Version 2.78

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

Basic Attributes

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

Survey Question

Text
Are you able to do chores such as vacuuming or yard work?
Source
Mobility-FA11

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
62337-1 PROMIS item bank - 29 profile
62336-3 PROMIS item bank - 43 profile
62338-9 PROMIS item bank - 57 profile
61587-2 PROMIS item bank - physical function - version 1.0
91722-9 PROMIS item bank - physical function - 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
92579-2 PROMIS short form - physical function 10b - version 2.0
76702-0 PROMIS short form - physical function 20a - version 1.0
76700-4 PROMIS short form - physical function 4a - version 1.0
76804-4 PROMIS short form - physical function 6b - version 1.2
76805-1 PROMIS 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

Basic Attributes

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

Survey Question

Text
Are you able to get in and out of a car?
Source
Mobility-FA56

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
67893-8 Neuro-Qol item bank - lower extremity - version 1.0
67907-6 Neuro-Qol short form - lower extremity - version 1.0
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
92579-2 PROMIS short form - physical function 10b - version 2.0
76702-0 PROMIS short form - physical function 20a - 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

Basic Attributes

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

Survey Question

Text
Are you able to go up and down stairs at a normal pace?
Source
Mobility-FA21

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

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

Basic Attributes

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

Survey Question

Text
Are you able to run errands and shop?
Source
Mobility-FA53

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

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

Basic Attributes

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

Survey Question

Text
Are you able to bend down and pick up clothing from the floor?
Source
Mobility-FA9

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
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
92579-2 PROMIS short form - physical function 10b - 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

Basic Attributes

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

Survey Question

Text
Are you able to lift 10 pounds (5 kg) above your shoulder?
Source
PFB28r1

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

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

Basic Attributes

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

Survey Question

Text
Does your health now limit you in doing vigorous activities, such as running, lifting heavy objects, participating in strenuous sports?
Source
Mobility-FA1

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
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
62199-5 PROMIS short form - physical function 10a - version 1.0
92580-0 PROMIS short form - physical function 10a - version 2.0
92579-2 PROMIS short form - physical function 10b - version 2.0
76702-0 PROMIS short form - physical function 20a - version 1.0

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

Basic Attributes

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

Survey Question

Text
Does your health now limit you in bathing or dressing yourself?
Source
Mobility-FA6

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
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
92579-2 PROMIS short form - physical function 10b - version 2.0

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

Basic Attributes

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

Survey Question

Text
Does your health now limit you in putting a trash bag outside?
Source
PFB3

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
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
92579-2 PROMIS short form - physical function 10b - 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

Basic Attributes

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

Survey Question

Text
Does your health now limit you in doing moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf?
Source
PFB44

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
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
92579-2 PROMIS short form - physical function 10b - version 2.0

92607-1 PROMIS short form - physical function 10b - version 2.0 raw score

Fully-Specified Name

Component
PROMIS short form - physical function 10b - version 2.0 raw score
Property
Score
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
92579-2 PROMIS short form - physical function 10b - version 2.0

Example Units

Unit Source
{score} Example UCUM Units

91721-1 PROMIS physical function - version 2.0 T-score

Fully-Specified Name

Component
PROMIS physical function - 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
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
76464-7 American Physical Therapy Association registry panel
91722-9 PROMIS item bank - physical function - version 2.0
92580-0 PROMIS short form - physical function 10a - version 2.0
92579-2 PROMIS short form - physical function 10b - version 2.0

Example Units

Unit Source
{Tscore} Example UCUM Units