CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: Outcomes and End Points
CRF: PROMIS Item Bank v2.0 - Physical Function
Sub-Domain: Outcomes and End Points
CRF: PROMIS Item Bank v2.0 - Physical Function
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Additional Notes (Question Text) | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guideline) | Sub Domain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | Source | Form Set | Form | Field | Domain | CDASH Variable | CDASH Definition | CDASH Label | Controlled Terminology | Prompt | Essentiality | Question Text | CDASH imp guidance | SDTM IG target | csDSR | PhenX | Data Type | CRF Completion Inst | SDTMIG Target Var | SDTMIG Target Map | Codelist Name | PVs | Pre Pop Value | Query Display | List Style |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C59816 | Swim lap moderate pace 30 minute difficulty scale | SwmLapModPac30MinDffcltyScl | Scale of the difficulty the subject/participant has in swimming laps at a moderate pace for 30 minutes | Scale of the difficulty the subject/participant has in swimming laps at a moderate pace for 30 minutes | Are you able to swim laps for 30 minutes at a moderate pace? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 12:01:08.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFM51 | |||||||||||||||||||||||||||
| C59752 | Change lightbulb overhead difficulty scale | ChngLtblbOvrhdDffcltyScl | Scale of the difficulty the subject/participant has in changing a lightbulb above his or her head | Scale of the difficulty the subject/participant has in changing a lightbulb above his or her head | Are you able to change a lightbulb overhead? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 11:50:39.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFB34 | |||||||||||||||||||||||||||
| C59688 | Carry heavy object difficulty scale | CarryHeavyObjectDifficultyScl | Scale of the difficulty the subject/participant has in carrying an object over 10 pounds/5 kilograms | Scale of the difficulty the subject/participant has in carrying an object over 10 pounds/5 kilograms | Are you able to carry a heavy object (over 10 pounds/5 kg)? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-19 12:58:03.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFA14r1 | |||||||||||||||||||||||||||
| C59784 | Lift heavy picture hang wall above eye level difficulty scale | LftHvyPcrHngWalAbvEyeLvlDffScl | Scale of the difficulty the subject/participant has in lifting a heavy painting or picture to hang on the wall above eye level | Scale of the difficulty the subject/participant has in lifting a heavy painting or picture to hang on the wall above eye level | Are you able to lift a heavy painting or picture to hang on your wall above eye-level? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 10:37:20.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFM2 | |||||||||||||||||||||||||||
| C59720 | Sit edge bed difficulty scale | SitEdgeBedDifficultyScl | Scale of the difficulty the subject/participant has in sitting on the edge of a bed | Scale of the difficulty the subject/participant has in sitting on the edge of a bed | Are you able to sit on the edge of a bed? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 10:23:22.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFA51 | |||||||||||||||||||||||||||
| C59731 | Carry shopping bag briefcase difficulty scale | CarryShopBagBrfcsDifficultyScl | Scale of the difficulty the subject/participant has in carrying a shopping bag or briefcase | Scale of the difficulty the subject/participant has in carrying a shopping bag or briefcase | Are you able to carry a shopping bag or briefcase? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 11:00:52.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFB13 | |||||||||||||||||||||||||||
| C59827 | Hike 3 kilometer uneven ground health limit scale | Hik3KmUnevnGrndHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to hike 3 kilometers over uneven ground, including hills | Scale of the degree to which the subject/participant's health limits his or her ability to hike 3 kilometers over uneven ground, including hills | Does your health now limit you in hiking a couple of miles (3 km) on uneven surfaces, including hills? | 5;4;3;2;1 | Not at all;Very little;Somewhat;Quite a lot;Cannot do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 13:18:50.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFB5r1 | |||||||||||||||||||||||||||
| C59763 | Run level surface difficulty scale | RunLvlSrfacDifficultyScl | Scale of the difficulty the subject/participant has in running on a level surface | Scale of the difficulty the subject/participant has in running on a level surface | Are you able to run on even ground? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 12:21:26.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFC21 | |||||||||||||||||||||||||||
| C59699 | Pull heavy object toward self difficulty scale | PulHvyObjTrdSlfDffcltyScl | Scale of the difficulty the subject/participant has in pulling a heavy object (10 pounds/5 kilograms) towards him or herself | Scale of the difficulty the subject/participant has in pulling a heavy object (10 pounds/5 kilograms) towards him or herself | Are you able to pull heavy objects (10 pounds/5 kilograms) towards yourself? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-19 13:52:37.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFA29r1 | |||||||||||||||||||||||||||
