F2067-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
PROMIS Item Bank v1.0 - Social Activity
True
General (For all diseases)
General (For all diseases)
F2053-C21330
C21330
Quality of Life - Movement uneven surface walk difficulty scale
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
Supplemental
Neuro-QOL Adult Bank - Lower Extremity Function
True
General (For all diseases)
General (For all diseases)
F2059-C20548
C20548
Quality of Life in Neurological Disorders (Neuro-Qol) - No household chore fatigue assessment past week scale
The scale representing how often the participant felt too tired to do household chores in the past 7 days, as part of the Quality of Life in Neurological Disorders (Neuro-Qol)
Supplemental
Neuro-QOL Adult Bank - Fatigue
False
General (For all diseases)
General (For all diseases)
F2052-C20691
C20691
Quality of Life - Nothing interest future assessment past week scale
The scale which represents how often the participant felt that he/she had nothing to look forward to in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Depression
Supplemental
Neuro-QOL Adult Bank - Depression
True
General (For all diseases)
General (For all diseases)
F2654-C56509
C56509
Patient-Reported Outcome Measurement Information System (PROMIS) - Pain Interference pain make anxious scale
Scale related to how often pain made an individual feel anxious 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-C21119
C21119
Subject home city name
Name of city in which the subject/participant lives
Supplemental
Participant/Subject Contact Information
False
General (For all diseases)
General (For all diseases)
F0004-C20405
C20405
Serious adverse events anticipated indicator
Indicate whether the adverse event was anticipated
Supplemental
Serious Adverse Events
False
General (For all diseases)
General (For all diseases)
F2059-C20566
C20566
Quality of Life in Neurological Disorders (Neuro-Qol) - Difficulty finish task fatigue assessment past week scale
The scale representing how often the participant had trouble finishing things because they were too tired in the past 7 days, as part of the Quality of Life in Neurological Disorders (Neuro-Qol)
Supplemental
Neuro-QOL Adult Bank - Fatigue
False
General (For all diseases)
General (For all diseases)
F2052-C20728
C20728
Quality of Life - Discouragement future assessment past week scale
The scale which represents how often the participant felt discouraged about the future in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Depression
Supplemental
Neuro-QOL Adult Bank - Depression
True
General (For all diseases)
General (For all diseases)
F2654-C56517
C56517
Patient-Reported Outcome Measurement Information System (PROMIS) - Pain Interference hard to plan social activities unsure pain scale
Scale related to how often it was hard to plan social activities because an individual didn't know if he/she would be in pain 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)
F2057-C21308
C21308
Quality of Life - Stigma illness difficult maintain cleanliness recent assessment scale
The scale representing how often it was hard for the participant to stay neat and clean because of their illness lately, as part of Neuro-QOL Stigma
Supplemental
Neuro-QOL Adult Bank - Stigma
True
General (For all diseases)
General (For all diseases)
F2050-C21200
C21200
Quality of Life - Read follow complex instruction difficulty scale
The scale which represents the amount of difficulty the participant currently has in reading and following complex instructions (e.g., directions for a new medication), as part of Neuro-QOL Cognitive Function
Supplemental
Neuro-QOL Adult Bank - Cognitive Function
True
General (For all diseases)
General (For all diseases)
F0006-C21109
C21109
Visit assessment complete type
Type of assessment completed during visit
Supplemental
Visit Checklist
False
General (For all diseases)
General (For all diseases)
F2061-C20684
C20684
Patient-Reported Outcome Measure Information System (PROMIS) - raw score
The participant's raw score on the PROMIS form, as part of the Patient-Reported Outcome Measurement Information System (PROMIS)
Supplemental
PROMIS - Scoring
False
General (For all diseases)
General (For all diseases)
F2052-C20739
C20739
Quality of Life - Emotional exhaustion assessment past week scale
The scale which represents how often the participant felt emotionally exhausted in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Depression
Supplemental
Neuro-QOL Adult Bank - Depression
True
General (For all diseases)
General (For all diseases)
F2662-C56586
C56586
PROMIS - Pain Behavior ask for someone to help scale
Scale related to the individual asking someone to help him/her in the past 7 days, as part of the PROMIS Pain Behavior
Supplemental
PROMIS Pediatric Item Bank v1.0 - Pain Behavior-Short Form 8a
False
General (For all diseases)
General (For all diseases)
F2057-C21316
C21316
Quality of Life - Stigma illness lost friend recent assessment scale
The scale representing how often the participant lost friends by telling them that they have this illness lately, as part of Neuro-QOL Stigma
Supplemental
Neuro-QOL Adult Bank - Stigma
True
General (For all diseases)
General (For all diseases)
F2050-C21208
C21208
Quality of Life - Simple mistake more easily past week scale
The scale representing how often the participant made simple mistakes more easily in the past 7 days, as part of Neuro-QOL Cognitive Function
Supplemental
Neuro-QOL Adult Bank - Cognitive Function
True
General (For all diseases)
General (For all diseases)
F2067-C20743
C20743
Patient-Reported Outcome Measurement Information System (PROMIS) - Important community activity ability satisfaction past week scale
The scale which represents the extent of the participant's satisfaction with his/her ability to do all of the community activities that are really important to him in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS)
Supplemental
PROMIS Item Bank v1.0 - Social Activity
True
General (For all diseases)
General (For all diseases)
F2053-C21238
C21238
Quality of Life - Movement outdoor slippery surface walk difficulty scale
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
Supplemental
Neuro-QOL Adult Bank - Lower Extremity Function
True
General (For all diseases)
General (For all diseases)
F2058-C21134
C21134
Quality of Life - Movement shampoo hair ability scale
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
Supplemental
Neuro-QOL Adult Bank - Upper Extremity
True
General (For all diseases)
General (For all diseases)
F2050-C21216
C21216
Quality of Life - Familiar person name remember difficulty past week scale
The scale representing how often the participant had trouble remembering the name of a familiar person in the past 7 days, as part of Neuro-QOL Cognitive Function
Supplemental
Neuro-QOL Adult Bank - Cognitive Function
True
General (For all diseases)
General (For all diseases)
F2067-C20751
C20751
Patient-Reported Outcome Measurement Information System (PROMIS) - Home fun ability satisfaction past week scale
The scale which represents the extent of the participant's satisfaction with his/her ability to do things for fun at home in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS)
Supplemental
PROMIS Item Bank v1.0 - Social Activity
True
General (For all diseases)
General (For all diseases)
F2053-C21322
C21322
Quality of Life - Movement errand shop ability scale
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
Supplemental
Neuro-QOL Adult Bank - Lower Extremity Function
True
General (For all diseases)
General (For all diseases)
F0004-C18659
C18659
Unexpected adverse event indicator
The indicator of whether the adverse event is unexpected
Supplemental
Serious Adverse Events
False
General (For all diseases)
General (For all diseases)