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

Long Common Name

Are you able to do chores such as vacuuming or yard work [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
62337-1PROMIS item bank - 29 profile
62336-3PROMIS item bank - 43 profile
62338-9PROMIS item bank - 57 profile
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
62199-5PROMIS short form - physical function 10a - version 1.0
92580-0PROMIS short form - physical function 10a - version 2.0
92579-2PROMIS short form - physical function 10b - version 2.0
76702-0PROMIS short form - physical function 20a - version 1.0
76700-4PROMIS short form - physical function 4a - version 1.0
76804-4PROMIS short form - physical function 6b - version 1.2
76805-1PROMIS short form - physical function 8b - version 1.2

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

Long Common Name

Are you able to push open a heavy door [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
67893-8Neuro-Qol item bank - lower extremity - version 1.0
67907-6Neuro-Qol short form - lower extremity - version 1.0
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
76702-0PROMIS short form - physical function 20a - version 1.0

61599-7 Are you able to exercise for an hour?

Fully-Specified Name

Component
Are you able to exercise for an hour
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to exercise for an hour [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0

Member of these Groups Get Info

LOINC GroupGroup Name
LG41761-4Exercise/Activity

61600-3 Are you able to carry a heavy object (over 10 pounds)?

Fully-Specified Name

Component
Are you able to carry a heavy object (over 10 pounds)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to carry a heavy object (over 10 pounds) [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0

61604-5 Are you able to use a hammer to pound a nail?

Fully-Specified Name

Component
Are you able to use a hammer to pound a nail
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to use a hammer to pound a nail [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
79062-6PROMIS item bank - physical function w mobility aids - version 1.0
91611-4PROMIS item bank - upper extremity - version 2.0

61605-2 Are you able to run or jog for two miles?

Fully-Specified Name

Component
Are you able to run or jog for two miles
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to run or jog for two miles [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0

61607-8 Are you able to go up and down stairs at a normal pace?

Fully-Specified Name

Component
Are you able to go up and down stairs at a normal pace
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to go up and down stairs at a normal pace [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
62337-1PROMIS item bank - 29 profile
62336-3PROMIS item bank - 43 profile
62338-9PROMIS item bank - 57 profile
91613-0PROMIS item bank - mobility - version 2.0
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
92579-2PROMIS short form - physical function 10b - version 2.0
76700-4PROMIS short form - physical function 4a - version 1.0
76804-4PROMIS short form - physical function 6b - version 1.2
76805-1PROMIS short form - physical function 8b - version 1.2

89682-9 Are you able to climb several flights of stairs?

Fully-Specified Name

Component
Are you able to climb several flights of stairs
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to climb several flights of stairs [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1

61610-2 Are you able to do yard work like raking leaves, weeding, or pushing a lawn mower?

Fully-Specified Name

Component
Are you able to do yard work like raking leaves, weeding, or pushing a lawn mower
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to do yard work like raking leaves, weeding, or pushing a lawn mower [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0

89683-7 Are you able to do two hours of physical labor?

Fully-Specified Name

Component
Are you able to do 2H of physical labor
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to do two hours of physical labor [PROMIS]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.65
Last Updated
Version 2.66 (NAM)
Order vs. Observation
Observation

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1

89684-5 Are you able to run on uneven ground?

Fully-Specified Name

Component
Are you able to run on uneven ground
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to run on uneven ground [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
91722-9PROMIS item bank - physical function - version 2.0

61612-8 Are you able to pull heavy objects (10 pounds) towards yourself?

Fully-Specified Name

Component
Are you able to pull heavy objects (10 pounds) towards yourself
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to pull heavy objects (10 pounds) towards yourself [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0

61614-4 Are you able to get up off the floor from lying on your back without help?

