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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: Quality of Life/Patient Reported Outcomes
CRF: Neuro-QOL Adult Bank - Anxiety
Item count: 21 (21 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
C20792
Quality of Life - Uneasiness assessment past week scale
PROMISFeltUneasyScale
The scale which represents how often the participant felt uneasy in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety.
In the past 7 days I felt uneasy.
1;2;3;4;5;
Never;Rarely;Sometimes;Often;always;
Numeric Values
Part of Neuro-QOL Adult Bank - Anxiety
"Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX27
Adult;Pediatric
Supplemental
1.0
5/20/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Anxiety
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C20787
Quality of Life - Nervousness assessment past week scale
PROMISFeltNrvousScale
The scale which represents how often the participant felt nervous in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety.
In the past 7 days I felt nervous.
1;2;3;4;5;
Never;Rarely;Sometimes;Often;always;
Numeric Values
Part of Neuro-QOL Adult Bank - Anxiety
"Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX22
Adult;Pediatric
Supplemental
1.0
5/20/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Anxiety
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C20789
Quality of Life - Worry many situation assessment past week scale
PROMISManySitsMadeWorryScale
The scale which represents how often the many situations made the participant worry in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety.
In the past 7 days many situations made me worry.
1;2;3;4;5;
Never;Rarely;Sometimes;Often;always;
Numeric Values
Part of Neuro-QOL Adult Bank - Anxiety
"Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX24
Adult;Pediatric
Supplemental
1.0
5/20/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Anxiety
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C20785
Quality of Life - Overwhelm worry assessment past week scale
PROMISWorriesOverwhelmedScale
The scale which represents how often the participant's worries overwhelmed him in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety.
In the past 7 days my worries overwhelmed me.
1;2;3;4;5;
Never;Rarely;Sometimes;Often;always;
Numeric Values
Part of Neuro-QOL Adult Bank - Anxiety
"Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX20
Adult;Pediatric
Supplemental
1.0
5/20/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Anxiety
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C20793
Quality of Life - Tension assessment past week scale
PROMISFeltTenseScale
The scale which represents how often the participant felt tense in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety.
In the past 7 days I felt tense.
1;2;3;4;5;
Never;Rarely;Sometimes;Often;always;
Numeric Values
Part of Neuro-QOL Adult Bank - Anxiety
"Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX28
Adult;Pediatric
Supplemental
1.0
5/20/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Anxiety
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C20794
Quality of Life - Calmness difficulty assessment past week scale
PROMISDifficultyCalmDownScale
The scale which represents how often the participant had difficulty calming down in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety.
In the past 7 days I had difficulty calming down.
1;2;3;4;5;
Never;Rarely;Sometimes;Often;always;
Numeric Values
Part of Neuro-QOL Adult Bank - Anxiety
"Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX29
Adult;Pediatric
Supplemental
1.0
5/20/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Anxiety
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C20775
Quality of Life - Sudden panic assessment past week scale
PROMISSuddenFeelingsOfPncScale
The scale which represents how often the participant had sudden feelings of panic in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety.
In the past 7 days I had sudden feelings of panic.
1;2;3;4;5;
Never;Rarely;Sometimes;Often;always;
Numeric Values
Part of Neuro-QOL Adult Bank - Anxiety
"Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX10
Adult;Pediatric
Supplemental
1.0
5/20/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Anxiety
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21192
Quality of Life - Normal routine disturbance nervousness past week scale
QoLNrmRoutnDisturbncNrvsnssScl
The scale representing how often the participant felt nervous when their normal routine was disturbed in the past 7 days, as part of Neuro-QOL Anxiety.
In the past 7 days I felt nervous when my normal routine was disturbed.
1;2;3;4;5;
Never;Rarely;Sometimes;Often;always;
Numeric Values
Part of Neuro-QOL Adult Bank - Anxiety
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Anxiety
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21193
Quality of Life - Future fear assessment past week scale
QoLFutureFearAssessmentScl
The scale representing how often the participant felt fearful about their future in the past 7 days, as part of Neuro-QOL Anxiety.
In the past 7 days I felt fearful about my future.
1;2;3;4;5;
Never;Rarely;Sometimes;Often;always;
Numeric Values
Part of Neuro-QOL Adult Bank - Anxiety
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Anxiety
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C20766
Quality of Life - Anxiousness assessment past week scale
PROMISFeltAnxiousScale
The scale which represents how often the participant felt anxious in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety.
In the past 7 days I felt anxious.
1;2;3;4;5;
Never;Rarely;Sometimes;Often;always;
Numeric Values
Part of Neuro-QOL Adult Bank - Anxiety
"Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX04
Adult;Pediatric
Supplemental
1.0
5/20/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Anxiety
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21194
Quality of Life - Physical health worry past week scale
QoLPhysicalHealthWorryScl
The scale which represents how often the participant worried about their physical health, as part of Neuro-QOL Anxiety.
