76702-0
PROMIS short form - physical function 20a - version 1.0
Active
61597-1 Are you able to do chores such as vacuuming or yard work?
Fully-Specified Name
- Component
- Are you able to do chores such as vacuuming or yard work
- 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 do chores such as vacuuming or yard work?
- Source
- Mobility-FA11
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 |
|---|---|
| 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 |
| 62199-5 | PROMIS short form - physical function 10a - version 1.0 |
| 92580-0 | PROMIS short form - physical function 10a - 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 |
| 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
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
61602-9 Are you able to dress yourself, including tying shoelaces and doing buttons?
Fully-Specified Name
- Component
- Are you able to dress yourself, including tying shoelaces and doing buttons
- 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 dress yourself, including tying shoelaces and doing buttons?
- Source
- Mobility-FA16
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 |
|---|---|
| 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
61617-7 Are you able to wash your back?
Fully-Specified Name
- Component
- Are you able to wash your back
- 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 your back?
- Source
- Mobility-FA34
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 |
|---|---|
| 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 |
| 76702-0 | PROMIS short form - physical function 20a - version 1.0 |
| 92605-5 | PROMIS short form - upper extremity 7a - 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
61621-9 Are you able to dry your back with a towel?
Fully-Specified Name
- Component
- Are you able to dry your back with a towel
- 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 dry your back with a towel?
- Source
- Mobility-FA38
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 |
|---|---|
| 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 |
| 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
61633-4 Are you able to sit on the edge of a bed?
Fully-Specified Name
- Component
- Are you able to sit on the edge of a bed
- 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 sit on the edge of a bed?
- Source
- Mobility-FA51
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 |
|---|---|
| 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 |
| 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
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
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
61654-0 Are you able to squeeze a new tube of toothpaste?
Fully-Specified Name
- Component
- Are you able to squeeze a new tube of toothpaste
- 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 squeeze a new tube of toothpaste?
- Source
- PFB19
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 |
|---|---|
| 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 |
| 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
61657-3 Are you able to hold a plate full of food?
Fully-Specified Name
- Component
- Are you able to hold a plate full of food
- 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 hold a plate full of food?
- Source
- PFB22
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 |
| 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 |
| 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
61659-9 Are you able to run a short distance, such as to catch a bus?
Fully-Specified Name
- Component
- Are you able to run a short distance, such as to catch a bus
- 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 a short distance, such as to catch a bus?
- Source
- PFB24
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 |
|---|---|
| 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 |
| 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
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
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
61705-0 Are you able to transfer from a bed to a chair and back?
Fully-Specified Name
- Component
- Are you able to transfer from a bed to a chair and back
- 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 transfer from a bed to a chair and back?
- Source
- PFC46
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 |
|---|---|
| 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 |
| 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
61588-0 Does your health now limit you in doing vigorous activities, such as running, lifting heavy objects, participating in strenuous sports?
Fully-Specified Name
- Component
- Does your health now limit you in doing vigorous activities, such as running, lifting heavy objects, participating in strenuous sports
- 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
- Does your health now limit you in doing vigorous activities, such as running, lifting heavy objects, participating in strenuous sports?
- Source
- Mobility-FA1
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 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 |
| 62199-5 | PROMIS short form - physical function 10a - version 1.0 |
| 92580-0 | PROMIS short form - physical function 10a - 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
61589-8 Does your health now limit you in bending, kneeling, or stooping?
Fully-Specified Name
- Component
- Does your health now limit you in bending, kneeling, or stooping
- 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
- Does your health now limit you in bending, kneeling, or stooping?
- Source
- Mobility-FA3
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 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 |
| 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
61591-4 Does your health now limit you in lifting or carrying groceries?
Fully-Specified Name
- Component
- Does your health now limit you in lifting or carrying groceries
- 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
- Does your health now limit you in lifting or carrying groceries?
- Source
- Mobility-FA5
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89689-4 | PROMIS cancer item bank - physical function - version 1.1 |
| 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 |
| 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 |
| 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
61688-8 Does your health now limit you in doing two hours of physical labor?
Fully-Specified Name
- Component
- Does your health now limit you in doing 2H of physical labor
- 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 2.66
- Change Reason
- Changed "two hours" in "2H" in Component based on the LOINC model.; Updated the Component text and Survey Question text (added "now") to align with the PROMIS survey question text.
Survey Question
- Text
- Does your health now limit you in doing two hours of physical labor?
- Source
- PFC12
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 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 |
| 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
61697-9 Does your health now limit you in walking more than a mile?
Fully-Specified Name
- Component
- Does your health now limit you in walking more than a mile
- 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 2.66
- Change Reason
- Updated the Component text and Survey Question text (added "now") to align with the PROMIS survey question text.
Survey Question
- Text
- Does your health now limit you in walking more than a mile?
- Source
- PFC36
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 61587-2 | PROMIS item bank - physical function - version 1.0 |
| 91722-9 | PROMIS item bank - physical function - version 2.0 |
| 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
61698-7 Does your health now limit you in climbing one flight of stairs?
Fully-Specified Name
- Component
- Does your health now limit you in climbing one flight of stairs
- 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 2.66
- Change Reason
- Updated the Component text and Survey Question text (added "now") to align with the PROMIS survey question text.
Survey Question
- Text
- Does your health now limit you in climbing one flight of stairs?
- Source
- PFC37
Normative Answer List LL1021-6
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Not at all | 5 | LA6568-5 | |
| Very little | 4 | LA13947-9 | |
| Somewhat | 3 | LA13909-9 | |
| Quite a lot | 2 | LA11911-7 | |
| Cannot do | 1 | LA13868-7 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 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 |
| 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
77817-5 PROMIS short form - physical function 20a - version 1.0 raw score
Fully-Specified Name
- Component
- PROMIS short form - physical function 20a - version 1.0 raw score
- Property
- Score
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.52
- Last Updated
- Version 2.52
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 76702-0 | PROMIS short form - physical function 20a - version 1.0 |
Example Units
| Unit | Source |
|---|---|
| {score} | Example UCUM Units |
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
77866-2 PROMIS physical function - version 1.0 Tscore
Fully-Specified Name
- Component
- PROMIS physical function - version 1.0 T-score
- Property
- Tscore
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- PROMIS
Basic Attributes
- Class
- SURVEY.PROMIS
- Type
- Surveys
- First Released
- Version 2.52
- Last Updated
- Version 2.52
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 76464-7 | American Physical Therapy Association registry panel |
| 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 |
| 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 |
Example Units
| Unit | Source |
|---|---|
| {Tscore} | Example UCUM Units |
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