CDE Detailed Report
Disease: NeuroRehab
Subdomain Name: Other Clinical Data
CRF: Brief Symptom Inventory-18 (BSI-18)
Displaying 1 - 26 of 26
Subdomain Name: Other Clinical Data
CRF: Brief Symptom Inventory-18 (BSI-18)
Displaying 1 - 26 of 26
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C18630 | Brief Symptom Inventory-18 (BSI18)- Suddenly scared scale | BSI18ScaredScale | The scale for the participant's distress from suddenly scared for no reason | The scale for the participant's distress from suddenly scared for no reaso | How much were you distressed by: Suddenly scared for no reason | 1;2;3;4;0 | A little bit;Moderately;Quite a bit;Extremely;not at all | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18641 | Brief Symptom Inventory-18 (BSI18)- Somatization normalized T score | BSI18SomScoreT | Normalized T score for somatization symptom scale | Normalized T score for somatization symptom scal | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 81 | ||||||||||
| C18631 | Brief Symptom Inventory-18 (BSI18)- Trouble getting breath scale | BSI18TrblBreathScale | The scale for the participant's distress from trouble getting their breath | The scale for the participant's distress from trouble getting their breat | How much were you distressed by: Trouble getting your breath | 1;2;3;4;0 | A little bit;Moderately;Quite a bit;Extremely;not at all | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18642 | Brief Symptom Inventory-18 (BSI18)- Depression raw score | BSI18DeprScoreRaw | Raw score for depression symptom scale | Raw score for depression symptom scal | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 81 | ||||||||||
| C18632 | Brief Symptom Inventory-18 (BSI18)- Feeling worthless scale | BSI18FeelWorthlessScale | The scale for the participant's distress from feelings of worthlessness | The scale for the participant's distress from feelings of worthlessnes | How much were you distressed by: Feelings of worthlessness | 1;2;3;4;0 | A little bit;Moderately;Quite a bit;Extremely;not at all | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18643 | Brief Symptom Inventory-18 (BSI18)- Depression normalized T score | BSI18DeprScoreT | Normalized T score for depression symptom scale | Normalized T score for depression symptom scal | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 81 | ||||||||||
| C18622 | Brief Symptom Inventory-18 (BSI18)- Faintness scale | BSI18FaintScale | A scale to indicate how much the participant is distressed by faintness or dizziness | A scale to indicate how much the participant is distressed by faintness or dizzines | How much were you distressed by: Faintness or dizziness | 1;2;3;4;0 | A little bit;Moderately;Quite a bit;Extremely;not at all | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18633 | Brief Symptom Inventory-18 (BSI18)- terror or panic scale | BSI18TerrorOrPanicScale | The scale for the participant's distress from spells of terror or panic | The scale for the participant's distress from spells of terror or panic | How much were you distressed by: Spells of terror or panic | 1;2;3;4;0 | A little bit;Moderately;Quite a bit;Extremely;not at all | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18644 | Brief Symptom Inventory-18 (BSI18)- Anxiety raw score | BSI18AnxScoreRaw | Raw score for anxiety symptom scale | Raw score for anxiety symptom scal | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 81 | ||||||||||
| C18623 | Brief Symptom Inventory-18 (BSI18)- No interest scale | BSI18NoInterestScale | A scale to indicate how much a participant is distressed by feeling no interest in things | A scale to indicate how much a participant is distressed by feeling no interest in thing | How much were you distressed by: Feeling no interest in things | 1;2;3;4;0 | A little bit;Moderately;Quite a bit;Extremely;not at all | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18634 | Brief Symptom Inventory-18 (BSI18)- Numbness or tingling scale | BSI18NumbScale | The scale for the participant's distress from numbness or tingling in parts of their body | The scale for the participant's distress from numbness or tingling in parts of their bod | How much were you distressed by: Numbness or tingling in parts of your body | 1;2;3;4;0 | A little bit;Moderately;Quite a bit;Extremely;not at all | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18645 | Brief Symptom Inventory-18 (BSI18)- Anxiety normalized T score | BSI18AnxScoreT | Normalized T score for anxiety symptom scale | Normalized T score for anxiety symptom scal | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 81 | ||||||||||
