Version 2.78

62172-2 In the past 7 days - I could button my shirt or pants

Fully-Specified Name

Component
I could button my shirt or pants 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 could button my shirt or pants
Source
3880R2

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0
62207-6 PROMIS pediatric short form - physical function - upper extremity 8a - version 1.0

62173-0 In the past 7 days - I could open a jar by myself

Fully-Specified Name

Component
I could open a jar by myself 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 could open a jar by myself
Source
2671R1

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0
62207-6 PROMIS pediatric short form - physical function - upper extremity 8a - version 1.0

62174-8 In the past 7 days - I could open the rings in school binders

Fully-Specified Name

Component
I could open the rings in school binders 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 could open the rings in school binders
Source
4143R1

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0
62207-6 PROMIS pediatric short form - physical function - upper extremity 8a - version 1.0

62175-5 In the past 7 days - I could pour a drink from a full pitcher

Fully-Specified Name

Component
I could pour a drink from a full pitcher 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 could pour a drink from a full pitcher
Source
4112R1

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0
62207-6 PROMIS pediatric short form - physical function - upper extremity 8a - version 1.0

62176-3 In the past 7 days - I could pull a shirt on over my head by myself

Fully-Specified Name

Component
I could pull a shirt on over my head by myself 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 could pull a shirt on over my head by myself
Source
3881R1

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0
62207-6 PROMIS pediatric short form - physical function - upper extremity 8a - version 1.0

62177-1 In the past 7 days - I could pull open heavy doors

Fully-Specified Name

Component
I could pull open heavy doors 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 could pull open heavy doors
Source
4130R1

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0
62207-6 PROMIS pediatric short form - physical function - upper extremity 8a - version 1.0

62178-9 In the past 7 days - I could put on my shoes by myself

Fully-Specified Name

Component
I could put on my shoes by myself 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 could put on my shoes by myself
Source
2657bR1

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0
62207-6 PROMIS pediatric short form - physical function - upper extremity 8a - version 1.0

62179-7 In the past 7 days - I could use a key to unlock a door

Fully-Specified Name

Component
I could use a key to unlock a door 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 could use a key to unlock a door
Source
4109R1

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0
62207-6 PROMIS pediatric short form - physical function - upper extremity 8a - version 1.0

62226-6 In the past 7 days - I could move my hands or fingers

Fully-Specified Name

Component
I could move my hands or fingers 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 could move my hands or fingers
Source
2645R2

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

62205-0 In the past 7 days - I needed help with a bath

Fully-Specified Name

Component
I needed help with a bath 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 needed help with a bath
Source
2654aR1

Normative Answer List LL1024-0

Answer Code Score Answer ID
Never 1 LA6270-8
Almost never 2 LA13866-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Almost always 5 LA13865-3

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

62214-2 In the past 7 days - I could put on my socks by myself

Fully-Specified Name

Component
I could put on my socks by myself 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 could put on my socks by myself
Source
2657aR1

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

62227-4 In the past 7 days - I could tie shoelaces by myself

Fully-Specified Name

Component
I could tie shoelaces by myself 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 could tie shoelaces by myself
Source
2659R1

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

62228-2 In the past 7 days - I could put on my clothes by myself

Fully-Specified Name

Component
I could put on my clothes by myself 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 could put on my clothes by myself
Source
2663R1

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

62215-9 In the past 7 days - I could write with a pen or pencil

Fully-Specified Name

Component
I could write with a pen or pencil 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 could write with a pen or pencil
Source
2727R1

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

62216-7 In the past 7 days - I could put toothpaste on my toothbrush by myself

Fully-Specified Name

Component
I could put toothpaste on my toothbrush by myself 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 could put toothpaste on my toothbrush by myself
Source
3334aR1

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

62233-2 In the past 7 days - I could brush my teeth by myself

Fully-Specified Name

Component
I could brush my teeth by myself 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 could brush my teeth by myself
Source
3334bR1

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

62229-0 In the past 7 days - I could turn door handles by myself

Fully-Specified Name

Component
I could turn door handles by myself 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 could turn door handles by myself
Source
3796R1

