106879-0
PROMIS Pediatric Item Bank GenPop v3.0 - Anxiety - Short Form 8a
Active
Form Coding Instructions
Please respond to each question or statement by marking one box per row.
Source: HealthMeasures62055-9 In the past 7 days - I felt like something awful might happen
Observation ID in Form
2220R2r
Observation Required in Panel
Required
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- I felt like something awful might happen in past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Long Common Name
I felt like something awful might happen in past 7 days [PROMIS]
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65 (MIN)
Normative Answer List LL1024-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Never | 1 | LA6270-8 | |
| Almost never | 2 | LA13866-1 | |
| Sometimes | 3 | LA10082-8 | |
| Often | 4 | LA10044-8 | |
| Almost always | 5 | LA13865-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 91540-5 | PROMIS pediatric item bank - anxiety - version 2.0 |
| 62054-2 | PROMIS pediatric item bank - emotional distress - anxiety - version 1.0 |
| 106879-0 | PROMIS Pediatric Item Bank - Gen Pop v3.0 - Anxiety Short Form 8a |
| 62186-2 | PROMIS pediatric short form - emotional distress - anxiety - 8a - version 1.0 |
| 77875-3 | PROMIS pediatric short form - emotional distress - anxiety 8b - version 1.1 |
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
- https://www.healthmeasures.net/explore-measurement-systems/promis
61944-5 In the past 7 days - I felt nervous
Observation ID in Form
713R1r
Observation Required in Panel
Required
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- I felt nervous in past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Long Common Name
I felt nervous in past 7 days [PROMIS]
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.83 (MAJ)
- Order vs. Observation
- Observation
Normative Answer List LL1024-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Never | 1 | LA6270-8 | |
| Almost never | 2 | LA13866-1 | |
| Sometimes | 3 | LA10082-8 | |
| Often | 4 | LA10044-8 | |
| Almost always | 5 | LA13865-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67889-6 | Neuro-Qol item bank - anxiety - version 1.0 |
| 68127-0 | Neuro-Qol pediatric item bank - anxiety - version 1.0 [NeuroQol.Peds] |
| 67903-5 | Neuro-Qol short form - anxiety - version 1.0 |
| 62949-3 | PhenX domain - Gastrointestinal |
| 89679-5 | PROMIS cancer item bank - emotional distress - anxiety - version 1.0 |
| 62336-3 | PROMIS item bank - 43 profile |
| 62338-9 | PROMIS item bank - 57 profile |
| 61922-1 | PROMIS item bank - emotional distress - anxiety - version 1.0 |
| 106881-6 | PROMIS Item Bank v1.0 - Emotional Distress - Anxiety - Short Form 8a |
| 91540-5 | PROMIS pediatric item bank - anxiety - version 2.0 |
| 62054-2 | PROMIS pediatric item bank - emotional distress - anxiety - version 1.0 |
| 106879-0 | PROMIS Pediatric Item Bank - Gen Pop v3.0 - Anxiety Short Form 8a |
| 62186-2 | PROMIS pediatric short form - emotional distress - anxiety - 8a - version 1.0 |
| 77875-3 | PROMIS pediatric short form - emotional distress - anxiety 8b - version 1.1 |
| 62190-4 | PROMIS short form - emotional distress - anxiety 7a - version 1.0 |
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
- https://www.healthmeasures.net/explore-measurement-systems/promis
61938-7 In the past 7 days - I felt worried
Observation ID in Form
5044R1r
Observation Required in Panel
Required
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- I felt worried in past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Long Common Name
I felt worried in past 7 days [PROMIS]
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.83 (MIN)
Normative Answer List LL1024-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Never | 1 | LA6270-8 | |
| Almost never | 2 | LA13866-1 | |
| Sometimes | 3 | LA10082-8 | |
| Often | 4 | LA10044-8 | |
| Almost always | 5 | LA13865-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67889-6 | Neuro-Qol item bank - anxiety - version 1.0 |
| 68127-0 | Neuro-Qol pediatric item bank - anxiety - version 1.0 [NeuroQol.Peds] |
| 68136-1 | Neuro-Qol pediatric short form - anxiety - version 1.0 [NeuroQol.Peds] |
| 62949-3 | PhenX domain - Gastrointestinal |
| 89679-5 | PROMIS cancer item bank - emotional distress - anxiety - version 1.0 |
