Version 2.80

78081-7 Are you able to carry a heavy object (over 10 pounds /5 kg)?

Fully-Specified Name

Component
Are you able to carry a heavy object (over 10 pounds or 5 kg)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to carry a heavy object (over 10 pounds or 5 kg) [PROMIS]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.65 (MIN)
Order vs. Observation
Observation

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
91722-9 PROMIS item bank - physical function - version 2.0
91611-4 PROMIS item bank - upper extremity - version 2.0
92605-5 PROMIS short form - upper extremity 7a - version 2.0

78048-6 Are you able to dress yourself, including tying shoelaces and buttoning your clothes?

Fully-Specified Name

Component
Are you able to dress yourself, including tying shoelaces and buttoning your clothes
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to dress yourself, including tying shoelaces and buttoning your clothes [PROMIS]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.65 (MIN)
Order vs. Observation
Observation

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
91722-9 PROMIS item bank - physical function - version 2.0
91611-4 PROMIS item bank - upper extremity - version 2.0
92580-0 PROMIS short form - physical function 10a - version 2.0

61603-7 Are you able to reach into a high cupboard?

Fully-Specified Name

Component
Are you able to reach into a high cupboard
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to reach into a high cupboard [PROMIS]

Basic Attributes

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

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

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

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
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

61606-0 Are you able to cut your food using eating utensils?

Fully-Specified Name

Component
Are you able to cut your food using eating utensils
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to cut your food using eating utensils [PROMIS]

Basic Attributes

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

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

61611-0 Are you able to open a can with a hand can opener?

Fully-Specified Name

Component
Are you able to open a can with a hand can opener
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to open a can with a hand can opener [PROMIS]

Basic Attributes

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

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

78082-5 Are you able to pull heavy objects (10 pounds/ 5 kg) towards yourself?

Fully-Specified Name

Component
Are you able to pull heavy objects (10 pounds or 5 kg) towards yourself
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to pull heavy objects (10 pounds or 5 kg) towards yourself [PROMIS]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.65 (MIN)
Order vs. Observation
Observation

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
91722-9 PROMIS item bank - physical function - version 2.0
91611-4 PROMIS item bank - upper extremity - version 2.0

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

Long Common Name

Are you able to wash your back [PROMIS]

Basic Attributes

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

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

61618-5 Are you able to open and close a zipper?

Fully-Specified Name

Component
Are you able to open and close a zipper
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to open and close a zipper [PROMIS]

Basic Attributes

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

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
91611-4 PROMIS item bank - upper extremity - version 2.0

61619-3 Are you able to put on and take off a coat or jacket?

Fully-Specified Name

Component
Are you able to put on and take off a coat or jacket
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to put on and take off a coat or jacket [PROMIS]

Basic Attributes

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

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
92605-5 PROMIS short form - upper extremity 7a - version 2.0

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

Long Common Name

Are you able to dry your back with a towel [PROMIS]

Basic Attributes

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

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

61623-5 Are you able to turn a key in a lock?

Fully-Specified Name

Component
Are you able to turn a key in a lock
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to turn a key in a lock [PROMIS]

Basic Attributes

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

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
91611-4 PROMIS item bank - upper extremity - version 2.0

61626-8 Are you able to write with a pen or pencil?

Fully-Specified Name

Component
Are you able to write with a pen or pencil
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to write with a pen or pencil [PROMIS]

Basic Attributes

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

Normative Answer List LL5290-3

Answer Code Score Answer ID
Without any difficulty 4 LA13921-4
With a little difficulty 3 LA13918-0
With some difficulty 2 LA13920-6
With much difficulty 1 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
91611-4 PROMIS item bank - upper extremity - version 2.0

61627-6 Are you able to put on a shirt or blouse?

Fully-Specified Name

Component
Are you able to put on a shirt or blouse
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to put on a shirt or blouse [PROMIS]

Basic Attributes

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

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

61630-0 Are you able to peel fruit?

Fully-Specified Name

Component
Are you able to peel fruit
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to peel fruit [PROMIS]

Basic Attributes

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

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

61632-6 Are you able to brush your teeth?

Fully-Specified Name

Component
Are you able to brush your teeth
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to brush your teeth [PROMIS]

Basic Attributes

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

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

61636-7 Are you able to button your shirt?

Fully-Specified Name

Component
Are you able to button your shirt
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to button your shirt [PROMIS]

Basic Attributes

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

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

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

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
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

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

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
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
92605-5 PROMIS short form - upper extremity 7a - version 2.0

61650-8 Are you able to change the bulb in a table lamp?

