CDE Detailed Report

Disease: Sport Related Concussion
Sub-Domain: Neuromotor Function
CRF: Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain

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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 / 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
C54414 Quality of Life - Upper extremity carry shopping bag or briefcase ability scale QolUppExtreCryShpBgBrfcsAbyScl The scale which represents the extent to which the participant was able to carry a shopping bag or briefcase, as a part of the Patient-Reported Outcomes Measurement Information System (PROMIS) upper extremity The scale which represents the extent to which the participant was able to carry a shopping bag or briefcase, as a part of the Patient-Reported Outcomes Measurement Information System (PROMIS) upper extremity Are you able to carry a shopping bag or briefcase? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-03-03 13:44:11.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C55116 Quality of Life - Upper extremity open car doors scale QolUppExtreOpnCarDrsScl The scale which represents the extent to which the participant was able to open car dorrs, as a part of Patient Reported Outcome Meaurement Information System (PROMIS) Upper Extremity The scale which represents the extent to which the participant was able to open car dorrs, as a part of Patient Reported Outcome Meaurement Information System (PROMIS) Upper Extremity Are you able to open car doors? 4;3;2;1;1 Without any difficulty;With a little difficulty;With some difficulty;With much difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-20 14:05:20.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C21128 Quality of Life - Movement brush teeth ability scale QoLMoveBrushTeethAblityScl The scale which represents the extent to which the participant was able to brush their teeth, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent to which the participant was able to brush their teeth, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. Are you able to brush your teeth? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2015-07-15 15:16:35.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C55257 Quality of Life - Upper extremity continuously swing a baseball bat or tennis racket back and forth for5 minutes scale QolUpExtCnSwBbBtTnRkBkFh5MnScl The scale which represents the extent the participant was able to continuously swing a baseball bat or tennis racket back and forth for five minutes, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent the participant was able to continuously swing a baseball bat or tennis racket back and forth for five minutes, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. Are you able to continuously swing a baseball bat or tennis racket back and forth for 5 minutes? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain.

