CDE Detailed Report

Disease: Headache
Sub-Domain: Activities of Daily Living/Performance
CRF: Functional Disability Inventory - Parent Form (FDI)

Displaying 1 - 15 of 15
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C14664 Functional Disability Inventory (FDI) - parent form child difficulty sports scale FDIPFChldDfcltSportScale Scale determining level of physical trouble or difficulty child experiences doing the activities in gym class, as a part of the Functional Disability (FDI) Parent Form Scale determining level of physical trouble or difficulty child experiences doing the activities in gym class, as a part of the Functional Disability (FDI) Parent Form Would your child have had physical trouble or difficulty doing the activities in gym class (or playing sports)? 0;1;2;3;4 No trouble;A little trouble;Some trouble;A lot of trouble;Impossible Numeric values

In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?

Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84. Adult Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Parent Form (FDI) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14665 Functional Disability Inventory (FDI) - parent form child difficulty read homework scale FDIPFChldDfcltReadHmwrkScale Scale determining level of physical trouble or difficulty child experiences reading or doing homework, as a part of the Functional Disability (FDI) Parent Form Scale determining level of physical trouble or difficulty child experiences reading or doing homework, as a part of the Functional Disability (FDI) Parent Form Would your child have had physical trouble or difficulty reading or doing homework? 0;1;2;3;4 No trouble;A little trouble;Some trouble;A lot of trouble;Impossible Numeric values

In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?

Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84. Adult Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Parent Form (FDI) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14666 Functional Disability Inventory (FDI) - parent form child difficulty watch tv scale FDIPFChldDfcltWtchTvScale Scale determining level of physical trouble or difficulty child experiences watching tv, as a part of the Functional Disability (FDI) Parent Form Scale determining level of physical trouble or difficulty child experiences watching tv, as a part of the Functional Disability (FDI) Parent Form Would your child have had physical trouble or difficulty watching TV? 0;1;2;3;4 No trouble;A little trouble;Some trouble;A lot of trouble;Impossible Numeric values

In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?

Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84. Adult Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Parent Form (FDI) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14656 Functional Disability Inventory (FDI) - parent form child difficulty bathroom walk scale FDIPFChldDfcltBthrmWalkScale Scale determining level of physical trouble or difficulty child experiences when walking to the bathroom, as a part of the Functional Disability (FDI) Parent Form Scale determining level of physical trouble or difficulty child experiences when walking to the bathroom, as a part of the Functional Disability (FDI) Parent Form Would your child have had physical trouble or difficulty walking to the bathroom? 0;1;2;3;4 No trouble;A little trouble;Some trouble;A lot of trouble;Impossible Numeric values

In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?

Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84. Adult Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Parent Form (FDI) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14667 Functional Disability Inventory (FDI) - parent form child difficulty walk football field scale FDIPFChldDfcltWlkFtblFldScale Scale determining level of physical trouble or difficulty child experiences walking the length of a football field, as a part of the Functional Disability (FDI) Parent Form Scale determining level of physical trouble or difficulty child experiences walking the length of a football field, as a part of the Functional Disability (FDI) Parent Form Would your child have had physical trouble or difficulty walking the length of a football field? 0;1;2;3;4 No trouble;A little trouble;Some trouble;A lot of trouble;Impossible Numeric values

In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?

Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84. Adult Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Parent Form (FDI) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14657 Functional Disability Inventory (FDI) - parent form child difficulty stair walk scale FDIPFChldDfcltStairWlkScale Scale determining level of physical trouble or difficulty child experiences when walking up stairs, as a part of the Functional Disability (FDI) Parent Form. Scale determining level of physical trouble or difficulty child experiences when walking up stairs, as a part of the Functional Disability (FDI) Parent Form Would your child have had physical trouble or difficulty walking up stairs? 0;1;2;3;4 No trouble;A little trouble;Some trouble;A lot of trouble;Impossible Numeric values

In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?

Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84. Adult Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Parent Form (FDI) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14668 Functional Disability Inventory (FDI) - parent form child difficulty run football field scale FDIPFChldDfcltRunFtblFldScale Scale determining level of physical trouble or difficulty child experiences running the length of a football field, as a part of the Functional Disability (FDI) Parent Form Scale determining level of physical trouble or difficulty child experiences running the length of a football field, as a part of the Functional Disability (FDI) Parent Form Would your child have had physical trouble or difficulty running the length of a football field? 0;1;2;3;4 No trouble;A little trouble;Some trouble;A lot of trouble;Impossible Numeric values

In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?

Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84. Adult Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Parent Form (FDI) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14658 Functional Disability Inventory (FDI) - parent form child difficulty friend activity scale FDIPFChldDfcltFrndActScale Scale determining level of physical trouble or difficulty child experiences when doing something with a friend, as a part of the Functional Disability (FDI) Parent Form. Scale determining level of physical trouble or difficulty child experiences when doing something with a friend, as a part of the Functional Disability (FDI) Parent Form. Would your child have had physical trouble or difficulty doing something with a friend (For example, playing a game)? 0;1;2;3;4 No trouble;A little trouble;Some trouble;A lot of trouble;Impossible Numeric values

In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?

Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84. Adult Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Parent Form (FDI) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14669 Functional Disability Inventory (FDI) - parent form child difficulty shopping scale FDIPFChldDfcltShopScale Scale determining level of physical trouble or difficulty child experiences going shopping, as a part of the Functional Disability (FDI) Parent Form Scale determining level of physical trouble or difficulty child experiences going shopping, as a part of the Functional Disability (FDI) Parent Form. Would your child have had physical trouble or difficulty going shopping? 0;1;2;3;4 No trouble;A little trouble;Some trouble;A lot of trouble;Impossible Numeric values

In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?

Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84. Adult Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Parent Form (FDI) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14659 Functional Disability Inventory (FDI) - parent form child difficulty chore scale FDIPFChldDfcltChoreScale Scale determining level of physical trouble or difficulty child experiences when doing chores at home, as a part of the Functional Disability (FDI) Parent Form. Scale determining level of physical trouble or difficulty child experiences when doing chores at home, as a part of the Functional Disability (FDI) Parent Form. Would your child have had physical trouble or difficulty doing chores at home? 0;1;2;3;4 No trouble;A little trouble;Some trouble;A lot of trouble;Impossible Numeric values

In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?

Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84. Adult Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Parent Form (FDI) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14670 Functional Disability Inventory (FDI) - parent form child difficulty sleep scale FDIPFChldDfcltSlpScale Scale determining level of physical trouble or difficulty child experiences getting to sleep at night and staying asleep, as part of the Functional Disability (FDI) Parent Form Scale determining level of physical trouble or difficulty child experiences getting to sleep at night and staying asleep, as part of the Functional Disability (FDI) Parent Form Would your child have had physical trouble or difficulty getting to sleep at night and staying asleep? 0;1;2;3;4 No trouble;A little trouble;Some trouble;A lot of trouble;Impossible Numeric values

In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?

Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84. Adult Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Parent Form (FDI) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14660 Functional Disability Inventory (FDI) - parent form child difficulty eat meal scale FDIPFChldDfcltEatMealScale Scale determining level of physical trouble or difficulty child experiences when eating regular meals, as a part of the Functional Disability (FDI) Parent Form. Scale determining level of physical trouble or difficulty child experiences when eating regular meals, as a part of the Functional Disability (FDI) Parent Form. Would your child have had physical trouble or difficulty eating regular meals? 0;1;2;3;4 No trouble;A little trouble;Some trouble;A lot of trouble;Impossible Numeric values

In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?

Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84. Adult Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Parent Form (FDI) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14661 Functional Disability Inventory (FDI) - parent form child difficulty up all day scale FDIPFChldDfcltUpAllDayScale Scale determining level of physical trouble or difficulty child experiences when being up all day without a nap or rest, as a part of the Functional Disability (FDI) Parent Form. Scale determining level of physical trouble or difficulty child experiences when being up all day without a nap or rest, as a part of the Functional Disability (FDI) Parent Form. Would your child have had physical trouble or difficulty being up all day without a nap or rest? 0;1;2;3;4 No trouble;A little trouble;Some trouble;A lot of trouble;Impossible Numeric values

In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?

Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84. Adult Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Parent Form (FDI) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14662 Functional Disability Inventory (FDI) - parent form child difficulty riding bus car scale FDIPFChldDfcltRidBusCarScale Scale determining level of physical trouble or difficulty child experiences when riding the school bus or traveling in the car, as a part of the Functional Disability (FDI) Parent Form. Scale determining level of physical trouble or difficulty child experiences when riding the school bus or traveling in the car, as a part of the Functional Disability (FDI) Parent Form. Would your child have had physical trouble or difficulty riding the school bus or traveling in the car? 0;1;2;3;4 No trouble;A little trouble;Some trouble;A lot of trouble;Impossible Numeric values

In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?

Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84. Adult Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Parent Form (FDI) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C14663 Functional Disability Inventory (FDI) - parent form child difficulty school all day scale FDIPFChldDfcltSchlAllDayScale Scale determining level of physical trouble or difficulty child experiences when being at school all day, as a part of the Functional Disability (FDI) Parent Form Scale determining level of physical trouble or difficulty child experiences when being at school all day, as a part of the Functional Disability (FDI) Parent Form Would your child have had physical trouble or difficulty being at school all day. 0;1;2;3;4 No trouble;A little trouble;Some trouble;A lot of trouble;Impossible Numeric values

In the past two weeks, would your child have had any physical trouble or difficulty doing these activities?

Claar RL, Walker LS. Functional Assessment of pediatric pain patients: Psychometric Properties of the Functional Disability Inventory. Pain 121 (2006). 77-84. Adult Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Parent Form (FDI) Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

CSV