CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: Outcomes and End Points
CRF: PROMIS Item Bank v2.0 - Physical Function

Displaying 1 - 50 of 165
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
C59696 Walk 15 minute difficulty scale Walk15MinDifficultyScl Scale of the difficulty the subject/participant has in walking for at least 15 minutes Scale of the difficulty the subject/participant has in walking for at least 15 minutes Are you able to go for a walk of at least 15 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 2019-06-19 13:45:29.0 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 PFA23
C59792 Hit backboard basketball free-throw line difficulty scale HitBckbrdBsktblFreThrLnDffScl Scale of the difficulty the subject/participant has in hitting the backboard with a basketball from the free-throw line Scale of the difficulty the subject/participant has in hitting the backboard with a basketball from the free-throw line Are you able to hit the backboard with a basketball from the free-throw line (13 ft/4 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 10:56:55.0 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 PFM15
C59728 Climb 5 step difficulty scale Climb5StepDifficultyScl Scale of the difficulty the subject/participant has in climbing up five steps Scale of the difficulty the subject/participant has in climbing up five steps Are you able to climb up five 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 10:45:28.0 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 PFB10
C59824 Moderate housework health limit scale ModrtHswrkHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to engage in moderate housework, such as vacuuming or sweeping floors Scale of the degree to which the subject/participant's health limits his or her ability to engage in moderate housework, such as vacuuming or sweeping floors Does your health now limit you in doing moderate work around the house like vacuuming, sweeping floors or carrying in groceries? 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 13:09:37.0 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 PFB1
C59760 Walk block level surface difficulty scale WlkBlkLvlSfcDifficultyScl Scale of the difficulty the subject/participant has in walking the length of one block / 100 m on a level surface Scale of the difficulty the subject/participant has in walking the length of one block / 100 m on a level surface Are you able to walk a block (about 100 m) on flat 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 12:13:57.0 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 PFC6r1
C59771 Kneel floor difficulty scale KneelFloorDifficultyScl Scale of the difficulty the subject/participant has in kneeling on the floor Scale of the difficulty the subject/participant has in kneeling on the floor Are you able to kneel on the floor? 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 12:47:03.0 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 PFC40
C59707 Stand short period time difficulty scale StndShrtPrdTimDifficultyScl Scale of the difficulty the subject/participant has in standing for short periods of time Scale of the difficulty the subject/participant has in standing for short periods of time Are you able to stand for short periods of time? 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 09:55:57.0 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 PFA37
C59803 Leap 3 feet 1 meter horizontal difficulty scale Lep3Ft1MHrztlDffcltyScl Scale of the difficulty the subject/participant has in leaping 3 feet / 1 meter horizontally Scale of the difficulty the subject/participant has in leaping 3 feet / 1 meter horizontally Are you able to jump over a puddle that is 3 feet (1 m) wide? 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 11:25:53.0 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 PFM29
C59739 Pick up coin table top difficulty scale PickUpCoinTableTopDiffcltyScl Scale of the difficulty the subject/participant has in picking up coins from a table top Scale of the difficulty the subject/participant has in picking up coins from a table top Are you able to pick up coins from a table top? 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 11:19:45.0 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 PFB21r1
C59835 Take short trip outside home health limit scale TakShrtTrpOtsdHomHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to take short trips outside the home, such as shopping or appointments Scale of the degree to which the subject/participant's health limits his or her ability to take short trips outside the home, such as shopping or appointments Does your health now limit you in going OUTSIDE the home, for example to shop or visit a doctor's office? 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 13:40:28.0 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 PFB54
C59782 Get in out bed difficulty scale GetInOutBedDifficultyScl Scale of the difficulty the subject/participant has in getting in and out of bed Scale of the difficulty the subject/participant has in getting in and out of bed Are you able to get in and out of 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 2019-06-21 10:31:47.0 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 PFC53
C59718 Bend twist back difficulty scale BendTwistBackDifficultyScl Scale of the difficulty the subject/participant has in bending or twisting his or her back Scale of the difficulty the subject/participant has in bending or twisting his or her back Are you able to bend or twist your 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 2019-06-20 10:19:59.0 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 PFA49
C59814 Pull 100 pound 50 kilogram 100 yard 100 meter difficulty scale Pul100Pd50Kg100Yd100MDffScl Scale of the difficulty the subject/participant has in pulling a 100 pound / 50 kilogram load a distance of 100 yards / 100 meters Scale of the difficulty the subject/participant has in pulling a 100 pound / 50 kilogram load a distance of 100 yards / 100 meters Are you able to pull a sled or a wagon with two children (total 100 lbs/50 kg) for 100 yards (100 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 11:54:54.0 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 PFM48
C59845 Difficulty do daily physical activity because health scale DffcltyDoDlyPhysActBcHlthScl Scale of the difficulty the subject/participant has doing his or her daily physical activities because of his or her health Scale of the difficulty the subject/participant has doing his or her daily physical activities because of his or her health How much difficulty do you have doing your daily physical activities, because of your health? 3;2;1;4;5 Some Difficulty;A Lot of Difficulty;Cannot do because of health;A little bit of difficulty;No difficulty at all Numeric Values Adult;Pediatric Supplemental 1.00 2019-06-21 14:05:35.0 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 PFB50
