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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Epilepsy
Sub-Domain: Assessing Comorbidities
CRF: Adult ADHD Self-Report Scale (ASRS)
Item count: 7 (7 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C13050
Adult ADHD Self-Report Scale (ASRS) - wrapping up frequency
ASRSWrapUpFreq
The frequency assessment for trouble wrapping up final details in the Adult ADHD Self-Report Scale (ASRS) Symptom Checklist, a self-reported questionnaire used to assist in the diagnosis of adult ADHD.
How often do you have trouble wrapping up the final details of a project, once the challenging parts have been done?
Never;Rarely;Sometimes;Often;Very Often;
Never;Rarely;Sometimes;Often;Very Often;
Alphanumeric
Check the box that best describes how you have felt and conducted yourself over the past 6 months.
Kessler RC, Adler L, Ames M, Demler O, Faraone S, Hiripi E, Howes MJ, Jin R, Secnik K, Spencer T, Ustun TB, Walters EE. The World Health Organization Adult ADHD Self-Report Scale (ASRS). 2005. Psychological Medicine. 2005; 35(2): 245-56.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Adult ADHD Self-Report Scale (ASRS)
Assessing Comorbidities
Outcomes and End Points
ASRS v1.1 Q1
 
Single Pre-Defined Value Selected
       
C13051
Adult ADHD Self-Report Scale (ASRS) - difficulty organizing frequency
ASRSDiffOrgFreq
The frequency assessment for diffculty getting things in order when you have to do a task that requires organization related to question in the Adult ADHD Self-Report Scale (ASRS) Symptom Checklist, a self-reported questionnaire used to assist in the diagnosis of adult ADHD.
How often do you have difficulty getting things in order when you have to do a task that requires organization?
Never;Rarely;Sometimes;Often;Very Often;
Never;Rarely;Sometimes;Often;Very Often;
Alphanumeric
Check the box that best describes how you have felt and conducted yourself over the past 6 months.
Kessler RC, Adler L, Ames M, Demler O, Faraone S, Hiripi E, Howes MJ, Jin R, Secnik K, Spencer T, Ustun TB, Walters EE. The World Health Organization Adult ADHD Self-Report Scale (ASRS). 2005. Psychological Medicine. 2005; 35(2): 245-56.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Adult ADHD Self-Report Scale (ASRS)
Assessing Comorbidities
Outcomes and End Points
ASRS v1.1 Q2
 
Single Pre-Defined Value Selected
       
C13052
Adult ADHD Self-Report Scale (ASRS) - problem remembering appointments obligations frequency
ASRSProbRemberApptObligFreq
The frequency assessment for problems remembering appointments or obligations related to question in the Adult ADHD Self-Report Scale (ASRS) Symptom Checklist, a self-reported questionnaire used to assist in the diagnosis of adult ADHD.
How often do you have problems remembering appointments or obligations?
Never;Rarely;Sometimes;Often;Very Often;
Never;Rarely;Sometimes;Often;Very Often;
Alphanumeric
Check the box that best describes how you have felt and conducted yourself over the past 6 months.
Kessler RC, Adler L, Ames M, Demler O, Faraone S, Hiripi E, Howes MJ, Jin R, Secnik K, Spencer T, Ustun TB, Walters EE. The World Health Organization Adult ADHD Self-Report Scale (ASRS). 2005. Psychological Medicine. 2005; 35(2): 245-56.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Adult ADHD Self-Report Scale (ASRS)
Assessing Comorbidities
Outcomes and End Points
ASRS v1.1 Q3
 
