the associated health factor codes. More than one health factor can be documented for the patient.  Works predominantly during daylight hours 
 90 Record(s)

 
1-25 of 90 items displayed