Version 2.78

92178-3 Over the past 7 days, how short of breath did you get with each of these activities? Dressing yourself without help

Fully-Specified Name

Component
How short of breath did you get dressing yourself without help over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Dressing yourself without help
Source
DYSSV001

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

92155-1 Over the past 7 days, how short of breath did you get with each of these activities? Walking 50 steps/paces on flat ground at a normal speed without stopping

Fully-Specified Name

Component
How short of breath did you get walking 50 steps or paces on flat ground at a normal speed without stopping over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Walking 50 steps/paces on flat ground at a normal speed without stopping
Source
DYSSV002

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

92153-6 Over the past 7 days, how short of breath did you get with each of these activities? Walking up 20 stairs (2 flights) without stopping

Fully-Specified Name

Component
How short of breath did you get walking up 20 stairs (2 flights) without stopping over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Walking up 20 stairs (2 flights) without stopping
Source
DYSSV003

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

92169-2 Over the past 7 days, how short of breath did you get with each of these activities? Preparing meals

Fully-Specified Name

Component
How short of breath did you get preparing meals over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Preparing meals
Source
DYSSV004

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

92150-2 Over the past 7 days, how short of breath did you get with each of these activities? Washing dishes

Fully-Specified Name

Component
How short of breath did you get washing dishes over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Washing dishes
Source
DYSSV005

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

92164-3 Over the past 7 days, how short of breath did you get with each of these activities? Sweeping or mopping

Fully-Specified Name

Component
How short of breath did you get sweeping or mopping over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Sweeping or mopping
Source
DYSSV006

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

92171-8 Over the past 7 days, how short of breath did you get with each of these activities? Making a bed

Fully-Specified Name

Component
How short of breath did you get making a bed over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Making a bed
Source
DYSSV007

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

92176-7 Over the past 7 days, how short of breath did you get with each of these activities? Lifting something weighing 10-20 lbs (about 4.5-9 kg, like a large bag of groceries)

Fully-Specified Name

Component
How short of breath did you get lifting something weighing 10-20 lbs (about 4.5-9 kg, like a large bag of groceries) over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Lifting something weighing 10-20 lbs (about 4.5-9 kg, like a large bag of groceries)
Source
DYSSV008

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

92182-5 Over the past 7 days, how short of breath did you get with each of these activities? Carrying something weighing 10-20 lbs (about 4.5-9 kg, like a large bag of groceries) from one room to another

Fully-Specified Name

Component
How short of breath did you get carrying something weighing 10-20 lbs (about 4.5-9 kg, like a large bag of groceries) from one room to another over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Carrying something weighing 10-20 lbs (about 4.5-9 kg, like a large bag of groceries) from one room to another
Source
DYSSV009

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

92160-1 Over the past 7 days, how short of breath did you get with each of these activities? Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping

Fully-Specified Name

Component
How short of breath did you get walking (faster than your usual speed) for .5 mile (almost 1 km) without stopping over past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method
PROMIS

Basic Attributes

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

Survey Question

Text
Over the past 7 days, how short of breath did you get with each of these activities? Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping
Source
DYSSV010

Normative Answer List LL5305-9

Answer Code Score Answer ID
No shortness of breath 0 LA26121-6
Mildly short of breath 1 LA26122-4
Moderately short of breath 2 LA26123-2
Severely short of breath 3 LA26124-0
I did not do this in the past 7 days LA26125-7

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

92606-3 PROMIS short form - dyspnea severity 10a - version 1.0 raw score

Fully-Specified Name

Component
PROMIS short form - dyspnea severity 10a - version 1.0 raw score
Property
Score
Time
7D
System
^Patient
Scale
Qn
Method
PROMIS

Basic Attributes

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

Member of these Panels

LOINC Long Common Name
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

Example Units

Unit Source
{score} Example UCUM Units

92149-4 PROMIS dyspnea severity - version 1.0 T-score

Fully-Specified Name

Component
PROMIS dyspnea severity - version 1.0 T-score
Property
Tscore
Time
Pt
System
^Patient
Scale
Qn
Method
PROMIS

Basic Attributes

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

Member of these Panels

LOINC Long Common Name
92148-6 PROMIS item bank - dyspnea severity - version 1.0
92578-4 PROMIS short form - dyspnea severity 10a - version 1.0

Example Units

Unit Source
{Tscore} Example UCUM Units