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
C59843 Get in out bathtub health limit scale GetInOutBathtubHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to get in and out of the bathtub Scale of the degree to which the subject/participant's health limits his or her ability to get in and out of the bathtub Does your health now limit you in getting in and out of the bathtub? 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 13:59:30.0 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 PFC54
C59756 Stand tiptoe difficulty scale StandTiptoeDifficultyScl Scale of the difficulty the subject/participant has in standing on his or her tiptoes Scale of the difficulty the subject/participant has in standing on his or her tiptoes Are you able to stand up on tiptoes? 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 12:02:51.0 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 PFB40
C59692 Use hammer pound nail difficulty scale UseHamrPndNailDifficltyScl Scale of the difficulty the subject/participant has in using a hammer to pound a nail Scale of the difficulty the subject/participant has in using a hammer to pound a nail Are you able to use a hammer to pound a nail? 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 13:36:03.0 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 PFA18
C59788 Do 5 pushup without stop difficulty scale Do5PshupWoStopDffcltyScl Scale of the difficulty the subject/participant has in doing 5 pushups without stopping Scale of the difficulty the subject/participant has in doing 5 pushups without stopping Are you able to complete 5 push-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 10:47:31.0 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 PFM7
C59724 Wash dry body difficulty scale WashDryBodyDifficultyScl Scale of the difficulty the subject/participant has in washing and drying his or her body Scale of the difficulty the subject/participant has in washing and drying his or her body Are you able to wash and dry your body? 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 10:30:53.0 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 PFA55
C59820 Bend kneel stoop health limit scale BndKnlStpHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to bend, kneel, or stoop Scale of the degree to which the subject/participant's health limits his or her ability to bend, kneel, or stoop Does your health now limit you in bending, kneeling, or stooping? 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 12:29:12.0 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 PFA3
C59767 Ascend 5 flight stair difficulty scale Asc5FltStrDifficultyScl Scale of the difficulty the subject/participant has in ascending 5 flights of stairs Scale of the difficulty the subject/participant has in ascending 5 flights of stairs Are you able to climb up 5 flights 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 12:35:59.0 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 PFC32
C59703 Exercise hard half hour difficulty scale ExrcsHardHalfHourDffcltyScl Scale of the difficulty the subject/participant has in exercising hard for half an hour Scale of the difficulty the subject/participant has in exercising hard for half an hour Are you able to exercise hard for half 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 14:03:33.0 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 PFA33
C59799 Run come complete stop difficulty scale RunComCmpltStpDifficultyScl Scale of the difficulty the subject/participant has in coming to a complete stop while running Scale of the difficulty the subject/participant has in coming to a complete stop while running Are you able to come to a complete stop while running? 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 11:16:45.0 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 PFM25
C59735 Put on take off socks difficulty scale PutOnTakeOffSockDifficultyScl Scale of the difficulty the subject/participant has in putting on and taking off his or her socks Scale of the difficulty the subject/participant has in putting on and taking off his or her socks Are you able to put on and take off your socks? 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 11:10:28.0 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 PFB17
C59831 Take part any sport health limit scale TakePartAnySportHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to take part in any sports Scale of the degree to which the subject/participant's health limits his or her ability to take part in any sports Does your health now limit you in taking part in any sports (swimming, bowling, and so forth)? 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 13:31:15.0 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 PFB45
C59842 Ascend 1 flight stair health limit scale Asc1FlightStairHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to ascend one flight of stairs Scale of the degree to which the subject/participant's health limits his or her ability to ascend one flight of stairs Does your health now limit you in climbing one flight 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 13:56:46.0 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 PFC37
