CDE Detailed Report

Disease: Stroke
Subdomain Name: Quality of Life/Patient Reported Outcomes
CRF: PROMIS Item Bank v1.2 - Global Health

Displaying 1 - 10 of 10
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C54688 Patient-Reported Outcome Measurement Information System (PROMIS) - Global Health quality of life scale PROMISGlbHlthQualOfLfScl Scale related to an individual's rating of his/her quality of life, as part of the PROMIS Global Health Scale related to an individual's rating of his/her quality of life, as part of the PROMIS Global Health In general, would you say your quality of life is: 1;2;3;4;5 Excellent;Very good;Good;Fair;Poor Numeric Values Adult Supplemental-Highly Recommended 1.00 2017-04-07 15:34:25.0 PROMIS Item Bank v1.2 - Global Health Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C54689 Patient-Reported Outcome Measurement Information System (PROMIS) - Global Health physical health rate scale PROMISGlbHlthPhysHlthRtScl Scale related to an individual's rating of his/her physical health, as part of the PROMIS Global Health Scale related to an individual's rating of his/her physical health, as part of the PROMIS Global Health In general, how would you rate your physical health? 1;2;3;4;5 Excellent;Very good;Good;Fair;Poor Numeric Values Adult Supplemental-Highly Recommended 1.00 2017-04-07 15:34:25.0 PROMIS Item Bank v1.2 - Global Health Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C54690 Patient-Reported Outcome Measurement Information System (PROMIS) - Global Health mental health rate scale PROMISGlbHlthMntlHlthRtScl Scale related to an individual's rating of his/her mental health, as part of the PROMIS Global Health Scale related to an individual's rating of his/her mental health, as part of the PROMIS Global Health In general, how would you rate your mental health, including your mood and your ability to think? 1;2;3;4;5 Excellent;Very good;Good;Fair;Poor Numeric Values Adult Supplemental-Highly Recommended 1.00 2017-04-07 15:34:25.0 PROMIS Item Bank v1.2 - Global Health Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C54691 Patient-Reported Outcome Measurement Information System (PROMIS) - Global Health social satisfaction rate scale PROMISGlbHlthSocSatisRtScl Scale related to an individual's rating of his/her satisfaction with his/her social activities, as part of the PROMIS Global Health Scale related to an individual's rating of his/her satisfaction with his/her social activities, as part of the PROMIS Global Health In general, how would you rate your satisfaction with your social activities and relationships? 1;2;3;4;5 Excellent;Very good;Good;Fair;Poor Numeric Values Adult Supplemental-Highly Recommended 1.00 2017-04-07 15:34:25.0 PROMIS Item Bank v1.2 - Global Health Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C54692 Patient-Reported Outcome Measurement Information System (PROMIS) - Global Health carry out social role scale PROMISGlbHlthCrryOutSocRlScl Scale related to an individual's rating of his/her ability to carry out usual social activities and roles, as part of the PROMIS Global Health Scale related to an individual's rating of his/her ability to carry out usual social activities and roles, as part of the PROMIS Global Health In general, please rate how well you carry out your usual social activities and roles. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.) 1;2;3;4;5 Excellent;Very good;Good;Fair;Poor Numeric Values Adult Supplemental-Highly Recommended 1.00 2017-04-07 15:34:25.0 PROMIS Item Bank v1.2 - Global Health Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C54693 Patient-Reported Outcome Measurement Information System (PROMIS) - Global Health carry out physical activity scale PROMISGlbHlthCrryOutPHysActScl Scale related to an individual's rating of his/her ability to carry out everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair, as part of the PROMIS Global Health Scale related to an individual's rating of his/her ability to carry out everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair, as part of the PROMIS Global Health To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying groceries, or moving a chair? 1;2;3;4;5 Excellent;Very good;Good;Fair;Poor Numeric Values Adult Supplemental-Highly Recommended 1.00 2017-04-07 15:34:25.0 PROMIS Item Bank v1.2 - Global Health Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C54694 Patient-Reported Outcome Measurement Information System (PROMIS) - Global Health bother emotional problem scale PROMISGlbHlthBthrEmtnlPrbScl Scale related to an individual's rating of how often he/she has been bothered by emotional problems such as feeling anxious, depressed or irritable, as part of the PROMIS Global Health Scale related to an individual's rating of how often he/she has been bothered by emotional problems such as feeling anxious, depressed or irritable, as part of the PROMIS Global Health How often have you been bothered by emotional problems such as feeling anxious, depressed or irritable 1;2;3;4;5 Excellent;Very good;Good;Fair;Poor Numeric Values

In the past 7 days…

Adult Supplemental-Highly Recommended 1.00 2017-04-07 15:34:25.0 PROMIS Item Bank v1.2 - Global Health Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C54695 Patient-Reported Outcome Measurement Information System (PROMIS) - Global Health fatigue rate scale PROMISGlbHlthFtgRtScl Scale related to an individual's rating of his/her fatigue, as part of the PROMIS Global Health Scale related to an individual's rating of his/her fatigue, as part of the PROMIS Global Health How would you rate your fatigue on average 1;2;3;4;5 Excellent;Very good;Good;Fair;Poor Numeric Values

In the past 7 days…

Adult Supplemental-Highly Recommended 1.00 2017-04-07 15:34:25.0 PROMIS Item Bank v1.2 - Global Health Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C58680 Patient-Reported Outcome Measurement Information System (PROMIS) - Global Health general health scale PROMISGlbHlthGenrlHlthScl Scale related to an individual's rating of his/her general health, as part of the PROMIS Global Health Scale related to an individual's rating of his/her general health, as part of the PROMIS Global Healt In general, would you say your health is 1;2;3;4;5 Excellent;Very good;Good;Fair;Poor Numeric Values Adult;Pediatric Supplemental-Highly Recommended 1.00 2020-01-27 11:31:46.0 PROMIS Item Bank v1.2 - Global Health Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

C58681 Patient-Reported Outcome Measurement Information System (PROMIS) - Global Health average pain rating scale PROMISGlbHlthAvgPainRatingScl Scale indicating the rating of the average pain experienced by the subject, as part of the PROMIS Global Health Scale indicating the rating of the average pain experienced by the subject, as part of the PROMIS Global Healt How would you rate your pain on average? 0;1;2;3;4;5;6;7;8;9;10 No Pain;1;2;3;4;5;6;7;8;9;Worst pain imaginable Numeric Values

In the past 7 days…

Adult;Pediatric Supplemental-Highly Recommended 1.00 2020-01-27 11:31:46.0 PROMIS Item Bank v1.2 - Global Health Quality of Life/Patient Reported Outcomes Outcomes and End Points

Single Pre-Defined Value Selected

CSV