75258-4  PROMIS short form - sleep disturbance 4a - version 1.0PROMIS short form - sleep disturbance 4a - version 1.0PROMIS short form - sleep disturbance 4a - version 1.0: -: Pt: ^Patient: -: PROMIS  

PANEL HIERARCHY  (view this panel in the LForms viewer)

  LOINC#   LOINC Name R/O/C  Cardinality  Ex. UCUM Units 
  75258-4   PROMIS short form - sleep disturbance 4a - version 1.0PROMIS short form - sleep disturbance 4a - version 1.0PROMIS short form - sleep disturbance 4a - version 1.0: -: Pt: ^Patient: -: PROMIS    
       61987-4   In the past 7 days - My sleep quality was...    
       61986-6   In the past 7 days - My sleep was refreshing    
       61998-1   In the past 7 days - I had a problem with my sleep    
       61999-9   In the past 7 days - I had difficulty falling asleep    
       77826-6   PROMIS short form - sleep disturbance 4a - version 1.0 raw scorePROMIS short form - sleep disturbance 4a - version 1.0 raw scorePROMIS short form - sleep disturbance 4a - version 1.0 raw score: Score: Pt: ^Patient: Qn: PROMIS   {score} 
       77860-5   PROMIS sleep disturbance - version 1.0 TscorePROMIS sleep disturbance - version 1.0 TscorePROMIS sleep disturbance - version 1.0 T-score: Tscore: Pt: ^Patient: Qn: PROMIS   {Tscore} 
 

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
PROMIS short form - sleep disturbance 4a - version 1.0  Pt  ^Patient  PROMIS
  Long Common Name:  PROMIS short form - sleep disturbance 4a - version 1.0

COPYRIGHT NOTICE
PROMIS Copyright notice;

FORM CODING INSTRUCTIONS
Please respond to each question or statement by marking one box per row.

BASIC ATTRIBUTES
  Class/Type: PANEL.SURVEY.PROMIS/Survey
  Panel Type: Panel
  First Released in Version: 2.48
  Last Updated in Version: 2.52
  Order vs. Obs.: Order
  Status: Active

PARTS

Part Type    Part No.  Part Name   
Component   LP184292-3  PROMIS short form - sleep disturbance 4a - version 1.0 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7747-1 
Method   LP102765-7  PROMIS 
Fragments for synonyms   LP21059-8  Panel 

RELATED NAMES
  Pan Patient Reported Outcomes Information System Random
  Panel Pnl Survey
  PANEL.SURVEY.PROMIS Point in time SURVEY.PROMIS
  Panl promise  

CHANGE HISTORY
  Change Type: MIN

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 PROMIS Health Organization or other individuals/entities that have contributed information and materials to Assessment Center, and are being used with the permission of the copyright holders. Use of PROMIS instruments (e.g., item banks, short forms, profile measures) are subject to the PROMIS Terms and Conditions available at: http://www.assessmentcenter.net/TandC.aspx

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:45:35 PM
  Long Common Name: PROMIS short form - sleep disturbance 4a - version 1.0
  Fully Specified Name: PROMIS short form - sleep disturbance 4a - version 1.0: -: Pt: ^Patient: -: PROMIS
     
  Component Word Count: 8
  ID: 76936
  # of Panel Elements: 7
  Status (Raw): ACTIVE



Selected information about each LOINC that is part of this panel



61987-4   My sleep quality was...in past 7 days [PROMIS]My sleep quality was...in past 7 days [PROMIS]My sleep quality was...in past 7D: Find: 7D: ^Patient: Ord: PROMIS  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
My sleep quality was...in past 7D  Find  7D  ^Patient  Ord  PROMIS
  Long Common Name:  My sleep quality was...in past 7 days [PROMIS]

BASIC ATTRIBUTES
  Class/Type: SURVEY.PROMIS/Survey
  First Released in Version: 2.34
  Last Updated in Version: 2.65
  Status: Active

NORMATIVE ANSWER LIST    (LL1023-2)  
 