C59682 Move chair between room difficulty scale MovChairBtwnRoomDifficltyScl Scale of the difficulty the subject/participant has in moving a chair between rooms Scale of the difficulty the subject/participant has in moving a chair between rooms Are you able to move a chair from one room to another? 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 12:38:56.0 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 PFA8
C59778 Carry heavy household item up stair difficulty scale CrryHvyHshldItmUpStrDffcltyScl Scale of the difficulty the subject/participant has in carrying heavy household items up a flight of stairs Scale of the difficulty the subject/participant has in carrying heavy household items up a flight of stairs Are you able to carry household items, such as heavy boxes or furniture, 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 2019-06-21 10:21:59.0 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 PFC48
C59714 Don shirt blouse difficulty scale DonShirtBlouseDifficultyScl Scale of the difficulty the subject/participant has in donning a shirt or a blouse Scale of the difficulty the subject/participant has in donning a shirt or a blouse Are you able to put on a shirt or blouse? 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 10:11:06.0 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 PFA44
C59810 Put 50 pound 25 kilogram bag sand car difficulty scale Put50Pd25KgBagSndCarDffScl Scale of the difficulty the subject/participant has in loading a 50 pound / 25 kilogram bag of sand into a car Scale of the difficulty the subject/participant has in loading a 50 pound / 25 kilogram bag of sand into a car Are you able to lift and load one 50-pound (25 kg) bag of sand into a car? 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 11:44:53.0 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 PFM38
C59746 Lift 10 pound 5 kilogram above shoulder difficulty scale Lft10Pd5KgAbvShldrDffcltyScl Scale of the difficulty the subject/participant has in lifting 10 pounds / 5 kilograms above his or her shoulder Scale of the difficulty the subject/participant has in lifting 10 pounds / 5 kilograms above his or her shoulder Are you able to lift 10 pounds (5 kg) above your shoulder? 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 11:35:49.0 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 PFB28r1
C59844 Walk around house health limit scale WalkAroundHouseHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to walk around the house Scale of the degree to which the subject/participant's health limits his or her ability to walk around the house Does your health now limit you in walking about the house? 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 14:01:26.0 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 PFC56
C59757 Trim fingernail difficulty scale TrimFngrnailDifficultyScl Scale of the difficulty the subject/participant has in trimming his or her fingernails Scale of the difficulty the subject/participant has in trimming his or her fingernails Are you able to trim your fingernails? 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 12:04:58.0 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 PFB41
C59693 Run jog 2 mile 3 kilometer difficulty scale RunJog2Mi3KmDiffcltyScl Scale of difficulty the subject/participant has in running or jogging for 2 miles/3 kilometers Scale of difficulty the subject/participant has in running or jogging for 2 miles/3 kilometers Are you able to run or jog 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 2019-06-19 13:38:09.0 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 PFA19r1
C59789 Rake leaves sweep 1 hour no rest difficulty scale RakLeavSwp1HrNoRstDffcltyScl Scale of the difficulty the subject/participant has in raking leaves or sweeping for 1 hour with no rest Scale of the difficulty the subject/participant has in raking leaves or sweeping for 1 hour with no rest Are you able to rake leaves or sweep for an hour 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 10:49:40.0 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 PFM9
C59725 Enter exit car difficulty scale EnterExitCarDifficultyScl Scale of the difficulty the subject/participant has in entering and exiting a car Scale of the difficulty the subject/participant has in entering and exiting a car Are you able to get in and out of a car? 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 10:32:42.0 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 PFA56
C59821 Heavy housework health limit scale HvyHousworkHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to engage in heavy housework such as scrubbing floors or moving heavy furniture Scale of the degree to which the subject/participant's health limits his or her ability to engage in heavy housework such as scrubbing floors or moving heavy furniture Does your health now limit you in doing heavy work around the house like scrubbing floors, or lifting or moving heavy furniture? 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 13:01:55.0 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 PFA4
C59768 Run 10 mile 16 kilometer difficulty scale Run10Mi16KmDifficultyScl Scale of the difficulty the subject/participant has in running a distance of 10 miles / 16 kilometers Scale of the difficulty the subject/participant has in running a distance of 10 miles / 16 kilometers Are you able to run ten miles (16 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 12:38:12.0 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 PFC33r1
