Version 2.77

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

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

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

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

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

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

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

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

61923-9 In the past 7 days - I felt fearful

Fully-Specified Name

Component
I felt fearful in past 7D
Property
Find
Time
7D
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
In the past 7 days - I felt fearful
Source
EDANX01

Normative Answer List LL1016-6

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Always 5 LA9933-8

Member of these Panels

LOINC Long Common Name
62949-3 PhenX domain - Gastrointestinal
89679-5 PROMIS cancer item bank - emotional distress - anxiety - version 1.0
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61922-1 PROMIS item bank - emotional distress - anxiety - version 1.0
76344-1 PROMIS short form - emotional distress - anxiety 4a - version 1.0
62190-4 PROMIS short form - emotional distress - anxiety 7a - version 1.0

61941-1 In the past 7 days - I found it hard to focus on anything other than my anxiety

Fully-Specified Name

Component
I found it hard to focus on anything other than my anxiety in past 7D
Property
Find
Time
7D
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
In the past 7 days - I found it hard to focus on anything other than my anxiety
Source
EDANX40

Normative Answer List LL1016-6

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Always 5 LA9933-8

Member of these Panels

LOINC Long Common Name
62949-3 PhenX domain - Gastrointestinal
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61922-1 PROMIS item bank - emotional distress - anxiety - version 1.0
76344-1 PROMIS short form - emotional distress - anxiety 4a - version 1.0
62190-4 PROMIS short form - emotional distress - anxiety 7a - version 1.0

61942-9 In the past 7 days - My worries overwhelmed me

Fully-Specified Name

Component
My worries overwhelmed me in past 7D
Property
Find
Time
7D
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
In the past 7 days - My worries overwhelmed me
Source
EDANX41

Normative Answer List LL1016-6

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Always 5 LA9933-8

Member of these Panels

LOINC Long Common Name
67889-6 Neuro-Qol item bank - anxiety - version 1.0
67903-5 Neuro-Qol short form - anxiety - version 1.0
89679-5 PROMIS cancer item bank - emotional distress - anxiety - version 1.0
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61922-1 PROMIS item bank - emotional distress - anxiety - version 1.0
76344-1 PROMIS short form - emotional distress - anxiety 4a - version 1.0

61949-4 In the past 7 days - I felt uneasy

Fully-Specified Name

Component
I felt uneasy in past 7D
Property
Find
Time
7D
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
In the past 7 days - I felt uneasy
Source
EDANX53

Normative Answer List LL1016-6

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Always 5 LA9933-8

Member of these Panels

LOINC Long Common Name
67889-6 Neuro-Qol item bank - anxiety - version 1.0
67903-5 Neuro-Qol short form - anxiety - version 1.0
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
62949-3 PhenX domain - Gastrointestinal
89679-5 PROMIS cancer item bank - emotional distress - anxiety - version 1.0
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61922-1 PROMIS item bank - emotional distress - anxiety - version 1.0
76344-1 PROMIS short form - emotional distress - anxiety 4a - version 1.0
62190-4 PROMIS short form - emotional distress - anxiety 7a - version 1.0

61944-5 In the past 7 days - I felt nervous

Fully-Specified Name

Component
I felt nervous in past 7D
Property
Find
Time
7D
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
In the past 7 days - I felt nervous
Source
EDANX46

Normative Answer List LL1016-6

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Always 5 LA9933-8

Member of these Panels

LOINC Long Common Name
67889-6 Neuro-Qol item bank - anxiety - version 1.0
68127-0 Neuro-Qol pediatric item bank - anxiety - version 1.0 [NeuroQol.Peds]
67903-5 Neuro-Qol short form - anxiety - version 1.0
62949-3 PhenX domain - Gastrointestinal
89679-5 PROMIS cancer item bank - emotional distress - anxiety - version 1.0
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61922-1 PROMIS item bank - emotional distress - anxiety - version 1.0
91540-5 PROMIS pediatric item bank - anxiety - version 2.0
62054-2 PROMIS pediatric item bank - emotional distress - anxiety - version 1.0
62186-2 PROMIS pediatric short form - emotional distress - anxiety - 8a - version 1.0
77875-3 PROMIS pediatric short form - emotional distress - anxiety 8b - version 1.1
62190-4 PROMIS short form - emotional distress - anxiety 7a - version 1.0