Source: PROMIS
  SEQ#        Answer        Score        Answer ID    
  1       Very poor       5       LA9615-1  
  2       Poor       4       LA8969-3  
  3       Fair       3       LA8968-5  
  4       Good       2       LA8967-7  
  5       Very Good       1       LA13913-1  

SURVEY QUESTION
Text: In the past 7 days - My sleep quality was...
Source: Sleep109

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  61982-5 PROMIS item bank - sleep disturbance - version 1.0
  62197-9 PROMIS short form - sleep disturbance 8b - version 1.0
  62336-3 PROMIS item bank - 43 profile
  62337-1 PROMIS item bank - 29 profile
  62338-9 PROMIS item bank - 57 profile
  62949-3 PhenX domain - Gastrointestinal
  75258-4 PROMIS short form - sleep disturbance 4a - version 1.0
  76703-8 PROMIS short form - sleep disturbance 6a - version 1.0
  

PARTS

Part Type    Part No.  Part Name   
Component   LP103178-2  My sleep quality was...in past 7D   [My sleep quality was...in past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP102765-7  PROMIS 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding promise Survey
  Findings QL SURVEY.PROMIS
  Last Qual  
  Ordinal Qualitative  
  Patient Reported Outcomes Information System Screen  

RELATED CODES
Code System Code Code Text Code Version
   https://www.phenxtoolkit.org   PX190601230000   PX190601_Sleep_Quality   

CHANGE HISTORY
  Change Type: MIN

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 PROMIS Health Organization or other individuals/entities that have contributed information and materials to Assessment Center, and are being used with the permission of the copyright holders. Use of PROMIS instruments (e.g., item banks, short forms, profile measures) are subject to the PROMIS Terms and Conditions available at: http://www.assessmentcenter.net/TandC.aspx

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:45:35 PM
  Attachment Units Required: N
  Long Common Name: My sleep quality was...in past 7 days [PROMIS]
  Fully Specified Name: My sleep quality was...in past 7D: Find: 7D: ^Patient: Ord: PROMIS
     
  Component Word Count: 7
  ID: 57132
  Status (Raw): ACTIVE


61986-6   My sleep was refreshing in past 7 days [PROMIS]My sleep was refreshing in past 7 days [PROMIS]My sleep was refreshing in past 7D: Find: 7D: ^Patient: Ord: PROMIS  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
My sleep was refreshing in past 7D  Find  7D  ^Patient  Ord  PROMIS
  Long Common Name:  My sleep was refreshing in past 7 days [PROMIS]

BASIC ATTRIBUTES
  Class/Type: SURVEY.PROMIS/Survey
  First Released in Version: 2.34
  Last Updated in Version: 2.65
  Status: Active

NORMATIVE ANSWER LIST    (LL3325-9)  
 
Source: PROMIS
  SEQ#        Answer        Score        Answer ID    
  1       Not at all       5       LA6568-5  
  2       A little bit       4       LA13863-8  
  3       Somewhat       3       LA13909-9  
  4       Quite a bit       2       LA13902-4  
  5       Very much       1       LA13914-9  

SURVEY QUESTION
Text: In the past 7 days - My sleep was refreshing
Source: Sleep116

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  61982-5 PROMIS item bank - sleep disturbance - version 1.0
  62197-9 PROMIS short form - sleep disturbance 8b - version 1.0
  62336-3 PROMIS item bank - 43 profile
  62337-1 PROMIS item bank - 29 profile
  62338-9 PROMIS item bank - 57 profile
  62949-3 PhenX domain - Gastrointestinal
  75258-4 PROMIS short form - sleep disturbance 4a - version 1.0
  76703-8 PROMIS short form - sleep disturbance 6a - version 1.0
  

PARTS

Part Type    Part No.  Part Name   
Component   LP103177-4  My sleep was refreshing in past 7D   [My sleep was refreshing in past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP102765-7  PROMIS 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding promise Survey
  Findings QL SURVEY.PROMIS
  Last Qual  
  Ordinal Qualitative  
  Patient Reported Outcomes Information System Screen  

RELATED CODES
Code System Code Code Text Code Version
   https://www.phenxtoolkit.org   PX190601180000   PX190601_My_Sleep_Was_Refreshing   