Fully-Specified Name

Component
Are you able to change the bulb in a table lamp
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to change the bulb in a table lamp [PROMIS]

Basic Attributes

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

Normative Answer List LL5291-1

Answer Code Score Answer ID
Without any difficulty 3 LA13921-4
With a little difficulty 2 LA13918-0
With some difficulty 1 LA13920-6
With much difficulty 1 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

61651-6 Are you able to press with your index finger (for example ringing a doorbell)?

Fully-Specified Name

Component
Are you able to press with your index finger (for example ringing a doorbell)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to press with your index finger (for example ringing a doorbell) [PROMIS]

Basic Attributes

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

Normative Answer List LL5290-3

Answer Code Score Answer ID
Without any difficulty 4 LA13921-4
With a little difficulty 3 LA13918-0
With some difficulty 2 LA13920-6
With much difficulty 1 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

61653-2 Are you able to shave your face or apply makeup?

Fully-Specified Name

Component
Are you able to shave your face or apply makeup
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to shave your face or apply makeup [PROMIS]

Basic Attributes

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

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

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

Long Common Name

Are you able to squeeze a new tube of toothpaste [PROMIS]

Basic Attributes

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

Normative Answer List LL5290-3

Answer Code Score Answer ID
Without any difficulty 4 LA13921-4
With a little difficulty 3 LA13918-0
With some difficulty 2 LA13920-6
With much difficulty 1 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

61655-7 Are you able to cut a piece of paper with scissors?

Fully-Specified Name

Component
Are you able to cut a piece of paper with scissors
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to cut a piece of paper with scissors [PROMIS]

Basic Attributes

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

Normative Answer List LL5290-3

Answer Code Score Answer ID
Without any difficulty 4 LA13921-4
With a little difficulty 3 LA13918-0
With some difficulty 2 LA13920-6
With much difficulty 1 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

61656-5 Are you able to pick up coins from a table top?

Fully-Specified Name

Component
Are you able to pick up coins from a table top
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to pick up coins from a table top [PROMIS]

Basic Attributes

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

Normative Answer List LL5290-3

Answer Code Score Answer ID
Without any difficulty 4 LA13921-4
With a little difficulty 3 LA13918-0
With some difficulty 2 LA13920-6
With much difficulty 1 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
91611-4 PROMIS item bank - upper extremity - version 2.0

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

Long Common Name

Are you able to hold a plate full of food [PROMIS]

Basic Attributes

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

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

61658-1 Are you able to pour liquid from a bottle into a glass?

Fully-Specified Name

Component
Are you able to pour liquid from a bottle into a glass
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to pour liquid from a bottle into a glass [PROMIS]

Basic Attributes

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

Normative Answer List LL5290-3

Answer Code Score Answer ID
Without any difficulty 4 LA13921-4
With a little difficulty 3 LA13918-0
With some difficulty 2 LA13920-6
With much difficulty 1 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

61660-7 Are you able to push open a door after turning the knob?

Fully-Specified Name

Component
Are you able to push open a door after turning the knob
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to push open a door after turning the knob [PROMIS]

Basic Attributes

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

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

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

Long Common Name

Are you able to shampoo your hair [PROMIS]

Basic Attributes

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

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

61662-3 Are you able to tie a knot or a bow?

Fully-Specified Name

Component
Are you able to tie a knot or a bow
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to tie a knot or a bow [PROMIS]

Basic Attributes

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

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

78054-4 Are you able to lift 10 pounds (5 kg) above your shoulder?

Fully-Specified Name

Component
Are you able to lift 10 pounds (5 kg) above your shoulder
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to lift 10 pounds (5 kg) above your shoulder [PROMIS]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.65 (MIN)
Order vs. Observation
Observation

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
91722-9 PROMIS item bank - physical function - version 2.0
91611-4 PROMIS item bank - upper extremity - version 2.0
92579-2 PROMIS short form - physical function 10b - version 2.0
92605-5 PROMIS short form - upper extremity 7a - version 2.0

61665-6 Are you able to open a new milk carton?

Fully-Specified Name

Component
Are you able to open a new milk carton
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to open a new milk carton [PROMIS]

Basic Attributes

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

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

61666-4 Are you able to open car doors?

Fully-Specified Name

Component
Are you able to open car doors
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to open car doors [PROMIS]

Basic Attributes

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

Normative Answer List LL5290-3

Answer Code Score Answer ID
Without any difficulty 4 LA13921-4
With a little difficulty 3 LA13918-0
With some difficulty 2 LA13920-6
With much difficulty 1 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

61668-0 Are you able to remove something from your back pocket?

Fully-Specified Name

Component
Are you able to remove something from your back pocket
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to remove something from your back pocket [PROMIS]

Basic Attributes

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

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

61669-8 Are you able to change a light bulb overhead?

