61587-2
PROMIS item bank - physical function - version 1.0
Active
61588-0 Does your health now limit you in doing vigorous activities, such as running, lifting heavy objects, participating in strenuous sports?
Fully-Specified Name
- Component
- Does your health now limit you in doing vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Does your health now limit you in doing vigorous activities, such as running, lifting heavy objects, participating in strenuous sports?
- Source
- Mobility-FA1
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 62199-5 | PROMIS short form - physical function 10a - version 1.0 |
| 92580-0 | PROMIS short form - physical function 10a - version 2.0 |
| 92579-2 | PROMIS short form - physical function 10b - version 2.0 |
| 76702-0 | PROMIS short form - physical function 20a - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61589-8 Does your health now limit you in bending, kneeling, or stooping?
Fully-Specified Name
- Component
- Does your health now limit you in bending, kneeling, or stooping
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Does your health now limit you in bending, kneeling, or stooping?
- Source
- Mobility-FA3
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 62199-5 | PROMIS short form - physical function 10a - version 1.0 |
| 92580-0 | PROMIS short form - physical function 10a - version 2.0 |
| 76702-0 | PROMIS short form - physical function 20a - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61590-6 Does your health now limit you in doing heavy work around the house like scrubbing floors, or lifting or moving heavy furniture?
Fully-Specified Name
- Component
- Does your health now limit you in doing heavy work around the house like scrubbing floors, or lifting or moving heavy furniture
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Does your health now limit you in doing heavy work around the house like scrubbing floors, or lifting or moving heavy furniture?
- Source
- Mobility-FA4
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 62338-9 | PROMIS item bank - 57 profile |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 76805-1 | PROMIS short form - physical function 8b - version 1.2 |
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
61591-4 Does your health now limit you in lifting or carrying groceries?
Fully-Specified Name
- Component
- Does your health now limit you in lifting or carrying groceries
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Does your health now limit you in lifting or carrying groceries?
- Source
- Mobility-FA5
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 62338-9 | PROMIS item bank - 57 profile |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 62199-5 | PROMIS short form - physical function 10a - version 1.0 |
| 92580-0 | PROMIS short form - physical function 10a - version 2.0 |
| 76702-0 | PROMIS short form - physical function 20a - version 1.0 |
| 76805-1 | PROMIS short form - physical function 8b - version 1.2 |
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
61592-2 Does your health now limit you in bathing or dressing yourself?
Fully-Specified Name
- Component
- Does your health now limit you in bathing or dressing yourself
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Does your health now limit you in bathing or dressing yourself?
- Source
- Mobility-FA6
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 92579-2 | PROMIS short form - physical function 10b - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61593-0 How much do physical health problems now limit your usual physical activities (such as walking or climbing stairs)?
Fully-Specified Name
- Component
- How much do physical health problems now limit your usual physical activities (such as walking or climbing stairs)
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- How much do physical health problems now limit your usual physical activities (such as walking or climbing stairs)?
- Source
- Mobility-FA7
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 62336-3 | PROMIS item bank - 43 profile |
| 62338-9 | PROMIS item bank - 57 profile |
| 61587-2 | PROMIS item bank - physical function - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61594-8 Are you able to move a chair from one room to another?
Fully-Specified Name
- Component
- Are you able to move a chair from one room to another
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to move a chair from one room to another?
- Source
- Mobility-FA8
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61595-5 Are you able to bend down and pick up clothing from the floor?
Fully-Specified Name
- Component
- Are you able to bend down and pick up clothing from the floor
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to bend down and pick up clothing from the floor?
- Source
- Mobility-FA9
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67892-0 | Neuro-Qol item bank - upper extremity - version 1.0 |
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 92579-2 | PROMIS short form - physical function 10b - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61596-3 Are you able to stand for one hour?
Fully-Specified Name
- Component
- Are you able to stand for one hour
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to stand for one hour?
- Source
- Mobility-FA10
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 91613-0 | PROMIS item bank - mobility - version 2.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61597-1 Are you able to do chores such as vacuuming or yard work?
Fully-Specified Name
- Component
- Are you able to do chores such as vacuuming or yard work
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to do chores such as vacuuming or yard work?
- Source
- Mobility-FA11
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 62337-1 | PROMIS item bank - 29 profile |
| 62336-3 | PROMIS item bank - 43 profile |
| 62338-9 | PROMIS item bank - 57 profile |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 62199-5 | PROMIS short form - physical function 10a - version 1.0 |
| 92580-0 | PROMIS short form - physical function 10a - version 2.0 |
| 92579-2 | PROMIS short form - physical function 10b - version 2.0 |
| 76702-0 | PROMIS short form - physical function 20a - version 1.0 |
| 76700-4 | PROMIS short form - physical function 4a - version 1.0 |
| 76804-4 | PROMIS short form - physical function 6b - version 1.2 |
| 76805-1 | PROMIS short form - physical function 8b - version 1.2 |
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
61598-9 Are you able to push open a heavy door?