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

62230-8 In the past 7 days - I could use a mouse or touch pad for the computer

Fully-Specified Name

Component
I could use a mouse or touch pad for the computer 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 could use a mouse or touch pad for the computer
Source
3891R2

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

62231-6 In the past 7 days - I could hold a full cup

Fully-Specified Name

Component
I could hold a full cup 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 could hold a full cup
Source
3907aR1

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

62232-4 In the past 7 days - I could hold an empty cup

Fully-Specified Name

Component
I could hold an empty cup 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 could hold an empty cup
Source
3907bR1

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

62217-5 In the past 7 days - I could lift a cup to drink

Fully-Specified Name

Component
I could lift a cup to drink 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 could lift a cup to drink
Source
3908R2

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

62218-3 In the past 7 days - I could zip up my clothes

Fully-Specified Name

Component
I could zip up my clothes 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 could zip up my clothes
Source
4097bR2

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

62219-1 In the past 7 days - I could pull on and fasten my seatbelt

Fully-Specified Name

Component
I could pull on and fasten my seatbelt 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 could pull on and fasten my seatbelt
Source
4098R1

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

62220-9 In the past 7 days - I could open my clothing drawers

Fully-Specified Name

Component
I could open my clothing drawers 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 could open my clothing drawers
Source
4107R2

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

62221-7 In the past 7 days - I could dial a phone

Fully-Specified Name

Component
I could dial a phone 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 could dial a phone
Source
4118R1

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

62222-5 In the past 7 days - I could cut paper with scissors

Fully-Specified Name

Component
I could cut paper with scissors 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 could cut paper with scissors
Source
4156R1

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

62223-3 In the past 7 days - I could dry my back with a towel

Fully-Specified Name

Component
I could dry my back with a towel 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 could dry my back with a towel
Source
4173R1

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

62224-1 In the past 7 days - I could wash my face with a cloth

Fully-Specified Name

Component
I could wash my face with a cloth 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 could wash my face with a cloth
Source
4174R1

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

62225-8 In the past 7 days - I used a pencil with a special grip to write

Fully-Specified Name

Component
I used a pencil with a special grip to write 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 used a pencil with a special grip to write
Source
9006R1

Normative Answer List LL1024-0

Answer Code Score Answer ID
Never 1 LA6270-8
Almost never 2 LA13866-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Almost always 5 LA13865-3

Member of these Panels

LOINC Long Common Name
62171-4 PROMIS pediatric item bank - physical function - upper extremity - version 1.0
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

78069-2 In the past 7 days - I could pick up coins from a table.

Fully-Specified Name

Component
I could pick up coins from a table in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS.PEDS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.65
Order vs. Observation
Observation

Survey Question

Text
In the past 7 days - I could pick up coins from a table.
Source
7029

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

78070-0 In the past 7 days - I could wash my hair by myself.

Fully-Specified Name

Component
I could wash my hair by myself in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS.PEDS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.65
Order vs. Observation
Observation

Survey Question

Text
In the past 7 days - I could wash my hair by myself.
Source
7030

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

78071-8 In the past 7 days - I could put beads on a string.

Fully-Specified Name

Component
I could put beads on a string in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS.PEDS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.65
Order vs. Observation
Observation

Survey Question

Text
In the past 7 days - I could put beads on a string.
Source
7031

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

78072-6 In the past 7 days - I could comb my hair by myself.

Fully-Specified Name

Component
I could comb my hair by myself in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS.PEDS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.65
Order vs. Observation
Observation

Survey Question

Text
In the past 7 days - I could comb my hair by myself.
Source
7032

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0

78073-4 In the past 7 days - I could thread a needle.

Fully-Specified Name

Component
I could thread a needle in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS.PEDS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.65
Order vs. Observation
Observation

Survey Question

Text
In the past 7 days - I could thread a needle.
Source
7033

Normative Answer List LL1025-7

Answer Code Score Answer ID
With no trouble 1 LA13953-7
With a little trouble 2 LA13954-5
With some trouble 3 LA13955-2
With a lot of trouble 4 LA13956-0
Not able to do 5 LA13957-8

Member of these Panels

LOINC Long Common Name
78161-7 PROMIS pediatric item bank - physical function - upper extremity - version 2.0