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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |||||||||||||||||||||||||||
| 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 | |||||||||||||||||||||||||||
| 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 | |||||||||||||||||||||||||||
| 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 | |||||||||||||||||||||||||||
| 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 | |||||||||||||||||||||||||||
| 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 | |||||||||||||||||||||||||||
| 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 | |||||||||||||||||||||||||||
| 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 | |||||||||||||||||||||||||||
| 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 | |||||||||||||||||||||||||||
| 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 | |||||||||||||||||||||||||||
| C59815 | Rise pushup position 5 time quickly difficulty scale | RisPshpPstn5TmQcklyDffcltyScl | Scale of the difficulty the subject/participant has in rising a push-up position to a standing position 5 times quickly | Scale of the difficulty the subject/participant has in rising a push-up position to a standing position 5 times quickly | Are you able to stand up from a push-up position five times quickly? | 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 11:58:41.0 | 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 | PFM49 | |||||||||||||||||||||||||||
| C59751 | Remove item back pocket difficulty scale | RemvItemBackPcktDifficultyScl | Scale of the difficulty the subject/participant has in removing an item from the back pocket of his or her pants | Scale of the difficulty the subject/participant has in removing an item from the back pocket of his or her pants | Are you able to remove something from your back pocket? | 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 11:47:50.0 | 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 | PFB33 | |||||||||||||||||||||||||||
| 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 | |||||||||||||||||||||||||||
| C59698 | Use manual can opener difficulty scale | UseManulCanOpnrDiffcltyScl | Scale of the difficulty the subject/participant has in using a manual can opener to open cans | Scale of the difficulty the subject/participant has in using a manual can opener to open cans | Are you able to open a can with a hand can opener? | 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 13:49:52.0 | 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 | PFA28 | |||||||||||||||||||||||||||
| C59794 | Remove heavy suitcase overhead bin plane bus difficulty scale | RmvHvyStcsOvrhdBnPlnBusDffScl | Scale of the difficulty the subject/participant has in removing a heavy suitcase (50 pound / 25 kilogram) from the overhead bin on an airplane or bus | Scale of the difficulty the subject/participant has in removing a heavy suitcase (50 pound / 25 kilogram) from the overhead bin on an airplane or bus | Are you able to remove a heavy suitcase (50 lbs/25 kg) from an overhead bin on an airplane or bus? | 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 11:02:31.0 | 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 | PFM17 | |||||||||||||||||||||||||||
| C59730 | Make bed difficulty scale | MakeBedDifficultyScl | Scale of the difficulty the subject/participant has in making a bed, including spreading and tucking in bed sheets | Scale of the difficulty the subject/participant has in making a bed, including spreading and tucking in bed sheets | Are you able to make a bed, including spreading and tucking in bed sheets? | 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 10:58:28.0 | 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 | PFB12 | |||||||||||||||||||||||||||
| C59826 | Dance half hour health limit scale | DanceHalfHourHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to dance for half an hour | Scale of the degree to which the subject/participant's health limits his or her ability to dance for half an hour | Does your health now limit you in dancing for half an hour? | 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 13:16:04.0 | 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 | PFB4 | |||||||||||||||||||||||||||
| C59762 | Run 100 yard 100 meter difficulty scale | Run100Yd100MDffcltyScl | Scale of the difficulty the subject/participant has in running a distance of 100 yards / 100 meters | Scale of the difficulty the subject/participant has in running a distance of 100 yards / 100 meters | Are you able to run 100 yards (100 m)? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 12:19:08.0 | 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 | PFC13r1 | |||||||||||||||||||||||||||
| C59709 | Run fast pace 2 mile 3 kilometer difficulty scale | RunFastPace2Mi3KmDiffcltyScl | Scale of the difficulty the subject/participant has in running 2 miles / 3 kilometers at a fast pace | Scale of the difficulty the subject/participant has in running 2 miles / 3 kilometers at a fast pace | Are you able to run at a fast pace for two miles (3 km)? | 5;4;3;2;1 | Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2019-06-20 09:59:47.0 | 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 | PFA39r1 | |||||||||||||||||||||||||||