61927-0 In the past 7 days - I felt like I needed help for my anxiety

Fully-Specified Name

Component
I felt like I needed help for my anxiety in past 7D
Property
Find
Time
7D
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
In the past 7 days - I felt like I needed help for my anxiety
Source
EDANX07

Normative Answer List LL1016-6

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Always 5 LA9933-8

Member of these Panels

LOINC Long Common Name
67889-6 Neuro-Qol item bank - anxiety - version 1.0
89679-5 PROMIS cancer item bank - emotional distress - anxiety - version 1.0
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61922-1 PROMIS item bank - emotional distress - anxiety - version 1.0

61926-2 In the past 7 days - I felt anxious

Fully-Specified Name

Component
I felt anxious in past 7D
Property
Find
Time
7D
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
In the past 7 days - I felt anxious
Source
EDANX05

Normative Answer List LL1016-6

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Always 5 LA9933-8

Member of these Panels

LOINC Long Common Name
67889-6 Neuro-Qol item bank - anxiety - version 1.0
62949-3 PhenX domain - Gastrointestinal
89679-5 PROMIS cancer item bank - emotional distress - anxiety - version 1.0
62338-9 PROMIS item bank - 57 profile
61922-1 PROMIS item bank - emotional distress - anxiety - version 1.0
62190-4 PROMIS short form - emotional distress - anxiety 7a - version 1.0

61950-2 In the past 7 days - I felt tense

Fully-Specified Name

Component
I felt tense in past 7D
Property
Find
Time
7D
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
In the past 7 days - I felt tense
Source
EDANX54

Normative Answer List LL1016-6

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Always 5 LA9933-8

Member of these Panels

LOINC Long Common Name
67889-6 Neuro-Qol item bank - anxiety - version 1.0
67903-5 Neuro-Qol short form - anxiety - version 1.0
62949-3 PhenX domain - Gastrointestinal
89679-5 PROMIS cancer item bank - emotional distress - anxiety - version 1.0
62338-9 PROMIS item bank - 57 profile
61922-1 PROMIS item bank - emotional distress - anxiety - version 1.0
62190-4 PROMIS short form - emotional distress - anxiety 7a - version 1.0

61953-6 In the past 7 days - I felt worthless

Fully-Specified Name

Component
I felt worthless in past 7D
Property
Find
Time
7D
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
In the past 7 days - I felt worthless
Source
EDDEP04

Normative Answer List LL1016-6

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Always 5 LA9933-8

Member of these Panels

LOINC Long Common Name
67890-4 Neuro-Qol item bank - depression - version 1.0
67904-3 Neuro-Qol short form - depression - version 1.0
62949-3 PhenX domain - Gastrointestinal
89670-4 PROMIS cancer item bank - emotional distress - depression - version 1.0
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61952-8 PROMIS item bank - emotional distress - depression - version 1.0
76343-3 PROMIS short form - emotional distress - depression 4a - version 1.0
62191-2 PROMIS short form - emotional distress - depression 8b - version 1.0

61955-1 In the past 7 days - I felt helpless

Fully-Specified Name

Component
I felt helpless in past 7D
Property
Find
Time
7D
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
In the past 7 days - I felt helpless
Source
EDDEP06

Normative Answer List LL1016-6

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Always 5 LA9933-8

Member of these Panels

LOINC Long Common Name
67890-4 Neuro-Qol item bank - depression - version 1.0
62949-3 PhenX domain - Gastrointestinal
89670-4 PROMIS cancer item bank - emotional distress - depression - version 1.0
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61952-8 PROMIS item bank - emotional distress - depression - version 1.0
76343-3 PROMIS short form - emotional distress - depression 4a - version 1.0
62191-2 PROMIS short form - emotional distress - depression 8b - version 1.0

