Form Context

Please indicate the number that best reflects the amount of shortness of breath you experienced in the past 7 days

Source: PROMIS

98518-4 Shortness of breath in general

Observation ID in Form

DYSCA001

Fully-Specified Name

Component
Shortness of breath in general in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Long Common Name

Shortness of breath in general in past 7 days

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72 (ADD)
Order vs. Observation
Observation

Normative Answer List LL6036-9

AnswerCodeScoreAnswer ID
0 - No shortness of breath0LA32609-2
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
66LA10138-8
77LA10139-6
88LA10140-4
99LA10141-2
10 - Worst possible shortness of breath10LA32610-0

Member of these Panels

LOINCLong Common Name
98520-0PROMIS item bank - dyspnea characteristics - version 1.0

98514-3 Intensity of shortness of breath

Observation ID in Form

DYSC002

Fully-Specified Name

Component
Intensity of shortness of breath in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Long Common Name

Intensity of shortness of breath in past 7 days

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72 (ADD)
Order vs. Observation
Observation

Normative Answer List LL6037-7

AnswerCodeScoreAnswer ID
0 - When I had shortness of breath, it felt very mild0LA32611-8
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
66LA10138-8
77LA10139-6
88LA10140-4
99LA10141-2
10 - When I had shortness of breath, it felt very severe10LA32612-6

Member of these Panels

LOINCLong Common Name
98520-0PROMIS item bank - dyspnea characteristics - version 1.0

98516-8 Frequency of shortness of breath

Observation ID in Form

DYSC003

Fully-Specified Name

Component
Frequency of shortness of breath in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Long Common Name

Frequency of shortness of breath in past 7 days

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72 (ADD)
Order vs. Observation
Observation

Normative Answer List LL6038-5

AnswerCodeScoreAnswer ID
0 - I never had shortness of breath0LA32613-4
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
66LA10138-8
77LA10139-6
88LA10140-4
99LA10141-2
10 - I always had shortness of breath10LA32614-2

Member of these Panels

LOINCLong Common Name
98520-0PROMIS item bank - dyspnea characteristics - version 1.0

98517-6 Duration of shortness of breath

Observation ID in Form

DYSC004

Fully-Specified Name

Component
Duration of shortness of breath in past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Long Common Name

Duration of shortness of breath in past 7 days

Basic Attributes

Class
SURVEY.PROMIS
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.72 (ADD)
Order vs. Observation
Observation

Normative Answer List LL6039-3

AnswerCodeScoreAnswer ID
0 - When I had shortness of breath, it lasted only for a moment0LA32615-9
11LA6112-2
2 or more2LA6113-0
33LA6114-8
44LA6115-5
55LA10137-0
66LA10138-8
77LA10139-6
88LA10140-4
99LA10141-2
10 - When I had shortness of breath, it lasted for a very long time10LA32616-7

Member of these Panels

LOINCLong Common Name
98520-0PROMIS item bank - dyspnea characteristics - version 1.0

70305-8 I have been short of breath

Observation ID in Form

DYSCB001

Fully-Specified Name

Component
I have been short of breath in the past 7D
Property
Find
Time
7D
System
^Patient
Scale
Ord
Method

Long Common Name

I have been short of breath in the past 7 days

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.72 (MAJ)
Change Reason
Release 2.72: SURVEY_QUEST_TEXT: Moved to Form Data table.; METHOD_TYP: Removed Method to increase usability.; Previous Releases: Updated the LOINC Answer list to LL5215-0. Previous Answer list had the correct Answer strings with incorrect Score values.

Normative Answer List LL5215-0

AnswerCodeScoreAnswer ID
Not at all0LA6568-5
A little bit1LA13863-8
Somewhat2LA13909-9
Quite a bit3LA13902-4
Very much4LA13914-9

Member of these Panels

LOINCLong Common Name
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98520-0PROMIS item bank - dyspnea characteristics - version 1.0

98515-0 PROMIS dyspnea characteristics - version 1.0 T-score

Fully-Specified Name

Component
PROMIS dyspnea characteristics - 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 2.72
Last Updated
Version 2.72 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
98520-0PROMIS item bank - dyspnea characteristics - version 1.0

Example Units

UnitSource
{Tscore}Example UCUM Units