Fully-Specified Name
- Component
- Are you able to push open a heavy door
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to push open a heavy door?
- Source
- Mobility-FA12
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67893-8 | Neuro-Qol item bank - lower extremity - version 1.0 |
| 67907-6 | Neuro-Qol short form - lower extremity - version 1.0 |
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 76702-0 | PROMIS short form - physical function 20a - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61599-7 Are you able to exercise for an hour?
Fully-Specified Name
- Component
- Are you able to exercise for an hour
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to exercise for an hour?
- Source
- Mobility-FA13
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
Member of these Groups Get Info
| LOINC Group | Group Name |
|---|---|
| LG41761-4 | Exercise/Activity |
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
61600-3 Are you able to carry a heavy object (over 10 pounds)?
Fully-Specified Name
- Component
- Are you able to carry a heavy object (over 10 pounds)
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to carry a heavy object (over 10 pounds)?
- Source
- Mobility-FA14
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61601-1 Are you able to stand up from an armless straight chair?
Fully-Specified Name
- Component
- Are you able to stand up from an armless straight chair
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to stand up from an armless straight chair?
- Source
- Mobility-FA15
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 91613-0 | PROMIS item bank - mobility - version 2.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61602-9 Are you able to dress yourself, including tying shoelaces and doing buttons?
Fully-Specified Name
- Component
- Are you able to dress yourself, including tying shoelaces and doing buttons
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to dress yourself, including tying shoelaces and doing buttons?
- Source
- Mobility-FA16
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 62199-5 | PROMIS short form - physical function 10a - version 1.0 |
| 76702-0 | PROMIS short form - physical function 20a - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61603-7 Are you able to reach into a high cupboard?
Fully-Specified Name
- Component
- Are you able to reach into a high cupboard
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to reach into a high cupboard?
- Source
- Mobility-FA17
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61604-5 Are you able to use a hammer to pound a nail?
Fully-Specified Name
- Component
- Are you able to use a hammer to pound a nail
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to use a hammer to pound a nail?
- Source
- Mobility-FA18
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61605-2 Are you able to run or jog for two miles?
Fully-Specified Name
- Component
- Are you able to run or jog for two miles
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to run or jog for two miles?
- Source
- Mobility-FA19
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61606-0 Are you able to cut your food using eating utensils?
Fully-Specified Name
- Component
- Are you able to cut your food using eating utensils
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to cut your food using eating utensils?
- Source
- Mobility-FA20
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61607-8 Are you able to go up and down stairs at a normal pace?
Fully-Specified Name
- Component
- Are you able to go up and down stairs at a normal pace
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to go up and down stairs at a normal pace?
- Source
- Mobility-FA21
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 62337-1 | PROMIS item bank - 29 profile |
| 62336-3 | PROMIS item bank - 43 profile |
| 62338-9 | PROMIS item bank - 57 profile |
| 91613-0 | PROMIS item bank - mobility - version 2.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 92579-2 | PROMIS short form - physical function 10b - version 2.0 |
| 76700-4 | PROMIS short form - physical function 4a - version 1.0 |
| 76804-4 | PROMIS short form - physical function 6b - version 1.2 |
| 76805-1 | PROMIS short form - physical function 8b - version 1.2 |
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
61608-6 Are you able to open previously opened jars?
Fully-Specified Name
- Component
- Are you able to open previously opened jars
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to open previously opened jars?
- Source
- Mobility-FA22
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67892-0 | Neuro-Qol item bank - upper extremity - version 1.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61609-4 Are you able to go for a walk of at least 15 minutes?
Fully-Specified Name
- Component
- Are you able to go for a walk of at least 15 minutes
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to go for a walk of at least 15 minutes?
- Source
- Mobility-FA23
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67893-8 | Neuro-Qol item bank - lower extremity - version 1.0 |
| 67907-6 | Neuro-Qol short form - lower extremity - version 1.0 |
| 62337-1 | PROMIS item bank - 29 profile |
| 62336-3 | PROMIS item bank - 43 profile |
| 62338-9 | PROMIS item bank - 57 profile |
| 91613-0 | PROMIS item bank - mobility - version 2.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 76700-4 | PROMIS short form - physical function 4a - version 1.0 |
| 76804-4 | PROMIS short form - physical function 6b - version 1.2 |
| 76805-1 | PROMIS short form - physical function 8b - version 1.2 |
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
61610-2 Are you able to do yard work like raking leaves, weeding, or pushing a lawn mower?
Fully-Specified Name
- Component
- Are you able to do yard work like raking leaves, weeding, or pushing a lawn mower
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to do yard work like raking leaves, weeding, or pushing a lawn mower?
- Source
- Mobility-FA25
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61611-0 Are you able to open a can with a hand can opener?
Fully-Specified Name
- Component
- Are you able to open a can with a hand can opener
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to open a can with a hand can opener?
- Source
- Mobility-FA28
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61612-8 Are you able to pull heavy objects (10 pounds) towards yourself?
