CDE Detailed Report
Disease: themes
Sub-Domain: sites
CRF: scdc

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 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
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 sites scdc

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 sites scdc

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 sites scdc

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 sites scdc

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 sites scdc

Single Pre-Defined Value Selected

 PROMIS PROMIS Item Bank v2.0 Physical Function PFA35
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 sites scdc

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 sites scdc

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 sites scdc

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 sites scdc

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 sites scdc

Single Pre-Defined Value Selected

 PROMIS PROMIS Item Bank v2.0 Physical Function PFC51
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 sites scdc

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 sites scdc

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 sites scdc

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 sites scdc

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 sites scdc

Single Pre-Defined Value Selected

 PROMIS PROMIS Item Bank v2.0 Physical Function PFA21
165 results.
CSV