| C59795 | Continuous swing baseball bat tennis racket 5 minute difficulty scale | CntSwgBblBatTnsRck5MinDiffScl | Scale of the difficulty the subject/participant has in swinging a baseball bat or tennis racket continuously for 5 minutes | Scale of the difficulty the subject/participant has in swinging a baseball bat or tennis racket continuously for 5 minutes | Are you able to continuously swing a baseball bat or tennis racket back and forth for 5 minutes? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 11:05:49.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFM18 | |||||||||||||||||||||||||||
| C59742 | Run short distance difficulty scale | RunShortDistDifficultyScl | Scale of the difficulty the subject/participant has in running a short distance | Scale of the difficulty the subject/participant has in running a short distance | Are you able to run a short distance, such as to catch a bus? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 11:27:39.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFB24 | |||||||||||||||||||||||||||
| C59838 | Do yard work health limit scale | DoYardWorkHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to do yard work | Scale of the degree to which the subject/participant's health limits his or her ability to do yard work | Does your health now limit you in doing yard work like raking leaves, weeding, or pushing a lawn mower? | 5;4;3;2;1 | Not at all;Very little;Somewhat;Quite a lot;Cannot do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 13:48:03.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFC11 | |||||||||||||||||||||||||||
| C59774 | Use hands difficulty scale | UseHandsDifficultyScl | Scale of the difficulty the subject/participant has in using his or her hands for tasks such as turning faucets, using kitchen gadgets, or sewing | Scale of the difficulty the subject/participant has in using his or her hands for tasks such as turning faucets, using kitchen gadgets, or sewing | Are you able to do use your hands, such as for turning faucets, using kitchen gadgets, or sewing? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 10:11:57.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFC43 | |||||||||||||||||||||||||||
| C59710 | Turn key in lock difficulty scale | TurnKeyInLockDifficultyScl | Scale of the difficulty the subject/participant has in turning a key in a lock | Scale of the difficulty the subject/participant has in turning a key in a lock | Are you able to turn a key in a lock? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 10:02:21.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFA40 | |||||||||||||||||||||||||||
| C59806 | Balance 1 foot eye closed 30 second difficulty scale | Blnc1FtEyCls30SecDffcltyScl | Scale of the difficulty the subject/participant has in balancing on 1 foot with his or her eyes closed for 30 seconds | Scale of the difficulty the subject/participant has in balancing on 1 foot with his or her eyes closed for 30 seconds | Are you able to stand on one foot with your eyes closed for 30 seconds? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 11:34:52.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFM34 | |||||||||||||||||||||||||||
| C59817 | Dance energetic 1 hour difficulty scale | DnceEnrgetc1HrDifficultyScl | Scale of the difficulty the subject/participant has in dancing energetically for 1 hour | Scale of the difficulty the subject/participant has in dancing energetically for 1 hour | Are you able to dance energetically for an hour? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 12:03:48.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFM53 | |||||||||||||||||||||||||||
| C59753 | Don pullover sweater difficulty scale | DonPllovrSwtrDffcltyScl | Scale of the difficulty the subject/participant has in donning a pullover sweater | Scale of the difficulty the subject/participant has in donning a pullover sweater | Are you able to put on a pullover sweater? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 11:54:08.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFB36 | |||||||||||||||||||||||||||
| C59689 | Stand up armless straight chair difficulty scale | StndUpArmlsStrtChrDiffScl | Scale of the difficulty the subject/participant has in standing up from an armless straight chair | Scale of the difficulty the subject/participant has in standing up from an armless straight chair | Are you able to stand up from an armless straight chair? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-19 13:28:47.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFA15 | |||||||||||||||||||||||||||
| C59785 | Paint wall brush roller 2 hour no rest difficulty scale | PntWalBshRlr2HrNoRstDffScl | Scale of the difficulty the subject/participant has in painting walls using a brush or roller for 2 hours without stopping to rest | Scale of the difficulty the subject/participant has in painting walls using a brush or roller for 2 hours without stopping to rest | Are you able to paint the walls of a room with a brush or roller for 2 hours without stopping to rest? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 10:40:14.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFM3 | |||||||||||||||||||||||||||
