Version 2.79

61623-5 Are you able to turn a key in a lock?

Fully-Specified Name

Component
Are you able to turn a key in a lock
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to turn a key in a lock [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

Answer Code Score Answer ID
Without any difficulty 5 LA13921-4
With a little difficulty 4 LA13918-0
With some difficulty 3 LA13920-6
With much difficulty 2 LA13919-8
Unable to do 1 LA13912-3

Member of these Panels

LOINC Long Common Name
67892-0 Neuro-Qol item bank - upper extremity - version 1.0
67906-8 Neuro-Qol short form - upper extremity - version 1.0
61587-2 PROMIS item bank - physical function - version 1.0
91722-9 PROMIS item bank - physical function - version 2.0
79062-6 PROMIS item bank - physical function w mobility aids - version 1.0
91611-4 PROMIS item bank - upper extremity - version 2.0

61632-6 Are you able to brush your teeth?

Fully-Specified Name

Component
Are you able to brush your teeth
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to brush your teeth [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

Answer Code Score Answer ID
Without any difficulty 5 LA13921-4
With a little difficulty 4 LA13918-0
With some difficulty 3 LA13920-6
With much difficulty 2 LA13919-8
Unable to do 1 LA13912-3

Member of these Panels

LOINC Long Common Name
67892-0 Neuro-Qol item bank - upper extremity - version 1.0
67906-8 Neuro-Qol short form - upper extremity - version 1.0
61587-2 PROMIS item bank - physical function - version 1.0
91722-9 PROMIS item bank - physical function - version 2.0
91611-4 PROMIS item bank - upper extremity - version 2.0

67936-5 Are you able to make a phone call using a touch tone key-pad?

Fully-Specified Name

Component
Are you able to make a phone call using a touch tone key-pad
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NeuroQol

Long Common Name

Are you able to make a phone call using a touch tone key-pad [NeuroQol]

Basic Attributes

Class
SURVEY.NEUROQ
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.50 (MIN)

Normative Answer List LL1022-4

Answer Code Score Answer ID
Without any difficulty 5 LA13921-4
With a little difficulty 4 LA13918-0
With some difficulty 3 LA13920-6
With much difficulty 2 LA13919-8
Unable to do 1 LA13912-3

Member of these Panels

LOINC Long Common Name
67892-0 Neuro-Qol item bank - upper extremity - version 1.0
67906-8 Neuro-Qol short form - upper extremity - version 1.0

61656-5 Are you able to pick up coins from a table top?

Fully-Specified Name

Component
Are you able to pick up coins from a table top
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to pick up coins from a table top [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

Answer Code Score Answer ID
Without any difficulty 5 LA13921-4
With a little difficulty 4 LA13918-0
With some difficulty 3 LA13920-6
With much difficulty 2 LA13919-8
Unable to do 1 LA13912-3

Member of these Panels

LOINC Long Common Name
67892-0 Neuro-Qol item bank - upper extremity - version 1.0
67906-8 Neuro-Qol short form - upper extremity - version 1.0
61587-2 PROMIS item bank - physical function - version 1.0
91722-9 PROMIS item bank - physical function - version 2.0
79062-6 PROMIS item bank - physical function w mobility aids - version 1.0
91611-4 PROMIS item bank - upper extremity - version 2.0

61626-8 Are you able to write with a pen or pencil?

Fully-Specified Name

Component
Are you able to write with a pen or pencil
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to write with a pen or pencil [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

Answer Code Score Answer ID
Without any difficulty 5 LA13921-4
With a little difficulty 4 LA13918-0
With some difficulty 3 LA13920-6
With much difficulty 2 LA13919-8
Unable to do 1 LA13912-3

Member of these Panels

LOINC Long Common Name
67892-0 Neuro-Qol item bank - upper extremity - version 1.0
67906-8 Neuro-Qol short form - upper extremity - version 1.0
61587-2 PROMIS item bank - physical function - version 1.0
91722-9 PROMIS item bank - physical function - version 2.0
79062-6 PROMIS item bank - physical function w mobility aids - version 1.0
91611-4 PROMIS item bank - upper extremity - version 2.0

61618-5 Are you able to open and close a zipper?

Fully-Specified Name

Component
Are you able to open and close a zipper
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to open and close a zipper [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

Answer Code Score Answer ID
Without any difficulty 5 LA13921-4
With a little difficulty 4 LA13918-0
With some difficulty 3 LA13920-6
With much difficulty 2 LA13919-8
Unable to do 1 LA13912-3

Member of these Panels

LOINC Long Common Name
67892-0 Neuro-Qol item bank - upper extremity - version 1.0
67906-8 Neuro-Qol short form - upper extremity - version 1.0
61587-2 PROMIS item bank - physical function - version 1.0
91722-9 PROMIS item bank - physical function - version 2.0
79062-6 PROMIS item bank - physical function w mobility aids - version 1.0
91611-4 PROMIS item bank - upper extremity - version 2.0

61637-5 Are you able to wash and dry your body?

