90967-1
PROMIS short form - dyspnea functional limitations 10a - version 1.0
Active
70971-7 How short of breath did you get dressing yourself without help?
Fully-Specified Name
- Component
- How short of breath did you get dressing yourself without help in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Order vs. Observation
- Observation
Survey Question
- Text
- How short of breath did you get dressing yourself without help?
- Source
- 1
Normative Answer List LL3980-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| No shortness of breath | LA26121-6 | ||
| Mildly short of breath | LA26122-4 | ||
| Moderately short of breath | LA26123-2 | ||
| Severely short of breath | LA26124-0 | ||
| I did not do this in the past 7 days | LA26125-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70673-9 | Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel |
| 90967-1 | PROMIS short form - dyspnea functional limitations 10a - version 1.0 |
Copyright
- Organization
- Functional Assessment of Chronic Illness Therapy
- Copyright
- Copyright © 2010 FACIT.org.
- Terms of Use
- Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
- URL
- http://www.facit.org/FACITOrg/AboutUs/Copyright
70972-5 How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping?
Fully-Specified Name
- Component
- How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Order vs. Observation
- Observation
Survey Question
- Text
- How short of breath did you get walking 50 steps-paces on flat ground at a normal speed without stopping?
- Source
- 2
Normative Answer List LL3980-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| No shortness of breath | LA26121-6 | ||
| Mildly short of breath | LA26122-4 | ||
| Moderately short of breath | LA26123-2 | ||
| Severely short of breath | LA26124-0 | ||
| I did not do this in the past 7 days | LA26125-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70673-9 | Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel |
| 90967-1 | PROMIS short form - dyspnea functional limitations 10a - version 1.0 |
Copyright
- Organization
- Functional Assessment of Chronic Illness Therapy
- Copyright
- Copyright © 2010 FACIT.org.
- Terms of Use
- Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
- URL
- http://www.facit.org/FACITOrg/AboutUs/Copyright
70973-3 How short of breath did you get walking up 20 stairs, 2 flights, without stopping?
Fully-Specified Name
- Component
- How short of breath did you get walking up 20 stairs - 2 flights - without stopping in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Order vs. Observation
- Observation
Survey Question
- Text
- How short of breath did you get walking up 20 stairs, 2 flights, without stopping?
- Source
- 3
Normative Answer List LL3980-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| No shortness of breath | LA26121-6 | ||
| Mildly short of breath | LA26122-4 | ||
| Moderately short of breath | LA26123-2 | ||
| Severely short of breath | LA26124-0 | ||
| I did not do this in the past 7 days | LA26125-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70673-9 | Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel |
| 90967-1 | PROMIS short form - dyspnea functional limitations 10a - version 1.0 |
Copyright
- Organization
- Functional Assessment of Chronic Illness Therapy
- Copyright
- Copyright © 2010 FACIT.org.
- Terms of Use
- Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
- URL
- http://www.facit.org/FACITOrg/AboutUs/Copyright
70974-1 How short of breath did you get preparing meals?
Fully-Specified Name
- Component
- How short of breath did you get preparing meals in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Order vs. Observation
- Observation
Survey Question
- Text
- How short of breath did you get preparing meals?
- Source
- 4
Normative Answer List LL3980-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| No shortness of breath | LA26121-6 | ||
| Mildly short of breath | LA26122-4 | ||
| Moderately short of breath | LA26123-2 | ||
| Severely short of breath | LA26124-0 | ||
| I did not do this in the past 7 days | LA26125-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70673-9 | Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel |
| 90967-1 | PROMIS short form - dyspnea functional limitations 10a - version 1.0 |
Copyright
- Organization
- Functional Assessment of Chronic Illness Therapy
- Copyright
- Copyright © 2010 FACIT.org.
- Terms of Use
- Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
- URL
- http://www.facit.org/FACITOrg/AboutUs/Copyright
70975-8 How short of breath did you get washing dishes?
Fully-Specified Name
- Component
- How short of breath did you get washing dishes in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Order vs. Observation
- Observation
Survey Question
- Text
- How short of breath did you get washing dishes?
- Source
- 5
Normative Answer List LL3980-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| No shortness of breath | LA26121-6 | ||
| Mildly short of breath | LA26122-4 | ||
| Moderately short of breath | LA26123-2 | ||
| Severely short of breath | LA26124-0 | ||
| I did not do this in the past 7 days | LA26125-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70673-9 | Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel |
| 90967-1 | PROMIS short form - dyspnea functional limitations 10a - version 1.0 |
Copyright
- Organization
- Functional Assessment of Chronic Illness Therapy
- Copyright
- Copyright © 2010 FACIT.org.
- Terms of Use
- Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
- URL
- http://www.facit.org/FACITOrg/AboutUs/Copyright
70976-6 How short of breath did you get sweeping or mopping?
Fully-Specified Name
- Component
- How short of breath did you get sweeping or mopping in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Order vs. Observation
- Observation
Survey Question
- Text
- How short of breath did you get sweeping or mopping?
- Source
- 6
Normative Answer List LL3980-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| No shortness of breath | LA26121-6 | ||
| Mildly short of breath | LA26122-4 | ||
| Moderately short of breath | LA26123-2 | ||
| Severely short of breath | LA26124-0 | ||
| I did not do this in the past 7 days | LA26125-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70673-9 | Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel |
| 90967-1 | PROMIS short form - dyspnea functional limitations 10a - version 1.0 |
Copyright
- Organization
- Functional Assessment of Chronic Illness Therapy
- Copyright
- Copyright © 2010 FACIT.org.
