F2654-C56492
C56492
Patient-Reported Outcome Measurement Information System (PROMIS) - Pain Interference work ability scale
Scale related to how much pain interfered with an individual's ability to work (including work at home) 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)
F0005-C21122
C21122
Subject home phone number
The home phone number of the subject/participant
Supplemental
Participant/Subject Contact Information
False
General (For all diseases)
General (For all diseases)
F2055-C21286
C21286
Quality of Life - Work ability satisfication past week scale
The scale which represents the extent to which the participant was satisfied with their ability to work in the past 7 days, as part of Neuro-QOL Satisfaction with SRA
Supplemental
Neuro-QOL Adult Bank - Satisfaction with SRA
True
General (For all diseases)
General (For all diseases)
F2048-C21190
C21190
Quality of Life - Work satisfactory complete past week scale
The scale representing how often the participant was able to do all of the work that people expected them 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)
F2653-C56452
C56452
PROMIS - Pain Behavior when pain show on face scale
Scale related to the individual feeling as if when he/she was in pain it showed on his/her face (squinting eyes, opening eyes wide, frowning) 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)
F1055-C10596
C10596
Imaging slice over sampling value
Value of the slice over sampling (as a percentage) used in imaging acquisition
Supplemental
Magnetic Resonance Imaging (MRI)
False
General (For all diseases)
General (For all diseases)
F2055-C20744
C20744
Patient-Reported Outcome Measurement Information System (PROMIS) - Friendship ability satisfaction past week scale
The scale which represents the extent of the participant's satisfaction with his/her ability to do things for his 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-C21150
C21150
Quality of Life - Regular friend activity ability complete past week scale
The scale representing how often the participant was able to do all of their regular activities with friends 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)
F1053-C17925
C17925
Imaging contrast agent dose
Dosage of the contrast agent used
Supplemental
Diffusion Tensor Imaging (DTI)
False
General (For all diseases)
General (For all diseases)
F1053-C10594
C10594
Imaging parallel acquisition used indicator
Indicator of whether a parallel acquisition method is used in imaging acquisition
Supplemental
Diffusion Tensor Imaging (DTI)
False
General (For all diseases)
General (For all diseases)
F0011-C00721
C00721
Family history medical condition indicator
Indicator of whether a family member or first and second degree blood relatives of the participant has had a history of the particular medical condition or health related event
Supplemental
Family History
False
General (For all diseases)
General (For all diseases)
F0039-C04508
C04508
ECG previous myocardial infarction status
Status of patterns of previous myocardial infarction apparent on the electrocardiogram (ECG/EKG) being reported
Supplemental
Electrocardiogram (ECG)
False
General (For all diseases)
General (For all diseases)
F2654-C56500
C56500
Patient-Reported Outcome Measurement Information System (PROMIS) - Pain interference household chore ability scale
Scale which represents how often the participant felt pain interfered with ability to do 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)
F0008-C21112
C21112
Visit form name
Name of the form used during the visit
Supplemental
Visit Schedule
False
General (For all diseases)
General (For all diseases)
F2056-C21291
C21291
Quality of Life - Cancel friend activity bad sleep past week scale
The scale representing how often the participant avoided or cancelled activities with their friends because they were tired from having a bad night's sleep 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)
F2049-C20781
C20781
Quality of Life - Worry assessment past week scale
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
Supplemental
Neuro-QOL Adult Bank - Anxiety
True
General (For all diseases)
General (For all diseases)
F2653-C56460
C56460
PROMIS - Pain Behavior when pain use cane for support scale
Scale related to the individual feeling as if when in pain he/she used a cane or something else for support 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)
F1055-C12537
C12537
Imaging fat signal suppressor used method type
Type of method used to suppress fat signal in imaging acquisition
Supplemental
Magnetic Resonance Imaging (MRI)
False
General (For all diseases)
General (For all diseases)
F2055-C20753
C20753
Patient-Reported Outcome Measurement Information System (PROMIS) - Family relationship ability satisfaction past week scale
The scale which represents the extent of the participant's satisfaction with his/her ability to do things for his family 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-C21158
C21158
Quality of Life - Family activity want complete past week scale
The scale representing how often the participant was able to do all of the family activities 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)
F1053-C18708
C18708
Imaging pulse sequence type other text
The free-text field related to 'Imaging pulse sequence type', specifying other text. Type of imaging pulse sequence used
Supplemental
Diffusion Tensor Imaging (DTI)
False
General (For all diseases)
General (For all diseases)
F0039-C18776
C18776
ECG atrial arrhythmia type other text
The free-text field related to 'ECG atrial arrhythmia type', specifying other text. Type of atrial arrhythmia, if any, apparent on the electrocardiogram (ECG/EKG) being reported
Supplemental
Electrocardiogram (ECG)
False
General (For all diseases)
General (For all diseases)
F2654-C56508
C56508
Patient-Reported Outcome Measurement Information System (PROMIS) - Pain Interference pain make discourage scale
Scale related to how often pain made an individual feel discouraged 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)
F0009-C02303
C02303
Adverse event outcome status
Final status of the participant/subject related to the adverse event
Supplemental
Adverse Events
False
General (For all diseases)
General (For all diseases)
F0026-C01539
C01539
Temperature measurement
Measurement of the participant's/subject's body temperature
Supplemental
Vital Signs
False
General (For all diseases)
General (For all diseases)