Version 2.78

61577-3 In general, would you say your health is

Fully-Specified Name

Component
In general, would you say your health is
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.71
Change Reason
Release 2.71: METHOD_TYP: Removed Method because this concept is not specific to PROMIS; EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to PROMIS; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability; AnswerListId: Updated for increased usability; CLASS: Updated as the concept is not unique to PROMIS;

Survey Question

Text
In general, would you say your health is:
Source
Global01

Normative Answer List LL1012-5

Answer Code Score Answer ID
Excellent 5 LA9206-9
Very Good 4 LA13913-1
Good 3 LA8967-7
Fair 2 LA8968-5
Poor 1 LA8969-3

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94257-3 PROMIS pediatric - global health 7 - version 1.0
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2
71934-4 Veterans Rand health survey - 12 item (VR-12)
71933-6 Veterans Rand health survey - 36 item (VR-36)

61578-1 In general, would you say your quality of life is:

Fully-Specified Name

Component
In general, would you say your quality of life is
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.65

Survey Question

Text
In general, would you say your quality of life is:
Source
Global02

Normative Answer List LL1012-5

Answer Code Score Answer ID
Excellent 5 LA9206-9
Very Good 4 LA13913-1
Good 3 LA8967-7
Fair 2 LA8968-5
Poor 1 LA8969-3

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94257-3 PROMIS pediatric - global health 7 - version 1.0
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2

61579-9 In general, how would you rate your physical health?

Fully-Specified Name

Component
In general, how would you rate your physical health
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.65

Survey Question

Text
In general, how would you rate your physical health?
Source
Global03

Normative Answer List LL1012-5

Answer Code Score Answer ID
Excellent 5 LA9206-9
Very Good 4 LA13913-1
Good 3 LA8967-7
Fair 2 LA8968-5
Poor 1 LA8969-3

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94257-3 PROMIS pediatric - global health 7 - version 1.0
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2

61580-7 In general, how would you rate your mental health, including your mood and your ability to think?

Fully-Specified Name

Component
In general, how would you rate your mental health, including your mood and your ability to think
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.68
Change Reason
Release 2.68: COMPONENT: Added , after "In general" to accurately represent the form.

Survey Question

Text
In general, how would you rate your mental health, including your mood and your ability to think?
Source
Global04

Normative Answer List LL1012-5

Answer Code Score Answer ID
Excellent 5 LA9206-9
Very Good 4 LA13913-1
Good 3 LA8967-7
Fair 2 LA8968-5
Poor 1 LA8969-3

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94257-3 PROMIS pediatric - global health 7 - version 1.0
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2

61581-5 In general, how would you rate your satisfaction with your social activities and relationships?

Fully-Specified Name

Component
In general, how would you rate your satisfaction with you social activities and relationships
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.65

Survey Question

Text
In general, how would you rate your satisfaction with your social activities and relationships?
Source
Global05

Normative Answer List LL1012-5

Answer Code Score Answer ID
Excellent 5 LA9206-9
Very Good 4 LA13913-1
Good 3 LA8967-7
Fair 2 LA8968-5
Poor 1 LA8969-3

Member of these Panels

LOINC Long Common Name
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2

61585-6 In general, please rate how well you carry out your usual social activities and roles. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.)

Fully-Specified Name

Component
In general, please rate how well you carry out your usual social activities and roles
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.65

Survey Question

Text
In general, please rate how well you carry out your usual social activities and roles. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.)
Source
Global09

Normative Answer List LL1012-5

Answer Code Score Answer ID
Excellent 5 LA9206-9
Very Good 4 LA13913-1
Good 3 LA8967-7
Fair 2 LA8968-5
Poor 1 LA8969-3

Member of these Panels

LOINC Long Common Name
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2

61582-3 To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair?

Fully-Specified Name

Component
To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.65

Survey Question

Text
To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair?
Source
Global06

Normative Answer List LL1013-3

Answer Code Score Answer ID
Completely 5 LA13937-0
Mostly 4 LA13938-8
Moderately 3 LA13939-6
A little 2 LA13940-4
Not at all 1 LA6568-5

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
91722-9 PROMIS item bank - physical function - version 2.0
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2

61586-4 In the past 7 days - How often have you been bothered by emotional problems such as feeling anxious, depressed or irritable?

