F2902-C17376
C17376
Parkinson's Disease Quality of Life (PDQUALIF) - difficulty ask help scale
Rating scale for feeling difficult to ask others for help 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
F2896-C20974
C20974
Frontal Systems Behavior Scale (FrSBE) - Problem deny unaware frequency scale
Frequency of denying having problems or is unaware of problems or mistakes 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-C52359
C52359
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Double vision scale
Scale that rates the severity of how the subject now suffers from double vision 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 Comprehensive
F2900-C08512
C08512
36-item Short Form Health Survey (SF-36) - Health limited bathing dressing score
Score of surveyee-reported limited bathing or dressing 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-C17833
C17833
Quality of Life in Swallowing Disorders (SWAL-QOL) - questionnaire help indicator
Indicator of whether the subject/participant received help filling out the Quality of Life in Swallowing Disorders (SWAL-QOL) questionnaire
NeuroRehab Supplemental-Highly Recommended
Quality of Life in Swallowing Disorders (SWAL-QOL)
True
NeuroRehab
NeuroRehab Comprehensive
F2942-C58500
C58500
Transportation device type other text
Text describing the presence of any other transfer device used
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab General
F2893-C09352
C09352
Hamilton Anxiety Rating Scale (HAM-A) - cardiovascular symptom score
The score of the participant's/subject's cardiovascular symptoms, 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
F2898-C07044
C07044
Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Inhalant fail frequency
Frequency for how often the participant/subject has used failed to do what was normally expected because of the use of inhalants (nitrous, glue, petrol, paint thinner, 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
F2881-C21481
C21481
Rey Auditory Verbal Learning Test (RAVLT) - Word list B type
The type as related to word used as part of List B in the Rey Auditory Verbal Learning Test (RAVLT)
NeuroRehab Supplemental-Highly Recommended
Rey Auditory Verbal Learning Test (RAVLT)
True
NeuroRehab
NeuroRehab Comprehensive
F2942-C58473
C58473
Mobility device use frequency type
Frequency type with which the participant/subject uses their mobility device(s), if applicable
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab Comprehensive
F2888-C09586
C09586
Brief Pain Inventory (BPI) - pain normal work interference scale
Scale assessing how much the pain has interfered with normal work, as part of the Brief Pain Inventory (BPI) form
NeuroRehab Supplemental-Highly Recommended
Brief Pain Inventory (Short Form)
True
NeuroRehab
NeuroRehab Comprehensive
F2896-C21027
C21027
Frontal Systems Behavior Scale (FrSBE) - Concentration continue with distraction frequency scale
Frequency of paying attention, concentrates even when there are distractions as part of Frontal Systems Behavior Scale (FrSBE) - Executive Dysfunction subscale
NeuroRehab Supplemental-Highly Recommended
Frontal Systems Behavioral Scale (FrSBe)
True
NeuroRehab
NeuroRehab Comprehensive
F2877-C56305
C56305
NIH Toolbox Cognitive - Picture vocabulary age 3 up national age adjusted percentage value
The national percentile (age adjusted) that the subject is in, with respect to the NIHTB Picture Vocabulary Age 3+ field of the NIH Toolbox Cognitive Battery
NeuroRehab Supplemental-Highly Recommended
NIH Toolbox Cognitive Battery
False
NeuroRehab
NeuroRehab General
F2886-C10283
C10283
Quality of Life in Swallowing Disorders (SWAL-QOL) - choking food problem indicator
Scale assessing how true the following statement has been for the participant during the last month: Choking when you eat food. 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
F2942-C21667
C21667
Therapy rehabilitation ICD 10 CM code
ICD-10-CM code that describes the therapy or rehabilitation received by the participant/subject
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab General
F2892-C07094
C07094
Center for Epidemiologic Studies-Depression Scale (CES-D) - good other people indicator
Indicates how often the subject felt like good as other people 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
F2873-C54274
C54274
Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) - Immediate memory versus delayed memory difference score
Difference score calculated as a subtraction of Delayed Memory 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-C20469
C20469
Brief Visuospatial Memory Test - Revised (BVMT-R) - Percent retained raw score
Raw score 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 General
F2942-C18193
C18193
Support stand use indicator
Indicator for whether the participant/subject has a supported standing use in the positioning of wheelchair
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab Comprehensive
F2887-C17227
C17227
Swallowing Disturbance Questionnaire (SwDQ) - food residue mouth after swallow score
Score for how frequent the participant/subject has any food residues in the mouth, cheeks, under the tongue, or stuck to the palate after swallowing, as a part of Swallowing Disturbance Questionnaire (SDQ)
NeuroRehab Supplemental-Highly Recommended
Swallowing Disturbance Questionnaire (SDQ)
True
NeuroRehab
NeuroRehab Comprehensive
F2861-C54450
C54450
Functional Gait Assessment (FGA) - Gait head turn horizontal task score
Score for the subject/participant's performance on the Gait with Horizontal Head Turns task, as part of the Functional Gait Assessment (FGA)
NeuroRehab Supplemental-Highly Recommended
Functional Gait Assessment
False
NeuroRehab
NeuroRehab Sport Related Concussion Comprehensive
F2869-C53838
C53838
Wide Range Achievement Test 4 (WRAT-4) - Word reading item 46 text
The word used for Word Reading item 46, 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
F2877-C56340
C56340
NIH Toolbox Cognitive Picture sequence memory age 3 up raw score
The raw score for the NIHTB Picture Sequence Memory Age 3+ field of the NIH Toolbox Cognitive Battery
NeuroRehab Supplemental-Highly Recommended
NIH Toolbox Cognitive Battery
False
NeuroRehab
NeuroRehab Comprehensive
F2919-C54691
C54691
Patient-Reported Outcome Measurement Information System (PROMIS) - Global Health social satisfaction rate scale
Scale related to an individual's rating of his/her satisfaction with his/her social activities, as part of the PROMIS Global Health
NeuroRehab Supplemental-Highly Recommended
PROMIS Scale v1.2 - Global Health
True
NeuroRehab
NeuroRehab Comprehensive
F2869-C53834
C53834
Wide Range Achievement Test 4 (WRAT-4) - Word reading item 44 text
The word used for Word Reading item 44, 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