CDE Detailed Report
Disease: Sickle Cell Disease
Sub-Domain: Outcomes and End Points
CRF: PROMIS Item Bank v2.0 - Physical Function
Sub-Domain: Outcomes and End Points
CRF: PROMIS Item Bank v2.0 - Physical Function
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C59684 | Stand 1 hour difficulty scale | Stand1HourDiffficultyScl | Scale of the difficulty the subject/participant has in standing for one hour | Scale of the difficulty the subject/participant has in standing for one hour | Are you able to stand for one hour? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-19 12:45:18.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFA10 | |||||||||||||||||||||||||||
| C59780 | Wipe self after toilet difficulty scale | WipeSelfAfterToiletDfficltyScl | Scale of the difficulty the subject/participant has in wiping him or herself after using the toilet | Scale of the difficulty the subject/participant has in wiping him or herself after using the toilet | Are you able to wipe yourself after using the toilet? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 10:26:10.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFC51 | |||||||||||||||||||||||||||
| C59716 | Pull on trousers difficulty scale | PullOnTrousersDifficultyScl | Scale of the difficulty the subject/participant has in pulling on trousers | Scale of the difficulty the subject/participant has in pulling on trousers | Are you able to pull on trousers? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 10:15:46.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFA47 | |||||||||||||||||||||||||||
| C59812 | Push empty refrigerator 1 yard 1 meter difficulty scale | PshEmtyFrig1Yd1MDffcltyScl | Scale of the difficulty the subject/participant has in pushing an empty refrigerator a distance of 1 yard / 1 meter | Scale of the difficulty the subject/participant has in pushing an empty refrigerator a distance of 1 yard / 1 meter | Are you able to push an empty refrigerator forward 1 yard (1 m)? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 11:49:32.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFM43 | |||||||||||||||||||||||||||
| C59748 | Open new milk carton difficulty scale | OpnNewMlkCrtnDffcltyScl | Scale of the difficulty the subject/participant has in opening a new milk carton | Scale of the difficulty the subject/participant has in opening a new milk carton | Are you able to open a new milk carton? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 11:40:57.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFB30 | |||||||||||||||||||||||||||
| 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 | |||||||||||||||||||||||||||
| 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 | |||||||||||||||||||||||||||
| C59845 | Difficulty do daily physical activity because health scale | DffcltyDoDlyPhysActBcHlthScl | Scale of the difficulty the subject/participant has doing his or her daily physical activities because of his or her health | Scale of the difficulty the subject/participant has doing his or her daily physical activities because of his or her health | How much difficulty do you have doing your daily physical activities, because of your health? | 3;2;1;4;5 | Some Difficulty;A Lot of Difficulty;Cannot do because of health;A little bit of difficulty;No difficulty at all | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 14:05:35.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFB50 | |||||||||||||||||||||||||||
| 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 | |||||||||||||||||||||||||||
| 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 | |||||||||||||||||||||||||||
| 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 | Supplemental | 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 | |||||||||||||||||||||||||||
| 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 | Supplemental | 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 | 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 | |||||||||||||||||||||||||||
| 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 | Supplemental | 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 | |||||||||||||||||||||||||||
| 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 | Supplemental | 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 | Supplemental | 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 | Supplemental | 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 | Supplemental | 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 | |||||||||||||||||||||||||||
| 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 | Supplemental | 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 | |||||||||||||||||||||||||||
| C59846 | Extent able carry out everyday physical activity scale | ExtntAblCryOutEvdyPhyActScl | Scale of the extent to which the subject/participant is able to carry out his or her everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair | Scale of the extent to which the subject/participant is able to carry out his or her everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair | To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair? | 1;2;3;4;5;1;2;3;4;5 | Not at all;a little;Moderately;mostly;completely;Not at all;a little;Moderately;mostly;completely | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-21 14:09:39.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | Global06 | |||||||||||||||||||||||||||
| 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 | Supplemental | 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 | |||||||||||||||||||||||||||
| 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 | Supplemental | 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 | Supplemental | 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 | Supplemental | 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 | |||||||||||||||||||||||||||
| C59686 | Heavy door push open difficulty scale | HeavyDoorPushOpenDiffScl | Scale of the degree of difficulty the subject/participant has in pushing a heavy door open | Scale of the degree of difficulty the subject/participant has in pushing a heavy door open | Are you able to push open a heavy door? | 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 12:53:27.0 | 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 | PFA12 | |||||||||||||||||||||||||||
| C59782 | Get in out bed difficulty scale | GetInOutBedDifficultyScl | Scale of the difficulty the subject/participant has in getting in and out of bed | Scale of the difficulty the subject/participant has in getting in and out of bed | Are you able to get in and out of 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 | Supplemental | 1.00 | 2019-06-21 10:31:47.0 | 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 | PFC53 | |||||||||||||||||||||||||||
| C59718 | Bend twist back difficulty scale | BendTwistBackDifficultyScl | Scale of the difficulty the subject/participant has in bending or twisting his or her back | Scale of the difficulty the subject/participant has in bending or twisting his or her back | Are you able to bend or twist 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 | 2019-06-20 10:19:59.0 | 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 | PFA49 | |||||||||||||||||||||||||||
