CDE Detailed Report

Disease: content
Subdomain Name: Activities of Daily Living/Performance
CRF: welcome

Displaying 51 - 90 of 90
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
C57597 Exercise minute average value ExrcsMinAvgVal Value of how many minutes of exercise is completed on average by the individual Value of how many minutes of exercise is completed on average by the individual How many minutes of exercise do you get on average (on days that you exercise)? Numeric Values Adult Exploratory 1.00 2018-01-09 10:35:06.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

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minutes
C57318 Health problem interfere shopping good day scale HlthPrbIntShpGdDyScl Scale related to how much an individual's health problems interfere with his/her shopping on a good day Scale related to how much an individual's health problems interfere with his/her shopping on a good day Shopping (On good days): 1;2;3;4;5 Not at all;a little;Some;A lot;completely Numeric Values Adult Exploratory 1.00 2018-01-05 10:06:58.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C57491 Physical Activity completed type PhysActCmpltTyp Type of Activity completed by the individual Type of Activity completed by the individual ACTIVITY Alphanumeric Adult Exploratory 1.00 2018-01-08 12:45:25.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points 255

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C57543 Spent awake engage activity mental clarity 6 day before test duration SpntAwkEngActMnClr6DyBfTstDur Duration of test time spent by an individual while awake engaging in activities that required mental clarity on day 6 before recording date start Duration of test time spent by an individual while awake engaging in activities that required mental clarity on day 6 before recording date start How many hours that you were awake did you engage in activities that required mental clarity?: Day 6: Numeric Values Adult Exploratory 1.00 2018-01-08 14:19:14.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

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0 24 hours
C57347 Severity fatigue average day over month type SvFtgAvgDyOvrMnthTyp Type of fatigue severity faced on an average day over the past few months Type of fatigue severity faced on an average day over the past few months Which of the following statements best describes the severity of your fatigue ON AN AVERAGE DAY over the past months (check ONLY ONE): I am bedridden and can do virtually nothing;I am shut-in: I can walk around the house but cannot even do light housework or its equivalent;I can work only part-time at my work or on family responsibilities;I can do all the things I usually do at home or work, but I feel much more easily fatigued from them and don't do things as well as I should;I can do all the things I want to do, even though I am fatigued I am bedridden and can do virtually nothing;I am shut-in: I can walk around the house but cannot even do light housework or its equivalent;I can work only part-time at my work or on family responsibilities;I can do all the things I usually do at home or work, but I feel much more easily fatigued from them and don't do things as well as I should;I can do all the things I want to do, even though I am fatigued Alphanumeric Adult Exploratory 1.00 2018-01-05 11:23:49.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C57554 Spent bed sleep hours day 3 before test duration SpntBdSlpHrDy3BfrTstDur Duration of test time spent sleeping (in hours) in bed on day 3 before recording date start Duration of test time spent sleeping (in hours) in bed on day 3 before recording date start Of hours in bed, how many were sleeping?: Day 3: Numeric Values Adult Exploratory 1.00 2018-01-08 14:19:14.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

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0 24 hours
C57284 Health problem interfere eating average scale HlthPrbIntEatAvgScl Scale related to how much an individual's health problems interfere with his/her eating on average Scale related to how much an individual's health problems interfere with his/her eating on average Eating (On average): 1;2;3;4;5 Not at all;a little;Some;A lot;completely Numeric Values Adult Exploratory 1.00 2018-01-05 10:06:58.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C57452 Daily activity bed chair bad day duration DlyActBdChrBdDyDur Duration of how long an individual spends doing activities in bed or chair (ex. TV, audiobooks) (in hours) on a bad day Duration of how long an individual spends doing activities in bed or chair (ex. TV, audiobooks) (in hours) on a bad day Activities in bed or chair (ex. TV, audiobooks): Bad Day Numeric Values Adult Exploratory 1.00 2018-01-08 10:20:44.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

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Hours
C57598 No present exercise reason NoPrsntExrcsRsn Reason for why an individual is not presently exercising Reason for why an individual is not presently exercising If not presently exercising, why not exercising? (Check all boxes that you agree with) Not interested;No time;Would like to but causes problems with fatigue/energy;Cannot because exercise makes symptoms worse Not interested;No time;Would like to but causes problems with fatigue/energy;Cannot because exercise makes symptoms worse Alphanumeric Adult Exploratory 1.00 2018-01-09 10:41:25.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Multiple Pre-Defined Values Selected

