F2898-C07079
C07079
Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total j score
Score for the total sum of all the question J scores (other substances), as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST)
NeuroRehab Supplemental-Highly Recommended
Alcohol, Smoking, and Substance Use Involvement Screening Test (ASSIST)
False
NeuroRehab
NeuroRehab Comprehensive
F2863-C52369
C52369
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Longer to think scale
Scale that rates the severity of how the subject now suffers from taking longer to think as compared with before the accident, as part of The Rivermead Post-Concussion Symptoms Questionnaire (RPQ)
NeuroRehab Supplemental-Highly Recommended
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
NeuroRehab
NeuroRehab Concussion/Mild TBI
F2902-C17371
C17371
Parkinson's Disease Quality of Life (PDQUALIF) - trouble stay asleep scale
Rating scale for trouble staying asleep as part of Parkinson's Disease Quality of Life (PDQUALIF) form
NeuroRehab Supplemental-Highly Recommended
Parkinson's Disease Quality of Life Scale (PDQUALIF)
True
NeuroRehab
NeuroRehab Parkinson's Disease
F2889-C07436
C07436
Patient Health Questionnaire (PHQ) - Feeling failure score
Score of how much the subject has been feeling bad for himself/herself in the past two weeks, as part of the Patient Health Questionnaire (PHQ)
NeuroRehab Supplemental-Highly Recommended
Patient Health Questionnaire - 9 (PHQ-9) Depression Scale
True
NeuroRehab
NeuroRehab General
F2896-C21105
C21105
Frontal Systems Behavior Scale (FrSBE) - Invalid score indicator
Indicator if Frontal Systems Behavior Scale (FrSBE) is invalid (has more than 5 questions missing)
NeuroRehab Supplemental-Highly Recommended
Frontal Systems Behavioral Scale (FrSBe)
True
NeuroRehab
NeuroRehab Comprehensive
F2862-C18645
C18645
Brief Symptom Inventory-18 (BSI18)- Anxiety normalized T score
Normalized T score for anxiety symptom scale
NeuroRehab Supplemental-Highly Recommended
Brief Symptom Inventory-18 (BSI-18)
True
NeuroRehab
NeuroRehab Sport Related Concussion Comprehensive
F2900-C08507
C08507
36-item Short Form Health Survey (SF-36) - Health limited climbing one stair score
Score of surveyee-reported limited climbing one flight of stairs due to physical health as part of version 1.0 of 36-item Short Form Health Survey (SF-36)
NeuroRehab Supplemental-Highly Recommended
Short Form 36-Item Health Survey (SF-36)
True
NeuroRehab
NeuroRehab Comprehensive
F2886-C10318
C10318
Quality of Life in Swallowing Disorders (SWAL-QOL) - feeling exhausted indicator
Scale assessing how true the following statement has been for the participant during the last month: Feel exhausted? As part of Quality of Life in Swallowing Disorders (SWAL-QOL)
NeuroRehab Supplemental-Highly Recommended
Quality of Life in Swallowing Disorders (SWAL-QOL)
True
NeuroRehab
NeuroRehab Comprehensive
F2893-C09347
C09347
Hamilton Anxiety Rating Scale (HAM-A) - intellectual score
The score of the participant's/subject's intellectual trouble, as part of the Hamilton Anxiety Rating Scale (HAM-A) form.
