CDISC QS Controlled Terminology

CDISC QS Controlled Terminology, 2014-03-28
Legend:
CodeList
CodeListItem
NCI attributes
C101805Abnormal Involuntary Movement Scale Test Code
C101806Abnormal Involuntary Movement Scale Test Name
C101807ADNI AVLT Test Code
C101808ADNI AVLT Test Name
C112435Airway Questionnaire 20 Test Code
C112434Airway Questionnaire 20 Test Name
C100132Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Test Code
C100131Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Test Name
C106651Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Code
C106650Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Name
C105140Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Code
C105139Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Name
C106653Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Code
C106652Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Name
C103459Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Code
C103458Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Name
C101809Barnes Akathisia Rating Scale Test Code
C101810Barnes Akathisia Rating Scale Test Name
C106655Baseline Dyspnea Index Questionnaire Test Code
C106654Baseline Dyspnea Index Questionnaire Test Name
C113852Bladder Control Scale Test Code
C113851Bladder Control Scale Test Name
C113846Borg CR-10 Scale Test Code
C113845Borg CR-10 Scale Test Name
C113854Bowel Control Scale Test Code
C113853Bowel Control Scale Test Name
C100164Brief Pain Inventory Short Form Test Code
C100163Brief Pain Inventory Short Form Test Name
C100162Brief Pain Inventory Test Code
C100161Brief Pain Inventory Test Name
C100134Brief Psychiatric Rating Scale-A Test Code
C100133Brief Psychiatric Rating Scale-A Test Name
C101811Clinical Dementia Rating Test Code
C101812Clinical Dementia Rating Test Name
C100150Clinical Global Impression Test Code
C100149Clinical Global Impression Test Name
C101813Clinical Opiate Withdrawal Scale Test Code
C101814Clinical Opiate Withdrawal Scale Test Name
C100168Columbia-Suicidality Severity Rating Scale Baseline Test Code
C100167Columbia-Suicidality Severity Rating Scale Baseline Test Name
C105132Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Code
C105131Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Name
C103461Columbia-Suicidality Severity Rating Scale Since Last Visit Questionnaire Test Code
C103460Columbia-Suicidality Severity Rating Scale Since Last Visit Questionnaire Test Name
C106659Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test Code
C106658Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test Name
C106661Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test Code
C106660Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test Name
C111336Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test Code
C111335Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test Name
C111338Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test Code
C111337Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test Name
C111340Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test Code
C111339Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test Name
C113848Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test Code
C113847Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test Name
C111342Columbia-Suicide Severity Rating Scale Screening Questionnaire Test Code
C111341Columbia-Suicide Severity Rating Scale Screening Questionnaire Test Name
C100158Current Opioid Misuse Measure Test Code
C100157Current Opioid Misuse Measure Test Name
C105130Disability Assessment for Dementia Questionnaire Test Code
C105129Disability Assessment for Dementia Questionnaire Test Name
C112437Disease Steps Questionnaire Test Code
C112436Disease Steps Questionnaire Test Name
C101815Eastern Cooperative Oncology Group Performance Status Test Code
C101816Eastern Cooperative Oncology Group Performance Status Test Name
C103463Epworth Sleepiness Scale Questionnaire Test Code
C103462Epworth Sleepiness Scale Questionnaire Test Name
C101817European Quality of Life Five Dimension Five Level Scale Test Code
C101818European Quality of Life Five Dimension Five Level Scale Test Name
C100136European Quality of Life Five Dimension Three Level Scale Test Code
C100135European Quality of Life Five Dimension Three Level Scale Test Name
C100154Faces Pain Scale - Revised Test Code
C100153Faces Pain Scale - Revised Test Name
C113850Fatigue Severity Scale Test Code
C113849Fatigue Severity Scale Test Name
C111344Functional Activities Questionnaire Test Code
C111343Functional Activities Questionnaire Test Name
C111346Functional Activities Questionnaire-NACC Version Test Code
C111345Functional Activities Questionnaire-NACC Version Test Name
C112441Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Code
C112440Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Name
C105138General Clinical Global Impressions Questionnaire Test Code
C105137General Clinical Global Impressions Questionnaire Test Name
C103467Generalized Anxiety Disorder - 7 Questionnaire Test Code
C103466Generalized Anxiety Disorder - 7 Questionnaire Test Name
C106663Geriatric Depression Scale Questionnaire Test Code
C106662Geriatric Depression Scale Questionnaire Test Name
C106665Geriatric Depression Scale Short Form Questionnaire Test Code
C106664Geriatric Depression Scale Short Form Questionnaire Test Name
C101819Hamilton Anxiety Rating Scale Test Code
C101820Hamilton Anxiety Rating Scale Test Name
C100138Hamilton Depression Rating Scale - 17 Item Test Code
C100137Hamilton Depression Rating Scale - 17 Item Test Name
C101821Hamilton Depression Rating Scale 21-Item Test Code
C101822Hamilton Depression Rating Scale 21-Item Test Name
C106667Health Assessment Questionnaire Disability Index Test Code
C106666Health Assessment Questionnaire Disability Index Test Name
C103469Hospital Anxiety and Depression Scale Questionnaire Test Code
C103468Hospital Anxiety and Depression Scale Questionnaire Test Name
C113856Impact of Visual Impairment Scale Test Code
C113855Impact of Visual Impairment Scale Test Name
C103471International Index of Erectile Function Questionnaire Test Code
C103470International Index of Erectile Function Questionnaire Test Name
C100170Karnofsky Performance Status Scale Test Code
C100169Karnofsky Performance Status Scale Test Name
C112439Kurtzke Expanded Disability Status Scale Questionnaire Test Code
C112438Kurtzke Expanded Disability Status Scale Questionnaire Test Name
C112443Kurtzke Functional Systems Scores Questionnaire Test Code
C112442Kurtzke Functional Systems Scores Questionnaire Test Name
C100152Michigan Neuropathy Screening Instrument Test Code
C100151Michigan Neuropathy Screening Instrument Test Name
C113858Modified Fatigue Impact Scale Test Code
C113857Modified Fatigue Impact Scale Test Name
C112445Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Code
C112444Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Name
C106669Modified Medical Research Council Dyspnea Scale Questionnaire Test Code
C106668Modified Medical Research Council Dyspnea Scale Questionnaire Test Name
C111348Modified Rankin Scale Questionnaire Test Code
C111347Modified Rankin Scale Questionnaire Test Name
C100140Movement Disorder Society UPDRS Test Code
C100139Movement Disorder Society UPDRS Test Name
C113860Multiple Sclerosis Quality of Life-54 Instrument Test Code
C113859Multiple Sclerosis Quality of Life-54 Instrument Test Name
C112453National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Test Code
C112452National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Test Name
C112455National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Test Code
C112454National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Test Name
C103473Neuropathic Pain Scale Questionnaire Test Code
C103472Neuropathic Pain Scale Questionnaire Test Name
C100144Neuropsychiatric Inventory Test Code
C100143Neuropsychiatric Inventory Test Name
C105134Pain Intensity Questionnaire Test Code
C105133Pain Intensity Questionnaire Test Name
C105136Pain Relief Questionnaire Test Code
C105135Pain Relief Questionnaire Test Name
C100146Parkinson's Disease Quality of Life Test Code
C100145Parkinson's Disease Quality of Life Test Name
C112447Patient Determined Disease Steps Questionnaire Test Code
C112446Patient Determined Disease Steps Questionnaire Test Name
C103483Patient Health Questionnaire - 15 Item Test Code
C103482Patient Health Questionnaire - 15 Item Test Name
C103481Patient Health Questionnaire - 9 Item Test Code
C103480Patient Health Questionnaire - 9 Item Test Name
C100129Questionnaire Category
C113862RAND 36-Item Health Survey 1.0 Test Code
C113861RAND 36-Item Health Survey 1.0 Test Name
C103465Revised Fibromyalgia Impact Questionnaire Test Code
C103464Revised Fibromyalgia Impact Questionnaire Test Name
C100166Roland Morris Disability Questionnaire Test Code
C100165Roland Morris Disability Questionnaire Test Name
C100160Screener and Opioid Assessment for Patients with Pain - Revised Test Code
C100159Screener and Opioid Assessment for Patients with Pain - Revised Test Name
C111350Sheehan Disability Scale Questionnaire Test Code
C111349Sheehan Disability Scale Questionnaire Test Name
C103487Short Opiate Withdrawal Scale Questionnaire Test Code
C103486Short Opiate Withdrawal Scale Questionnaire Test Name
C100156Short-Form McGill Pain Questionnaire-2 Test Code
C100155Short-Form McGill Pain Questionnaire-2 Test Name
C106671St. George's Respiratory Questionnaire for COPD Patients Test Code
C106670St. George's Respiratory Questionnaire for COPD Patients Test Name
C112449St. George's Respiratory Questionnaire Past 3 Months Version Test Code
C112448St. George's Respiratory Questionnaire Past 3 Months Version Test Name
C112451St. George's Respiratory Questionnaire Past 4 Weeks Version Test Code
C112450St. George's Respiratory Questionnaire Past 4 Weeks Version Test Name
C101828Subjective Opiate Withdrawal Scale Test Code
C101829Subjective Opiate Withdrawal Scale Test Name
C103485Symptom Impact Questionnaire Test Code
C103484Symptom Impact Questionnaire Test Name
C103479The Oswestry Disability Index Version 2.1a Questionnaire Test Code
C103478The Oswestry Disability Index Version 2.1a Questionnaire Test Name
C103477The Overactive Bladder Questionnaire Short Form Test Code
C103476The Overactive Bladder Questionnaire Short Form Test Name
C103475The Overactive Bladder Questionnaire Test Code
C103474The Overactive Bladder Questionnaire Test Name
C106657Transition Dyspnea Index Questionnaire Test Code
C106656Transition Dyspnea Index Questionnaire Test Name
C100148Unified Parkinson's Disease Rating Scale Test Code
C100147Unified Parkinson's Disease Rating Scale Test Name
C103489Urgency Perception Scale Questionnaire Test Code
C103488Urgency Perception Scale Questionnaire Test Name
C100176Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Test Code
C100175Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Test Name
C101830Young Mania Rating Scale Test Code
C101831Young Mania Rating Scale Test Name

Codelist Definitions

OIDName
(CDISC Submission Value)
DataType
Extensible
NCI CodeCDISC SynonymCDISC DefinitionPreferred Term
CDISC Submission Value [ODM:CodedValue]
CL.C101805.AIMS TESTCDAbnormal Involuntary Movement Scale Test Code
(AIMS TESTCD)
text
Extensible: No
C101805Abnormal Involuntary Movement Scale Test CodeAbnormal Involuntary Movement Scale test code.CDISC Questionnaire AIMS Test Code Terminology
AIMS0101C102034AIMS01-Muscles of Facial ExpressionAbnormal Involuntary Movement Scale - Facial and Oral Movements, Muscles of facial expression, e.g., movements of forehead, eyebrows, periorbital area, cheeks. Include frowning, blinking, grimacing of upper face.AIMS - Muscles of Facial Expression
AIMS0102C102035AIMS01-Lips and Perioral AreaAbnormal Involuntary Movement Scale - Facial and Oral Movements, Lips and perioral area, e.g., puckering, pouting, smacking.AIMS - Lips and Perioral Area
AIMS0103C102036AIMS01-JawAbnormal Involuntary Movement Scale - Facial and Oral Movements, Jaw, e.g., biting, clenching, chewing, mouth opening, lateral movement.AIMS - Jaw
AIMS0104C102037AIMS01-TongueAbnormal Involuntary Movement Scale - Facial and Oral Movements, Tongue. Rate only increase in movement both in and out of mouth, not inability to sustain movement.AIMS - Tongue
AIMS0105C102038AIMS01-Upper ExtremitiesAbnormal Involuntary Movement Scale - Extremity Movements, Upper (arms, wrists, hands, fingers). Include movements that are choreic (rapid, objectively purposeless, irregular, spontaneous) or athetoid (slow, irregular, complex, serpentine). Do not include tremor (repetitive, regular, rhythmic movements).AIMS - Upper Extremities
AIMS0106C102039AIMS01-Lower ExtremitiesAbnormal Involuntary Movement Scale - Extremity Movements, Lower (legs, knees, ankles, toes), e.g., lateral knee movement, foot tapping, heel dropping, foot squirming, inversion and eversion of foot.AIMS - Lower Extremities
AIMS0107C102040AIMS01-Neck, Shoulders, HipsAbnormal Involuntary Movement Scale - Trunk Movements, Neck, shoulders, hips, e.g., rocking, twisting, squirming, pelvic gyrations. Include diaphragmatic movements.AIMS - Neck, Shoulders, Hips
AIMS0108C102041AIMS01-Severity of Abnormal MovementsAbnormal Involuntary Movement Scale - Global Judgments, Severity of abnormal movements, based on the highest single score on the above items.AIMS - Severity of Abnormal Movements
AIMS0109C102042AIMS01-Incapacitation due Abn MovementsAbnormal Involuntary Movement Scale - Global Judgments, Incapacitation due to abnormal movements.AIMS - Incapacitation Due to Abnormal Movements
AIMS0110C102043AIMS01-Patient Awareness Abn MovementsAbnormal Involuntary Movement Scale - Global Judgments, Patient's awareness of abnormal movements.AIMS - Patient's Awareness of Abnormal Movements
AIMS0111C102044AIMS01-Current Problems Teeth/DenturesAbnormal Involuntary Movement Scale - Dental Status, Current problems with teeth and/or dentures.AIMS - Current Teeth/Dentures Problems
AIMS0112C102045AIMS01-Patient Usually Wear DenturesAbnormal Involuntary Movement Scale - Dental Status, Does patient usually wear dentures?AIMS - Patient Usually Wears Dentures
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CL.C101806.AIMS TESTAbnormal Involuntary Movement Scale Test Name
(AIMS TEST)
text
Extensible: No
C101806Abnormal Involuntary Movement Scale Test NameAbnormal Involuntary Movement Scale test name.CDISC Questionnaire AIMS Test Name Terminology
AIMS01-Current Problems Teeth/DenturesC102044AIMS01-Current Problems Teeth/DenturesAbnormal Involuntary Movement Scale - Dental Status, Current problems with teeth and/or dentures.AIMS - Current Teeth/Dentures Problems
AIMS01-Incapacitation due Abn MovementsC102042AIMS01-Incapacitation due Abn MovementsAbnormal Involuntary Movement Scale - Global Judgments, Incapacitation due to abnormal movements.AIMS - Incapacitation Due to Abnormal Movements
AIMS01-JawC102036AIMS01-JawAbnormal Involuntary Movement Scale - Facial and Oral Movements, Jaw, e.g., biting, clenching, chewing, mouth opening, lateral movement.AIMS - Jaw
AIMS01-Lips and Perioral AreaC102035AIMS01-Lips and Perioral AreaAbnormal Involuntary Movement Scale - Facial and Oral Movements, Lips and perioral area, e.g., puckering, pouting, smacking.AIMS - Lips and Perioral Area
AIMS01-Lower ExtremitiesC102039AIMS01-Lower ExtremitiesAbnormal Involuntary Movement Scale - Extremity Movements, Lower (legs, knees, ankles, toes), e.g., lateral knee movement, foot tapping, heel dropping, foot squirming, inversion and eversion of foot.AIMS - Lower Extremities
AIMS01-Muscles of Facial ExpressionC102034AIMS01-Muscles of Facial ExpressionAbnormal Involuntary Movement Scale - Facial and Oral Movements, Muscles of facial expression, e.g., movements of forehead, eyebrows, periorbital area, cheeks. Include frowning, blinking, grimacing of upper face.AIMS - Muscles of Facial Expression
AIMS01-Neck, Shoulders, HipsC102040AIMS01-Neck, Shoulders, HipsAbnormal Involuntary Movement Scale - Trunk Movements, Neck, shoulders, hips, e.g., rocking, twisting, squirming, pelvic gyrations. Include diaphragmatic movements.AIMS - Neck, Shoulders, Hips
AIMS01-Patient Awareness Abn MovementsC102043AIMS01-Patient Awareness Abn MovementsAbnormal Involuntary Movement Scale - Global Judgments, Patient's awareness of abnormal movements.AIMS - Patient's Awareness of Abnormal Movements
AIMS01-Patient Usually Wear DenturesC102045AIMS01-Patient Usually Wear DenturesAbnormal Involuntary Movement Scale - Dental Status, Does patient usually wear dentures?AIMS - Patient Usually Wears Dentures
AIMS01-Severity of Abnormal MovementsC102041AIMS01-Severity of Abnormal MovementsAbnormal Involuntary Movement Scale - Global Judgments, Severity of abnormal movements, based on the highest single score on the above items.AIMS - Severity of Abnormal Movements