| C59721 | Tie shoelace difficulty scale | TieShoelaceDifficultyScl | Scale of the difficulty the subject/participant has in tying his or her shoelaces | Scale of the difficulty the subject/participant has in tying his or her shoelaces | Are you able to tie your shoelaces? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 10:25:27.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFA52 | |||||||||||||||||||||||||||
| C59732 | Take tub bath difficulty scale | TakTubBathDifficultyScl | Scale of the difficulty the subject/participant has in taking a bath in a bathtub | Scale of the difficulty the subject/participant has in taking a bath in a bathtub | Are you able to take a tub bath? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 11:03:01.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFB14 | |||||||||||||||||||||||||||
| C59828 | Strenuous activity health limit scale | StrnsActvtyHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to engage in strenuous activity such as backpacking, skiing, playing tennis, bicycling, or jogging | Scale of the degree to which the subject/participant's health limits his or her ability to engage in strenuous activity such as backpacking, skiing, playing tennis, bicycling, or jogging | Does your health now limit you in doing strenuous activities such as backpacking, skiing, playing tennis, bicycling or jogging? | 5;4;3;2;1 | Not at all;Very little;Somewhat;Quite a lot;Cannot do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 13:21:24.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFB7 | |||||||||||||||||||||||||||
| C59764 | Ascend descend 2 step difficulty scale | AscDesc2StepDifficultyScl | Scale of the difficulty the subject/participant has in ascending and descending two steps | Scale of the difficulty the subject/participant has in ascending and descending two steps | Are you able to walk up and down two steps? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 12:28:30.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFC29 | |||||||||||||||||||||||||||
| C59700 | Step on off curb difficulty scale | StepOnOffCurbDifficultyScl | Scale of the difficulty the subject/participant has in stepping on and off roadside curbs | Scale of the difficulty the subject/participant has in stepping on and off roadside curbs | Are you able to step up and down curbs? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-19 13:55:41.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFA30 | |||||||||||||||||||||||||||
| C59796 | Complete 10 sit-up without stop difficulty scale | Cmplt10SitUpWoStpDffcltyScl | Scale of the difficulty the subject/participant has in completing 10 sit-ups without stopping | Scale of the difficulty the subject/participant has in completing 10 sit-ups without stopping | Are you able to complete 10 sit-ups without stopping? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 11:09:23.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFM19 | |||||||||||||||||||||||||||
| C59743 | Push open door after turn knob difficulty scale | PshOpnDorAftrTrnKnbDffcltyScl | Scale of the difficulty the subject/participant has in pushing open a door after turning the doorknob | Scale of the difficulty the subject/participant has in pushing open a door after turning the doorknob | Are you able to push open a door after turning the knob? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 11:29:48.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFB25 | |||||||||||||||||||||||||||
| C59839 | Do 2 hour physical labor health limit scale | Do2HrPhysLabrHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to perform 2 hours of physical labor | Scale of the degree to which the subject/participant's health limits his or her ability to perform 2 hours of physical labor | Does your health now limit you in doing two hours of physical labor? | 5;4;3;2;1 | Not at all;Very little;Somewhat;Quite a lot;Cannot do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 13:49:48.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFC12 | |||||||||||||||||||||||||||
| C59775 | Sit rise toilet difficulty scale | SitRiseToiletDifficultyScl | Scale of the difficulty the subject/participant has in sitting on and rising from the toilet | Scale of the difficulty the subject/participant has in sitting on and rising from the toilet | Are you able to sit on and get up from the toilet? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 10:15:13.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFC45r1 | |||||||||||||||||||||||||||
| C59711 | Squat stand difficulty scale | SquatStandDifficultyScl | Scale of the difficulty the subject/participant has in squatting and then standing | Scale of the difficulty the subject/participant has in squatting and then standing | Are you able to squat and get up? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 10:04:22.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFA41 | |||||||||||||||||||||||||||
| C59807 | Walk straight line heel toe 5 yard 5 meter difficulty scale | WlkStrtLnHlToe5Yd5MDffScl | Scale of the difficulty the subject/participant has in walking in a straight line putting heel to toe for a distance of 5 yards / 5 meters | Scale of the difficulty the subject/participant has in walking in a straight line putting heel to toe for a distance of 5 yards / 5 meters | Are you able to walk in a straight line putting one foot in front of the other (heel to toe) for 5 yards (5 m)? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 11:36:53.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFM35 | |||||||||||||||||||||||||||