| 61922-1 | PROMIS item bank - emotional distress - anxiety - version 1.0 |
| 91540-5 | PROMIS pediatric item bank - anxiety - version 2.0 |
| 62054-2 | PROMIS pediatric item bank - emotional distress - anxiety - version 1.0 |
| 106879-0 | PROMIS Pediatric Item Bank - Gen Pop v3.0 - Anxiety Short Form 8a |
| 62186-2 | PROMIS pediatric short form - emotional distress - anxiety - 8a - version 1.0 |
| 77875-3 | PROMIS pediatric short form - emotional distress - anxiety 8b - version 1.1 |
| 62190-4 | PROMIS short form - emotional distress - anxiety 7a - version 1.0 |
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
- https://www.healthmeasures.net/explore-measurement-systems/promis
62063-3 In the past 7 days - I worried when I was at home
Observation ID in Form
3459bR1r
Observation Required in Panel
Required
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- I worried when I was at home in past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Long Common Name
I worried when I was at home in past 7 days [PROMIS]
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65 (MIN)
Normative Answer List LL1024-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Never | 1 | LA6270-8 | |
| Almost never | 2 | LA13866-1 | |
| Sometimes | 3 | LA10082-8 | |
| Often | 4 | LA10044-8 | |
| Almost always | 5 | LA13865-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 68127-0 | Neuro-Qol pediatric item bank - anxiety - version 1.0 [NeuroQol.Peds] |
| 68136-1 | Neuro-Qol pediatric short form - anxiety - version 1.0 [NeuroQol.Peds] |
| 91540-5 | PROMIS pediatric item bank - anxiety - version 2.0 |
| 62054-2 | PROMIS pediatric item bank - emotional distress - anxiety - version 1.0 |
| 106879-0 | PROMIS Pediatric Item Bank - Gen Pop v3.0 - Anxiety Short Form 8a |
| 77875-3 | PROMIS pediatric short form - emotional distress - anxiety 8b - version 1.1 |
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
- https://www.healthmeasures.net/explore-measurement-systems/promis
62057-5 In the past 7 days - I felt scared
Observation ID in Form
227bR1r
Observation Required in Panel
Required
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- I felt scared in past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Long Common Name
I felt scared in past 7 days [PROMIS]
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65 (MIN)
Normative Answer List LL1024-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Never | 1 | LA6270-8 | |
| Almost never | 2 | LA13866-1 | |
| Sometimes | 3 | LA10082-8 | |
| Often | 4 | LA10044-8 | |
| Almost always | 5 | LA13865-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 91540-5 | PROMIS pediatric item bank - anxiety - version 2.0 |
| 62054-2 | PROMIS pediatric item bank - emotional distress - anxiety - version 1.0 |
| 106879-0 | PROMIS Pediatric Item Bank - Gen Pop v3.0 - Anxiety Short Form 8a |
| 62186-2 | PROMIS pediatric short form - emotional distress - anxiety - 8a - version 1.0 |
| 77875-3 | PROMIS pediatric short form - emotional distress - anxiety 8b - version 1.1 |
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
- https://www.healthmeasures.net/explore-measurement-systems/promis
62061-7 In the past 7 days - I worried when I went to bed at night
Observation ID in Form
3150bR2r
Observation Required in Panel
Required
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- I worried when I went to bed at night in past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Long Common Name
I worried when I went to bed at night in past 7 days [PROMIS]
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65 (MIN)
Normative Answer List LL1024-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Never | 1 | LA6270-8 | |
| Almost never | 2 | LA13866-1 | |
| Sometimes | 3 | LA10082-8 | |
| Often | 4 | LA10044-8 | |
| Almost always | 5 | LA13865-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 91540-5 | PROMIS pediatric item bank - anxiety - version 2.0 |
| 62054-2 | PROMIS pediatric item bank - emotional distress - anxiety - version 1.0 |
| 106879-0 | PROMIS Pediatric Item Bank - Gen Pop v3.0 - Anxiety Short Form 8a |
| 62186-2 | PROMIS pediatric short form - emotional distress - anxiety - 8a - version 1.0 |
| 77875-3 | PROMIS pediatric short form - emotional distress - anxiety 8b - version 1.1 |