Fully-Specified Name
- Component
- Are you able to pull heavy objects (10 pounds) towards yourself
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to pull heavy objects (10 pounds) towards yourself?
- Source
- Mobility-FA29
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61613-6 Are you able to step up and down curbs?
Fully-Specified Name
- Component
- Are you able to step up and down curbs
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to step up and down curbs?
- Source
- Mobility-FA30
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67893-8 | Neuro-Qol item bank - lower extremity - version 1.0 |
| 67907-6 | Neuro-Qol short form - lower extremity - version 1.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61614-4 Are you able to get up off the floor from lying on your back without help?
Fully-Specified Name
- Component
- Are you able to get up off the floor from lying on your back without help
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to get up off the floor from lying on your back without help?
- Source
- Mobility-FA31
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67893-8 | Neuro-Qol item bank - lower extremity - version 1.0 |
| 67907-6 | Neuro-Qol short form - lower extremity - version 1.0 |
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 91613-0 | PROMIS item bank - mobility - version 2.0 |
| 61587-2 | PROMIS item bank - physical function - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61615-1 Are you able to stand with your knees straight?
Fully-Specified Name
- Component
- Are you able to stand with your knees straight
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to stand with your knees straight?
- Source
- Mobility-FA32
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61616-9 Are you able to exercise hard for half an hour?
Fully-Specified Name
- Component
- Are you able to exercise hard for half an hour
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to exercise hard for half an hour?
- Source
- Mobility-FA33
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
Member of these Groups Get Info
| LOINC Group | Group Name |
|---|---|
| LG41761-4 | Exercise/Activity |
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
61617-7 Are you able to wash your back?
Fully-Specified Name
- Component
- Are you able to wash your back
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to wash your back?
- Source
- Mobility-FA34
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
| 76702-0 | PROMIS short form - physical function 20a - version 1.0 |
| 92605-5 | PROMIS short form - upper extremity 7a - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61618-5 Are you able to open and close a zipper?
Fully-Specified Name
- Component
- Are you able to open and close a zipper
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to open and close a zipper?
- Source
- Mobility-FA35
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67892-0 | Neuro-Qol item bank - upper extremity - version 1.0 |
| 67906-8 | Neuro-Qol short form - upper extremity - version 1.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61619-3 Are you able to put on and take off a coat or jacket?
Fully-Specified Name
- Component
- Are you able to put on and take off a coat or jacket
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to put on and take off a coat or jacket?
- Source
- Mobility-FA36
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
| 92605-5 | PROMIS short form - upper extremity 7a - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61620-1 Are you able to stand for short periods of time?
Fully-Specified Name
- Component
- Are you able to stand for short periods of time
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to stand for short periods of time?
- Source
- Mobility-FA37
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61621-9 Are you able to dry your back with a towel?
Fully-Specified Name
- Component
- Are you able to dry your back with a towel
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to dry your back with a towel?
- Source
- Mobility-FA38
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
| 76702-0 | PROMIS short form - physical function 20a - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61622-7 Are you able to run at a fast pace for two miles?
Fully-Specified Name
- Component
- Are you able to run at a fast pace for two miles
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to run at a fast pace for two miles?
- Source
- Mobility-FA39
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61623-5 Are you able to turn a key in a lock?
Fully-Specified Name
- Component
- Are you able to turn a key in a lock
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to turn a key in a lock?
- Source
- Mobility-FA40
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67892-0 | Neuro-Qol item bank - upper extremity - version 1.0 |
| 67906-8 | Neuro-Qol short form - upper extremity - version 1.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61624-3 Are you able to squat and get up?
Fully-Specified Name
- Component
- Are you able to squat and get up
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to squat and get up?
- Source
- Mobility-FA41
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61625-0 Are you able to carry a laundry basket up a flight of stairs?
Fully-Specified Name
- Component
- Are you able to carry a laundry basket up a flight of stairs
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to carry a laundry basket up a flight of stairs?
- Source
- Mobility-FA42
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61626-8 Are you able to write with a pen or pencil?
Fully-Specified Name
- Component
- Are you able to write with a pen or pencil
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to write with a pen or pencil?
- Source
- Mobility-FA43
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67892-0 | Neuro-Qol item bank - upper extremity - version 1.0 |
| 67906-8 | Neuro-Qol short form - upper extremity - version 1.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61627-6 Are you able to put on a shirt or blouse?
Fully-Specified Name
- Component
- Are you able to put on a shirt or blouse
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to put on a shirt or blouse?
- Source
- Mobility-FA44
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61628-4 Are you able to get out of bed into a chair?
Fully-Specified Name
- Component
- Are you able to get out of bed into a chair
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to get out of bed into a chair?
- Source
- Mobility-FA45
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67893-8 | Neuro-Qol item bank - lower extremity - version 1.0 |
| 67907-6 | Neuro-Qol short form - lower extremity - version 1.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61629-2 Are you able to pull on trousers?
Fully-Specified Name
- Component
- Are you able to pull on trousers
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to pull on trousers?