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-25 17:12:40.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53884 Quality of Life - Upper extremity mobility hammer pound nail scale QolUppExtreUseHmmrPndNailScl The scale which represents the extent to which the participant was able to use a hammer to pound a nail, as a part of as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity The scale which represents the extent to which the participant was able to use a hammer to pound a nail, as a part of as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity Are you able to use a hammer to pound a nail? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-02-10 13:12:09.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C54706 Quality of Life - Upper extremity change bulb in table lamp scale QolUppExtreChngBlbTblLmpScl The scale which represents the extent to which the participant was able to change a bulb in a table lamp, as a part of Patient-Reported Outcome Measurement System (PROMIS) Upper Extremity The scale which represents the extent to which the participant was able to change a bulb in a table lamp, as a part of Patient-Reported Outcome Measurement System (PROMIS) Upper Extremity Are you able to change the bulb in a table lamp? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-10 12:10:18.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C55120 Quality of Life - Upper extremity remove something back pocket scale QolUppExtreRemvSmthgBckPcktScl The scale which represents the extent the participant was able to remove something from their back pocket, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent the participant was able to remove something from their back pocket, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. Are you able to remove something from your back pocket? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-20 14:14:37.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C21130 Quality of Life - Movement pick up coin ability scale QoLMovePckUpCoinAbltyScl The scale which represents the extent to which the participant was able to pick up coins from a table top, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent to which the participant was able to pick up coins from a table top, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity. Are you able to pick up coins from a table top? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2015-07-15 15:16:35.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C55258 Quality of Life - Upper extremity health limit opening a previously opened jar scale QolUppExtreHltLmOpnPreOpdJrScl The scale which represents the extent the participants health limited them in opening a previously opened jar, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent the participants health limited them in opening a previously opened jar, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. Does your health now limit you in opening a previously opened jar? 5;4;3;2;1 Not at all;Very little;Somewhat;Quite a lot;Cannot do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-26 12:58:20.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53888 Quality of Life - Upper extremity cut food using eating utensils scale QolUppExtreCutFoodUseEtgUtnScl The scale which represents the extent to which the participant was able to cut food using eating utensils, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity The scale which represents the extent to which the participant was able to cut food using eating utensils, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity Are you able to cut your food using eating utensils? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-02-10 13:27:22.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C54707 Quality of Life - Upper extremity press with index finger scale QolUppExtrePrssWthIndxFngeScl The scale which represents the extent to which the participant was able to press with their index finger as a part of Patient-Reported Outcome Measurement System (PROMIS) Upper Extremity The scale which represents the extent to which the participant was able to press with their index finger as a part of Patient-Reported Outcome Measurement System (PROMIS) Upper Extremity Are you able to press with your index finger (for example ringing a doorbell)? 4;3;2;1;1 Without any difficulty;With a little difficulty;With some difficulty;With much difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-10 12:23:39.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C55122 Quality of Life - Upper extremity change light bulb overhead scale QolUppExtreChngLghtBlbOvrhdScl The scale which represents the extent the participant was able to change a light bulb overhead, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent the participant was able to change a light bulb overhead, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. Are you able to change a light bulb overhead? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-20 14:20:05.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C21131 Quality of Life - Movement pen pencil write ability scale QolMovePenPenclWrteAbilityScl The scale which represents the extent to which the participant was able to write with a pen or pencil, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcomes Measurement Information System (PROMIS). The scale which represents the extent to which the participant was able to write with a pen or pencil, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcomes Measurement Information System (PROMIS). Are you able to write with a pen or pencil? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2015-07-15 15:16:35.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53891 Quality of Life - Upper extremity open can hand can opener scale QolUppExtreOpnCanHndCanOpnrScl The scale which represents the extent to which the participant was able to open a can with a hand can opener, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity The scale which represents the extent to which the participant was able to open a can with a hand can opener, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity Are you able to open a can with a hand can opener? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-02-10 13:40:11.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C54708 Quality of Life - Upper extremity shave face apply makeup scale QolUppExtreShvFaceAplyMkeupScl The scale which represents the extent to which the participant was able to shave their face or apply makeup, as a part of the Patient-Reported Outcome Measurement System (PROMIS) Upper Extremity The scale which represents the extent to which the participant was able to shave their face or apply makeup, as a part of the Patient-Reported Outcome Measurement System (PROMIS) Upper Extremity Are you able to shave your face or apply makeup? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-10 12:40:53.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C55249 Quality of Life - Upper extremity put on pullover sweater scale QolUppExtrePutOnPllOvrSwtrScl The scale which represents the extent the participant was able to put on a pullover sweater, as a part of the Patient Reported Outcome Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent the participant was able to put on a pullover sweater, as a part of the Patient Reported Outcome Measurement Information System (PROMIS) Upper Extremity. Are you able to put on a pullover sweater? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-25 12:38:24.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C21132 Quality of Life - Movement zipper open close ability scale QoLMoveZipprOpnClseAblityScl The scale which represents the extent to which the participant was able to open and close a zipper, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcomes Information Measurement System (PROMIS) Upper Extremity. The scale which represents the extent to which the participant was able to open and close a zipper, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcomes Information Measurement System (PROMIS) Upper Extremity. Are you able to open and close a zipper? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2015-07-15 15:16:35.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53892 Quality of Life - Upper extremity pull heavy objects toward yourself scale QolUppExtrePullHvyObjTwdSlfScl The scale which represents the extent to which the participant was able to pull heavy objects toward themselves scale, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity The scale which represents the extent to which the participant was able to pull heavy objects toward themselves scale, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity Are you able to pull heavy objects (10 pounds/ 5 kg) towards yourself? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-02-10 14:01:35.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C55106 Quality of Life - Upper extremity cut paper with scissors scale QolUppExtreCutPprWthScissrsScl The scale which represents the extent to which the participant was able to cut a piece of paper with scissors, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity The scale which represents the extent to which the participant was able to cut a piece of paper with scissors, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity Are you able to cut a piece of paper with scissors? 4;3;2;1;1 Without any difficulty;With a little difficulty;With some difficulty;With much difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-20 12:42:21.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C55250 Quality of Life - Upper extremity turn faucets on and off scale QolUppExtreTrnFauctsOnOffScl The scale which represents the extent the participant is able to turn faucets on and off, as a part of the Patient- Reported Outcome Information Measurement System (PROMIS) Upper Extremity The scale which represents the extent the participant is able to turn faucets on and off, as a part of the Patient- Reported Outcome Information Measurement System (PROMIS) Upper Extremity Are you able to turn faucets on and off? 4;3;2;1;1 Without any difficulty;With a little difficulty;With some difficulty;With much difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-25 12:43:33.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C21134 Quality of Life - Movement shampoo hair ability scale QoLMoveShampooHairAbilityScl The scale which represents the extent to which the participant was able to shampoo their hair, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent to which the participant was able to shampoo their hair, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. Are you able to shampoo your hair? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2015-07-15 15:16:35.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C54073 Quality of Life - Upper extremity wash back scale QolUppExtreWshBckScl The scale which represents the extent the participant was able to wash their back, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity The scale which represents the extent the participant was able to wash their back, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity Are you able to wash your back? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-02-13 11:49:00.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C55108 Quality of Life - Upper extremity squeeze new tube of toothpaste scale QolUppExtreSqzeNewTbTthpsteScl The scale which represents the extent to which the participant was able to squeeze a new tube of toothpaste, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) upper extremity The scale which represents the extent to which the participant was able to squeeze a new tube of toothpaste, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) upper extremity Are you able to squeeze a new tube of toothpaste? 4;3;2;1;1 Without any difficulty;With a little difficulty;With some difficulty;With much difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-20 13:08:57.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C55251 Quality of Life - Upper extremity reach and get down 5 pound object from above head scale QolUppExtreRchGtDw5LbObAbHdScl The scale which represents the extent the participant was able to reach and get down a five pound object from above their head, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent the participant was able to reach and get down a five pound object from above their head, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. Are you able to reach and get down a 5 pound (2 kg) object from above your head? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-25 13:36:39.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C21141 Quality of Life - Movement full food plate hold ability scale QolMoveFulFoodPlatHldAbltyScl The scale which represents the extent to which the participant was able to hold a plate full of food, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent to which the participant was able to hold a plate full of food, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. Are you able to hold a plate full of food? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2015-07-15 15:16:35.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C54075 Quality of life - Put on take off coat or jacket scale QolUppExtrePutOnTkOfCotJcktScl The scale which represents the extent the participant was able to put on and take off a coat or jacket, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity The scale which represents the extent the participant was able to put on and take off a coat or jacket, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity Are you able to put on and take off a coat or jacket? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-02-13 13:43:49.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C55109 Quality of Life - Upper extremity pour liquid from bottle into glass scale QolUppExtrePrLiqFrmBtlGlsScl The scale which represents the extent to which the participant was able to pour liquid from a bottle into a glass, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent to which the participant was able to pour liquid from a bottle into a glass, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. Are you able to pour liquid from a bottle into a glass? 4;3;2;1;1 Without any difficulty;With a little difficulty;With some difficulty;With much difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-20 13:26:40.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C55252 Quality of Life - Upper extremity life one pound above shoulder level without bending elbow scale QolUppExtreLf1LbSdLvWoBdEbwScl The scale which represents the extent the participant was able to lift one pound above shoulder level without bending their elbow, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent the participant was able to lift one pound above shoulder level without bending their elbow, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. Are you able to lift one pound (0.5 kg) to shoulder level without bending your elbow? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-25 13:44:24.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C21143 Quality of Life - Movement button shirt ability scale QolMoveButtonShirtAblityScl The scale which represents the extent to which the participant was able to button their shirt, as part of Neuro-QOL Upper Extremity and Patient Repoted Outcome Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent to which the participant was able to button their shirt, as part of Neuro-QOL Upper Extremity and Patient Repoted Outcome Measurement Information System (PROMIS) Upper Extremity. Are you able to button your shirt? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2015-07-15 15:16:35.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C54077 Quality of life - Upper extremity dry back with towel scale QolUppExtreDryBackWthTwlScl The scale which represents the extent the participant was able to dry their back, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity The scale which represents the extent the participant was able to dry their back, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity Are you able to dry your back with a towel? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-02-13 13:50:51.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C55110 Quality of Life - Upper extremity push open door after turning knob scale QolUppExtrePshOpnDrAftTrnKbScl The scale which represents the extent the participant was able to push open a door after turning the knob, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent the participant was able to push open a door after turning the knob, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. Are you able to push open a door after turning the knob? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-20 13:39:47.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C55253 Quality of Life - Upper extremity use hands for turning faucets using kitchen gadgets or sewing scale QolUppExtreUsHdTrnFctKtGdSwScl The scale which represents the extent the participant was able to use their hands for turning on faucets, using kitchen gadgets or sewing, as a part of the Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent the participant was able to use their hands for turning on faucets, using kitchen gadgets or sewing, as a part of the Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. Are you able to use your hands, such as for turning faucets, using kitchen gadgets, or sewing? