CDE Detailed Report

Disease: General (For all diseases)
Sub-Domain: NIH Resources
CRF: PROMIS Item Bank v1.0 - Alcohol: Negative Consquences

Displaying 1 - 32 of 32
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
C55312 PROMIS - Negative consequences unreliable after drink scale PROMISNegConUnrlbleAftrDrkScl Scale related to the individual being unreliable after he/she drank, as part of the PROMIS Negative Consequences Scale related to the individual being unreliable after he/she drank, as part of the PROMIS Negative Consequences I was unreliable after I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55324 PROMIS - Negative consequences look sloppy when drink scale PROMISNegConLkSlppyWhnDrkScl Scale related to an individual looking sloppy when he/she drank, as part of the PROMIS Negative Consequences Scale related to an individual looking sloppy when he/she drank, as part of the PROMIS Negative Consequences I looked sloppy when I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55302 PROMIS - Negative consequences problem seem worse scale PROMISNegConPrbSmWrsScl Scale related to the individual's problems seeming worse when he/she drank, as part of the PROMIS Negative Consequences Scale related to the individual's problems seeming worse when he/she drank, as part of the PROMIS Negative Consequences My problems seemed worse when I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55313 PROMIS - Negative consequences other complain scale PROMISNegConOthCmplnScl Scale related to the individual having others complain about his/her drinking, as part of the PROMIS Negative Consequences Scale related to the individual having others complain about his/her drinking, as part of the PROMIS Negative Consequences Others complained about my drinking 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55326 PROMIS - Negative consequences dizzy after drink scale PROMISNegConDzzyAftrDrkScl Scale related to an individual feeling dizzy after he/she drank, as part of the PROMIS Negative Consequences Scale related to an individual feeling dizzy after he/she drank, as part of the PROMIS Negative Consequences I felt dizzy after I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55303 PROMIS - Negative consequences trouble keep appointment scale PROMISNegConTrbKpApptScl Scale related to the individual having trouble keeping appointments after he/she drank, as part of the PROMIS Negative Consequences Scale related to the individual having trouble keeping appointments after he/she drank, as part of the PROMIS Negative Consequences I had trouble keeping appointments after I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55314 PROMIS - Negative consequences criticize about drink scale PROMISNegConCrtAbtDrkScl Scale related to the individual being criticized about his/her drinking, as part of the PROMIS Negative Consequences Scale related to the individual being criticized about his/her drinking, as part of the PROMIS Negative Consequences I was criticized about my drinking 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55328 PROMIS - Negative consequences hangover after drink scale PROMISNegConHngvrAftrDrkScl Scale related to an individual having a hangover after he/she drank, as part of the PROMIS Negative Consequences Scale related to an individual having a hangover after he/she drank, as part of the PROMIS Negative Consequences I had a hangover after I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55304 PROMIS - Negative consequences confuse when drink scale PROMISNegConCnfsWhnDrkScl Scale related to the individual getting confused when he/she drank, as part of the PROMIS Negative Consequences Scale related to the individual getting confused when he/she drank, as part of the PROMIS Negative Consequences I got confused when I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55315 PROMIS - Negative consequences argument when drink scale PROMISNegConArgWhnDrkScl Scale related to the individual getting into an argument when he/she drank, as part of the PROMIS Negative Consequences Scale related to the individual getting into an argument when he/she drank, as part of the PROMIS Negative Consequences I got in an argument when he/she drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55330 PROMIS - Negative consequences poor judgment when drink scale PROMISNegConPrJdgmntWhnDrkScl Scale related to an individual having poor judgment when he/she drank, as part of the PROMIS Negative Consequences Scale related to an individual having poor judgment when he/she drank, as part of the PROMIS Negative Consequences I used poor judgement when I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55305 PROMIS - Negative consequences took risks when drink scale PROMISNegConTkRskWhnDrkScl Scale related to the individual taking risks when he/she drank, as part of the PROMIS Negative Consequences Scale related to the individual taking risks when he/she drank, as part of the PROMIS Negative Consequences I took risks when I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55316 PROMIS - Negative consequences loud when drink scale PROMISNegConLdWhnDrkScl Scale related to the individual being loud when he/she drank, as part of the PROMIS Negative Consequences Scale related to the individual being loud when he/she drank, as part of the PROMIS Negative Consequences I was loud when I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55331 PROMIS - Negative consequences trouble getting things done after drink scale PROMISNegConTrblGttnThDnDrkScl Scale related to an individual having trouble getting things done after he/she drank, as part of the PROMIS Negative Consequences Scale related to an individual having trouble getting things done after he/she drank, as part of the PROMIS Negative Consequences I had trouble getting things done after I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55306 PROMIS - Negative consequences critical of self when drink scale PROMISNegConCrtOfSlfWhnDrScl Scale related to the individual being critical of themselves when he/she drank, as part of the PROMIS Negative Consequences Scale related to the individual being critical of themselves when he/she drank, as part of the PROMIS Negative Consequences I was critical of myself when I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55317 PROMIS - Negative consequences sad when drink scale PROMISNegConSdWhnDrkScl Scale related to the individual being sad when he/she drank, as part of the PROMIS Negative Consequences Scale related to the individual being sad when he/she drank, as part of the PROMIS Negative Consequences I felt sad when I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55332 PROMIS - Negative