- Source
- Mobility-FA47
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67892-0 | Neuro-Qol item bank - upper extremity - version 1.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61630-0 Are you able to peel fruit?
Fully-Specified Name
- Component
- Are you able to peel fruit
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to peel fruit?
- Source
- Mobility-FA48
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61631-8 Are you able to bend or twist your back?
Fully-Specified Name
- Component
- Are you able to bend or twist your back
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to bend or twist your back?
- Source
- Mobility-FA49
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61632-6 Are you able to brush your teeth?
Fully-Specified Name
- Component
- Are you able to brush your teeth
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to brush your teeth?
- Source
- Mobility-FA50
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67892-0 | Neuro-Qol item bank - upper extremity - version 1.0 |
| 67906-8 | Neuro-Qol short form - upper extremity - version 1.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61633-4 Are you able to sit on the edge of a bed?
Fully-Specified Name
- Component
- Are you able to sit on the edge of a bed
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to sit on the edge of a bed?
- Source
- Mobility-FA51
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 76702-0 | PROMIS short form - physical function 20a - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61634-2 Are you able to tie your shoelaces?
Fully-Specified Name
- Component
- Are you able to tie your shoelaces
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to tie your shoelaces?
- Source
- Mobility-FA52
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61635-9 Are you able to run errands and shop?
Fully-Specified Name
- Component
- Are you able to run errands and shop
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to run errands and shop?
- Source
- Mobility-FA53
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89070-7 | ADAPTABLE patient reported item set [ADAPTABLE] |
| 67893-8 | Neuro-Qol item bank - lower extremity - version 1.0 |
| 67907-6 | Neuro-Qol short form - lower extremity - version 1.0 |
| 75418-4 | PCORI patient-reported outcomes common measures - core and recommended [PROMIS] |
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 62337-1 | PROMIS item bank - 29 profile |
| 62336-3 | PROMIS item bank - 43 profile |
| 62338-9 | PROMIS item bank - 57 profile |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 92579-2 | PROMIS short form - physical function 10b - version 2.0 |
| 76700-4 | PROMIS short form - physical function 4a - version 1.0 |
| 76804-4 | PROMIS short form - physical function 6b - version 1.2 |
| 76805-1 | PROMIS short form - physical function 8b - version 1.2 |
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
61636-7 Are you able to button your shirt?
Fully-Specified Name
- Component
- Are you able to button your shirt
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to button your shirt?
- Source
- Mobility-FA54
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67892-0 | Neuro-Qol item bank - upper extremity - version 1.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61637-5 Are you able to wash and dry your body?
Fully-Specified Name
- Component
- Are you able to wash and dry your body
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to wash and dry your body?
- Source
- Mobility-FA55
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67892-0 | Neuro-Qol item bank - upper extremity - version 1.0 |
| 67906-8 | Neuro-Qol short form - upper extremity - version 1.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 62199-5 | PROMIS short form - physical function 10a - version 1.0 |
| 92580-0 | PROMIS short form - physical function 10a - version 2.0 |
| 76702-0 | PROMIS short form - physical function 20a - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61638-3 Are you able to get in and out of a car?
Fully-Specified Name
- Component
- Are you able to get in and out of a car
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to get in and out of a car?
- Source
- Mobility-FA56
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67893-8 | Neuro-Qol item bank - lower extremity - version 1.0 |
| 67907-6 | Neuro-Qol short form - lower extremity - version 1.0 |
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 92579-2 | PROMIS short form - physical function 10b - version 2.0 |
| 76702-0 | PROMIS short form - physical function 20a - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61639-1 Does your health now limit you in doing moderate work around the house like vacuuming, sweeping floors or carrying in groceries?
Fully-Specified Name
- Component
- Does your health now limit you in doing moderate work around the house like vacuuming, sweeping floors or carrying in groceries
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Does your health now limit you in doing moderate work around the house like vacuuming, sweeping floors or carrying in groceries?
- Source
- PFB1
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 62336-3 | PROMIS item bank - 43 profile |
| 62338-9 | PROMIS item bank - 57 profile |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 76804-4 | PROMIS short form - physical function 6b - version 1.2 |
| 76805-1 | PROMIS short form - physical function 8b - version 1.2 |
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
61640-9 Does your health now limit you in putting a trash bag outside?
Fully-Specified Name
- Component
- Does your health now limit you in putting a trash bag outside
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Does your health now limit you in putting a trash bag outside?
- Source
- PFB3
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 92579-2 | PROMIS short form - physical function 10b - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61641-7 Does your health now limit you in hiking a couple of miles on uneven surfaces, including hills?
Fully-Specified Name
- Component
- Does your health now limit you in hiking a couple of miles on uneven surfaces, including hills
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Does your health now limit you in hiking a couple of miles on uneven surfaces, including hills?
- Source
- PFB5
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61642-5 Does your health now limit you in doing strenuous activities such as backpacking, skiing, playing tennis, bicycling or jogging?
Fully-Specified Name
- Component
- Does your health now limit you in doing strenuous activities such as backpacking, skiing, playing tennis, bicycling or jogging
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Does your health now limit you in doing strenuous activities such as backpacking, skiing, playing tennis, bicycling or jogging?
