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

Long Common Name

In general, how would you rate your physical health [PROMIS]

Basic Attributes

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

Normative Answer List LL1012-5

AnswerCodeScoreAnswer ID
Excellent5LA9206-9
Very Good4LA13913-1
Good3LA8967-7
Fair2LA8968-5
Poor1LA8969-3

Member of these Panels

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

Long Common Name

In general, how would you rate your mental health, including your mood and your ability to think [PROMIS]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.68 (NAM)
Change Reason
Release 2.68: COMPONENT: Added , after "In general" to accurately represent the form.

Normative Answer List LL1012-5

AnswerCodeScoreAnswer ID
Excellent5LA9206-9
Very Good4LA13913-1
Good3LA8967-7
Fair2LA8968-5
Poor1LA8969-3

Member of these Panels

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

Long Common Name

I felt uneasy in past 7 days

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.79 (MAJ)
Change Reason
Release 2.79: ORDER_OBS: Added the order-OBS as it was missing.;
Order vs. Observation
Observation

Normative Answer List LL1016-6

AnswerCodeScoreAnswer ID
Never1LA6270-8
Rarely2LA10066-1
Sometimes3LA10082-8
Often4LA10044-8
Always5LA9933-8

Member of these Panels

LOINCLong Common Name
67889-6Neuro-Qol item bank - anxiety - version 1.0
67903-5Neuro-Qol short form - anxiety - version 1.0
75418-4PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
62949-3PhenX domain - Gastrointestinal
89679-5PROMIS cancer item bank - emotional distress - anxiety - version 1.0
62337-1PROMIS item bank - 29 profile
62336-3PROMIS item bank - 43 profile
62338-9PROMIS item bank - 57 profile
61922-1PROMIS item bank - emotional distress - anxiety - version 1.0
106881-6PROMIS Item Bank v1.0 - Emotional Distress - Anxiety - Short Form 8a
76344-1PROMIS short form - emotional distress - anxiety 4a - version 1.0
62190-4PROMIS 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

Long Common Name

How many day in the past week did you miss taking one or more of your medications [SAMHSA]

Basic Attributes

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

Member of these Panels

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

Example Units

UnitSource
d/wkExample 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

Long Common Name

Rate all your health care in the last 12 months [AHRQ]

Basic Attributes

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

Example Answer List LL3005-7

AnswerCodeScoreAnswer ID
0 - worst health care0LA21399-3
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
66LA10138-8
77LA10139-6
88LA10140-4
99LA10141-2
10 - best health care10LA21400-9

Member of these Panels

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

Example Units

UnitSource
{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

Long Common Name

I have a good life [NIH Toolbox]

Basic Attributes

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

Normative Answer List LL1352-5

AnswerCodeScoreAnswer ID
Strongly disagree1LA15236-5
Disagree2LA15773-7
Neither agree nor disagree3LA15240-7
Agree4LA15774-5
Strongly agree5LA15237-3

Member of these Panels

LOINCLong Common Name
75418-4PCORI 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

Long Common Name

In general, how would you rate your child's physical health [PROMIS.PARENTPROXY]

Basic Attributes

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

Normative Answer List LL1012-5

AnswerCodeScoreAnswer ID
Excellent5LA9206-9
Very Good4LA13913-1
Good3LA8967-7
Fair2LA8968-5
Poor1LA8969-3

Member of these Panels

LOINCLong Common Name
75418-4PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94165-8PROMIS 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

Long Common Name

In general, how would you rate your child's mental health, including mood and ability to think [PROMIS.PARENTPROXY]

Basic Attributes

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

Normative Answer List LL1012-5

AnswerCodeScoreAnswer ID
Excellent5LA9206-9
Very Good4LA13913-1
Good3LA8967-7
Fair2LA8968-5
Poor1LA8969-3

Member of these Panels

LOINCLong Common Name
75418-4PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
94165-8PROMIS 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

Long Common Name

My child felt uneasy in past 7 days [PROMIS.PARENTPROXY]

Basic Attributes

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

Normative Answer List LL1016-6

AnswerCodeScoreAnswer ID
Never1LA6270-8
Rarely2LA10066-1
Sometimes3LA10082-8
Often4LA10044-8
Always5LA9933-8

Member of these Panels

LOINCLong Common Name
75418-4PCORI 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

Long Common Name

How many days in the past week did your child miss taking one or more medications # [SAMHSA]

Basic Attributes

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

Member of these Panels

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

Example Units

UnitSource
{#}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

Long Common Name

Rate all your child's health care in the last 12 months [AHRQ]

Basic Attributes

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

Normative Answer List LL3005-7

AnswerCodeScoreAnswer ID
0 - worst health care0LA21399-3
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
66LA10138-8
77LA10139-6
88LA10140-4
99LA10141-2
10 - best health care10LA21400-9

Member of these Panels

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

Example Units

UnitSource
{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

Long Common Name

My child has a good life [NIH Toolbox]

Basic Attributes

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

Normative Answer List LL1352-5

AnswerCodeScoreAnswer ID
Strongly disagree1LA15236-5
Disagree2LA15773-7
Neither agree nor disagree3LA15240-7
Agree4LA15774-5
Strongly agree5LA15237-3

Member of these Panels

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