AIMS01-TongueC102037AIMS01-TongueAbnormal Involuntary Movement Scale - Facial and Oral Movements, Tongue. Rate only increase in movement both in and out of mouth, not inability to sustain movement.AIMS - Tongue
AIMS01-Upper ExtremitiesC102038AIMS01-Upper ExtremitiesAbnormal Involuntary Movement Scale - Extremity Movements, Upper (arms, wrists, hands, fingers). Include movements that are choreic (rapid, objectively purposeless, irregular, spontaneous) or athetoid (slow, irregular, complex, serpentine). Do not include tremor (repetitive, regular, rhythmic movements).AIMS - Upper Extremities
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CL.C101807.AVLT TESTCDADNI AVLT Test Code
(AVLT TESTCD)
text
Extensible: No
C101807ADNI AVLT Test CodeADNI AVLT test code.CDISC Questionnaire ADNI AVLT Test Code Terminology
AVL01001C101896AVL01-List A Recall 1 Word 1Auditory Verbal Learning Test Version A - List A, Recall 1, Word 1.ADNI AVLT - List A Recall 1 Word 1
AVL01002C101897AVL01-List A Recall 1 Word 2Auditory Verbal Learning Test Version A - List A, Recall 1, Word 2.ADNI AVLT - List A Recall 1 Word 2
AVL01003C101898AVL01-List A Recall 1 Word 3Auditory Verbal Learning Test Version A - List A, Recall 1, Word 3.ADNI AVLT - List A Recall 1 Word 3
AVL01004C101899AVL01-List A Recall 1 Word 4Auditory Verbal Learning Test Version A - List A, Recall 1, Word 4.ADNI AVLT - List A Recall 1 Word 4
AVL01005C101900AVL01-List A Recall 1 Word 5Auditory Verbal Learning Test Version A - List A, Recall 1, Word 5.ADNI AVLT - List A Recall 1 Word 5
AVL01006C101901AVL01-List A Recall 1 Word 6Auditory Verbal Learning Test Version A - List A, Recall 1, Word 6.ADNI AVLT - List A Recall 1 Word 6
AVL01007C101902AVL01-List A Recall 1 Word 7Auditory Verbal Learning Test Version A - List A, Recall 1, Word 7.ADNI AVLT - List A Recall 1 Word 7
AVL01008C101903AVL01-List A Recall 1 Word 8Auditory Verbal Learning Test Version A - List A, Recall 1, Word 8.ADNI AVLT - List A Recall 1 Word 8
AVL01009C101904AVL01-List A Recall 1 Word 9Auditory Verbal Learning Test Version A - List A, Recall 1, Word 9.ADNI AVLT - List A Recall 1 Word 9
AVL01010C101905AVL01-List A Recall 1 Word 10Auditory Verbal Learning Test Version A - List A, Recall 1, Word 10.ADNI AVLT - List A Recall 1 Word 10
AVL01011C101906AVL01-List A Recall 1 Word 11Auditory Verbal Learning Test Version A - List A, Recall 1, Word 11.ADNI AVLT - List A Recall 1 Word 11
AVL01012C101907AVL01-List A Recall 1 Word 12Auditory Verbal Learning Test Version A - List A, Recall 1, Word 12.ADNI AVLT - List A Recall 1 Word 12
AVL01013C101908AVL01-List A Recall 1 Word 13Auditory Verbal Learning Test Version A - List A, Recall 1, Word 13.ADNI AVLT - List A Recall 1 Word 13
AVL01014C101909AVL01-List A Recall 1 Word 14Auditory Verbal Learning Test Version A - List A, Recall 1, Word 14.ADNI AVLT - List A Recall 1 Word 14
AVL01015C101910AVL01-List A Recall 1 Word 15Auditory Verbal Learning Test Version A - List A, Recall 1, Word 15.ADNI AVLT - List A Recall 1 Word 15
AVL01016C101911AVL01-List A Recall 1 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, first attempt.ADNI AVLT - List A Recall 1 Total
AVL01017C101912AVL01-List A Intrusions 1Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, first attempt.ADNI AVLT - List A Intrusions 1
AVL01018C101913AVL01-List A Recall 2 Word 1Auditory Verbal Learning Test Version A - List A, Recall 2, Word 1.ADNI AVLT - List A Recall 2 Word 1
AVL01019C101914AVL01-List A Recall 2 Word 2Auditory Verbal Learning Test Version A - List A, Recall 2, Word 2.ADNI AVLT - List A Recall 2 Word 2
AVL01020C101915AVL01-List A Recall 2 Word 3Auditory Verbal Learning Test Version A - List A, Recall 2, Word 3.ADNI AVLT - List A Recall 2 Word 3
AVL01021C101916AVL01-List A Recall 2 Word 4Auditory Verbal Learning Test Version A - List A, Recall 2, Word 4.ADNI AVLT - List A Recall 2 Word 4
AVL01022C101917AVL01-List A Recall 2 Word 5Auditory Verbal Learning Test Version A - List A, Recall 2, Word 5.ADNI AVLT - List A Recall 2 Word 5
AVL01023C101918AVL01-List A Recall 2 Word 6Auditory Verbal Learning Test Version A - List A, Recall 2, Word 6.ADNI AVLT - List A Recall 2 Word 6
AVL01024C101919AVL01-List A Recall 2 Word 7Auditory Verbal Learning Test Version A - List A, Recall 2, Word 7.ADNI AVLT - List A Recall 2 Word 7
AVL01025C101920AVL01-List A Recall 2 Word 8Auditory Verbal Learning Test Version A - List A, Recall 2, Word 8.ADNI AVLT - List A Recall 2 Word 8
AVL01026C101921AVL01-List A Recall 2 Word 9Auditory Verbal Learning Test Version A - List A, Recall 2, Word 9.ADNI AVLT - List A Recall 2 Word 9
AVL01027C101922AVL01-List A Recall 2 Word 10Auditory Verbal Learning Test Version A - List A, Recall 2, Word 10.ADNI AVLT - List A Recall 2 Word 10
AVL01028C101923AVL01-List A Recall 2 Word 11Auditory Verbal Learning Test Version A - List A, Recall 2, Word 11.ADNI AVLT - List A Recall 2 Word 11
AVL01029C101924AVL01-List A Recall 2 Word 12Auditory Verbal Learning Test Version A - List A, Recall 2, Word 12.ADNI AVLT - List A Recall 2 Word 12
AVL01030C101925AVL01-List A Recall 2 Word 13Auditory Verbal Learning Test Version A - List A, Recall 2, Word 13.ADNI AVLT - List A Recall 2 Word 13
AVL01031C101926AVL01-List A Recall 2 Word 14Auditory Verbal Learning Test Version A - List A, Recall 2, Word 14.ADNI AVLT - List A Recall 2 Word 14
AVL01032C101927AVL01-List A Recall 2 Word 15Auditory Verbal Learning Test Version A - List A, Recall 2, Word 15.ADNI AVLT - List A Recall 2 Word 15
AVL01033C101928AVL01-List A Recall 2 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, second attempt.ADNI AVLT - List A Recall 2 Total
AVL01034C101929AVL01-List A Intrusions 2Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, second attempt.ADNI AVLT - List A Intrusions 2
AVL01035C101930AVL01-List A Recall 3 Word 1Auditory Verbal Learning Test Version A - List A, Recall 3, Word 1.ADNI AVLT - List A Recall 3 Word 1
AVL01036C101931AVL01-List A Recall 3 Word 2Auditory Verbal Learning Test Version A - List A, Recall 3, Word 2.ADNI AVLT - List A Recall 3 Word 2
AVL01037C101932AVL01-List A Recall 3 Word 3Auditory Verbal Learning Test Version A - List A, Recall 3, Word 3.ADNI AVLT - List A Recall 3 Word 3
AVL01038C101933AVL01-List A Recall 3 Word 4Auditory Verbal Learning Test Version A - List A, Recall 3, Word 4.ADNI AVLT - List A Recall 3 Word 4
AVL01039C101934AVL01-List A Recall 3 Word 5Auditory Verbal Learning Test Version A - List A, Recall 3, Word 5.ADNI AVLT - List A Recall 3 Word 5
AVL01040C101935AVL01-List A Recall 3 Word 6Auditory Verbal Learning Test Version A - List A, Recall 3, Word 6.ADNI AVLT - List A Recall 3 Word 6
AVL01041C101936AVL01-List A Recall 3 Word 7Auditory Verbal Learning Test Version A - List A, Recall 3, Word 7.ADNI AVLT - List A Recall 3 Word 7
AVL01042C101937AVL01-List A Recall 3 Word 8Auditory Verbal Learning Test Version A - List A, Recall 3, Word 8.ADNI AVLT - List A Recall 3 Word 8
AVL01043C101938AVL01-List A Recall 3 Word 9Auditory Verbal Learning Test Version A - List A, Recall 3, Word 9.ADNI AVLT - List A Recall 3 Word 9
AVL01044C101939AVL01-List A Recall 3 Word 10Auditory Verbal Learning Test Version A - List A, Recall 3, Word 10.ADNI AVLT - List A Recall 3 Word 10
AVL01045C101940AVL01-List A Recall 3 Word 11Auditory Verbal Learning Test Version A - List A, Recall 3, Word 11.ADNI AVLT - List A Recall 3 Word 11
AVL01046C101941AVL01-List A Recall 3 Word 12Auditory Verbal Learning Test Version A - List A, Recall 3, Word 12.ADNI AVLT - List A Recall 3 Word 12
AVL01047C101942AVL01-List A Recall 3 Word 13Auditory Verbal Learning Test Version A - List A, Recall 3, Word 13.ADNI AVLT - List A Recall 3 Word 13
AVL01048C101943AVL01-List A Recall 3 Word 14Auditory Verbal Learning Test Version A - List A, Recall 3, Word 14.ADNI AVLT - List A Recall 3 Word 14
AVL01049C101944AVL01-List A Recall 3 Word 15Auditory Verbal Learning Test Version A - List A, Recall 3, Word 15.ADNI AVLT - List A Recall 3 Word 15
AVL01050C101945AVL01-List A Recall 3 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, third attempt.ADNI AVLT - List A Recall 3 Total
AVL01051C101946AVL01-List A Intrusions 3Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, third attempt.ADNI AVLT - List A Intrusions 3
AVL01052C101947AVL01-List A Recall 4 Word 1Auditory Verbal Learning Test Version A - List A, Recall 4, Word 1.ADNI AVLT - List A Recall 4 Word 1
AVL01053C101948AVL01-List A Recall 4 Word 2Auditory Verbal Learning Test Version A - List A, Recall 4, Word 2.ADNI AVLT - List A Recall 4 Word 2
AVL01054C101949AVL01-List A Recall 4 Word 3Auditory Verbal Learning Test Version A - List A, Recall 4, Word 3.ADNI AVLT - List A Recall 4 Word 3
AVL01055C101950AVL01-List A Recall 4 Word 4Auditory Verbal Learning Test Version A - List A, Recall 4, Word 4.ADNI AVLT - List A Recall 4 Word 4
AVL01056C101951AVL01-List A Recall 4 Word 5Auditory Verbal Learning Test Version A - List A, Recall 4, Word 5.ADNI AVLT - List A Recall 4 Word 5
AVL01057C101952AVL01-List A Recall 4 Word 6Auditory Verbal Learning Test Version A - List A, Recall 4, Word 6.ADNI AVLT - List A Recall 4 Word 6
AVL01058C101953AVL01-List A Recall 4 Word 7Auditory Verbal Learning Test Version A - List A, Recall 4, Word 7.ADNI AVLT - List A Recall 4 Word 7
AVL01059C101954AVL01-List A Recall 4 Word 8Auditory Verbal Learning Test Version A - List A, Recall 4, Word 8.ADNI AVLT - List A Recall 4 Word 8
AVL01060C101955AVL01-List A Recall 4 Word 9Auditory Verbal Learning Test Version A - List A, Recall 4, Word 9.ADNI AVLT - List A Recall 4 Word 9
AVL01061C101956AVL01-List A Recall 4 Word 10Auditory Verbal Learning Test Version A - List A, Recall 4, Word 10.ADNI AVLT - List A Recall 4 Word 10
AVL01062C101957AVL01-List A Recall 4 Word 11Auditory Verbal Learning Test Version A - List A, Recall 4, Word 11.ADNI AVLT - List A Recall 4 Word 11
AVL01063C101958AVL01-List A Recall 4 Word 12Auditory Verbal Learning Test Version A - List A, Recall 4, Word 12.ADNI AVLT - List A Recall 4 Word 12
AVL01064C101959AVL01-List A Recall 4 Word 13Auditory Verbal Learning Test Version A - List A, Recall 4, Word 13.ADNI AVLT - List A Recall 4 Word 13
AVL01065C101960AVL01-List A Recall 4 Word 14Auditory Verbal Learning Test Version A - List A, Recall 4, Word 14.ADNI AVLT - List A Recall 4 Word 14
AVL01066C101961AVL01-List A Recall 4 Word 15Auditory Verbal Learning Test Version A - List A, Recall 4, Word 15.ADNI AVLT - List A Recall 4 Word 15
AVL01067C101962AVL01-List A Recall 4 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, fourth attempt.ADNI AVLT - List A Recall 4 Total
AVL01068C101963AVL01-List A Intrusions 4Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fourth attempt.ADNI AVLT - List A Intrusions 4
AVL01069C101964AVL01-List A Recall 5 Word 1Auditory Verbal Learning Test Version A - List A, Recall 5, Word 1.ADNI AVLT - List A Recall 5 Word 1
AVL01070C101965AVL01-List A Recall 5 Word 2Auditory Verbal Learning Test Version A - List A, Recall 5, Word 2.ADNI AVLT - List A Recall 5 Word 2
AVL01071C101966AVL01-List A Recall 5 Word 3Auditory Verbal Learning Test Version A - List A, Recall 5, Word 3.ADNI AVLT - List A Recall 5 Word 3
AVL01072C101967AVL01-List A Recall 5 Word 4Auditory Verbal Learning Test Version A - List A, Recall 5, Word 4.ADNI AVLT - List A Recall 5 Word 4
AVL01073C101968AVL01-List A Recall 5 Word 5Auditory Verbal Learning Test Version A - List A, Recall 5, Word 5.ADNI AVLT - List A Recall 5 Word 5
AVL01074C101969AVL01-List A Recall 5 Word 6Auditory Verbal Learning Test Version A - List A, Recall 5, Word 6.ADNI AVLT - List A Recall 5 Word 6
AVL01075C101970AVL01-List A Recall 5 Word 7Auditory Verbal Learning Test Version A - List A, Recall 5, Word 7.ADNI AVLT - List A Recall 5 Word 7
AVL01076C101971AVL01-List A Recall 5 Word 8Auditory Verbal Learning Test Version A - List A, Recall 5, Word 8.ADNI AVLT - List A Recall 5 Word 8
AVL01077C101972AVL01-List A Recall 5 Word 9Auditory Verbal Learning Test Version A - List A, Recall 5, Word 9.ADNI AVLT - List A Recall 5 Word 9
AVL01078C101973AVL01-List A Recall 5 Word 10Auditory Verbal Learning Test Version A - List A, Recall 5, Word 10.ADNI AVLT - List A Recall 5 Word 10
AVL01079C101974AVL01-List A Recall 5 Word 11Auditory Verbal Learning Test Version A - List A, Recall 5, Word 11.ADNI AVLT - List A Recall 5 Word 11
AVL01080C101975AVL01-List A Recall 5 Word 12Auditory Verbal Learning Test Version A - List A, Recall 5, Word 12.ADNI AVLT - List A Recall 5 Word 12
AVL01081C101976AVL01-List A Recall 5 Word 13Auditory Verbal Learning Test Version A - List A, Recall 5, Word 13.ADNI AVLT - List A Recall 5 Word 13
AVL01082C101977AVL01-List A Recall 5 Word 14Auditory Verbal Learning Test Version A - List A, Recall 5, Word 14.ADNI AVLT - List A Recall 5 Word 14
AVL01083C101978AVL01-List A Recall 5 Word 15Auditory Verbal Learning Test Version A - List A, Recall 5, Word 15.ADNI AVLT - List A Recall 5 Word 15
AVL01084C101979AVL01-List A Recall 5 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, fifth attempt.ADNI AVLT - List A Recall 5 Total
AVL01085C101980AVL01-List A Intrusions 5Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fifth attempt.ADNI AVLT - List A Intrusions 5
AVL01086C101981AVL01-List A Recall 6 (After B) Word 1Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 1.ADNI AVLT - List A Recall 6 (After B) Word 1
AVL01087C101982AVL01-List A Recall 6 (After B) Word 2Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 2.ADNI AVLT - List A Recall 6 (After B) Word 2
AVL01088C101983AVL01-List A Recall 6 (After B) Word 3Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 3.ADNI AVLT - List A Recall 6 (After B) Word 3
AVL01089C101984AVL01-List A Recall 6 (After B) Word 4Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 4.ADNI AVLT - List A Recall 6 (After B) Word 4
AVL01090C101985AVL01-List A Recall 6 (After B) Word 5Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 5.ADNI AVLT - List A Recall 6 (After B) Word 5
AVL01091C101986AVL01-List A Recall 6 (After B) Word 6Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 6.ADNI AVLT - List A Recall 6 (After B) Word 6
AVL01092C101987AVL01-List A Recall 6 (After B) Word 7Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 7.ADNI AVLT - List A Recall 6 (After B) Word 7
AVL01093C101988AVL01-List A Recall 6 (After B) Word 8Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 8.ADNI AVLT - List A Recall 6 (After B) Word 8
AVL01094C101989AVL01-List A Recall 6 (After B) Word 9Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 9.ADNI AVLT - List A Recall 6 (After B) Word 9
AVL01095C101990AVL01-List A Recall 6 (After B) Word 10Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 10.ADNI AVLT - List A Recall 6 (After B) Word 10
AVL01096C101991AVL01-List A Recall 6 (After B) Word 11Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 11.ADNI AVLT - List A Recall 6 (After B) Word 11
AVL01097C101992AVL01-List A Recall 6 (After B) Word 12Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 12.ADNI AVLT - List A Recall 6 (After B) Word 12
AVL01098C101993AVL01-List A Recall 6 (After B) Word 13Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 13.ADNI AVLT - List A Recall 6 (After B) Word 13
AVL01099C101994AVL01-List A Recall 6 (After B) Word 14Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 14.ADNI AVLT - List A Recall 6 (After B) Word 14
AVL01100C101995AVL01-List A Recall 6 (After B) Word 15Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 15.ADNI AVLT - List A Recall 6 (After B) Word 15
AVL01101C101996AVL01-List A Recall 6 (After B) TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, sixth attempt (after List B recall).ADNI AVLT - List A Recall 6 (After B) Total
AVL01102C101997AVL01-List A Intrusions 6Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, sixth attempt (after List B recall).ADNI AVLT - List A Intrusions 6
AVL01103C101998AVL01-List B Recall Word 1Auditory Verbal Learning Test Version A - List B, Word 1.ADNI AVLT - List B Recall Word 1
AVL01104C101999AVL01-List B Recall Word 2Auditory Verbal Learning Test Version A - List B, Word 2.ADNI AVLT - List B Recall Word 2
AVL01105C102000AVL01-List B Recall Word 3Auditory Verbal Learning Test Version A - List B, Word 3.ADNI AVLT - List B Recall Word 3
AVL01106C102001AVL01-List B Recall Word 4Auditory Verbal Learning Test Version A - List B, Word 4.ADNI AVLT - List B Recall Word 4
AVL01107C102002AVL01-List B Recall Word 5Auditory Verbal Learning Test Version A - List B, Word 5.ADNI AVLT - List B Recall Word 5
AVL01108C102003AVL01-List B Recall Word 6Auditory Verbal Learning Test Version A - List B, Word 6.ADNI AVLT - List B Recall Word 6
AVL01109C102004AVL01-List B Recall Word 7Auditory Verbal Learning Test Version A - List B, Word 7.ADNI AVLT - List B Recall Word 7
AVL01110C102005AVL01-List B Recall Word 8Auditory Verbal Learning Test Version A - List B, Word 8.ADNI AVLT - List B Recall Word 8
