Version 2.78

92178-3 Over the past 7 days, how short of breath did you get with each of these activities? Dressing yourself without help

Fully-Specified Name

Component
How short of breath did you get dressing yourself without help over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Dressing yourself without help
Source
DYSSV001

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

92155-1 Over the past 7 days, how short of breath did you get with each of these activities? 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 or paces on flat ground at a normal speed without stopping over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Walking 50 steps/paces on flat ground at a normal speed without stopping
Source
DYSSV002

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

92153-6 Over the past 7 days, how short of breath did you get with each of these activities? 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 over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Walking up 20 stairs (2 flights) without stopping
Source
DYSSV003

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

92169-2 Over the past 7 days, how short of breath did you get with each of these activities? Preparing meals

Fully-Specified Name

Component
How short of breath did you get preparing meals over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Preparing meals
Source
DYSSV004

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

92150-2 Over the past 7 days, how short of breath did you get with each of these activities? Washing dishes

Fully-Specified Name

Component
How short of breath did you get washing dishes over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Washing dishes
Source
DYSSV005

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

92164-3 Over the past 7 days, how short of breath did you get with each of these activities? Sweeping or mopping

Fully-Specified Name

Component
How short of breath did you get sweeping or mopping over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Sweeping or mopping
Source
DYSSV006

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

92171-8 Over the past 7 days, how short of breath did you get with each of these activities? Making a bed

Fully-Specified Name

Component
How short of breath did you get making a bed over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Making a bed
Source
DYSSV007

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

92176-7 Over the past 7 days, how short of breath did you get with each of these activities? Lifting something weighing 10-20 lbs (about 4.5-9 kg, like a large bag of groceries)

Fully-Specified Name

Component
How short of breath did you get lifting something weighing 10-20 lbs (about 4.5-9 kg, like a large bag of groceries) over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Lifting something weighing 10-20 lbs (about 4.5-9 kg, like a large bag of groceries)
Source
DYSSV008

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

92182-5 Over the past 7 days, how short of breath did you get with each of these 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
How short of breath did you get carrying something weighing 10-20 lbs (about 4.5-9 kg, like a large bag of groceries) from one room to another over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Carrying something weighing 10-20 lbs (about 4.5-9 kg, like a large bag of groceries) from one room to another
Source
DYSSV009

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

92160-1 Over the past 7 days, how short of breath did you get with each of these activities? Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping

Fully-Specified Name

Component
How short of breath did you get walking (faster than your usual speed) for .5 mile (almost 1 km) without stopping over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping
Source
DYSSV010

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

92163-5 Over the past 7 days, how short of breath did you get with each of these activities? Taking a bath without help

Fully-Specified Name

Component
How short of breath did you get taking a bath without help over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Taking a bath without help
Source
DYSSV011

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92162-7 Over the past 7D, how short of breath did you get with each of these activities? Taking a shower

Fully-Specified Name

Component
How short of breath did you get taking a shower over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7D, how short of breath did you get with each of these activities? Taking a shower
Source
DYSSV012

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92168-4 Over the past 7 days, how short of breath did you get with each of these activities? Putting on socks or stockings

Fully-Specified Name

Component
How short of breath did you get putting on socks or stockings over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Putting on socks or stockings
Source
DYSSV013

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92165-0 Over the past 7 days, how short of breath did you get with each of these activities? Standing for at least 5 minutes

Fully-Specified Name

Component
How short of breath did you get standing for at least 5M over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Standing for at least 5 minutes
Source
DYSSV014

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92156-9 Over the past 7 days, how short of breath did you get with each of these activities? Walking 10 steps/paces on flat ground at a normal speed without stopping

Fully-Specified Name

Component
How short of breath did you get walking 10 steps or paces on flat ground at a normal speed without stopping over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Walking 10 steps/paces on flat ground at a normal speed without stopping
Source
DYSSV015

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92157-7 Over the past 7 days, how short of breath did you get with each of these activities? Walking 1/2 mile (almost 1 km) on flat ground at a normal speed without stopping

Fully-Specified Name

Component
How short of breath did you get walking .5 mile (almost 1 km) on flat ground at a normal speed without stopping over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Walking 1/2 mile (almost 1 km) on flat ground at a normal speed without stopping
Source
DYSSV016

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92151-0 Over the past 7 days, how short of breath did you get with each of these activities? Walking up 5 stairs without stopping

Fully-Specified Name

Component
How short of breath did you get walking up 5 stairs without stopping over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Walking up 5 stairs without stopping
Source
DYSSV017

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92154-4 Over the past 7 days, how short of breath did you get with each of these activities? Walking up 10 stairs (1 flight) without stopping

Fully-Specified Name

Component
How short of breath did you get walking up 10 stairs (1 flight) without stopping over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Walking up 10 stairs (1 flight) without stopping
Source
DYSSV018

