67907-6
Neuro-Qol short form - lower extremity - version 1.0
Active
61704-3 Are you able to get on and off the toilet?
Fully-Specified Name
- Component
- Are you able to get on and off the toilet
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to get on and off the toilet?
- Source
- PFC45
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67893-8 | Neuro-Qol item bank - lower extremity - version 1.0 |
| 67907-6 | Neuro-Qol short form - lower extremity - version 1.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 62199-5 | PROMIS short form - physical function 10a - version 1.0 |
| 76702-0 | PROMIS short form - physical function 20a - version 1.0 |
Copyright
- Organization
- PROMIS
- Copyright
- Copyright © 2010 PROMIS Health Organization or other individuals/entities that have contributed information and materials to Assessment Center, and are being used with the permission of the copyright holders.
- Terms of Use
- Use of PROMIS instruments (e.g., item banks, short forms, profile measures) are subject to the PROMIS Terms and Conditions available at: http://www.assessmentcenter.net/TandC.aspx
- URL
- http://www.healthmeasures.net/explore-measurement-systems/promis
61613-6 Are you able to step up and down curbs?
Fully-Specified Name
- Component
- Are you able to step up and down curbs
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to step up and down curbs?
- Source
- Mobility-FA30
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67893-8 | Neuro-Qol item bank - lower extremity - version 1.0 |
| 67907-6 | Neuro-Qol short form - lower extremity - version 1.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
Copyright
- Organization
- PROMIS
- Copyright
- Copyright © 2010 PROMIS Health Organization or other individuals/entities that have contributed information and materials to Assessment Center, and are being used with the permission of the copyright holders.
- Terms of Use
- Use of PROMIS instruments (e.g., item banks, short forms, profile measures) are subject to the PROMIS Terms and Conditions available at: http://www.assessmentcenter.net/TandC.aspx
- URL
- http://www.healthmeasures.net/explore-measurement-systems/promis
61638-3 Are you able to get in and out of a car?
Fully-Specified Name
- Component
- Are you able to get in and out of a car
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to get in and out of a car?
- Source
- Mobility-FA56
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67893-8 | Neuro-Qol item bank - lower extremity - version 1.0 |
| 67907-6 | Neuro-Qol short form - lower extremity - version 1.0 |
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 92579-2 | PROMIS short form - physical function 10b - version 2.0 |
| 76702-0 | PROMIS short form - physical function 20a - version 1.0 |
Copyright
- Organization
- PROMIS
- Copyright
- Copyright © 2010 PROMIS Health Organization or other individuals/entities that have contributed information and materials to Assessment Center, and are being used with the permission of the copyright holders.
- Terms of Use
- Use of PROMIS instruments (e.g., item banks, short forms, profile measures) are subject to the PROMIS Terms and Conditions available at: http://www.assessmentcenter.net/TandC.aspx
- URL
- http://www.healthmeasures.net/explore-measurement-systems/promis
61628-4 Are you able to get out of bed into a chair?
Fully-Specified Name
- Component
- Are you able to get out of bed into a chair
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to get out of bed into a chair?
- Source
- Mobility-FA45
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67893-8 | Neuro-Qol item bank - lower extremity - version 1.0 |
| 67907-6 | Neuro-Qol short form - lower extremity - version 1.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
Copyright
- Organization
- PROMIS
- Copyright
- Copyright © 2010 PROMIS Health Organization or other individuals/entities that have contributed information and materials to Assessment Center, and are being used with the permission of the copyright holders.
- Terms of Use
- Use of PROMIS instruments (e.g., item banks, short forms, profile measures) are subject to the PROMIS Terms and Conditions available at: http://www.assessmentcenter.net/TandC.aspx
- URL
- http://www.healthmeasures.net/explore-measurement-systems/promis
61598-9 Are you able to push open a heavy door?
Fully-Specified Name
- Component
- Are you able to push open a heavy door
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to push open a heavy door?
- Source
- Mobility-FA12
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67893-8 | Neuro-Qol item bank - lower extremity - version 1.0 |
| 67907-6 | Neuro-Qol short form - lower extremity - version 1.0 |
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 76702-0 | PROMIS short form - physical function 20a - version 1.0 |
Copyright
- Organization
- PROMIS
- Copyright
- Copyright © 2010 PROMIS Health Organization or other individuals/entities that have contributed information and materials to Assessment Center, and are being used with the permission of the copyright holders.