| C59814 | Pull 100 pound 50 kilogram 100 yard 100 meter difficulty scale | Pul100Pd50Kg100Yd100MDffScl | Scale of the difficulty the subject/participant has in pulling a 100 pound / 50 kilogram load a distance of 100 yards / 100 meters | Scale of the difficulty the subject/participant has in pulling a 100 pound / 50 kilogram load a distance of 100 yards / 100 meters | Are you able to pull a sled or a wagon with two children (total 100 lbs/50 kg) for 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 | 2019-06-21 11:54:54.0 | 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 | PFM48 | |||||||||||||||||||||||||||
| C59750 | Stand unsupport 10 minute difficulty scale | StndUnsprt10MinDifficultyScl | Scale of the difficulty the subject/participant has in standing unsupported for 10 minutes | Scale of the difficulty the subject/participant has in standing unsupported for 10 minutes | Are you able to stand unsupported for 10 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 11:45:15.0 | 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 | PFB32 | |||||||||||||||||||||||||||
| C59761 | Run 5 mile 8 kilometer difficulty scale | Run5Mi8KmDifficultyScl | Scale of the difficulty the subject/participant has in running 5 miles / 8 kilometers | Scale of the difficulty the subject/participant has in running 5 miles / 8 kilometers | Are you able to run five miles (8 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 12:16:45.0 | 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 | PFC7r1 | |||||||||||||||||||||||||||
| C59697 | Run over uneven ground difficulty scale | RunOvrUnevnGrndDiffcltyScl | Scale of the difficulty the subject/participant has in running over uneven ground | Scale of the difficulty the subject/participant has in running over uneven ground | Are you able to run on uneven 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 | Supplemental | 1.00 | 2019-06-19 13:47:51.0 | 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 | PFA27 | |||||||||||||||||||||||||||
| C59793 | Pass 20 pound 10 kilogram dish table difficulty scale | Pass20Pd10KgDshTblDffScl | Scale of the difficulty the subject/participant has in passing a 20 pound / 10 kilogram dish to other people at the table | Scale of the difficulty the subject/participant has in passing a 20 pound / 10 kilogram dish to other people at the table | Are you able to pass a 20-pound (10 kg) turkey or ham to other people at the table? | 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 10:59:50.0 | 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 | PFM16 | |||||||||||||||||||||||||||
| C59729 | Wash dish pot utensil manual stand sink difficulty scale | WshDshPotUtlMnlStdSnkDffScl | Scale of the difficulty the subject/participant has in washing dishes, pots, and utensils manually while standing at sink | Scale of the difficulty the subject/participant has in washing dishes, pots, and utensils manually while standing at sink | Are you able to wash dishes, pots, and utensils by hand while standing at a sink? | 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 10:55:17.0 | 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 | PFB11 | |||||||||||||||||||||||||||
| C59825 | Put trash bag out health limit scale | PutTrshBagOutHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to put a trash bag outside | Scale of the degree to which the subject/participant's health limits his or her ability to put a trash bag outside | Does your health now limit you in putting a trash bag outside? | 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 13:13:22.0 | 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 | PFB3 | |||||||||||||||||||||||||||
| C59836 | Open previously open jar health limit scale | OpnPrvslyOpnJarHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to open a jar that was previously opened | Scale of the degree to which the subject/participant's health limits his or her ability to open a jar that was previously opened | Does your health now limit you in opening a previously opened jar? | 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 13:43:28.0 | 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 | PFC8 | |||||||||||||||||||||||||||
| C59772 | Sit rise low sofa difficulty scale | SitRiseLowSofaDifficultyScl | Scale of the difficulty the subject/participant has in sitting on and rising from a low, soft sofa | Scale of the difficulty the subject/participant has in sitting on and rising from a low, soft sofa | Are you able to sit down in and stand up from a low, soft couch? | 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 10:06:42.0 | 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 | PFC41 | |||||||||||||||||||||||||||
| C59708 | Dry back towel difficulty scale | DryBackTowelDifficultyScl | Scale of the difficulty the subject/participant has in drying his or her back with a towel | Scale of the difficulty the subject/participant has in drying his or her back with a towel | Are you able to dry your back with a towel? | 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 09:57:54.0 | 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 | PFA38 | |||||||||||||||||||||||||||
| C59804 | Jump 2 feet 60 centimeter vertical difficulty scale | Jmp2Ft60CmVrtclDffcltyScl | Scale of the difficulty the subject/participant has in jumping 2 feet / 60 centimeters vertically | Scale of the difficulty the subject/participant has in jumping 2 feet / 60 centimeters vertically | Are you able to jump 2 feet (60 cm) high? | 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 11:29:06.0 | 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 | PFM32 | |||||||||||||||||||||||||||
| C59740 | Hold plate full food difficulty scale | HoldPlatFullFoodDifficultyScl | Scale of the difficulty the subject/participant has in holding a plate full of food | Scale of the difficulty the subject/participant has in holding a plate full of food | Are you able to hold a plate full of food? | 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 11:23:03.0 | 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 | PFB22 | |||||||||||||||||||||||||||
| C59687 | Exercise 1 hour difficulty scale | Exrcs1HourDifficultyScl | Scale of the difficulty the subject/participant has in exercising for one hour | Scale of the difficulty the subject/participant has in exercising for one hour | Are you able to exercise 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 | Supplemental | 1.00 | 2019-06-19 12:55:46.0 | 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 | PFA13 | |||||||||||||||||||||||||||
| C59783 | Dig 2 foot half meter hole shovel difficulty scale | Dig2FtHlfMHolShvlDffcltyScl | Scale of the difficulty the subject/particpant has in digging a 2 foot / ½ meter deep hole in dirt using a shovel | Scale of the difficulty the subject/particpant has in digging a 2 foot / ½ meter deep hole in dirt using a shovel | Are you able to dig a 2-foot (1/2 m) deep hole in the dirt with a shovel? | 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 10:33:58.0 | 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 | PFM1 | |||||||||||||||||||||||||||
| C59719 | Brush teeth difficulty scale | BrushTeethDifficultyScl | Scale of the difficulty the subject/participant has in brushing his or her teeth | Scale of the difficulty the subject/participant has in brushing his or her teeth | Are you able to brush your teeth? | 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 10:21:45.0 | 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 | PFA50 |