Version 2.77

89673-8 In the past 7 days - How much did you worry about pain

Observation ID in Form

PAININ4

Fully-Specified Name

Component
How much did you worry about pain in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
In the past 7 days - How much did you worry about pain
Source
PAININ4

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1

61760-5 In the past 7 days - How often did you feel emotionally tense because of your pain?

Observation ID in Form

PAININ11

Fully-Specified Name

Component
How often did you feel emotionally tense because of your 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

Survey Question

Text
In the past 7 days - How often did you feel emotionally tense because of your pain?
Source
PAININ11

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1

61793-6 In the past 7 days - How irritable did you feel because of pain?

Observation ID in Form

PAININ56

Fully-Specified Name

Component
How irritable did you feel because of 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

Survey Question

Text
In the past 7 days - How irritable did you feel because of pain?
Source
PAININ56

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1

61754-8 In the past 7 days - How difficult was it for you to take in new information because of pain?

Observation ID in Form

PAININ1

Fully-Specified Name

Component
How difficult was it for you to take in new information because of 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

Survey Question

Text
In the past 7 days - How difficult was it for you to take in new information because of pain?
Source
PAININ1

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1

61794-4 In the past 7 days - How much did pain interfere with your enjoyment of life?

Observation ID in Form

PAININ3

Fully-Specified Name

Component
How much did pain interfere with your enjoyment of life 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 enjoyment of life?
Source
PAININ3

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
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
62193-8 PROMIS short form - pain interference 6b - version 1.0
75870-6 PROMIS short form - pain interference 8a - version 1.0

61755-5 In the past 7 days - How much did pain interfere with your ability to participate in leisure activities?

Observation ID in Form

PAININ5

Fully-Specified Name

Component
How much did pain interfere with your ability to participate in leisure 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 ability to participate in leisure activities?
Source
PAININ5

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1

61756-3 In the past 7 days - How much did pain interfere with your close personal relationships?

Observation ID in Form

PAININ6

Fully-Specified Name

Component
How much did pain interfere with your close personal relationships 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 close personal relationships?
Source
PAININ6

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1

61757-1 In the past 7 days - How much did pain interfere with your ability to concentrate?

Observation ID in Form

PAININ8

Fully-Specified Name

Component
How much did pain interfere with your ability to concentrate 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 ability to concentrate?
Source
PAININ8

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1
62193-8 PROMIS short form - pain interference 6b - version 1.0

61758-9 In the past 7 days - How much did pain interfere with your day to day activities?

Observation ID in Form

PAININ9

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

61759-7 In the past 7 days - How much did pain interfere with your enjoyment of recreational activities?

Observation ID in Form

PAININ10

Fully-Specified Name

Component
How much did pain interfere with your enjoyment of recreational 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 enjoyment of recreational activities?
Source
PAININ10

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1
62193-8 PROMIS short form - pain interference 6b - version 1.0

61761-3 In the past 7 days - How much did pain interfere with the things you usually do for fun?

Observation ID in Form

PAININ12

Fully-Specified Name

Component
How much did pain interfere with the things you usually do for fun 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 the things you usually do for fun?
Source
PAININ12

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
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
90973-9 PROMIS short form - pain interference 6a - version 1.0
75870-6 PROMIS short form - pain interference 8a - version 1.0

61762-1 In the past 7 days - How much did pain interfere with your family life?

Observation ID in Form

PAININ13

Fully-Specified Name

Component
How much did pain interfere with your family life 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 family life?
Source
PAININ13

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
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
75870-6 PROMIS short form - pain interference 8a - version 1.0

61763-9 In the past 7 days - How much did pain interfere with doing your tasks away from home (e.g., getting groceries, running errands)?

