F2865-C14846
C14846
Activities specific Balance Confidence Scale (ABC-Scale) - body collision scale
Using the Activities-specific Balance Confidence (ABC) Scale, the level of confidence that the participant/subject reports for being able to maintain balance and remain steady when walking through the mall where other people bumped into them
NeuroRehab Supplemental-Highly Recommended
Activities Specific Balance Confidence Scale (ABC-Scale)
True
NeuroRehab
NeuroRehab Comprehensive
F2903-C20567
C20567
TBI Quality of Life (TBI-QOL) - Cognition general concerns T-score
The T-Score related to perceived difficulties in everyday cognitive abilities such as learning, memory, attention, and concentration, 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 Comprehensive
F2869-C53778
C53778
Wide Range Achievement Test 4 (WRAT-4) - Word reading item 14 text
The word used for Word Reading item 14, 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
F2861-C54452
C54452
Functional Gait Assessment (FGA) - Gait head turn vertical task score
Score for the subject/participant's performance on the Gait With Vertical Head Turns task, as part of the Functional Gait Assessment (FGA)
NeuroRehab Supplemental-Highly Recommended
Functional Gait Assessment
False
NeuroRehab
NeuroRehab Persistent/Chronic Sport Related Concussion
F2896-C21039
C21039
Frontal Systems Behavior Scale (FrSBE) - Appearance grooming interest frequency scale
Frequency of caring about his/her appearance (for example, daily grooming) as part of Frontal Systems Behavior Scale (FrSBE) - Apathy subscale
NeuroRehab Supplemental-Highly Recommended
Frontal Systems Behavioral Scale (FrSBe)
True
NeuroRehab
NeuroRehab General
F2918-C55712
C55712
PROMIS - Self Efficacy managing emotions manage frustration scale
Scale related to an individual being able to manage frustration, as part of the PROMIS Self-Efficacy Managing Emotions
NeuroRehab Supplemental-Highly Recommended
PROMIS Item Bank v1.0 - Self-Efficacy for Managing Emotions
False
NeuroRehab
NeuroRehab Comprehensive
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 Acute Sport Related Concussion
F2900-C08504
C08504
36-item Short Form Health Survey (SF-36) - Health limited moderate activities score
Score of surveyee-reported limited moderate activities 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 General
F2942-C58618
C58618
Mobility device use propel type other text
Text describing other propulsion type of mobility device use
NeuroRehab Supplemental-Highly Recommended
Devices: Mobility and Manipulation
False
NeuroRehab
NeuroRehab Comprehensive
F2869-C53774
C53774
Wide Range Achievement Test 4 (WRAT-4) - Word reading item 12 text
The word used for Word Reading item 12, 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
F2903-C20584
C20584
TBI Quality of Life (TBI-QOL) - Stigma T-score
The T-Score related to others' perceptions of oneself and publically enacted negativity, prejudice, and discrimination as a result of injury-related manifestations, 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 Moderate/Severe TBI: Rehabilitation
F2894-C09361
C09361
Hamilton Depression Rating Scale (HDRS) - somatic symptoms indicator
Score for the intensity of the participant/subject's somatic gastrointestinal symptoms, as part of the Hamilton Depression Rating Scale (HDRS)
NeuroRehab Supplemental-Highly Recommended
Hamilton Depression Rating Scale (HDRS)
False
NeuroRehab
NeuroRehab General
F2915-C20842
C20842
Patient-Reported Outcome Measurement Information System (PROMIS) - Awaken sleepy past week scale
The scale which represents how often the participant still felt sleepy when he/she woke 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 Related Impairment
True
NeuroRehab
NeuroRehab Comprehensive
F2898-C07072
C07072
Alcohol Smoking and Substance Use Involvement Screening Test (ASSIST) - Total c score
Score for the total sum of all the question C scores (cannabis), 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
F2939-C55568
C55568
Arthritis Indicator
Indicator as to whether the participant/subject has been diagnosed with arthritis
NeuroRehab Supplemental-Highly Recommended
Assessments and Examinations Demographic and Clinical Conditions
False
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 Concussion/Mild TBI
F2902-C17364
C17364
Parkinson's Disease Quality of Life (PDQUALIF) - communication ability scale
Rating scale for ability of communication with people affected by illness 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
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
F2861-C54460
C54460
Functional Gait Assessment (FGA) - Gait task eye closed score
Score for the subject/particpant's performance on the Gait With Eyes Closed task, as part of the Functional Gait Assessment (FGA)
NeuroRehab Supplemental-Highly Recommended
Functional Gait Assessment
False
NeuroRehab
NeuroRehab Comprehensive
F2889-C07440
C07440
Patient Health Questionnaire - (PHQ) - Depression questionnaire total score
Total score of the questionnaire, as the part of Patient Health Questionnaire Depression (PHQ)
NeuroRehab Supplemental-Highly Recommended
Patient Health Questionnaire - 9 (PHQ-9) Depression Scale
True
NeuroRehab
NeuroRehab Comprehensive
F2912-C56506
C56506
Patient-Reported Outcome Measurement Information System (PROMIS) - Pain Interference pain keep from socialize other scale
Scale related to how often pain kept an individual from socializing with others in the past 7 days, as part of the Patient-Reported Outcome Measurement Information System (PROMIS)
NeuroRehab Supplemental-Highly Recommended
PROMIS Item Bank v1.1 - Pain Interference
False
NeuroRehab
NeuroRehab Congenital Muscular Dystrophy (CMD)
F2896-C21092
C21092
Frontal Systems Behavior Scale (FrSBE) - Missing answer total count
Total count of unanswered or missing questions as part of Frontal Systems Behavior Scale (FrSBE) form
NeuroRehab Supplemental-Highly Recommended
Frontal Systems Behavioral Scale (FrSBe)
True
NeuroRehab
NeuroRehab Comprehensive
F2917-C55623
C55623
PROMIS - Emotional Distress depression pessimistic scale
Scale related to the individual feeling pessimistic, 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
F2899-C17769
C17769
Rater name
Name of rater
NeuroRehab Supplemental-Highly Recommended
Apathy Scale (AS)
True
NeuroRehab
NeuroRehab General
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