AVL01111C102006AVL01-List B Recall Word 9Auditory Verbal Learning Test Version A - List B, Word 9.ADNI AVLT - List B Recall Word 9
AVL01112C102007AVL01-List B Recall Word 10Auditory Verbal Learning Test Version A - List B, Word 10.ADNI AVLT - List B Recall Word 10
AVL01113C102008AVL01-List B Recall Word 11Auditory Verbal Learning Test Version A - List B, Word 11.ADNI AVLT - List B Recall Word 11
AVL01114C102009AVL01-List B Recall Word 12Auditory Verbal Learning Test Version A - List B, Word 12.ADNI AVLT - List B Recall Word 12
AVL01115C102010AVL01-List B Recall Word 13Auditory Verbal Learning Test Version A - List B, Word 13.ADNI AVLT - List B Recall Word 13
AVL01116C102011AVL01-List B Recall Word 14Auditory Verbal Learning Test Version A - List B, Word 14.ADNI AVLT - List B Recall Word 14
AVL01117C102012AVL01-List B Recall Word 15Auditory Verbal Learning Test Version A - List B, Word 15.ADNI AVLT - List B Recall Word 15
AVL01118C102013AVL01-List B Recall TotalAuditory Verbal Learning Test Version A - The number of words recalled from List B.ADNI AVLT - List B Recall Total
AVL01119C102014AVL01-List B IntrusionsAuditory Verbal Learning Test Version A - The number of intrusions while recalling List B.ADNI AVLT - List B Intrusions
AVL01120C102015AVL01-List A 30 Min Delay Recall Word 1Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 1.ADNI AVLT - List A 30 Min Delay Recall Word 1
AVL01121C102016AVL01-List A 30 Min Delay Recall Word 2Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 2.ADNI AVLT - List A 30 Min Delay Recall Word 2
AVL01122C102017AVL01-List A 30 Min Delay Recall Word 3Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 3.ADNI AVLT - List A 30 Min Delay Recall Word 3
AVL01123C102018AVL01-List A 30 Min Delay Recall Word 4Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 4.ADNI AVLT - List A 30 Min Delay Recall Word 4
AVL01124C102019AVL01-List A 30 Min Delay Recall Word 5Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 5.ADNI AVLT - List A 30 Min Delay Recall Word 5
AVL01125C102020AVL01-List A 30 Min Delay Recall Word 6Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 6.ADNI AVLT - List A 30 Min Delay Recall Word 6
AVL01126C102021AVL01-List A 30 Min Delay Recall Word 7Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 7.ADNI AVLT - List A 30 Min Delay Recall Word 7
AVL01127C102022AVL01-List A 30 Min Delay Recall Word 8Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 8.ADNI AVLT - List A 30 Min Delay Recall Word 8
AVL01128C102023AVL01-List A 30 Min Delay Recall Word 9Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 9.ADNI AVLT - List A 30 Min Delay Recall Word 9
AVL01129C102024AVL01-List A 30 Min Delay Recall Word 10Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 10.ADNI AVLT - List A 30 Min Delay Recall Word 10
AVL01130C102025AVL01-List A 30 Min Delay Recall Word 11Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 11.ADNI AVLT - List A 30 Min Delay Recall Word 11
AVL01131C102026AVL01-List A 30 Min Delay Recall Word 12Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 12.ADNI AVLT - List A 30 Min Delay Recall Word 12
AVL01132C102027AVL01-List A 30 Min Delay Recall Word 13Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 13.ADNI AVLT - List A 30 Min Delay Recall Word 13
AVL01133C102028AVL01-List A 30 Min Delay Recall Word 14Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 14.ADNI AVLT - List A 30 Min Delay Recall Word 14
AVL01134C102029AVL01-List A 30 Min Delay Recall Word 15Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 15.ADNI AVLT - List A 30 Min Delay Recall Word 15
AVL01135C102030AVL01-List A 30 Min Delay Recall TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, 30 Minute Delay recall.ADNI AVLT - List A 30 Min Delay Recall Total
AVL01136C102031AVL01-List A 30 Min Delay IntrusionsAuditory Verbal Learning Test Version A - The number of intrusions while recalling List A, 30 Minute Delay.ADNI AVLT - List A 30 Min Delay Intrusions
AVL01137C102032AVL01-List A Recognition TotalAuditory Verbal Learning Test Version A - The number of words correct on recognition test.ADNI AVLT - List A Recognition Total
AVL01138C102033AVL01-List A Recognition IntrusionsAuditory Verbal Learning Test Version A - The number of intrusions on recognition test.ADNI AVLT - List A Recognition Intrusions
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CL.C101808.AVLT TESTADNI AVLT Test Name
(AVLT TEST)
text
Extensible: No
C101808ADNI AVLT Test NameADNI AVLT test name.CDISC Questionnaire ADNI AVLT Test Name Terminology
AVL01-List A 30 Min Delay IntrusionsC102031AVL01-List A 30 Min Delay IntrusionsAuditory Verbal Learning Test Version A - The number of intrusions while recalling List A, 30 Minute Delay.ADNI AVLT - List A 30 Min Delay Intrusions
AVL01-List A 30 Min Delay Recall TotalC102030AVL01-List A 30 Min Delay Recall TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, 30 Minute Delay recall.ADNI AVLT - List A 30 Min Delay Recall Total
AVL01-List A 30 Min Delay Recall Word 1C102015AVL01-List A 30 Min Delay Recall Word 1Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 1.ADNI AVLT - List A 30 Min Delay Recall Word 1
AVL01-List A 30 Min Delay Recall Word 10C102024AVL01-List A 30 Min Delay Recall Word 10Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 10.ADNI AVLT - List A 30 Min Delay Recall Word 10
AVL01-List A 30 Min Delay Recall Word 11C102025AVL01-List A 30 Min Delay Recall Word 11Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 11.ADNI AVLT - List A 30 Min Delay Recall Word 11
AVL01-List A 30 Min Delay Recall Word 12C102026AVL01-List A 30 Min Delay Recall Word 12Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 12.ADNI AVLT - List A 30 Min Delay Recall Word 12
AVL01-List A 30 Min Delay Recall Word 13C102027AVL01-List A 30 Min Delay Recall Word 13Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 13.ADNI AVLT - List A 30 Min Delay Recall Word 13
AVL01-List A 30 Min Delay Recall Word 14C102028AVL01-List A 30 Min Delay Recall Word 14Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 14.ADNI AVLT - List A 30 Min Delay Recall Word 14
AVL01-List A 30 Min Delay Recall Word 15C102029AVL01-List A 30 Min Delay Recall Word 15Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 15.ADNI AVLT - List A 30 Min Delay Recall Word 15
AVL01-List A 30 Min Delay Recall Word 2C102016AVL01-List A 30 Min Delay Recall Word 2Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 2.ADNI AVLT - List A 30 Min Delay Recall Word 2
AVL01-List A 30 Min Delay Recall Word 3C102017AVL01-List A 30 Min Delay Recall Word 3Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 3.ADNI AVLT - List A 30 Min Delay Recall Word 3
AVL01-List A 30 Min Delay Recall Word 4C102018AVL01-List A 30 Min Delay Recall Word 4Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 4.ADNI AVLT - List A 30 Min Delay Recall Word 4
AVL01-List A 30 Min Delay Recall Word 5C102019AVL01-List A 30 Min Delay Recall Word 5Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 5.ADNI AVLT - List A 30 Min Delay Recall Word 5
AVL01-List A 30 Min Delay Recall Word 6C102020AVL01-List A 30 Min Delay Recall Word 6Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 6.ADNI AVLT - List A 30 Min Delay Recall Word 6
AVL01-List A 30 Min Delay Recall Word 7C102021AVL01-List A 30 Min Delay Recall Word 7Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 7.ADNI AVLT - List A 30 Min Delay Recall Word 7
AVL01-List A 30 Min Delay Recall Word 8C102022AVL01-List A 30 Min Delay Recall Word 8Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 8.ADNI AVLT - List A 30 Min Delay Recall Word 8
AVL01-List A 30 Min Delay Recall Word 9C102023AVL01-List A 30 Min Delay Recall Word 9Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 9.ADNI AVLT - List A 30 Min Delay Recall Word 9
AVL01-List A Intrusions 1C101912AVL01-List A Intrusions 1Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, first attempt.ADNI AVLT - List A Intrusions 1
AVL01-List A Intrusions 2C101929AVL01-List A Intrusions 2Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, second attempt.ADNI AVLT - List A Intrusions 2
AVL01-List A Intrusions 3C101946AVL01-List A Intrusions 3Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, third attempt.ADNI AVLT - List A Intrusions 3
AVL01-List A Intrusions 4C101963AVL01-List A Intrusions 4Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fourth attempt.ADNI AVLT - List A Intrusions 4
AVL01-List A Intrusions 5C101980AVL01-List A Intrusions 5Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fifth attempt.ADNI AVLT - List A Intrusions 5
AVL01-List A Intrusions 6C101997AVL01-List A Intrusions 6Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, sixth attempt (after List B recall).ADNI AVLT - List A Intrusions 6
AVL01-List A Recall 1 TotalC101911AVL01-List A Recall 1 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, first attempt.ADNI AVLT - List A Recall 1 Total
AVL01-List A Recall 1 Word 1C101896AVL01-List A Recall 1 Word 1Auditory Verbal Learning Test Version A - List A, Recall 1, Word 1.ADNI AVLT - List A Recall 1 Word 1
AVL01-List A Recall 1 Word 10C101905AVL01-List A Recall 1 Word 10Auditory Verbal Learning Test Version A - List A, Recall 1, Word 10.ADNI AVLT - List A Recall 1 Word 10
AVL01-List A Recall 1 Word 11C101906AVL01-List A Recall 1 Word 11Auditory Verbal Learning Test Version A - List A, Recall 1, Word 11.ADNI AVLT - List A Recall 1 Word 11
AVL01-List A Recall 1 Word 12C101907AVL01-List A Recall 1 Word 12Auditory Verbal Learning Test Version A - List A, Recall 1, Word 12.ADNI AVLT - List A Recall 1 Word 12
AVL01-List A Recall 1 Word 13C101908AVL01-List A Recall 1 Word 13Auditory Verbal Learning Test Version A - List A, Recall 1, Word 13.ADNI AVLT - List A Recall 1 Word 13
AVL01-List A Recall 1 Word 14C101909AVL01-List A Recall 1 Word 14Auditory Verbal Learning Test Version A - List A, Recall 1, Word 14.ADNI AVLT - List A Recall 1 Word 14
AVL01-List A Recall 1 Word 15C101910AVL01-List A Recall 1 Word 15Auditory Verbal Learning Test Version A - List A, Recall 1, Word 15.ADNI AVLT - List A Recall 1 Word 15
AVL01-List A Recall 1 Word 2C101897AVL01-List A Recall 1 Word 2Auditory Verbal Learning Test Version A - List A, Recall 1, Word 2.ADNI AVLT - List A Recall 1 Word 2
AVL01-List A Recall 1 Word 3C101898AVL01-List A Recall 1 Word 3Auditory Verbal Learning Test Version A - List A, Recall 1, Word 3.ADNI AVLT - List A Recall 1 Word 3
AVL01-List A Recall 1 Word 4C101899AVL01-List A Recall 1 Word 4Auditory Verbal Learning Test Version A - List A, Recall 1, Word 4.ADNI AVLT - List A Recall 1 Word 4
AVL01-List A Recall 1 Word 5C101900AVL01-List A Recall 1 Word 5Auditory Verbal Learning Test Version A - List A, Recall 1, Word 5.ADNI AVLT - List A Recall 1 Word 5
AVL01-List A Recall 1 Word 6C101901AVL01-List A Recall 1 Word 6Auditory Verbal Learning Test Version A - List A, Recall 1, Word 6.ADNI AVLT - List A Recall 1 Word 6
AVL01-List A Recall 1 Word 7C101902AVL01-List A Recall 1 Word 7Auditory Verbal Learning Test Version A - List A, Recall 1, Word 7.ADNI AVLT - List A Recall 1 Word 7
AVL01-List A Recall 1 Word 8C101903AVL01-List A Recall 1 Word 8Auditory Verbal Learning Test Version A - List A, Recall 1, Word 8.ADNI AVLT - List A Recall 1 Word 8
AVL01-List A Recall 1 Word 9C101904AVL01-List A Recall 1 Word 9Auditory Verbal Learning Test Version A - List A, Recall 1, Word 9.ADNI AVLT - List A Recall 1 Word 9
AVL01-List A Recall 2 TotalC101928AVL01-List A Recall 2 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, second attempt.ADNI AVLT - List A Recall 2 Total
AVL01-List A Recall 2 Word 1C101913AVL01-List A Recall 2 Word 1Auditory Verbal Learning Test Version A - List A, Recall 2, Word 1.ADNI AVLT - List A Recall 2 Word 1
AVL01-List A Recall 2 Word 10C101922AVL01-List A Recall 2 Word 10Auditory Verbal Learning Test Version A - List A, Recall 2, Word 10.ADNI AVLT - List A Recall 2 Word 10
AVL01-List A Recall 2 Word 11C101923AVL01-List A Recall 2 Word 11Auditory Verbal Learning Test Version A - List A, Recall 2, Word 11.ADNI AVLT - List A Recall 2 Word 11
AVL01-List A Recall 2 Word 12C101924AVL01-List A Recall 2 Word 12Auditory Verbal Learning Test Version A - List A, Recall 2, Word 12.ADNI AVLT - List A Recall 2 Word 12
AVL01-List A Recall 2 Word 13C101925AVL01-List A Recall 2 Word 13Auditory Verbal Learning Test Version A - List A, Recall 2, Word 13.ADNI AVLT - List A Recall 2 Word 13
AVL01-List A Recall 2 Word 14C101926AVL01-List A Recall 2 Word 14Auditory Verbal Learning Test Version A - List A, Recall 2, Word 14.ADNI AVLT - List A Recall 2 Word 14
AVL01-List A Recall 2 Word 15C101927AVL01-List A Recall 2 Word 15Auditory Verbal Learning Test Version A - List A, Recall 2, Word 15.ADNI AVLT - List A Recall 2 Word 15
AVL01-List A Recall 2 Word 2C101914AVL01-List A Recall 2 Word 2Auditory Verbal Learning Test Version A - List A, Recall 2, Word 2.ADNI AVLT - List A Recall 2 Word 2
AVL01-List A Recall 2 Word 3C101915AVL01-List A Recall 2 Word 3Auditory Verbal Learning Test Version A - List A, Recall 2, Word 3.ADNI AVLT - List A Recall 2 Word 3
AVL01-List A Recall 2 Word 4C101916AVL01-List A Recall 2 Word 4Auditory Verbal Learning Test Version A - List A, Recall 2, Word 4.ADNI AVLT - List A Recall 2 Word 4
AVL01-List A Recall 2 Word 5C101917AVL01-List A Recall 2 Word 5Auditory Verbal Learning Test Version A - List A, Recall 2, Word 5.ADNI AVLT - List A Recall 2 Word 5
AVL01-List A Recall 2 Word 6C101918AVL01-List A Recall 2 Word 6Auditory Verbal Learning Test Version A - List A, Recall 2, Word 6.ADNI AVLT - List A Recall 2 Word 6
AVL01-List A Recall 2 Word 7C101919AVL01-List A Recall 2 Word 7Auditory Verbal Learning Test Version A - List A, Recall 2, Word 7.ADNI AVLT - List A Recall 2 Word 7
AVL01-List A Recall 2 Word 8C101920AVL01-List A Recall 2 Word 8Auditory Verbal Learning Test Version A - List A, Recall 2, Word 8.ADNI AVLT - List A Recall 2 Word 8
AVL01-List A Recall 2 Word 9C101921AVL01-List A Recall 2 Word 9Auditory Verbal Learning Test Version A - List A, Recall 2, Word 9.ADNI AVLT - List A Recall 2 Word 9
AVL01-List A Recall 3 TotalC101945AVL01-List A Recall 3 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, third attempt.ADNI AVLT - List A Recall 3 Total
AVL01-List A Recall 3 Word 1C101930AVL01-List A Recall 3 Word 1Auditory Verbal Learning Test Version A - List A, Recall 3, Word 1.ADNI AVLT - List A Recall 3 Word 1
AVL01-List A Recall 3 Word 10C101939AVL01-List A Recall 3 Word 10Auditory Verbal Learning Test Version A - List A, Recall 3, Word 10.ADNI AVLT - List A Recall 3 Word 10
AVL01-List A Recall 3 Word 11C101940AVL01-List A Recall 3 Word 11Auditory Verbal Learning Test Version A - List A, Recall 3, Word 11.ADNI AVLT - List A Recall 3 Word 11
AVL01-List A Recall 3 Word 12C101941AVL01-List A Recall 3 Word 12Auditory Verbal Learning Test Version A - List A, Recall 3, Word 12.ADNI AVLT - List A Recall 3 Word 12
AVL01-List A Recall 3 Word 13C101942AVL01-List A Recall 3 Word 13Auditory Verbal Learning Test Version A - List A, Recall 3, Word 13.ADNI AVLT - List A Recall 3 Word 13
AVL01-List A Recall 3 Word 14C101943AVL01-List A Recall 3 Word 14Auditory Verbal Learning Test Version A - List A, Recall 3, Word 14.ADNI AVLT - List A Recall 3 Word 14
AVL01-List A Recall 3 Word 15C101944AVL01-List A Recall 3 Word 15Auditory Verbal Learning Test Version A - List A, Recall 3, Word 15.ADNI AVLT - List A Recall 3 Word 15
AVL01-List A Recall 3 Word 2C101931AVL01-List A Recall 3 Word 2Auditory Verbal Learning Test Version A - List A, Recall 3, Word 2.ADNI AVLT - List A Recall 3 Word 2
AVL01-List A Recall 3 Word 3C101932AVL01-List A Recall 3 Word 3Auditory Verbal Learning Test Version A - List A, Recall 3, Word 3.ADNI AVLT - List A Recall 3 Word 3
AVL01-List A Recall 3 Word 4C101933AVL01-List A Recall 3 Word 4Auditory Verbal Learning Test Version A - List A, Recall 3, Word 4.ADNI AVLT - List A Recall 3 Word 4
AVL01-List A Recall 3 Word 5C101934AVL01-List A Recall 3 Word 5Auditory Verbal Learning Test Version A - List A, Recall 3, Word 5.ADNI AVLT - List A Recall 3 Word 5
AVL01-List A Recall 3 Word 6C101935AVL01-List A Recall 3 Word 6Auditory Verbal Learning Test Version A - List A, Recall 3, Word 6.ADNI AVLT - List A Recall 3 Word 6
AVL01-List A Recall 3 Word 7C101936AVL01-List A Recall 3 Word 7Auditory Verbal Learning Test Version A - List A, Recall 3, Word 7.ADNI AVLT - List A Recall 3 Word 7
AVL01-List A Recall 3 Word 8C101937AVL01-List A Recall 3 Word 8Auditory Verbal Learning Test Version A - List A, Recall 3, Word 8.ADNI AVLT - List A Recall 3 Word 8
AVL01-List A Recall 3 Word 9C101938AVL01-List A Recall 3 Word 9Auditory Verbal Learning Test Version A - List A, Recall 3, Word 9.ADNI AVLT - List A Recall 3 Word 9
AVL01-List A Recall 4 TotalC101962AVL01-List A Recall 4 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, fourth attempt.ADNI AVLT - List A Recall 4 Total
