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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: Sport Related Concussion
SubDisease: Comprehensive
Sub-Domain: Neuromotor Function
CRF: Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Item count: 46 (46 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
C53672
Quality of Life - Upper extremity mobility carry heavy object scale
QolExtreMobCrryHvyObj10LbScl
The scale which represents the extent to which the participant was able to carry a heavy object over 10 pounds, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity
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
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
2/9/2017
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C53882
Quality of Life - Upper extremity mobility movement dress self scale
QolUppExtreMobMoveDrsSlfScl
The scale which represents the extent to which the participant was able to dress, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity
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
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
2/10/2017
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C53883
Quality of Life - Upper extremity mobility reach high cupboard scale
QolUppExtreRchHghCupbrdScl
The scale which represents the extent to which the participant was able to reach into a high cupboard, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity
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
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
2/10/2017
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C53884
Quality of Life - Upper extremity mobility hammer pound nail scale
QolUppExtreUseHmmrPndNailScl
The scale which represents the extent to which the participant was able to use a hammer to pound a nail, as a part of as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity
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
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
2/10/2017
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C53888
Quality of Life - Upper extremity cut food using eating utensils scale
QolUppExtreCutFoodUseEtgUtnScl
The scale which represents the extent to which the participant was able to cut food using eating utensils, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity
Are you able to cut your food using eating utensils?
5;4;3;2;1;
Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do;
Numeric Values
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
2/10/2017
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C53891
Quality of Life - Upper extremity open can hand can opener scale
QolUppExtreOpnCanHndCanOpnrScl
The scale which represents the extent to which the participant was able to open a can with a hand can opener, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity
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
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
2/10/2017
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C53892
Quality of Life - Upper extremity pull heavy objects toward yourself scale
QolUppExtrePullHvyObjTwdSlfScl
The scale which represents the extent to which the participant was able to pull heavy objects toward themselves scale, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity
Are you able to pull heavy objects (10 pounds/ 5 kg) 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
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
2/10/2017
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C54073
Quality of Life - Upper extremity wash back scale
QolUppExtreWshBckScl
The scale which represents the extent the participant was able to wash their back, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity
Are you able to wash 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
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
2/13/2017
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21132
Quality of Life - Movement zipper open close ability scale
QoLMoveZipprOpnClseAblityScl
The scale which represents the extent to which the participant was able to open and close a zipper, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcomes Information Measurement System (PROMIS) Upper Extremity.
Are you able to open and close a zipper?
5;4;3;2;1;
Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do;
Numeric Values
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C54075
Quality of life - Put on take off coat or jacket scale
QolUppExtrePutOnTkOfCotJcktScl
The scale which represents the extent the participant was able to put on and take off a coat or jacket, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity
Are you able to put on and take off a coat or jacket?
5;4;3;2;1;
Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do;
Numeric Values
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
2/13/2017
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C54077
Quality of life - Upper extremity dry back with towel scale
QolUppExtreDryBackWthTwlScl
The scale which represents the extent the participant was able to dry their back, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity
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
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
2/13/2017
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21127
Quality of Life - Movement turn key lock ability scale
QoLMoveTurnKeyLockAbilityScl
The scale which represents the extent to which the participant was able to turn a key in a lock, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity.
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
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21131
Quality of Life - Movement pen pencil write ability scale
QolMovePenPenclWrteAbilityScl
The scale which represents the extent to which the participant was able to write with a pen or pencil, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcomes Measurement Information System (PROMIS).
Are you able to write with a pen or pencil?
5;4;3;2;1;
Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do;
Numeric Values
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C54330
Quality of Life - Upper extremity put on shirt blouse ability scale
QolUppExtrShrtBlseAbilityScl
The scale which represents the extent the participant was able to put on a shirt or blouse, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity
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
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
2/27/2017
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C54146
Quality of Life - Upper extremity peel fruit ability scale
QolUppExtrePeelFrtAbilityScl
The scale which represents the extent to which the participant was able to peel fruit, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity
Are you able to peel fruit?
5;4;3;2;1;
Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do;
Numeric Values
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
2/14/2017
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21128
Quality of Life - Movement brush teeth ability scale
QoLMoveBrushTeethAblityScl
The scale which represents the extent to which the participant was able to brush their teeth, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity.
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
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21143
Quality of Life - Movement button shirt ability scale
QolMoveButtonShirtAblityScl
The scale which represents the extent to which the participant was able to button their shirt, as part of Neuro-QOL Upper Extremity and Patient Repoted Outcome Measurement Information System (PROMIS) Upper Extremity.
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
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C54413
Quality of Life - Upper extremity wash dishes pots utensils by hand standing sink ability scale
QolUppExtreWsDsPtUtHdStSkAbScl
The scale which represents the extent the participant was able to wash dishes, pots and utensils by hand while standing at a sink, as a part of the Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity
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
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
3/3/2017
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C54414
Quality of Life - Upper extremity carry shopping bag or briefcase ability scale
QolUppExtreCryShpBgBrfcsAbyScl
The scale which represents the extent to which the participant was able to carry a shopping bag or briefcase, as a part of the Patient-Reported Outcomes Measurement Information System (PROMIS) upper extremity
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
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
3/3/2017
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C54706
Quality of Life - Upper extremity change bulb in table lamp scale
QolUppExtreChngBlbTblLmpScl
The scale which represents the extent to which the participant was able to change a bulb in a table lamp, as a part of Patient-Reported Outcome Measurement System (PROMIS) Upper Extremity
Are you able to change the bulb in a table lamp?
5;4;3;2;1;
Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do;
Numeric Values
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
4/10/2017
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C54708
Quality of Life - Upper extremity shave face apply makeup scale
QolUppExtreShvFaceAplyMkeupScl
The scale which represents the extent to which the participant was able to shave their face or apply makeup, as a part of the Patient-Reported Outcome Measurement System (PROMIS) Upper Extremity
Are you able to shave your face or apply makeup?
5;4;3;2;1;
Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do;
Numeric Values
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
4/10/2017
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C54707
Quality of Life - Upper extremity press with index finger scale
QolUppExtrePrssWthIndxFngeScl
The scale which represents the extent to which the participant was able to press with their index finger as a part of Patient-Reported Outcome Measurement System (PROMIS) Upper Extremity
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
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
4/10/2017
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C55108
Quality of Life - Upper extremity squeeze new tube of toothpaste scale
QolUppExtreSqzeNewTbTthpsteScl
The scale which represents the extent to which the participant was able to squeeze a new tube of toothpaste, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) upper extremity
Are you able to squeeze a new tube of toothpaste?
4;3;2;1;1;
Without any difficulty;With a little difficulty;With some difficulty;With much difficulty;Unable to Do;
Numeric Values
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
4/20/2017
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C55106
Quality of Life - Upper extremity cut paper with scissors scale
QolUppExtreCutPprWthScissrsScl
The scale which represents the extent to which the participant was able to cut a piece of paper with scissors, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity
Are you able to cut a piece of paper with scissors?
4;3;2;1;1;
Without any difficulty;With a little difficulty;With some difficulty;With much difficulty;Unable to Do;
Numeric Values
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
4/20/2017
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21141
Quality of Life - Movement full food plate hold ability scale
QolMoveFulFoodPlatHldAbltyScl
The scale which represents the extent to which the participant was able to hold a plate full of food, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity.
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
Part of PROMIS Upper Extremity Domain
2008-2016 PROMIS Health Organization and PROMIS Cooperative Group
Adult
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain
Neuromotor Function
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
12-19-2018
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