CHANGE HISTORY
  Change Type: MIN

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 PROMIS Health Organization or other individuals/entities that have contributed information and materials to Assessment Center, and are being used with the permission of the copyright holders. Use of PROMIS instruments (e.g., item banks, short forms, profile measures) are subject to the PROMIS Terms and Conditions available at: http://www.assessmentcenter.net/TandC.aspx

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:45:35 PM
  Attachment Units Required: N
  Long Common Name: My sleep was refreshing in past 7 days [PROMIS]
  Fully Specified Name: My sleep was refreshing in past 7D: Find: 7D: ^Patient: Ord: PROMIS
     
  Component Word Count: 7
  ID: 57131
  Status (Raw): ACTIVE


61998-1   I had a problem with my sleep 7 days [PROMIS]I had a problem with my sleep 7 days [PROMIS]I had a problem with my sleep 7D: Find: 7D: ^Patient: Ord: PROMIS  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
I had a problem with my sleep 7D  Find  7D  ^Patient  Ord  PROMIS
  Long Common Name:  I had a problem with my sleep 7 days [PROMIS]

BASIC ATTRIBUTES
  Class/Type: SURVEY.PROMIS/Survey
  First Released in Version: 2.34
  Last Updated in Version: 2.65
  Status: Active

NORMATIVE ANSWER LIST    (LL1017-4)  
 
Source: PROMIS
  SEQ#        Answer        Code         Score        Answer ID    
  1       Not at all       1       1       LA6568-5  
  2       A little bit       2       2       LA13863-8  
  3       Somewhat       3       3       LA13909-9  
  4       Quite a bit       4       4       LA13902-4  
  5       Very much       5       5       LA13914-9  

SURVEY QUESTION
Text: In the past 7 days - I had a problem with my sleep
Source: Sleep20

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  61982-5 PROMIS item bank - sleep disturbance - version 1.0
  62336-3 PROMIS item bank - 43 profile
  62337-1 PROMIS item bank - 29 profile
  62338-9 PROMIS item bank - 57 profile
  75258-4 PROMIS short form - sleep disturbance 4a - version 1.0
  75418-4 PCORI patient-reported outcomes common measures - core and recommended [PROMIS]
  76703-8 PROMIS short form - sleep disturbance 6a - version 1.0
  89070-7 ADAPTABLE patient reported item set [ADAPTABLE]
  

PARTS

Part Type    Part No.  Part Name   
Component   LP103189-9  I had a problem with my sleep 7D   [I had a problem with my sleep 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP102765-7  PROMIS 

RELATED NAMES
  Finding promise Screen
  Findings QL Survey
  Ordinal Qual SURVEY.PROMIS
  Patient Reported Outcomes Information System Qualitative  

CHANGE HISTORY
  Change Type: MIN

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 PROMIS Health Organization or other individuals/entities that have contributed information and materials to Assessment Center, and are being used with the permission of the copyright holders. Use of PROMIS instruments (e.g., item banks, short forms, profile measures) are subject to the PROMIS Terms and Conditions available at: http://www.assessmentcenter.net/TandC.aspx

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:45:35 PM
  Attachment Units Required: N
  Long Common Name: I had a problem with my sleep 7 days [PROMIS]
  Fully Specified Name: I had a problem with my sleep 7D: Find: 7D: ^Patient: Ord: PROMIS
     
  Component Word Count: 8
  ID: 57144
  Status (Raw): ACTIVE


61999-9   I had difficulty falling asleep in past 7 days [PROMIS]I had difficulty falling asleep in past 7 days [PROMIS]I had difficulty falling asleep in past 7D: Find: 7D: ^Patient: Ord: PROMIS  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
I had difficulty falling asleep in past 7D  Find  7D  ^Patient  Ord  PROMIS
  Long Common Name:  I had difficulty falling asleep in past 7 days [PROMIS]

BASIC ATTRIBUTES
  Class/Type: SURVEY.PROMIS/Survey
  First Released in Version: 2.34
  Last Updated in Version: 2.65
  Status: Active

