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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C59722 | Run errand shop difficulty scale | RunErrandShopDifficultyScl | Scale of the difficulty the subject/participant has in running errands and shopping | Scale of the difficulty the subject/participant has in running errands and shopping | Are you able to run errands and shop? | 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 10:27:28.0 | 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 | PFA53 | |||||||||||||||||||||||||||
| C59818 | Vigorous activity health limit scale | VgrsActvtyHlthLmtScl | Scale of whether the subject/participant's health limits him or her in performing vigorous activities | Scale of whether the subject/participant's health limits him or her in performing vigorous activities | Does your health now limit you in doing vigorous activities, such as running, lifting heavy objects, participating in strenuous sports? | 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 12:24:05.0 | 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 | PFA1 | |||||||||||||||||||||||||||
| C59754 | Turn faucet on off difficulty scale | TurnFauctOnOffDifficultyScl | Scale of the difficulty the subject/participant has in turning a faucet on and off | Scale of the difficulty the subject/participant has in turning a faucet on and off | Are you able to turn faucets on and off? | 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 11:56:53.0 | 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 | PFB37r1 | |||||||||||||||||||||||||||
| C59690 | Dress self difficulty scale | DressSelfDifficultyScl | Scale of the difficulty the subject/participant has in dressing him or herself, including buttoning clothes and tying shoelaces | Scale of the difficulty the subject/participant has in dressing him or herself, including buttoning clothes and tying shoelaces | Are you able to dress yourself, including tying shoelaces and buttoning your clothes? | 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 13:31:07.0 | 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 | PFA16r1 | |||||||||||||||||||||||||||
| C59786 | Row boat 30 minute no rest difficulty scale | RowBot30MinNoRstDffcltyScl | Scale of the difficulty the subject/participant has in rowing a boat for 30 minutes without rest | Scale of the difficulty the subject/participant has in rowing a boat for 30 minutes without rest | Are you able to row a boat for 30 minutes 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 10:42:40.0 | 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 | PFM4 | |||||||||||||||||||||||||||
| C59797 | Climb stair 10 story building no stop difficulty scale | ClmStr10StyBldNoStpDffcltyScl | Scale of the difficulty the subject/participant has in climbing the stairs of a 10 story building without stopping | Scale of the difficulty the subject/participant has in climbing the stairs of a 10 story building without stopping | Are you able to climb the stairs of a 10-story building 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 11:11:50.0 | 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 | PFM21 | |||||||||||||||||||||||||||
| C59733 | Change bulb table lamp difficulty scale | ChangeBulbTablLampDffcltyScl | Scale of the difficulty the subject/participant has in changing the lightbulb in a table lamp | Scale of the difficulty the subject/participant has in changing the lightbulb in a table lamp | Are you able to change the bulb in a table lamp? | 1;1;1;2;3 | Unable to Do;With much difficulty;With some difficulty;With a little difficulty;Without any difficulty | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 11:05:30.0 | 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 | PFB15r1 | |||||||||||||||||||||||||||
| C59829 | Take care personal need health limit scale | TakCarPrsnlNedHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to take care of his or her personal needs, such as grooming or eating | Scale of the degree to which the subject/participant's health limits his or her ability to take care of his or her personal needs, such as grooming or eating | Does your health now limit you in taking care of your personal needs (dress, comb hair, toilet, eat, bathe)? | 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 13:24:02.0 | 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 | PFB43 | |||||||||||||||||||||||||||
| C59765 | Carry suitcase up stair difficulty scale | CrryStcasUpStrDffcltyScl | Scale of the difficulty the subject/participant has in carrying a suitcase up a flight of stairs | Scale of the difficulty the subject/participant has in carrying a suitcase up a flight of stairs | Are you able to carry a suitcase 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 | 2019-06-20 12:30:49.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank | Physical Function | PFC30 | |||||||||||||||||||||||||||