| C59818 | Vigorous activity health limit scale | VgrsActvtyHlthLmtScl | Scale of whether the subject/participant's health limits him or her in performing vigorous activities | Scale of whether the subject/participant's health limits him or her in performing vigorous activities | Does your health now limit you in doing vigorous activities, such as running, lifting heavy objects, participating in strenuous sports? | 5;4;3;2;1 | Not at all;Very little;Somewhat;Quite a lot;Cannot do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 12:24:05.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFA1 | |||||||||||||||||||||||||||
| C59754 | Turn faucet on off difficulty scale | TurnFauctOnOffDifficultyScl | Scale of the difficulty the subject/participant has in turning a faucet on and off | Scale of the difficulty the subject/participant has in turning a faucet on and off | Are you able to turn faucets on and off? | 4;3;2;1;1 | Without any difficulty;With a little difficulty;With some difficulty;With much difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 11:56:53.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFB37r1 | |||||||||||||||||||||||||||
| C59690 | Dress self difficulty scale | DressSelfDifficultyScl | Scale of the difficulty the subject/participant has in dressing him or herself, including buttoning clothes and tying shoelaces | Scale of the difficulty the subject/participant has in dressing him or herself, including buttoning clothes and tying shoelaces | Are you able to dress yourself, including tying shoelaces and buttoning your clothes? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-19 13:31:07.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFA16r1 | |||||||||||||||||||||||||||
| C59786 | Row boat 30 minute no rest difficulty scale | RowBot30MinNoRstDffcltyScl | Scale of the difficulty the subject/participant has in rowing a boat for 30 minutes without rest | Scale of the difficulty the subject/participant has in rowing a boat for 30 minutes without rest | Are you able to row a boat for 30 minutes without stopping to rest? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 10:42:40.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFM4 | |||||||||||||||||||||||||||
| C59722 | Run errand shop difficulty scale | RunErrandShopDifficultyScl | Scale of the difficulty the subject/participant has in running errands and shopping | Scale of the difficulty the subject/participant has in running errands and shopping | Are you able to run errands and shop? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 10:27:28.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFA53 | |||||||||||||||||||||||||||
| C59733 | Change bulb table lamp difficulty scale | ChangeBulbTablLampDffcltyScl | Scale of the difficulty the subject/participant has in changing the lightbulb in a table lamp | Scale of the difficulty the subject/participant has in changing the lightbulb in a table lamp | Are you able to change the bulb in a table lamp? | 1;1;1;2;3 | Unable to Do;With much difficulty;With some difficulty;With a little difficulty;Without any difficulty | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 11:05:30.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFB15r1 | |||||||||||||||||||||||||||
| C59829 | Take care personal need health limit scale | TakCarPrsnlNedHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to take care of his or her personal needs, such as grooming or eating | Scale of the degree to which the subject/participant's health limits his or her ability to take care of his or her personal needs, such as grooming or eating | Does your health now limit you in taking care of your personal needs (dress, comb hair, toilet, eat, bathe)? | 5;4;3;2;1 | Not at all;Very little;Somewhat;Quite a lot;Cannot do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 13:24:02.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFB43 | |||||||||||||||||||||||||||
| C59765 | Carry suitcase up stair difficulty scale | CrryStcasUpStrDffcltyScl | Scale of the difficulty the subject/participant has in carrying a suitcase up a flight of stairs | Scale of the difficulty the subject/participant has in carrying a suitcase up a flight of stairs | Are you able to carry a suitcase up a flight of stairs? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 12:30:49.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank | Physical Function | PFC30 | |||||||||||||||||||||||||||
| C59701 | Get up floor supine position difficulty scale | GetUpFlrSupinPstnDiffScl | Scale of the difficulty the subject/participant has in getting up from a supine position on the floor, without help | Scale of the difficulty the subject/participant has in getting up from a supine position on the floor, without help | Are you able to get up from the floor from lying on your back without help? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-19 13:58:23.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFA31r1 | |||||||||||||||||||||||||||
| C59797 | Climb stair 10 story building no stop difficulty scale | ClmStr10StyBldNoStpDffcltyScl | Scale of the difficulty the subject/participant has in climbing the stairs of a 10 story building without stopping | Scale of the difficulty the subject/participant has in climbing the stairs of a 10 story building without stopping | Are you able to climb the stairs of a 10-story building without stopping? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 11:11:50.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFM21 | |||||||||||||||||||||||||||