Fully-Specified Name

Component
Are you able to get up off the floor from lying on your back without help
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to get up off the floor from lying on your back without help [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
67893-8Neuro-Qol item bank - lower extremity - version 1.0
67907-6Neuro-Qol short form - lower extremity - version 1.0
89689-4PROMIS cancer item bank - physical function - version 1.1
91613-0PROMIS item bank - mobility - version 2.0
61587-2PROMIS item bank - physical function - version 1.0

61624-3 Are you able to squat and get up?

Fully-Specified Name

Component
Are you able to squat and get up
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to squat and get up [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
79062-6PROMIS item bank - physical function w mobility aids - version 1.0

61625-0 Are you able to carry a laundry basket up a flight of stairs?

Fully-Specified Name

Component
Are you able to carry a laundry basket up a flight of stairs
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to carry a laundry basket up a flight of stairs [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
79062-6PROMIS item bank - physical function w mobility aids - version 1.0

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

Long Common Name

Are you able to run errands and shop [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89070-7ADAPTABLE patient reported item set [ADAPTABLE]
67893-8Neuro-Qol item bank - lower extremity - version 1.0
67907-6Neuro-Qol short form - lower extremity - version 1.0
75418-4PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
89689-4PROMIS cancer item bank - physical function - version 1.1
62337-1PROMIS item bank - 29 profile
62336-3PROMIS item bank - 43 profile
62338-9PROMIS item bank - 57 profile
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
92579-2PROMIS short form - physical function 10b - version 2.0
76700-4PROMIS short form - physical function 4a - version 1.0
76804-4PROMIS short form - physical function 6b - version 1.2
76805-1PROMIS short form - physical function 8b - version 1.2

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

Long Common Name

Are you able to get in and out of a car [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
67893-8Neuro-Qol item bank - lower extremity - version 1.0
67907-6Neuro-Qol short form - lower extremity - version 1.0
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
92579-2PROMIS short form - physical function 10b - version 2.0
76702-0PROMIS short form - physical function 20a - version 1.0

61594-8 Are you able to move a chair from one room to another?

Fully-Specified Name

Component
Are you able to move a chair from one room to another
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to move a chair from one room to another [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
79062-6PROMIS item bank - physical function w mobility aids - version 1.0

61595-5 Are you able to bend down and pick up clothing from the floor?

Fully-Specified Name

Component
Are you able to bend down and pick up clothing from the floor
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to bend down and pick up clothing from the floor [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
67892-0Neuro-Qol item bank - upper extremity - version 1.0
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
92579-2PROMIS short form - physical function 10b - version 2.0

61645-8 Are you able to climb up five steps?

Fully-Specified Name

Component
Are you able to climb up five steps
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to climb up five steps [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
91613-0PROMIS item bank - mobility - version 2.0
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
79062-6PROMIS item bank - physical function w mobility aids - version 1.0

61646-6 Are you able to wash dishes, pots, and utensils by hand while standing at a sink?

Fully-Specified Name

Component
Are you able to wash dishes, pots, and utensils by hand while standing at a sink
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to wash dishes, pots, and utensils by hand while standing at a sink [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
79062-6PROMIS item bank - physical function w mobility aids - version 1.0
91611-4PROMIS item bank - upper extremity - version 2.0

61647-4 Are you able to make a bed, including spreading and tucking in bed sheets?

Fully-Specified Name

Component
Are you able to make a bed, including spreading and tucking in bed sheets
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to make a bed, including spreading and tucking in bed sheets [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
79062-6PROMIS item bank - physical function w mobility aids - version 1.0

61648-2 Are you able to carry a shopping bag or briefcase?

Fully-Specified Name

Component
Are you able to carry a shopping bag or briefcase
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to carry a shopping bag or briefcase [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
79062-6PROMIS item bank - physical function w mobility aids - version 1.0
91611-4PROMIS item bank - upper extremity - version 2.0
92605-5PROMIS short form - upper extremity 7a - version 2.0

61652-4 Are you able to put on and take off your socks?

