F2904-C21823
C21823
Beck Anxiety Inventory (BAI) - Breathe difficult bother scale
Scale that represents how much the participant has been bothered by difficulty in breathing as part of the Beck Anxiety Inventory (BAI)
NeuroRehab Supplemental-Highly Recommended
Beck Anxiety Inventory (BAI)
True
NeuroRehab
NeuroRehab General
F2905-C21408
C21408
Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS) - Headache score
The subject's current headache rating score, as part of the Immediate Post-Concussion Assessment Testing (ImPACT), the Post -Concussion Symptom Scale (PCSS)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Sport Related Concussion Comprehensive
F2942-C58496
C58496
Toilet device type other text
Text describing the presence of any other toileting device used
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab Comprehensive
F2909-C50090
C50090
Strengths and Difficulties Questionnaire (SDQ) - Unhappy scale
The scale of the participant/subject feeling unhappy, depressed or tearful, as part of the Strengths and Difficulties Questionnaire (SDQ)
NeuroRehab Core
Strengths and Difficulties Questionnaire (SDQ), combined Full and Followup versions
False
NeuroRehab
NeuroRehab General
F2861-C54463
C54463
Functional Gait Assessment (FGA) - Gait task ambulate backward score
Score for the subject/participant's performance on the Ambulating Backwards task, as part of the Functional Gait Assessment (FGA)
NeuroRehab Supplemental-Highly Recommended
Functional Gait Assessment
False
NeuroRehab
NeuroRehab Sport Related Concussion Comprehensive
F2896-C21010
C21010
Frontal Systems Behavior Scale (FrSBE) - Law authority difficulty frequency scale
Frequency of getting in trouble with the law or authorities as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale
NeuroRehab Supplemental-Highly Recommended
Frontal Systems Behavioral Scale (FrSBe)
True
NeuroRehab
NeuroRehab General
F2863-C52374
C52374
The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) - Frustrated scale
Scale that rates the severity of how the subject now suffers from feeling frustrated or impatient 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
F2942-C58482
C58482
Static upper extremity orthosis splint use frequency type
Frequency type with which the participant/subject uses their static upper extremity orthosis/splints, if applicable
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab General
F2917-C55605
C55605
PROMIS - Emotional Distress depression sad scale
Scale related to the individual feeling sad, 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
F2861-C54447
C54447
Functional Gait Assessment (FGA) - Gait level surface task duration
Time taken by the subject/participant to ambulate 20 feet 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
F2914-C20806
C20806
Patient-Reported Outcome Measurement Information System (PROMIS) - Sleep lightness assessment past week scale
The scale which represents how often the participant's sleep was light 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 Congenital Muscular Dystrophy (CMD)
F2896-C21060
C21060
Frontal Systems Behavior Scale (FrSBE) - Laugh or cry easily frequency scale
Frequency of laughing or crying too easily as part of Frontal Systems Behavior Scale (FrSBE) - Disinhibition subscale
NeuroRehab Supplemental-Highly Recommended
Frontal Systems Behavioral Scale (FrSBe)
True
NeuroRehab
NeuroRehab Comprehensive
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 Stroke
F2916-C20790
C20790
Quality of Life - Sleep difficultly assessment past week scale
The scale which represents how often the participant had difficulty sleeping in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS) and Neuro-QOL Anxiety
NeuroRehab Supplemental-Highly Recommended
PROMIS Item Bank v1.0 - Emotional Distress - Anxiety
True
NeuroRehab
NeuroRehab Comprehensive
F2879-C20499
C20499
Brief Visuospatial Memory Test - Revised (BVMT-R) - Stimulus image status (or text)
Stimulus image plate (8 ? 11-inch ) containing six geometric visual designs in a 2 ? 3 matrix, as part of Brief Visuospatial Memory Test - Revised (BVMT-R)
NeuroRehab Supplemental-Highly Recommended
Brief Visuospatial Memory Test Revised (BVMT-R)
True
NeuroRehab
NeuroRehab General
F2906-C55272
C55272
Post Concussion Symptom Scale (PCSS) - Irritability symptom score
The score for irritability symptoms as part of the Post Concussion Symptom Scale (PCSS)
NeuroRehab Sport Related Concussion Core
Post Concussion Symptom Scale
False
NeuroRehab
NeuroRehab Persistent/Chronic Sport Related Concussion
F2913-C21289
C21289
Quality of Life - Bad dream sleep trouble past week scale
The scale representing how often the participant had trouble sleeping because of dreams in the past 7 days, as part of Neuro-QOL Sleep Disturbance
NeuroRehab Supplemental-Highly Recommended
Neuro-QOL Adult Bank - Sleep Disturbance
True
NeuroRehab
NeuroRehab Congenital Muscular Dystrophy (CMD)
F2877-C56280
C56280
NIH Toolbox Cognitive Cognition crystallized composite age adjusted scale score
The age adjusted scale score for the Cognition Crystallized Composite field of the NIH Toolbox Cognitive Battery
NeuroRehab Supplemental-Highly Recommended
NIH Toolbox Cognitive Battery
False
NeuroRehab
NeuroRehab General
F2905-C21403
C21403
Immediate Post-Concussion Assessment Testing (ImPACT) - Impulse control composite percentage value
The percentile of the subject's impulse control composite score (if available), as part of the Immediate Post-Concussion Assessment Testing (ImPACT)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Subacute Sport Related Concussion
F2884-C21493
C21493
Wechsler Adult Intelligence Scale IV (WAIS IV) - Digit span backward subtest item number
Item number, as part of Wechsler Adult Intelligence Scale IV (WAIS IV) Digit Span Backward subtest
NeuroRehab Supplemental-Highly Recommended
Processing Speed Index of the Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV)
False
NeuroRehab
NeuroRehab General
F2910-C55308
C55308
PROMIS - Negative consequences headache after drink scale
Scale related to the individual having a headache 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 Congenital Muscular Dystrophy (CMD)
F2869-C53849
C53849
Wide Range Achievement Test 4 (WRAT-4) - Word reading item 52 score
The score for Word Reading item 52, 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
F2873-C54249
C54249
Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) - Line orientation total score
Total score, as part of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Line Orientation Subtest
NeuroRehab Supplemental-Highly Recommended
Repeatable Battery for Assessment of Neuropsychological Status (RBANS)
True
NeuroRehab
NeuroRehab Comprehensive
F2905-C21456
C21456
Immediate Post-Concussion Assessment Testing (ImPACT) - Color match total commission count
The number of total commissions on the color match module, as part of the Immediate Post-Concussion Assessment Testing (ImPACT)
NeuroRehab Sport Related Concussion Core
Immediate Post-Concussion Assessment and Cognitive Testing (imPACT)
True
NeuroRehab
NeuroRehab Sport Related Concussion Comprehensive
F2879-C20492
C20492
Brief Visuospatial Memory Test - Revised (BVMT-R) - Comparison group text
Description of comparison group for Brief Visuospatial Memory Test - Revised (BVMT-R)
NeuroRehab Supplemental-Highly Recommended
Brief Visuospatial Memory Test Revised (BVMT-R)
True
NeuroRehab
NeuroRehab Comprehensive