C59750 Stand unsupport 10 minute difficulty scale StndUnsprt10MinDifficultyScl Scale of the difficulty the subject/participant has in standing unsupported for 10 minutes Scale of the difficulty the subject/participant has in standing unsupported for 10 minutes Are you able to stand unsupported for 10 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 2019-06-20 11:45:15.0 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 PFB32
C59686 Heavy door push open difficulty scale HeavyDoorPushOpenDiffScl Scale of the degree of difficulty the subject/participant has in pushing a heavy door open Scale of the degree of difficulty the subject/participant has in pushing a heavy door open Are you able to push open a heavy door? 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 12:53:27.0 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 PFA12
C59697 Run over uneven ground difficulty scale RunOvrUnevnGrndDiffcltyScl Scale of the difficulty the subject/participant has in running over uneven ground Scale of the difficulty the subject/participant has in running over uneven ground Are you able to run on uneven 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 2019-06-19 13:47:51.0 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 PFA27
C59793 Pass 20 pound 10 kilogram dish table difficulty scale Pass20Pd10KgDshTblDffScl Scale of the difficulty the subject/participant has in passing a 20 pound / 10 kilogram dish to other people at the table Scale of the difficulty the subject/participant has in passing a 20 pound / 10 kilogram dish to other people at the table Are you able to pass a 20-pound (10 kg) turkey or ham to other people at the table? 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 10:59:50.0 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 PFM16
C59729 Wash dish pot utensil manual stand sink difficulty scale WshDshPotUtlMnlStdSnkDffScl Scale of the difficulty the subject/participant has in washing dishes, pots, and utensils manually while standing at sink Scale of the difficulty the subject/participant has in washing dishes, pots, and utensils manually while standing at sink Are you able to wash dishes, pots, and utensils by hand while standing at a sink? 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 10:55:17.0 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 PFB11
C59825 Put trash bag out health limit scale PutTrshBagOutHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to put a trash bag outside Scale of the degree to which the subject/participant's health limits his or her ability to put a trash bag outside Does your health now limit you in putting a trash bag outside? 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 13:13:22.0 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 PFB3
C59761 Run 5 mile 8 kilometer difficulty scale Run5Mi8KmDifficultyScl Scale of the difficulty the subject/participant has in running 5 miles / 8 kilometers Scale of the difficulty the subject/participant has in running 5 miles / 8 kilometers Are you able to run five miles (8 km)? 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 12:16:45.0 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 PFC7r1
C59772 Sit rise low sofa difficulty scale SitRiseLowSofaDifficultyScl Scale of the difficulty the subject/participant has in sitting on and rising from a low, soft sofa Scale of the difficulty the subject/participant has in sitting on and rising from a low, soft sofa Are you able to sit down in and stand up from a low, soft couch? 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 10:06:42.0 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 PFC41
C59708 Dry back towel difficulty scale DryBackTowelDifficultyScl Scale of the difficulty the subject/participant has in drying his or her back with a towel Scale of the difficulty the subject/participant has in drying his or her back with a towel Are you able to dry your back with a towel? 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 09:57:54.0 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 PFA38
C59804 Jump 2 feet 60 centimeter vertical difficulty scale Jmp2Ft60CmVrtclDffcltyScl Scale of the difficulty the subject/participant has in jumping 2 feet / 60 centimeters vertically Scale of the difficulty the subject/participant has in jumping 2 feet / 60 centimeters vertically Are you able to jump 2 feet (60 cm) high? 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 11:29:06.0 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 PFM32
C59740 Hold plate full food difficulty scale HoldPlatFullFoodDifficultyScl Scale of the difficulty the subject/participant has in holding a plate full of food Scale of the difficulty the subject/participant has in holding a plate full of food Are you able to hold a plate full of food? 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 11:23:03.0 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 PFB22
C59836 Open previously open jar health limit scale OpnPrvslyOpnJarHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to open a jar that was previously opened Scale of the degree to which the subject/participant's health limits his or her ability to open a jar that was previously opened Does your health now limit you in opening a previously opened jar? 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 13:43:28.0 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 PFC8
C59783 Dig 2 foot half meter hole shovel difficulty scale Dig2FtHlfMHolShvlDffcltyScl Scale of the difficulty the subject/particpant has in digging a 2 foot / ½ meter deep hole in dirt using a shovel Scale of the difficulty the subject/particpant has in digging a 2 foot / ½ meter deep hole in dirt using a shovel Are you able to dig a 2-foot (1/2 m) deep hole in the dirt with a shovel? 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 10:33:58.0 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 PFM1
C59719 Brush teeth difficulty scale BrushTeethDifficultyScl Scale of the difficulty the subject/participant has in brushing his or her teeth Scale of the difficulty the subject/participant has in brushing his or her teeth Are you able to brush your teeth? 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 10:21:45.0 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 PFA50