61967-6 In the past 7 days - I felt depressed

Fully-Specified Name

Component
I felt depressed in past 7D
Property
Find
Time
7D
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
In the past 7 days - I felt depressed
Source
EDDEP29

Normative Answer List LL1016-6

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Always 5 LA9933-8

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
67890-4 Neuro-Qol item bank - depression - version 1.0
67904-3 Neuro-Qol short form - depression - version 1.0
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
62949-3 PhenX domain - Gastrointestinal
89670-4 PROMIS cancer item bank - emotional distress - depression - version 1.0
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61952-8 PROMIS item bank - emotional distress - depression - version 1.0
76343-3 PROMIS short form - emotional distress - depression 4a - version 1.0
62191-2 PROMIS short form - emotional distress - depression 8b - version 1.0

61973-4 In the past 7 days - I felt hopeless

Fully-Specified Name

Component
I felt hopeless in past 7D
Property
Find
Time
7D
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
In the past 7 days - I felt hopeless
Source
EDDEP41

Normative Answer List LL1016-6

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Always 5 LA9933-8

Member of these Panels

LOINC Long Common Name
67890-4 Neuro-Qol item bank - depression - version 1.0
67904-3 Neuro-Qol short form - depression - version 1.0
62949-3 PhenX domain - Gastrointestinal
89670-4 PROMIS cancer item bank - emotional distress - depression - version 1.0
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61952-8 PROMIS item bank - emotional distress - depression - version 1.0
76343-3 PROMIS short form - emotional distress - depression 4a - version 1.0
62191-2 PROMIS short form - emotional distress - depression 8b - version 1.0

61962-7 In the past 7 days - I felt like a failure

Fully-Specified Name

Component
I felt like a failure in past 7D
Property
Find
Time
7D
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
In the past 7 days - I felt like a failure
Source
EDDEP22

Normative Answer List LL1016-6

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Always 5 LA9933-8

Member of these Panels

LOINC Long Common Name
67890-4 Neuro-Qol item bank - depression - version 1.0
62949-3 PhenX domain - Gastrointestinal
89670-4 PROMIS cancer item bank - emotional distress - depression - version 1.0
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61952-8 PROMIS item bank - emotional distress - depression - version 1.0
62191-2 PROMIS short form - emotional distress - depression 8b - version 1.0

61971-8 In the past 7 days - I felt unhappy

Fully-Specified Name

Component
I felt unhappy in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.65
Change Reason
Changed Answer List Type from Normative to Example to accommodate an Override Answer List

Survey Question

Text
In the past 7 days - I felt unhappy
Source
EDDEP36

Normative Answer List LL1016-6

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Always 5 LA9933-8

Member of these Panels

LOINC Long Common Name
67890-4 Neuro-Qol item bank - depression - version 1.0
67904-3 Neuro-Qol short form - depression - version 1.0
62949-3 PhenX domain - Gastrointestinal
89670-4 PROMIS cancer item bank - emotional distress - depression - version 1.0
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61952-8 PROMIS item bank - emotional distress - depression - version 1.0
91536-3 PROMIS pediatric item bank - depressive symptoms - version 2.0
62085-6 PROMIS pediatric short form - depressive symptoms - version 1.0
90949-9 PROMIS pediatric short form - depressive symptoms 8a - version 2.0
62191-2 PROMIS short form - emotional distress - depression 8b - version 1.0

61954-4 In the past 7 days - I felt that I had nothing to look forward to

Fully-Specified Name

Component
I felt that I had nothing to look forward to in past 7D
Property
Find
Time
7D
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
In the past 7 days - I felt that I had nothing to look forward to
Source
EDDEP05

