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

Displaying 51 - 100 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
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
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
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
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
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
C59809 Carry large baby house car difficulty scale CaryLgBbyHousCarDffcltyScl Scale of the difficulty the subject/participant has in carrying a large baby (15 pounds / 7 kilograms) from the house to a car Scale of the difficulty the subject/participant has in carrying a large baby (15 pounds / 7 kilograms) from the house to a car Are you able to carry a large baby (15 lbs/7 kg) out of the house to a car or taxi? 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 11:42:07.0 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 PFM37
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 Proposed 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
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 Proposed 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 Proposed 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 Proposed 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 Proposed 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
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 Proposed 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 Proposed 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
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 Proposed 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 Proposed 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 Proposed 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
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 Proposed 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
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 Proposed 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 Proposed 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 Proposed 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 Proposed 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 Proposed 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
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 Proposed 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
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 Proposed 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 Proposed 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 Proposed 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 Proposed 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
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 Proposed 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 Proposed 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
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 Proposed 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 Proposed 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 Proposed 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
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 Proposed 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
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 Proposed 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 Proposed 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 Proposed 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
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