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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 - Upper Extremity
Item count: 40 (20 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
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 Neuro-QOL Adult Bank - Upper Extremity
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Upper Extremity
Quality of Life/Patient Reported Outcomes
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 Neuro-QOL Adult Bank - Upper Extremity
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Upper Extremity
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21129
Quality of Life - Movement touch-tone phone call ability scale
QolMoveTouchTneCallAbilityScl
The scale which represents the extent to which the participant was able to make a phone call using a touch tone key-pad, as part of Neuro-QOL Upper Extremity.
Are you able to make a phone call using a touch tone key-pad?
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 - Upper Extremity
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Upper Extremity
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21130
Quality of Life - Movement pick up coin ability scale
QoLMovePckUpCoinAbltyScl
The scale which represents the extent to which the participant was able to pick up coins from a table top, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity.
Are you able to pick up coins from a table top?
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 - Upper Extremity
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Upper Extremity
Quality of Life/Patient Reported Outcomes
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 Neuro-QOL Adult Bank - Upper Extremity
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Upper Extremity
Quality of Life/Patient Reported Outcomes
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 Neuro-QOL Adult Bank - Upper Extremity
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Upper Extremity
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21133
Quality of Life - Movement body wash dry ability scale
QoLMoveBodyWashDryAblityScl
The scale which represents the extent to which the participant was able to wash and dry their body, as part of Neuro-QOL Upper Extremity.
Are you able to wash and dry your body?
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 - Upper Extremity
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Upper Extremity
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21134
Quality of Life - Movement shampoo hair ability scale
QoLMoveShampooHairAbilityScl
The scale which represents the extent to which the participant was able to shampoo their hair, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity.
Are you able to shampoo your hair?
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 - Upper Extremity
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Upper Extremity
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21135
Quality of Life - Movement spoon eat meal difficulty scale
QolMoveSpoonEatMealAbilityScl
The scale which represents the amount of difficulty the participant currently has in using a spoon to eat a meal, as part of Neuro-QOL Upper Extremity.
How much DIFFICULTY do you currently have using a spoon to eat a meal?
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 - Upper Extremity
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Upper Extremity
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21136
Quality of Life - Movement dress pullover shirt on difficulty scale
QolMoveDrssPllvrShrtAblityScl
The scale which represents the amount of difficulty the participant currently has in putting on a pullover shirt, as part of Neuro-QOL Upper Extremity.
How much DIFFICULTY do you currently have putting on a pullover shirt?
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 - Upper Extremity
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Upper Extremity
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21137
Quality of Life - Movement dress pullover shirt off difficulty scale
QoLMoveDrssPllovrOffAbilityScl
The scale which represents the amount of difficulty the participant currently has in taking off a pullover shirt, as part of Neuro-QOL Upper Extremity.
How much DIFFICULTY do you currently have taking off a pullover shirt?
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 - Upper Extremity
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Upper Extremity
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21138
Quality of Life - Movement small object remove wrap difficulty scale
QoLMoveSmllObjtRmvWrpAblityScl
The scale which represents the amount of difficulty the participant currently has in removing wrappings from small objects, as part of Neuro-QOL Upper Extremity.
How much DIFFICULTY do you currently have removing wrappings from small objects.
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 - Upper Extremity
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Upper Extremity
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21139
Quality of Life - Movement medication open difficulty scale
QolMoveMedicatnOpnAbiltyScl
The scale which represents the amount of difficulty the participant currently has in opening medications or vitamin containers (e.g., childproof containers, small bottles) as part of Neuro-QOL Upper Extremity.
How much DIFFICULTY do you currently have opening medications or vitamin containers (e.g., childproof containers, small bottles)?
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 - Upper Extremity
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Upper Extremity
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21140
Quality of Life - Movement open prior open jar ability scale
QolMoveOpnPriorOpnJarAbltyScl
The scale which represents the extent to which the participant was able to open previously opened jars, as part of Neuro-QOL Upper Extremity.
Are you able to open previously opened jars?
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 - Upper Extremity
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Upper Extremity
Quality of Life/Patient Reported Outcomes
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 Neuro-QOL Adult Bank - Upper Extremity
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Upper Extremity
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21142
Quality of Life - Movement pull trouser on ability scale
QolMovePullTrouserOnAbiltyScl
The scale which represents the extent to which the participant was able to pull on trousers, as part of Neuro-QOL Upper Extremity.
Are you able to pull on trousers?
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 - Upper Extremity
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Upper Extremity
Quality of Life/Patient Reported Outcomes
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 Neuro-QOL Adult Bank - Upper Extremity
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Upper Extremity
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21144
Quality of Life - Movement fingernail trim ability scale
QolMoveFingernlTrimAbiltyScl
The scale which represents the extent to which the participant was able to trim their fingernails, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity.
Are you able to trim your fingernails?
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 - Upper Extremity
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Upper Extremity
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21145
Quality of Life - Movement toenail trim ability scale
QolMoveToenailTrimAbiltyScl
The scale which represents the extent to which the participant was able to cut their toe nails, as part of Neuro-QOL Upper Extremity.
Are you able to cut your toe nails?
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 - Upper Extremity
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Upper Extremity
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
C21146
Quality of Life - Movement bend down pick up cloth ability scale
QoLMoveBndDwnPckUpClthAbltyScl
The scale which represents the extent to which the participant was able to bend down and pick up clothing from the floor Neuro-QOL Upper Extremity.
Are you able to bend down and pick up clothing from the floor?
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 - Upper Extremity
No references available
Adult;Pediatric
Supplemental
1.0
7/15/2015
Aliases for variable name not defined
Neuro-QOL Adult Bank - Upper Extremity
Quality of Life/Patient Reported Outcomes
Outcomes and End Points
  
Single Pre-Defined Value Selected
       
12-19-2018
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