61699-5 Are you able to walk at a normal speed?

Fully-Specified Name

Component
Are you able to walk at a normal speed
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to walk at a normal speed [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
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

61601-1 Are you able to stand up from an armless straight chair?

Fully-Specified Name

Component
Are you able to stand up from an armless straight chair
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to stand up from an armless straight chair [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
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

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

61609-4 Are you able to go for a walk of at least 15 minutes?

Fully-Specified Name

Component
Are you able to go for a walk of at least 15 minutes
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to go for a walk of at least 15 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
67893-8Neuro-Qol item bank - lower extremity - version 1.0
67907-6Neuro-Qol short form - lower extremity - version 1.0
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
79062-6PROMIS item bank - physical function w mobility aids - 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

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

61644-1 Are you able to jump up and down?

Fully-Specified Name

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

Long Common Name

Are you able to jump up and down [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
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

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

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

61596-3 Are you able to stand for one hour?

Fully-Specified Name

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

Long Common Name

Are you able to stand for one 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
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

61673-0 Are you able to stand up on tiptoes?

Fully-Specified Name

Component
Are you able to stand up on tiptoes
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Are you able to stand up on tiptoes [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
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

61698-7 Does your health now limit you in climbing one flight of stairs?

Fully-Specified Name

Component
Does your health now limit you in climbing one flight of stairs
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in climbing one flight of stairs [PROMIS]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.66 (NAM)
Change Reason
Updated the Component text and Survey Question text (added "now") to align with the PROMIS survey question text.

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
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
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

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

61687-0 Does your health now limit you in climbing several flights of stairs?

Fully-Specified Name

Component
Does your health now limit you in climbing several flights of stairs
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
PROMIS

Long Common Name

Does your health now limit you in climbing several flights of stairs [PROMIS]

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.66 (NAM)
Change Reason
Updated the Component text and Survey Question text (added "now") to align with the PROMIS survey question text.

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
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

91614-8 PROMIS mobility - version 2.0 T-score

Fully-Specified Name

Component
PROMIS mobility - 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

LOINCLong Common Name
91613-0PROMIS item bank - mobility - version 2.0

Example Units

UnitSource
{Tscore}Example UCUM Units