Normative Answer List LL1016-6

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Always 5 LA9933-8

Member of these Panels

LOINC Long Common Name
67890-4 Neuro-Qol item bank - depression - version 1.0
62949-3 PhenX domain - Gastrointestinal
89670-4 PROMIS cancer item bank - emotional distress - depression - version 1.0
62338-9 PROMIS item bank - 57 profile
61952-8 PROMIS item bank - emotional distress - depression - version 1.0
62191-2 PROMIS short form - emotional distress - depression 8b - version 1.0

61957-7 In the past 7 days - I felt that nothing could cheer me up

Fully-Specified Name

Component
I felt that nothing could cheer me up in past 7D
Property
Find
Time
7D
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
In the past 7 days - I felt that nothing could cheer me up
Source
EDDEP09

Normative Answer List LL1016-6

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Always 5 LA9933-8

Member of these Panels

LOINC Long Common Name
67890-4 Neuro-Qol item bank - depression - version 1.0
67904-3 Neuro-Qol short form - depression - version 1.0
89670-4 PROMIS cancer item bank - emotional distress - depression - version 1.0
62338-9 PROMIS item bank - 57 profile
61952-8 PROMIS item bank - emotional distress - depression - version 1.0

61878-5 During the past 7 days - I feel fatigued

Fully-Specified Name

Component
I feel fatigued during the past 7D
Property
Find
Time
7D
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
During the past 7 days - I feel fatigued
Source
Hl7

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61795-1 PROMIS item bank - fatigue - version 1.0
76342-5 PROMIS short form - fatigue 4a - version 1.0

61882-7 During the past 7 days - I have trouble starting things because I am tired

Fully-Specified Name

Component
I had trouble starting things because I was tired in past 7D
Property
Find
Time
7D
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
During the past 7 days - I have trouble starting things because I am tired
Source
An3

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61795-1 PROMIS item bank - fatigue - version 1.0

61865-2 In the past 7 days - How run-down did you feel on average?

Fully-Specified Name

Component
How run-down did you feel on average in past 7D
Property
Find
Time
7D
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
In the past 7 days - How run-down did you feel on average?
Source
FATEXP41

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
89677-9 PROMIS cancer item bank - fatigue - version 1.0
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61795-1 PROMIS item bank - fatigue - version 1.0
76342-5 PROMIS short form - fatigue 4a - version 1.0

61864-5 In the past 7 days - How fatigued were you on average?

Fully-Specified Name

Component
How fatigued were you on average in past 7D
Property
Find
Time
7D
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
In the past 7 days - How fatigued were you on average?
Source
FATEXP40

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
89677-9 PROMIS cancer item bank - fatigue - version 1.0
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61795-1 PROMIS item bank - fatigue - version 1.0
76342-5 PROMIS short form - fatigue 4a - version 1.0

61861-1 In the past 7 days - How much were you bothered by your fatigue on average?

Fully-Specified Name

Component
How much were you bothered by your fatigue on average in past 7D
Property
Find
Time
7D
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
In the past 7 days - How much were you bothered by your fatigue on average?
Source
FATEXP35

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61795-1 PROMIS item bank - fatigue - version 1.0

61836-3 In the past 7 days - To what degree did your fatigue interfere with your physical functioning?

Fully-Specified Name

Component
To what degree did your fatigue interfere with your physical functioning in past 7D
Property
Find
Time
7D
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
In the past 7 days - To what degree did your fatigue interfere with your physical functioning?
Source
FATIMP49

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61795-1 PROMIS item bank - fatigue - version 1.0

61798-5 In the past 7 days - How often did you have to push yourself to get things done because of your fatigue?

Fully-Specified Name

Component
How often did you have to push yourself to get things done because of your fatigue in past 7D
Property
Find
Time
7D
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
In the past 7 days - How often did you have to push yourself to get things done because of your fatigue?
Source
FATIMP3

Normative Answer List LL1016-6

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Always 5 LA9933-8

Member of these Panels

LOINC Long Common Name
89677-9 PROMIS cancer item bank - fatigue - version 1.0
62338-9 PROMIS item bank - 57 profile
61795-1 PROMIS item bank - fatigue - version 1.0

61809-0 In the past 7 days - How often did you have trouble finishing things because of your fatigue?

