F2061-C20687
C20687
Patient-Reported Outcome Measure Information System (PROMIS) - T-score value
The value of the T-score, a standardized score with a mean of 50 and a standard deviation (SD) of 10 representing the rescaled raw score, as part of the Patient-Reported Outcome Measurement Information System (PROMIS)
Supplemental
PROMIS - Scoring
False
General (For all diseases)
General (For all diseases)
F2052-C21233
C21233
Quality of Life - Feel unloved past week scale
The scale representing how often the participant felt unloved in the past 7 days, as part of Neuro-QOL Depression
Supplemental
Neuro-QOL Adult Bank - Depression
True
General (For all diseases)
General (For all diseases)
F2662-C56589
C56589
PROMIS - Pain Behavior talk about pain scale
Scale related to the individual talking about his/her pain 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)
F2058-C21129
C21129
Quality of Life - Movement touch-tone phone call ability scale
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
Supplemental
Neuro-QOL Adult Bank - Upper Extremity
True
General (For all diseases)
General (For all diseases)
F2050-C21211
C21211
Quality of Life - Trouble keep track interrupt past week scale
The scale representing how often the participant had trouble keeping track of what they were doing if they were interrupted 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-C20746
C20746
Patient-Reported Outcome Measurement Information System (PROMIS) - Current level friend activity satisfaction past week scale
The scale which represents the extent of the participant's satisfaction with his/her current level of activities with friends 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-C21317
C21317
Quality of Life - Movement sit stand toilet seat scale
The scale which represents the extent to which the participant was able to get on and off the toilet, 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-C21137
C21137
Quality of Life - Movement dress pullover shirt off difficulty scale
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
Supplemental
Neuro-QOL Adult Bank - Upper Extremity
True
General (For all diseases)
General (For all diseases)
F2050-C21219
C21219
Quality of Life - Thought formation trouble past week scale
The scale representing how often the participant had trouble forming thoughts 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)
F0026-C18767
C18767
Temperature measurement other text
The free-text field related to 'Temperature measurement anatomic site' specifying other text. Anatomic site on or within the body where the temperature was measured
Supplemental
Vital Signs
False
General (For all diseases)
General (For all diseases)
F2067-C20754
C20754
Patient-Reported Outcome Measurement Information System (PROMIS) - Work amount satisfaction past week scale
The scale which represents how often the participant's satisfaction with how much work he/she could do 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-C21325
C21325
Quality of Life - Movement armless straight chair stand up difficulty scale
The scale which represents the amount of difficulty the participant currently has in standing up from an armless straight chair (e.g., dining room chair), 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-C21145
C21145
Quality of Life - Movement toenail trim ability scale
The scale which represents the extent to which the participant was able to cut their toe nails, as part of Neuro-QOL Upper Extremity
Supplemental
Neuro-QOL Adult Bank - Upper Extremity
True
General (For all diseases)
General (For all diseases)
F2051-C21227
C21227
Quality of Life - Family friend phone understand difficulty scale
The scale which represents the amount of difficulty the participant currently has in understanding family and friends over the phone, as part of Neuro-QOL Communication
Supplemental
Neuro-QOL Adult Bank - Communication
True
General (For all diseases)
General (For all diseases)
F2067-C20763
C20763
Patient-Reported Outcome Measurement Information System (PROMIS) - Household chore task ability satisfaction past week scale
The scale which represents the extent of the participant's satisfaction with his/her ability to do household chores/tasks 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-C21242
C21242
Quality of Life - Satisfaction hopeful recent assessment scale
The scale representing how often the participant felt hopeful 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-C20552
C20552
Quality of Life in Neurological Disorders (Neuro-Qol) - Tiredness fatigue asssessment past week scale
The scale representing how often the participant felt 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-C20694
C20694
Quality of Life - Nothing happy assessment past week scale
The scale which represents how often the participant felt that nothing could cheer him up 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-C56512
C56512
Patient-Reported Outcome Measurement Information System (PROMIS) - Pain Interference pain prevent from stand more 1 hour scale
Scale related to how often pain prevented an individual from standing more than one hour 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-C21303
C21303
Quality of Life - Stigma illness social situation embarassment recent assessment scale
The scale representing how often the participant felt embarassed in social situations 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)
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)
F0004-C20408
C20408
Serious adverse event report type
Specify which type of report is being completed for the adverse event
Supplemental
Serious Adverse Events
False
General (For all diseases)
General (For all diseases)
F2059-C20572
C20572
Quality of Life in Neurological Disorders (Neuro-Qol) - Rest during day fatigue assessment past week scale
The scale representing how often the participant was so tired that they needed rest 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-C20731
C20731
Quality of Life - Life no reason assessment past week scale
The scale which represents how often the participant felt he/she had no reason for living 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-C56520
C56520
Patient-Reported Outcome Measurement Information System (PROMIS) - Pain Interference pain keep stand position scale
Scale related to how often pain kept individual from getting into a standing position 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)