C57320 Health problem interfere shopping bad day scale HlthPrbIntShpBdDyScl Scale related to how much an individual's health problems interfere with his/her shopping on a bad day Scale related to how much an individual's health problems interfere with his/her shopping on a bad day Shopping (On bad days): 1;2;3;4;5 Not at all;a little;Some;A lot;completely Numeric Values Adult Exploratory 1.00 2018-01-05 10:06:58.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C57492 Age activity range AgeActivityRng Range of ages at which the individual participated in the indicated activity Range of ages at which the individual participated in the indicated activity AGE (s) Alphanumeric Adult Exploratory 1.00 2018-01-08 12:54:17.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points 9

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C57544 Spent bed hour day 5 before test duration SpntBdHrDy5BfrTstDur Duration of test time spent (in hours) in bed on day 5 before recording date start Duration of test time spent (in hours) in bed on day 5 before recording date start How many hours did you spend in bed: Day 5 before Numeric Values Adult Exploratory 1.00 2018-01-08 14:19:14.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

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0 24 hours
C57353 Fatigue require reduction average activity half normal indicator FtgRqRdAvgActHlfNrmlInd Indicator of whether the individual has had to lower his/her average activity level below half of what was his/her nomral level before becoming ill Indicator of whether the individual has had to lower his/her average activity level below half of what was his/her nomral level before becoming ill Have you been so fatigued that you have had to reduce your average activity level below half of what was your normal level before you became ill? Yes, all the time;Yes, some of the time;Yes, but rarely;No Yes, all the time;Yes, some of the time;Yes, but rarely;No Alphanumeric Adult Exploratory 1.00 2018-01-05 12:01:11.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C57555 Spent bed sleep hours day 2 before test duration SpntBdSlpHrDy2BfrTstDur Duration of test time spent sleeping (in hours) in bed on day 2 before recording date start Duration of test time spent sleeping (in hours) in bed on day 2 before recording date start Of hours in bed, how many were sleeping?: Day 2: Numeric Values Adult Exploratory 1.00 2018-01-08 14:19:14.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

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0 24 hours
C57288 Health problem interfere eating good day scale HlthPrbIntEatGdDyScl Scale related to how much an individual's health problems interfere with his/her eating on a good day Scale related to how much an individual's health problems interfere with his/her eating on a good day Eating (On good days): 1;2;3;4;5 Not at all;a little;Some;A lot;completely Numeric Values Adult Exploratory 1.00 2018-01-05 10:06:58.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C57456 Daily activity light good day duration DlyActLgtGdDyDur Duration of how long an individual spends doing light activities (example, use computer at desk, microwave a meal, pay bills) (in hours) on a good day Duration of how long an individual spends doing light activities (example, use computer at desk, microwave a meal, pay bills) (in hours) on a good day light activity (example, use computer at desk, microwave a meal, pay bills): Good Day Numeric Values Adult Exploratory 1.00 2018-01-08 10:20:44.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

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Hours
C57599 Before illness engage exercise indicator BfrIllnsEngExrcsInd Indicator of whether or not the individual engaged in exercise before his/her illness Indicator of whether or not the individual engaged in exercise before his/her illness Did you engage in exercise? No;Yes No;Yes Alphanumeric Adult Exploratory 1.00 2018-01-09 10:51:44.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C57322 Health problem interfere exercising average scale HlthPrbIntExrAvgScl Scale related to how much an individual's health problems interfere with his/her exercising on average Scale related to how much an individual's health problems interfere with his/her exercising on average Exercising (On average): 1;2;3;4;5 Not at all;a little;Some;A lot;completely Numeric Values Adult Exploratory 1.00 2018-01-05 10:06:58.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C57493 Day per week for activity count DyPrWkFrActCt Count of days per week an activity was completed Count of days per week an activity was completed Days/Week Numeric Values Adult Exploratory 1.00 2018-01-08 13:47:52.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

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1 7 Days per week
C57545 Spent bed hour day 4 before test duration SpntBdHrDy4BfrTstDur Duration of test time spent (in hours) in bed on day 4 before recording date start Duration of test time spent (in hours) in bed on day 4 before recording date start How many hours did you spend in bed: Day 4 before Numeric Values Adult Exploratory 1.00 2018-01-08 14:19:14.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