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92152-8 Over the past 7 days, how short of breath did you get with each of these activities? Walking up 30 stairs (3 flights) without stopping

Fully-Specified Name

Component
How short of breath did you get walking up 30 stairs (3 flights) without stopping over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Walking up 30 stairs (3 flights) without stopping
Source
DYSSV019

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92174-2 Over the past 7 days, how short of breath did you get with each of these activities? Lifting something weighing less than 5 lbs (about 2 kg, like a houseplant)

Fully-Specified Name

Component
How short of breath did you get lifting something weighing less than 5 lbs (about 2 kg, like a houseplant) over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Lifting something weighing less than 5 lbs (about 2 kg, like a houseplant)
Source
DYSSV020

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92175-9 Over the past 7 days, how short of breath did you get with each of these activities? Lifting something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes)

Fully-Specified Name

Component
How short of breath did you get lifting something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes) over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Lifting something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes)
Source
DYSSV021

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92173-4 Over the past 7 days, how short of breath did you get with each of these activities? Lifting something weighing more than 20 lbs (about 9 kg, like a medium-sized suitcase)

Fully-Specified Name

Component
How short of breath did you get lifting something weighing more than 20 lbs (about 9 kg, like a medium-sized suitcase) over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Lifting something weighing more than 20 lbs (about 9 kg, like a medium-sized suitcase)
Source
DYSSV022

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92180-9 Over the past 7 days, how short of breath did you get with each of these activities? Carrying something weighing less than 5 lbs (about 2 kg, like a houseplant) from one room to another

Fully-Specified Name

Component
How short of breath did you get carrying something weighing less than 5 lbs (about 2 kg, like a houseplant) from one room to another over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Carrying something weighing less than 5 lbs (about 2 kg, like a houseplant) from one room to another
Source
DYSSV023

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92181-7 Over the past 7 days, how short of breath did you get with each of these 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
How short of breath did you get carrying something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes) from one room to another over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Carrying something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes) from one room to another
Source
DYSSV024

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92177-5 Over the past 7 days, how short of breath did you get with each of these activities? Getting in or out of a car

Fully-Specified Name

Component
How short of breath did you get getting in or out of a car over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Getting in or out of a car
Source
DYSSV025

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92179-1 Over the past 7 days, how short of breath did you get with each of these activities? Dining out

Fully-Specified Name

Component
How short of breath did you get dining out over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Dining out
Source
DYSSV026

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92172-6 Over the past 7 days, how short of breath did you get with each of these activities? Low-intensity leisure activity (gardening, etc.)

Fully-Specified Name

Component
How short of breath did you get low-intensity leisure activity (gardening, etc.) over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Low-intensity leisure activity (gardening, etc.)
Source
DYSSV027

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92170-0 Over the past 7 days</u>, how short of breath did you get with each of these activities? Moderate-intensity leisure activity (bicycling on level terrain, etc.)

Fully-Specified Name

Component
How short of breath did you get moderate-intensity leisure activity (bicycling on level terrain, etc.) over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days</u>, how short of breath did you get with each of these activities? Moderate-intensity leisure activity (bicycling on level terrain, etc.)
Source
DYSSV028

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92159-3 Over the past 7 days, how short of breath did you get with each of these activities? Walking (faster than your usual speed) for 50 steps without stopping

Fully-Specified Name

Component
How short of breath did you get walking (faster than your usual speed) for 50 steps without stopping over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Walking (faster than your usual speed) for 50 steps without stopping
Source
DYSSV029

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92158-5 Over the past 7 days, how short of breath did you get with each of these 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
How short of breath did you get walking (faster than your usual speed) for at least 1 mile (a little more than 1.5 km) without stopping over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Walking (faster than your usual speed) for at least 1 mile (a little more than 1.5 km) without stopping
Source
DYSSV030

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92166-8 Over the past 7 days, how short of breath did you get with each of these activities? Singing or humming

Fully-Specified Name

Component
How short of breath did you get singing or humming over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Singing or humming
Source
DYSSV031

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92161-9 Over the past 7 days, how short of breath did you get with each of these activities? Talking while walking

Fully-Specified Name

Component
How short of breath did you get talking while walking over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Talking while walking
Source
DYSSV032

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92167-6 Over the past 7 days, how short of breath did you get with each of these activities? Scrubbing the floor or counter

Fully-Specified Name

Component
How short of breath did you get scrubbing the floor or counter over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Scrubbing the floor or counter
Source
DYSSV033

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0

92149-4 PROMIS dyspnea severity - version 1.0 T-score

Fully-Specified Name

Component
PROMIS dyspnea severity - 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 2.66
Last Updated
Version 2.66
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

Example Units

Unit Source
{Tscore} Example UCUM Units