In the past 7 days I worried about my health.
1;2;3;4;5;
Never;Rarely;Sometimes;Often;always;
Numeric Values
Part of Neuro-QOL Adult Bank - Anxiety
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Anxiety
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C20768
Quality of Life - Anxiety assistance assessment past week scale
PROMISFltHlpNeedFrAnxietyScale
The scale which represents how often the participant felt like help was needed for his anxiety in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety.
In the past 7 days I felt like I needed help for my anxiety.
1;2;3;4;5;
Never;Rarely;Sometimes;Often;always;
Numeric Values
Part of Neuro-QOL Adult Bank - Anxiety
"Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX05
Adult;Pediatric
Supplemental
1.0
5/20/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Anxiety
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C20776
Quality of Life - Startle ease assessment past week scale
PROMISEasilyStartledScale
The scale which represents how often the participant was easily startled in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety.
In the past 7 days I was easily startled.
1;2;3;4;5;
Never;Rarely;Sometimes;Often;always;
Numeric Values
Part of Neuro-QOL Adult Bank - Anxiety
"Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX11
Adult;Pediatric
Supplemental
1.0
5/20/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Anxiety
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C20779
Quality of Life - Fidgety assessment past week scale
PROMISFeltFidgetyScale
The scale which represents how often the participant felt fidgety in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety.
In the past 7 days I felt fidgety.
1;2;3;4;5;
Never;Rarely;Sometimes;Often;always;
Numeric Values
Part of Neuro-QOL Adult Bank - Anxiety
"Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX14
Adult;Pediatric
Supplemental
1.0
5/20/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Anxiety
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C20780
Quality of Life - Fear terrible future occurrence past week scale
PROMISSomethingAwflHappenScale
The scale which represents how often the participant felt something awful would happen in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety.
In the past 7 days I felt something awful would happen.
1;2;3;4;5;
Never;Rarely;Sometimes;Often;always;
Numeric Values
Part of Neuro-QOL Adult Bank - Anxiety
"Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX15
Adult;Pediatric
Supplemental
1.0
5/20/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Anxiety
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C20781
Quality of Life - Worry assessment past week scale
PROMISFeltWorriedScale
The scale which represents how often the participant felt worried in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety.
In the past 7 days I felt worried.
1;2;3;4;5;
Never;Rarely;Sometimes;Often;always;
Numeric Values
Part of Neuro-QOL Adult Bank - Anxiety
"Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX16
Adult;Pediatric
Supplemental
1.0
5/20/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Anxiety
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21195
Quality of Life - No reason fear assessment past week scale
QoLNoReasonFearAssessmentScl
The scale which represents how often the participant suddenly felt scared for no reason in the past 7 days, as part of Neuro-QOL Anxiety.
In the past 7 days I suddenly felt scared for no reason.
1;2;3;4;5;
Never;Rarely;Sometimes;Often;always;
Numeric Values
Part of Neuro-QOL Adult Bank - Anxiety
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Anxiety
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21196
Quality of Life - Death worry past week scale
QoLDeathWorryScl
The scale representing how often the participant worried about dying in the past 7 days, as part of Neuro-QOL Anxiety.
In the past 7 days I worried about dying.
1;2;3;4;5;
Never;Rarely;Sometimes;Often;always;
Numeric Values
Part of Neuro-QOL Adult Bank - Anxiety
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Anxiety
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21197
Quality of Life - Shyness assessment past week scale
QoLShynessAssessmentScl
The scale which represents how often the patient felt shy in the past 7 days, as part of Neuro-QOL Anxiety.
In the past 7 days I felt shy.
1;2;3;4;5;
Never;Rarely;Sometimes;Often;always;
Numeric Values
Part of Neuro-QOL Adult Bank - Anxiety
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Anxiety
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C20790
Quality of Life - Sleep difficultly assessment past week scale
PROMISDifficultySleepingScale
The scale which represents how often the participant had difficulty sleeping in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety.
In the past 7 days I had difficulty sleeping.
1;2;3;4;5;
Never;Rarely;Sometimes;Often;always;
Numeric Values
Part of Neuro-QOL Adult Bank - Anxiety
"Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX25
Adult;Pediatric
Supplemental
1.0
5/20/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Anxiety
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C20791
Quality of Life - Relax trouble assessment past week scale
PROMISTroubleRelaxingScore
The scale which represents how often the participant had trouble relaxing in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety.
In the past 7 days I had trouble relaxing.
1;2;3;4;5;
Never;Rarely;Sometimes;Often;always;
Numeric Values
Part of Neuro-QOL Adult Bank - Anxiety
"Copyright 2008-2012 PROMIS Health Organization and PROMIS Cooperative Group" PROMIS Item Bank v 1.0 - Emotional Distress - Anxiety EDANX26
Adult;Pediatric
Supplemental
1.0
5/20/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Anxiety
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
12-19-2018
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