Fully-Specified Name

Component
How often did you have trouble finishing things because of your fatigue in past 7D
Property
Find
Time
7D
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
In the past 7 days - How often did you have trouble finishing things because of your fatigue?
Source
FATIMP16

Normative Answer List LL1016-6

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Always 5 LA9933-8

Member of these Panels

LOINC Long Common Name
89677-9 PROMIS cancer item bank - fatigue - version 1.0
62338-9 PROMIS item bank - 57 profile
61795-1 PROMIS item bank - fatigue - version 1.0

61987-4 In the past 7 days - My sleep quality was...

Fully-Specified Name

Component
My sleep quality was...in past 7D
Property
Find
Time
7D
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
In the past 7 days - My sleep quality was...
Source
Sleep109

Normative Answer List LL1023-2

Answer Code Score Answer ID
Very poor 5 LA9615-1
Poor 4 LA8969-3
Fair 3 LA8968-5
Good 2 LA8967-7
Very Good 1 LA13913-1

Member of these Panels

LOINC Long Common Name
62949-3 PhenX domain - Gastrointestinal
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61982-5 PROMIS item bank - sleep disturbance - version 1.0
75258-4 PROMIS short form - sleep disturbance 4a - version 1.0
76703-8 PROMIS short form - sleep disturbance 6a - version 1.0
62197-9 PROMIS short form - sleep disturbance 8b - version 1.0

61986-6 In the past 7 days - My sleep was refreshing

Fully-Specified Name

Component
My sleep was refreshing in past 7D
Property
Find
Time
7D
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
In the past 7 days - My sleep was refreshing
Source
Sleep116

Normative Answer List LL3325-9

Answer Code Score Answer ID
Not at all 5 LA6568-5
A little bit 4 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 2 LA13902-4
Very much 1 LA13914-9

Member of these Panels

LOINC Long Common Name
62949-3 PhenX domain - Gastrointestinal
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61982-5 PROMIS item bank - sleep disturbance - version 1.0
75258-4 PROMIS short form - sleep disturbance 4a - version 1.0
76703-8 PROMIS short form - sleep disturbance 6a - version 1.0
62197-9 PROMIS short form - sleep disturbance 8b - version 1.0

61998-1 In the past 7 days - I had a problem with my sleep

Fully-Specified Name

Component
I had a problem with my sleep 7D
Property
Find
Time
7D
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
In the past 7 days - I had a problem with my sleep
Source
Sleep20

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61982-5 PROMIS item bank - sleep disturbance - version 1.0
75258-4 PROMIS short form - sleep disturbance 4a - version 1.0
76703-8 PROMIS short form - sleep disturbance 6a - version 1.0

61999-9 In the past 7 days - I had difficulty falling asleep

Fully-Specified Name

Component
I had difficulty falling asleep in past 7D
Property
Find
Time
7D
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
In the past 7 days - I had difficulty falling asleep
Source
Sleep44

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
62949-3 PhenX domain - Gastrointestinal
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61982-5 PROMIS item bank - sleep disturbance - version 1.0
75258-4 PROMIS short form - sleep disturbance 4a - version 1.0
76703-8 PROMIS short form - sleep disturbance 6a - version 1.0
62197-9 PROMIS short form - sleep disturbance 8b - version 1.0

61996-5 In the past 7 days - My sleep was restless

Fully-Specified Name

Component
My sleep was restless in past 7D
Property
Find
Time
7D
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
In the past 7 days - My sleep was restless
Source
Sleep108

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
62949-3 PhenX domain - Gastrointestinal
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61982-5 PROMIS item bank - sleep disturbance - version 1.0
76703-8 PROMIS short form - sleep disturbance 6a - version 1.0
62197-9 PROMIS short form - sleep disturbance 8b - version 1.0

62006-2 In the past 7 days - I tried hard to get to sleep

Fully-Specified Name

Component
I tried hard to get to sleep in past 7D
Property
Find
Time
7D
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
In the past 7 days - I tried hard to get to sleep
Source
Sleep72