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
- https://www.healthmeasures.net/explore-measurement-systems/promis
62058-3 In the past 7 days - I worried about what could happen to me
Observation ID in Form
231R1r
Observation Required in Panel
Required
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- I worried about what could happen to me in past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Long Common Name
I worried about what could happen to me in past 7 days [PROMIS]
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65 (MIN)
Normative Answer List LL1024-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Never | 1 | LA6270-8 | |
| Almost never | 2 | LA13866-1 | |
| Sometimes | 3 | LA10082-8 | |
| Often | 4 | LA10044-8 | |
| Almost always | 5 | LA13865-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 91540-5 | PROMIS pediatric item bank - anxiety - version 2.0 |
| 62054-2 | PROMIS pediatric item bank - emotional distress - anxiety - version 1.0 |
| 106879-0 | PROMIS Pediatric Item Bank - Gen Pop v3.0 - Anxiety Short Form 8a |
| 62186-2 | PROMIS pediatric short form - emotional distress - anxiety - 8a - version 1.0 |
| 77875-3 | PROMIS pediatric short form - emotional distress - anxiety 8b - version 1.1 |
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
- https://www.healthmeasures.net/explore-measurement-systems/promis
68182-5 In the past 7 days - I got scared really easily
Observation ID in Form
2230R1r2
Observation Required in Panel
Required
Type of Entry
Question expects user entry - requires response [Q]
Fully-Specified Name
- Component
- I got scared easily in the past 7D
- Property
- Find
- Time
- 7D
- System
- ^Patient
- Scale
- Ord
- Method
- NeuroQol.Peds
Long Common Name
I got scared easily in the past 7 days [NeuroQol.Peds]
Basic Attributes
- Class
- SURVEY.NEUROQ
- Type
- Surveys
- First Released
- Version 2.38
- Last Updated
- Version 2.54 (MAJ)
Normative Answer List LL1024-0
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Never | 1 | LA6270-8 | |
| Almost never | 2 | LA13866-1 | |
| Sometimes | 3 | LA10082-8 | |
| Often | 4 | LA10044-8 | |
| Almost always | 5 | LA13865-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 68127-0 | Neuro-Qol pediatric item bank - anxiety - version 1.0 [NeuroQol.Peds] |
| 91540-5 | PROMIS pediatric item bank - anxiety - version 2.0 |
| 106879-0 | PROMIS Pediatric Item Bank - Gen Pop v3.0 - Anxiety Short Form 8a |
Copyright
- Organization
- David Cella, PhD
- Copyright
- Copyright © 2010 David Cella, PhD.
- Terms of Use
- Used with permission. All of these Neuro-QOL instruments can be used at no charge. We do ask, however, that you contact Neuro-QOL project manager, Vitali Ustsinovich, at [email protected] and let him know that you intend to use Neuro-QOL.
- URL
- https://www.healthmeasures.net/explore-measurement-systems/neuro-qol
106877-4 PROMIS pediatric Anxiety - version 3.0 T-score
Type of Entry
Question - computer calculates response [C]
Fully-Specified Name
- Component
- PROMIS pediatric anxiety - version 3.0 T-score
- Property
- Tscore
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- PROMIS.PEDS
Long Common Name
PROMIS pediatric anxiety - version 3.0 T-score
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.83
- Last Updated
- Version 2.83 (ADD)
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 106879-0 | PROMIS Pediatric Item Bank - Gen Pop v3.0 - Anxiety Short Form 8a |
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
- https://www.healthmeasures.net/explore-measurement-systems/promis
106878-2 PROMIS Pediatric Item Bank GenPop v3.0 - Anxiety - Short Form 8a raw score
Type of Entry
Question - computer calculates response [C]
Fully-Specified Name
- Component
- PROMIS pediatric item bank GenPop v3.0 - anxiety - short form 8a raw score
- Property
- Score
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- PROMIS.PEDS
Long Common Name
PROMIS pediatric item bank GenPop v3.0 - anxiety - short form 8a raw score
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.83
- Last Updated
- Version 2.83 (ADD)
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 106879-0 | PROMIS Pediatric Item Bank - Gen Pop v3.0 - Anxiety Short Form 8a |
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
- https://www.healthmeasures.net/explore-measurement-systems/promis