AVL01-List A Recall 4 Word 1C101947AVL01-List A Recall 4 Word 1Auditory Verbal Learning Test Version A - List A, Recall 4, Word 1.ADNI AVLT - List A Recall 4 Word 1
AVL01-List A Recall 4 Word 10C101956AVL01-List A Recall 4 Word 10Auditory Verbal Learning Test Version A - List A, Recall 4, Word 10.ADNI AVLT - List A Recall 4 Word 10
AVL01-List A Recall 4 Word 11C101957AVL01-List A Recall 4 Word 11Auditory Verbal Learning Test Version A - List A, Recall 4, Word 11.ADNI AVLT - List A Recall 4 Word 11
AVL01-List A Recall 4 Word 12C101958AVL01-List A Recall 4 Word 12Auditory Verbal Learning Test Version A - List A, Recall 4, Word 12.ADNI AVLT - List A Recall 4 Word 12
AVL01-List A Recall 4 Word 13C101959AVL01-List A Recall 4 Word 13Auditory Verbal Learning Test Version A - List A, Recall 4, Word 13.ADNI AVLT - List A Recall 4 Word 13
AVL01-List A Recall 4 Word 14C101960AVL01-List A Recall 4 Word 14Auditory Verbal Learning Test Version A - List A, Recall 4, Word 14.ADNI AVLT - List A Recall 4 Word 14
AVL01-List A Recall 4 Word 15C101961AVL01-List A Recall 4 Word 15Auditory Verbal Learning Test Version A - List A, Recall 4, Word 15.ADNI AVLT - List A Recall 4 Word 15
AVL01-List A Recall 4 Word 2C101948AVL01-List A Recall 4 Word 2Auditory Verbal Learning Test Version A - List A, Recall 4, Word 2.ADNI AVLT - List A Recall 4 Word 2
AVL01-List A Recall 4 Word 3C101949AVL01-List A Recall 4 Word 3Auditory Verbal Learning Test Version A - List A, Recall 4, Word 3.ADNI AVLT - List A Recall 4 Word 3
AVL01-List A Recall 4 Word 4C101950AVL01-List A Recall 4 Word 4Auditory Verbal Learning Test Version A - List A, Recall 4, Word 4.ADNI AVLT - List A Recall 4 Word 4
AVL01-List A Recall 4 Word 5C101951AVL01-List A Recall 4 Word 5Auditory Verbal Learning Test Version A - List A, Recall 4, Word 5.ADNI AVLT - List A Recall 4 Word 5
AVL01-List A Recall 4 Word 6C101952AVL01-List A Recall 4 Word 6Auditory Verbal Learning Test Version A - List A, Recall 4, Word 6.ADNI AVLT - List A Recall 4 Word 6
AVL01-List A Recall 4 Word 7C101953AVL01-List A Recall 4 Word 7Auditory Verbal Learning Test Version A - List A, Recall 4, Word 7.ADNI AVLT - List A Recall 4 Word 7
AVL01-List A Recall 4 Word 8C101954AVL01-List A Recall 4 Word 8Auditory Verbal Learning Test Version A - List A, Recall 4, Word 8.ADNI AVLT - List A Recall 4 Word 8
AVL01-List A Recall 4 Word 9C101955AVL01-List A Recall 4 Word 9Auditory Verbal Learning Test Version A - List A, Recall 4, Word 9.ADNI AVLT - List A Recall 4 Word 9
AVL01-List A Recall 5 TotalC101979AVL01-List A Recall 5 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, fifth attempt.ADNI AVLT - List A Recall 5 Total
AVL01-List A Recall 5 Word 1C101964AVL01-List A Recall 5 Word 1Auditory Verbal Learning Test Version A - List A, Recall 5, Word 1.ADNI AVLT - List A Recall 5 Word 1
AVL01-List A Recall 5 Word 10C101973AVL01-List A Recall 5 Word 10Auditory Verbal Learning Test Version A - List A, Recall 5, Word 10.ADNI AVLT - List A Recall 5 Word 10
AVL01-List A Recall 5 Word 11C101974AVL01-List A Recall 5 Word 11Auditory Verbal Learning Test Version A - List A, Recall 5, Word 11.ADNI AVLT - List A Recall 5 Word 11
AVL01-List A Recall 5 Word 12C101975AVL01-List A Recall 5 Word 12Auditory Verbal Learning Test Version A - List A, Recall 5, Word 12.ADNI AVLT - List A Recall 5 Word 12
AVL01-List A Recall 5 Word 13C101976AVL01-List A Recall 5 Word 13Auditory Verbal Learning Test Version A - List A, Recall 5, Word 13.ADNI AVLT - List A Recall 5 Word 13
AVL01-List A Recall 5 Word 14C101977AVL01-List A Recall 5 Word 14Auditory Verbal Learning Test Version A - List A, Recall 5, Word 14.ADNI AVLT - List A Recall 5 Word 14
AVL01-List A Recall 5 Word 15C101978AVL01-List A Recall 5 Word 15Auditory Verbal Learning Test Version A - List A, Recall 5, Word 15.ADNI AVLT - List A Recall 5 Word 15
AVL01-List A Recall 5 Word 2C101965AVL01-List A Recall 5 Word 2Auditory Verbal Learning Test Version A - List A, Recall 5, Word 2.ADNI AVLT - List A Recall 5 Word 2
AVL01-List A Recall 5 Word 3C101966AVL01-List A Recall 5 Word 3Auditory Verbal Learning Test Version A - List A, Recall 5, Word 3.ADNI AVLT - List A Recall 5 Word 3
AVL01-List A Recall 5 Word 4C101967AVL01-List A Recall 5 Word 4Auditory Verbal Learning Test Version A - List A, Recall 5, Word 4.ADNI AVLT - List A Recall 5 Word 4
AVL01-List A Recall 5 Word 5C101968AVL01-List A Recall 5 Word 5Auditory Verbal Learning Test Version A - List A, Recall 5, Word 5.ADNI AVLT - List A Recall 5 Word 5
AVL01-List A Recall 5 Word 6C101969AVL01-List A Recall 5 Word 6Auditory Verbal Learning Test Version A - List A, Recall 5, Word 6.ADNI AVLT - List A Recall 5 Word 6
AVL01-List A Recall 5 Word 7C101970AVL01-List A Recall 5 Word 7Auditory Verbal Learning Test Version A - List A, Recall 5, Word 7.ADNI AVLT - List A Recall 5 Word 7
AVL01-List A Recall 5 Word 8C101971AVL01-List A Recall 5 Word 8Auditory Verbal Learning Test Version A - List A, Recall 5, Word 8.ADNI AVLT - List A Recall 5 Word 8
AVL01-List A Recall 5 Word 9C101972AVL01-List A Recall 5 Word 9Auditory Verbal Learning Test Version A - List A, Recall 5, Word 9.ADNI AVLT - List A Recall 5 Word 9
AVL01-List A Recall 6 (After B) TotalC101996AVL01-List A Recall 6 (After B) TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, sixth attempt (after List B recall).ADNI AVLT - List A Recall 6 (After B) Total
AVL01-List A Recall 6 (After B) Word 1C101981AVL01-List A Recall 6 (After B) Word 1Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 1.ADNI AVLT - List A Recall 6 (After B) Word 1
AVL01-List A Recall 6 (After B) Word 10C101990AVL01-List A Recall 6 (After B) Word 10Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 10.ADNI AVLT - List A Recall 6 (After B) Word 10
AVL01-List A Recall 6 (After B) Word 11C101991AVL01-List A Recall 6 (After B) Word 11Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 11.ADNI AVLT - List A Recall 6 (After B) Word 11
AVL01-List A Recall 6 (After B) Word 12C101992AVL01-List A Recall 6 (After B) Word 12Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 12.ADNI AVLT - List A Recall 6 (After B) Word 12
AVL01-List A Recall 6 (After B) Word 13C101993AVL01-List A Recall 6 (After B) Word 13Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 13.ADNI AVLT - List A Recall 6 (After B) Word 13
AVL01-List A Recall 6 (After B) Word 14C101994AVL01-List A Recall 6 (After B) Word 14Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 14.ADNI AVLT - List A Recall 6 (After B) Word 14
AVL01-List A Recall 6 (After B) Word 15C101995AVL01-List A Recall 6 (After B) Word 15Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 15.ADNI AVLT - List A Recall 6 (After B) Word 15
AVL01-List A Recall 6 (After B) Word 2C101982AVL01-List A Recall 6 (After B) Word 2Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 2.ADNI AVLT - List A Recall 6 (After B) Word 2
AVL01-List A Recall 6 (After B) Word 3C101983AVL01-List A Recall 6 (After B) Word 3Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 3.ADNI AVLT - List A Recall 6 (After B) Word 3
AVL01-List A Recall 6 (After B) Word 4C101984AVL01-List A Recall 6 (After B) Word 4Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 4.ADNI AVLT - List A Recall 6 (After B) Word 4
AVL01-List A Recall 6 (After B) Word 5C101985AVL01-List A Recall 6 (After B) Word 5Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 5.ADNI AVLT - List A Recall 6 (After B) Word 5
AVL01-List A Recall 6 (After B) Word 6C101986AVL01-List A Recall 6 (After B) Word 6Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 6.ADNI AVLT - List A Recall 6 (After B) Word 6
AVL01-List A Recall 6 (After B) Word 7C101987AVL01-List A Recall 6 (After B) Word 7Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 7.ADNI AVLT - List A Recall 6 (After B) Word 7
AVL01-List A Recall 6 (After B) Word 8C101988AVL01-List A Recall 6 (After B) Word 8Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 8.ADNI AVLT - List A Recall 6 (After B) Word 8
AVL01-List A Recall 6 (After B) Word 9C101989AVL01-List A Recall 6 (After B) Word 9Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 9.ADNI AVLT - List A Recall 6 (After B) Word 9
AVL01-List A Recognition IntrusionsC102033AVL01-List A Recognition IntrusionsAuditory Verbal Learning Test Version A - The number of intrusions on recognition test.ADNI AVLT - List A Recognition Intrusions
AVL01-List A Recognition TotalC102032AVL01-List A Recognition TotalAuditory Verbal Learning Test Version A - The number of words correct on recognition test.ADNI AVLT - List A Recognition Total
AVL01-List B IntrusionsC102014AVL01-List B IntrusionsAuditory Verbal Learning Test Version A - The number of intrusions while recalling List B.ADNI AVLT - List B Intrusions
AVL01-List B Recall TotalC102013AVL01-List B Recall TotalAuditory Verbal Learning Test Version A - The number of words recalled from List B.ADNI AVLT - List B Recall Total
AVL01-List B Recall Word 1C101998AVL01-List B Recall Word 1Auditory Verbal Learning Test Version A - List B, Word 1.ADNI AVLT - List B Recall Word 1
AVL01-List B Recall Word 10C102007AVL01-List B Recall Word 10Auditory Verbal Learning Test Version A - List B, Word 10.ADNI AVLT - List B Recall Word 10
AVL01-List B Recall Word 11C102008AVL01-List B Recall Word 11Auditory Verbal Learning Test Version A - List B, Word 11.ADNI AVLT - List B Recall Word 11
AVL01-List B Recall Word 12C102009AVL01-List B Recall Word 12Auditory Verbal Learning Test Version A - List B, Word 12.ADNI AVLT - List B Recall Word 12
AVL01-List B Recall Word 13C102010AVL01-List B Recall Word 13Auditory Verbal Learning Test Version A - List B, Word 13.ADNI AVLT - List B Recall Word 13
AVL01-List B Recall Word 14C102011AVL01-List B Recall Word 14Auditory Verbal Learning Test Version A - List B, Word 14.ADNI AVLT - List B Recall Word 14
AVL01-List B Recall Word 15C102012AVL01-List B Recall Word 15Auditory Verbal Learning Test Version A - List B, Word 15.ADNI AVLT - List B Recall Word 15
AVL01-List B Recall Word 2C101999AVL01-List B Recall Word 2Auditory Verbal Learning Test Version A - List B, Word 2.ADNI AVLT - List B Recall Word 2
AVL01-List B Recall Word 3C102000AVL01-List B Recall Word 3Auditory Verbal Learning Test Version A - List B, Word 3.ADNI AVLT - List B Recall Word 3
AVL01-List B Recall Word 4C102001AVL01-List B Recall Word 4Auditory Verbal Learning Test Version A - List B, Word 4.ADNI AVLT - List B Recall Word 4
AVL01-List B Recall Word 5C102002AVL01-List B Recall Word 5Auditory Verbal Learning Test Version A - List B, Word 5.ADNI AVLT - List B Recall Word 5
AVL01-List B Recall Word 6C102003AVL01-List B Recall Word 6Auditory Verbal Learning Test Version A - List B, Word 6.ADNI AVLT - List B Recall Word 6
AVL01-List B Recall Word 7C102004AVL01-List B Recall Word 7Auditory Verbal Learning Test Version A - List B, Word 7.ADNI AVLT - List B Recall Word 7
AVL01-List B Recall Word 8C102005AVL01-List B Recall Word 8Auditory Verbal Learning Test Version A - List B, Word 8.ADNI AVLT - List B Recall Word 8
AVL01-List B Recall Word 9C102006AVL01-List B Recall Word 9Auditory Verbal Learning Test Version A - List B, Word 9.ADNI AVLT - List B Recall Word 9
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CL.C112435.AQ20 TESTCDAirway Questionnaire 20 Test Code
(AQ20 TESTCD)
text
Extensible: No
C112435Airway Questionnaire 20 Test CodeAirway Questionnaire 20 test code.CDISC Questionnaire AQ20 Test Code Terminology
AQ0101C112529AQ01-Cough Often During DayAirway Questionnaire 20 - Do you cough often during the day?AQ20 - Cough Often During the Day
AQ0102C112530AQ01-Feel Restless Due to Chest TroubleAirway Questionnaire 20 - Does your chest trouble often make you feel restless?AQ20 - Chest Trouble Make You Feel Restless
AQ0103C112531AQ01-Gardening Make You BreathlessAirway Questionnaire 20 - Does gardening make you breathless?AQ20 - Gardening Make You Breathless
AQ0104C112532AQ01-Chest Upset at Friend HouseAirway Questionnaire 20 - Do you worry when going to a friend's house that there might be something there that will upset your chest?AQ20 - Worry When Going to Friend House Something Will Upset Your Chest
AQ0105C112533AQ01-Chest Prob Smell/Fume/Smoke/PerfumeAirway Questionnaire 20 - Do you get chest problems when you come into contact with strong smells, exhaust fumes, cigarette smoke, perfume etc?AQ20 - Get Chest Problems When Contact With Strong Smells
AQ0106C112534AQ01-Partner Upset by Your Chest TroubleAirway Questionnaire 20 - Does your partner find your chest trouble upsetting?AQ20 - Partner Find Your Chest Trouble Upsetting
AQ0107C112535AQ01-Breathless When Trying to SleepAirway Questionnaire 20 - Do you feel breathless when trying to sleep?AQ20 - Feel Breathless When Trying to Sleep
AQ0108C112536AQ01-Long Term Effects of DrugsAirway Questionnaire 20 - Do you worry about the long term effects of the drugs you take for your chest trouble?AQ20 - Worry About Long Term Effects of Drugs for Chest Trouble
AQ0109C112537AQ01-Emotional Upset Worse Chest TroubleAirway Questionnaire 20 - Does getting emotionally upset make your chest trouble worse?AQ20 - Getting Emotionally Upset Make Chest Trouble Worse
AQ0110C112538AQ01-Difficulty Getting Around the HouseAirway Questionnaire 20 - Are there times when you have difficulty getting around the house because of your chest trouble?AQ20 - Difficulty Getting Around the House Because of Chest Trouble
AQ0111C112539AQ01-Breathless Carry out Work ActivityAirway Questionnaire 20 - Does your chest problem make you breathless when you do things at work? (paid employment).AQ20 - Chest Problem Make You Breathless at Work
AQ0112C112540AQ01-Breathless Walking UpstairsAirway Questionnaire 20 - Does walking upstairs make you breathless?AQ20 - Walking Upstairs Make You Breathless
AQ0113C112541AQ01-Get Breathless Doing HouseworkAirway Questionnaire 20 - Do you get breathless doing housework?AQ20 - Get Breathless Doing Housework
AQ0114C112542AQ01-Go Home Sooner Than OthersAirway Questionnaire 20 - Does your chest trouble make you go home sooner than others after a night out?AQ20 - Chest Trouble Make You Go Home Sooner Than Others
AQ0115C112543AQ01-Breathlessness When LaughAirway Questionnaire 20 - Do you suffer from breathlessness when you laugh?AQ20 - Suffer From Breathlessness When Laugh
AQ0116C112544AQ01-Impatient Due to Chest TroubleAirway Questionnaire 20 - Does your chest trouble often make you feel impatient?AQ20 - Chest Trouble Make You Feel Impatient
AQ0117C112545AQ01-Full Life Limited by Chest TroubleAirway Questionnaire 20 - Do you think the fullness of your life is limited by your chest trouble?AQ20 - Fullness of Life is Limited by Chest Trouble
AQ0118C112546AQ01-Drained After a ColdAirway Questionnaire 20 - Do you feel drained after a cold because of your chest trouble?AQ20 - Feel Drained After a Cold Because of Chest Trouble
AQ0119C112547AQ01-Feeling of Chest HeavinessAirway Questionnaire 20 - Do you have a feeling of chest heaviness?AQ20 - Feeling of Chest Heaviness
AQ0120C112548AQ01-Worry About Chest TroubleAirway Questionnaire 20 - Do you worry a lot about your chest trouble?AQ20 - Worry a Lot About Chest Trouble
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CL.C112434.AQ20 TESTAirway Questionnaire 20 Test Name
(AQ20 TEST)
text
Extensible: No
C112434Airway Questionnaire 20 Test NameAirway Questionnaire 20 test name.CDISC Questionnaire AQ20 Test Name Terminology
AQ01-Breathless Carry out Work ActivityC112539AQ01-Breathless Carry out Work ActivityAirway Questionnaire 20 - Does your chest problem make you breathless when you do things at work? (paid employment).AQ20 - Chest Problem Make You Breathless at Work
AQ01-Breathless Walking UpstairsC112540AQ01-Breathless Walking UpstairsAirway Questionnaire 20 - Does walking upstairs make you breathless?AQ20 - Walking Upstairs Make You Breathless
AQ01-Breathless When Trying to SleepC112535AQ01-Breathless When Trying to SleepAirway Questionnaire 20 - Do you feel breathless when trying to sleep?AQ20 - Feel Breathless When Trying to Sleep
AQ01-Breathlessness When LaughC112543AQ01-Breathlessness When LaughAirway Questionnaire 20 - Do you suffer from breathlessness when you laugh?AQ20 - Suffer From Breathlessness When Laugh
AQ01-Chest Prob Smell/Fume/Smoke/PerfumeC112533AQ01-Chest Prob Smell/Fume/Smoke/PerfumeAirway Questionnaire 20 - Do you get chest problems when you come into contact with strong smells, exhaust fumes, cigarette smoke, perfume etc?AQ20 - Get Chest Problems When Contact With Strong Smells
AQ01-Chest Upset at Friend HouseC112532AQ01-Chest Upset at Friend HouseAirway Questionnaire 20 - Do you worry when going to a friend's house that there might be something there that will upset your chest?AQ20 - Worry When Going to Friend House Something Will Upset Your Chest
AQ01-Cough Often During DayC112529AQ01-Cough Often During DayAirway Questionnaire 20 - Do you cough often during the day?AQ20 - Cough Often During the Day