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-25 16:45:30.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C21144 Quality of Life - Movement fingernail trim ability scale QolMoveFingernlTrimAbiltyScl The scale which represents the extent to which the participant was able to trim their fingernails, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent to which the participant was able to trim their fingernails, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. Are you able to trim your fingernails? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2015-07-15 15:16:35.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C54146 Quality of Life - Upper extremity peel fruit ability scale QolUppExtrePeelFrtAbilityScl The scale which represents the extent to which the participant was able to peel fruit, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity The scale which represents the extent to which the participant was able to peel fruit, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity Are you able to peel fruit? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-02-14 12:16:01.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C55111 Quality of Life - Upper extremity tie knot or bow scale QolUppExtreTieKntOrBowScl The scale which represents the extent the participant is able to tie a knot or a bow, as a part of the Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent the participant is able to tie a knot or a bow, as a part of the Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. Are you able to tie a knot or a bow? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-20 13:50:06.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C55254 Quality of Life - Upper extremity water house plant scale QolUppExtreWtrHsPlntScl The scale which represents the extent the participant was able to water a house plant, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent the participant was able to water a house plant, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. Are you able to water a house plant? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-25 16:51:28.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53672 Quality of Life - Upper extremity mobility carry heavy object scale QolExtreMobCrryHvyObj10LbScl The scale which represents the extent to which the participant was able to carry a heavy object over 10 pounds, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity The scale which represents the extent to which the participant was able to carry a heavy object over 10 pounds, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity Are you able to carry a heavy object (over 10 pounds /5 kg)? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-02-09 12:57:56.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C54330 Quality of Life - Upper extremity put on shirt blouse ability scale QolUppExtrShrtBlseAbilityScl The scale which represents the extent the participant was able to put on a shirt or blouse, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity The scale which represents the extent the participant was able to put on a shirt or blouse, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity Are you able to put on a shirt or blouse? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-02-27 13:35:49.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C55113 Quality of Life - Upper extremity lift ten pounds above shoulder scale QolUppExtreLft10LbsAbvShldrScl The scale which represents the extent the participant was able to lift ten pounds above their shoulder, as a part of the Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent the participant was able to to lift ten pounds above their shoulder, as a part of the Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. Are you able to lift 10 pounds (5 kg) above your shoulder? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-20 13:55:37.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C55255 Quality of Life - Upper extremity lift heavy painting or picture hang above eye-level scale QolUppExtreLfHvPnPcHgAbEyLvScl The scale which represents the extent the participant was able to lift a heavy painting or picture to hang above eye- level, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent the participant was able to lift a heavy painting or picture to hang above eye- level, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. Are you able to lift a heavy painting or picture to hang on your wall above eye-level? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-25 16:55:10.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53882 Quality of Life - Upper extremity mobility movement dress self scale QolUppExtreMobMoveDrsSlfScl The scale which represents the extent to which the participant was able to dress, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity The scale which represents the extent to which the participant was able to dress, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity Are you able to dress yourself, including tying shoelaces and buttoning your clothes? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-02-10 12:13:49.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C54413 Quality of Life - Upper extremity wash dishes pots utensils by hand standing sink ability scale QolUppExtreWsDsPtUtHdStSkAbScl The scale which represents the extent the participant was able to wash dishes, pots and utensils by hand while standing at a sink, as a part of the Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity The scale which represents the extent the participant was able to wash dishes, pots and utensils by hand while standing at a sink, as a part of the Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity Are you able to wash dishes, pots, and utensils by hand while standing at a sink? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-03-03 13:14:21.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C55115 Quality of Life - Upper extremity open new milk carton scale QolUppExtreOpnNewMilkCrtnScl The scale which represents the extent the participant was able to open a new milk carton, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent the participant was able to open a new milk carton, as a part of Patient-Reported Outcome Measurement Information System (PROMIS) Upper Extremity. Are you able to open a new milk carton? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-20 14:01:29.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C21127 Quality of Life - Movement turn key lock ability scale QoLMoveTurnKeyLockAbilityScl The scale which represents the extent to which the participant was able to turn a key in a lock, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent to which the participant was able to turn a key in a lock, as part of Neuro-QOL Upper Extremity and Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity. Are you able to turn a key in a lock? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2015-07-15 15:16:35.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C55256 Quality of Life - Upper extremity pass 20 pound ham or turkey to other people at table scale QolUppExtrePs20LbHmTkOtPpTbScl The scale which represents the extent the participant was able to pass a twenty pound ham or turkey to other people at the table, as a part of Patient Reported Outcome Measurement Information System (PROMIS) Upper Extremity. The scale which represents the extent the participant was able to pass a twenty pound ham or turkey to other people at the table, as a part of Patient Reported Outcome Measurement Information System (PROMIS) Upper Extremity. Are you able to pass a 20-pound (10 kg) turkey or ham to other people at the table? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-04-25 17:01:21.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

C53883 Quality of Life - Upper extremity mobility reach high cupboard scale QolUppExtreRchHghCupbrdScl The scale which represents the extent to which the participant was able to reach into a high cupboard, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity The scale which represents the extent to which the participant was able to reach into a high cupboard, as a part of Patient-Reported Outcomes Measurement Information System (PROMIS) Upper Extremity Are you able to reach into a high cupboard? 5;4;3;2;1 Without any Difficulty;With a Little Difficulty;With Some Difficulty;With Much Difficulty;Unable to Do Numeric Values

Part of PROMIS Upper Extremity Domain

2008-2016 PROMIS Health Organization and PROMIS Cooperative Group Adult Supplemental 1.00 2017-02-10 13:02:22.0 Patient-Reported outcomes Measurement Information System (PROMIS) Upper Extremity Domain Neuromotor Function Outcomes and End Points

Single Pre-Defined Value Selected

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