- Terms of Use
- Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
- URL
- http://www.facit.org/FACITOrg/AboutUs/Copyright
70977-4 How short of breath did you get making a bed?
Fully-Specified Name
- Component
- How short of breath did you get making a bed in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Order vs. Observation
- Observation
Survey Question
- Text
- How short of breath did you get making a bed?
- Source
- 7
Normative Answer List LL3980-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| No shortness of breath | LA26121-6 | ||
| Mildly short of breath | LA26122-4 | ||
| Moderately short of breath | LA26123-2 | ||
| Severely short of breath | LA26124-0 | ||
| I did not do this in the past 7 days | LA26125-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70673-9 | Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel |
| 90967-1 | PROMIS short form - dyspnea functional limitations 10a - version 1.0 |
Copyright
- Organization
- Functional Assessment of Chronic Illness Therapy
- Copyright
- Copyright © 2010 FACIT.org.
- Terms of Use
- Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
- URL
- http://www.facit.org/FACITOrg/AboutUs/Copyright
70978-2 How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries?
Fully-Specified Name
- Component
- How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries, in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Order vs. Observation
- Observation
Survey Question
- Text
- How short of breath did you get lifting something weighing 10-20 lbs, about 4.5-9kg , like a large bag of groceries?
- Source
- 8
Normative Answer List LL3980-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| No shortness of breath | LA26121-6 | ||
| Mildly short of breath | LA26122-4 | ||
| Moderately short of breath | LA26123-2 | ||
| Severely short of breath | LA26124-0 | ||
| I did not do this in the past 7 days | LA26125-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70673-9 | Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel |
| 90967-1 | PROMIS short form - dyspnea functional limitations 10a - version 1.0 |
Copyright
- Organization
- Functional Assessment of Chronic Illness Therapy
- Copyright
- Copyright © 2010 FACIT.org.
- Terms of Use
- Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
- URL
- http://www.facit.org/FACITOrg/AboutUs/Copyright
70979-0 How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another?
Fully-Specified Name
- Component
- How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Order vs. Observation
- Observation
Survey Question
- Text
- How short of breath did you get carrying something weighing 10-20 lbs, about 4.5-9kg, like a large bag of groceries, from one room to another?
- Source
- 9
Normative Answer List LL3980-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| No shortness of breath | LA26121-6 | ||
| Mildly short of breath | LA26122-4 | ||
| Moderately short of breath | LA26123-2 | ||
| Severely short of breath | LA26124-0 | ||
| I did not do this in the past 7 days | LA26125-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70673-9 | Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel |
| 90967-1 | PROMIS short form - dyspnea functional limitations 10a - version 1.0 |
Copyright
- Organization
- Functional Assessment of Chronic Illness Therapy
- Copyright
- Copyright © 2010 FACIT.org.
- Terms of Use
- Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
- URL
- http://www.facit.org/FACITOrg/AboutUs/Copyright
70980-8 How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping?
Fully-Specified Name
- Component
- How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- FACIT
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.40
- Last Updated
- Version 2.67
- Order vs. Observation
- Observation
Survey Question
- Text
- How short of breath did you get walking faster than your usual speed for half a mile, almost 1 km, without stopping?
- Source
- 10
Normative Answer List LL3980-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| No shortness of breath | LA26121-6 | ||
| Mildly short of breath | LA26122-4 | ||
| Moderately short of breath | LA26123-2 | ||
| Severely short of breath | LA26124-0 | ||
| I did not do this in the past 7 days | LA26125-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 70673-9 | Functional Assessment of Chronic Illness Therapy (FACIT) - Non cancer Specific Measures Panel |
| 90967-1 | PROMIS short form - dyspnea functional limitations 10a - version 1.0 |
Copyright
- Organization
- Functional Assessment of Chronic Illness Therapy
- Copyright
- Copyright © 2010 FACIT.org.
- Terms of Use
- Used with permission. All translations, adaptations, symptom indices, computer programs, and scoring algorithms, and any other related documents of the Functional Assessment of Chronic Illness Therapy (FACIT) Measurement System, including the Functional Assessment of Cancer Therapy (FACT), are owned and copyrighted by, and the intellectual property of, David Cella, Ph.D.
- URL
- http://www.facit.org/FACITOrg/AboutUs/Copyright
90968-9 PROMIS short form - dyspnea functional limitations 10a - version 1.0 raw score
Fully-Specified Name
- Component
- PROMIS short form - dyspnea functional limitations 10a - 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 2.65
- Last Updated
- Version 2.65
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 90967-1 | PROMIS short form - dyspnea functional limitations 10a - version 1.0 |
Example Units
| Unit | Source |
|---|---|
| {score} | Example UCUM Units |
Copyright
- Organization
- PROMIS
- Copyright
- Copyright © 2010 PROMIS Health Organization or other individuals/entities that have contributed information and materials to Assessment Center, and are being used with the permission of the copyright holders.
- Terms of Use
- Use of PROMIS instruments (e.g., item banks, short forms, profile measures) are subject to the PROMIS Terms and Conditions available at: http://www.assessmentcenter.net/TandC.aspx
- URL
- http://www.healthmeasures.net/explore-measurement-systems/promis
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 |
Copyright
- Organization
- PROMIS
- Copyright
- Copyright © 2010 PROMIS Health Organization or other individuals/entities that have contributed information and materials to Assessment Center, and are being used with the permission of the copyright holders.
- Terms of Use
- Use of PROMIS instruments (e.g., item banks, short forms, profile measures) are subject to the PROMIS Terms and Conditions available at: http://www.assessmentcenter.net/TandC.aspx
- URL
- http://www.healthmeasures.net/explore-measurement-systems/promis