| C18624 | Brief Symptom Inventory-18 (BSI18)- Nervousness scale | BSINervousScale | A scale for participant's distress by nervousness or shakiness inside | A scale for participant's distress by nervousness or shakiness insid | How much were you distressed by: Nervousness or shakiness inside | 1;2;3;4;0 | A little bit;Moderately;Quite a bit;Extremely;not at all | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18635 | Brief Symptom Inventory-18 (BSI18)- Hopeless scale | BSI18FeelHopelessScale | The scale for the participant's distress from feeling hopeless about the future | The scale for the participant's distress from feeling hopeless about the futur | How much were you distressed by: Feeling hopeless about the future | 1;2;3;4;0 | A little bit;Moderately;Quite a bit;Extremely;not at all | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18646 | Brief Symptom Inventory-18 (BSI18)- Global Severity Index raw score | BSI18GSIScoreRaw | Raw score for Global Severity Index symptom scale | Raw score for Global Severity Index symptom scal | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 81 | ||||||||||
| C18625 | Brief Symptom Inventory-18 (BSI18)- Chest pains scale | BSI18ChestPainScale | The scale for the participant's distress by pains in heart or chest | The scale for the participant's distress by pains in heart or ches | How much were you distressed by: Pains in heart or chest | 1;2;3;4;0 | A little bit;Moderately;Quite a bit;Extremely;not at all | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18636 | Brief Symptom Inventory-18 (BSI18)- Restless scale | BSI18FeelRestlessScale | The scale for the participant's distress from feeling so restless they couldn't sit still | The scale for the participant's distress from feeling so restless they couldn't sit still. | How much were you distressed by: Feeling so restless you couldn't sit still | 1;2;3;4;0 | A little bit;Moderately;Quite a bit;Extremely;not at all | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18647 | Brief Symptom Inventory-18 (BSI18)- Global Severity Index normalized T score | BSI18GSIScoreT | Normalized T score for Global Severity Index symptom scale | Normalized T score for Global Severity Index symptom scal | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 81 | ||||||||||
| C18626 | Brief Symptom Inventory-18 (BSI18)- Feeling lonely scale | BSI18FeelLonelyScale | The scale for the participant's distress in feeling lonely | The scale for the participant's distress in feeling lonel | How much were you distressed by:Feeling lonely | 1;2;3;4;0 | A little bit;Moderately;Quite a bit;Extremely;not at all | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18637 | Brief Symptom Inventory-18 (BSI18)- Weak scale | BSI18FeelWeakScale | The scale for the participant's distress from feeling weak in parts of their body | The scale for the participant's distress from feeling weak in parts of their bod | How much were you distressed by: Feeling weak in parts of your body | 1;2;3;4;0 | A little bit;Moderately;Quite a bit;Extremely;not at all | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18627 | Brief Symptom Inventory-18 (BSI18)- Feeling tense scale | BSI18FeelTenseScale | The scale for the participant's distress in feeling tense or keyed up | The scale for the participant's distress in feeling tense or keyed u | How much were you distressed by: Feeling tense or keyed up | 1;2;3;4;0 | A little bit;Moderately;Quite a bit;Extremely;not at all | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18638 | Brief Symptom Inventory-18 (BSI18)- Thoughts of ending life scale | BSI18ThoughtsEndingLifeScale | The scale for the participant's distress from thoughts of ending their life | The scale for the participant's distress from thoughts of ending their lif | How much were you distressed by: Thoughts of ending your life | 1;2;3;4;0 | A little bit;Moderately;Quite a bit;Extremely;not at all | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18628 | Brief Symptom Inventory-18 (BSI18)- Nausea scale | BSI18NauseaScale | The scale for the participant's distress from nausea or upset stomach | The scale for the participant's distress from nausea or upset stomac | How much were you distressed by: Nausea or upset stomach | 1;2;3;4;0 | A little bit;Moderately;Quite a bit;Extremely;not at all | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18639 | Brief Symptom Inventory-18 (BSI18)- Fearful scale | BSI18FeelFearfulScale | The scale for the participant's distress from feeling fearful | The scale for the participant's distress from feeling fearfu | How much were you distressed by: Feeling fearful | 1;2;3;4;0 | A little bit;Moderately;Quite a bit;Extremely;not at all | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18629 | Brief Symptom Inventory-18 (BSI18)- Feeling blue scale | BSI18FeelBlueScale | The scale for the participant's distress from feeling blue | The scale for the participant's distress from feeling blu | How much were you distressed by: Feeling blue | 1;2;3;4;0 | A little bit;Moderately;Quite a bit;Extremely;not at all | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18640 | Brief Symptom Inventory-18 (BSI18)- Somatization raw score | BSI18SomScoreRaw | Raw score for somatization symptom scale | Raw score for somatization symptom scal | Numeric Values | Copyright 2001 Leonard R. Derogatis, PHD. All rights reserved. "BSI" is a registered trademark of Leonard R. Derogatis, PhD. | Adult | NeuroRehab Supplemental-Highly Recommended | 1.00 | 2014-01-02 00:00:00.0 | Brief Symptom Inventory-18 (BSI-18) | Other Clinical Data | Assessments and Examinations |
Free-Form Entry |
0 | 81 |