C59704 Wash back difficulty scale WashBackDifficultyScl Scale of the difficulty the subject/participant has in washing his or her back Scale of the difficulty the subject/participant has in washing his or her back Are you able to wash 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 2019-06-19 14:05:29.0 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 PFA34
C59800 Turn sharp run fast difficulty scale TrnShpRunFstDifficultyScl Scale of the difficulty the subject/participant has in turning sharply while running fast Scale of the difficulty the subject/participant has in turning sharply while running fast Are you able to make sharp turns while running fast? 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 11:18:37.0 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 PFM26
C59736 Shave face apply makeup difficulty scale ShavFaceAplyMakupDifficultyScl Scale of the difficulty the subject/participant has in shaving his or her face or applying makeup Scale of the difficulty the subject/participant has in shaving his or her face or applying makeup Are you able to shave your face or apply makeup? 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 11:12:32.0 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 PFB18
C59832 Take shower health limit scale TakeShowerHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to take a shower Scale of the degree to which the subject/participant's health limits his or her ability to take a shower Does your health now limit you in taking a shower? 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 13:33:06.0 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 PFB48
C59683 Bend down pick up clothing floor difficulty scale BndDwnPckUpClthngFlrDiffScl Scale of the difficulty the subject/participant has in bending down and picking up clothing from the floor Scale of the difficulty the subject/participant has in bending down and picking up clothing from the floor Are you able to bend down and pick up clothing from 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 2019-06-19 12:41:45.0 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 PFA9
C59779 Water house plant difficulty scale WaterHousePlantDifficultyScl Scale of the difficulty the subject/participant has in watering a house plant Scale of the difficulty the subject/participant has in watering a house plant Are you able to water a house plant? 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 10:24:27.0 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 PFC49
C59715 Rise bed into chair difficulty scale RiseBedIntoChairDifficultyScl Scale of the difficulty the subject/participant has in rising from a bed into a chair Scale of the difficulty the subject/participant has in rising from a bed into a chair Are you able to get out of bed into a 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 2019-06-20 10:13:43.0 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 PFA45
C59811 Ascend 6 foot 2 meter ladder difficulty scale Asc6Ft2MLadrDifficultyScl Scale of the difficulty the subject/participant has in ascending a 6 foot/2 meter ladder Scale of the difficulty the subject/participant has in ascending a 6 foot/2 meter ladder Are you able to climb a 6-foot (2 m) ladder? 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 11:47:15.0 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 PFM40
C59747 Lift full cup glass mouth difficulty scale LiftFulCupGlasMthDffcltyScl Scale of the difficulty the subject/participant has in lifting a full cup or glass to his or her mouth Scale of the difficulty the subject/participant has in lifting a full cup or glass to his or her mouth Are you able to lift a full cup or glass to your mouth? 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 11:38:36.0 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 PFB29r1
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
C59758 Stand unsupport 30 minute difficulty scale StndUnsprt30MinDffcltyScl Scale of the difficulty the subject/participant has in standing unsupported for 30 minutes Scale of the difficulty the subject/participant has in standing unsupported for 30 minutes Are you able to stand unsupported for 30 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 12:07:04.0 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 PFB42
C59694 Cut food eating utensil difficulty scale CutFoodEatUtnslDiffcltyScl Scale of the difficulty the subject/participant has in cutting his or her food using eating utensils Scale of the difficulty the subject/participant has in cutting his or her food using eating utensils Are you able to cut your food using eating utensils? 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 13:40:49.0 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 PFA20
C59790 Do pull-up difficulty scale DoPullUpDifficultyScl Scale of the difficulty the subject/participant has in doing 1 pull-up Scale of the difficulty the subject/participant has in doing 1 pull-up Are you able to do a pull-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 2019-06-21 10:51:57.0 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 PFM10