- Source
- PFB7
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61643-3 Are you able to carry two bags filled with groceries 100 yards?
Fully-Specified Name
- Component
- Are you able to carry two bags filled with groceries 100 yards
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to carry two bags filled with groceries 100 yards?
- Source
- PFB8
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61644-1 Are you able to jump up and down?
Fully-Specified Name
- Component
- Are you able to jump up and down
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to jump up and down?
- Source
- PFB9
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 91613-0 | PROMIS item bank - mobility - version 2.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61645-8 Are you able to climb up five steps?
Fully-Specified Name
- Component
- Are you able to climb up five steps
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to climb up five steps?
- Source
- PFB10
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 91613-0 | PROMIS item bank - mobility - version 2.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61646-6 Are you able to wash dishes, pots, and utensils by hand while standing at a sink?
Fully-Specified Name
- Component
- Are you able to wash dishes, pots, and utensils by hand while standing at a sink
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to wash dishes, pots, and utensils by hand while standing at a sink?
- Source
- PFB11
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61647-4 Are you able to make a bed, including spreading and tucking in bed sheets?
Fully-Specified Name
- Component
- Are you able to make a bed, including spreading and tucking in bed sheets
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to make a bed, including spreading and tucking in bed sheets?
- Source
- PFB12
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61648-2 Are you able to carry a shopping bag or briefcase?
Fully-Specified Name
- Component
- Are you able to carry a shopping bag or briefcase
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to carry a shopping bag or briefcase?
- Source
- PFB13
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
| 92605-5 | PROMIS short form - upper extremity 7a - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61649-0 Are you able to take a tub bath?
Fully-Specified Name
- Component
- Are you able to take a tub bath
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to take a tub bath?
- Source
- PFB14
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61650-8 Are you able to change the bulb in a table lamp?
Fully-Specified Name
- Component
- Are you able to change the bulb in a table lamp
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to change the bulb in a table lamp?
- Source
- PFB15
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61651-6 Are you able to press with your index finger (for example ringing a doorbell)?
Fully-Specified Name
- Component
- Are you able to press with your index finger (for example ringing a doorbell)
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to press with your index finger (for example ringing a doorbell)?
- Source
- PFB16
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61652-4 Are you able to put on and take off your socks?
Fully-Specified Name
- Component
- Are you able to put on and take off your socks
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to put on and take off your socks?
- Source
- PFB17
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61653-2 Are you able to shave your face or apply makeup?
Fully-Specified Name
- Component
- Are you able to shave your face or apply makeup
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to shave your face or apply makeup?
- Source
- PFB18
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61654-0 Are you able to squeeze a new tube of toothpaste?
Fully-Specified Name
- Component
- Are you able to squeeze a new tube of toothpaste
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to squeeze a new tube of toothpaste?
- Source
- PFB19
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
| 76702-0 | PROMIS short form - physical function 20a - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61655-7 Are you able to cut a piece of paper with scissors?
Fully-Specified Name
- Component
- Are you able to cut a piece of paper with scissors
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to cut a piece of paper with scissors?
- Source
- PFB20
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61656-5 Are you able to pick up coins from a table top?
Fully-Specified Name
- Component
- Are you able to pick up coins from a table top
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to pick up coins from a table top?
- Source
- PFB21
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67892-0 | Neuro-Qol item bank - upper extremity - version 1.0 |
| 67906-8 | Neuro-Qol short form - upper extremity - version 1.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61657-3 Are you able to hold a plate full of food?
Fully-Specified Name
- Component
- Are you able to hold a plate full of food
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to hold a plate full of food?
- Source
- PFB22
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67892-0 | Neuro-Qol item bank - upper extremity - version 1.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
| 76702-0 | PROMIS short form - physical function 20a - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61658-1 Are you able to pour liquid from a bottle into a glass?
Fully-Specified Name
- Component
- Are you able to pour liquid from a bottle into a glass
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to pour liquid from a bottle into a glass?
- Source
- PFB23
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61659-9 Are you able to run a short distance, such as to catch a bus?
Fully-Specified Name
- Component
- Are you able to run a short distance, such as to catch a bus
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to run a short distance, such as to catch a bus?
- Source
- PFB24
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 91613-0 | PROMIS item bank - mobility - version 2.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 76702-0 | PROMIS short form - physical function 20a - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61660-7 Are you able to push open a door after turning the knob?
Fully-Specified Name
- Component
- Are you able to push open a door after turning the knob
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to push open a door after turning the knob?
- Source
- PFB25
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61661-5 Are you able to shampoo your hair?
Fully-Specified Name
- Component
- Are you able to shampoo your hair
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to shampoo your hair?
- Source
- PFB26
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67892-0 | Neuro-Qol item bank - upper extremity - version 1.0 |
| 67906-8 | Neuro-Qol short form - upper extremity - version 1.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
| 62199-5 | PROMIS short form - physical function 10a - version 1.0 |
| 92580-0 | PROMIS short form - physical function 10a - version 2.0 |
| 76702-0 | PROMIS short form - physical function 20a - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61662-3 Are you able to tie a knot or a bow?
