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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 - Lower Extremity Function
Item count: 19 (19 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
C21317
Quality of Life - Movement sit stand toilet seat scale
QoLMoveSitStndToiletSeatScl
The scale which represents the extent to which the participant was able to get on and off the toilet, as part of Neuro-QOL Lower Extremity Function.
Are you able to get on and off the toilet?
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 Neuro-QOL Adult Bank - Lower Extremity Function
No references available
Adult;Pediatric
Supplemental
1.0
7/17/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Lower Extremity Function
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21318
Quality of Life - Movement up down step curb ability scale
QolMoveUpDownStepCurbAbltyScl
The scale which represents the extent to which the participant was able to step up and down curbs, as part of Neuro-QOL Lower Extremity Function.
Are you able to step up and down curbs?
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 Neuro-QOL Adult Bank - Lower Extremity Function
Part of Mobility-Short Forms 9a
PFA30
No references available
Adult;Pediatric
Supplemental
1.0
7/17/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Lower Extremity Function
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21319
Quality of Life - Movement in out car ability scale
QolMoveInOutCarAbilityScl
The scale which represents the extent to which the participant was able to get in and out of the car, as part of Neuro-QOL Lower Extremity Function.
Are you able to get in and out of a car?
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 Neuro-QOL Adult Bank - Lower Extremity Function
Part of Mobility-Short Form 9a
PFA56
No references available
Adult;Pediatric
Supplemental
1.0
7/17/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Lower Extremity Function
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21320
Quality of Life - Movement bed chair ability scale
QolMoveBedChairAbilityScl
The scale which represents the extent to which the participant was able to get out of bed into a chair, as part of Neuro-QOL Lower Extremity Function.
Are you able to get out of bed into a chair?
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 Neuro-QOL Adult Bank - Lower Extremity Function
No references available
Adult;Pediatric
Supplemental
1.0
7/17/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Lower Extremity Function
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21321
Quality of Life - Movement push open heavy door ability scale
QolMovePshOpnHvyDoorAblityScl
The scale which represents the extent to which the participant was able to push open a heavy door, as part of Neuro-QOL Lower Extremity Function.
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
Part of Neuro-QOL Adult Bank - Lower Extremity Function
No references available
Adult;Pediatric
Supplemental
1.0
7/17/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Lower Extremity Function
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21322
Quality of Life - Movement errand shop ability scale
QolMoveErrandShopAbilityScl
The scale which represents the extent to which the participant was able to run errands and shop, as part of Neuro-QOL Lower Extremity Function.
Are you able to run errands and shop?
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 Neuro-QOL Adult Bank - Lower Extremity Function
No references available
Adult;Pediatric
Supplemental
1.0
7/17/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Lower Extremity Function
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21323
Quality of Life - Movement without assistance floor stand ability scale
QolMoveWthoutAsstnFlrAbltyScl
The scale which represents the extent to which the participant was able to get up off the floor from lying on their back without help, as part of Neuro-QOL Lower Extremity Function and Patient-Reported Outcome Measurement Information System (PROMIS) Mobility.
Are you able to get up off the floor from lying on your back without help?
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 Neuro-QOL Adult Bank - Lower Extremity Function
No references available
Adult;Pediatric
Supplemental
1.0
7/17/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Lower Extremity Function
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21324
Quality of Life - Movement walk fifteen minute duration ability scale
QolMoveWlkFftnMinDurAbltyScl
The scale which represents the extent to which the participant was able to go for a walk of at least 15 minutes, as part of Neuro-QOL Lower Extremity Function and Patient-Reported Outcome Measurement Information System (PROMIS) Mobility.
Are you able to go for a walk of at least 15 minutes?
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 Neuro-QOL Adult Bank - Lower Extremity Function
Part of Mobility-Short Form 9a
PFA23
No references available
Adult;Pediatric
Supplemental
1.0
7/17/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Lower Extremity Function
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21325
Quality of Life - Movement armless straight chair stand up difficulty scale
QoLMoveArmlssStrghtChrAbltyScl
The scale which represents the amount of difficulty the participant currently has in standing up from an armless straight chair (e.g., dining room chair), as part of Neuro-QOL Lower Extremity Function.
