F1053-C10570
C10570
Imaging contrast agent used indicator
Indicator of whether an imaging contrast agent was used for the scan
Supplemental
Diffusion Tensor Imaging (DTI)
False
General (For all diseases)
General (For all diseases)
F1062-C12717
C12717
Electrophysiology repetitive nerve stimulation study stimulus intensity value
Value, in mV, of stimulation intensity in the repetitive nerve study being recorded
Supplemental
Electrophysiology
False
General (For all diseases)
General (For all diseases)
F0010-C00707
C00707
Alcohol consume six or more drinks frequency
The rate of occurrence for when the participant/subject consumes six or more drinks containing alcohol on one occasion. It is noted that the meaning of "drinks consumed" differs from one nation and culture to another, so the most common alcoholic beverages likely to be consumed will be defined as well as quantity of each that constitutes a drink (approximately 10 grams of pure ethanol). For example, one bottle of beer (330 ml at 5% ethanol), a glass of wine (140 ml at 12% ethanol), and a shot of spirits (40 ml at 40% ethanol) represent a standard drink of about 13 g of ethanol
Supplemental
Behavioral History
False
General (For all diseases)
General (For all diseases)
F2654-C56497
C56497
Patient-Reported Outcome Measurement Information System (PROMIS) - Pain Interference household chore ability scale
Scale which represents how often the participant felt pain interfered with household chores over the past seven days, as a part of the Patient-Reported Outcome Measurement Information System (PROMIS)
Supplemental
PROMIS Item Bank v1.1 - Pain Interference
False
General (For all diseases)
General (For all diseases)
F0038-C02210
C02210
Enrolled in study indicator
Indicator of whether the participant/subject was enrolled into the clinical research study
Supplemental
Informed Consent and Enrollment
False
General (For all diseases)
General (For all diseases)
F2056-C21288
C21288
Quality of Life - Force awake morning past week scale
The scale representing how often the participant had to force himself/herself to get up in the morning in the past 7 days, as part of Neuro-QOL Sleep Disturbance
Supplemental
Neuro-QOL Adult Bank - Sleep Disturbance
True
General (For all diseases)
General (For all diseases)
F0005-C21117
C21117
Subject name
Name of subject/participant
Supplemental
Participant/Subject Contact Information
False
General (For all diseases)
General (For all diseases)
F2049-C20776
C20776
Quality of Life - Startle ease assessment past week scale
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
Supplemental
Neuro-QOL Adult Bank - Anxiety
True
General (For all diseases)
General (For all diseases)
F2653-C56457
C56457
PROMIS - Pain Behavior pain cause curl up in ball scale
Scale related to the individual feeling as if pain caused him/her to curl up in a ball in the past 7 days, as part of the PROMIS Pain Behavior
Supplemental
PROMIS Item Bank v1.1 - Pain Behavior
False
General (For all diseases)
General (For all diseases)
F2055-C20750
C20750
Patient-Reported Outcome Measurement Information System (PROMIS) - Friendship time spent visit satisfaction past week scale
The scale which represents the extent of the participant's satisfaction with the amount of time spent visiting his/her friends in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS)
Supplemental
Neuro-QOL Adult Bank - Satisfaction with SRA
True
General (For all diseases)
General (For all diseases)
F2048-C21155
C21155
Quality of Life - Family need satisfaction problem past week scale
The scale representing how often the participant had trouble meeting the needs of their family in the past 7 days, as part of Neuro-QOL Ability to Participate in SRA
Supplemental
Neuro-QOL Adult Bank - Ability to Participate in SRA
True
General (For all diseases)
General (For all diseases)
F1062-C12768
C12768
Electrophysiology short post-exercise compound muscle action potential measurement
The compound muscle action potential (CMAP) values measured at the post-exercise intervals
Supplemental
Electrophysiology
False
General (For all diseases)
General (For all diseases)
F1053-C10589
C10589
Imaging shot count
The number of shots used in the imaging echo-planner acquisition
Supplemental
Diffusion Tensor Imaging (DTI)
False
General (For all diseases)
General (For all diseases)
F1062-C12725
C12725
Electrophysiology repetitive nerve postactivation number
The numeric value given to the amplitude and area values recorded for postactivation during the repetitive nerve stimulation study
Supplemental
Electrophysiology
False
General (For all diseases)
General (For all diseases)
F0010-C00719
C00719
Tobacco product used type
Type of tobacco product (e.g., cigarettes, cigars, chewing tobacco or pipe) used by the participant/subject
Supplemental
Behavioral History
False
General (For all diseases)
General (For all diseases)
F2654-C56505
C56505
Patient-Reported Outcome Measurement Information System (PROMIS) - Pain Interference pain distress scale
Scale related to how often pain distressed individual in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS)
Supplemental
PROMIS Item Bank v1.1 - Pain Interference
False
General (For all diseases)
General (For all diseases)
F0039-C04503
C04503
ECG heart rate
Rate in beats per minute of ventricular contractions recorded in the electrocardiogram (ECG/EKG) being recorded. Also called Heart Rate (HR)
Supplemental
Electrocardiogram (ECG)
False
General (For all diseases)
General (For all diseases)
F2057-C21296
C21296
Quality of Life - Stigma illness embarrassment recent assessment scale
The scale representing how often the participant felt embarrassed about their illness lately, as part of Neuro-QOL Stigma
Supplemental
Neuro-QOL Adult Bank - Stigma
True
General (For all diseases)
General (For all diseases)
F0006-C18027
C18027
Comment text
Provide any additional information that pertains to the question
Supplemental
Visit Checklist
False
General (For all diseases)
General (For all diseases)
F2049-C20791
C20791
Quality of Life - Relax trouble assessment past week scale
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
Supplemental
Neuro-QOL Adult Bank - Anxiety
True
General (For all diseases)
General (For all diseases)
F2653-C56465
C56465
PROMIS - Pain Behavior when pain groan scale
Scale related to the individual feeling as if when in pain he/she groaned in the past 7 days, as part of the PROMIS Pain Behavior
Supplemental
PROMIS Item Bank v1.1 - Pain Behavior
False
General (For all diseases)
General (For all diseases)
F2055-C20759
C20759
Patient-Reported Outcome Measurement Information System (PROMIS) - Work ability satisfaction past week scale
The scale which represents how often the participant's satisfaction with his/her ability to work in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS)
Supplemental
Neuro-QOL Adult Bank - Satisfaction with SRA
True
General (For all diseases)
General (For all diseases)
F2048-C21163
C21163
Quality of Life - Friend activity satisfactory past week scale
The scale representing how often the participant was able to do all of the activities with friends that they wanted to do in the past 7 days, as part of Neuro-QOL Ability to Participate in SRA
Supplemental
Neuro-QOL Adult Bank - Ability to Participate in SRA
True
General (For all diseases)
General (For all diseases)
F1062-C12733
C12733
Needle electromyography motor unit action potential complexity percent value
The complexity of the motor unit action potential measured during needle electromyography
Supplemental
Electrophysiology
False
General (For all diseases)
General (For all diseases)
F0011-C18679
C18679
Family history medical condition relative type other text
The free-text field related to 'Family history medical condition relative type', specifying other text. Relationship of the family member or ancestor with the medical condition or health related event to the participant
Supplemental
Family History
False
General (For all diseases)
General (For all diseases)