Version 2.78

75421-8 PCORI patient-reported outcomes core adult measures [PROMIS]

Fully-Specified Name

Component
PCORI patient-reported outcomes core adult measures
Property
-
Time
Pt
System
^Patient
Scale
-
Method
PROMIS

Basic Attributes

Class
PANEL.SURVEY.PCORI
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.50
Order vs. Observation
Order
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]

61577-3 In general, would you say your health is

Fully-Specified Name

Component
In general, would you say your health is
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.71
Change Reason
Release 2.71: METHOD_TYP: Removed Method because this concept is not specific to PROMIS; EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to PROMIS; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability; AnswerListId: Updated for increased usability; CLASS: Updated as the concept is not unique to PROMIS;

Survey Question

Text
In general, would you say your health is:
Source
Global01

Normative Answer List LL1012-5

Answer Code Score Answer ID
Excellent 5 LA9206-9
Very Good 4 LA13913-1
Good 3 LA8967-7
Fair 2 LA8968-5
Poor 1 LA8969-3

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94257-3 PROMIS pediatric - global health 7 - version 1.0
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2
71934-4 Veterans Rand health survey - 12 item (VR-12)
71933-6 Veterans Rand health survey - 36 item (VR-36)

61578-1 In general, would you say your quality of life is:

Fully-Specified Name

Component
In general, would you say your quality of life is
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
In general, would you say your quality of life is:
Source
Global02

Normative Answer List LL1012-5

Answer Code Score Answer ID
Excellent 5 LA9206-9
Very Good 4 LA13913-1
Good 3 LA8967-7
Fair 2 LA8968-5
Poor 1 LA8969-3

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94257-3 PROMIS pediatric - global health 7 - version 1.0
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2

61582-3 To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair?

Fully-Specified Name

Component
To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving 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
To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair?
Source
Global06

Normative Answer List LL1013-3

Answer Code Score Answer ID
Completely 5 LA13937-0
Mostly 4 LA13938-8
Moderately 3 LA13939-6
A little 2 LA13940-4
Not at all 1 LA6568-5

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
91722-9 PROMIS item bank - physical function - version 2.0
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - 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

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

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

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

75417-6 I have trouble doing all of my regular leisure activities with others

Fully-Specified Name

Component
I have trouble doing all of my regular leisure activities with others
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.65
Order vs. Observation
Observation

Survey Question

Text
I have trouble doing all of my regular leisure activities with others
Source
SRPPER11_CaPS

Normative Answer List LL3003-2

Answer Code Score Answer ID
Never 5 LA6270-8
Rarely 4 LA10066-1
Sometimes 3 LA10082-8
Usually 2 LA14747-2
Always 1 LA9933-8

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
76787-1 PROMIS item bank - ability to participate in social roles and activities - version 2.0
76731-9 PROMIS short form - ability to participate in social roles and activities 8a - version 2.0

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

75420-0 PCORI patient-reported outcomes core pediatric measures [PROMIS]

Fully-Specified Name

Component
PCORI patient-reported outcomes core pediatric measures
Property
-
Time
Pt
System
^Patient
Scale
-
Method
PROMIS

Basic Attributes

Class
PANEL.SURVEY.PCORI
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.50
Order vs. Observation
Order
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]

61577-3 In general, would you say your health is

Fully-Specified Name

Component
In general, would you say your health is
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.71
Change Reason
Release 2.71: METHOD_TYP: Removed Method because this concept is not specific to PROMIS; EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to PROMIS; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability; AnswerListId: Updated for increased usability; CLASS: Updated as the concept is not unique to PROMIS;

Survey Question

Text
In general, would you say your health is:
Source
Global01

Normative Answer List LL1012-5

Answer Code Score Answer ID
Excellent 5 LA9206-9
Very Good 4 LA13913-1
Good 3 LA8967-7
Fair 2 LA8968-5
Poor 1 LA8969-3

Member of these Panels

LOINC Long Common Name
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94257-3 PROMIS pediatric - global health 7 - version 1.0
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2
71934-4 Veterans Rand health survey - 12 item (VR-12)
71933-6 Veterans Rand health survey - 36 item (VR-36)

61578-1 In general, would you say your quality of life is:

Fully-Specified Name

Component
In general, would you say your quality of life is
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
In general, would you say your quality of life is:
Source
Global02

Normative Answer List LL1012-5

Answer Code Score Answer ID
Excellent 5 LA9206-9
Very Good 4 LA13913-1
Good 3 LA8967-7
Fair 2 LA8968-5
Poor 1 LA8969-3

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94257-3 PROMIS pediatric - global health 7 - version 1.0
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2

62144-1 In the past 7 days - I had trouble sleeping when I had pain

Fully-Specified Name

Component
I had trouble sleeping when I had pain 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
Linked to new answer list with answers scored from 0 to 4.; Updated Answer list from LL3004-0 to LL1024-0 to align with scoring based on the PROMIS pediatric pain interference v2.0 form. Moved answer list LL3004-0 to the Answer List override field for LOINC 62144-1 in the instance of the PROMIS pediatric item bank - pain interference - v1.0 panel.

Survey Question

Text
In the past 7 days - I had trouble sleeping when I had pain
Source
3793R1, 3793R1r

Normative Answer List LL1024-0

Answer Code Score Answer ID
Never 1 LA6270-8
Almost never 2 LA13866-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Almost always 5 LA13865-3

Member of these Panels

LOINC Long Common Name
68133-8 Neuro-Qol pediatric item bank - pain - version 1.0 [NeuroQol.Peds]
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
62141-7 PROMIS pediatric item bank - pain interference - version 1.0
89935-1 PROMIS pediatric item bank - pain interference - version 2.0
62211-8 PROMIS pediatric short form - pain interference 8a - version 1.0
90957-2 PROMIS pediatric short form - pain interference 8a - version 2.0

62104-5 In the past 7 days - I got tired easily

Fully-Specified Name

Component
I got tired easily 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
Linked to new answer list with scored answers ranging from 0 to 4.

Survey Question

Text
In the past 7 days - I got tired easily
Source
2876R1

Normative Answer List LL3004-0

Answer Code Score Answer ID
Never 0 LA6270-8
Almost never 1 LA13866-1
Sometimes 2 LA10082-8
Often 3 LA10044-8
Almost always 4 LA13865-3

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
62097-1 PROMIS pediatric item bank - fatigue - version 1.0
91534-8 PROMIS pediatric item bank - fatigue - version 2.0
62210-0 PROMIS pediatric short form - fatigue 10a - version 1.0

62095-5 In the past 7 days - I felt stressed

Fully-Specified Name

Component
I felt stressed 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
Linked to new answer list with scored answers ranging from 0 to 4.

Survey Question

Text
In the past 7 days - I felt stressed
Source
EOS_P_011

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
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
91536-3 PROMIS pediatric item bank - depressive symptoms - version 2.0
91324-4 PROMIS pediatric item bank - psychological stress experiences - version 1.0
62085-6 PROMIS pediatric short form - depressive symptoms - version 1.0

75416-8 How often do you feel really sad?

Fully-Specified Name

Component
How often do you feel really sad
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS.PEDS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.65
Order vs. Observation
Observation

Survey Question

Text
How often do you feel really sad?
Source
PedGlobal2

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
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94257-3 PROMIS pediatric - global health 7 - version 1.0

75415-0 How often do you have fun with friends?

Fully-Specified Name

Component
How often do you have fun with friends
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS.PEDS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.65
Order vs. Observation
Observation

Survey Question

Text
How often do you have fun with friends?
Source
PedGlobal5

Normative Answer List LL3002-4

Answer Code Score Answer ID
Never 0 LA6270-8
Rarely 1 LA10066-1
Sometimes 2 LA10082-8
Often 3 LA10044-8
Always 4 LA9933-8

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94257-3 PROMIS pediatric - global health 7 - version 1.0

75414-3 How often do your parents listen to your ideas?