| C59744 | Shampoo hair difficulty scale | ShampooHairDifficultyScl | Scale of the difficulty the subject/participant has in shampooing his or her hair | Scale of the difficulty the subject/participant has in shampooing his or her hair | Are you able to shampoo your hair? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 11:32:12.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFB26 | |||||||||||||||||||||||||||
| C59840 | Do 8 hour physical labor health limit scale | Do8HrPhysLabrHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to perform 8 hours of physical labor | Scale of the degree to which the subject/participant's health limits his or her ability to perform 8 hours of physical labor | Does your health now limit you in doing eight hours of physical labor? | 5;4;3;2;1 | Not at all;Very little;Somewhat;Quite a lot;Cannot do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 13:49:48.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFC35 | |||||||||||||||||||||||||||
| C59776 | Transfer bed chair difficulty scale | TrnsfrBedChrDifficultyScl | Scale of the difficulty the subject/participant has in transferring from a bed to a chair and back | Scale of the difficulty the subject/participant has in transferring from a bed to a chair and back | Are you able to transfer from a bed to a chair and back? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 10:17:10.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFC46 | |||||||||||||||||||||||||||
| C59712 | Carry laundry basket up stairs difficulty scale | CrryLndryBsktUpStrsDiffcltyScl | Scale of the difficulty the subject/participant has in carrying a laundry basket up a flight of stairs | Scale of the difficulty the subject/participant has in carrying a laundry basket up a flight of stairs | Are you able to carry a laundry basket up a flight of stairs? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 10:06:21.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFA42 | |||||||||||||||||||||||||||
| C59808 | Place hand flat with feet flat difficulty scale | PlcHndFltWFtFltDifficultyScl | Scale of the difficulty the subject/participant has in placing his or her hands flat on the ground while keeping both feet flat on the ground | Scale of the difficulty the subject/participant has in placing his or her hands flat on the ground while keeping both feet flat on the ground | Are you able to put your hands flat on the floor with both feet flat on the ground? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 11:39:40.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFM36 | |||||||||||||||||||||||||||
| C59819 | Regular exercise health limit scale | RegExrcsHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to engage in regular exercise | Scale of the degree to which the subject/participant's health limits his or her ability to engage in regular exercise | Does your health now limit you in exercising regularly? | 5;4;3;2;1 | Not at all;Very little;Somewhat;Quite a lot;Cannot do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 12:26:58.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFA2 | |||||||||||||||||||||||||||
| C59755 | Reach retrieve 5 pound 2 kilogram object above head difficulty scale | RchRtrv5Pd2KgObAbvHdDffScl | Scale of the difficulty the subject/participant has in reaching and retrieving a 5 pound / 2 kilogram object from above his or her head | Scale of the difficulty the subject/participant has in reaching and retrieving a 5 pound / 2 kilogram object from above his or her head | Are you able to reach and get down a 5 pound (2 kg) object from above your head? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 11:59:11.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFB39r1 | |||||||||||||||||||||||||||
| C59691 | Reach high cupboard difficulty scale | ReachHiCpbrdDiffcltyScl | Scale of the difficulty the subject/participant has in reaching into a high cupboard | Scale of the difficulty the subject/participant has in reaching into a high cupboard | Are you able to reach into a high cupboard? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-19 13:34:04.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFA17 | |||||||||||||||||||||||||||
| C59787 | Wash wax car 2 hour no rest difficulty scale | WashWaxCar2HrNoRstDffcltyScl | Scale of the difficulty the subject/participant has in washing and waxing a car by hand for 2 hours with no rest | Scale of the difficulty the subject/participant has in washing and waxing a car by hand for 2 hours with no rest | Are you able to hand wash and wax a car for 2 hours without stopping to rest? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 10:45:06.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFM6 | |||||||||||||||||||||||||||
| C59723 | Button shirt difficulty scale | ButtonShirtDifficultyScl | Scale of the difficulty the subject/participant has in buttoning his or her shirt | Scale of the difficulty the subject/participant has in buttoning his or her shirt | Are you able to button your shirt? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 10:29:10.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFA54 |