Version 2.80

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

Long Common Name

Are you able to get on and off the toilet [PROMIS]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.65 (MIN)

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

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

Long Common Name

Are you able to step up and down curbs [PROMIS]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.65 (MIN)

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

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

Long Common Name

Are you able to get in and out of a car [PROMIS]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.65 (MIN)

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

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

Long Common Name

Are you able to get out of bed into a chair [PROMIS]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.65 (MIN)

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

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

Long Common Name

Are you able to push open a heavy door [PROMIS]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.65 (MIN)

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

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

Long Common Name

Are you able to run errands and shop [PROMIS]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.65 (MIN)

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

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

Long Common Name

Are you able to get up off the floor from lying on your back without help [PROMIS]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.65 (MIN)

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

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

Long Common Name

Are you able to go for a walk of at least 15 minutes [PROMIS]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.65 (MIN)

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

67942-3 How much DIFFICULTY do you currently have standing up from an armless straight chair (e.g., dining room chair)?

Fully-Specified Name

Component
How much difficulty do you currently have standing up from an armless straight chair, like a dining room chair
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NeuroQol

Long Common Name

How much difficulty do you currently have standing up from an armless straight chair, like a dining room chair [NeuroQol]

Basic Attributes

Class
SURVEY.NEUROQ
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.50 (MIN)

Normative Answer List LL1879-7

Answer Code Score Answer ID
No difficulty 5 LA15227-4
A little difficulty 4 LA15725-7
Some difficulty 3 LA13950-3
A lot of difficulty 2 LA13951-1
Can't do 1 LA17824-6

Member of these Panels

LOINC Long Common Name
67893-8 Neuro-Qol item bank - lower extremity - version 1.0

67943-1 How much DIFFICULTY do you currently have sitting down on and standing up from a chair with arms?

Fully-Specified Name

Component
How much difficulty do you currently have sitting down on and standing up from a chair with arms
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NeuroQol

Long Common Name

How much difficulty do you currently have sitting down on and standing up from a chair with arms [NeuroQol]

Basic Attributes

Class
SURVEY.NEUROQ
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.50 (MIN)

Normative Answer List LL1879-7

Answer Code Score Answer ID
No difficulty 5 LA15227-4
A little difficulty 4 LA15725-7
Some difficulty 3 LA13950-3
A lot of difficulty 2 LA13951-1
Can't do 1 LA17824-6

Member of these Panels

LOINC Long Common Name
67893-8 Neuro-Qol item bank - lower extremity - version 1.0

67944-9 How much DIFFICULTY do you currently have moving from sitting at the side of the bed to lying down on your back?

Fully-Specified Name

Component
How much difficulty do you currently have moving from sitting at the side of the bed to lying down on your back
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NeuroQol

Long Common Name

How much difficulty do you currently have moving from sitting at the side of the bed to lying down on your back [NeuroQol]

Basic Attributes

Class
SURVEY.NEUROQ
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.50 (MIN)

Normative Answer List LL1879-7

Answer Code Score Answer ID
No difficulty 5 LA15227-4
A little difficulty 4 LA15725-7
Some difficulty 3 LA13950-3
A lot of difficulty 2 LA13951-1
Can't do 1 LA17824-6

Member of these Panels

LOINC Long Common Name
67893-8 Neuro-Qol item bank - lower extremity - version 1.0

67945-6 How much DIFFICULTY do you currently have standing up from a low, soft couch?

Fully-Specified Name

Component
How much difficulty do you currently have standing up from a low, soft couch
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NeuroQol

Long Common Name

How much difficulty do you currently have standing up from a low, soft couch [NeuroQol]

Basic Attributes

Class
SURVEY.NEUROQ
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.50 (MIN)

Normative Answer List LL1879-7

Answer Code Score Answer ID
No difficulty 5 LA15227-4
A little difficulty 4 LA15725-7
Some difficulty 3 LA13950-3
A lot of difficulty 2 LA13951-1
Can't do 1 LA17824-6

Member of these Panels

LOINC Long Common Name
67893-8 Neuro-Qol item bank - lower extremity - version 1.0

67946-4 How much DIFFICULTY do you currently have going up and down a flight of stairs inside, using a handrail?

Fully-Specified Name

Component
How much difficulty do you currently have going up and down a flight of stairs inside, using a handrail
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NeuroQol

Long Common Name

How much difficulty do you currently have going up and down a flight of stairs inside, using a handrail [NeuroQol]

Basic Attributes

Class
SURVEY.NEUROQ
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.50 (MIN)

Normative Answer List LL1879-7

Answer Code Score Answer ID
No difficulty 5 LA15227-4
A little difficulty 4 LA15725-7
Some difficulty 3 LA13950-3
A lot of difficulty 2 LA13951-1
Can't do 1 LA17824-6

Member of these Panels

LOINC Long Common Name
67893-8 Neuro-Qol item bank - lower extremity - version 1.0

67947-2 How much DIFFICULTY do you currently have walking on uneven surfaces (e.g., grass, dirt road or sidewalk)?

