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)
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)
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)
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)
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)
F0013-C59689
C59689
COVID-19 vaccine or clinical vaccine trial status
Status related to whether the participant/subject has ever been given a coronavirus disease 2019 (COVID-19) vaccine or has enrolled in COVID-19 vaccine clinical trials
Supplemental
Medical History
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)
F2057-C21299
C21299
Quality of Life - Stigma illness unkind treatment recent assessment scale
The scale representing how often people were unkind to the participant 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)
F2049-C20794
C20794
Quality of Life - Calmness difficulty assessment past week scale
The scale which represents how often the participant had difficulty calming down 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-C56468
C56468
PROMIS - Pain Behavior when pain moan whine whimper scale
Scale related to the individual feeling as if when in pain he/she moaned, whined, or whimpered 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-C20769
C20769
Patient-Reported Outcome Measurement Information System (PROMIS) - Dependability assistance ability satisfaction past week scale
The scale which represents the extent of the participant's satisfaction with his/her ability to meet the needs of those who depend on him 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-C21166
C21166
Quality of Life - Regular leisure activity ability complete past week scale
The scale representing how often the participant was able to do all of their regular leisure activities 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)
F2067-C20765
C20765
Patient-Reported Outcome Measurement Information System (PROMIS) - Household responsibity regular person ability satisfaction past week scale
The scale which represents the extent of the participant's satisfaction with his/her ability to do regular personal and household responsibilities 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)
F2054-C21245
C21245
Quality of Life - Satisfaction life significance recent assessment scale
The scale representing how often the participant felt their life had meaning lately, as part of Neuro-QOL Positive Affect and Well-Being
Supplemental
Neuro-QOL Adult Bank - Positive Affect and Well-Being
True
General (For all diseases)
General (For all diseases)
F2059-C20560
C20560
Quality of Life in Neurological Disorders (Neuro-Qol) - Sleep need during day past week scale
The scale representing how often the participant needed to sleep during the day 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-C20704
C20704
Quality of Life - Loneliness assessment past week scale
The scale which represents how often the participant felt lonely 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-C56515
C56515
Patient-Reported Outcome Measurement Information System (PROMIS) - Pain Interference pain prevent sit 30 minute more scale
Scale related to how often pain prevented an individual from sitting for more than 30 minutes 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-C21306
C21306
Quality of Life - Stigma illness unfair treatment recent assessment scale
The scale representing how often the participant was treated unfairly by others 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-C21198
C21198
Quality of Life - Keep track time difficulty scale
The scale which represents the amount of difficulty the participant currently has in keeping track of time (e.g., using a clock), as part of Neuro-QOL Cognitive Function
Supplemental
Neuro-QOL Adult Bank - Cognitive Function
True
General (For all diseases)
General (For all diseases)
F0004-C20411
C20411
Serious adverse event outcome status other text
Free-text field to specify an alternate outcome attributed to the serious adverse event
Supplemental
Serious Adverse Events
False
General (For all diseases)
General (For all diseases)
F2059-C20577
C20577
Quality of Life in Neurological Disorders (Neuro-Qol) - Limit social activity physical weakness fatigue asssessment past week scale
The scale representing how often the participant had to limit social activity because of being physically weak 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)