NORMATIVE ANSWER LIST    (LL1017-4)  
 
Source: PROMIS
  SEQ#        Answer        Code         Score        Answer ID    
  1       Not at all       1       1       LA6568-5  
  2       A little bit       2       2       LA13863-8  
  3       Somewhat       3       3       LA13909-9  
  4       Quite a bit       4       4       LA13902-4  
  5       Very much       5       5       LA13914-9  

SURVEY QUESTION
Text: In the past 7 days - I had difficulty falling asleep
Source: Sleep44

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  61982-5 PROMIS item bank - sleep disturbance - version 1.0
  62197-9 PROMIS short form - sleep disturbance 8b - version 1.0
  62336-3 PROMIS item bank - 43 profile
  62337-1 PROMIS item bank - 29 profile
  62338-9 PROMIS item bank - 57 profile
  62949-3 PhenX domain - Gastrointestinal
  75258-4 PROMIS short form - sleep disturbance 4a - version 1.0
  76703-8 PROMIS short form - sleep disturbance 6a - version 1.0
  

PARTS

Part Type    Part No.  Part Name   
Component   LP103190-7  I had difficulty falling asleep in past 7D   [I had difficulty falling asleep in past 7 days] 
Property   LP6813-2  Find   [Finding] 
Time   LP204183-0  7D   [7 days] 
Super System   LP6985-8  Patient 
Scale   LP7751-3  Ord 
Method   LP102765-7  PROMIS 
Fragments for synonyms   LP200100-8  Past 

RELATED NAMES
  Finding promise Survey
  Findings QL SURVEY.PROMIS
  Last Qual  
  Ordinal Qualitative  
  Patient Reported Outcomes Information System Screen  

RELATED CODES
Code System Code Code Text Code Version
   https://www.phenxtoolkit.org   PX190601190000   PX190601_I_Had_Difficulty_Falling_Asleep   

CHANGE HISTORY
  Change Type: MIN

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 PROMIS Health Organization or other individuals/entities that have contributed information and materials to Assessment Center, and are being used with the permission of the copyright holders. Use of PROMIS instruments (e.g., item banks, short forms, profile measures) are subject to the PROMIS Terms and Conditions available at: http://www.assessmentcenter.net/TandC.aspx

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:45:35 PM
  Attachment Units Required: N
  Long Common Name: I had difficulty falling asleep in past 7 days [PROMIS]
  Fully Specified Name: I had difficulty falling asleep in past 7D: Find: 7D: ^Patient: Ord: PROMIS
     
  Component Word Count: 8
  ID: 57145
  Status (Raw): ACTIVE


77826-6   PROMIS short form - sleep disturbance 4a - version 1.0 raw scorePROMIS short form - sleep disturbance 4a - version 1.0 raw scorePROMIS short form - sleep disturbance 4a - version 1.0 raw score: Score: Pt: ^Patient: Qn: PROMIS  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
PROMIS short form - sleep disturbance 4a - version 1.0 raw score  Score  Pt  ^Patient  Qn  PROMIS
  Long Common Name:  PROMIS short form - sleep disturbance 4a - version 1.0 raw score

BASIC ATTRIBUTES
  Class/Type: SURVEY.PROMIS/Survey
  First Released in Version: 2.52
  Last Updated in Version: 2.52
  Order vs. Obs.: Observation
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  75258-4 PROMIS short form - sleep disturbance 4a - version 1.0
  

PARTS

Part Type    Part No.  Part Name   
Component   LP193387-0  PROMIS short form - sleep disturbance 4a - version 1.0 raw score 
Property   LP185820-0  Score 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 
Method   LP102765-7  PROMIS 

RELATED NAMES
  Patient Reported Outcomes Information System Quan Scale
  Point in time Quant Survey
  promise Quantitative SURVEY.PROMIS
  QNT Random  

EXAMPLE UNITS
  Unit  Source Type
  {score}  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  {score} 