Fully-Specified Name

Component
How often do your parents listen to your ideas
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS.PEDS

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.65
Order vs. Observation
Observation

Survey Question

Text
How often do your parents listen to your ideas?
Source
PedGlobal6

Normative Answer List LL3002-4

Answer Code Score Answer ID
Never 0 LA6270-8
Rarely 1 LA10066-1
Sometimes 2 LA10082-8
Often 3 LA10044-8
Always 4 LA9933-8

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94257-3 PROMIS pediatric - global health 7 - version 1.0

75898-7 In general, would you say your child's health is:

Fully-Specified Name

Component
In general, would you say your child's health is
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS.PARENTPROXY

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.65
Order vs. Observation
Observation

Survey Question

Text
In general, would you say your child's health is:
Source
Global01_PX

Normative Answer List LL1012-5

Answer Code Score Answer ID
Excellent 5 LA9206-9
Very Good 4 LA13913-1
Good 3 LA8967-7
Fair 2 LA8968-5
Poor 1 LA8969-3

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94165-8 PROMIS parent proxy - global health 7 - version 1.0

75907-6 In general, would you say your child's quality of life is:

Fully-Specified Name

Component
In general, would you say your child's quality of life is
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS.PARENTPROXY

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.65
Order vs. Observation
Observation

Survey Question

Text
In general, would you say your child's quality of life is:
Source
Global02_PX

Normative Answer List LL1012-5

Answer Code Score Answer ID
Excellent 5 LA9206-9
Very Good 4 LA13913-1
Good 3 LA8967-7
Fair 2 LA8968-5
Poor 1 LA8969-3

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94165-8 PROMIS parent proxy - global health 7 - version 1.0

75906-8 In the past 7 days - My child had trouble sleeping when he/she had pain

Fully-Specified Name

Component
My child had trouble sleeping when he or she had pain in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS.PARENTPROXY

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.65
Order vs. Observation
Observation

Survey Question

Text
In the past 7 days - My child had trouble sleeping when he/she had pain
Source
Pf2pain5, Pf2pain5r

Normative Answer List LL1024-0

Answer Code Score Answer ID
Never 1 LA6270-8
Almost never 2 LA13866-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Almost always 5 LA13865-3

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94162-5 PROMIS parent proxy item bank - pain interference - version 1.0
89949-2 PROMIS parent proxy item bank - pain interference - version 2.0
94180-7 PROMIS parent proxy short form - pain interference 8 - version 1.0
90942-4 PROMIS parent proxy short form - pain interference 8a - version 2.0

75899-5 In the past 7 days - My child got tired easily

Fully-Specified Name

Component
My child got tired easily in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS.PARENTPROXY

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.65
Order vs. Observation
Observation

Survey Question

Text
In the past 7 days - My child got tired easily
Source
Pf4fatigue3

Normative Answer List LL1024-0

Answer Code Score Answer ID
Never 1 LA6270-8
Almost never 2 LA13866-1
Sometimes 3 LA10082-8
Often 4 LA10044-8
Almost always 5 LA13865-3

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
91933-2 PROMIS parent proxy item bank - fatigue version 2.0
92587-5 PROMIS parent proxy short form - fatigue 10a - version 2.0

75905-0 In the past 7 days - My child felt stressed

Fully-Specified Name

Component
My child felt stressed in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS.PARENTPROXY

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.65
Order vs. Observation
Observation

Survey Question

Text
In the past 7 days - My child felt stressed
Source
EoS_P_011_PX

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
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
91407-7 PROMIS parent proxy item bank - depressive symptoms - version 2.0
91367-3 PROMIS parent proxy item bank - psychological stress experiences - version 1.0

75904-3 How often does your child feel really sad?

Fully-Specified Name

Component
How often does your child feel really sad
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS.PARENTPROXY

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.65
Order vs. Observation
Observation

Survey Question

Text
How often does your child feel really sad?
Source
PedGlobal2_PX

Normative Answer List LL3122-0

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

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94165-8 PROMIS parent proxy - global health 7 - version 1.0

75897-9 How often does your child have fun with friends?

