Version 2.78

90376-5 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Dressing yourself without help

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when dressing yourself without help
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Dressing yourself without help
Source
DYSFL001

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90377-3 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Walking 50 steps/paces on flat ground at a normal speed without stopping

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when walking 50 steps or paces on flat ground at a normal speed without stopping
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Walking 50 steps/paces on flat ground at a normal speed without stopping
Source
DYSFL002

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90378-1 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Walking up 20 stairs (2 flights) without stopping

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when walking up 20 stairs (2 flights) without stopping
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Walking up 20 stairs (2 flights) without stopping
Source
DYSFL003

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90379-9 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Preparing meals

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when preparing meals
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Preparing meals
Source
DYSFL004

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90380-7 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Washing dishes

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when washing dishes
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Washing dishes
Source
DYSFL005

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90381-5 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Sweeping or mopping

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when sweeping or mopping
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Sweeping or mopping
Source
DYSFL006

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90382-3 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Making a bed

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when making a bed
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Making a bed
Source
DYSFL007

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90383-1 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Lifting something weighing 10-20 lbs (about 4.5-9 kg, like a large bag of groceries)

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when lifting something weighing 10-20 lbs (about 4.5-9 kg, like a large bag of groceries)
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Lifting something weighing 10-20 lbs (about 4.5-9 kg, like a large bag of groceries)
Source
DYSFL008

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90384-9 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Carrying something weighing 10-20 lbs (about 4.5-9 kg, like a large bag of groceries) from one room to another

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when carrying something weighing 10-20 lbs (about 4.5-9 kg, like a large bag of groceries) from one room to another
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Carrying something weighing 10-20 lbs (about 4.5-9 kg, like a large bag of groceries) from one room to another
Source
DYSFL009

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90385-6 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when walking (faster than your usual speed) for a half mile (almost 1 km) without stopping
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping
Source
DYSFL010

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90386-4 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Taking a bath without help

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when taking a bath without help
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Taking a bath without help
Source
DYSFL011

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90387-2 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Taking a shower

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when taking a shower
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Taking a shower
Source
DYSFL012

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90388-0 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Putting on socks or stockings

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when putting on socks or stockings
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Putting on socks or stockings
Source
DYSFL013

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90389-8 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Standing for at least 5 minutes

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when standing for at least 5 minutes
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Standing for at least 5 minutes
Source
DYSFL014

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90390-6 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Walking 10 steps/paces on flat ground at a normal speed without stopping

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when walking 10 steps or paces on flat ground at a normal speed without stopping
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Walking 10 steps/paces on flat ground at a normal speed without stopping
Source
DYSFL015

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90391-4 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Walking 1/2 mile (almost 1 km) on flat ground at a normal speed without stopping

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when walking a half mile (almost 1 km) on flat ground at a normal speed without stopping
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Walking 1/2 mile (almost 1 km) on flat ground at a normal speed without stopping
Source
DYSFL016

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90392-2 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Walking up 5 stairs without stopping

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when walking up 5 stairs without stopping
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Walking up 5 stairs without stopping
Source
DYSFL017

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90393-0 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Walking up 10 stairs (1 flight) without stopping

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when walking up 10 stairs (1 flight) without stopping
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Walking up 10 stairs (1 flight) without stopping
Source
DYSFL018

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90394-8 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Walking up 30 stairs (3 flights) without stopping

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when walking up 30 stairs (3 flights) without stopping
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Walking up 30 stairs (3 flights) without stopping
Source
DYSFL019

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90395-5 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Scrubbing the floor or counter

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when scrubbing the floor or counter
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Scrubbing the floor or counter
Source
DYSFL020

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90396-3 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Lifting something weighing less than 5 lbs (about 2 kg, like a houseplant)

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when lifting something weighing less than 5 lbs (about 2 kg, like a houseplant)
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Lifting something weighing less than 5 lbs (about 2 kg, like a houseplant)
Source
DYSFL021

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90397-1 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Lifting something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes)

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when lifting something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes)
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Lifting something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes)
Source
DYSFL022

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90398-9 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Lifting something weighing more than 20 lbs (about 9 kg, like a medium-sized suitcase)

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when lifting something weighing more than 20 lbs (about 9 kg, like a medium-sized suitcase)
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Lifting something weighing more than 20 lbs (about 9 kg, like a medium-sized suitcase)
Source
DYSFL023

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90399-7 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Carrying something weighing less than 5 lbs (about 2 kg, like a houseplant) from one room to another

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when carrying something weighing less than 5 lbs (about 2 kg, like a houseplant) from one room to another
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Carrying something weighing less than 5 lbs (about 2 kg, like a houseplant) from one room to another
Source
DYSFL024

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90400-3 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Carrying something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes) from one room to another

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when carrying something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes) from one room to another
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Carrying something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes) from one room to another
Source
DYSFL025

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90401-1 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Getting in or out of a car

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when getting in or out of a car
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Getting in or out of a car
Source
DYSFL026

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90402-9 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Dining out

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when dining out
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Dining out
Source
DYSFL027

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90403-7 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Low-intensity leisure activity (gardening, etc.)

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when low-intensity leisure activity (gardening, etc.)
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Low-intensity leisure activity (gardening, etc.)
Source
DYSFL028

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90404-5 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Moderate-intensity leisure activity (bicycling on level terrain, etc.)

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when moderate-intensity leisure activity (bicycling on level terrain, etc.)
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Moderate-intensity leisure activity (bicycling on level terrain, etc.)
Source
DYSFL029

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90405-2 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Walking (faster than your usual speed) for 50 steps without stopping

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when walking (faster than your usual speed) for 50 steps without stopping
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Walking (faster than your usual speed) for 50 steps without stopping
Source
DYSFL030

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90406-0 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Walking (faster than your usual speed) for at least 1 mile (a little more than 1.5 km) without stopping

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when walking (faster than your usual speed) for at least 1 mile (a little more than 1.5 km) without stopping
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Walking (faster than your usual speed) for at least 1 mile (a little more than 1.5 km) without stopping
Source
DYSFL031

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90407-8 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Singing or humming

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had singing or humming
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Singing or humming
Source
DYSFL032

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90408-6 Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Talking while walking

Fully-Specified Name

Component
Considering your shortness of breath over the past 7D, rate the amount of difficulty you had when talking while walking
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Considering your shortness of breath over the past 7 days, rate the amount of difficulty you had when doing the following activities - Talking while walking
Source
DYSFL033

Normative Answer List LL5145-9

Answer Code Score Answer ID
No difficulty 0 LA15227-4
A little difficulty 1 LA15725-7
Some difficulty 2 LA13950-3
Much difficulty 3 LA15228-2
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0

90410-2 PROMIS dyspnea functional limitations - version 1.0 T score

Fully-Specified Name

Component
PROMIS dyspnea functional limitations - 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 2.65
Last Updated
Version 2.65
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
90409-4 PROMIS item bank - dyspnea functional limitations - version 1.0
90967-1 PROMIS short form - dyspnea functional limitations 10a - version 1.0

Example Units

Unit Source
{Tscore} Example UCUM Units