How much DIFFICULTY do you currently have standing up from an armless straight chair (e.g., dining room chair)?
5;4;3;2;1;
No Difficulty;A Little Difficulty;Some Difficulty;A Lot of Difficulty;Can't Do;
Numeric Values
Part of Neuro-QOL Adult Bank - Lower Extremity Function
Part of Mobility-Short Form 9a
NQMOB01
No references available
Adult;Pediatric
Supplemental
1.0
7/17/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Lower Extremity Function
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21326
Quality of Life - Movement chair sit stand difficulty scale
QolMoveChrSitStndDifAbltyScl
The scale which represents the amount of difficulty the participant currently has in sitting down on and standing up from a chair with arms, as part of Neuro-QOL Lower Extremity Function.
How much DIFFICULTY do you currently have stitting down on and standing up from a chair with arms?
5;4;3;2;1;
No Difficulty;A Little Difficulty;Some Difficulty;A Lot of Difficulty;Can't Do;
Numeric Values
Part of Neuro-QOL Adult Bank - Lower Extremity Function
No references available
Adult;Pediatric
Supplemental
1.0
7/17/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Lower Extremity Function
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21327
Quality of Life - Movement bed sit lay down difficulty scale
QolMoveBedSitLayDownDiffScl
The scale which represents the amount of difficulty the participant currently has in moving from sitting at the side of the bed to lying down on their back, as part of Neuro-QOL Lower Extremity Function.
How much DIFFICULTY do you currently have moving from sitting at the side of the bed to lying down on your back?
5;4;3;2;1;
No Difficulty;A Little Difficulty;Some Difficulty;A Lot of Difficulty;Can't Do;
Numeric Values
Part of Neuro-QOL Adult Bank - Lower Extremity Function
No references available
Adult;Pediatric
Supplemental
1.0
7/17/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Lower Extremity Function
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21328
Quality of Life - Movement low soft couch stand difficulty scale
QoLMoveLowSoftCouchStndDiffScl
The scale which represents the amount of difficulty the participant currently has in standing up from a low, soft couch, as part of Neuro-QOL Lower Extremity Function.
How much DIFFICULTY do you currently have standing up from a low, soft couch?
5;4;3;2;1;
No Difficulty;A Little Difficulty;Some Difficulty;A Lot of Difficulty;Can't Do;
Numeric Values
Part of Neuro-QOL Adult Bank - Lower Extremity Function
No references available
Adult;Pediatric
Supplemental
1.0
7/17/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Lower Extremity Function
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21329
Quality of Life - Movement flight stair handrail up down difficulty scale
QolMoveFlghtStrUpDwnDiffScl
The scale which represents the amount of difficulty the participant currently has in going up and down a flight of stairs inside, using a handrail, as part of Neuro-QOL Lower Extremity Function.
How much DIFFICULTY do you currently have going up and down a flight of stairs inside, using a handrail?
5;4;3;2;1;
No Difficulty;A Little Difficulty;Some Difficulty;A Lot of Difficulty;Can't Do;
Numeric Values
Part of Neuro-QOL Adult Bank - Lower Extremity Function
Part of Mobility-Short Form 9a
NQMOB08
No references available
Adult;Pediatric
Supplemental
1.0
7/17/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Lower Extremity Function
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21330
Quality of Life - Movement uneven surface walk difficulty scale
QolMoveUnevenSrfaceWlkDiffScl
The scale which represents the amount of difficulty the participant currently has in walking on uneven surfaces (e.g., grass, dirt road or sidewalk), as part of Neuro-QOL Lower Extremity Function.
How much DIFFICULTY do you currently have walking on uneven surfaces (e.g., grass, dirt road or sidewalk)?
