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

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

61635-9 Are you able to run errands and shop?

Fully-Specified Name

Component
Are you able to run errands and shop
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
Are you able to run errands and shop?
Source
Mobility-FA53

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
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
67893-8 Neuro-Qol item bank - lower extremity - version 1.0
67907-6 Neuro-Qol short form - lower extremity - version 1.0
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
89689-4 PROMIS cancer item bank - physical function - version 1.1
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
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
76700-4 PROMIS short form - physical function 4a - version 1.0
76804-4 PROMIS short form - physical function 6b - version 1.2
76805-1 PROMIS short form - physical function 8b - version 1.2

61967-6 In the past 7 days - I felt depressed

Fully-Specified Name

Component
I felt depressed 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 - I felt depressed
Source
EDDEP29

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
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
67890-4 Neuro-Qol item bank - depression - version 1.0
67904-3 Neuro-Qol short form - depression - version 1.0
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
62949-3 PhenX domain - Gastrointestinal
89670-4 PROMIS cancer item bank - emotional distress - depression - version 1.0
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61952-8 PROMIS item bank - emotional distress - depression - version 1.0
76343-3 PROMIS short form - emotional distress - depression 4a - version 1.0
62191-2 PROMIS short form - emotional distress - depression 8b - version 1.0

61878-5 During the past 7 days - I feel fatigued

Fully-Specified Name

Component
I feel fatigued during the 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
During the past 7 days - I feel fatigued
Source
Hl7

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61795-1 PROMIS item bank - fatigue - version 1.0
76342-5 PROMIS short form - fatigue 4a - version 1.0

61998-1 In the past 7 days - I had a problem with my sleep

Fully-Specified Name

Component
I had a problem with my sleep 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 - I had a problem with my sleep
Source
Sleep20

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61982-5 PROMIS item bank - sleep disturbance - version 1.0
75258-4 PROMIS short form - sleep disturbance 4a - version 1.0
76703-8 PROMIS short form - sleep disturbance 6a - version 1.0

75417-6 I have trouble doing all of my regular leisure activities with others

Fully-Specified Name

Component
I have trouble doing all of my regular leisure activities with others
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
I have trouble doing all of my regular leisure activities with others
Source
SRPPER11_CaPS

Normative Answer List LL3003-2

Answer Code Score Answer ID
Never 5 LA6270-8
Rarely 4 LA10066-1
Sometimes 3 LA10082-8
Usually 2 LA14747-2
Always 1 LA9933-8

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
76787-1 PROMIS item bank - ability to participate in social roles and activities - version 2.0
76731-9 PROMIS short form - ability to participate in social roles and activities 8a - version 2.0

61758-9 In the past 7 days - How much did pain interfere with your day to day activities?

Fully-Specified Name

Component
How much did pain interfere with your day to day activities 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 much did pain interfere with your day to day activities?
Source
PAININ9

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
89674-6 PROMIS cancer item bank - pain interference - version 1.1
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1
90971-3 PROMIS short form - pain interference 4a - version 1.0
90973-9 PROMIS short form - pain interference 6a - version 1.0
62193-8 PROMIS short form - pain interference 6b - version 1.0
75870-6 PROMIS short form - pain interference 8a - version 1.0