CHANGE HISTORY
  Change Type: ADD

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 PROMIS Health Organization or other individuals/entities that have contributed information and materials to Assessment Center, and are being used with the permission of the copyright holders. Use of PROMIS instruments (e.g., item banks, short forms, profile measures) are subject to the PROMIS Terms and Conditions available at: http://www.assessmentcenter.net/TandC.aspx

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:45:35 PM
  Long Common Name: PROMIS short form - sleep disturbance 4a - version 1.0 raw score
  Fully Specified Name: PROMIS short form - sleep disturbance 4a - version 1.0 raw score: Score: Pt: ^Patient: Qn: PROMIS
     
  Component Word Count: 10
  ID: 80478
  Status (Raw): ACTIVE


77860-5   PROMIS sleep disturbance - version 1.0 TscorePROMIS sleep disturbance - version 1.0 TscorePROMIS sleep disturbance - version 1.0 T-score: Tscore: Pt: ^Patient: Qn: PROMIS  

NAME
  Fully Specified Name: 
Component   Property   Time   System   Scale   Method
PROMIS sleep disturbance - version 1.0 T-score  Tscore  Pt  ^Patient  Qn  PROMIS
  Long Common Name:  PROMIS sleep disturbance - version 1.0 Tscore

BASIC ATTRIBUTES
  Class/Type: SURVEY.PROMIS/Survey
  First Released in Version: 2.52
  Last Updated in Version: 2.52
  Order vs. Obs.: Observation
  Status: Active

MEMBER OF THESE PANELS     
  This section provides information about panels that contain this LOINC code.
  LOINC   Long Common Name  
  61982-5 PROMIS item bank - sleep disturbance - version 1.0
  62197-9 PROMIS short form - sleep disturbance 8b - version 1.0
  75258-4 PROMIS short form - sleep disturbance 4a - version 1.0
  76703-8 PROMIS short form - sleep disturbance 6a - version 1.0
  

PARTS

Part Type    Part No.  Part Name   
Component   LP193425-8  PROMIS sleep disturbance - version 1.0 T-score   [PROMIS sleep disturbance - version 1.0 Tscore] 
Property   LP171796-8  Tscore   [T-score] 
Time   LP6960-1  Pt   [Point in time (spot)] 
Super System   LP6985-8  Patient 
Scale   LP7753-9  Qn 
Method   LP102765-7  PROMIS 
Fragments for synonyms   LP75927-1  T' 

RELATED NAMES
  Patient Reported Outcomes Information System Quant T prime
  Point in time Quantitative T-score
  promise Random  
  QNT Survey  
  Quan SURVEY.PROMIS  

EXAMPLE UNITS
  Unit  Source Type
  {Tscore}  EXAMPLE UCUM UNITS 

UNITS (INTERNAL DETAILS)
  Source Type:  EXAMPLE UCUM UNITS 
  Unit:  {Tscore} 

CHANGE HISTORY
  Change Type: MIN

OBSOLETE FIELDS
  External Copyright Notice: Copyright © 2010 PROMIS Health Organization or other individuals/entities that have contributed information and materials to Assessment Center, and are being used with the permission of the copyright holders. Use of PROMIS instruments (e.g., item banks, short forms, profile measures) are subject to the PROMIS Terms and Conditions available at: http://www.assessmentcenter.net/TandC.aspx

INTERNAL FIELDS
  Detail Page Created On: 6/26/2019 2:45:36 PM
  Long Common Name: PROMIS sleep disturbance - version 1.0 Tscore
  Fully Specified Name: PROMIS sleep disturbance - version 1.0 T-score: Tscore: Pt: ^Patient: Qn: PROMIS
     
  Component Word Count: 7
  ID: 80512
  Status (Raw): ACTIVE

COPYRIGHT
  Organization:PROMIS
  Copyright:Copyright © 2010 PROMIS Health Organization or other individuals/entities that have contributed information and materials to Assessment Center, and are being used with the permission of the copyright holders.
  Terms of Use:Use of PROMIS instruments (e.g., item banks, short forms, profile measures) are subject to the PROMIS Terms and Conditions available at: http://www.assessmentcenter.net/TandC.aspx
  URL:http://www.healthmeasures.net/explore-measurement-systems/promis