Fully-Specified Name

Component
Are you able to put on and take off your socks
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to put on and take off your socks [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0

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

Long Common Name

Are you able to run a short distance, such as to catch a bus [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
91613-0PROMIS item bank - mobility - version 2.0
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
76702-0PROMIS short form - physical function 20a - version 1.0

61667-2 Are you able to stand unsupported for 10 minutes?

Fully-Specified Name

Component
Are you able to stand unsupported for 10 minutes
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to stand unsupported for 10 minutes [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
91613-0PROMIS item bank - mobility - version 2.0
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
79062-6PROMIS item bank - physical function w mobility aids - version 1.0

61675-5 Are you able to stand unsupported for 30 minutes?

Fully-Specified Name

Component
Are you able to stand unsupported for 30 minutes
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to stand unsupported for 30 minutes [PROMIS]

Basic Attributes

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

Normative Answer List LL1022-4

AnswerCodeScoreAnswer ID
Without any difficulty5LA13921-4
With a little difficulty4LA13918-0
With some difficulty3LA13920-6
With much difficulty2LA13919-8
Unable to do1LA13912-3

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
91613-0PROMIS item bank - mobility - version 2.0
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
79062-6PROMIS item bank - physical function w mobility aids - version 1.0

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

Long Common Name

Does your health now limit you in doing vigorous activities, such as running, lifting heavy objects, participating in strenuous sports [PROMIS]

Basic Attributes

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

Normative Answer List LL1021-6

AnswerCodeScoreAnswer ID
Not at all5LA6568-5
Very little4LA13947-9
Somewhat3LA13909-9
Quite a lot2LA11911-7
Cannot do1LA13868-7

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
62199-5PROMIS short form - physical function 10a - version 1.0
92580-0PROMIS short form - physical function 10a - version 2.0
92579-2PROMIS short form - physical function 10b - version 2.0
76702-0PROMIS short form - physical function 20a - version 1.0

89681-1 Does your health now limit you in exercising regularly?

Fully-Specified Name

Component
Does your health now limit you in exercising regularly
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in exercising regularly [PROMIS]

Basic Attributes

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

Normative Answer List LL1021-6

AnswerCodeScoreAnswer ID
Not at all5LA6568-5
Very little4LA13947-9
Somewhat3LA13909-9
Quite a lot2LA11911-7
Cannot do1LA13868-7

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
91722-9PROMIS item bank - physical function - version 2.0

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

Long Common Name

Does your health now limit you in bending, kneeling, or stooping [PROMIS]

Basic Attributes

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

Normative Answer List LL1021-6

AnswerCodeScoreAnswer ID
Not at all5LA6568-5
Very little4LA13947-9
Somewhat3LA13909-9
Quite a lot2LA11911-7
Cannot do1LA13868-7

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
62199-5PROMIS short form - physical function 10a - version 1.0
92580-0PROMIS short form - physical function 10a - version 2.0
76702-0PROMIS short form - physical function 20a - version 1.0

61590-6 Does your health now limit you in doing heavy work around the house like scrubbing floors, or lifting or moving heavy furniture?

Fully-Specified Name

Component
Does your health now limit you in doing heavy work around the house like scrubbing floors, or lifting or moving heavy furniture
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in doing heavy work around the house like scrubbing floors, or lifting or moving heavy furniture [PROMIS]

Basic Attributes

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

Normative Answer List LL1021-6

AnswerCodeScoreAnswer ID
Not at all5LA6568-5
Very little4LA13947-9
Somewhat3LA13909-9
Quite a lot2LA11911-7
Cannot do1LA13868-7

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
62338-9PROMIS item bank - 57 profile
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
76805-1PROMIS short form - physical function 8b - version 1.2

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

Long Common Name

Does your health now limit you in lifting or carrying groceries [PROMIS]

Basic Attributes

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

Normative Answer List LL1021-6

AnswerCodeScoreAnswer ID
Not at all5LA6568-5
Very little4LA13947-9
Somewhat3LA13909-9
Quite a lot2LA11911-7
Cannot do1LA13868-7

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
62338-9PROMIS item bank - 57 profile
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
62199-5PROMIS short form - physical function 10a - version 1.0
92580-0PROMIS short form - physical function 10a - version 2.0
76702-0PROMIS short form - physical function 20a - version 1.0
76805-1PROMIS short form - physical function 8b - version 1.2

61592-2 Does your health now limit you in bathing or dressing yourself?