Fully-Specified Name

Component
How much difficulty do you currently have walking on uneven surfaces, like grass, dirt road or sidewalk
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NeuroQol

Long Common Name

How much difficulty do you currently have walking on uneven surfaces, like grass, dirt road or sidewalk [NeuroQol]

Basic Attributes

Class
SURVEY.NEUROQ
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.50 (MIN)

Normative Answer List LL1879-7

Answer Code Score Answer ID
No difficulty 5 LA15227-4
A little difficulty 4 LA15725-7
Some difficulty 3 LA13950-3
A lot of difficulty 2 LA13951-1
Can't do 1 LA17824-6

Member of these Panels

LOINC Long Common Name
67893-8 Neuro-Qol item bank - lower extremity - version 1.0

67948-0 How much DIFFICULTY do you currently have walking around one floor of your home?

Fully-Specified Name

Component
How much difficulty do you currently have walking around one floor of your home
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NeuroQol

Long Common Name

How much difficulty do you currently have walking around one floor of your home [NeuroQol]

Basic Attributes

Class
SURVEY.NEUROQ
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.50 (MIN)

Normative Answer List LL1879-7

Answer Code Score Answer ID
No difficulty 5 LA15227-4
A little difficulty 4 LA15725-7
Some difficulty 3 LA13950-3
A lot of difficulty 2 LA13951-1
Can't do 1 LA17824-6

Member of these Panels

LOINC Long Common Name
67893-8 Neuro-Qol item bank - lower extremity - version 1.0

67949-8 How much DIFFICULTY do you currently have taking a 20-minute brisk walk, without stopping to rest?

Fully-Specified Name

Component
How much difficulty do you currently have taking a 20M brisk walk, without stopping to rest
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NeuroQol

Long Common Name

How much difficulty do you currently have taking a 20 minute brisk walk, without stopping to rest [NeuroQol]

Basic Attributes

Class
SURVEY.NEUROQ
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.50 (MIN)

Normative Answer List LL1879-7

Answer Code Score Answer ID
No difficulty 5 LA15227-4
A little difficulty 4 LA15725-7
Some difficulty 3 LA13950-3
A lot of difficulty 2 LA13951-1
Can't do 1 LA17824-6

Member of these Panels

LOINC Long Common Name
67893-8 Neuro-Qol item bank - lower extremity - version 1.0

67950-6 How much DIFFICULTY do you currently have walking on a slippery surface, outdoors?

Fully-Specified Name

Component
How much difficulty do you currently have walking on a slippery surface, outdoors
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NeuroQol

Long Common Name

How much difficulty do you currently have walking on a slippery surface, outdoors [NeuroQol]

Basic Attributes

Class
SURVEY.NEUROQ
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.50 (MIN)

Normative Answer List LL1879-7

Answer Code Score Answer ID
No difficulty 5 LA15227-4
A little difficulty 4 LA15725-7
Some difficulty 3 LA13950-3
A lot of difficulty 2 LA13951-1
Can't do 1 LA17824-6

Member of these Panels

LOINC Long Common Name
67893-8 Neuro-Qol item bank - lower extremity - version 1.0

67951-4 How much DIFFICULTY do you currently have climbing stairs step over step without a handrail? (alternating feet)?

Fully-Specified Name

Component
How much difficulty do you currently have climbing stairs step over step without a handrail - alternating feet
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NeuroQol

Long Common Name

How much difficulty do you currently have climbing stairs step over step without a handrail - alternating feet [NeuroQol]

Basic Attributes

Class
SURVEY.NEUROQ
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.50 (MIN)

Normative Answer List LL1879-7

Answer Code Score Answer ID
No difficulty 5 LA15227-4
A little difficulty 4 LA15725-7
Some difficulty 3 LA13950-3
A lot of difficulty 2 LA13951-1
Can't do 1 LA17824-6

Member of these Panels

LOINC Long Common Name
67893-8 Neuro-Qol item bank - lower extremity - version 1.0

67952-2 How much DIFFICULTY do you currently have walking in a dark room without falling?

Fully-Specified Name

Component
How much difficulty do you currently have walking in a dark room without falling
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NeuroQol

Long Common Name

How much difficulty do you currently have walking in a dark room without falling [NeuroQol]

Basic Attributes

Class
SURVEY.NEUROQ
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.50 (MIN)

Normative Answer List LL1879-7

Answer Code Score Answer ID
No difficulty 5 LA15227-4
A little difficulty 4 LA15725-7
Some difficulty 3 LA13950-3
A lot of difficulty 2 LA13951-1
Can't do 1 LA17824-6

Member of these Panels

LOINC Long Common Name
67893-8 Neuro-Qol item bank - lower extremity - version 1.0