5;4;3;2;1;
No Difficulty;A Little Difficulty;Some Difficulty;A Lot of Difficulty;Can't Do;
Numeric Values
Part of Neuro-QOL Adult Bank - Lower Extremity Function
Part of Mobility-Short Form 9a
NQMOB09
No references available
Adult;Pediatric
Supplemental
1.0
7/17/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Lower Extremity Function
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21331
Quality of Life - Movement single floor walk difficulty scale
QolMoveSingleFloorWalkDiffScl
The scale which represents the amount of difficulty the participant currently has in walking around one floor of their home, as part of Neuro-QOL Lower Extremity Function.
How much DIFFICULTY do you currently have walking around one floor of your home?
5;4;3;2;1;
No Difficulty;A Little Difficulty;Some Difficulty;A Lot of Difficulty;Can't Do;
Numeric Values
Part of Neuro-QOL Adult Bank - Lower Extremity Function
Part of Mobility-Short Form 9a
NQMOB11
No references available
Adult;Pediatric
Supplemental
1.0
7/17/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Lower Extremity Function
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21237
Quality of Life - Movement twenty minute duration brisk walk difficulty scale
QoLMoveTwtyMnDrtnBrskWkDiffScl
The scale which represents the amount of difficulty the participant currently has in taking a 20-minute brisk walk, without stopping to rest, as part of Neuro-QOL Lower Extremity Function.
How much DIFFICULTY do you currently have taking a 20-minute brisk walk, without stopping to rest?
5;4;3;2;1;
No Difficulty;A Little Difficulty;Some Difficulty;A Lot of Difficulty;Can't Do;
Numeric Values
Part of Neuro-QOL Adult Bank - Lower Extremity Function
No references available
Adult;Pediatric
Supplemental
1.0
7/17/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Lower Extremity Function
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21238
Quality of Life - Movement outdoor slippery surface walk difficulty scale
QoLMoveOutdrSlprySrfcWkDiffScl
The scale which represents the amount of difficulty the participant currently has in walking on a slippery surface, outdoors, as part of Neuro-QOL Lower Extremity Function.
How much DIFFICULTY do you currently have walking on a slippery surface, outdoors?
5;4;3;2;1;
No Difficulty;A Little Difficulty;Some Difficulty;A Lot of Difficulty;Can't Do;
Numeric Values
Part of Neuro-QOL Adult Bank - Lower Extremity Function
No references available
Adult;Pediatric
Supplemental
1.0
7/17/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Lower Extremity Function
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21239
Quality of Life - Movement no handrail stair climb difficulty scale
QoLMoveNoHandrlStrClmbDiffScl
The scale which represents the amount of difficulty the participant currently has in climbing stairs step over step without a handrail (alternating feet), as part of Neuro-QOL Lower Extremity Function.
How much DIFFICULTY do you currently have climbing stairs step over step without a handrail? (alternating feet)?
5;4;3;2;1;
No Difficulty;A Little Difficulty;Some Difficulty;A Lot of Difficulty;Can't Do;
Numeric Values
Part of Neuro-QOL Adult Bank - Lower Extremity Function
Part of Mobility-Short Form 9a
NQMOB21
No references available
Adult;Pediatric
Supplemental
1.0
7/17/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Lower Extremity Function
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21240
Quality of Life - Movement dark room no fall walk difficulty scale
QoLMoveDrkRmNoFallWalkDiffScl
The scale which represents the amount of difficulty the participant currently has in walking in a dark room without falling, as part of Neuro-QOL Lower Extremity Function.
How much DIFFICULTY do you currently have walking in a dark room without falling?
5;4;3;2;1;
No Difficulty;A Little Difficulty;Some Difficulty;A Lot of Difficulty;Can't Do;
Numeric Values
Part of Neuro-QOL Adult Bank - Lower Extremity Function
No references available
Adult;Pediatric
Supplemental
1.0
7/17/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Lower Extremity Function
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
12-15-2018
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