CDE Detailed Report | NINDS Common Data Elements

Disease: content
Subdomain Name: Pain
CRF: welcome

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	Input Restrictions
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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