Fully-Specified Name

Component
How often does your child have fun with friends
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS.PARENTPROXY

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.65
Order vs. Observation
Observation

Survey Question

Text
How often does your child have fun with friends?
Source
PedGlobal5_PX

Normative Answer List LL3121-2

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

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94165-8 PROMIS parent proxy - global health 7 - version 1.0

75896-1 How often does your child feel that you listen to his or her ideas?

Fully-Specified Name

Component
How often does your child feel that you listen to his or her ideas
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS.PARENTPROXY

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.65
Order vs. Observation
Observation

Survey Question

Text
How often does your child feel that you listen to his or her ideas?
Source
PedGlobal6_PX

Normative Answer List LL3121-2

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

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94165-8 PROMIS parent proxy - global health 7 - version 1.0

75419-2 PCORI patient-reported outcomes recommended measures [PROMIS]

Fully-Specified Name

Component
PCORI patient-reported outcomes recommended measures
Property
-
Time
Pt
System
^Patient
Scale
-
Method
PROMIS

Basic Attributes

Class
PANEL.SURVEY.PCORI
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.50
Order vs. Observation
Order
Panel Type
Panel

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]

61579-9 In general, how would you rate your physical health?

Fully-Specified Name

Component
In general, how would you rate your physical health
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
In general, how would you rate your physical health?
Source
Global03

Normative Answer List LL1012-5

Answer Code Score Answer ID
Excellent 5 LA9206-9
Very Good 4 LA13913-1
Good 3 LA8967-7
Fair 2 LA8968-5
Poor 1 LA8969-3

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94257-3 PROMIS pediatric - global health 7 - version 1.0
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2

61580-7 In general, how would you rate your mental health, including your mood and your ability to think?

Fully-Specified Name

Component
In general, how would you rate your mental health, including your mood and your ability to think
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 2.68
Change Reason
Release 2.68: COMPONENT: Added , after "In general" to accurately represent the form.

Survey Question

Text
In general, how would you rate your mental health, including your mood and your ability to think?
Source
Global04

Normative Answer List LL1012-5

Answer Code Score Answer ID
Excellent 5 LA9206-9
Very Good 4 LA13913-1
Good 3 LA8967-7
Fair 2 LA8968-5
Poor 1 LA8969-3

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94257-3 PROMIS pediatric - global health 7 - version 1.0
61576-5 PROMIS short form - global - version 1.1
85524-7 PROMIS short form - global - version 1.2

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

68513-1 How many days in the past week did you miss taking one or more of your medications?

Fully-Specified Name

Component
How many D in the past W did you miss taking one or more of your medications
Property
NRat
Time
1W
System
^Patient
Scale
Qn
Method
SAMHSA

Basic Attributes

Class
SURVEY.SAMHSA
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.54

Survey Question

Text
How many days in the past week did you miss taking one or more of your medications?

Member of these Panels

LOINC Long Common Name
68899-4 Core behavioral and psychosocial data elements for the electronic health record [SAMHSA]
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]

Example Units

Unit Source
d/wk Example UCUM Units

75412-7 Using any number from 0 to 10, where 0 is the worst health care possible and 10 is the best health care possible, what number would you use to rate all your health care in the last 12 months?

Fully-Specified Name

Component
Rate all your health care in the last 12Mo
Property
Score
Time
12Mo
System
^Patient
Scale
Ord
Method
AHRQ

Basic Attributes

Class
SURVEY.AHRQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.61
Change Reason
Changed "months" to "Mo" in the Component based on current LOINC model.
Order vs. Observation
Observation

Survey Question

Text
Using any number from 0 to 10, where 0 is the worst health care possible and 10 is the best health care possible, what number would you use to rate all your health care in the last 12 months?
Source
AHRQ_CAHPS4.0

Example Answer List LL3005-7

Answer Code Score Answer ID
0 - worst health care 0 LA21399-3
1 1 LA6112-2
2 or more 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 - best health care 10 LA21400-9

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]

Example Units

Unit Source
{score} Example UCUM Units

75413-5 Indicate how much you agree or disagree - I have a good life

Fully-Specified Name

Component
I have a good life
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NIH Toolbox

Basic Attributes

Class
SURVEY.NIH_TOOLBOX
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.65
Order vs. Observation
Observation

Survey Question

Text
Indicate how much you agree or disagree - I have a good life
Source
PA070

Normative Answer List LL1352-5

Answer Code Score Answer ID
Strongly disagree 1 LA15236-5
Disagree 2 LA15773-7
Neither agree nor disagree 3 LA15240-7
Agree 4 LA15774-5
Strongly agree 5 LA15237-3

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]

75908-4 In general, how would you rate your child's physical health?