Fully-Specified Name

Component
How often have you been bothered by emotional problems such as feeling anxious, depressed or irritable in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.73
Common Test Rank Get Info
2045

Survey Question

Text
In the past 7 days - How often have you been bothered by emotional problems such as feeling anxious, depressed or irritable?
Source
Global10

Normative Answer List LL1016-6

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Always 5 LA9933-8

Member of these Panels

LOINC Long Common Name
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2

61584-9 In the past 7 days - How would you rate your fatigue on average?

Fully-Specified Name

Component
How would you rate your fatigue on average in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.65

Survey Question

Text
In the past 7 days - How would you rate your fatigue on average?
Source
Global08

Normative Answer List LL1015-8

Answer Code Score Answer ID
None Copyright http://snomed.info/sct ID:260413007 None (qualifier value) 1 LA137-2
Mild 2 LA6752-5
Moderate Copyright http://snomed.info/sct ID:6736007 Moderate (severity modifier) (qualifier value) 3 LA6751-7
Severe 4 LA6750-9
Very severe 5 LA13958-6

Member of these Panels

LOINC Long Common Name
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2

61583-1 In the past 7 days - How would you rate your pain on average?

Fully-Specified Name

Component
How would you rate your pain on average in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.65

Survey Question

Text
In the past 7 days - How would you rate your pain on average?
Source
Global07

Normative Answer List LL1014-1

Answer Code Score Answer ID
0 - no pain 0 LA19102-5
1 1 LA6112-2
2 or more 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0
6 6 LA10138-8
7 7 LA10139-6
8 8 LA10140-4
9 9 LA10141-2
10 - worst imaginable pain 10 LA21948-7

Member of these Panels

LOINC Long Common Name
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2

71969-0 PROMIS-10 Global Health, GMH, T score

Term Description

GMH = Global Mental Health. This score is calculated from question responses via coefficients. Valid range: 21.2 to 67.6.
Source: Regenstrief LOINC

Fully-Specified Name

Component
PROMIS-10 Global Mental Health score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Text
PROMIS-10 Global Health, GMH, T score

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2

Example Units

Unit Source
{score} Example UCUM Units

71970-8 PROMIS-10 Global Health, GMH raw score

Term Description

GMH = Global Mental Health. This score is obtained from answers to some questions. Valid range: integer 4 to 20.
Source: Regenstrief LOINC

Fully-Specified Name

Component
PROMIS-10 Global Mental Health score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Text
PROMIS-10 Global Health, GMH raw score

Member of these Panels

LOINC Long Common Name
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2

Example Units

Unit Source
{score} Example UCUM Units

71971-6 PROMIS-10 Global Health, GPH, T score

Term Description

GPH = Global Physical Health. This score is calculated from question responses via coefficients. Valid range: 16.2 to 67.7.
Source: Regenstrief LOINC

Fully-Specified Name

Component
PROMIS-10 Global Physical Health score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Text
PROMIS-10 Global Health, GPH, T score

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2

Example Units

Unit Source
{score} Example UCUM Units

71972-4 PROMIS-10 Global Health, GPH, raw score

Term Description

GPH = Global Physical Health. This score is obtained from answers to some questions. Valid range: integer 4 to 20.
Source: Regenstrief LOINC

Fully-Specified Name

Component
PROMIS-10 Global Physical Health score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.67
Order vs. Observation
Observation

Survey Question

Text
PROMIS-10 Global Health, GPH, raw score

Member of these Panels

LOINC Long Common Name
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2

Example Units

Unit Source
{score} Example UCUM Units

77838-1 PROMIS short form - global - version 1.1 raw score

Fully-Specified Name

Component
PROMIS short form - global - version 1.1 raw score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.52
Last Updated
Version 2.52
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
61576-5 PROMIS short form - global - version 1.1

Example Units

Unit Source
{score} Example UCUM Units