F2898-C07050
C07050
Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Alcoholic beverage concern indicator
Indicator for whether a friend or relative or anyone else has ever expressed concern for the participant/subject's use of alcoholic beverages (beer, wine, spirits, 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
F2878-C53898
C53898
Stroop Color and Word Test (SCW) - Word residual score
Score (Residual) of the word test, as part of the Stroop Color and Word Test (SCW)
NeuroRehab Supplemental-Highly Recommended
Stroop Test
True
NeuroRehab
NeuroRehab Comprehensive
F2866-C17394
C17394
Berg Balance Scale (BBS) - stand one leg scale
The scale for assessment of standing on one leg 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 General
F2902-C17379
C17379
Parkinson's Disease Quality of Life (PDQUALIF) - social life not affected scale
Rating scale for feeling that the social life has not been affected by the Parkinson's symptoms 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
F2911-C55689
C55689
PROMIS - Dyspnea Functional limitations carry weigh 5 10 pound scale
Scale related to an individual being able to carry something weighing 5-10 lbs (about 2-4.5 kg, like a basket of clothes) from one room to another, as part of the PROMIS Dyspnea Functional Limitations
NeuroRehab Supplemental-Highly Recommended
PROMIS Item Bank v1.0 - Dyspnea Functional Limitations
False
NeuroRehab
NeuroRehab Comprehensive
F2873-C54261
C54261
Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) - Story recall index score
Index score, as part of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Form A Story Recall Subtest
NeuroRehab Supplemental-Highly Recommended
Repeatable Battery for Assessment of Neuropsychological Status (RBANS)
True
NeuroRehab
NeuroRehab Comprehensive
F2898-C07016
C07016
Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Sedative sleep pill frequency
Frequency for how often the participant/subject has used sedatives or sleeping pills (Valium, Serepax, Rohypnol, etc.) 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
F2900-C08515
C08515
36-item Short Form Health Survey (SF-36) - Limited work activities physical health indicator
Indicator for surveyee-reported limited work or activities as a result of physical health during 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
F2882-C21580
C21580
Medical Symptom Validity Test (MSVT) - Consistency percentage value
The percentage value related to consistency in the Medical Symptom Validity Test (MSVT)
NeuroRehab Supplemental-Highly Recommended
Medical Symptom Validity Test (MSVT)
True
NeuroRehab
NeuroRehab General
F2871-C07145
C07145
JFK Coma Recovery Scale Revised (JFK CRS-R) - total score
Total Score - Sum of 6 scales (0-23), as part of JFK Coma Recovery Scale Revised (JFK CRS-R)
NeuroRehab Supplemental-Highly Recommended
JFK Coma Recovery Scale- Revised
True
NeuroRehab
NeuroRehab General
F2863-C52367
C52367
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Second other difficulty scale
Scale that rates the severity of how the subject now suffers from other difficulties as compared with before the accident. Rate the second other difficulty
NeuroRehab Supplemental-Highly Recommended
Rivermead Post-Concussive Symptoms Questionnaire (RPQ)
False
NeuroRehab
NeuroRehab TBI Comprehensive
F2910-C55326
C55326
PROMIS - Negative consequences dizzy after drink scale
Scale related to an individual feeling dizzy after he/she drank, as part of the PROMIS Negative Consequences
NeuroRehab Supplemental-Highly Recommended
PROMIS Item Bank v1.0 - Alcohol: Negative Consequences
False
NeuroRehab
NeuroRehab Stroke
F2894-C09360
C09360
Hamilton Depression Rating Scale (HDRS) - anxiety somatic indicator
Score for the participant/subject's grade of symptoms of somatic anxiety, as part of the Hamilton Depression Rating Scale (HDRS)
NeuroRehab Supplemental-Highly Recommended
Hamilton Depression Rating Scale (HDRS)
False
NeuroRehab
NeuroRehab Comprehensive
F2942-C58488
C58488
Position device type
Type for all positioning devices currently used by the participant/subject
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab General
F2872-C21896
C21896
Brief Test of Adult Cognition by Telephone (BTACT) - Time duration
Time duration in seconds, as part of Brief Test of Adult Cognition by Telephone (BTACT)
NeuroRehab Supplemental-Highly Recommended
Brief Test of Adult Cognition by Telephone (BTACT)
False
NeuroRehab
NeuroRehab Comprehensive
F2896-C21104
C21104
Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale invalid score indicator
Indicator if Executive Dysfunction subscale is invalid (has more than 3 questions missing) as part of Frontal Systems Behavior Scale (FrSBE)
NeuroRehab Supplemental-Highly Recommended
Frontal Systems Behavioral Scale (FrSBe)
True
NeuroRehab
NeuroRehab General
F2942-C22613
C22613
Home modification durable medical equipment type
If the participant/ subject was provided with any home modification durable medical equipment, describes the type(s) of equipment received
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab Comprehensive
F2870-C07186
C07186
The Galveston Orientation and Amnesia Test (GOAT) - Pre injury event score
Scored ability to accurately recall the last event before injury, as part of the Galveston Orientation and Amnesia Test (GOAT)
NeuroRehab Supplemental-Highly Recommended
Galveston Orientation and Amnesia Test (GOAT)
True
NeuroRehab
NeuroRehab Comprehensive
F2886-C10305
C10305
Quality of Life in Swallowing Disorders (SWAL-QOL) - careful diet annoy problem indicator
Scale assessing how true the following statement has been for the participant during the last month: Having to be so careful when I eat or drink annoys me. 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
F2863-C52377
C52377
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Sleep disturbance scale
Scale that rates the severity of how the subject now suffers from sleep disturbance 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 Persistent/Chronic Sport Related Concussion
F2910-C55316
C55316
PROMIS - Negative consequences loud when drink scale
Scale related to the individual being loud when he/she drank, as part of the PROMIS Negative Consequences
NeuroRehab Supplemental-Highly Recommended
PROMIS Item Bank v1.0 - Alcohol: Negative Consequences
False
NeuroRehab
NeuroRehab Congenital Muscular Dystrophy (CMD)
F2939-C06059
C06059
Pain location anatomic site
Anatomic site on the body where the pain is experienced
NeuroRehab Supplemental-Highly Recommended
Assessments and Examinations Demographic and Clinical Conditions
False
NeuroRehab
NeuroRehab Comprehensive
F2879-C20498
C20498
Brief Visuospatial Memory Test - Revised (BVMT-R) - Delay interval minute time
Time of delay interval in minutes for Brief Visuospatial Memory Test - Revised (BVMT-R)
NeuroRehab Supplemental-Highly Recommended
Brief Visuospatial Memory Test Revised (BVMT-R)
True
NeuroRehab
NeuroRehab General
F2892-C07102
C07102
Center for Epidemiologic Studies-Depression Scale (CES-D) - happy indicator
Indicates how often the subject felt happy 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 General
F2942-C21639
C21639
Fall details assistive device type
Type of assistive device(s) the participant/subject was using when the fall recorded in the Falls Diary occurred
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab General