CDE Detailed Report
Disease: Spinal Cord Injury
Subdomain Name: Pain
CRF: Functional Disability Inventory - Child and Adolescent Form (FDI)
Displaying 1 - 15 of 15
Subdomain Name: Pain
CRF: Functional Disability Inventory - Child and Adolescent Form (FDI)
Displaying 1 - 15 of 15
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 For | 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 |
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| 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 For | 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 |
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| 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 For | 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 |
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| 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 For | 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 |
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| 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 For | 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 |
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| 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 For | 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 |
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| 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 For | 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 |
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| 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 For | 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 |
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| 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 For | 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 |
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| 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 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 For | 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 |
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| 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 For | 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 |
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| 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 For | 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 |
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| 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 For | 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 |
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| 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 For | 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 |
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| 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 For | 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 |