AQ01-Difficulty Getting Around the HouseC112538AQ01-Difficulty Getting Around the HouseAirway Questionnaire 20 - Are there times when you have difficulty getting around the house because of your chest trouble?AQ20 - Difficulty Getting Around the House Because of Chest Trouble
AQ01-Drained After a ColdC112546AQ01-Drained After a ColdAirway Questionnaire 20 - Do you feel drained after a cold because of your chest trouble?AQ20 - Feel Drained After a Cold Because of Chest Trouble
AQ01-Emotional Upset Worse Chest TroubleC112537AQ01-Emotional Upset Worse Chest TroubleAirway Questionnaire 20 - Does getting emotionally upset make your chest trouble worse?AQ20 - Getting Emotionally Upset Make Chest Trouble Worse
AQ01-Feel Restless Due to Chest TroubleC112530AQ01-Feel Restless Due to Chest TroubleAirway Questionnaire 20 - Does your chest trouble often make you feel restless?AQ20 - Chest Trouble Make You Feel Restless
AQ01-Feeling of Chest HeavinessC112547AQ01-Feeling of Chest HeavinessAirway Questionnaire 20 - Do you have a feeling of chest heaviness?AQ20 - Feeling of Chest Heaviness
AQ01-Full Life Limited by Chest TroubleC112545AQ01-Full Life Limited by Chest TroubleAirway Questionnaire 20 - Do you think the fullness of your life is limited by your chest trouble?AQ20 - Fullness of Life is Limited by Chest Trouble
AQ01-Gardening Make You BreathlessC112531AQ01-Gardening Make You BreathlessAirway Questionnaire 20 - Does gardening make you breathless?AQ20 - Gardening Make You Breathless
AQ01-Get Breathless Doing HouseworkC112541AQ01-Get Breathless Doing HouseworkAirway Questionnaire 20 - Do you get breathless doing housework?AQ20 - Get Breathless Doing Housework
AQ01-Go Home Sooner Than OthersC112542AQ01-Go Home Sooner Than OthersAirway Questionnaire 20 - Does your chest trouble make you go home sooner than others after a night out?AQ20 - Chest Trouble Make You Go Home Sooner Than Others
AQ01-Impatient Due to Chest TroubleC112544AQ01-Impatient Due to Chest TroubleAirway Questionnaire 20 - Does your chest trouble often make you feel impatient?AQ20 - Chest Trouble Make You Feel Impatient
AQ01-Long Term Effects of DrugsC112536AQ01-Long Term Effects of DrugsAirway Questionnaire 20 - Do you worry about the long term effects of the drugs you take for your chest trouble?AQ20 - Worry About Long Term Effects of Drugs for Chest Trouble
AQ01-Partner Upset by Your Chest TroubleC112534AQ01-Partner Upset by Your Chest TroubleAirway Questionnaire 20 - Does your partner find your chest trouble upsetting?AQ20 - Partner Find Your Chest Trouble Upsetting
AQ01-Worry About Chest TroubleC112548AQ01-Worry About Chest TroubleAirway Questionnaire 20 - Do you worry a lot about your chest trouble?AQ20 - Worry a Lot About Chest Trouble
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CL.C100132.ADAS-Cog CDISC Version TESTCDAlzheimer's Disease Assessment Scale - Cognitive CDISC Version Test Code
(ADAS-Cog CDISC Version TESTCD)
text
Extensible: No
C100132Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Test CodeADAS-Cog CDISC Version test code.CDISC Questionnaire ADAS-Cog CDISC Version Test Code Terminology
ADCCMDC100209CommandsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for commands.CDISC ADAS-Cog - Commands Summary Score
ADCCMD01C100210Commands: FistAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for making a fist.CDISC ADAS-Cog - Commands: Fist
ADCCMD02C100211Commands: CeilingAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for pointing to the ceiling then to the floor.CDISC ADAS-Cog - Commands: Ceiling
ADCCMD03C100212Commands: PencilAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for put the pencil on top of the card and then put it back.CDISC ADAS-Cog - Commands: Pencil
ADCCMD04C100213Commands: WatchAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for put the watch on the other side of the pencil and then turn over the card.CDISC ADAS-Cog - Commands: Watch
ADCCMD05C100214Commands: ShoulderAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for tap each shoulder twice with two fingers keeping your eyes shut.CDISC ADAS-Cog - Commands: Shoulder
ADCCMPC100278ComprehensionAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to comprehend speech.CDISC ADAS-Cog - Comprehension
ADCCONC100279Concentration/DistractibilityAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to concentrate or easily be distracted.CDISC ADAS-Cog - Concentration/Distractibility
ADCCPC100226Constructional PraxisAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for constructional praxis.CDISC ADAS-Cog - Constructional Praxis Summary Score
ADCCP01C100227Constructional Praxis: CircleAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a circle.CDISC ADAS-Cog - Constructional Praxis: Circle
ADCCP02C100228Constructional Praxis: 2 RectanglesAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying two overlapping rectangles.CDISC ADAS-Cog - Constructional Praxis: 2 Rectangles
ADCCP03C100229Constructional Praxis: DiamondAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a diamond.CDISC ADAS-Cog - Constructional Praxis: Diamond
ADCCP04C100230Constructional Praxis: CubeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a cube.CDISC ADAS-Cog - Constructional Praxis: Cube
ADCCPSC100231Attempt to DrawAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis attempted to draw, but drew no forms correctly.CDISC ADAS-Cog - Attempt to Draw
ADCDIFC100277Word Finding Difficulty in Spont SpeechAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Difficulty finding the desired word in spontaneous speech.CDISC ADAS-Cog - Word Difficulty in Spontaneous Speech
ADCDRLC100215Delayed Word RecallAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for delayed word recall.CDISC ADAS-Cog - Delayed Word Recall Summary Score
ADCDRL01C100216Delayed Word Recall: Word [1]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 1.CDISC ADAS-Cog - Delayed Word Recall: Word 1
ADCDRL02C100217Delayed Word Recall: Word [2]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 2.CDISC ADAS-Cog - Delayed Word Recall: Word 2
ADCDRL03C100218Delayed Word Recall: Word [3]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 3.CDISC ADAS-Cog - Delayed Word Recall: Word 3
ADCDRL04C100219Delayed Word Recall: Word [4]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 4.CDISC ADAS-Cog - Delayed Word Recall: Word 4
ADCDRL05C100220Delayed Word Recall: Word [5]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 5.CDISC ADAS-Cog - Delayed Word Recall: Word 5
ADCDRL06C100221Delayed Word Recall: Word [6]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 6.CDISC ADAS-Cog - Delayed Word Recall: Word 6
ADCDRL07C100222Delayed Word Recall: Word [7]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 7.CDISC ADAS-Cog - Delayed Word Recall: Word 7
ADCDRL08C100223Delayed Word Recall: Word [8]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 8.CDISC ADAS-Cog - Delayed Word Recall: Word 8
ADCDRL09C100224Delayed Word Recall: Word [9]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 9.CDISC ADAS-Cog - Delayed Word Recall: Word 9
ADCDRL10C100225Delayed Word Recall: Word [10]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 10.CDISC ADAS-Cog - Delayed Word Recall: Word 10
ADCIPC100232Ideational PraxisAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for ideational praxis.CDISC ADAS-Cog - Ideational Praxis Summary Score
ADCIP01C100233Ideational Praxis: FoldAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for folding the paper.CDISC ADAS-Cog - Ideational Praxis: Fold
ADCIP02C100234Ideational Praxis: InsertAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for put the paper in the envelop.CDISC ADAS-Cog - Ideational Praxis: Insert
ADCIP03C100235Ideational Praxis: SealAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for seal the envelop.CDISC ADAS-Cog - Ideational Praxis: Seal
ADCIP04C100236Ideational Praxis: AddressAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for address the envelop to yourself.CDISC ADAS-Cog - Ideational Praxis: Address
ADCIP05C100237Ideational Praxis: StampAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for showing where the stamp goes.CDISC ADAS-Cog - Ideational Praxis: Stamp
ADCMZC100284Executive Function MazeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the executive function maze tasks.CDISC ADAS-Cog - Executive Function Maze Summary Score
ADCMZ01C100285Executive Function Maze: ErrorsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the executive function maze task.CDISC ADAS-Cog - Executive Function Maze: Errors
ADCMZ02C100286Executive Function Maze: TimeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - The time in seconds stored in ISO 8601 time for the executive function maze task.CDISC ADAS-Cog - Executive Function Maze: Time
ADCNCC100280Number CancellationAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the number cancellation tasks.CDISC ADAS-Cog - Number Cancellation Summary Score
ADCNC01C100281Number Cancellation: CorrectAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of targets hit during the number cancellation task.CDISC ADAS-Cog - Number Cancellation: Correct
ADCNC02C100282Number Cancellation: ErrorsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the number cancellation task.CDISC ADAS-Cog - Number Cancellation: Errors
ADCNC03C100283Number Cancellation: RemindAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of times reminded for the number cancellation task.CDISC ADAS-Cog - Number Cancellation: Remind
ADCOFC100191Naming Objects and FingersAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task summary score for object and fingers.CDISC ADAS-Cog - Naming Objects and Fingers Summary Score
ADCOFF01C100204Naming Objects and Fingers: ThumbAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, thumb.CDISC ADAS-Cog - Naming Objects and Fingers: Thumb
ADCOFF02C100205Naming Objects and Fingers: PointerAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, index, or pointer finger.CDISC ADAS-Cog - Naming Objects and Fingers: Pointer
ADCOFF03C100206Naming Objects and Fingers: MiddleAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, middle finger.CDISC ADAS-Cog - Naming Objects and Fingers: Middle
ADCOFF04C100207Naming Objects and Fingers: RingAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, ring finger.CDISC ADAS-Cog - Naming Objects and Fingers: Ring
ADCOFF05C100208Naming Objects and Fingers: PinkyAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, little finger or pinky.CDISC ADAS-Cog - Naming Objects and Fingers: Pinky
ADCOFO01C100192Naming Objects and Fingers: 1Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 1.CDISC ADAS-Cog - Naming Objects and Fingers: 1
ADCOFO02C100193Naming Objects and Fingers: 2Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 2.CDISC ADAS-Cog - Naming Objects and Fingers: 2
ADCOFO03C100194Naming Objects and Fingers: 3Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 3.CDISC ADAS-Cog - Naming Objects and Fingers: 3
ADCOFO04C100195Naming Objects and Fingers: 4Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 4.CDISC ADAS-Cog - Naming Objects and Fingers: 4
ADCOFO05C100196Naming Objects and Fingers: 5Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 5.CDISC ADAS-Cog - Naming Objects and Fingers: 5
ADCOFO06C100197Naming Objects and Fingers: 6Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 6.CDISC ADAS-Cog - Naming Objects and Fingers: 6
ADCOFO07C100198Naming Objects and Fingers: 7Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 7.CDISC ADAS-Cog - Naming Objects and Fingers: 7
ADCOFO08C100199Naming Objects and Fingers: 8Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 8.CDISC ADAS-Cog - Naming Objects and Fingers: 8
ADCOFO09C100200Naming Objects and Fingers: 9Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 9.CDISC ADAS-Cog - Naming Objects and Fingers: 9
ADCOFO10C100201Naming Objects and Fingers: 10Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 10.CDISC ADAS-Cog - Naming Objects and Fingers: 10
ADCOFO11C100202Naming Objects and Fingers: 11Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 11.CDISC ADAS-Cog - Naming Objects and Fingers: 11
ADCOFO12C100203Naming Objects and Fingers: 12Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 12.CDISC ADAS-Cog - Naming Objects and Fingers: 12
ADCORC100238OrientationAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for orientation.CDISC ADAS-Cog - Orientation Summary Score
ADCOR01C100239Orientation: Full NameAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing one's own full name.CDISC ADAS-Cog - Orientation: Full Name
ADCOR02C100240Orientation: MonthAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current month.CDISC ADAS-Cog - Orientation: Month
ADCOR03C100241Orientation: DateAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day.CDISC ADAS-Cog - Orientation: Date
ADCOR04C100242Orientation: YearAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current year.CDISC ADAS-Cog - Orientation: Year
ADCOR05C100243Orientation: Day of WeekAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day of the week.CDISC ADAS-Cog - Orientation: Day of Week
ADCOR06C100244Orientation: SeasonAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current season.CDISC ADAS-Cog - Orientation: Season
ADCOR07C100245Orientation: PlaceAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current place.CDISC ADAS-Cog - Orientation: Place
ADCOR08C100246Orientation: TimeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the approximate current clock time.CDISC ADAS-Cog - Orientation: Time
ADCRGC100247Word RecognitionAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for word recognition across trials 1-3.CDISC ADAS-Cog - Word Recognition Summary Score
ADCRGT01C100248Word Recognition Trial 1Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 1.CDISC ADAS-Cog - Word Recognition Trial 1 Summary Score
ADCRGT02C100249Word Recognition Trial 2Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 2.CDISC ADAS-Cog - Word Recognition Trial 2 Summary Score
ADCRGT03C100250Word Recognition Trial 3Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 3.CDISC ADAS-Cog - Word Recognition Trial 3 Summary Score
ADCRGW01C100251Word Recognition: Word [1]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 1 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 1
ADCRGW02C100252Word Recognition: Word [2]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 2 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 2
ADCRGW03C100253Word Recognition: Word [3]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 3 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 3
ADCRGW04C100254Word Recognition: Word [4]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 4 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 4
ADCRGW05C100255Word Recognition: Word [5]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 5 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 5
ADCRGW06C100256Word Recognition: Word [6]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 6 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 6
ADCRGW07C100257Word Recognition: Word [7]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 7 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 7
ADCRGW08C100258Word Recognition: Word [8]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 8 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 8
ADCRGW09C100259Word Recognition: Word [9]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 9 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 9
ADCRGW10C100260Word Recognition: Word [10]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 10 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 10
ADCRGW11C100261Word Recognition: Word [11]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 11 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 11
ADCRGW12C100262Word Recognition: Word [12]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 12 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 12
ADCRGW13C100263Word Recognition: Word [13]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 13 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 13
ADCRGW14C100264Word Recognition: Word [14]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 14 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 14
ADCRGW15C100265Word Recognition: Word [15]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 15 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 15
ADCRGW16C100266Word Recognition: Word [16]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 16 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 16
ADCRGW17C100267Word Recognition: Word [17]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 17 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 17
ADCRGW18C100268Word Recognition: Word [18]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 18 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 18