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0 24 hours
C57360 Activity affect by fatigue status ActAffByFtgStatus Status of how an individual's activities have been affected by tiredness, weariness or fatigue Status of how an individual's activities have been affected by tiredness, weariness or fatigue Have your activities (personal, at home, social, educational, and/or occupational) been affected by this tiredness, weariness or fatigue? Not at all;A little, but I can usually still do everything or most things normally;I have needed to substantially reduce at least some activities;I can no longer do at least some of the activities I used to do;I can no longer do most of the activities I used to do Not at all;A little, but I can usually still do everything or most things normally;I have needed to substantially reduce at least some activities;I can no longer do at least some of the activities I used to do;I can no longer do most of the activities I used to do Alphanumeric Adult Exploratory 1.00 2018-01-05 12:43:09.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C57556 Spent upright activity hours day 3 before test duration SpntUprgActHrDy3BfrTstDur Duration of test time spent in upright activities (in chair or standing) (in hours) on day 3 before recording date start Duration of test time spent in upright activities (in chair or standing) (in hours) on day 3 before recording date start How many hours did you spend in upright activities (in chair or standing)?: Day 3: Numeric Values Adult Exploratory 1.00 2018-01-08 14:19:14.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

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0 24 hours
C57291 Health problem interfere eating bad day scale HlthPrbIntEatBdDyScl Scale related to how much an individual's health problems interfere with his/her eating on a bad day Scale related to how much an individual's health problems interfere with his/her eating on a bad day Eating (On bad days): 1;2;3;4;5 Not at all;a little;Some;A lot;completely Numeric Values Adult Exploratory 1.00 2018-01-05 10:06:58.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C57462 Daily activity light bad day duration DlyActLgtBdDyDur Duration of how long an individual spends doing light activities (example, use computer at desk, microwave a meal, pay bills) (in hours) on a bad day Duration of how long an individual spends doing light activities (example, use computer at desk, microwave a meal, pay bills) (in hours) on a bad day light activity (example, use computer at desk, microwave a meal, pay bills): Bad Day Numeric Values Adult Exploratory 1.00 2018-01-08 10:20:44.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

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Hours
C57600 Before illness exercise type text BfrIllnssExcrsTypTxt Text field related to the type of exercise the individual engaged in prior to his/her illness Text field related to the type of exercise the individual engaged in prior to his/her illness If yes, what type? Alphanumeric Adult Exploratory 1.00 2018-01-09 09:59:21.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points 255

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C57324 Health problem interfere exercising good day scale HlthPrbIntExrGdDyScl Scale related to how much an individual's health problems interfere with his/her exercising on a good day Scale related to how much an individual's health problems interfere with his/her exercising on a good day Exercising (On good days): 1;2;3;4;5 Not at all;a little;Some;A lot;completely Numeric Values Adult Exploratory 1.00 2018-01-05 10:06:58.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C57501 Actual recording start date ActlRcrdngStrtDate Date in which actual recording started Date in which actual recording started Survey of Activity Level Before and After Two-Day Cardiopulmonary Exercise Tests- Actual date recording started: Date or Date & Time Adult Exploratory 1.00 2018-01-08 14:07:07.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

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C57546 Spent bed sleep hours day 5 before test duration SpntBdSlpHrDy5BfrTstDur Duration of test time spent sleeping (in hours) in bed on day 5 before recording date start Duration of test time spent sleeping (in hours) in bed on day 5 before recording date start Of hours in bed, how many were sleeping?: Day 5: Numeric Values Adult Exploratory 1.00 2018-01-08 14:19:14.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

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0 24 hours
C57368 Course of illness status CrseOfIllnStatus Status of how the individual would describe the status of his/her illness Status of how the individual would describe the status of his/her illness How would you describe the course of your illness? Constantly getting worse;Constantly improving;No change;Relapsing and remitting;Fluctuating;No symptoms, I am not ill or have recovered completely Constantly getting worse;Constantly improving;No change;Relapsing and remitting (good periods with no or few symptoms, and bad periods);Fluctuating (symptoms vary a lot but never disappear);No symptoms, I am not ill or have recovered completely Alphanumeric Adult Exploratory 1.00 2018-01-05 13:05:34.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C57557 Spent upright activity hours day 2 before test duration SpntUprgActHrDy2BfrTstDur Duration of test time spent in upright activities (in chair or standing) (in hours) on day 2 before recording date start Duration of test time spent in upright activities (in chair or standing) (in hours) on day 2 before recording date start How many hours did you spend in upright activities (in chair or standing)?: Day 2: Numeric Values Adult Exploratory 1.00 2018-01-08 14:19:14.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Free-Form Entry