C59815 Rise pushup position 5 time quickly difficulty scale RisPshpPstn5TmQcklyDffcltyScl Scale of the difficulty the subject/participant has in rising a push-up position to a standing position 5 times quickly Scale of the difficulty the subject/participant has in rising a push-up position to a standing position 5 times quickly Are you able to stand up from a push-up position five times quickly? 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 11:58:41.0 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 PFM49
C59846 Extent able carry out everyday physical activity scale ExtntAblCryOutEvdyPhyActScl Scale of the extent to which the subject/participant is able to carry out his or her everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair Scale of the extent to which the subject/participant is able to carry out his or her everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair? 1;2;3;4;5;1;2;3;4;5 Not at all;a little;Moderately;mostly;completely;Not at all;a little;Moderately;mostly;completely Numeric Values Adult;Pediatric Supplemental 1.00 2019-06-21 14:09:39.0 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 Global06
C59751 Remove item back pocket difficulty scale RemvItemBackPcktDifficultyScl Scale of the difficulty the subject/participant has in removing an item from the back pocket of his or her pants Scale of the difficulty the subject/participant has in removing an item from the back pocket of his or her pants Are you able to remove something from your back pocket? 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 11:47:50.0 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 PFB33
C59687 Exercise 1 hour difficulty scale Exrcs1HourDifficultyScl Scale of the difficulty the subject/participant has in exercising for one hour Scale of the difficulty the subject/participant has in exercising for one hour Are you able to exercise 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 2019-06-19 12:55:46.0 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 PFA13
C59698 Use manual can opener difficulty scale UseManulCanOpnrDiffcltyScl Scale of the difficulty the subject/participant has in using a manual can opener to open cans Scale of the difficulty the subject/participant has in using a manual can opener to open cans Are you able to open a can with a hand can opener? 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 13:49:52.0 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 PFA28
C59794 Remove heavy suitcase overhead bin plane bus difficulty scale RmvHvyStcsOvrhdBnPlnBusDffScl Scale of the difficulty the subject/participant has in removing a heavy suitcase (50 pound / 25 kilogram) from the overhead bin on an airplane or bus Scale of the difficulty the subject/participant has in removing a heavy suitcase (50 pound / 25 kilogram) from the overhead bin on an airplane or bus Are you able to remove a heavy suitcase (50 lbs/25 kg) from an overhead bin on an airplane or 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 2019-06-21 11:02:31.0 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 PFM17
C59730 Make bed difficulty scale MakeBedDifficultyScl Scale of the difficulty the subject/participant has in making a bed, including spreading and tucking in bed sheets Scale of the difficulty the subject/participant has in making a bed, including spreading and tucking in bed sheets Are you able to make a bed, including spreading and tucking in bed sheets? 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 10:58:28.0 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 PFB12
C59826 Dance half hour health limit scale DanceHalfHourHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to dance for half an hour Scale of the degree to which the subject/participant's health limits his or her ability to dance for half an hour Does your health now limit you in dancing for half an hour? 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 13:16:04.0 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 PFB4
C59762 Run 100 yard 100 meter difficulty scale Run100Yd100MDffcltyScl Scale of the difficulty the subject/participant has in running a distance of 100 yards / 100 meters Scale of the difficulty the subject/participant has in running a distance of 100 yards / 100 meters Are you able to run 100 yards (100 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 2019-06-20 12:19:08.0 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 PFC13r1
C59773 Open tight jar difficulty scale OpenTightJarDifficultyScl Scale of the difficulty the subject/participant has in opening a tightly lidded jar Scale of the difficulty the subject/participant has in opening a tightly lidded jar Are you able to open a tight or new jar? 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 10:09:09.0 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 PFC42
C59709 Run fast pace 2 mile 3 kilometer difficulty scale RunFastPace2Mi3KmDiffcltyScl Scale of the difficulty the subject/participant has in running 2 miles / 3 kilometers at a fast pace Scale of the difficulty the subject/participant has in running 2 miles / 3 kilometers at a fast pace Are you able to run at a fast pace for two miles (3 km)? 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 09:59:47.0 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 PFA39r1
C59805 Walk across balance beam difficulty scale WlkAcrsBlncBeamDffcltyScl Scale of the difficulty the subject/participant has in walking across a balance beam Scale of the difficulty the subject/participant has in walking across a balance beam Are you able to walk across a balance beam? 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 11:32:56.0 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 PFM33
C59741 Pour liquid bottle glass difficulty scale PourLiqdBotlGlasDifficultyScl Scale of the difficulty the subject/participant has in pouring liquid from a bottle into a glass Scale of the difficulty the subject/participant has in pouring liquid from a bottle into a glass Are you able to pour liquid from a bottle into a glass? 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 11:25:20.0 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 PFB23r1
C59837 Climb several flight stair health limit scale ClmbSvrlFlghtStrHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to climb several flights of stairs Scale of the degree to which the subject/participant's health limits his or her ability to climb several flights of stairs Does your health now limit you in climbing several flights of stairs? 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 13:45:26.0 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 PFC10
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
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
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
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
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