Fully-Specified Name

Component
Does your health now limit you in bathing or dressing yourself
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in bathing or dressing yourself [PROMIS]

Basic Attributes

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

Normative Answer List LL1021-6

AnswerCodeScoreAnswer ID
Not at all5LA6568-5
Very little4LA13947-9
Somewhat3LA13909-9
Quite a lot2LA11911-7
Cannot do1LA13868-7

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
92579-2PROMIS short form - physical function 10b - version 2.0

61639-1 Does your health now limit you in doing moderate work around the house like vacuuming, sweeping floors or carrying in groceries?

Fully-Specified Name

Component
Does your health now limit you in doing moderate work around the house like vacuuming, sweeping floors or carrying in groceries
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in doing moderate work around the house like vacuuming, sweeping floors or carrying in groceries [PROMIS]

Basic Attributes

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

Normative Answer List LL1021-6

AnswerCodeScoreAnswer ID
Not at all5LA6568-5
Very little4LA13947-9
Somewhat3LA13909-9
Quite a lot2LA11911-7
Cannot do1LA13868-7

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
62336-3PROMIS item bank - 43 profile
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
76804-4PROMIS short form - physical function 6b - version 1.2
76805-1PROMIS short form - physical function 8b - version 1.2

61640-9 Does your health now limit you in putting a trash bag outside?

Fully-Specified Name

Component
Does your health now limit you in putting a trash bag outside
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in putting a trash bag outside [PROMIS]

Basic Attributes

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

Normative Answer List LL1021-6

AnswerCodeScoreAnswer ID
Not at all5LA6568-5
Very little4LA13947-9
Somewhat3LA13909-9
Quite a lot2LA11911-7
Cannot do1LA13868-7

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
92579-2PROMIS short form - physical function 10b - version 2.0

61676-3 Does your health now limit you in taking care of your personal needs (dress, comb hair, toilet, eat, bathe)?

Fully-Specified Name

Component
Does your health now limit you in taking care of your personal needs (dress, comb hair, toilet, eat, bathe)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in taking care of your personal needs (dress, comb hair, toilet, eat, bathe) [PROMIS]

Basic Attributes

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

Normative Answer List LL1021-6

AnswerCodeScoreAnswer ID
Not at all5LA6568-5
Very little4LA13947-9
Somewhat3LA13909-9
Quite a lot2LA11911-7
Cannot do1LA13868-7

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0

61677-1 Does your health now limit you in doing moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf?

Fully-Specified Name

Component
Does your health now limit you in doing moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in doing moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf [PROMIS]

Basic Attributes

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

Normative Answer List LL1021-6

AnswerCodeScoreAnswer ID
Not at all5LA6568-5
Very little4LA13947-9
Somewhat3LA13909-9
Quite a lot2LA11911-7
Cannot do1LA13868-7

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0
92579-2PROMIS short form - physical function 10b - version 2.0

89685-2 Does your health now limit you in doing housework or jobs around the house?

Fully-Specified Name

Component
Does your health now limit you in doing housework or jobs around the house
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in doing housework or jobs around the house [PROMIS]

Basic Attributes

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

Normative Answer List LL1021-6

AnswerCodeScoreAnswer ID
Not at all5LA6568-5
Very little4LA13947-9
Somewhat3LA13909-9
Quite a lot2LA11911-7
Cannot do1LA13868-7

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1

89686-0 Does your health now limit you in doing recreational activities which require little exertion (e.g., card playing, knitting, etc.)?