Observation ID in Form

PAININ14

Fully-Specified Name

Component
How much did pain interfere with doing your tasks away from home (e.g., getting groceries, running errands) 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 doing your tasks away from home (e.g., getting groceries, running errands)?
Source
PAININ14

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1
62193-8 PROMIS short form - pain interference 6b - version 1.0

89671-2 In the past 7 days - How much did pain interfere with your ability to pay attention

Observation ID in Form

PAININ15

Fully-Specified Name

Component
How much did pain interfere with your ability to pay attention in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
In the past 7 days - How much did pain interfere with your ability to pay attention
Source
PAININ15

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1

61765-4 In the past 7 days - How much did pain interfere with your relationships with other people?

Observation ID in Form

PAININ17

Fully-Specified Name

Component
How much did pain interfere with your relationships with other people 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 relationships with other people?
Source
PAININ17

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1

61766-2 In the past 7 days - How much did pain interfere with your ability to work (include work at home)?

Observation ID in Form

PAININ18

Fully-Specified Name

Component
How much did pain interfere with your ability to work (include work at home) 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 ability to work (include work at home)?
Source
PAININ18

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1

61769-6 In the past 7 days - How much did pain interfere with work around the home?

Observation ID in Form

PAININ22

Fully-Specified Name

Component
How much did pain interfere with work around the home 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 work around the home?
Source
PAININ22

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
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
75870-6 PROMIS short form - pain interference 8a - version 1.0

61773-8 In the past 7 days - How much did pain interfere with your ability to participate in social activities?

Observation ID in Form

PAININ31

Fully-Specified Name

Component
How much did pain interfere with your ability to participate in social 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 ability to participate in social activities?
Source
PAININ31

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
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
75870-6 PROMIS short form - pain interference 8a - version 1.0

61775-3 In the past 7 days - How much did pain interfere with your household chores?

Observation ID in Form

PAININ34

Fully-Specified Name

Component
How much did pain interfere with your household chores 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 household chores?
Source
PAININ34

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
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
75870-6 PROMIS short form - pain interference 8a - version 1.0

61776-1 In the past 7 days - How much did pain interfere with your ability to make trips from home that kept you gone for more than 2 hours?

Observation ID in Form

PAININ35

Fully-Specified Name

Component
How much did pain interfere with your ability to make trips from home that kept you gone for more than 2H 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
Changed "hours" to "H" in the Component based on the current LOINC model.

Survey Question

Text
In the past 7 days - How much did pain interfere with your ability to make trips from home that kept you gone for more than 2 hours?
Source
PAININ35

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1

61777-9 In the past 7 days - How much did pain interfere with your enjoyment of social activities?

Observation ID in Form

PAININ36

Fully-Specified Name

Component
How much did pain interfere with your enjoyment of social 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 enjoyment of social activities?
Source
PAININ36

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
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
90973-9 PROMIS short form - pain interference 6a - version 1.0
75870-6 PROMIS short form - pain interference 8a - version 1.0

61785-2 In the past 7 days - How much did pain interfere with your ability to do household chores?

Observation ID in Form

PAININ48

Fully-Specified Name

Component
How much did pain interfere with your ability to do household chores 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 ability to do household chores?
Source
PAININ48

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1

61786-0 In the past 7 days - How much did pain interfere with your ability to remember things?

Observation ID in Form

PAININ49

Fully-Specified Name

Component
How much did pain interfere with your ability to remember things 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
Corrected answer list from LL1016-6 to LL1017-4 based on the original PROMIS instruments.

Survey Question

Text
In the past 7 days - How much did pain interfere with your ability to remember things?
Source
PAININ49

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1

61768-8 In the past 7 days - How much did pain feel like a burden to you?

Observation ID in Form

PAININ20

Fully-Specified Name

Component
How much did pain feel like a burden to you 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 feel like a burden to you?
Source
PAININ20

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1

61764-7 In the past 7 days - How often did pain make you feel depressed?

Observation ID in Form

PAININ16

Fully-Specified Name

Component
How often did pain make you feel 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
Change Reason
Corrected answer list from LL1017-4 to LL1016-6 based on the original PROMIS instruments.