0 24 hours
C57295 Health problem interfere working average scale HlthPrbIntWrkAvgScl Scale related to how much an individual's health problems interfere with his/her working on average Scale related to how much an individual's health problems interfere with his/her working on average Working (On average): 1;2;3;4;5 Not at all;a little;Some;A lot;completely Numeric Values Adult Exploratory 1.00 2018-01-05 10:06:58.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C57463 Daily activity moderate good day duration DlyActMdGdDyDur Duration of how long an individual spends doing moderate activities (example, shopping) (in hours) on a good day Duration of how long an individual spends doing moderate activities (example, shopping) (in hours) on a good day moderate activity (example, shopping): Good Day Numeric Values Adult Exploratory 1.00 2018-01-08 10:20:44.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

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Hours
C57628 Prior to illness exercise intensity type PrrToIllnsExrcsIntnsTyp Type of intensity of the exercise the individual has engaged in prior to illness Type of intensity of the exercise the individual has engaged in prior to illness How intense? light;moderate;hard light (e.g., light weights, yoga, regular walking);moderate (e.g., vigorous walking or light jogging, moderate cycling);hard (e.g., running, fast-paced sports, heavy weight lifting) Alphanumeric Adult Exploratory 1.00 2018-01-09 10:04:33.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C57326 Health problem interfere exercising bad day scale HlthPrbIntExrBdDyScl Scale related to how much an individual's health problems interfere with his/her exercising on a bad day Scale related to how much an individual's health problems interfere with his/her exercising on a bad day Exercising (On bad days): 1;2;3;4;5 Not at all;a little;Some;A lot;completely Numeric Values Adult Exploratory 1.00 2018-01-05 10:06:58.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C57517 Spent bed hour day 7 before test duration SpntBdHrDy7BfrTstDur Duration of test time spent (in hours) in bed on day 7 before recording date start Duration of test time spent (in hours) in bed on day 7 before recording date start How many hours did you spend in bed: Day 7 before Numeric Values Adult Exploratory 1.00 2018-01-08 14:19:14.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Free-Form Entry

0 24 hours
C57547 Spent bed sleep hours day 4 before test duration SpntBdSlpHrDy4BfrTstDur Duration of test time spent sleeping (in hours) in bed on day 4 before recording date start Duration of test time spent sleeping (in hours) in bed on day 4 before recording date start Of hours in bed, how many were sleeping?: Day 4: Numeric Values Adult Exploratory 1.00 2018-01-08 14:19:14.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Free-Form Entry

0 24 hours
C57369 Live with help indicator LvWthHlpInd Indicator of whether the individual lives with someone who can take care of him/her Indicator of whether the individual lives with someone who can take care of him/her Do you live with someone who can take care of you? No;Yes No;Yes Alphanumeric Adult Exploratory 1.00 2018-01-05 13:15:27.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C57558 Spent awake engage activity mental clarity 3 day before test duration SpntAwkEngActMnClr3DyBfTstDur Duration of test time spent by an individual while awake engaging in activities that required mental clarity on day 3 before recording date start Duration of test time spent by an individual while awake engaging in activities that required mental clarity on day 3 before recording date start How many hours that you were awake did you engage in activities that required mental clarity?: Day 3: Numeric Values Adult Exploratory 1.00 2018-01-08 14:19:14.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Free-Form Entry

0 24 hours
C57298 Health problem interfere working good day scale HlthPrbIntWrkGdDyScl Scale related to how much an individual's health problems interfere with his/her working on a good day Scale related to how much an individual's health problems interfere with his/her working on a good day Working (On good days): 1;2;3;4;5 Not at all;a little;Some;A lot;completely Numeric Values Adult Exploratory 1.00 2018-01-05 10:06:58.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

Single Pre-Defined Value Selected

C57464 Daily activity moderate bad day duration DlyActMdBdDyDur Duration of how long an individual spends doing moderate activities (example, shopping) (in hours) on a bad day Duration of how long an individual spends doing moderate activities (example, shopping) (in hours) on a bad day moderate activity (example, shopping): Bad Day Numeric Values Adult Exploratory 1.00 2018-01-08 10:20:44.0 Physical Functioning and Activities of Daily Living Activities of Daily Living/Performance Outcomes and End Points

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Hours
CSV