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61982-5 PROMIS item bank - sleep disturbance - version 1.0
76703-8 PROMIS short form - sleep disturbance 6a - version 1.0

62001-3 In the past 7 days - I worried about not being able to fall asleep

Fully-Specified Name

Component
I worried about not being able to fall asleep in past 7D
Property
Find
Time
7D
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
In the past 7 days - I worried about not being able to fall asleep
Source
Sleep67

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
62338-9 PROMIS item bank - 57 profile
61982-5 PROMIS item bank - sleep disturbance - version 1.0

61985-8 In the past 7 days - I was satisfied with my sleep

Fully-Specified Name

Component
I was satisfied with my sleep in past 7D
Property
Find
Time
7D
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
In the past 7 days - I was satisfied with my sleep
Source
Sleep115

Normative Answer List LL3325-9

Answer Code Score Answer ID
Not at all 5 LA6568-5
A little bit 4 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 2 LA13902-4
Very much 1 LA13914-9

Member of these Panels

LOINC Long Common Name
62949-3 PhenX domain - Gastrointestinal
62338-9 PROMIS item bank - 57 profile
61982-5 PROMIS item bank - sleep disturbance - version 1.0
62197-9 PROMIS short form - sleep disturbance 8b - version 1.0

62041-9 In the past 7 days - I am satisfied with how much work I can do (include work at home)

Fully-Specified Name

Component
I was satisfied with how much work I can do (include work at home) in past 7D
Property
Find
Time
7D
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
In the past 7 days - I am satisfied with how much work I can do (include work at home)
Source
SRPSAT07

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
67900-1 Neuro-Qol item bank - satisfaction with social roles - version 1.0
67913-4 Neuro-Qol short form - satisfaction with social roles - version 1.0
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
62039-3 PROMIS item bank - satisfaction with participation in roles - version 1.0
76704-6 PROMIS short form - satisfaction with participation in social roles 4a - version 1.0
62196-1 PROMIS short form - satisfaction with participation in social roles 7a - version 1.0
76701-2 PROMIS short form - satisfaction with participation in social roles 8a - version 1.0

62046-8 In the past 7 days - I am satisfied with my ability to work (include work at home)

Fully-Specified Name

Component
I was satisfied with my ability to work (include work at home) in past 7D
Property
Find
Time
7D
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
In the past 7 days - I am satisfied with my ability to work (include work at home)
Source
SRPSAT24

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
67900-1 Neuro-Qol item bank - satisfaction with social roles - version 1.0
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
62039-3 PROMIS item bank - satisfaction with participation in roles - version 1.0
76704-6 PROMIS short form - satisfaction with participation in social roles 4a - version 1.0
62196-1 PROMIS short form - satisfaction with participation in social roles 7a - version 1.0
76701-2 PROMIS short form - satisfaction with participation in social roles 8a - version 1.0

62050-0 In the past 7 days - I am satisfied with my ability to do regular personal and household responsibilities

Fully-Specified Name

Component
I was satisfied with my ability to do regular personal and household responsibilities in past 7D
Property
Find
Time
7D
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
In the past 7 days - I am satisfied with my ability to do regular personal and household responsibilities
Source
SRPSAT47

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
62039-3 PROMIS item bank - satisfaction with participation in roles - version 1.0
76704-6 PROMIS short form - satisfaction with participation in social roles 4a - version 1.0
76701-2 PROMIS short form - satisfaction with participation in social roles 8a - version 1.0

62051-8 In the past 7 days - I am satisfied with my ability to perform my daily routines

Fully-Specified Name

Component
I was satisfied with my ability to perform my daily routines in past 7D
Property
Find
Time
7D
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
In the past 7 days - I am satisfied with my ability to perform my daily routines
Source
SRPSAT49

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
67900-1 Neuro-Qol item bank - satisfaction with social roles - version 1.0
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
62039-3 PROMIS item bank - satisfaction with participation in roles - version 1.0
62196-1 PROMIS short form - satisfaction with participation in social roles 7a - version 1.0