Fully-Specified Name

Component
Are you able to wash and dry your body
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to wash and dry your body [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

Answer Code Score Answer ID
Without any difficulty 5 LA13921-4
With a little difficulty 4 LA13918-0
With some difficulty 3 LA13920-6
With much difficulty 2 LA13919-8
Unable to do 1 LA13912-3

Member of these Panels

LOINC Long Common Name
67892-0 Neuro-Qol item bank - upper extremity - version 1.0
67906-8 Neuro-Qol short form - upper extremity - version 1.0
61587-2 PROMIS item bank - physical function - version 1.0
91722-9 PROMIS item bank - physical function - version 2.0
79062-6 PROMIS item bank - physical function w mobility aids - version 1.0
62199-5 PROMIS short form - physical function 10a - version 1.0
92580-0 PROMIS short form - physical function 10a - version 2.0
76702-0 PROMIS short form - physical function 20a - version 1.0

61661-5 Are you able to shampoo your hair?

Fully-Specified Name

Component
Are you able to shampoo your hair
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to shampoo your hair [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

Answer Code Score Answer ID
Without any difficulty 5 LA13921-4
With a little difficulty 4 LA13918-0
With some difficulty 3 LA13920-6
With much difficulty 2 LA13919-8
Unable to do 1 LA13912-3

Member of these Panels

LOINC Long Common Name
67892-0 Neuro-Qol item bank - upper extremity - version 1.0
67906-8 Neuro-Qol short form - upper extremity - version 1.0
61587-2 PROMIS item bank - physical function - version 1.0
91722-9 PROMIS item bank - physical function - version 2.0
91611-4 PROMIS item bank - upper extremity - version 2.0
62199-5 PROMIS short form - physical function 10a - version 1.0
92580-0 PROMIS short form - physical function 10a - version 2.0
76702-0 PROMIS short form - physical function 20a - version 1.0

67937-3 How much DIFFICULTY do you currently have using a spoon to eat a meal?

Fully-Specified Name

Component
How much difficulty do you currently have using a spoon to eat a meal
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NeuroQol

Long Common Name

How much difficulty do you currently have using a spoon to eat a meal [NeuroQol]

Basic Attributes

Class
SURVEY.NEUROQ
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.50 (MIN)

Normative Answer List LL1879-7

Answer Code Score Answer ID
No difficulty 5 LA15227-4
A little difficulty 4 LA15725-7
Some difficulty 3 LA13950-3
A lot of difficulty 2 LA13951-1
Can't do 1 LA17824-6

Member of these Panels

LOINC Long Common Name
67892-0 Neuro-Qol item bank - upper extremity - version 1.0

67938-1 How much DIFFICULTY do you currently have putting on a pullover shirt?

Fully-Specified Name

Component
How much difficulty do you currently have putting on a pullover shirt
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NeuroQol

Long Common Name

How much difficulty do you currently have putting on a pullover shirt [NeuroQol]

Basic Attributes

Class
SURVEY.NEUROQ
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.50 (MIN)

Normative Answer List LL1879-7

Answer Code Score Answer ID
No difficulty 5 LA15227-4
A little difficulty 4 LA15725-7
Some difficulty 3 LA13950-3
A lot of difficulty 2 LA13951-1
Can't do 1 LA17824-6

Member of these Panels

LOINC Long Common Name
67892-0 Neuro-Qol item bank - upper extremity - version 1.0

67939-9 How much DIFFICULTY do you currently have taking off a pullover shirt?

Fully-Specified Name

Component
How much difficulty do you currently have taking off a pullover shirt
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NeuroQol

Long Common Name

How much difficulty do you currently have taking off a pullover shirt [NeuroQol]

Basic Attributes

Class
SURVEY.NEUROQ
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.50 (MIN)

Normative Answer List LL1879-7

Answer Code Score Answer ID
No difficulty 5 LA15227-4
A little difficulty 4 LA15725-7
Some difficulty 3 LA13950-3
A lot of difficulty 2 LA13951-1
Can't do 1 LA17824-6

Member of these Panels

LOINC Long Common Name
67892-0 Neuro-Qol item bank - upper extremity - version 1.0

67940-7 How much DIFFICULTY do you currently have removing wrappings from small objects?

Fully-Specified Name

Component
How much difficulty do you currently have removing wrappings from small objects
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NeuroQol

Long Common Name

How much difficulty do you currently have removing wrappings from small objects [NeuroQol]

Basic Attributes

Class
SURVEY.NEUROQ
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.50 (MIN)

Normative Answer List LL1879-7

Answer Code Score Answer ID
No difficulty 5 LA15227-4
A little difficulty 4 LA15725-7
Some difficulty 3 LA13950-3
A lot of difficulty 2 LA13951-1
Can't do 1 LA17824-6

Member of these Panels

LOINC Long Common Name
67892-0 Neuro-Qol item bank - upper extremity - version 1.0

67941-5 How much DIFFICULTY do you currently have opening medications or vitamin containers (e.g., childproof containers, small bottles)?