| C59701 | Get up floor supine position difficulty scale | GetUpFlrSupinPstnDiffScl | Scale of the difficulty the subject/participant has in getting up from a supine position on the floor, without help | Scale of the difficulty the subject/participant has in getting up from a supine position on the floor, without help | Are you able to get up from the floor from lying on your back without help? | 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 13:58:23.0 | 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 | PFA31r1 | |||||||||||||||||||||||||||
| C59712 | Carry laundry basket up stairs difficulty scale | CrryLndryBsktUpStrsDiffcltyScl | Scale of the difficulty the subject/participant has in carrying a laundry basket up a flight of stairs | Scale of the difficulty the subject/participant has in carrying a laundry basket up a flight of stairs | Are you able to carry a laundry basket 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 | 2019-06-20 10:06:21.0 | 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 | PFA42 | |||||||||||||||||||||||||||
| C59808 | Place hand flat with feet flat difficulty scale | PlcHndFltWFtFltDifficultyScl | Scale of the difficulty the subject/participant has in placing his or her hands flat on the ground while keeping both feet flat on the ground | Scale of the difficulty the subject/participant has in placing his or her hands flat on the ground while keeping both feet flat on the ground | Are you able to put your hands flat on the floor with both feet flat on the 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 | 2019-06-21 11:39:40.0 | 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 | PFM36 | |||||||||||||||||||||||||||
| C59744 | Shampoo hair difficulty scale | ShampooHairDifficultyScl | Scale of the difficulty the subject/participant has in shampooing his or her hair | Scale of the difficulty the subject/participant has in shampooing his or her hair | Are you able to shampoo your hair? | 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 11:32:12.0 | 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 | PFB26 | |||||||||||||||||||||||||||
| C59840 | Do 8 hour physical labor health limit scale | Do8HrPhysLabrHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to perform 8 hours of physical labor | Scale of the degree to which the subject/participant's health limits his or her ability to perform 8 hours of physical labor | Does your health now limit you in doing eight hours of physical labor? | 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 13:49:48.0 | 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 | PFC35 | |||||||||||||||||||||||||||
| C59776 | Transfer bed chair difficulty scale | TrnsfrBedChrDifficultyScl | Scale of the difficulty the subject/participant has in transferring from a bed to a chair and back | Scale of the difficulty the subject/participant has in transferring from a bed to a chair and back | Are you able to transfer from a bed to a chair and 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 | 2019-06-21 10:17:10.0 | 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 | PFC46 | |||||||||||||||||||||||||||
| C59723 | Button shirt difficulty scale | ButtonShirtDifficultyScl | Scale of the difficulty the subject/participant has in buttoning his or her shirt | Scale of the difficulty the subject/participant has in buttoning his or her shirt | Are you able to button your shirt? | 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 10:29:10.0 | 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 | PFA54 | |||||||||||||||||||||||||||
| C59819 | Regular exercise health limit scale | RegExrcsHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to engage in regular exercise | Scale of the degree to which the subject/participant's health limits his or her ability to engage in regular exercise | Does your health now limit you in exercising regularly? | 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 12:26:58.0 | 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 | PFA2 | |||||||||||||||||||||||||||
| C59755 | Reach retrieve 5 pound 2 kilogram object above head difficulty scale | RchRtrv5Pd2KgObAbvHdDffScl | Scale of the difficulty the subject/participant has in reaching and retrieving a 5 pound / 2 kilogram object from above his or her head | Scale of the difficulty the subject/participant has in reaching and retrieving a 5 pound / 2 kilogram object from above his or her head | Are you able to reach and get down a 5 pound (2 kg) object from 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 | 2019-06-20 11:59:11.0 | 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 | PFB39r1 | |||||||||||||||||||||||||||
| C59691 | Reach high cupboard difficulty scale | ReachHiCpbrdDiffcltyScl | Scale of the difficulty the subject/participant has in reaching into a high cupboard | Scale of the difficulty the subject/participant has in reaching into a high cupboard | Are you able to reach into a high cupboard? | 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 13:34:04.0 | 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 | PFA17 | |||||||||||||||||||||||||||
| C59787 | Wash wax car 2 hour no rest difficulty scale | WashWaxCar2HrNoRstDffcltyScl | Scale of the difficulty the subject/participant has in washing and waxing a car by hand for 2 hours with no rest | Scale of the difficulty the subject/participant has in washing and waxing a car by hand for 2 hours with no rest | Are you able to hand wash and wax a car for 2 hours 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 10:45:06.0 | 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 | PFM6 | |||||||||||||||||||||||||||