Fully-Specified Name

Component
In general, how would you rate your child's physical health
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS.PARENTPROXY

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.65
Order vs. Observation
Observation

Survey Question

Text
In general, how would you rate your child's physical health?
Source
Global03_PX

Normative Answer List LL1012-5

Answer Code Score Answer ID
Excellent 5 LA9206-9
Very Good 4 LA13913-1
Good 3 LA8967-7
Fair 2 LA8968-5
Poor 1 LA8969-3

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94165-8 PROMIS parent proxy - global health 7 - version 1.0

75900-1 In general, how would you rate your child's mental health, including mood and ability to think?

Fully-Specified Name

Component
In general, how would you rate your child's mental health, including mood and ability to think
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS.PARENTPROXY

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.65
Order vs. Observation
Observation

Survey Question

Text
In general, how would you rate your child's mental health, including mood and ability to think?
Source
Global04_PX

Normative Answer List LL1012-5

Answer Code Score Answer ID
Excellent 5 LA9206-9
Very Good 4 LA13913-1
Good 3 LA8967-7
Fair 2 LA8968-5
Poor 1 LA8969-3

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94165-8 PROMIS parent proxy - global health 7 - version 1.0

75895-3 In the past 7 days - My child felt uneasy

Fully-Specified Name

Component
My child felt uneasy in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS.PARENTPROXY

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.65
Order vs. Observation
Observation

Survey Question

Text
In the past 7 days - My child 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
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]

75902-7 In the past 7 days - How many days in the past week did your child miss taking one or more medications?

Fully-Specified Name

Component
How many D in the past W did your child miss taking one or more medications
Property
Num
Time
1W
System
^Patient
Scale
Qn
Method
SAMHSA

Basic Attributes

Class
SURVEY.SAMHSA
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.54
Order vs. Observation
Observation

Survey Question

Text
In the past 7 days - How many days in the past week did your child miss taking one or more medications?

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]

Example Units

Unit Source
{#} Example UCUM Units

75901-9 Using any number from 0 to 10, where 0 is the worst health care possible and 10 is the best health care possible, what number would you use to rate all your child's health care in the last 12 months?

Fully-Specified Name

Component
Rate all your child's health care in the last 12Mo
Property
Score
Time
12Mo
System
^Patient
Scale
Qn
Method
AHRQ

Basic Attributes

Class
SURVEY.AHRQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.61
Change Reason
Changed 12 Mos to 12Mo in Component Name based on current LOINC model
Order vs. Observation
Observation

Survey Question

Text
Using any number from 0 to 10, where 0 is the worst health care possible and 10 is the best health care possible, what number would you use to rate all your child's health care in the last 12 months?

Normative Answer List LL3005-7

Answer Code Score Answer ID
0 - worst health care 0 LA21399-3
1 1 LA6112-2
2 or more 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 - best health care 10 LA21400-9

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]

Example Units

Unit Source
{score} Example UCUM Units

75903-5 My child has a good life

Fully-Specified Name

Component
My child has a good life
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
NIH Toolbox

Basic Attributes

Class
SURVEY.NIH_TOOLBOX
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.58
Order vs. Observation
Observation

Survey Question

Text
My child has a good life

Normative Answer List LL1352-5

Answer Code Score Answer ID
Strongly disagree 1 LA15236-5
Disagree 2 LA15773-7
Neither agree nor disagree 3 LA15240-7
Agree 4 LA15774-5
Strongly agree 5 LA15237-3

Member of these Panels

LOINC Long Common Name
75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]