CDE Detailed Report

Disease: Spinal Cord Injury
Sub-Domain: Pain
CRF: Functional Disability Inventory - Child and Adolescent 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
C14645 Functional Disability Inventory (FDI) - child form eat meal scale FDICFEatMealScale The scale of the child's or adolescent's ability to eat regular meals when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. The scale of the child's or adolescent's ability to eat regular meals when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. Would you 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 you 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. Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Child and Adolescent Form (FDI) Pain Outcomes and End Points

Single Pre-Defined Value Selected

C14646 Functional Disability Inventory (FDI) - child form up all day scale FDICFUpAllDayScale The scale of the child's or adolescent's ability to stay awake all day without taking a nap or rest when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. The scale of the child's or adolescent's ability to stay awake all day without taking a nap or rest when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. Would you 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 you 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. Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Child and Adolescent Form (FDI) Pain Outcomes and End Points

Single Pre-Defined Value Selected

C14647 Functional Disability Inventory (FDI) - child form riding bus car scale FDICFRidBusCarScale The scale of the child's or adolescent's ability to ride the bus to school or travel in a car when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. The scale of the child's or adolescent's ability to ride the bus to school or travel in a car when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. Would you 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 you 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. Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Child and Adolescent Form (FDI) Pain Outcomes and End Points

Single Pre-Defined Value Selected

C14648 Functional Disability Inventory (FDI) - child school all day scale FDICFSchlAllDayScale The scale of the child's or adolescent's ability to staying at school when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. The scale of the child's or adolescent's ability to staying at school when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. Would you 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 you 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. Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Child and Adolescent Form (FDI) Pain Outcomes and End Points

Single Pre-Defined Value Selected

C14649 Functional Disability Inventory (FDI) - child sports scale FDICFSportScale The scale of the child's or adolescent's ability to performing activites in gym class when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. The scale of the child's or adolescent's ability to performing activities in gym class when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. Would you have had physical trouble or difficulty doing the activities in gym class? 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 you 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. Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Child and Adolescent Form (FDI) Pain Outcomes and End Points

Single Pre-Defined Value Selected

C14650 Functional Disability Inventory (FDI) - child form read homework scale FDICFDfcltReadHmwrkScale The scale of the child's or adolescent's ability to read or do homework when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. The scale of the child's or adolescent's ability to read or do homework when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. Would you 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 you 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. Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Child and Adolescent Form (FDI) Pain Outcomes and End Points

Single Pre-Defined Value Selected

C14651 Functional Disability Inventory (FDI) - child form watch TV scale FDICFWtchTVScale The scale of the child's or adolescent's ability to watch television when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. The scale of the child's or adolescent's ability to watch television when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. Would you 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 you 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. Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Child and Adolescent Form (FDI) Pain Outcomes and End Points

Single Pre-Defined Value Selected

C14641 Functional Disability Inventory (FDI) - child form walk bathroom scale FDICFDfcltBthrmWlkScale The scale of the child's or adolescent's ability to walk to the bathroom when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. The scale of the child's or adolescent's ability to walk to the bathroom when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. Would you 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 you 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. Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Child and Adolescent Form (FDI) Pain Outcomes and End Points

Single Pre-Defined Value Selected

C14652 Functional Disability Inventory (FDI) - child form walk football field scale FDICFWlkFtblFldScale The scale of the child's or adolescent's ability to walk the length of a football field when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. The scale of the child's or adolescent's ability to walk the length of a football field when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. Would you 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 you 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. Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Child and Adolescent Form (FDI) Pain Outcomes and End Points

Single Pre-Defined Value Selected

C14642 Functional Disability Inventory (FDI) - child form walk stair scale FDICFDfcltStairWalkScale The scale of the child's or adolescent's ability to walk up the stairs when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. The scale of the child's or adolescent's ability to walk up the stairs when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. Would you 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 you 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. Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Child and Adolescent Form (FDI) Pain Outcomes and End Points

Single Pre-Defined Value Selected

C14653 Functional Disability Inventory (FDI) - child form run football field scale FDICFRunFtblFldScale The scale of the child's or adolescent's ability to run the length of a football field when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. The scale of the child's or adolescent's ability to run the length of a football field when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. Would you 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 you 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. Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Child and Adolescent Form (FDI) Pain Outcomes and End Points

Single Pre-Defined Value Selected

C14643 Functional Disability Inventory (FDI) - child form friend activity scale FDICFFrndActScale The scale of the child's or adolescent's ability to engage with a friend when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. The scale of the child's or adolescent's ability to engage with a friend when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. Would you have had physical trouble or difficulty doing something with a friend? 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 you 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. Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Child and Adolescent Form (FDI) Pain Outcomes and End Points

Single Pre-Defined Value Selected

C14654 Functional Disability Inventory (FDI) - child form shopping scale FDICFShopScale The scale of the child's or adolescent's ability to go shopping when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. The scale of the child's or adolescent's ability to go shopping when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. Would you 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 you 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. Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Child and Adolescent Form (FDI) Pain Outcomes and End Points

Single Pre-Defined Value Selected

C14644 Functional Disability Inventory (FDI) - child form chore scale FDICFChoreScale The scale of the child's or adolescent's ability to perform and complete chores at home when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. The scale of the child's or adolescent's ability to perform and complete chores at home when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. Would you 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 you 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. Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Child and Adolescent Form (FDI) Pain Outcomes and End Points

Single Pre-Defined Value Selected

C14655 Functional Disability Inventory (FDI) - child form sleep scale FDICFSlpScale The scale of the child's or adolescent's ability to sleep and stay asleep at night when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. The scale of the child's or adolescent's ability to sleep and stay asleep at night when sick or not feeling well from the past two weeks, as part of the Functional Disability Inventory (FDI) - Child and Adolescent Form. Would you 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 you 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. Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Functional Disability Inventory - Child and Adolescent Form (FDI) Pain Outcomes and End Points

Single Pre-Defined Value Selected

CSV