| C59798 | Walk brisk 20 minute no stop difficulty scale | WlkBrsk20MinNoStpDffcltyScl | Scale of the difficulty the subject/participant has in walking briskly for 20 minutes without stopping | Scale of the difficulty the subject/participant has in walking briskly for 20 minutes without stopping | Are you able to walk briskly for 20 minutes 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 11:14:04.0 | 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 | PFM23 | |||||||||||||||||||||||||||
| C59734 | Press with index finger difficulty scale | PresWithIndxFngrDifficultyScl | Scale of the difficulty the subject/participant has in pressing with his or her index finger | Scale of the difficulty the subject/participant has in pressing with his or her index finger | Are you able to press with your index finger (for example ringing a doorbell)? | 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 11:07:50.0 | 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 | PFB16r1 | |||||||||||||||||||||||||||
| C59830 | Moderate activity health limit scale | ModrtActvtyHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to engage in moderate activity such as vacuuming, bowling, playing golf | Scale of the degree to which the subject/participant's health limits his or her ability to engage in moderate activity such as vacuuming, bowling, playing golf | Does your health now limit you in doing moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf? | 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 13:26:52.0 | 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 | PFB44 | |||||||||||||||||||||||||||
| C59766 | Reach low cupboard difficulty scale | ReachLowCupboardDffcltyScl | Scale of the difficulty the subject/participant has in reaching into a low cupboard | Scale of the difficulty the subject/participant has in reaching into a low cupboard | Are you able to reach into a low cupboard? | 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 12:32:55.0 | 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 | PFC31 | |||||||||||||||||||||||||||
| C59702 | Stand knee straight difficulty scale | StandKneeStraightDifficultyScl | Scale of the difficulty the subject/participant has in standing with his or her knees straight | Scale of the difficulty the subject/participant has in standing with his or her knees straight | Are you able to stand with your knees straight? | 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 14:01:40.0 | 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 | PFA32 | |||||||||||||||||||||||||||
| C59713 | Write pen pencil difficulty scale | WritePenPencilDifficultyScl | Scale of the difficulty the subject/participant has in writing with a pen or pencil | Scale of the difficulty the subject/participant has in writing with a pen or pencil | Are you able to write with a pen or pencil? | 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 10:08:49.0 | 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 | PFA43r1 | |||||||||||||||||||||||||||
| C59809 | Carry large baby house car difficulty scale | CaryLgBbyHousCarDffcltyScl | Scale of the difficulty the subject/participant has in carrying a large baby (15 pounds / 7 kilograms) from the house to a car | Scale of the difficulty the subject/participant has in carrying a large baby (15 pounds / 7 kilograms) from the house to a car | Are you able to carry a large baby (15 lbs/7 kg) out of the house to a car or taxi? | 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 11:42:07.0 | 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 | PFM37 | |||||||||||||||||||||||||||
| C59745 | Tie knot bow difficulty scale | TieKnotBowDifficultyScl | Scale of the difficulty the subject/participant has in tying a knot or a bow | Scale of the difficulty the subject/participant has in tying a knot or a bow | Are you able to tie a knot or a bow? | 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 11:34:01.0 | 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 | PFB27 | |||||||||||||||||||||||||||
| C59841 | Walk over mile health limit scale | WalkOverMileHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to walk more than 1 mile / 1.6 kilometer | Scale of the degree to which the subject/participant's health limits his or her ability to walk more than 1 mile / 1.6 kilometer | Does your health now limit you in walking more than a mile (1.6 km)? | 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 13:53:03.0 | 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 | PFC36r1 | |||||||||||||||||||||||||||
| C59777 | Be out bed most of day difficulty scale | BeOutBedMostOfDayDffcltyScl | Scale of the difficulty the subject/participant has in being out of bed for most of the day | Scale of the difficulty the subject/participant has in being out of bed for most of the day | Are you able to be out of bed most of the day? | 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 10:19:24.0 | 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 | PFC47 | |||||||||||||||||||||||||||
