Sub-Domain: Outcomes and End Points
CRF:
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 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | |||||||||||||||||||||||||||
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 | |||||||||||||||||||||||||||
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 | |||||||||||||||||||||||||||
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 | |||||||||||||||||||||||||||
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 | |||||||||||||||||||||||||||
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 | |||||||||||||||||||||||||||
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 | |||||||||||||||||||||||||||
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 | |||||||||||||||||||||||||||
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 | |||||||||||||||||||||||||||
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 | |||||||||||||||||||||||||||
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 | |||||||||||||||||||||||||||
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 | |||||||||||||||||||||||||||
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 | |||||||||||||||||||||||||||
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 | |||||||||||||||||||||||||||
C59727 | Jump up down difficulty scale | JumpUpDownDifficultyScl | Scale of the difficulty the subject/participant has in jumping up and down | Scale of the difficulty the subject/participant has in jumping up and down | Are you able to jump up and down? | 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 10:43:30.0 | 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 | PFB9 | |||||||||||||||||||||||||||
C59823 | Bathe dress self health limit scale | BatheDressSelfHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to bathe or dress him or herself | Scale of the degree to which the subject/participant's health limits his or her ability to bathe or dress him or herself | Does your health now limit you in bathing or dressing yourself? | 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 13:06:48.0 | 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 | PFA6 | |||||||||||||||||||||||||||
C59759 | Lift 1 pound half kilogram shoulder level straight elbow difficulty scale | Lf1PdHfKgShlLvStrElbDiffScl | Scale of the difficulty the subject/participant has in lifting one pound / 0.5 kilogram to shoulder level while keeping his or her elbow straight | Scale of the difficulty the subject/participant has in lifting one pound / 0.5 kilogram to shoulder level while keeping his or her elbow straight | Are you able to lift one pound (0.5 kg) to shoulder level without bending your elbow? | 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 12:09:37.0 | 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 | PFB56r1 | |||||||||||||||||||||||||||
C59695 | Ascend descend stair normal pace difficulty scale | AscDescStrNrmlPacDffcltyScl | Scale of the difficulty the subject/participant has in ascending and descending stairs at a normal pace | Scale of the difficulty the subject/participant has in ascending and descending stairs at a normal pace | Are you able to go up and down stairs at a normal pace? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-19 13:42:56.0 | 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 | PFA21 | |||||||||||||||||||||||||||
C59791 | Lift heavy object over head difficulty scale | LiftHvyObjOvrHeadDifficultyScl | Scale of the difficulty the subject/participant has in lifting a heavy object (20 pounds / 10 kilograms) above his or her head | Scale of the difficulty the subject/participant has in lifting a heavy object (20 pounds / 10 kilograms) above his or her head | Are you able to lift a heavy object (20 lbs/10 kg) 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 | Supplemental | 1.00 | 2019-06-21 10:53:44.0 | 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 | PFM12 | |||||||||||||||||||||||||||
C59802 | Leap 1 foot 30 centimeter vertical difficulty scale | Lep1Ft30CmVrtclDffcltyScl | Scale of the difficulty the subject/participant has in leaping 1 foot / 30 centimeter vertically | Scale of the difficulty the subject/participant has in leaping 1 foot / 30 centimeter vertically | Are you able to jump over an object that is 1 foot (30 cm) tall? | 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 11:23:27.0 | 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 | PFM26 | |||||||||||||||||||||||||||
C59738 | Cut paper scissors difficulty scale | CutPaprScssrsDifficultyScl | Scale of the difficulty the subject/participant has in cutting paper with scissors | Scale of the difficulty the subject/participant has in cutting paper with scissors | Are you able to cut a piece of paper with scissors? | 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 11:17:39.0 | 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 | PFB20r1 | |||||||||||||||||||||||||||
C59834 | Take part active sport health limit scale | TakePartActivSportHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to engage in active sports such as tennis or basketball | Scale of the degree to which the subject/participant's health limits his or her ability to engage in active sports such as tennis or basketball | Does your health now limit you in participating in active sports such as swimming, tennis, or basketball? | 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 13:37:56.0 | 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 | PFB51 | |||||||||||||||||||||||||||
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 | |||||||||||||||||||||||||||
C59770 | Stand not lose balance difficulty scale | StndNotLosBlnceDifficultyScl | Scale of the difficulty the subject/participant has in standing for several minutes without losing his or her balance | Scale of the difficulty the subject/participant has in standing for several minutes without losing his or her balance | Are you able to stand without losing your balance for several 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 12:44:36.0 | 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 | PFC39 | |||||||||||||||||||||||||||
C59706 | Don remove coat jacket difficulty scale | DonRemovCoatJcktDiffcltyScl | Scale of the difficulty the subject/participant has in donning or removing a coat or jacket | Scale of the difficulty the subject/participant has in donning or removing a coat or jacket | Are you able to put on and take off a coat or jacket? | 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 09:53:52.0 | 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 | PFA36 | |||||||||||||||||||||||||||
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 | Supplemental | 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 | Supplemental | 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 | Supplemental | 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 |