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

165 results.
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
C59781 Turn side to side bed difficulty scale TrnSidToSidBedDifficultyScl Scale of the difficulty the subject/participant has in turning from side to side while in bed Scale of the difficulty the subject/participant has in turning from side to side while in bed Are you able to turn from side to side in bed? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 10:28:54.0 PROMIS Item Bank v2.0 - Physical Function Outcomes and End Points Physical Function

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFC52
C59717 Peel fruit difficulty scale PeelFruitDifficultyScl Scale of the difficulty the subject/participant has in peeling fruit Scale of the difficulty the subject/participant has in peeling fruit Are you able to peel fruit? 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 10:17:39.0 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 PFA48
C59813 Carry 50 pound 25 kilogram bag sand 25 yard 25 meter difficulty scale Cry50Pd25KgBgSd25Yd25MDffScl Scale of the difficulty the subject/participant has in carrying a bag of sand weighing 50 pounds / 25 kilograms a distance of 25 yards / 25 meters Scale of the difficulty the subject/participant has in carrying a bag of sand weighing 50 pounds / 25 kilograms a distance of 25 yards / 25 meters Are you able to carry a 50 lb (25 kg) bag of sand 25 yards (25 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 11:52:00.0 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 PFM44
C59749 Open car door difficulty scale OpenCarDoorDifficultyScl Scale of the difficulty the subject/participant has in opening car doors Scale of the difficulty the subject/participant has in opening car doors Are you able to open car doors? 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 11:43:16.0 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 PFB31r1
C59685 Moderate chore difficulty scale ModrtChoreDifficultyScl Scale of the difficulty the subject/participant has in performing moderate chores (such as vacuuming or yard work) Scale of the difficulty the subject/participant has in performing moderate chores (such as vacuuming or yard work) Are you able to do chores such as vacuuming or yard work? 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 12:50:37.0 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 PFA11
C59696 Walk 15 minute difficulty scale Walk15MinDifficultyScl Scale of the difficulty the subject/participant has in walking for at least 15 minutes Scale of the difficulty the subject/participant has in walking for at least 15 minutes Are you able to go for a walk of at least 15 minutes? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-19 13:45:29.0 PROMIS Item Bank v2.0 - Physical Function Outcomes and End Points Physical Function

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA23
C59792 Hit backboard basketball free-throw line difficulty scale HitBckbrdBsktblFreThrLnDffScl Scale of the difficulty the subject/participant has in hitting the backboard with a basketball from the free-throw line Scale of the difficulty the subject/participant has in hitting the backboard with a basketball from the free-throw line Are you able to hit the backboard with a basketball from the free-throw line (13 ft/4 m)? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 10:56:55.0 PROMIS Item Bank v2.0 - Physical Function Outcomes and End Points Physical Function

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFM15
C59728 Climb 5 step difficulty scale Climb5StepDifficultyScl Scale of the difficulty the subject/participant has in climbing up five steps Scale of the difficulty the subject/participant has in climbing up five steps Are you able to climb up five steps? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 10:45:28.0 PROMIS Item Bank v2.0 - Physical Function Outcomes and End Points Physical Function

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB10
C59824 Moderate housework health limit scale ModrtHswrkHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to engage in moderate housework, such as vacuuming or sweeping floors Scale of the degree to which the subject/participant's health limits his or her ability to engage in moderate housework, such as vacuuming or sweeping floors Does your health now limit you in doing moderate work around the house like vacuuming, sweeping floors or carrying in groceries? 5;4;3;2;1 Not at all;Very little;Somewhat;Quite a lot;Cannot do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 13:09:37.0 PROMIS Item Bank v2.0 - Physical Function Outcomes and End Points Physical Function

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB1
C59760 Walk block level surface difficulty scale WlkBlkLvlSfcDifficultyScl Scale of the difficulty the subject/participant has in walking the length of one block / 100 m on a level surface Scale of the difficulty the subject/participant has in walking the length of one block / 100 m on a level surface Are you able to walk a block (about 100 m) on flat ground? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 12:13:57.0 PROMIS Item Bank v2.0 - Physical Function Outcomes and End Points Physical Function

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFC6r1
C59707 Stand short period time difficulty scale StndShrtPrdTimDifficultyScl Scale of the difficulty the subject/participant has in standing for short periods of time Scale of the difficulty the subject/participant has in standing for short periods of time Are you able to stand for short periods of time? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 09:55:57.0 PROMIS Item Bank v2.0 - Physical Function Outcomes and End Points Physical Function

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFA37
C59803 Leap 3 feet 1 meter horizontal difficulty scale Lep3Ft1MHrztlDffcltyScl Scale of the difficulty the subject/participant has in leaping 3 feet / 1 meter horizontally Scale of the difficulty the subject/participant has in leaping 3 feet / 1 meter horizontally Are you able to jump over a puddle that is 3 feet (1 m) wide? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 11:25:53.0 PROMIS Item Bank v2.0 - Physical Function Outcomes and End Points Physical Function

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFM29
C59739 Pick up coin table top difficulty scale PickUpCoinTableTopDiffcltyScl Scale of the difficulty the subject/participant has in picking up coins from a table top Scale of the difficulty the subject/participant has in picking up coins from a table top Are you able to pick up coins from a table top? 4;3;2;1;1 Without any difficulty;With a little difficulty;With some difficulty;With much difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 11:19:45.0 PROMIS Item Bank v2.0 - Physical Function Outcomes and End Points Physical Function

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB21r1
C59835 Take short trip outside home health limit scale TakShrtTrpOtsdHomHlthLmtScl Scale of the degree to which the subject/participant's health limits his or her ability to take short trips outside the home, such as shopping or appointments Scale of the degree to which the subject/participant's health limits his or her ability to take short trips outside the home, such as shopping or appointments Does your health now limit you in going OUTSIDE the home, for example to shop or visit a doctor's office? 5;4;3;2;1 Not at all;Very little;Somewhat;Quite a lot;Cannot do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-21 13:40:28.0 PROMIS Item Bank v2.0 - Physical Function Outcomes and End Points Physical Function

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFB54
C59771 Kneel floor difficulty scale KneelFloorDifficultyScl Scale of the difficulty the subject/participant has in kneeling on the floor Scale of the difficulty the subject/participant has in kneeling on the floor Are you able to kneel on the floor? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values Adult;Pediatric Proposed 1.00 2019-06-20 12:47:03.0 PROMIS Item Bank v2.0 - Physical Function Outcomes and End Points Physical Function

Single Pre-Defined Value Selected

PROMIS PROMIS Item Bank v2.0 Physical Function PFC40
165 results.
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