NeuroRehab Supplemental-Highly Recommended
Hamilton Anxiety Rating Scale (HAM-A)
False
NeuroRehab
NeuroRehab General
F2942-C58495
C58495
Toilet device type
Type for all toileting devices currently used by the participant/subject
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab General
F2898-C07039
C07039
Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Other substance problem frequency
Frequency for how often the participant/subject has used any other substance not previously listed which led to health, social, legal, or financial problems in the past 3 months, as part of the Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST)
NeuroRehab Supplemental-Highly Recommended
Alcohol, Smoking, and Substance Use Involvement Screening Test (ASSIST)
False
NeuroRehab
NeuroRehab Comprehensive
F2881-C21476
C21476
Rey Auditory Verbal Learning Test (RAVLT) - Correct recall trial total count
Total number of words from List A correctly recalled during all trials as part of Rey Auditory Verbal Learning Test (RAVLT)
NeuroRehab Supplemental-Highly Recommended
Rey Auditory Verbal Learning Test (RAVLT)
True
NeuroRehab
NeuroRehab Comprehensive
F2888-C09581
C09581
Brief Pain Inventory (BPI) - treatment received text
Text of treatment/medication subject receives for the pain, as part of the Brief Pain Inventory (BPI) form
NeuroRehab Supplemental-Highly Recommended
Brief Pain Inventory (Short Form)
True
NeuroRehab
NeuroRehab Comprehensive
F2942-C56952
C56952
Crutch use type
Type of crutches which the participant/subject uses, if applicable
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab Comprehensive
F2896-C21017
C21017
Frontal Systems Behavior Scale (FrSBE) - Action idea repetition frequency scale
Frequency of repeating certain actions or getting stuck on certain ideas as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale
NeuroRehab Supplemental-Highly Recommended
Frontal Systems Behavioral Scale (FrSBe)
True
NeuroRehab
NeuroRehab Comprehensive
F2862-C18642
C18642
Brief Symptom Inventory-18 (BSI18)- Depression raw score
Raw score for depression symptom scale
NeuroRehab Supplemental-Highly Recommended
Brief Symptom Inventory-18 (BSI-18)
True
NeuroRehab
NeuroRehab Acute Sport Related Concussion
F2877-C56300
C56300
NIH Toolbox Cognitive Cognition total composite fully adjusted scale score
The total composite fully adjusted scale score for the Cognition field of the NIH Toolbox Cognitive Battery
NeuroRehab Supplemental-Highly Recommended
NIH Toolbox Cognitive Battery
False
NeuroRehab
NeuroRehab General
F2886-C10278
C10278
Quality of Life in Swallowing Disorders (SWAL-QOL) - eating longer indicator
Scale assessing how true the following statement has been for the participant during the last month: It takes me longer to eat than other people, as part of Quality of Life in Swallowing Disorders (SWAL-QOL)
NeuroRehab Supplemental-Highly Recommended
Quality of Life in Swallowing Disorders (SWAL-QOL)
True
NeuroRehab
NeuroRehab Comprehensive
F2939-C18667
C18667
Data source other text
The free-text field related to 'Data source' specifying other text. Source of the data provided on the case report form
NeuroRehab Supplemental-Highly Recommended
Assessments and Examinations Demographic and Clinical Conditions
False
NeuroRehab
NeuroRehab Comprehensive
F2892-C07110
C07110
Center for Epidemiologic Studies-Depression Scale (CES-D) - get going indicator
Indicates how often the subject felt like he/she couldn't get "going" in the past week, as part of the Center for Epidemiologic Studies-Depression Scale (CES-D)
NeuroRehab Supplemental-Highly Recommended
Center for Epidemiologic Studies-Depression Scale (CES-D)
False
NeuroRehab
NeuroRehab Comprehensive
F2942-C21652
C21652
Elbow wrist orthosis type
Type of elbow or wrist orthosis the participant/subject uses
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab General
F2873-C54269
C54269
Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) - Immediate memory versus visuospatial constructional difference score
Difference score calculated as a subtraction of Visuospatial/Constructional index score from Immediate Memory index score, as part of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS)
NeuroRehab Supplemental-Highly Recommended
Repeatable Battery for Assessment of Neuropsychological Status (RBANS)
True
NeuroRehab
NeuroRehab Comprehensive
F2879-C20462
C20462
Brief Visuospatial Memory Test - Revised (BVMT-R) - Learning T-score
T-score for Learning portion of Brief Visuospatial Memory Test - Revised (BVMT-R)
NeuroRehab Supplemental-Highly Recommended
Brief Visuospatial Memory Test Revised (BVMT-R)
True
NeuroRehab
NeuroRehab General
F2942-C18183
C18183
Wheelchair driven subject indicator
Indicator for whether the power wheelchair is driven by the participant/subject
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab Comprehensive
F2862-C18628
C18628
Brief Symptom Inventory-18 (BSI18)- Nausea scale
The scale for the participant's distress from nausea or upset stomach
NeuroRehab Supplemental-Highly Recommended
Brief Symptom Inventory-18 (BSI-18)
True
NeuroRehab
NeuroRehab Comprehensive