67906-8
Neuro-Qol short form - upper extremity - version 1.0
Active
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
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
67936-5 Are you able to make a phone call using a touch tone key-pad?
Fully-Specified Name
- Component
- Are you able to make a phone call using a touch tone key-pad
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- NeuroQol
Basic Attributes
- Class
- SURVEY.NEUROQ
- Type
- Surveys
- First Released
- Version 2.38
- Last Updated
- Version 2.50
Survey Question
- Text
- Are you able to make a phone call using a touch tone key-pad?
- Source
- NQUEX44
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 |
Copyright
- Organization
- David Cella, PhD
- Copyright
- Copyright © 2010 David Cella, PhD.
- Terms of Use
- Used with permission. All of these Neuro-QOL instruments can be used at no charge. We do ask, however, that you contact Neuro-QOL project manager, Vitali Ustsinovich, at v-ustsinovich@northwestern.edu and let him know that you intend to use Neuro-QOL.
- URL
- http://www.neuroqol.org
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
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
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
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
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