62052-6 In the past 7 days - I am satisfied with my ability to meet the needs of those who depend on me

Fully-Specified Name

Component
I was satisfied with my ability to meet the needs of those who depend on me in past 7D
Property
Find
Time
7D
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
In the past 7 days - I am satisfied with my ability to meet the needs of those who depend on me
Source
SRPSAT50

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
67900-1 Neuro-Qol item bank - satisfaction with social roles - version 1.0
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
62039-3 PROMIS item bank - satisfaction with participation in roles - version 1.0
62196-1 PROMIS short form - satisfaction with participation in social roles 7a - version 1.0
76701-2 PROMIS short form - satisfaction with participation in social roles 8a - version 1.0

62049-2 In the past 7 days - I am satisfied with my ability to do household chores/tasks

Fully-Specified Name

Component
I was satisfied with my ability to do household chores and tasks in past 7D
Property
Find
Time
7D
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
In the past 7 days - I am satisfied with my ability to do household chores/tasks
Source
SRPSAT39

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
62039-3 PROMIS item bank - satisfaction with participation in roles - version 1.0
62196-1 PROMIS short form - satisfaction with participation in social roles 7a - version 1.0
76701-2 PROMIS short form - satisfaction with participation in social roles 8a - version 1.0

62040-1 In the past 7 days - I am satisfied with my ability to do things for my family

Fully-Specified Name

Component
I was satisfied with my ability to do things for my family in past 7D
Property
Find
Time
7D
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
In the past 7 days - I am satisfied with my ability to do things for my family
Source
SRPSAT06

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
67900-1 Neuro-Qol item bank - satisfaction with social roles - version 1.0
62338-9 PROMIS item bank - 57 profile
62039-3 PROMIS item bank - satisfaction with participation in roles - version 1.0
62196-1 PROMIS short form - satisfaction with participation in social roles 7a - version 1.0

62048-4 In the past 7 days - I am satisfied with the amount of time I spend performing my daily routines

Fully-Specified Name

Component
I was satisfied with the amount of time I spend performing my daily routines in past 7D
Property
Find
Time
7D
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
In the past 7 days - I am satisfied with the amount of time I spend performing my daily routines
Source
SRPSAT38

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
67900-1 Neuro-Qol item bank - satisfaction with social roles - version 1.0
62338-9 PROMIS item bank - 57 profile
62039-3 PROMIS item bank - satisfaction with participation in roles - version 1.0
76701-2 PROMIS short form - satisfaction with participation in social roles 8a - version 1.0

61758-9 In the past 7 days - How much did pain interfere with your day to day activities?

Fully-Specified Name

Component
How much did pain interfere with your day to day activities in past 7D
Property
Find
Time
7D
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
In the past 7 days - How much did pain interfere with your day to day activities?
Source
PAININ9

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
89674-6 PROMIS cancer item bank - pain interference - version 1.1
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1
90971-3 PROMIS short form - pain interference 4a - version 1.0
90973-9 PROMIS short form - pain interference 6a - version 1.0
62193-8 PROMIS short form - pain interference 6b - version 1.0
75870-6 PROMIS short form - pain interference 8a - version 1.0

61769-6 In the past 7 days - How much did pain interfere with work around the home?

Fully-Specified Name

Component
How much did pain interfere with work around the home in past 7D
Property
Find
Time
7D
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
In the past 7 days - How much did pain interfere with work around the home?
Source
PAININ22

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
89674-6 PROMIS cancer item bank - pain interference - version 1.1
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1
90971-3 PROMIS short form - pain interference 4a - version 1.0
90973-9 PROMIS short form - pain interference 6a - version 1.0
75870-6 PROMIS short form - pain interference 8a - version 1.0

61773-8 In the past 7 days - How much did pain interfere with your ability to participate in social activities?