Survey Question

Text
In the past 7 days - How often did pain make you feel depressed?
Source
PAININ16

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1

61770-4 In the past 7 days - How often was pain distressing to you?

Observation ID in Form

PAININ24

Fully-Specified Name

Component
How often was pain distressing to you 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
Corrected answer list from LL1017-4 to LL1016-6 based on the original PROMIS instruments.

Survey Question

Text
In the past 7 days - How often was pain distressing to you?
Source
PAININ24

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1

61774-6 In the past 7 days - How often did pain make you feel discouraged?

Observation ID in Form

PAININ32

Fully-Specified Name

Component
How often did pain make you feel discouraged 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 often did pain make you feel discouraged?
Source
PAININ32

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1

61783-7 In the past 7 days - How often did pain make it difficult for you to plan social activities?

Observation ID in Form

PAININ46

Fully-Specified Name

Component
How often did pain make it difficult for you to plan social 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 often did pain make it difficult for you to plan social activities?
Source
PAININ46

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1

61789-4 In the past 7 days - How often was it hard to plan social activities because you didn't know if you would be in pain?

Observation ID in Form

PAININ52

Fully-Specified Name

Component
How often was it hard to plan social activities because you didn't know if you would be in 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

Survey Question

Text
In the past 7 days - How often was it hard to plan social activities because you didn't know if you would be in pain?
Source
PAININ52

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1

61771-2 In the past 7 days - How often did pain keep you from socializing with others?

Observation ID in Form

PAININ26

Fully-Specified Name

Component
How often did pain keep you from socializing with others 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
Corrected answer list from LL1017-4 to LL1016-6 based on the original PROMIS instruments.

Survey Question

Text
In the past 7 days - How often did pain keep you from socializing with others?
Source
PAININ26

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1
62193-8 PROMIS short form - pain interference 6b - version 1.0

61772-0 In the past 7 days - How often was your pain so severe you could think of nothing else?

Observation ID in Form

PAININ29

Fully-Specified Name

Component
How often was your pain so severe you could think of nothing else 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 often was your pain so severe you could think of nothing else?
Source
PAININ29

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1

89672-0 In the past 7 days - How often did pain make it hard for you to walk more than 5 minutes at a time

Observation ID in Form

PAININ30

Fully-Specified Name

Component
How often did pain make it hard for you to walk more than 5 minutes at a time in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
In the past 7 days - How often did pain make it hard for you to walk more than 5 minutes at a time
Source
PAININ30

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1

61788-6 In the past 7 days - How often did pain prevent you from sitting for more than 10 minutes?

Observation ID in Form

PAININ51

Fully-Specified Name

Component
How often did pain prevent you from sitting for more than 10 minutes 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 often did pain prevent you from sitting for more than 10 minutes?
Source
PAININ51

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1

61790-2 In the past 7 days - How often did pain restrict your social life to your home?

Observation ID in Form

PAININ53

Fully-Specified Name

Component
How often did pain restrict your social life to your home 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 often did pain restrict your social life to your home?
Source
PAININ53

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1

61778-7 In the past 7 days - How often did pain make you feel anxious?

Observation ID in Form

PAININ37

Fully-Specified Name

Component
How often did pain make you feel anxious 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 often did pain make you feel anxious?
Source
PAININ37

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
89674-6 PROMIS cancer item bank - pain interference - version 1.1
61753-0 PROMIS item bank - pain interference - version 1.0
89923-7 PROMIS item bank - pain interference - version 1.1

89675-3 PROMIS cancer pain interference - version 1.1 T-score

Fully-Specified Name

Component
PROMIS cancer pain interference - version 1.1 T-score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS

Basic Attributes

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

Member of these Panels

LOINC Long Common Name
89674-6 PROMIS cancer item bank - pain interference - version 1.1

Example Units

Unit Source
{Tscore} Example UCUM Units