Fully-Specified Name
- Component
- Are you able to tie a knot or a bow
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to tie a knot or a bow?
- Source
- PFB27
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61663-1 Are you able to lift 10 pounds above your shoulder?
Fully-Specified Name
- Component
- Are you able to lift 10 pounds above your shoulder
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to lift 10 pounds above your shoulder?
- Source
- PFB28
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61664-9 Are you able to lift a full cup or glass to your mouth?
Fully-Specified Name
- Component
- Are you able to lift a full cup or glass to your mouth
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to lift a full cup or glass to your mouth?
- Source
- PFB29
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61665-6 Are you able to open a new milk carton?
Fully-Specified Name
- Component
- Are you able to open a new milk carton
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to open a new milk carton?
- Source
- PFB30
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61666-4 Are you able to open car doors?
Fully-Specified Name
- Component
- Are you able to open car doors
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to open car doors?
- Source
- PFB31
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61667-2 Are you able to stand unsupported for 10 minutes?
Fully-Specified Name
- Component
- Are you able to stand unsupported for 10 minutes
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to stand unsupported for 10 minutes?
- Source
- PFB32
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 91613-0 | PROMIS item bank - mobility - version 2.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61668-0 Are you able to remove something from your back pocket?
Fully-Specified Name
- Component
- Are you able to remove something from your back pocket
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to remove something from your back pocket?
- Source
- PFB33
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61669-8 Are you able to change a light bulb overhead?
Fully-Specified Name
- Component
- Are you able to change a light bulb overhead
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to change a light bulb overhead?
- Source
- PFB34
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
| 92605-5 | PROMIS short form - upper extremity 7a - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61670-6 Are you able to put on a pullover sweater?
Fully-Specified Name
- Component
- Are you able to put on a pullover sweater
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to put on a pullover sweater?
- Source
- PFB36
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61671-4 Are you able to turn faucets on and off?
Fully-Specified Name
- Component
- Are you able to turn faucets on and off
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to turn faucets on and off?
- Source
- PFB37
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61672-2 Are you able to reach and get down a 5 pound object from above your head?
Fully-Specified Name
- Component
- Are you able to reach and get down a 5 pound object from above your head
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to reach and get down a 5 pound object from above your head?
- Source
- PFB39
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61673-0 Are you able to stand up on tiptoes?
Fully-Specified Name
- Component
- Are you able to stand up on tiptoes
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to stand up on tiptoes?
- Source
- PFB40
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 91613-0 | PROMIS item bank - mobility - version 2.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61674-8 Are you able to trim your fingernails?
Fully-Specified Name
- Component
- Are you able to trim your fingernails
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to trim your fingernails?
- Source
- PFB41
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67892-0 | Neuro-Qol item bank - upper extremity - version 1.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61675-5 Are you able to stand unsupported for 30 minutes?
Fully-Specified Name
- Component
- Are you able to stand unsupported for 30 minutes
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to stand unsupported for 30 minutes?
- Source
- PFB42
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 91613-0 | PROMIS item bank - mobility - version 2.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61676-3 Does your health now limit you in taking care of your personal needs (dress, comb hair, toilet, eat, bathe)?
Fully-Specified Name
- Component
- Does your health now limit you in taking care of your personal needs (dress, comb hair, toilet, eat, bathe)
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Does your health now limit you in taking care of your personal needs (dress, comb hair, toilet, eat, bathe)?
- Source
- PFB43
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61677-1 Does your health now limit you in doing moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf?
Fully-Specified Name
- Component
- Does your health now limit you in doing moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Does your health now limit you in doing moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf?
- Source
- PFB44
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 92579-2 | PROMIS short form - physical function 10b - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61678-9 Does your health now limit you in taking a shower?
Fully-Specified Name
- Component
- Does your health now limit you in taking a shower
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Does your health now limit you in taking a shower?
- Source
- PFB48
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61679-7 Does your health now limit you in going for a short walk (less than 15 minutes)?
Fully-Specified Name
- Component
- Does your health now limit you in going for a short walk (less than 15 minutes)
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Does your health now limit you in going for a short walk (less than 15 minutes)?
- Source
- PFB49
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 91613-0 | PROMIS item bank - mobility - version 2.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61680-5 How much difficulty do you have doing your daily physical activities, because of your health?
Fully-Specified Name
- Component
- How much difficulty do you have doing your daily physical activities, because of your health
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- How much difficulty do you have doing your daily physical activities, because of your health?
- Source
- PFB50
Normative Answer List LL1026-5
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| No difficulty at all | 5 | LA13948-7 | |
| A little bit of difficulty | 4 | LA13949-5 | |
| Some difficulty | 3 | LA13950-3 | |
| A lot of difficulty | 2 | LA13951-1 | |
| Can't do because of health | 1 | LA13952-9 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61681-3 Does your health now limit you in participating in active sports such as swimming, tennis, or basketball?