Fully-Specified Name

Component
How much difficulty do you currently have opening medications or vitamin containers, like childproof containers, small bottles
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NeuroQol

Long Common Name

How much difficulty do you currently have opening medications or vitamin containers, like childproof containers, small bottles [NeuroQol]

Basic Attributes

Class
SURVEY.NEUROQ
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.50 (MIN)

Normative Answer List LL1879-7

Answer Code Score Answer ID
No difficulty 5 LA15227-4
A little difficulty 4 LA15725-7
Some difficulty 3 LA13950-3
A lot of difficulty 2 LA13951-1
Can't do 1 LA17824-6

Member of these Panels

LOINC Long Common Name
67892-0 Neuro-Qol item bank - upper extremity - version 1.0

61608-6 Are you able to open previously opened jars?

Fully-Specified Name

Component
Are you able to open previously opened jars
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to open previously opened jars [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

Answer Code Score Answer ID
Without any difficulty 5 LA13921-4
With a little difficulty 4 LA13918-0
With some difficulty 3 LA13920-6
With much difficulty 2 LA13919-8
Unable to do 1 LA13912-3

Member of these Panels

LOINC Long Common Name
67892-0 Neuro-Qol item bank - upper extremity - version 1.0
61587-2 PROMIS item bank - physical function - version 1.0
79062-6 PROMIS item bank - physical function w mobility aids - version 1.0

61657-3 Are you able to hold a plate full of food?

Fully-Specified Name

Component
Are you able to hold a plate full of food
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to hold a plate full of food [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

Answer Code Score Answer ID
Without any difficulty 5 LA13921-4
With a little difficulty 4 LA13918-0
With some difficulty 3 LA13920-6
With much difficulty 2 LA13919-8
Unable to do 1 LA13912-3

Member of these Panels

LOINC Long Common Name
67892-0 Neuro-Qol item bank - upper extremity - version 1.0
61587-2 PROMIS item bank - physical function - version 1.0
91722-9 PROMIS item bank - physical function - version 2.0
91611-4 PROMIS item bank - upper extremity - version 2.0
76702-0 PROMIS short form - physical function 20a - version 1.0

61629-2 Are you able to pull on trousers?

Fully-Specified Name

Component
Are you able to pull on trousers
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to pull on trousers [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

Answer Code Score Answer ID
Without any difficulty 5 LA13921-4
With a little difficulty 4 LA13918-0
With some difficulty 3 LA13920-6
With much difficulty 2 LA13919-8
Unable to do 1 LA13912-3

Member of these Panels

LOINC Long Common Name
67892-0 Neuro-Qol item bank - upper extremity - version 1.0
61587-2 PROMIS item bank - physical function - version 1.0
91722-9 PROMIS item bank - physical function - version 2.0

61636-7 Are you able to button your shirt?

Fully-Specified Name

Component
Are you able to button your shirt
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to button your shirt [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

Answer Code Score Answer ID
Without any difficulty 5 LA13921-4
With a little difficulty 4 LA13918-0
With some difficulty 3 LA13920-6
With much difficulty 2 LA13919-8
Unable to do 1 LA13912-3

Member of these Panels

LOINC Long Common Name
67892-0 Neuro-Qol item bank - upper extremity - version 1.0
61587-2 PROMIS item bank - physical function - version 1.0
91722-9 PROMIS item bank - physical function - version 2.0
91611-4 PROMIS item bank - upper extremity - version 2.0

61674-8 Are you able to trim your fingernails?

Fully-Specified Name

Component
Are you able to trim your fingernails
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to trim your fingernails [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

Answer Code Score Answer ID
Without any difficulty 5 LA13921-4
With a little difficulty 4 LA13918-0
With some difficulty 3 LA13920-6
With much difficulty 2 LA13919-8
Unable to do 1 LA13912-3

Member of these Panels

LOINC Long Common Name
67892-0 Neuro-Qol item bank - upper extremity - version 1.0
61587-2 PROMIS item bank - physical function - version 1.0
91722-9 PROMIS item bank - physical function - version 2.0
79062-6 PROMIS item bank - physical function w mobility aids - version 1.0
91611-4 PROMIS item bank - upper extremity - version 2.0

61595-5 Are you able to bend down and pick up clothing from the floor?

Fully-Specified Name

Component
Are you able to bend down and pick up clothing from the floor
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to bend down and pick up clothing from the floor [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

Answer Code Score Answer ID
Without any difficulty 5 LA13921-4
With a little difficulty 4 LA13918-0
With some difficulty 3 LA13920-6
With much difficulty 2 LA13919-8
Unable to do 1 LA13912-3

Member of these Panels

LOINC Long Common Name
67892-0 Neuro-Qol item bank - upper extremity - version 1.0
89689-4 PROMIS cancer item bank - physical function - version 1.1
61587-2 PROMIS item bank - physical function - version 1.0
91722-9 PROMIS item bank - physical function - version 2.0
92579-2 PROMIS short form - physical function 10b - version 2.0