| C59805 | Walk across balance beam difficulty scale | WlkAcrsBlncBeamDffcltyScl | Scale of the difficulty the subject/participant has in walking across a balance beam | Scale of the difficulty the subject/participant has in walking across a balance beam | Are you able to walk across a balance beam? | 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 11:32:56.0 | 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 | PFM33 | |||||||||||||||||||||||||||
| C59741 | Pour liquid bottle glass difficulty scale | PourLiqdBotlGlasDifficultyScl | Scale of the difficulty the subject/participant has in pouring liquid from a bottle into a glass | Scale of the difficulty the subject/participant has in pouring liquid from a bottle into a glass | Are you able to pour liquid from a bottle into a glass? | 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 11:25:20.0 | 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 | PFB23r1 | |||||||||||||||||||||||||||
| C59837 | Climb several flight stair health limit scale | ClmbSvrlFlghtStrHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to climb several flights of stairs | Scale of the degree to which the subject/participant's health limits his or her ability to climb several flights of stairs | Does your health now limit you in climbing several flights 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 13:45:26.0 | 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 | PFC10 | |||||||||||||||||||||||||||
| C59773 | Open tight jar difficulty scale | OpenTightJarDifficultyScl | Scale of the difficulty the subject/participant has in opening a tightly lidded jar | Scale of the difficulty the subject/participant has in opening a tightly lidded jar | Are you able to open a tight or new jar? | 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 10:09:09.0 | PROMIS Item Bank v2.0 - Physical Function | Outcomes and End Points | Physical Function |
Single Pre-Defined Value Selected |
PROMIS | PROMIS Item Bank v2.0 | Physical Function | PFC42 | |||||||||||||||||||||||||||
| C59784 | Lift heavy picture hang wall above eye level difficulty scale | LftHvyPcrHngWalAbvEyeLvlDffScl | Scale of the difficulty the subject/participant has in lifting a heavy painting or picture to hang on the wall above eye level | Scale of the difficulty the subject/participant has in lifting a heavy painting or picture to hang on the wall above eye level | Are you able to lift a heavy painting or picture to hang on your wall above eye-level? | 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 10:37:20.0 | 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 | PFM2 | |||||||||||||||||||||||||||
| C59720 | Sit edge bed difficulty scale | SitEdgeBedDifficultyScl | Scale of the difficulty the subject/participant has in sitting on the edge of a bed | Scale of the difficulty the subject/participant has in sitting on the edge of a bed | Are you able to sit on the edge of a 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 | 2019-06-20 10:23:22.0 | 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 | PFA51 | |||||||||||||||||||||||||||
| C59816 | Swim lap moderate pace 30 minute difficulty scale | SwmLapModPac30MinDffcltyScl | Scale of the difficulty the subject/participant has in swimming laps at a moderate pace for 30 minutes | Scale of the difficulty the subject/participant has in swimming laps at a moderate pace for 30 minutes | Are you able to swim laps for 30 minutes at a moderate 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 | 2019-06-21 12:01:08.0 | 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 | PFM51 | |||||||||||||||||||||||||||
| C59752 | Change lightbulb overhead difficulty scale | ChngLtblbOvrhdDffcltyScl | Scale of the difficulty the subject/participant has in changing a lightbulb above his or her head | Scale of the difficulty the subject/participant has in changing a lightbulb above his or her head | Are you able to change a lightbulb overhead? | 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 11:50:39.0 | 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 | PFB34 | |||||||||||||||||||||||||||
| C59688 | Carry heavy object difficulty scale | CarryHeavyObjectDifficultyScl | Scale of the difficulty the subject/participant has in carrying an object over 10 pounds/5 kilograms | Scale of the difficulty the subject/participant has in carrying an object over 10 pounds/5 kilograms | Are you able to carry a heavy object (over 10 pounds/5 kg)? | 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 12:58:03.0 | 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 | PFA14r1 | |||||||||||||||||||||||||||