Single Pre-Defined Value Selected
       
C13053
Adult ADHD Self-Report Scale (ASRS) - delay avoid task frequency
ASRSDelayAvoidTaskFreq
The frequency assessment for diffculty getting things in order when you have to do a task that requires organization related to question in the Adult ADHD Self-Report Scale (ASRS) Symptom Checklist, a self-reported questionnaire used to assist in the diagnosis of adult ADHD.
When you have a task that requires a lot of thought, how often do you avoid or delay getting started?
Never;Rarely;Sometimes;Often;Very Often;
Never;Rarely;Sometimes;Often;Very Often;
Alphanumeric
Check the box that best describes how you have felt and conducted yourself over the past 6 months.
Kessler RC, Adler L, Ames M, Demler O, Faraone S, Hiripi E, Howes MJ, Jin R, Secnik K, Spencer T, Ustun TB, Walters EE. The World Health Organization Adult ADHD Self-Report Scale (ASRS). 2005. Psychological Medicine. 2005; 35(2): 245-56.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Adult ADHD Self-Report Scale (ASRS)
Assessing Comorbidities
Outcomes and End Points
ASRS v1.1 Q4
 
Single Pre-Defined Value Selected
       
C13054
Adult ADHD Self-Report Scale (ASRS) - fidget squirm frequency
ASRSFidgetSquirmFreq
The frequency assessment for fidgeting or squirming with hands or feet when sitting down for a long time related to question in the Adult ADHD Self-Report Scale (ASRS) Symptom Checklist, a self-reported questionnaire used to assist in the diagnosis of adult ADHD.
How often do you fidget or squirm with your hands or feet when you have to sit down for a long time?
Never;Rarely;Sometimes;Often;Very Often;
Never;Rarely;Sometimes;Often;Very Often;
Alphanumeric
Check the box that best describes how you have felt and conducted yourself over the past 6 months.
Kessler RC, Adler L, Ames M, Demler O, Faraone S, Hiripi E, Howes MJ, Jin R, Secnik K, Spencer T, Ustun TB, Walters EE. The World Health Organization Adult ADHD Self-Report Scale (ASRS). 2005. Psychological Medicine. 2005; 35(2): 245-56.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Adult ADHD Self-Report Scale (ASRS)
Assessing Comorbidities
Outcomes and End Points
ASRS v1.1 Q5
 
Single Pre-Defined Value Selected
       
C13055
Adult ADHD Self-Report Scale (ASRS) - overly active frequency
ASRSOverActiveFreq
The frequency assessment for feeing overly active and compelled to do things related question in the Adult ADHD Self-Report Scale (ASRS) Symptom Checklist, a self-reported questionnaire used to assist in the diagnosis of adult ADHD.
How often do you feel overly active and compelled to do things, like you were driven by a motor?
Never;Rarely;Sometimes;Often;Very Often;
Never;Rarely;Sometimes;Often;Very Often;
Alphanumeric
Check the box that best describes how you have felt and conducted yourself over the past 6 months.
Kessler RC, Adler L, Ames M, Demler O, Faraone S, Hiripi E, Howes MJ, Jin R, Secnik K, Spencer T, Ustun TB, Walters EE. The World Health Organization Adult ADHD Self-Report Scale (ASRS). 2005. Psychological Medicine. 2005; 35(2): 245-56.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Adult ADHD Self-Report Scale (ASRS)
Assessing Comorbidities
Outcomes and End Points
ASRS v1.1 Q6
 
Single Pre-Defined Value Selected
       
C13056
Adult ADHD Self-Report Scale (ASRS) - total score
ASRSTotalScore
The total score related to the Adult ADHD Self-Report Scale (ASRS) Symptom Checklist, a self-reported questionnaire used to assist in the diagnosis of adult ADHD.
Add the number of checkmarks that appear in the darkly shaded area.
0;1;2;3;4;5;6;
0;1;2;3;4;5;6;
Numeric Values
Add the number of checkmarks that appear in the darkly shaded area. Four (4) or more checkmarks indicate that your symptoms may be consistent with adult ADHD. It may be beneficial for you to talk with your healthcare provider about an evaluation.
Kessler RC, Adler L, Ames M, Demler O, Faraone S, Hiripi E, Howes MJ, Jin R, Secnik K, Spencer T, Ustun TB, Walters EE. The World Health Organization Adult ADHD Self-Report Scale (ASRS). 2005. Psychological Medicine. 2005; 35(2): 245-56.
Adult
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Adult ADHD Self-Report Scale (ASRS)
Assessing Comorbidities
Outcomes and End Points
ASRS Total
 
Single Pre-Defined Value Selected
       
03-27-2017
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