Fully-Specified Name
- Component
- Does your health now limit you in participating in active sports such as swimming, tennis, or basketball
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Does your health now limit you in participating in active sports such as swimming, tennis, or basketball?
- Source
- PFB51
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61682-1 Does your health now limit you in going outside the home, for example to shop or visit a doctor's office?
Fully-Specified Name
- Component
- Does your health now limit you in going outside the home, for example to shop or visit a doctor's office
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Does your health now limit you in going outside the home, for example to shop or visit a doctor's office?
- Source
- PFB54
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61683-9 Are you able to lift one pound (a full pint container) to shoulder level without bending your elbow?
Fully-Specified Name
- Component
- Are you able to lift one pound (a full pint container) to shoulder level without bending your elbow
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to lift one pound (a full pint container) to shoulder level without bending your elbow?
- Source
- PFB56
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61685-4 Are you able to walk a block on flat ground?
Fully-Specified Name
- Component
- Are you able to walk a block on flat ground
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to walk a block on flat ground?
- Source
- PFC6
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61686-2 Are you able to run five miles?
Fully-Specified Name
- Component
- Are you able to run five miles
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to run five miles?
- Source
- PFC7
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61687-0 Does your health now limit you in climbing several flights of stairs?
Fully-Specified Name
- Component
- Does your health now limit you in climbing several flights of stairs
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.66
- Change Reason
- Updated the Component text and Survey Question text (added "now") to align with the PROMIS survey question text.
Survey Question
- Text
- Does your health now limit you in climbing several flights of stairs?
- Source
- PFC10
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 91613-0 | PROMIS item bank - mobility - version 2.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61688-8 Does your health now limit you in doing two hours of physical labor?
Fully-Specified Name
- Component
- Does your health now limit you in doing 2H of physical labor
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.66
- Change Reason
- Changed "two hours" in "2H" in Component based on the LOINC model.; Updated the Component text and Survey Question text (added "now") to align with the PROMIS survey question text.
Survey Question
- Text
- Does your health now limit you in doing two hours of physical labor?
- Source
- PFC12
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 76702-0 | PROMIS short form - physical function 20a - version 1.0 |
| 76804-4 | PROMIS short form - physical function 6b - version 1.2 |
| 76805-1 | PROMIS short form - physical function 8b - version 1.2 |
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
61689-6 Are you able to run 100 yards?
Fully-Specified Name
- Component
- Are you able to run 100 yards
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to run 100 yards?
- Source
- PFC13
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61690-4 Does your health now limit you in walking one hundred yards?
Fully-Specified Name
- Component
- Does your health now limit you in walking one hundred yards
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.66
- Change Reason
- Updated the Component text and Survey Question text (added "now") to align with the PROMIS survey question text.
Survey Question
- Text
- Does your health now limit you in walking one hundred yards?
- Source
- PFC20
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61691-2 Are you able to walk up and down two steps?
Fully-Specified Name
- Component
- Are you able to walk up and down two steps
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to walk up and down two steps?
- Source
- PFC29
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61692-0 Are you able to reach into a low cupboard?
Fully-Specified Name
- Component
- Are you able to reach into a low cupboard
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to reach into a low cupboard?
- Source
- PFC30
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61693-8 Are you able to climb up 5 flights of stairs?
Fully-Specified Name
- Component
- Are you able to climb up 5 flights of stairs
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to climb up 5 flights of stairs?
- Source
- PFC32
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61694-6 Are you able to run ten miles?
Fully-Specified Name
- Component
- Are you able to run ten miles
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to run ten miles?
- Source
- PFC33
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61695-3 Does your health now limit you in walking several hundred yards?
Fully-Specified Name
- Component
- Does your health now limit you in walking several hundred yards
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.66
- Change Reason
- Updated the Component text and Survey Question text (added "now") to align with the PROMIS survey question text.
Survey Question
- Text
- Does your health now limit you in walking several hundred yards?
- Source
- PFC34
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61696-1 Does your health now limit you in doing eight hours of physical labor?
Fully-Specified Name
- Component
- Does your health now limit you in doing 8H of physical labor
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.66
- Change Reason
- Changed "eight hours" to "8H" in Component based on the LOINC model.; Updated the Component text and Survey Question text (added "now") to align with the PROMIS survey question text.
Survey Question
- Text
- Does your health now limit you in doing eight hours of physical labor?
- Source
- PFC35
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61697-9 Does your health now limit you in walking more than a mile?
Fully-Specified Name
- Component
- Does your health now limit you in walking more than a mile
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.66
- Change Reason
- Updated the Component text and Survey Question text (added "now") to align with the PROMIS survey question text.
Survey Question
- Text
- Does your health now limit you in walking more than a mile?
- Source
- PFC36
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 62199-5 | PROMIS short form - physical function 10a - version 1.0 |
| 76702-0 | PROMIS short form - physical function 20a - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61698-7 Does your health now limit you in climbing one flight of stairs?