| C59724 | Wash dry body difficulty scale | WashDryBodyDifficultyScl | Scale of the difficulty the subject/participant has in washing and drying his or her body | Scale of the difficulty the subject/participant has in washing and drying his or her body | Are you able to wash and dry your body? | 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 10:30:53.0 | 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 | PFA55 | |||||||||||||||||||||||||||
| C59820 | Bend kneel stoop health limit scale | BndKnlStpHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to bend, kneel, or stoop | Scale of the degree to which the subject/participant's health limits his or her ability to bend, kneel, or stoop | Does your health now limit you in bending, kneeling, or stooping? | 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 12:29:12.0 | 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 | PFA3 | |||||||||||||||||||||||||||
| C59756 | Stand tiptoe difficulty scale | StandTiptoeDifficultyScl | Scale of the difficulty the subject/participant has in standing on his or her tiptoes | Scale of the difficulty the subject/participant has in standing on his or her tiptoes | Are you able to stand up on tiptoes? | 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 12:02:51.0 | 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 | PFB40 | |||||||||||||||||||||||||||
| C59692 | Use hammer pound nail difficulty scale | UseHamrPndNailDifficltyScl | Scale of the difficulty the subject/participant has in using a hammer to pound a nail | Scale of the difficulty the subject/participant has in using a hammer to pound a nail | Are you able to use a hammer to pound a nail? | 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 13:36:03.0 | 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 | PFA18 | |||||||||||||||||||||||||||
| C59788 | Do 5 pushup without stop difficulty scale | Do5PshupWoStopDffcltyScl | Scale of the difficulty the subject/participant has in doing 5 pushups without stopping | Scale of the difficulty the subject/participant has in doing 5 pushups without stopping | Are you able to complete 5 push-ups 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 10:47:31.0 | 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 | PFM7 | |||||||||||||||||||||||||||
| C59799 | Run come complete stop difficulty scale | RunComCmpltStpDifficultyScl | Scale of the difficulty the subject/participant has in coming to a complete stop while running | Scale of the difficulty the subject/participant has in coming to a complete stop while running | Are you able to come to a complete stop while running? | 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 11:16:45.0 | 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 | PFM25 | |||||||||||||||||||||||||||
| C59735 | Put on take off socks difficulty scale | PutOnTakeOffSockDifficultyScl | Scale of the difficulty the subject/participant has in putting on and taking off his or her socks | Scale of the difficulty the subject/participant has in putting on and taking off his or her socks | Are you able to put on and take off your socks? | 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 11:10:28.0 | 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 | PFB17 | |||||||||||||||||||||||||||
| C59831 | Take part any sport health limit scale | TakePartAnySportHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to take part in any sports | Scale of the degree to which the subject/participant's health limits his or her ability to take part in any sports | Does your health now limit you in taking part in any sports (swimming, bowling, and so forth)? | 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 13:31:15.0 | 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 | PFB45 | |||||||||||||||||||||||||||
| C59767 | Ascend 5 flight stair difficulty scale | Asc5FltStrDifficultyScl | Scale of the difficulty the subject/participant has in ascending 5 flights of stairs | Scale of the difficulty the subject/participant has in ascending 5 flights of stairs | Are you able to climb up 5 flights 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 | 2019-06-20 12:35:59.0 | 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 | PFC32 | |||||||||||||||||||||||||||
| C59703 | Exercise hard half hour difficulty scale | ExrcsHardHalfHourDffcltyScl | Scale of the difficulty the subject/participant has in exercising hard for half an hour | Scale of the difficulty the subject/participant has in exercising hard for half an hour | Are you able to exercise hard for half 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 14:03:33.0 | 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 | PFA33 | |||||||||||||||||||||||||||
| 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 | |||||||||||||||||||||||||||
| 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 | |||||||||||||||||||||||||||
| 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 | |||||||||||||||||||||||||||
| 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 |