ADCRGW19C100269Word Recognition: Word [19]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 19 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 19
ADCRGW20C100270Word Recognition: Word [20]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 20 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 20
ADCRGW21C100271Word Recognition: Word [21]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 21 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 21
ADCRGW22C100272Word Recognition: Word [22]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 22 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 22
ADCRGW23C100273Word Recognition: Word [23]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 23 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 23
ADCRGW24C100274Word Recognition: Word [24]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 24 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 24
ADCRIC100275Remembering Test InstructionsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Remembering test instructions.CDISC ADAS-Cog - Remembering Test Instructions
ADCRLC100177Word RecallAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word average score of trials 1, 2, 3.CDISC ADAS-Cog - Word Recall Average Score
ADCRLT01C100178Word Recall Trial 1Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 1.CDISC ADAS-Cog - Word Recall Trial 1 Subscore
ADCRLT02C100179Word Recall Trial 2Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 2.CDISC ADAS-Cog - Word Recall Trial 2 Subscore
ADCRLT03C100180Word Recall Trial 3Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 3.CDISC ADAS-Cog - Word Recall Trial 3 Subscore
ADCRLW01C100181Word Recall: Word [1]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 1 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 1
ADCRLW02C100182Word Recall: Word [2]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 2 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 2
ADCRLW03C100183Word Recall: Word [3]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 3 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 3
ADCRLW04C100184Word Recall: Word [4]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 4 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 4
ADCRLW05C100185Word Recall: Word [5]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 5 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 5
ADCRLW06C100186Word Recall: Word [6]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 6 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 6
ADCRLW07C100187Word Recall: Word [7]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 7 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 7
ADCRLW08C100188Word Recall: Word [8]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 8 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 8
ADCRLW09C100189Word Recall: Word [9]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 9 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 9
ADCRLW10C100190Word Recall: Word [10]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 10 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 10
ADCSLC100276Spoken Language AbilityAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Global rating of the quality of speech, or difficulty in making oneself understood.CDISC ADAS-Cog - Spoken Language Ability
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CL.C100131.ADAS-Cog CDISC Version TESTAlzheimer's Disease Assessment Scale - Cognitive CDISC Version Test Name
(ADAS-Cog CDISC Version TEST)
text
Extensible: No
C100131Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Test NameADAS-Cog CDISC Version test name.CDISC Questionnaire ADAS-Cog CDISC Version Test Name Terminology
Attempt to DrawC100231Attempt to DrawAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis attempted to draw, but drew no forms correctly.CDISC ADAS-Cog - Attempt to Draw
CommandsC100209CommandsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for commands.CDISC ADAS-Cog - Commands Summary Score
Commands: CeilingC100211Commands: CeilingAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for pointing to the ceiling then to the floor.CDISC ADAS-Cog - Commands: Ceiling
Commands: FistC100210Commands: FistAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for making a fist.CDISC ADAS-Cog - Commands: Fist
Commands: PencilC100212Commands: PencilAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for put the pencil on top of the card and then put it back.CDISC ADAS-Cog - Commands: Pencil
Commands: ShoulderC100214Commands: ShoulderAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for tap each shoulder twice with two fingers keeping your eyes shut.CDISC ADAS-Cog - Commands: Shoulder
Commands: WatchC100213Commands: WatchAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for put the watch on the other side of the pencil and then turn over the card.CDISC ADAS-Cog - Commands: Watch
ComprehensionC100278ComprehensionAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to comprehend speech.CDISC ADAS-Cog - Comprehension
Concentration/DistractibilityC100279Concentration/DistractibilityAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to concentrate or easily be distracted.CDISC ADAS-Cog - Concentration/Distractibility
Constructional PraxisC100226Constructional PraxisAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for constructional praxis.CDISC ADAS-Cog - Constructional Praxis Summary Score
Constructional Praxis: 2 RectanglesC100228Constructional Praxis: 2 RectanglesAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying two overlapping rectangles.CDISC ADAS-Cog - Constructional Praxis: 2 Rectangles
Constructional Praxis: CircleC100227Constructional Praxis: CircleAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a circle.CDISC ADAS-Cog - Constructional Praxis: Circle
Constructional Praxis: CubeC100230Constructional Praxis: CubeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a cube.CDISC ADAS-Cog - Constructional Praxis: Cube
Constructional Praxis: DiamondC100229Constructional Praxis: DiamondAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a diamond.CDISC ADAS-Cog - Constructional Praxis: Diamond
Delayed Word RecallC100215Delayed Word RecallAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for delayed word recall.CDISC ADAS-Cog - Delayed Word Recall Summary Score
Delayed Word Recall: Word [1]C100216Delayed Word Recall: Word [1]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 1.CDISC ADAS-Cog - Delayed Word Recall: Word 1
Delayed Word Recall: Word [10]C100225Delayed Word Recall: Word [10]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 10.CDISC ADAS-Cog - Delayed Word Recall: Word 10
Delayed Word Recall: Word [2]C100217Delayed Word Recall: Word [2]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 2.CDISC ADAS-Cog - Delayed Word Recall: Word 2
Delayed Word Recall: Word [3]C100218Delayed Word Recall: Word [3]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 3.CDISC ADAS-Cog - Delayed Word Recall: Word 3
Delayed Word Recall: Word [4]C100219Delayed Word Recall: Word [4]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 4.CDISC ADAS-Cog - Delayed Word Recall: Word 4
Delayed Word Recall: Word [5]C100220Delayed Word Recall: Word [5]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 5.CDISC ADAS-Cog - Delayed Word Recall: Word 5
Delayed Word Recall: Word [6]C100221Delayed Word Recall: Word [6]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 6.CDISC ADAS-Cog - Delayed Word Recall: Word 6
Delayed Word Recall: Word [7]C100222Delayed Word Recall: Word [7]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 7.CDISC ADAS-Cog - Delayed Word Recall: Word 7
Delayed Word Recall: Word [8]C100223Delayed Word Recall: Word [8]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 8.CDISC ADAS-Cog - Delayed Word Recall: Word 8
Delayed Word Recall: Word [9]C100224Delayed Word Recall: Word [9]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 9.CDISC ADAS-Cog - Delayed Word Recall: Word 9
Executive Function MazeC100284Executive Function MazeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the executive function maze tasks.CDISC ADAS-Cog - Executive Function Maze Summary Score
Executive Function Maze: ErrorsC100285Executive Function Maze: ErrorsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the executive function maze task.CDISC ADAS-Cog - Executive Function Maze: Errors
Executive Function Maze: TimeC100286Executive Function Maze: TimeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - The time in seconds stored in ISO 8601 time for the executive function maze task.CDISC ADAS-Cog - Executive Function Maze: Time
Ideational PraxisC100232Ideational PraxisAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for ideational praxis.CDISC ADAS-Cog - Ideational Praxis Summary Score
Ideational Praxis: AddressC100236Ideational Praxis: AddressAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for address the envelop to yourself.CDISC ADAS-Cog - Ideational Praxis: Address
Ideational Praxis: FoldC100233Ideational Praxis: FoldAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for folding the paper.CDISC ADAS-Cog - Ideational Praxis: Fold
Ideational Praxis: InsertC100234Ideational Praxis: InsertAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for put the paper in the envelop.CDISC ADAS-Cog - Ideational Praxis: Insert
Ideational Praxis: SealC100235Ideational Praxis: SealAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for seal the envelop.CDISC ADAS-Cog - Ideational Praxis: Seal
Ideational Praxis: StampC100237Ideational Praxis: StampAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for showing where the stamp goes.CDISC ADAS-Cog - Ideational Praxis: Stamp
Naming Objects and FingersC100191Naming Objects and FingersAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task summary score for object and fingers.CDISC ADAS-Cog - Naming Objects and Fingers Summary Score
Naming Objects and Fingers: 1C100192Naming Objects and Fingers: 1Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 1.CDISC ADAS-Cog - Naming Objects and Fingers: 1
Naming Objects and Fingers: 10C100201Naming Objects and Fingers: 10Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 10.CDISC ADAS-Cog - Naming Objects and Fingers: 10
Naming Objects and Fingers: 11C100202Naming Objects and Fingers: 11Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 11.CDISC ADAS-Cog - Naming Objects and Fingers: 11
Naming Objects and Fingers: 12C100203Naming Objects and Fingers: 12Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 12.CDISC ADAS-Cog - Naming Objects and Fingers: 12
Naming Objects and Fingers: 2C100193Naming Objects and Fingers: 2Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 2.CDISC ADAS-Cog - Naming Objects and Fingers: 2
Naming Objects and Fingers: 3C100194Naming Objects and Fingers: 3Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 3.CDISC ADAS-Cog - Naming Objects and Fingers: 3
Naming Objects and Fingers: 4C100195Naming Objects and Fingers: 4Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 4.CDISC ADAS-Cog - Naming Objects and Fingers: 4
Naming Objects and Fingers: 5C100196Naming Objects and Fingers: 5Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 5.CDISC ADAS-Cog - Naming Objects and Fingers: 5
Naming Objects and Fingers: 6C100197Naming Objects and Fingers: 6Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 6.CDISC ADAS-Cog - Naming Objects and Fingers: 6
Naming Objects and Fingers: 7C100198Naming Objects and Fingers: 7Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 7.CDISC ADAS-Cog - Naming Objects and Fingers: 7
Naming Objects and Fingers: 8C100199Naming Objects and Fingers: 8Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 8.CDISC ADAS-Cog - Naming Objects and Fingers: 8
Naming Objects and Fingers: 9C100200Naming Objects and Fingers: 9Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 9.CDISC ADAS-Cog - Naming Objects and Fingers: 9
Naming Objects and Fingers: MiddleC100206Naming Objects and Fingers: MiddleAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, middle finger.CDISC ADAS-Cog - Naming Objects and Fingers: Middle
Naming Objects and Fingers: PinkyC100208Naming Objects and Fingers: PinkyAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, little finger or pinky.CDISC ADAS-Cog - Naming Objects and Fingers: Pinky
Naming Objects and Fingers: PointerC100205Naming Objects and Fingers: PointerAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, index, or pointer finger.CDISC ADAS-Cog - Naming Objects and Fingers: Pointer
Naming Objects and Fingers: RingC100207Naming Objects and Fingers: RingAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, ring finger.CDISC ADAS-Cog - Naming Objects and Fingers: Ring
Naming Objects and Fingers: ThumbC100204Naming Objects and Fingers: ThumbAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, thumb.CDISC ADAS-Cog - Naming Objects and Fingers: Thumb
Number CancellationC100280Number CancellationAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the number cancellation tasks.CDISC ADAS-Cog - Number Cancellation Summary Score
Number Cancellation: CorrectC100281Number Cancellation: CorrectAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of targets hit during the number cancellation task.CDISC ADAS-Cog - Number Cancellation: Correct
Number Cancellation: ErrorsC100282Number Cancellation: ErrorsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the number cancellation task.CDISC ADAS-Cog - Number Cancellation: Errors
Number Cancellation: RemindC100283Number Cancellation: RemindAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of times reminded for the number cancellation task.CDISC ADAS-Cog - Number Cancellation: Remind
OrientationC100238OrientationAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for orientation.CDISC ADAS-Cog - Orientation Summary Score
Orientation: DateC100241Orientation: DateAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day.CDISC ADAS-Cog - Orientation: Date
Orientation: Day of WeekC100243Orientation: Day of WeekAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day of the week.CDISC ADAS-Cog - Orientation: Day of Week
Orientation: Full NameC100239Orientation: Full NameAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing one's own full name.CDISC ADAS-Cog - Orientation: Full Name
Orientation: MonthC100240Orientation: MonthAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current month.CDISC ADAS-Cog - Orientation: Month
Orientation: PlaceC100245Orientation: PlaceAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current place.CDISC ADAS-Cog - Orientation: Place
Orientation: SeasonC100244Orientation: SeasonAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current season.CDISC ADAS-Cog - Orientation: Season
Orientation: TimeC100246Orientation: TimeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the approximate current clock time.CDISC ADAS-Cog - Orientation: Time
Orientation: YearC100242Orientation: YearAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current year.CDISC ADAS-Cog - Orientation: Year
Remembering Test InstructionsC100275Remembering Test InstructionsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Remembering test instructions.CDISC ADAS-Cog - Remembering Test Instructions
Spoken Language AbilityC100276Spoken Language AbilityAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Global rating of the quality of speech, or difficulty in making oneself understood.CDISC ADAS-Cog - Spoken Language Ability
Word Finding Difficulty in Spont SpeechC100277Word Finding Difficulty in Spont SpeechAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Difficulty finding the desired word in spontaneous speech.CDISC ADAS-Cog - Word Difficulty in Spontaneous Speech
Word RecallC100177Word RecallAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word average score of trials 1, 2, 3.CDISC ADAS-Cog - Word Recall Average Score
Word Recall Trial 1C100178Word Recall Trial 1Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 1.CDISC ADAS-Cog - Word Recall Trial 1 Subscore
Word Recall Trial 2C100179Word Recall Trial 2Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 2.CDISC ADAS-Cog - Word Recall Trial 2 Subscore
Word Recall Trial 3C100180Word Recall Trial 3Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 3.CDISC ADAS-Cog - Word Recall Trial 3 Subscore
Word Recall: Word [1]C100181Word Recall: Word [1]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 1 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 1
Word Recall: Word [10]C100190Word Recall: Word [10]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 10 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 10
Word Recall: Word [2]C100182Word Recall: Word [2]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 2 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 2
