F2879-C20470
C20470
Brief Visuospatial Memory Test - Revised (BVMT-R) - Percent retained percentage value
Percentile for Percent Retained portion of Brief Visuospatial Memory Test - Revised (BVMT-R)
NeuroRehab Supplemental-Highly Recommended
Brief Visuospatial Memory Test Revised (BVMT-R)
True
NeuroRehab
NeuroRehab Comprehensive
F2866-C14698
C14698
Berg Balance Scale (BBS) - unsupport stand closed eyes scale
The scale for assessment of standing unsupported with eyes closed based on the Berg Balance Scale (or BBS), a clinical test of a person's static and dynamic balance abilities
NeuroRehab Supplemental-Highly Recommended
Berg Balance Scale (BBS)
False
NeuroRehab
NeuroRehab Comprehensive
F2903-C20570
C20570
TBI Quality of Life (TBI-QOL) - Headache T-score
The T-Score related to various aspects of headache pain including subjective experience of headache pain, the quality and severity of headache pain, and consequences of headache pain on relevant aspects of one's day to day life, as part of the TBI Quality of Life (TBI-QOL)
NeuroRehab Supplemental-Highly Recommended
Traumatic Brain Injury - Quality of Life (TBI-QOL)
False
NeuroRehab
NeuroRehab Acute Hospitalized TBI
F2869-C53803
C53803
Wide Range Achievement Test 4 (WRAT-4) - Word reading item 27 score
The score for Word Reading item 27, as part of Wide Range Achievement Test 4 (WRAT-4)
NeuroRehab Supplemental-Highly Recommended
Word Reading Subtest of the Wide Range Achievement Test (WRAT-4)
True
NeuroRehab
NeuroRehab General
F2863-C52362
C52362
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Poor concentration scale
Scale that rates the severity of how the subject now suffers from poor concentration 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 Sport Related Concussion Comprehensive
F2900-C08529
C08529
36-item Short Form Health Survey (SF-36) - Times worn out score
Score of times feeling worn out during the past 4 weeks 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 General
F2942-C58624
C58624
Transfer transportation device type use indicator
Indicator whether the participant/subject currently uses the selected types of transfer/transportation devices
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab General
F2869-C53799
C53799
Wide Range Achievement Test 4 (WRAT-4) - Word reading item 25 score
The score for Word Reading item 25, as part of Wide Range Achievement Test 4 (WRAT-4)
NeuroRehab Supplemental-Highly Recommended
Word Reading Subtest of the Wide Range Achievement Test (WRAT-4)
True
NeuroRehab
NeuroRehab Comprehensive
F2904-C21868
C21868
Beck Anxiety Inventory (BAI) - Wobbliness bother scale
Scale that represents how much the participant has been bothered by wobbliness in the legs as part of the Beck Anxiety Inventory (BAI)
NeuroRehab Supplemental-Highly Recommended
Beck Anxiety Inventory (BAI)
True
NeuroRehab
NeuroRehab Comprehensive
F2898-C07017
C07017
Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Hallucinogen use frequency
Frequency for how often the participant/subject has used hallucinogens (LSD
NeuroRehab Supplemental-Highly Recommended
Alcohol, Smoking, and Substance Use Involvement Screening Test (ASSIST)
False
NeuroRehab
NeuroRehab General
F2942-C58494
C58494
Bath device type other text
Text describing the presence of any other bathing device used
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab Comprehensive
F2864-C01001
C01001
Glasgow Coma Scale (GCS) - motor response scale
Glasgow Coma Scale (GCS) - Best motor response (M). The GCS is a standardized instrument for assessing the level of consciousness. It evaluates three aspects of responsiveness: eye opening, motor response, verbal response
NeuroRehab Supplemental-Highly Recommended
Glasgow Coma Scale (GCS)
False
NeuroRehab
NeuroRehab Stroke
F2902-C17389
C17389
Parkinson's Disease Quality of Life (PDQUALIF) - usual share interfered 7 days scale
Rating scale for the ability to do usual share in the home interfered by the Parkinson's symptoms in past 7 days 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
F2861-C54461
C54461
Functional Gait Assessment (FGA) - Gait task eye closed duration
Time taken by the subject/particpant to complete the Gait With Eyes Closed task, as part of the Functional Gait Assessment (FGA)
NeuroRehab Supplemental-Highly Recommended
Functional Gait Assessment
False
NeuroRehab
NeuroRehab Sport Related Concussion Comprehensive
F2896-C21007
C21007
Frontal Systems Behavior Scale (FrSBE) - Forgetful until prompt frequency scale
Frequency of forgetting to do things but then remembering when prompted or when it is too late as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale
NeuroRehab Supplemental-Highly Recommended
Frontal Systems Behavioral Scale (FrSBe)
True
NeuroRehab
NeuroRehab General
F2863-C52372
C52372
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Blurred vision scale
Scale that rates the severity of how the subject now suffers from blurred vision as compared with before the accident, as part of The Rivermead Post-Concusion Symptoms Questionnaire (RPQ)
NeuroRehab Supplemental-Highly Recommended
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
NeuroRehab
NeuroRehab Comprehensive
F2900-C08525
C08525
36-item Short Form Health Survey (SF-36) - Times down score
Score of times feeling so down in the dumps that nothing could cheer up during the past 4 weeks 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
F2942-C58480
C58480
AFO type
Type of ankle-foot orthosis (AFO) used by the participant/subject
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab General
F2894-C09365
C09365
Hamilton Depression Rating Scale (HDRS) - weight loss patient indicator
Score for the amount of weight loss reported by the participant/subject, as part of the Hamilton Depression Rating Scale (HDRS)
NeuroRehab Supplemental-Highly Recommended
Hamilton Depression Rating Scale (HDRS)
False
NeuroRehab
NeuroRehab Comprehensive
F2917-C55603
C55603
PROMIS - Emotional Distress depression nothing could cheer up scale
Scale related to the individual feeling that nothing could cheer him/her up, as part of the PROMIS Emotional Distress Depression
NeuroRehab Supplemental-Highly Recommended
PROMIS Item Bank v1.0 - Emotional Distress - Depression (Calibrated Items)
False
NeuroRehab
NeuroRehab Comprehensive
F2898-C07057
C07057
Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Opioid concern indicator
Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of opioids (heroin, morphine, methadone, codeine, etc), 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
F2942-C21651
C21651
Upper extremity orthosis type
Type of upper extremity orthosis (i.e., external orthopedic appliance that prevents or assists the movement of the spine or limbs) the participant/subject uses
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab Comprehensive
F2861-C54445
C54445
Functional Gait Assessment (FGA) - Gait level surface task score
Score for the level-surface gait task, as part of the Functional Gait Assessment (FGA)
NeuroRehab Supplemental-Highly Recommended
Functional Gait Assessment
False
NeuroRehab
NeuroRehab Comprehensive
F2888-C09584
C09584
Brief Pain Inventory (BPI) - pain mood interference scale
Scale assessing how much the pain has interfered with mood, as part of the Brief Pain Inventory (BPI) form
NeuroRehab Supplemental-Highly Recommended
Brief Pain Inventory (Short Form)
True
NeuroRehab
NeuroRehab Myalgic Encephalomyelitis/Chronic Fatigue Syndrome
F2914-C20836
C20836
Patient-Reported Outcome Measurement Information System (PROMIS) - Fear no sleep after awake assessment past week scale
The scale which represents how often the participant was afraid he/she would not get back to sleep after waking up in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS)
NeuroRehab Supplemental-Highly Recommended
PROMIS Item Bank v1.0 - Sleep Disturbance
True
NeuroRehab
NeuroRehab Comprehensive