Fully-Specified Name

Component
Does your health now limit you in doing recreational activities which require little exertion (e.g., card playing, knitting, etc.)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in doing recreational activities which require little exertion (e.g., card playing, knitting, etc.) [PROMIS]

Basic Attributes

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

Normative Answer List LL1021-6

AnswerCodeScoreAnswer ID
Not at all5LA6568-5
Very little4LA13947-9
Somewhat3LA13909-9
Quite a lot2LA11911-7
Cannot do1LA13868-7

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1

61679-7 Does your health now limit you in going for a short walk (less than 15 minutes)?

Fully-Specified Name

Component
Does your health now limit you in going for a short walk (less than 15 minutes)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in going for a short walk (less than 15 minutes) [PROMIS]

Basic Attributes

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

Normative Answer List LL1021-6

AnswerCodeScoreAnswer ID
Not at all5LA6568-5
Very little4LA13947-9
Somewhat3LA13909-9
Quite a lot2LA11911-7
Cannot do1LA13868-7

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
91613-0PROMIS item bank - mobility - version 2.0
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0

61641-7 Does your health now limit you in hiking a couple of miles on uneven surfaces, including hills?

Fully-Specified Name

Component
Does your health now limit you in hiking a couple of miles on uneven surfaces, including hills
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in hiking a couple of miles on uneven surfaces, including hills [PROMIS]

Basic Attributes

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

Normative Answer List LL1021-6

AnswerCodeScoreAnswer ID
Not at all5LA6568-5
Very little4LA13947-9
Somewhat3LA13909-9
Quite a lot2LA11911-7
Cannot do1LA13868-7

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0

61681-3 Does your health now limit you in participating in active sports such as swimming, tennis, or basketball?

Fully-Specified Name

Component
Does your health now limit you in participating in active sports such as swimming, tennis, or basketball
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in participating in active sports such as swimming, tennis, or basketball [PROMIS]

Basic Attributes

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

Normative Answer List LL1021-6

AnswerCodeScoreAnswer ID
Not at all5LA6568-5
Very little4LA13947-9
Somewhat3LA13909-9
Quite a lot2LA11911-7
Cannot do1LA13868-7

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0

89687-8 Does your health now limit you in pursuing your hobbies or other leisure activities?

Fully-Specified Name

Component
Does your health now limit you in pursuing your hobbies or other leisure activities
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in pursuing your hobbies or other leisure activities [PROMIS]

Basic Attributes

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

Normative Answer List LL1021-6

AnswerCodeScoreAnswer ID
Not at all5LA6568-5
Very little4LA13947-9
Somewhat3LA13909-9
Quite a lot2LA11911-7
Cannot do1LA13868-7

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1

89688-6 Does your health now limit you in traveling out of town for an overnight stay?

Fully-Specified Name

Component
Does your health now limit you in traveling out of town for an overnight stay
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in traveling out of town for an overnight stay [PROMIS]

Basic Attributes

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

Normative Answer List LL1021-6

AnswerCodeScoreAnswer ID
Not at all5LA6568-5
Very little4LA13947-9
Somewhat3LA13909-9
Quite a lot2LA11911-7
Cannot do1LA13868-7

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1

61680-5 How much difficulty do you have doing your daily physical activities, because of your health?

Fully-Specified Name

Component
How much difficulty do you have doing your daily physical activities, because of your health
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

How much difficulty do you have doing your daily physical activities, because of your health [PROMIS]

Basic Attributes

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

Normative Answer List LL1026-5

AnswerCodeScoreAnswer ID
No difficulty at all5LA13948-7
A little bit of difficulty4LA13949-5
Some difficulty3LA13950-3
A lot of difficulty2LA13951-1
Can't do because of health1LA13952-9

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1
61587-2PROMIS item bank - physical function - version 1.0
91722-9PROMIS item bank - physical function - version 2.0

89690-2 PROMIS cancer physical function - version 1.1 T-score

Fully-Specified Name

Component
PROMIS cancer physical function - 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 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
89689-4PROMIS cancer item bank - physical function - version 1.1

Example Units

UnitSource
{Tscore}Example UCUM Units