Version 2.79

61597-1 Are you able to do chores such as vacuuming or yard work?

Fully-Specified Name

Component
Are you able to do chores such as vacuuming or yard work
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to do chores such as vacuuming or yard work [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
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
62199-5 PROMIS short form - physical function 10a - version 1.0
92580-0 PROMIS short form - physical function 10a - version 2.0
92579-2 PROMIS short form - physical function 10b - version 2.0
76702-0 PROMIS short form - physical function 20a - version 1.0
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

61598-9 Are you able to push open a heavy door?

Fully-Specified Name

Component
Are you able to push open a heavy door
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to push open a heavy door [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
67893-8 Neuro-Qol item bank - lower extremity - version 1.0
67907-6 Neuro-Qol short form - lower 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
76702-0 PROMIS short form - physical function 20a - version 1.0

61602-9 Are you able to dress yourself, including tying shoelaces and doing buttons?

Fully-Specified Name

Component
Are you able to dress yourself, including tying shoelaces and doing buttons
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to dress yourself, including tying shoelaces and doing buttons [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
61587-2 PROMIS item bank - physical function - version 1.0
62199-5 PROMIS short form - physical function 10a - version 1.0
76702-0 PROMIS short form - physical function 20a - version 1.0

61617-7 Are you able to wash your back?

Fully-Specified Name

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

Long Common Name

Are you able to wash your back [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
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
76702-0 PROMIS short form - physical function 20a - version 1.0
92605-5 PROMIS short form - upper extremity 7a - version 2.0

61621-9 Are you able to dry your back with a towel?

Fully-Specified Name

Component
Are you able to dry your back with a towel
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to dry your back with a towel [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
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

61633-4 Are you able to sit on the edge of a bed?

Fully-Specified Name

Component
Are you able to sit on the edge of a bed
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to sit on the edge of a bed [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
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
76702-0 PROMIS short form - physical function 20a - version 1.0

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

61638-3 Are you able to get in and out of a car?

Fully-Specified Name

Component
Are you able to get in and out of a car
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to get in and out of a car [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
67893-8 Neuro-Qol item bank - lower extremity - version 1.0
67907-6 Neuro-Qol short form - lower 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
76702-0 PROMIS short form - physical function 20a - version 1.0

61654-0 Are you able to squeeze a new tube of toothpaste?

Fully-Specified Name

Component
Are you able to squeeze a new tube of toothpaste
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to squeeze a new tube of toothpaste [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
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
76702-0 PROMIS short form - physical function 20a - 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

61659-9 Are you able to run a short distance, such as to catch a bus?

Fully-Specified Name

Component
Are you able to run a short distance, such as to catch a bus
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to run a short distance, such as to catch a bus [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
89689-4 PROMIS cancer item bank - physical function - version 1.1
91613-0 PROMIS item bank - mobility - version 2.0
61587-2 PROMIS item bank - physical function - version 1.0
91722-9 PROMIS item bank - physical function - 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

61704-3 Are you able to get on and off the toilet?

Fully-Specified Name

Component
Are you able to get on and off the toilet
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to get on and off the toilet [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
67893-8 Neuro-Qol item bank - lower extremity - version 1.0
67907-6 Neuro-Qol short form - lower extremity - version 1.0
61587-2 PROMIS item bank - physical function - version 1.0
62199-5 PROMIS short form - physical function 10a - version 1.0
76702-0 PROMIS short form - physical function 20a - version 1.0

61705-0 Are you able to transfer from a bed to a chair and back?

Fully-Specified Name

Component
Are you able to transfer from a bed to a chair and back
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to transfer from a bed to a chair and back [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
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
76702-0 PROMIS short form - physical function 20a - version 1.0

61588-0 Does your health now limit you in doing vigorous activities, such as running, lifting heavy objects, participating in strenuous sports?

Fully-Specified Name

Component
Does your health now limit you in doing vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in doing vigorous activities, such as running, lifting heavy objects, participating in strenuous sports [PROMIS]

Basic Attributes

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

Normative Answer List LL1021-6

Answer Code Score Answer ID
Not at all 5 LA6568-5
Very little 4 LA13947-9
Somewhat 3 LA13909-9
Quite a lot 2 LA11911-7
Cannot do 1 LA13868-7

Member of these Panels

LOINC Long Common Name
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
62199-5 PROMIS short form - physical function 10a - version 1.0
92580-0 PROMIS short form - physical function 10a - version 2.0
92579-2 PROMIS short form - physical function 10b - version 2.0
76702-0 PROMIS short form - physical function 20a - version 1.0

61589-8 Does your health now limit you in bending, kneeling, or stooping?