consequences inconsiderate when drink scale PROMISNegConIncnsWhnDrkScl Scale related to an individual being inconsiderate when he/she drank, as part of the PROMIS Negative Consequences Scale related to an individual being inconsiderate when he/she drank, as part of the PROMIS Negative Consequences I was inconsiderate when I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55307 PROMIS - Negative consequences guilty when drink scale PROMISNegConGltyWhnDrScl Scale related to the individual feeling guilty when he/she drank, as part of the PROMIS Negative Consequences Scale related to the individual feeling guilty when he/she drank, as part of the PROMIS Negative Consequences I felt guilty when I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55318 PROMIS - Negative consequences drink cause problems with others scale PROMISNegConDrkCsPrblWthOthScl Scale related to drinking creating problems between the individual and others, as part of the PROMIS Negative Consequences Scale related to drinking creating problems between the individual and others, as part of the PROMIS Negative Consequences Drinking created problems between me and others 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55333 PROMIS - Negative consequences trouble trusting people when drink scale PROMISNegConTrbTrsPplWhnDrkScl Scale related to an individual having trouble trusting other people when he/she drank, as part of the PROMIS Negative Consequences Scale related to an individual having trouble trusting other people when he/she drank, as part of the PROMIS Negative Consequences I had trouble trusting other people when I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55308 PROMIS - Negative consequences headache after drink scale PROMISNegConHdcheAfDrnkScl Scale related to the individual having a headache after he/she drank, as part of the PROMIS Negative Consequences Scale related to the individual having a headache after he/she drank, as part of the PROMIS Negative Consequences I had a headache after I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55319 PROMIS - Negative consequences embarrassing things when drink scale PROMISNegConEmbThWhnDrnkScl Scale related to an individual saying or doing embarrassing things when he/she drank, as part of the PROMIS Negative Consequences Scale related to an individual saying or doing embarrassing things when he/she drank, as part of the PROMIS Negative Consequences I said or did embarrassing things when I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55157 PROMIS - Alcohol use drink consumption indicator PROMISAlcUsDrCnsInd Indicator of an individual's consumption of an alcoholic beverage within 30 days, as part of the PROMIS Alcohol Use Indicator of an individual's consumption of an alcoholic beverage within 30 days, as part of the PROMIS Alcohol Use For the past 30 days, did you drink any type of alcoholic beverage? 1;2 Yes;No Alphanumeric Adult Supplemental 1.00 2017-04-21 09:43:58.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55309 PROMIS - Negative consequences sick when drink scale PROMISNegConSckWhnDrnkScl Scale related to the individual getting sick after he/she drank, as part of the PROMIS Negative Consequences Scale related to the individual getting sick after he/she drank, as part of the PROMIS Negative Consequences I got sick when I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55320 PROMIS - Negative consequences lie about drink scale PROMISNegConLieAbtDrkScl Scale related to an individual lying about his/her drinking, as part of the PROMIS Negative Consequences Scale related to an individual lying about his/her drinking, as part of the PROMIS Negative Consequences I lied about my drinking 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55299 PROMIS - Negative consequences worry when drink scale PROMISNegConWrryWhnDrScl Scale related to the individual being worried when he/she drank, as part of the PROMIS Negative Consequences Scale related to the individual being worried when he/she drank, as part of the PROMIS Negative Consequences I worried when I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55310 PROMIS - Negative consequences feel anxious when drink scale PROMISNegConFlAnWhnDrkScl Scale related to the individual feeling anxious when he/she drank, as part of the PROMIS Negative Consequences Scale related to the individual feeling anxious when he/she drank, as part of the PROMIS Negative Consequences I felt anxious when I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55321 PROMIS - Negative consequences disappointed others when drink scale PROMISNegConDsptOthWhnDrkScl Scale related to an individual disappointing others when he/she drank, as part of the PROMIS Negative Consequences Scale related to an individual disappointing others when he/she drank, as part of the PROMIS Negative Consequences I disappointed others when I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55300 PROMIS - Negative consequences angry when drink scale PROMISNegConAngryWhnDkScl Scale related to the individual feeling angry when he/she drank, as part of the PROMIS Negative Consequences Scale related to the individual feeling angry when he/she drank, as part of the PROMIS Negative Consequences I felt angry when I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55311 PROMIS - Negative consequences clumsy when drink scale PROMISNegConClmsyWhnDrkScl Scale related to the individual being clumsy when he/she drank, as part of the PROMIS Negative Consequences Scale related to the individual being clumsy when he/she drank, as part of the PROMIS Negative Consequences I was clumsy when I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55322 PROMIS - Negative consequences trouble counting on when drink scale PROMISNegConTrblCntWhnDrkScl Scale related to others having trouble counting on an individual when he/she drank, as part of the PROMIS Negative Consequences Scale related to others having trouble counting on an individual when he/she drank, as part of the PROMIS Negative Consequences Others had trouble counting on me when I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

C55301 PROMIS - Negative consequences nervous when drink scale PROMISNegConNrvsWhnDkScl Scale related to the individual feeling nervous when he/she drank, as part of the PROMIS Negative Consequences Scale related to the individual feeling nervous when he/she drank, as part of the PROMIS Negative Consequences I felt nervous when I drank 1;2;3;4;5 Never;Rarely;Sometimes;Often;Almost always Alphanumeric Adult Supplemental 1.00 2017-04-28 10:29:53.0 PROMIS Item Bank v1.0 - Alcohol: Negative Consquences NIH Resources NIH Resources

Single Pre-Defined Value Selected

CSV