Sub-Domain: Disease or Treatment Related Events
CRF: PROMIS Item Bank v1.0 - Dyspnea Functional Limitations
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 |
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C55689 | PROMIS - Dyspnea Functional limitations carry weigh 5 10 pound scale | PROMISDysFncLmCrWg510PnScl | Scale related to an individual being able to carry something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes) from one room to another, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to carry something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes) from one room to another, as part of the PROMIS Dyspnea Functional Limitations | Carrying something weighing 5-10 lbs (about 2-4.5kg, like a basket of clothes) from one room to another | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55668 | PROMIS - Dyspnea Functional limitations prepare meals scale | PROMISDysFncLmPrpMlsScl | Scale related to an individual being able to prepare meals, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to prepare meals, as part of the PROMIS Dyspnea Functional Limitations | Preparing meals | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55679 | PROMIS - Dyspnea Functional limitations walk 10 step on flat ground scale | PROMISDysFncLmWlk10StOnFlGrScl | Scale related to an individual being able to walk 10 steps/paces on flat ground at a normal speed without stopping, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to walk 10 steps/paces on flat ground at a normal speed without stopping, as part of the PROMIS Dyspnea Functional Limitations | Walking 10 steps/paces on flat ground at a normal speed without stopping | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55690 | PROMIS - Dyspnea Functional limitations get in or out car scale | PROMISDysFncLmGtInOrOtCrScl | Scale related to an individual being able to get in or out of a car, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to get in or out of a car, as part of the PROMIS Dyspnea Functional Limitations | Getting in or out of a car | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55669 | PROMIS - Dyspnea Functional limitations wash dishes scale | PROMISDysFncLmWshDshScl | Scale related to an individual being able to wash dishes, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to wash dishes, as part of the PROMIS Dyspnea Functional Limitations | Washing dishes | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55680 | PROMIS - Dyspnea Functional limitations walk half mile on ground scale | PROMISDysFncLmWlkHfMlOnGrScl | Scale related to an individual being able to walk half mile (almost 1 km) on flat ground at a normal speed without stopping, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to walk half mile (almost 1 km) on flat ground at a normal speed without stopping, as part of the PROMIS Dyspnea Functional Limitations | Walking 1/2 mile (almost 1 km) on flat ground at a normal speed without speeding | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55691 | PROMIS - Dyspnea Functional limitations dining out scale | PROMISDysFncLmDnngOtScl | Scale related to an individual being able to dine out, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to dine out, as part of the PROMIS Dyspnea Functional Limitations | Dining out | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55670 | PROMIS - Dyspnea Functional limitations sweep mop scale | PROMISDysFncLmSwpMpScl | Scale related to an individual being able to sweep or map, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to sweep or map, as part of the PROMIS Dyspnea Functional Limitations | Sweeping or mopping | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55681 | PROMIS - Dyspnea Functional limitations walk 5 stairs without stop scale | PROMISDysFncLmWll5StWthotStScl | Scale related to an individual being able to walk up 5 stairs without stopping, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to walk up 5 stairs without stopping, as part of the PROMIS Dyspnea Functional Limitations | Walking up 5 stairs without stopping | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55692 | PROMIS - Dyspnea Functional limitations low intensity leisure scale | PROMISDysFncLmLwIntLesScl | Scale related to an individual being able to do a low-intensity leisure activity (gardening, etc.), as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to do a low-intensity leisure activity (gardening, etc.), as part of the PROMIS Dyspnea Functional Limitations | Low-intensity leisure activity (gardening, etc.) | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55671 | PROMIS - Dyspnea Functional limitations make a bed scale | PROMISDysFncLmMkABdScl | Scale related to an individual being able to make a bed, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to make a bed, as part of the PROMIS Dyspnea Functional Limitations | Making a bed | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55682 | PROMIS - Dyspnea Functional limitations walk 10 stairs without stop scale | PROMISDysFncLmWll10StWtotStScl | Scale related to an individual being able to walk up 10 stairs (1 flight) without stopping, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to walk up 10 stairs (1 flight) without stopping, as part of the PROMIS Dyspnea Functional Limitations | Walking up 10 stairs (1 