C59726 Carry 2 bag groceries 100 yard 100 meter difficulty scale Crry2BgGrocrs100Yd100MDffScl Scale of the difficulty the subject/participant has in carrying 2 bags filled with groceries for a distance of 100 yards / 100 meters Scale of the difficulty the subject/participant has in carrying 2 bags filled with groceries for a distance of 100 yards / 100 meters Are you able to carry two bags filled with groceries 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 10:35:00.0 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 PFB8r1
C59822 Lift carry groceries health limit scale LiftCaryGrcrsHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to lift or carry groceries Scale of the degree to which the subject/participant's health limits his or her ability to lift or carry groceries Does your health now limit you in lifting or carrying 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 13:04:45.0 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 PFA5
C59769 Walk normal speed difficulty scale WlkNrmlSpedDifficultyScl Scale of the difficulty the subject/participant has in walking at a normal speed Scale of the difficulty the subject/participant has in walking at a normal speed Are you able to walk at a normal speed? 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 12:42:17.0 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 PFC38
C59705 Pull zipper difficulty scale PullZipperDifficultyScl Scale of the difficulty the subject/participant has in pulling a zipper Scale of the difficulty the subject/participant has in pulling a zipper Are you able to open and close a zipper? 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 09:51:35.0 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 PFA35
C59801 Jump rope 10 minute no stop difficulty scale JmpRop10MinNoStpDffcltyScl Scale of the difficulty the subject/participant has in jumping rope for 10 minutes without stopping Scale of the difficulty the subject/participant has in jumping rope for 10 minutes without stopping Are you able to jump rope for 10 minutes 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 11:21:10.0 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 PFM27
C59737 Squeeze new tube toothpaste difficulty scale SqzNewTubTthpstDifficultyScl Scale of the difficulty the subject/participant has in squeezing a new tube of toothpaste Scale of the difficulty the subject/participant has in squeezing a new tube of toothpaste Are you able to squeeze a new tube of toothpaste? 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 11:15:02.0 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 PFB19r1
C59833 Go short walk health limit scale GoShortWalkHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to go for a short walk (less than 15 minutes) Scale of the degree to which the subject/participant's health limits his or her ability to go for a short walk (less than 15 minutes) Does your health now limit you in going for a short walk (less than 15 minutes)? 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 13:35:00.0 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 PFB49
C59684 Stand 1 hour difficulty scale Stand1HourDiffficultyScl Scale of the difficulty the subject/participant has in standing for one hour Scale of the difficulty the subject/participant has in standing for one hour Are you able to stand for one 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 12:45:18.0 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 PFA10
C59780 Wipe self after toilet difficulty scale WipeSelfAfterToiletDfficltyScl Scale of the difficulty the subject/participant has in wiping him or herself after using the toilet Scale of the difficulty the subject/participant has in wiping him or herself after using the toilet Are you able to wipe yourself after using 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 10:26:10.0 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 PFC51
C59716 Pull on trousers difficulty scale PullOnTrousersDifficultyScl Scale of the difficulty the subject/participant has in pulling on trousers Scale of the difficulty the subject/participant has in pulling on trousers Are you able to pull on trousers? 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 10:15:46.0 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 PFA47
C59812 Push empty refrigerator 1 yard 1 meter difficulty scale PshEmtyFrig1Yd1MDffcltyScl Scale of the difficulty the subject/participant has in pushing an empty refrigerator a distance of 1 yard / 1 meter Scale of the difficulty the subject/participant has in pushing an empty refrigerator a distance of 1 yard / 1 meter Are you able to push an empty refrigerator forward 1 yard (1 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 11:49:32.0 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 PFM43
C59748 Open new milk carton difficulty scale OpnNewMlkCrtnDffcltyScl Scale of the difficulty the subject/participant has in opening a new milk carton Scale of the difficulty the subject/participant has in opening a new milk carton Are you able to open a new milk carton? 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 11:40:57.0 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 PFB30
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
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