Version 2.80

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

Long Common Name

In general, how would you rate your physical health [PROMIS]

Basic Attributes

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

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

Long Common Name

In general, how would you rate your mental health, including your mood and your ability to think [PROMIS]

Basic Attributes

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

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

61949-4 In the past 7 days - I felt uneasy

Fully-Specified Name

Component
I felt uneasy in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Long Common Name

I felt uneasy in past 7 days

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.79 (MAJ)
Change Reason
Release 2.79: ORDER_OBS: Added the order-OBS as it was missing.;
Order vs. Observation
Observation

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
67889-6 Neuro-Qol item bank - anxiety - version 1.0
67903-5 Neuro-Qol short form - anxiety - version 1.0
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
62949-3 PhenX domain - Gastrointestinal
89679-5 PROMIS cancer item bank - emotional distress - anxiety - version 1.0
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61922-1 PROMIS item bank - emotional distress - anxiety - version 1.0
106881-6 PROMIS Item Bank v1.0 - Emotional Distress - Anxiety - Short Form 8a
76344-1 PROMIS short form - emotional distress - anxiety 4a - version 1.0
62190-4 PROMIS short form - emotional distress - anxiety 7a - version 1.0

68513-1 How many days in the past week did you miss taking one or more of your medications?

Fully-Specified Name

Component
How many D in the past W did you miss taking one or more of your medications
Property
NRat
Time
1W
System
^Patient
Scale
Qn
Method
SAMHSA

Long Common Name

How many day in the past week did you miss taking one or more of your medications [SAMHSA]

Basic Attributes

Class
SURVEY.SAMHSA
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.54 (MIN)

Member of these Panels

LOINC Long Common Name
68899-4 Core behavioral and psychosocial data elements for the electronic health record [SAMHSA]
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]

Example Units

Unit Source
d/wk Example UCUM Units

75412-7 Using any number from 0 to 10, where 0 is the worst health care possible and 10 is the best health care possible, what number would you use to rate all your health care in the last 12 months?

Fully-Specified Name

Component
Rate all your health care in the last 12Mo
Property
Score
Time
12Mo
System
^Patient
Scale
Ord
Method
AHRQ

Long Common Name

Rate all your health care in the last 12 months [AHRQ]

Basic Attributes

Class
SURVEY.AHRQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.61 (NAM)
Change Reason
Changed "months" to "Mo" in the Component based on current LOINC model.
Order vs. Observation
Observation

Example Answer List LL3005-7

Answer Code Score Answer ID
0 - worst health care 0 LA21399-3
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 - best health care 10 LA21400-9

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]

Example Units

Unit Source
{score} Example UCUM Units

75413-5 Indicate how much you agree or disagree - I have a good life

Fully-Specified Name

Component
I have a good life
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NIH Toolbox

Long Common Name

I have a good life [NIH Toolbox]

Basic Attributes

Class
SURVEY.NIH_TOOLBOX
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.65 (MIN)
Order vs. Observation
Observation

Normative Answer List LL1352-5

Answer Code Score Answer ID
Strongly disagree 1 LA15236-5
Disagree 2 LA15773-7
Neither agree nor disagree 3 LA15240-7
Agree 4 LA15774-5
Strongly agree 5 LA15237-3

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]

75908-4 In general, how would you rate your child's physical health?

Fully-Specified Name

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

Long Common Name

In general, how would you rate your child's physical health [PROMIS.PARENTPROXY]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.65 (MIN)
Order vs. Observation
Observation

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]
94165-8 PROMIS parent proxy - global health 7 - version 1.0

75900-1 In general, how would you rate your child's mental health, including mood and ability to think?

Fully-Specified Name

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

Long Common Name

In general, how would you rate your child's mental health, including mood and ability to think [PROMIS.PARENTPROXY]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.65 (MIN)
Order vs. Observation
Observation

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]
94165-8 PROMIS parent proxy - global health 7 - version 1.0

75895-3 In the past 7 days - My child felt uneasy

Fully-Specified Name

Component
My child felt uneasy in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS.PARENTPROXY

Long Common Name

My child felt uneasy in past 7 days [PROMIS.PARENTPROXY]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.65 (MIN)
Order vs. Observation
Observation

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
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]

75902-7 In the past 7 days - How many days in the past week did your child miss taking one or more medications?

Fully-Specified Name

Component
How many D in the past W did your child miss taking one or more medications
Property
Num
Time
1W
System
^Patient
Scale
Qn
Method
SAMHSA

Long Common Name

How many days in the past week did your child miss taking one or more medications # [SAMHSA]

Basic Attributes

Class
SURVEY.SAMHSA
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.54 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]

Example Units

Unit Source
{#} Example UCUM Units

75901-9 Using any number from 0 to 10, where 0 is the worst health care possible and 10 is the best health care possible, what number would you use to rate all your child's health care in the last 12 months?

Fully-Specified Name

Component
Rate all your child's health care in the last 12Mo
Property
Score
Time
12Mo
System
^Patient
Scale
Qn
Method
AHRQ

Long Common Name

Rate all your child's health care in the last 12 months [AHRQ]

Basic Attributes

Class
SURVEY.AHRQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.61 (NAM)
Change Reason
Changed 12 Mos to 12Mo in Component Name based on current LOINC model
Order vs. Observation
Observation

Normative Answer List LL3005-7

Answer Code Score Answer ID
0 - worst health care 0 LA21399-3
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 - best health care 10 LA21400-9

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]

Example Units

Unit Source
{score} Example UCUM Units

75903-5 My child has a good life

Fully-Specified Name

Component
My child has a good life
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NIH Toolbox

Long Common Name

My child has a good life [NIH Toolbox]

Basic Attributes

Class
SURVEY.NIH_TOOLBOX
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.58 (MIN)
Order vs. Observation
Observation

Normative Answer List LL1352-5

Answer Code Score Answer ID
Strongly disagree 1 LA15236-5
Disagree 2 LA15773-7
Neither agree nor disagree 3 LA15240-7
Agree 4 LA15774-5
Strongly agree 5 LA15237-3

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]