Fully-Specified Name

Component
How much did pain interfere with your ability to participate in social activities in past 7D
Property
Find
Time
7D
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
In the past 7 days - How much did pain interfere with your ability to participate in social activities?
Source
PAININ31

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
89674-6 PROMIS cancer item bank - pain interference - version 1.1
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1
90971-3 PROMIS short form - pain interference 4a - version 1.0
90973-9 PROMIS short form - pain interference 6a - version 1.0
75870-6 PROMIS short form - pain interference 8a - version 1.0

61794-4 In the past 7 days - How much did pain interfere with your enjoyment of life?

Fully-Specified Name

Component
How much did pain interfere with your enjoyment of life in past 7D
Property
Find
Time
7D
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
In the past 7 days - How much did pain interfere with your enjoyment of life?
Source
PAININ3

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
89674-6 PROMIS cancer item bank - pain interference - version 1.1
62338-9 PROMIS item bank - 57 profile
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1
62193-8 PROMIS short form - pain interference 6b - version 1.0
75870-6 PROMIS short form - pain interference 8a - version 1.0

61761-3 In the past 7 days - How much did pain interfere with the things you usually do for fun?

Fully-Specified Name

Component
How much did pain interfere with the things you usually do for fun in past 7D
Property
Find
Time
7D
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
In the past 7 days - How much did pain interfere with the things you usually do for fun?
Source
PAININ12

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
89674-6 PROMIS cancer item bank - pain interference - version 1.1
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1
90973-9 PROMIS short form - pain interference 6a - version 1.0
75870-6 PROMIS short form - pain interference 8a - version 1.0

61777-9 In the past 7 days - How much did pain interfere with your enjoyment of social activities?

Fully-Specified Name

Component
How much did pain interfere with your enjoyment of social activities in past 7D
Property
Find
Time
7D
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
In the past 7 days - How much did pain interfere with your enjoyment of social activities?
Source
PAININ36

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
89674-6 PROMIS cancer item bank - pain interference - version 1.1
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1
90973-9 PROMIS short form - pain interference 6a - version 1.0
75870-6 PROMIS short form - pain interference 8a - version 1.0

61775-3 In the past 7 days - How much did pain interfere with your household chores?

Fully-Specified Name

Component
How much did pain interfere with your household chores in past 7D
Property
Find
Time
7D
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
In the past 7 days - How much did pain interfere with your household chores?
Source
PAININ34

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
89674-6 PROMIS cancer item bank - pain interference - version 1.1
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1
90971-3 PROMIS short form - pain interference 4a - version 1.0
90973-9 PROMIS short form - pain interference 6a - version 1.0
75870-6 PROMIS short form - pain interference 8a - version 1.0

61762-1 In the past 7 days - How much did pain interfere with your family life?

Fully-Specified Name

Component
How much did pain interfere with your family life in past 7D
Property
Find
Time
7D
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
In the past 7 days - How much did pain interfere with your family life?
Source
PAININ13

Normative Answer List LL1017-4

Answer Code Score Answer ID
Not at all 1 LA6568-5
A little bit 2 LA13863-8
Somewhat 3 LA13909-9
Quite a bit 4 LA13902-4
Very much 5 LA13914-9

Member of these Panels

LOINC Long Common Name
89674-6 PROMIS cancer item bank - pain interference - version 1.1
62338-9 PROMIS item bank - 57 profile
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1
75870-6 PROMIS short form - pain interference 8a - version 1.0

61583-1 In the past 7 days - How would you rate your pain on average?

Fully-Specified Name

Component
How would you rate your pain on average in past 7D
Property
Find
Time
7D
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
In the past 7 days - How would you rate your pain on average?
Source
Global07

Normative Answer List LL1014-1

Answer Code Score Answer ID
0 - no pain 0 LA19102-5
1 1 LA6112-2
2 2 LA6113-0
3 3 LA6114-8
4 4 LA6115-5
5 5 LA10137-0
6 6 LA10138-8
7 7 LA10139-6
8 8 LA10140-4
9 9 LA10141-2
10 - worst imaginable pain 10 LA21948-7

Member of these Panels

LOINC Long Common Name
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2