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
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 Proposed 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 Proposed 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 Proposed 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 Proposed 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 Proposed 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 Proposed 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 Proposed 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 Proposed 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 Proposed 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 Proposed 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
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 Proposed 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 Proposed 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 Proposed 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 Proposed 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
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 Proposed 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
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 Proposed 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 Proposed 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 Proposed 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 Proposed 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 Proposed 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 Proposed 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 Proposed 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 Proposed 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 Proposed 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 Proposed 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
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 Proposed 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 Proposed 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 Proposed 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 Proposed 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
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 Proposed 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
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 Proposed 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 Proposed 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 Proposed 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 Proposed 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 Proposed 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 Proposed 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 Proposed 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 Proposed 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 Proposed 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 Proposed 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
C59830 Moderate activity health limit scale ModrtActvtyHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to engage in moderate activity such as vacuuming, bowling, playing golf Scale of the degree to which the subject/participant's health limits his or her ability to engage in moderate activity such as vacuuming, bowling, playing golf Does your health now limit you in doing moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf? 5;4;3;2;1 Not at all;Very little;Somewhat;Quite a lot;Cannot do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 13:26:52.0 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 PFB44
C59766 Reach low cupboard difficulty scale ReachLowCupboardDffcltyScl Scale of the difficulty the subject/participant has in reaching into a low cupboard Scale of the difficulty the subject/participant has in reaching into a low cupboard Are you able to reach into a low 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 Proposed 1.00 2019-06-20 12:32:55.0 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 PFC31
C59702 Stand knee straight difficulty scale StandKneeStraightDifficultyScl Scale of the difficulty the subject/participant has in standing with his or her knees straight Scale of the difficulty the subject/participant has in standing with his or her knees straight Are you able to stand with your knees straight? 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 Proposed 1.00 2019-06-19 14:01:40.0 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 PFA32
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 Proposed 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
C59798 Walk brisk 20 minute no stop difficulty scale WlkBrsk20MinNoStpDffcltyScl Scale of the difficulty the subject/participant has in walking briskly for 20 minutes without stopping Scale of the difficulty the subject/participant has in walking briskly for 20 minutes without stopping Are you able to walk briskly for 20 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 Proposed 1.00 2019-06-21 11:14:04.0 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 PFM23
C59734 Press with index finger difficulty scale PresWithIndxFngrDifficultyScl Scale of the difficulty the subject/participant has in pressing with his or her index finger Scale of the difficulty the subject/participant has in pressing with his or her index finger Are you able to press with your index finger (for example ringing a doorbell)? 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 Proposed 1.00 2019-06-20 11:07:50.0 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 PFB16r1
C59745 Tie knot bow difficulty scale TieKnotBowDifficultyScl Scale of the difficulty the subject/participant has in tying a knot or a bow Scale of the difficulty the subject/participant has in tying a knot or a bow Are you able to tie a knot or a bow? 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 Proposed 1.00 2019-06-20 11:34:01.0 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 PFB27
C59841 Walk over mile health limit scale WalkOverMileHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to walk more than 1 mile / 1.6 kilometer Scale of the degree to which the subject/participant's health limits his or her ability to walk more than 1 mile / 1.6 kilometer Does your health now limit you in walking more than a mile (1.6 km)? 5;4;3;2;1 Not at all;Very little;Somewhat;Quite a lot;Cannot do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 13:53:03.0 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 PFC36r1
C59777 Be out bed most of day difficulty scale BeOutBedMostOfDayDffcltyScl Scale of the difficulty the subject/participant has in being out of bed for most of the day Scale of the difficulty the subject/participant has in being out of bed for most of the day Are you able to be out of bed most of the day? 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 Proposed 1.00 2019-06-21 10:19:24.0 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 PFC47
C59713 Write pen pencil difficulty scale WritePenPencilDifficultyScl Scale of the difficulty the subject/participant has in writing with a pen or pencil Scale of the difficulty the subject/participant has in writing with a pen or pencil Are you able to write with a pen or pencil? 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 Proposed 1.00 2019-06-20 10:08:49.0 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 PFA43r1
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