Fully-Specified Name

Component
Are you able to change a light bulb overhead
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to change a light bulb overhead [PROMIS]

Basic Attributes

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

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
92605-5 PROMIS short form - upper extremity 7a - version 2.0

61670-6 Are you able to put on a pullover sweater?

Fully-Specified Name

Component
Are you able to put on a pullover sweater
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to put on a pullover sweater [PROMIS]

Basic Attributes

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

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

61671-4 Are you able to turn faucets on and off?

Fully-Specified Name

Component
Are you able to turn faucets on and off
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to turn faucets on and off [PROMIS]

Basic Attributes

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

Normative Answer List LL5290-3

Answer Code Score Answer ID
Without any difficulty 4 LA13921-4
With a little difficulty 3 LA13918-0
With some difficulty 2 LA13920-6
With much difficulty 1 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

78055-1 Are you able to reach and get down a 5 pound (2 kg) object from above your head?

Fully-Specified Name

Component
Are you able to reach and get down a 5 pound (2 kg) object from above your head
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to reach and get down a 5 pound (2 kg) object from above your head [PROMIS]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.65 (MIN)
Order vs. Observation
Observation

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
91722-9 PROMIS item bank - physical function - version 2.0
91611-4 PROMIS item bank - upper extremity - version 2.0

61674-8 Are you able to trim your fingernails?

Fully-Specified Name

Component
Are you able to trim your fingernails
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to trim your fingernails [PROMIS]

Basic Attributes

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

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
79062-6 PROMIS item bank - physical function w mobility aids - version 1.0
91611-4 PROMIS item bank - upper extremity - version 2.0

78056-9 Are you able to lift one pound (0.5 kg) to shoulder level without bending your elbow?

Fully-Specified Name

Component
Are you able to lift one pound (0.5 kg) to shoulder level without bending your elbow
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to lift one pound (0.5 kg) to shoulder level without bending your elbow [PROMIS]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.54
Last Updated
Version 2.65 (MIN)
Order vs. Observation
Observation

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
91722-9 PROMIS item bank - physical function - version 2.0
91611-4 PROMIS item bank - upper extremity - version 2.0

61703-5 Are you able to use your hands, such as for turning faucets, using kitchen gadgets, or sewing?

Fully-Specified Name

Component
Are you able to use your hands, such as for turning faucets, using kitchen gadgets, or sewing
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to use your hands, such as for turning faucets, using kitchen gadgets, or sewing [PROMIS]

Basic Attributes

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

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

61707-6 Are you able to water a house plant?

Fully-Specified Name

Component
Are you able to water a house plant
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to water a house plant [PROMIS]

Basic Attributes

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

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

91610-6 Are you able to lift a heavy painting or picture to hang on your wall above eye-level?

Fully-Specified Name

Component
Are you able to lift a heavy painting or picture to hang on your wall above eye-level
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to lift a heavy painting or picture to hang on your wall above eye-level [PROMIS]

Basic Attributes

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

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
91722-9 PROMIS item bank - physical function - version 2.0
91611-4 PROMIS item bank - upper extremity - version 2.0

91608-0 Are you able to pass a 20-pound (10 kg) turkey or ham to other people at the table?

Fully-Specified Name

Component
Are you able to pass a 20-pound (10 kg) turkey or ham to other people at the table
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to pass a 20-pound (10 kg) turkey or ham to other people at the table [PROMIS]

Basic Attributes

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

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
91722-9 PROMIS item bank - physical function - version 2.0
91611-4 PROMIS item bank - upper extremity - version 2.0
92605-5 PROMIS short form - upper extremity 7a - version 2.0

91609-8 Are you able to continuously swing a baseball bat or tennis racket back and forth for 5 minutes?

Fully-Specified Name

Component
Are you able to continuously swing a baseball bat or tennis racket back and forth for 5M
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to continuously swing a baseball bat or tennis racket back and forth for 5 minutes [PROMIS]

Basic Attributes

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

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
91722-9 PROMIS item bank - physical function - version 2.0
91611-4 PROMIS item bank - upper extremity - version 2.0

91607-2 Does your health now limit you in opening a previously opened jar?

Fully-Specified Name

Component
Does your health now limit you in opening a previously opened jar
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in opening a previously opened jar [PROMIS]

Basic Attributes

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

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
91722-9 PROMIS item bank - physical function - version 2.0
91611-4 PROMIS item bank - upper extremity - version 2.0

91612-2 PROMIS upper extremity version 2.0 T-score

Fully-Specified Name

Component
PROMIS upper extremity version 2.0 T-score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS

Basic Attributes

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

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
91611-4 PROMIS item bank - upper extremity - version 2.0
92605-5 PROMIS short form - upper extremity 7a - version 2.0

Example Units

Unit Source
{Tscore} Example UCUM Units