Fully-Specified Name

Component
Does your health now limit you in bending, kneeling, or stooping
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in bending, kneeling, or stooping [PROMIS]

Basic Attributes

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

Normative Answer List LL1021-6

Answer Code Score Answer ID
Not at all 5 LA6568-5
Very little 4 LA13947-9
Somewhat 3 LA13909-9
Quite a lot 2 LA11911-7
Cannot do 1 LA13868-7

Member of these Panels

LOINC Long Common Name
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
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

61591-4 Does your health now limit you in lifting or carrying groceries?

Fully-Specified Name

Component
Does your health now limit you in lifting or carrying groceries
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in lifting or carrying groceries [PROMIS]

Basic Attributes

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

Normative Answer List LL1021-6

Answer Code Score Answer ID
Not at all 5 LA6568-5
Very little 4 LA13947-9
Somewhat 3 LA13909-9
Quite a lot 2 LA11911-7
Cannot do 1 LA13868-7

Member of these Panels

LOINC Long Common Name
89689-4 PROMIS cancer item bank - physical function - version 1.1
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
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
76805-1 PROMIS short form - physical function 8b - version 1.2

61688-8 Does your health now limit you in doing two hours of physical labor?

Fully-Specified Name

Component
Does your health now limit you in doing 2H of physical labor
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in doing two hours of physical labor [PROMIS]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.66 (NAM)
Change Reason
Changed "two hours" in "2H" in Component based on the LOINC model.; Updated the Component text and Survey Question text (added "now") to align with the PROMIS survey question text.

Normative Answer List LL1021-6

Answer Code Score Answer ID
Not at all 5 LA6568-5
Very little 4 LA13947-9
Somewhat 3 LA13909-9
Quite a lot 2 LA11911-7
Cannot do 1 LA13868-7

Member of these Panels

LOINC Long Common Name
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
76702-0 PROMIS short form - physical function 20a - 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

61697-9 Does your health now limit you in walking more than a mile?

Fully-Specified Name

Component
Does your health now limit you in walking more than a mile
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in walking more than a mile [PROMIS]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.66 (NAM)
Change Reason
Updated the Component text and Survey Question text (added "now") to align with the PROMIS survey question text.

Normative Answer List LL1021-6

Answer Code Score Answer ID
Not at all 5 LA6568-5
Very little 4 LA13947-9
Somewhat 3 LA13909-9
Quite a lot 2 LA11911-7
Cannot do 1 LA13868-7

Member of these Panels

LOINC Long Common Name
61587-2 PROMIS item bank - physical function - version 1.0
91722-9 PROMIS item bank - physical function - version 2.0
62199-5 PROMIS short form - physical function 10a - version 1.0
76702-0 PROMIS short form - physical function 20a - version 1.0

61698-7 Does your health now limit you in climbing one flight of stairs?

Fully-Specified Name

Component
Does your health now limit you in climbing one flight of stairs
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in climbing one flight of stairs [PROMIS]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.66 (NAM)
Change Reason
Updated the Component text and Survey Question text (added "now") to align with the PROMIS survey question text.

Normative Answer List LL1021-6

Answer Code Score Answer ID
Not at all 5 LA6568-5
Very little 4 LA13947-9
Somewhat 3 LA13909-9
Quite a lot 2 LA11911-7
Cannot do 1 LA13868-7

Member of these Panels

LOINC Long Common Name
91613-0 PROMIS item bank - mobility - version 2.0
61587-2 PROMIS item bank - physical function - version 1.0
91722-9 PROMIS item bank - physical function - 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

77817-5 PROMIS short form - physical function 20a - version 1.0 raw score

Fully-Specified Name

Component
PROMIS short form - physical function 20a - version 1.0 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 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76702-0 PROMIS short form - physical function 20a - version 1.0

Example Units

Unit Source
{score} Example UCUM Units

77866-2 PROMIS physical function - version 1.0 Tscore

Fully-Specified Name

Component
PROMIS physical function - version 1.0 T-score
Property
Tscore
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 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
61587-2 PROMIS item bank - physical function - version 1.0
62199-5 PROMIS short form - physical function 10a - version 1.0
76702-0 PROMIS short form - physical function 20a - version 1.0
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

Example Units

Unit Source
{Tscore} Example UCUM Units