Word Recall: Word [3]C100183Word Recall: Word [3]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 3 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 3
Word Recall: Word [4]C100184Word Recall: Word [4]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 4 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 4
Word Recall: Word [5]C100185Word Recall: Word [5]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 5 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 5
Word Recall: Word [6]C100186Word Recall: Word [6]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 6 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 6
Word Recall: Word [7]C100187Word Recall: Word [7]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 7 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 7
Word Recall: Word [8]C100188Word Recall: Word [8]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 8 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 8
Word Recall: Word [9]C100189Word Recall: Word [9]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 9 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 9
Word RecognitionC100247Word RecognitionAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for word recognition across trials 1-3.CDISC ADAS-Cog - Word Recognition Summary Score
Word Recognition Trial 1C100248Word Recognition Trial 1Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 1.CDISC ADAS-Cog - Word Recognition Trial 1 Summary Score
Word Recognition Trial 2C100249Word Recognition Trial 2Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 2.CDISC ADAS-Cog - Word Recognition Trial 2 Summary Score
Word Recognition Trial 3C100250Word Recognition Trial 3Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 3.CDISC ADAS-Cog - Word Recognition Trial 3 Summary Score
Word Recognition: Word [1]C100251Word Recognition: Word [1]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 1 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 1
Word Recognition: Word [10]C100260Word Recognition: Word [10]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 10 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 10
Word Recognition: Word [11]C100261Word Recognition: Word [11]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 11 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 11
Word Recognition: Word [12]C100262Word Recognition: Word [12]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 12 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 12
Word Recognition: Word [13]C100263Word Recognition: Word [13]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 13 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 13
Word Recognition: Word [14]C100264Word Recognition: Word [14]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 14 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 14
Word Recognition: Word [15]C100265Word Recognition: Word [15]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 15 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 15
Word Recognition: Word [16]C100266Word Recognition: Word [16]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 16 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 16
Word Recognition: Word [17]C100267Word Recognition: Word [17]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 17 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 17
Word Recognition: Word [18]C100268Word Recognition: Word [18]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 18 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 18
Word Recognition: Word [19]C100269Word Recognition: Word [19]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 19 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 19
Word Recognition: Word [2]C100252Word Recognition: Word [2]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 2 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 2
Word Recognition: Word [20]C100270Word Recognition: Word [20]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 20 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 20
Word Recognition: Word [21]C100271Word Recognition: Word [21]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 21 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 21
Word Recognition: Word [22]C100272Word Recognition: Word [22]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 22 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 22
Word Recognition: Word [23]C100273Word Recognition: Word [23]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 23 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 23
Word Recognition: Word [24]C100274Word Recognition: Word [24]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 24 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 24
Word Recognition: Word [3]C100253Word Recognition: Word [3]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 3 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 3
Word Recognition: Word [4]C100254Word Recognition: Word [4]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 4 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 4
Word Recognition: Word [5]C100255Word Recognition: Word [5]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 5 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 5
Word Recognition: Word [6]C100256Word Recognition: Word [6]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 6 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 6
Word Recognition: Word [7]C100257Word Recognition: Word [7]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 7 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 7
Word Recognition: Word [8]C100258Word Recognition: Word [8]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 8 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 8
Word Recognition: Word [9]C100259Word Recognition: Word [9]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 9 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 9
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CL.C106651.ADCS-ADL MCI TESTCDAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Code
(ADCS-ADL MCI TESTCD)
text
Extensible: No
C106651Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test CodeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version test code.CDISC Questionnaire ADCS-ADL MCI Test Code Terminology
ADL0301C106891ADL03-Find Personal BelongingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?ADCS-ADL MCI - Find Personal Belongings
ADL0301AC106892ADL03-Find Belongings Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he /she usually performed.ADCS-ADL MCI - Description of Usual Performance of Finding Belongings
ADL0302C106893ADL03-Select First Clothes for the DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} select his/her first set of clothes for the day?ADCS-ADL MCI - Select First Clothes for the Day
ADL0302AC106894ADL03-Usual Dressing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her usual performance.ADCS-ADL MCI - Description of Usual Performance of Selecting First Clothes for the Day
ADL0303C106895ADL03-Usual Physically Dressing PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Regarding physically getting dressed, which best describes his/her usual performance in the past 4 weeks.ADCS-ADL MCI - Description of Usual Performance of Physically Getting Dressed
ADL0304C106896ADL03-Clean RoomAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} clean a living-, sitting-, or family room?ADCS-ADL MCI - Clean Room
ADL0304AC106897ADL03-Clean Room PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.ADCS-ADL MCI - Description of Usual Performance of Cleaning Room
ADL0305C106898ADL03-Balance CheckbookAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} balance his/her checkbook or credit card statement?ADCS-ADL MCI - Balance Checkbook
ADL0305AC106899ADL03-Balance Checkbook PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.ADCS-ADL MCI - Description of Usual Performance of Balancing Checkbook
ADL0306C106900ADL03-Write Things DownAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} ever write things down?ADCS-ADL MCI - Write Things Down
ADL0306AC106901ADL03-Most Complicated WritingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes the most complicated things that he/she wrote.ADCS-ADL MCI - Description of Usual Performance of Most Complicated Things Written
ADL0307C106902ADL03-Clean LaundryAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} clean a load of laundry?ADCS-ADL MCI - Clean Laundry
ADL0307AC106903ADL03-Laundry Cleaning PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.ADCS-ADL MCI - Description of Usual Performance of Clean Laundry
ADL0308C106904ADL03-Keep AppointmentsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} keep appointments or meetings with other people, such as relatives, a doctor, the hairdresser, etc.?ADCS-ADL MCI - Keep Appointments
ADL0308AC106905ADL03-Aware of Appointment Ahead of TimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her awareness of the meeting ahead of time.ADCS-ADL MCI - Description of Awareness of the Meeting Ahead of Time
ADL0309C106906ADL03-Use a TelephoneAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} use a telephone?ADCS-ADL MCI - Use a Telephone
ADL0309AC106907ADL03-Highest Telephone Use PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her highest level of performance.ADCS-ADL MCI - Description of Highest Level of Performance of Telephone Use
ADL0310C106908ADL03-Make a MealAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} make him/herself a meal or snack at home?ADCS-ADL MCI - Make a Meal or Snack
ADL0310AC106909ADL03-Highest Level of Food PreparationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her highest level of food preparation.ADCS-ADL MCI - Description of Highest Level of Food Preparation
ADL0311C106910ADL03-Get Around Outside HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?ADCS-ADL MCI - Travel Outside Home
ADL0311AC106911ADL03-Get Around Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her optimal performance.ADCS-ADL MCI - Description of Optimal Performance of Travelling Outside Home
ADL0312C106912ADL03-Talk About Current EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} talk about current events?ADCS-ADL MCI - Talk About Current Events
ADL0312AC106913ADL03-Regional, National, InternationalAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, did {S} talk about regional, national or international events?ADCS-ADL MCI - Talk About Regional, National or International Events
ADL0312BC106914ADL03-Talk About Outside EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about events outside home involving family, friends, or neighbors?ADCS-ADL MCI - Talk About Outside Home Events
ADL0312CC106915ADL03-Talk About at Home EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about events that occurred at home that he/she took part in or watched?ADCS-ADL MCI - Talk About at Home Events
ADL0312DC106916ADL03-Talk Without RepeatingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} converse without repeating him/herself, or asking the same questions repeatedly?ADCS-ADL MCI - Converse Without Repeating
ADL0313C106917ADL03-Read More Than 5 MinutesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} read a magazine, newspaper or book for more than 5 minutes at a time?ADCS-ADL MCI - Read More Than 5 Minutes
ADL0313AC106918ADL03-Select/Ask for Something to ReadAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select or ask for something to read?ADCS-ADL MCI - Select or Ask for Something to Read
ADL0313BC106919ADL03-Talk Within 1 Hour After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about what he/she read while or shortly after reading (less than 1 hour)?ADCS-ADL MCI - Talk Within 1 Hour After Reading
ADL0313CC106920ADL03-Talk Within 1 Day After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about what he/she read 1-24 hours after reading?ADCS-ADL MCI - Talk Within 24 Hours After Reading
ADL0314C106921ADL03-Watch TelevisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} watch television?ADCS-ADL MCI - Watch Television
ADL0314AC106922ADL03-Select Television ProgramAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select or ask for different programs or his/her favorite show?ADCS-ADL MCI - Select or Ask for Programs or Show
ADL0314BC106923ADL03-Talk About TV Content While WatchAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about the content of a program while watching it?ADCS-ADL MCI - Talk About Content of Program While Watching
ADL0314CC106924ADL03-Talk About TV Content Within a DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about the content of a program within a day (24 hours) after watching it?ADCS-ADL MCI - Talk About Content of Program After Watching Within a Day
ADL0315C106925ADL03-Go ShoppingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} ever go shopping at a store?ADCS-ADL MCI - Go Shopping At a Store
ADL0315AC106926ADL03-Select items Without HelpAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select correct items without supervision or help?ADCS-ADL MCI - Select Correct Items Without Help
ADL0315BC106927ADL03-Pay Items On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually pay for items on his/her own?ADCS-ADL MCI - Pay for Items on His or Her Own
ADL0316C106928ADL03-Left On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, was {S} ever left on his/her own?ADCS-ADL MCI - Left on His or Her Own
ADL0316AC106929ADL03-Left Away From HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left away from home, for 15 minutes or longer, during the day?ADCS-ADL MCI - Left Away From Home Longer Than 15 Minutes
ADL0316BC106930ADL03-Left at Home for 1 Hour or LongerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left at home, for an hour or longer, during the day?ADCS-ADL MCI - Left at Home Longer Than an Hour
ADL0316CC106931ADL03-Left at Home for Less Than 1 HourAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left at home, for less than 1 hour, during the day?ADCS-ADL MCI - Left at Home Less Than an Hour
ADL0317C106932ADL03-Use Household ApplianceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} use a household appliance to do chores?ADCS-ADL MCI - Use Household Appliance
ADL0317AC107089ADL03-Appliance: WasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: washer.ADCS-ADL MCI - Use Household Appliance: Washer
ADL0317BC107090ADL03-Appliance: DryerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dryer.ADCS-ADL MCI - Use Household Appliance: Dryer
ADL0317CC107091ADL03-Appliance: VacuumAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: vacuum.ADCS-ADL MCI - Use Household Appliance: Vacuum
ADL0317DC106933ADL03-Appliance: DishwasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dishwasher.ADCS-ADL MCI - Use Household Appliance: Dishwasher
ADL0317EC106934ADL03-Appliance: Power ToolsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: power tool (s).ADCS-ADL MCI - Use Household Appliance: Power Tools
ADL0317FC106935ADL03-Appliance: Toaster OvenAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: toaster oven.ADCS-ADL MCI - Use Household Appliance: Toaster Oven
ADL0317GC106936ADL03-Appliance: RangeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: range.ADCS-ADL MCI - Use Household Appliance: Range
ADL0317HC106937ADL03-Appliance: MicrowaveAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: microwave.ADCS-ADL MCI - Use Household Appliance: Microwave
ADL0317IC106938ADL03-Appliance: Food ProcessorAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: food processor.ADCS-ADL MCI - Use Household Appliance: Food Processor
ADL0317JC106939ADL03-Appliance: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: other.ADCS-ADL MCI - Use Household Appliance: Other
ADL0317KC106940ADL03-Appliance: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: other specify.ADCS-ADL MCI - Use Household Appliance: Other Specify
ADL0317LC106941ADL03-Use Common Used Appliances (q17a)Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - For the 1 or 2 most commonly used appliances, which best describes how {S} usually used them.ADCS-ADL MCI - Description of Usual Use of Commonly Used Appliances
ADL0318C106942ADL03-Perform PastimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} perform a pastime, hobby or game?ADCS-ADL MCI - Perform Pastime, Hobby or Game
ADL0318AC106943ADL03-Pastime: Card or Board GamesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: card or board games.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Card or Board Games
ADL0318BC106944ADL03-Pastime: BingoAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: bingo.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Bingo