flight) without stopping | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55693 | PROMIS - Dyspnea Functional limitations moderate intensity leisure scale | PROMISDysFncLmModIntLesScl | Scale related to an individual being able to do a moderate-intensity leisure activity (bicycling on level terrain, etc.), as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to do a moderate-intensity leisure activity (bicycling on level terrain, etc.), as part of the PROMIS Dyspnea Functional Limitations | Moderate-intensity leisure activity (bicycling on level terrain, etc.) | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55672 | PROMIS - Dyspnea Functional limitations lift something 10 20 pound scale | PROMISDysFncLmLftSmt1020PnScl | Scale related to an individual being able to lift something weighing 10-20 lbs (about 4.5 kg, like a large bag of groceries), as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to lift something weighing 10-20 lbs (about 4.5 kg, like a large bag of groceries), as part of the PROMIS Dyspnea Functional Limitations | Lifting something weighing 10-20 lbs (about 4.5-9 kg, like a large bag of groceries) | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55683 | PROMIS - Dyspnea Functional limitations walk 30 stairs without stop scale | PROMISDysFncLmWl30StWtotStScl | Scale related to an individual being able to walk up 30 stairs (3 flights) without stopping, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to walk up 30 stairs (3 flights) without stopping, as part of the PROMIS Dyspnea Functional Limitations | Walking up 30 stairs (3 flights) without stopping | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55694 | PROMIS - Dyspnea Functional limitations walk 50 steps scale | PROMISDysFncLmWlk50StpScl | Scale related to an individual being able to walk 50 steps (faster than your usual speed) for 50 steps without stopping, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to walk 50 steps (faster than your usual speed) for 50 steps without stopping, as part of the PROMIS Dyspnea Functional Limitationsns | Walking (faster than your usual speed) for 50 steps without stopping | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55673 | PROMIS - Dyspnea Functional limitations carry something 10 20 pound scale | PROMISDysFncLmCrySm1020PnScl | Scale related to an individual being able to carry something weighing 10-20 pounds (about 4.5-9 kg, like a large bag of groceries), as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to carry something weighing 10-20 pounds (about 4.5-9 kg, like a large bag of groceries), as part of the PROMIS Dyspnea Functional Limitations | Carrying something weighing 10-20 lbs (about 4.5-9kg, like a large bag of groceries) from one room to another | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55684 | PROMIS - Dyspnea Functional limitations scrub floor counter scale | PROMISDysFncLmScrbFlrCntrScl | Scale related to an individual being able to scrub the floor or counter, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to scrub the floor or counter, as part of the PROMIS Dyspnea Functional Limitations | Scrubbing the floor or counter | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55695 | PROMIS - Dyspnea Functional limitations walk 1 mile no stop scale | PROMISDysFncLmWlk1MlNoStScl | Scale related to an individual being able to walk for at least 1 mile (a little more than 1.5 km) without stopping, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to walk for at least 1 mile (a little more than 1.5 km) without stopping, as part of the PROMIS Dyspnea Functional Limitations | Walking (faster than your usual speed) for at least 1 mile (a little more than 1.5 km) without stopping | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55674 | PROMIS - Dyspnea Functional limitations walk half mile without stop scale | PROMISDysFncLmWkHfMlWtotStScl | Scale related to an individual being able to walk for half a mile (almost 1 km) without stopping, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to walk for half a mile (almost 1 km) without stopping, as part of the PROMIS Dyspnea Functional Limitations | Walking (faster than your usual speed) for 1/2 mile (almost 1 km) without stopping | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55685 | PROMIS - Dyspnea Functional limitations lift something less 5 pound scale | PROMISDysFncLmLfSmLs5PndScl | Scale related to an individual being able to lift something weighing less than 5 lbs (about 2 kg, like a houseplant), as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to lift something weighing less than 5 lbs (about 2 kg, like a houseplant), as part of the PROMIS Dyspnea Functional Limitations | Lifting something weighing less than 5 lbs (about 2 kg, like a houseplant) | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55696 | PROMIS - Dyspnea Functional limitations sing hum scale | PROMISDysFncLmSngHmScl | Scale related to an individual being able to sing or hum, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to sing or hum, as part of the PROMIS Dyspnea Functional Limitations | Singing or humming | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55675 | PROMIS - Dyspnea Functional limitations take bath without help scale | PROMISDysFncLmTkBthWthotHlScl | Scale related to an individual being able to