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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: Spinal Cord Injury
SubDisease: Spinal Cord Injury
Sub-Domain: Pain
CRF: Functional Disability Inventory - Child and Adolescent Form (FDI)
Item count: 15 (15 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
C14641
Functional Disability Inventory (FDI) - child form walk bathroom scale
FDICFDfcltBthrmWlkScale
The scale of the child's or adolescent's ability to walk to the bathroom when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form.
Would you have had physical trouble or difficulty walking to the bathroom?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would you have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Child and Adolescent Form (FDI)
Pain
Outcomes and End Points
FDI-Child Q1
 
Single Pre-Defined Value Selected
       
C14642
Functional Disability Inventory (FDI) - child form walk stair scale
FDICFDfcltStairWalkScale
The scale of the child's or adolescent's ability to walk up the stairs when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form.
Would you have had physical trouble or difficulty walking up stairs?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would you have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Child and Adolescent Form (FDI)
Pain
Outcomes and End Points
FDI-Child Q2
 
Single Pre-Defined Value Selected
       
C14643
Functional Disability Inventory (FDI) - child form friend activity scale
FDICFFrndActScale
The scale of the child's or adolescent's ability to engage with a friend when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form.
Would you have had physical trouble or difficulty doing something with a friend?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would you have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Child and Adolescent Form (FDI)
Pain
Outcomes and End Points
FDI-Child Q3
 
Single Pre-Defined Value Selected
       
C14644
Functional Disability Inventory (FDI) - child form chore scale
FDICFChoreScale
The scale of the child's or adolescent's ability to perform and complete chores at home when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form.
Would you have had physical trouble or difficulty doing chores at home?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would you have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Child and Adolescent Form (FDI)
Pain
Outcomes and End Points
FDI-Child Q4
 
Single Pre-Defined Value Selected
       
C14645
Functional Disability Inventory (FDI) - child form eat meal scale
FDICFEatMealScale
The scale of the child's or adolescent's ability to eat regular meals when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form.
Would you have had physical trouble or difficulty eating regular meals?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would you have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Child and Adolescent Form (FDI)
Pain
Outcomes and End Points
FDI-Child Q5
 
Single Pre-Defined Value Selected
       
C14646
Functional Disability Inventory (FDI) - child form up all day scale
FDICFUpAllDayScale
The scale of the child's or adolescent's ability to stay awake all day without taking a nap or rest when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form.
Would you have had physical trouble or difficulty being up all day without a nap or rest?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would you have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Child and Adolescent Form (FDI)
Pain
Outcomes and End Points
FDI-Child Q6
 
Single Pre-Defined Value Selected
       
C14647
Functional Disability Inventory (FDI) - child form riding bus car scale
FDICFRidBusCarScale
The scale of the child's or adolescent's ability to ride the bus to school or travel in a car when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form.
Would you have had physical trouble or difficulty riding the school bus or traveling in the car?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would you have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Child and Adolescent Form (FDI)
Pain
Outcomes and End Points
FDI-Child Q7
 
Single Pre-Defined Value Selected
       
C14648
Functional Disability Inventory (FDI) - child school all day scale
FDICFSchlAllDayScale
The scale of the child's or adolescent's ability to staying at school when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form.
Would you have had physical trouble or difficulty being at school all day?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would you have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Child and Adolescent Form (FDI)
Pain
Outcomes and End Points
FDI-Child Q8
 
Single Pre-Defined Value Selected
       
C14649
Functional Disability Inventory (FDI) - child sports scale
FDICFSportScale
The scale of the child's or adolescent's ability to performing activites in gym class when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form.
Would you have had physical trouble or difficulty doing the activities in gym class?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would you have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Child and Adolescent Form (FDI)
Pain
Outcomes and End Points
FDI-Child Q9
 
Single Pre-Defined Value Selected
       
C14650
Functional Disability Inventory (FDI) - child form read homework scale
FDICFDfcltReadHmwrkScale
The scale of the child's or adolescent's ability to read or do homework when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form.
Would you have had physical trouble or difficulty reading or doing homework?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would you have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Child and Adolescent Form (FDI)
Pain
Outcomes and End Points
FDI-Child Q10
 
Single Pre-Defined Value Selected
       
C14651
Functional Disability Inventory (FDI) - child form watch TV scale
FDICFWtchTVScale
The scale of the child's or adolescent's ability to watch television when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form.
Would you have had physical trouble or difficulty watching TV?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would you have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Child and Adolescent Form (FDI)
Pain
Outcomes and End Points
FDI-Child Q11
 
Single Pre-Defined Value Selected
       
C14652
Functional Disability Inventory (FDI) - child form walk football field scale
FDICFWlkFtblFldScale
The scale of the child's or adolescent's ability to walk the length of a football field when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form.
Would you have had physical trouble or difficulty walking the length of a football field?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would you have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Child and Adolescent Form (FDI)
Pain
Outcomes and End Points
FDI-Child Q12
 
Single Pre-Defined Value Selected
       
C14653
Functional Disability Inventory (FDI) - child form run football field scale
FDICFRunFtblFldScale
The scale of the child's or adolescent's ability to run the length of a football field when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form.
Would you have had physical trouble or difficulty running the length of a football field?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would you have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Child and Adolescent Form (FDI)
Pain
Outcomes and End Points
FDI-Child Q13
 
Single Pre-Defined Value Selected
       
C14654
Functional Disability Inventory (FDI) - child form shopping scale
FDICFShopScale
The scale of the child's or adolescent's ability to go shopping when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form.
Would you have had physical trouble or difficulty going shopping?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would you have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Child and Adolescent Form (FDI)
Pain
Outcomes and End Points
FDI-Child Q14
 
Single Pre-Defined Value Selected
       
C14655
Functional Disability Inventory (FDI) - child form sleep scale
FDICFSlpScale
The scale of the child's or adolescent's ability to sleep and stay asleep at night when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form.
Would you have had physical trouble or difficulty getting to sleep at night and staying asleep?
0;1;2;3;4;
No trouble;A little trouble;Some trouble;A lot of trouble;Impossible;
Numeric values
In the past two weeks, would you have had any physical trouble or difficulty doing these activities?
Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84.
Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Functional Disability Inventory - Child and Adolescent Form (FDI)
Pain
Outcomes and End Points
FDI-Child Q15
 
Single Pre-Defined Value Selected
       
12-19-2018
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