- Terms of Use
- Use of PROMIS instruments (e.g., item banks, short forms, profile measures) are subject to the PROMIS Terms and Conditions available at: http://www.assessmentcenter.net/TandC.aspx
- URL
- http://www.healthmeasures.net/explore-measurement-systems/promis
61635-9 Are you able to run errands and shop?
Fully-Specified Name
- Component
- Are you able to run errands and shop
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to run errands and shop?
- Source
- Mobility-FA53
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89070-7 | ADAPTABLE patient reported item set [ADAPTABLE] |
| 67893-8 | Neuro-Qol item bank - lower extremity - version 1.0 |
| 67907-6 | Neuro-Qol short form - lower extremity - version 1.0 |
| 75418-4 | PCORI patient-reported outcomes common measures - core and recommended [PROMIS] |
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 62337-1 | PROMIS item bank - 29 profile |
| 62336-3 | PROMIS item bank - 43 profile |
| 62338-9 | PROMIS item bank - 57 profile |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 92579-2 | PROMIS short form - physical function 10b - version 2.0 |
| 76700-4 | PROMIS short form - physical function 4a - version 1.0 |
| 76804-4 | PROMIS short form - physical function 6b - version 1.2 |
| 76805-1 | PROMIS short form - physical function 8b - version 1.2 |
Copyright
- Organization
- PROMIS
- Copyright
- Copyright © 2010 PROMIS Health Organization or other individuals/entities that have contributed information and materials to Assessment Center, and are being used with the permission of the copyright holders.
- Terms of Use
- Use of PROMIS instruments (e.g., item banks, short forms, profile measures) are subject to the PROMIS Terms and Conditions available at: http://www.assessmentcenter.net/TandC.aspx
- URL
- http://www.healthmeasures.net/explore-measurement-systems/promis
61614-4 Are you able to get up off the floor from lying on your back without help?
Fully-Specified Name
- Component
- Are you able to get up off the floor from lying on your back without help
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to get up off the floor from lying on your back without help?
- Source
- Mobility-FA31
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67893-8 | Neuro-Qol item bank - lower extremity - version 1.0 |
| 67907-6 | Neuro-Qol short form - lower extremity - version 1.0 |
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 91613-0 | PROMIS item bank - mobility - version 2.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
Copyright
- Organization
- PROMIS
- Copyright
- Copyright © 2010 PROMIS Health Organization or other individuals/entities that have contributed information and materials to Assessment Center, and are being used with the permission of the copyright holders.
- Terms of Use
- Use of PROMIS instruments (e.g., item banks, short forms, profile measures) are subject to the PROMIS Terms and Conditions available at: http://www.assessmentcenter.net/TandC.aspx
- URL
- http://www.healthmeasures.net/explore-measurement-systems/promis
61609-4 Are you able to go for a walk of at least 15 minutes?
Fully-Specified Name
- Component
- Are you able to go for a walk of at least 15 minutes
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.34
- Last Updated
- Version 2.65
Survey Question
- Text
- Are you able to go for a walk of at least 15 minutes?
- Source
- Mobility-FA23
Normative Answer List LL1022-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Without any difficulty | 5 | LA13921-4 | |
| With a little difficulty | 4 | LA13918-0 | |
| With some difficulty | 3 | LA13920-6 | |
| With much difficulty | 2 | LA13919-8 | |
| Unable to do | 1 | LA13912-3 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 67893-8 | Neuro-Qol item bank - lower extremity - version 1.0 |
| 67907-6 | Neuro-Qol short form - lower extremity - version 1.0 |
| 62337-1 | PROMIS item bank - 29 profile |
| 62336-3 | PROMIS item bank - 43 profile |
| 62338-9 | PROMIS item bank - 57 profile |
| 91613-0 | PROMIS item bank - mobility - version 2.0 |
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 79062-6 | PROMIS item bank - physical function w mobility aids - version 1.0 |
| 76700-4 | PROMIS short form - physical function 4a - version 1.0 |
| 76804-4 | PROMIS short form - physical function 6b - version 1.2 |
| 76805-1 | PROMIS short form - physical function 8b - version 1.2 |
Copyright
- Organization
- PROMIS
- Copyright
- Copyright © 2010 PROMIS Health Organization or other individuals/entities that have contributed information and materials to Assessment Center, and are being used with the permission of the copyright holders.
- Terms of Use
- Use of PROMIS instruments (e.g., item banks, short forms, profile measures) are subject to the PROMIS Terms and Conditions available at: http://www.assessmentcenter.net/TandC.aspx
- URL
- http://www.healthmeasures.net/explore-measurement-systems/promis