take a bath without help, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to take a bath without help, as part of the PROMIS Dyspnea Functional Limitations | Taking a bath without help | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55686 | PROMIS - Dyspnea Functional limitations lift something weigh 5 10 pound scale | PROMISDysFncLmLfSmWgh510PnScl | Scale related to an individual being able to lift something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes), as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to lift something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes), as part of the PROMIS Dyspnea Functional Limitations | Lifting something weighing less than 5-10 lbs (about 2-4.5 kg, like a basket of clothes) | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55697 | PROMIS - Dyspnea Functional limitations talk while walk scale | PROMISDysFncLmTlkWhlWlkScl | Scale related to an individual being able to talk while walking, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to talk while walking, as part of the PROMIS Dyspnea Functional Limitations | Talking while walking | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55665 | PROMIS - Dyspnea Functional limitations dress yourself without help scale | PROMISDysFncLmDrsYsWoHlpScl | Scale related to an individual being able to dress him/herself without help, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to dress him/herself without help, as part of the PROMIS Dyspnea Functional Limitations | Dressing yourself without help | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55676 | PROMIS - Dyspnea Functional limitations take shower scale | PROMISDysFncLmTkShwrScl | Scale related to an individual being able to take a shower, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to take a shower, as part of the PROMIS Dyspnea Functional Limitations | Taking a shower | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55687 | PROMIS - Dyspnea Functional limitations weigh more than 20 pound scale | PROMISDysFncLmWhMrTh20PnScl | Scale related to an individual being able to lift something weighing more than 20 lbs (about 9 kg, like a medium-sized suitcase), as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to lift something weighing more than 20 lbs (about 9 kg, like a medium-sized suitcase), as part of the PROMIS Dyspnea Functional Limitations | Lifting something weighing more than 20 lbs (about 9 kg, like a medium-sized suitcase) | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55666 | PROMIS - Dyspnea Functional limitations walk 50 step on flat ground scale | PROMISDysFncLmWl50StOnFlGrScl | Scale related to an individual being able to walk 50 steps/paces on flat ground at a normal speed without stopping, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to walk 50 steps/paces on flat ground at a normal speed without stopping, as part of the PROMIS Dyspnea Functional Limitations | Walking 50 steps/paces on a flat ground at a normal speed without stopping | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55677 | PROMIS - Dyspnea Functional limitations put socks stockings on scale | PROMISDysFncLmPtSckStkOnScl | Scale related to an individual being able to put on socks or stockings, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to put on socks or stockings, as part of the PROMIS Dyspnea Functional Limitations | Putting on socks or stockings | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55688 | PROMIS - Dyspnea Functional limitations carry weigh less 5 pound scale | PROMISDysFncLmCrWgLs5PnScl | Scale related to an individual being able to carry something weighing less than 5 lbs (about 2 kg, like a houseplant) from one room to another, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to carry something weighing less than 5 lbs (about 2 kg, like a houseplant) from one room to another, as part of the PROMIS Dyspnea Functional Limitations | Carrying something weighing less than 5 lbs (about 2 kg, like a houseplant) from one room to another | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55667 | PROMIS - Dyspnea Functional limitations walk 20 stairs without stop scale | PROMISDysFncLmWl20StrWthoStScl | Scale related to an individual being able to walk up 20 stairs (2 flights) without stopping, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to walk up 20 stairs (2 flights) without stopping, as part of the PROMIS Dyspnea Functional Limitations | Walking up 20 stairs (2 flights) without stopping | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |
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C55678 | PROMIS - Dyspnea Functional limitations stand for 5 minute scale | PROMISDysFncLmStFr5MinScl | Scale related to an individual being able to stand for at least 5 minutes, as part of the PROMIS Dyspnea Functional Limitations | Scale related to an individual being able to stand for at least 5 minutes, as part of the PROMIS Dyspnea Functional Limitations | Standing for at least 5 minutes | 0;1;2;3;X | No difficulty;A little difficulty;Some difficulty;Much difficulty;I did not do this in the past 7 days | Alphanumeric | Adult | Supplemental | 1.00 | 2017-05-24 10:00:38.0 | PROMIS Item Bank v1.0 - Dyspnea Functional Limitations | Disease or Treatment Related Events | Lung |
Single Pre-Defined Value Selected |