Fully-Specified Name
- Component
- Does your health now limit you in climbing one flight of stairs
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.66
- Change Reason
- Updated the Component text and Survey Question text (added "now") to align with the PROMIS survey question text.
Survey Question
- Text
- Does your health now limit you in climbing one flight of stairs?
- Source
- PFC37
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 91613-0 | PROMIS item bank - mobility - version 2.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 62199-5 | PROMIS short form - physical function 10a - version 1.0 |
| 92580-0 | PROMIS short form - physical function 10a - version 2.0 |
| 76702-0 | PROMIS short form - physical function 20a - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61699-5 Are you able to walk at a normal speed?
Fully-Specified Name
- Component
- Are you able to walk at a normal speed
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to walk at a normal speed?
- Source
- PFC38
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 91613-0 | PROMIS item bank - mobility - version 2.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61700-1 Are you able to stand without losing your balance for several minutes?
Fully-Specified Name
- Component
- Are you able to stand without losing your balance for several minutes
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to stand without losing your balance for several minutes?
- Source
- PFC39
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61701-9 Are you able to kneel on the floor?
Fully-Specified Name
- Component
- Are you able to kneel on the floor
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to kneel on the floor?
- Source
- PFC40
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61702-7 Are you able to sit down in and stand up from a low, soft couch?
Fully-Specified Name
- Component
- Are you able to sit down in and stand up from a low, soft couch
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to sit down in and stand up from a low, soft couch?
- Source
- PFC41
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61703-5 Are you able to use your hands, such as for turning faucets, using kitchen gadgets, or sewing?
Fully-Specified Name
- Component
- Are you able to use your hands, such as for turning faucets, using kitchen gadgets, or sewing
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to use your hands, such as for turning faucets, using kitchen gadgets, or sewing?
- Source
- PFC43
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61704-3 Are you able to get on and off the toilet?
Fully-Specified Name
- Component
- Are you able to get on and off the toilet
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to get on and off the toilet?
- Source
- PFC45
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67893-8 | Neuro-Qol item bank - lower extremity - version 1.0 |
| 67907-6 | Neuro-Qol short form - lower extremity - version 1.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 62199-5 | PROMIS short form - physical function 10a - version 1.0 |
| 76702-0 | PROMIS short form - physical function 20a - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61705-0 Are you able to transfer from a bed to a chair and back?
Fully-Specified Name
- Component
- Are you able to transfer from a bed to a chair and back
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to transfer from a bed to a chair and back?
- Source
- PFC46
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 76702-0 | PROMIS short form - physical function 20a - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61706-8 Are you able to be out of bed most of the day?
Fully-Specified Name
- Component
- Are you able to be out of bed most of the day
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to be out of bed most of the day?
- Source
- PFC47
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61707-6 Are you able to water a house plant?
Fully-Specified Name
- Component
- Are you able to water a house plant
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to water a house plant?
- Source
- PFC49
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 91611-4 | PROMIS item bank - upper extremity - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61708-4 Are you able to wipe yourself after using the toilet?
Fully-Specified Name
- Component
- Are you able to wipe yourself after using the toilet
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to wipe yourself after using the toilet?
- Source
- PFC51
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61709-2 Are you able to turn from side to side in bed?
Fully-Specified Name
- Component
- Are you able to turn from side to side in bed
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to turn from side to side in bed?
- Source
- PFC52
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - 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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61710-0 Are you able to get in and out of bed?
Fully-Specified Name
- Component
- Are you able to get in and out of bed
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to get in and out of bed?
- Source
- PFC53
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61711-8 Does your health now limit you in getting in and out of the bathtub?
Fully-Specified Name
- Component
- Does your health now limit you in getting in and out of the bathtub
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.66
- Change Reason
- Updated the Component text and Survey Question text (added "now") to align with the PROMIS survey question text.
Survey Question
- Text
- Does your health now limit you in getting in and out of the bathtub?
- Source
- PFC54
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
61712-6 Does your health now limit you in walking about the house?
Fully-Specified Name
- Component
- Does your health now limit you in walking about the house
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.66
- Change Reason
- Updated the Component text and Survey Question text (added "now") to align with the PROMIS survey question text.
Survey Question
- Text
- Does your health now limit you in walking about the house?
- Source
- PFC56
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
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
- http://www.healthmeasures.net/explore-measurement-systems/promis
77866-2 PROMIS physical function - version 1.0 Tscore
Fully-Specified Name
- Component
- PROMIS physical function - 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 2.52
- Last Updated
- Version 2.52
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 76464-7 | American Physical Therapy Association registry panel |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 62199-5 | PROMIS short form - physical function 10a - version 1.0 |
| 76702-0 | PROMIS short form - physical function 20a - version 1.0 |
| 76700-4 | PROMIS short form - physical function 4a - version 1.0 |
| 76804-4 | PROMIS short form - physical function 6b - version 1.2 |
| 76805-1 | PROMIS short form - physical function 8b - version 1.2 |
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