| C59699 | Pull heavy object toward self difficulty scale | PulHvyObjTrdSlfDffcltyScl | Scale of the difficulty the subject/participant has in pulling a heavy object (10 pounds/5 kilograms) towards him or herself | Scale of the difficulty the subject/participant has in pulling a heavy object (10 pounds/5 kilograms) towards him or herself | Are you able to pull heavy objects (10 pounds/5 kilograms) towards yourself? | 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 13:52:37.0 | 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 | PFA29r1 | |||||||||||||||||||||||||||
| C59795 | Continuous swing baseball bat tennis racket 5 minute difficulty scale | CntSwgBblBatTnsRck5MinDiffScl | Scale of the difficulty the subject/participant has in swinging a baseball bat or tennis racket continuously for 5 minutes | Scale of the difficulty the subject/participant has in swinging a baseball bat or tennis racket continuously for 5 minutes | Are you able to continuously swing a baseball bat or tennis racket back and forth for 5 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 | 2019-06-21 11:05:49.0 | 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 | PFM18 | |||||||||||||||||||||||||||
| C59731 | Carry shopping bag briefcase difficulty scale | CarryShopBagBrfcsDifficultyScl | Scale of the difficulty the subject/participant has in carrying a shopping bag or briefcase | Scale of the difficulty the subject/participant has in carrying a shopping bag or briefcase | Are you able to carry a shopping bag or briefcase? | 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 11:00:52.0 | 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 | PFB13 | |||||||||||||||||||||||||||
| C59827 | Hike 3 kilometer uneven ground health limit scale | Hik3KmUnevnGrndHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to hike 3 kilometers over uneven ground, including hills | Scale of the degree to which the subject/participant's health limits his or her ability to hike 3 kilometers over uneven ground, including hills | Does your health now limit you in hiking a couple of miles (3 km) on uneven surfaces, including hills? | 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 13:18:50.0 | 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 | PFB5r1 | |||||||||||||||||||||||||||
| C59763 | Run level surface difficulty scale | RunLvlSrfacDifficultyScl | Scale of the difficulty the subject/participant has in running on a level surface | Scale of the difficulty the subject/participant has in running on a level surface | Are you able to run on even 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 12:21:26.0 | 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 | PFC21 | |||||||||||||||||||||||||||
| C59710 | Turn key in lock difficulty scale | TurnKeyInLockDifficultyScl | Scale of the difficulty the subject/participant has in turning a key in a lock | Scale of the difficulty the subject/participant has in turning a key in a lock | Are you able to turn a key in a lock? | 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 10:02:21.0 | 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 | PFA40 | |||||||||||||||||||||||||||
| C59806 | Balance 1 foot eye closed 30 second difficulty scale | Blnc1FtEyCls30SecDffcltyScl | Scale of the difficulty the subject/participant has in balancing on 1 foot with his or her eyes closed for 30 seconds | Scale of the difficulty the subject/participant has in balancing on 1 foot with his or her eyes closed for 30 seconds | Are you able to stand on one foot with your eyes closed for 30 seconds? | 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 11:34:52.0 | 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 | PFM34 | |||||||||||||||||||||||||||
| C59742 | Run short distance difficulty scale | RunShortDistDifficultyScl | Scale of the difficulty the subject/participant has in running a short distance | Scale of the difficulty the subject/participant has in running a short distance | Are you able to run a short distance, such as to catch a bus? | 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 11:27:39.0 | 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 | PFB24 | |||||||||||||||||||||||||||
| C59838 | Do yard work health limit scale | DoYardWorkHlthLmtScl | Scale of the degree to which the subject/participant's health limits his or her ability to do yard work | Scale of the degree to which the subject/participant's health limits his or her ability to do yard work | Does your health now limit you in doing yard work like raking leaves, weeding, or pushing a lawn mower? | 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 13:48:03.0 | 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 | PFC11 | |||||||||||||||||||||||||||
| C59774 | Use hands difficulty scale | UseHandsDifficultyScl | Scale of the difficulty the subject/participant has in using his or her hands for tasks such as turning faucets, using kitchen gadgets, or sewing | Scale of the difficulty the subject/participant has in using his or her hands for tasks such as turning faucets, using kitchen gadgets, or sewing | Are you able to do use your hands, such as for turning faucets, using kitchen gadgets, or sewing? | 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 10:11:57.0 | 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 | PFC43 |