ADL0318CC106945ADL03-Pastime: CrosswordsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: crosswords.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Crosswords
ADL0318DC106946ADL03-Pastime: ArtAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: art.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Art
ADL0318EC106947ADL03-Pastime: Musical InstrumentAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: musical instrument.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Musical Instrument
ADL0318FC106948ADL03-Pastime: KnittingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: knitting.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Knitting
ADL0318GC106949ADL03-Pastime: SewingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: sewing.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Sewing
ADL0318HC106950ADL03-Pastime: ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: reading.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Reading
ADL0318IC106951ADL03-Pastime: GardeningAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: gardening.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Gardening
ADL0318JC106952ADL03-Pastime: GolfAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: golf.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Golf
ADL0318KC106953ADL03-Pastime: TennisAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: tennis.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Tennis
ADL0318LC106954ADL03-Pastime: WorkshopAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: workshop.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Workshop
ADL0318MC106955ADL03-Pastime: FishingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: fishing.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Fishing
ADL0318NC106956ADL03-Pastime: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: other.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Other
ADL0318OC106957ADL03-Pastime: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: other specify.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Other Specify
ADL0318PC106958ADL03-Hobbies Needed Help (Q18a)Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} require supervision, or help, to perform any of these hobbies?ADCS-ADL MCI - Require Help to Perform Hobbies
ADL0318QC106959ADL03-Hobbies Unable to Perform (Q18b)Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - List any hobby (ies) that the subject has lost the ability to perform.ADCS-ADL MCI - List Hobbies Lost Ability to Perform
ADL0319C106960ADL03-Drive CarAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} drive a car?ADCS-ADL MCI - Drive a Car
ADL0319AC106961ADL03-Drive Car Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her optimal performance.ADCS-ADL MCI - Description of Optimal Performance of Driving Car
ADL0320C106962ADL03-Take Medications RegularlyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, did {S} take his/her medications regularly?ADCS-ADL MCI - Take Medications Regularly
ADL0320AC106963ADL03-Take Medications PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, was this.ADCS-ADL MCI - Description of Taking Medications Regularly
ADL0321C106964ADL03-Complete Complex ActivitiesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, did {S} usually carry through complex or time-consuming activities to completion?ADCS-ADL MCI - Carry Through Complex Activities to Completion
ADL0321AC106965ADL03-Extent Needed RemindersAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes extent to which he/she needed reminders.ADCS-ADL MCI - Description of Extent Needing Reminder
ADL0322C106966ADL03-Initiate Complex ActivitiesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, to what extent did {S} initiate complex daily activities or projects (e.g., hobbies, travel)?ADCS-ADL MCI - Initiate Complex Daily Activities
ADL0323C106967ADL03-Time to Complete Complex TasksAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, how long did it usually take {S} to complete complex or time-consuming tasks or activities?ADCS-ADL MCI - Time Taken to Complete Complex Activities
ADL0324C106968ADL03-Extenuating CircumstancesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Has an extenuating circumstance (such as a physical health problem, change in residence, change in support network, death of a family member, etc.) contributed to a recent alteration in the subject's activities of daily living?ADCS-ADL MCI - Extenuating Circumstance
ADL0324AC106969ADL03-Explain CircumstanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, explain.ADCS-ADL MCI - Explain Extenuating Circumstance
ADL0325C107092ADL03-Total Points for 'Don't Know'Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Were any questions (1-18) answered 'Don't Know'? If yes, calculate total points for 'Don't Know'.ADCS-ADL MCI - Points for Questions (1-18) Answered 'Don't Know'
ADL0326C106970ADL03-Subscore for Items 1 to 3Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 1.ADCS-ADL MCI - Subscore for Items 1 to 3
ADL0327C106971ADL03-Subscore for Items 4 to 7Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 2.ADCS-ADL MCI - Subscore for Items 4 to 7
ADL0328C106972ADL03-Subscore for Items 8 to 10Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 3.ADCS-ADL MCI - Subscore for Items 8 to 10
ADL0329C106973ADL03-Subscore for Items 11 to 12dAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 4.ADCS-ADL MCI - Subscore for Items 11 to 12
ADL0330C106974ADL03-Subscore for Items 13 to 14cAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 5.ADCS-ADL MCI - Subscore for Items 13 to 14
ADL0331C106975ADL03-Subscore for Items 15 to 16cAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 6.ADCS-ADL MCI - Subscore for Items 15 to 16
ADL0332C106976ADL03-Subscore for Item 17Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 7.ADCS-ADL MCI - Subscore for Item 17
ADL0333C106977ADL03-Subscore for Item 18Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 8.ADCS-ADL MCI - Subscore for Item 18
ADL0334C106978ADL03-Total ADCS-ADL ScoreAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Total Score.ADCS-ADL MCI - ADL Total Score
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CL.C106650.ADCS-ADL MCI TESTAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Name
(ADCS-ADL MCI TEST)
text
Extensible: No
C106650Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test NameAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version test name.CDISC Questionnaire ADCS-ADL MCI Test Name Terminology
ADL03-Appliance: DishwasherC106933ADL03-Appliance: DishwasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dishwasher.ADCS-ADL MCI - Use Household Appliance: Dishwasher
ADL03-Appliance: DryerC107090ADL03-Appliance: DryerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dryer.ADCS-ADL MCI - Use Household Appliance: Dryer
ADL03-Appliance: Food ProcessorC106938ADL03-Appliance: Food ProcessorAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: food processor.ADCS-ADL MCI - Use Household Appliance: Food Processor
ADL03-Appliance: MicrowaveC106937ADL03-Appliance: MicrowaveAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: microwave.ADCS-ADL MCI - Use Household Appliance: Microwave
ADL03-Appliance: OtherC106939ADL03-Appliance: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: other.ADCS-ADL MCI - Use Household Appliance: Other
ADL03-Appliance: Other SpecifyC106940ADL03-Appliance: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: other specify.ADCS-ADL MCI - Use Household Appliance: Other Specify
ADL03-Appliance: Power ToolsC106934ADL03-Appliance: Power ToolsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: power tool (s).ADCS-ADL MCI - Use Household Appliance: Power Tools
ADL03-Appliance: RangeC106936ADL03-Appliance: RangeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: range.ADCS-ADL MCI - Use Household Appliance: Range
ADL03-Appliance: Toaster OvenC106935ADL03-Appliance: Toaster OvenAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: toaster oven.ADCS-ADL MCI - Use Household Appliance: Toaster Oven
ADL03-Appliance: VacuumC107091ADL03-Appliance: VacuumAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: vacuum.ADCS-ADL MCI - Use Household Appliance: Vacuum
ADL03-Appliance: WasherC107089ADL03-Appliance: WasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: washer.ADCS-ADL MCI - Use Household Appliance: Washer
ADL03-Aware of Appointment Ahead of TimeC106905ADL03-Aware of Appointment Ahead of TimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her awareness of the meeting ahead of time.ADCS-ADL MCI - Description of Awareness of the Meeting Ahead of Time
ADL03-Balance CheckbookC106898ADL03-Balance CheckbookAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} balance his/her checkbook or credit card statement?ADCS-ADL MCI - Balance Checkbook
ADL03-Balance Checkbook PerformanceC106899ADL03-Balance Checkbook PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.ADCS-ADL MCI - Description of Usual Performance of Balancing Checkbook
ADL03-Clean LaundryC106902ADL03-Clean LaundryAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} clean a load of laundry?ADCS-ADL MCI - Clean Laundry
ADL03-Clean RoomC106896ADL03-Clean RoomAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} clean a living-, sitting-, or family room?ADCS-ADL MCI - Clean Room
ADL03-Clean Room PerformanceC106897ADL03-Clean Room PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.ADCS-ADL MCI - Description of Usual Performance of Cleaning Room
ADL03-Complete Complex ActivitiesC106964ADL03-Complete Complex ActivitiesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, did {S} usually carry through complex or time-consuming activities to completion?ADCS-ADL MCI - Carry Through Complex Activities to Completion
ADL03-Drive CarC106960ADL03-Drive CarAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} drive a car?ADCS-ADL MCI - Drive a Car
ADL03-Drive Car Optimal PerformanceC106961ADL03-Drive Car Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her optimal performance.ADCS-ADL MCI - Description of Optimal Performance of Driving Car
ADL03-Explain CircumstanceC106969ADL03-Explain CircumstanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, explain.ADCS-ADL MCI - Explain Extenuating Circumstance
ADL03-Extent Needed RemindersC106965ADL03-Extent Needed RemindersAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes extent to which he/she needed reminders.ADCS-ADL MCI - Description of Extent Needing Reminder
ADL03-Extenuating CircumstancesC106968ADL03-Extenuating CircumstancesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Has an extenuating circumstance (such as a physical health problem, change in residence, change in support network, death of a family member, etc.) contributed to a recent alteration in the subject's activities of daily living?ADCS-ADL MCI - Extenuating Circumstance
ADL03-Find Belongings Usual PerformanceC106892ADL03-Find Belongings Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he /she usually performed.ADCS-ADL MCI - Description of Usual Performance of Finding Belongings
ADL03-Find Personal BelongingsC106891ADL03-Find Personal BelongingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?ADCS-ADL MCI - Find Personal Belongings
ADL03-Get Around Optimal PerformanceC106911ADL03-Get Around Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her optimal performance.ADCS-ADL MCI - Description of Optimal Performance of Travelling Outside Home
ADL03-Get Around Outside HomeC106910ADL03-Get Around Outside HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?ADCS-ADL MCI - Travel Outside Home
ADL03-Go ShoppingC106925ADL03-Go ShoppingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} ever go shopping at a store?ADCS-ADL MCI - Go Shopping At a Store
ADL03-Highest Level of Food PreparationC106909ADL03-Highest Level of Food PreparationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her highest level of food preparation.ADCS-ADL MCI - Description of Highest Level of Food Preparation
ADL03-Highest Telephone Use PerformanceC106907ADL03-Highest Telephone Use PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her highest level of performance.ADCS-ADL MCI - Description of Highest Level of Performance of Telephone Use
ADL03-Hobbies Needed Help (Q18a)C106958ADL03-Hobbies Needed Help (Q18a)Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} require supervision, or help, to perform any of these hobbies?ADCS-ADL MCI - Require Help to Perform Hobbies
ADL03-Hobbies Unable to Perform (Q18b)C106959ADL03-Hobbies Unable to Perform (Q18b)Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - List any hobby (ies) that the subject has lost the ability to perform.ADCS-ADL MCI - List Hobbies Lost Ability to Perform
ADL03-Initiate Complex ActivitiesC106966ADL03-Initiate Complex ActivitiesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, to what extent did {S} initiate complex daily activities or projects (e.g., hobbies, travel)?ADCS-ADL MCI - Initiate Complex Daily Activities
ADL03-Keep AppointmentsC106904ADL03-Keep AppointmentsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} keep appointments or meetings with other people, such as relatives, a doctor, the hairdresser, etc.?ADCS-ADL MCI - Keep Appointments
ADL03-Laundry Cleaning PerformanceC106903ADL03-Laundry Cleaning PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.ADCS-ADL MCI - Description of Usual Performance of Clean Laundry
ADL03-Left at Home for 1 Hour or LongerC106930ADL03-Left at Home for 1 Hour or LongerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left at home, for an hour or longer, during the day?ADCS-ADL MCI - Left at Home Longer Than an Hour
ADL03-Left at Home for Less Than 1 HourC106931ADL03-Left at Home for Less Than 1 HourAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left at home, for less than 1 hour, during the day?ADCS-ADL MCI - Left at Home Less Than an Hour
ADL03-Left Away From HomeC106929ADL03-Left Away From HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left away from home, for 15 minutes or longer, during the day?ADCS-ADL MCI - Left Away From Home Longer Than 15 Minutes
ADL03-Left On His/Her OwnC106928ADL03-Left On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, was {S} ever left on his/her own?ADCS-ADL MCI - Left on His or Her Own
ADL03-Make a MealC106908ADL03-Make a MealAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} make him/herself a meal or snack at home?ADCS-ADL MCI - Make a Meal or Snack
ADL03-Most Complicated WritingsC106901ADL03-Most Complicated WritingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes the most complicated things that he/she wrote.ADCS-ADL MCI - Description of Usual Performance of Most Complicated Things Written
ADL03-Pastime: ArtC106946ADL03-Pastime: ArtAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: art.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Art
ADL03-Pastime: BingoC106944ADL03-Pastime: BingoAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: bingo.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Bingo
ADL03-Pastime: Card or Board GamesC106943ADL03-Pastime: Card or Board GamesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: card or board games.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Card or Board Games
ADL03-Pastime: CrosswordsC106945ADL03-Pastime: CrosswordsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: crosswords.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Crosswords
ADL03-Pastime: FishingC106955ADL03-Pastime: FishingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: fishing.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Fishing
ADL03-Pastime: GardeningC106951ADL03-Pastime: GardeningAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: gardening.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Gardening
ADL03-Pastime: GolfC106952ADL03-Pastime: GolfAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: golf.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Golf
ADL03-Pastime: KnittingC106948ADL03-Pastime: KnittingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: knitting.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Knitting
ADL03-Pastime: Musical InstrumentC106947ADL03-Pastime: Musical InstrumentAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: musical instrument.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Musical Instrument
ADL03-Pastime: OtherC106956ADL03-Pastime: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: other.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Other
ADL03-Pastime: Other SpecifyC106957ADL03-Pastime: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: other specify.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Other Specify
ADL03-Pastime: ReadingC106950ADL03-Pastime: ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: reading.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Reading
ADL03-Pastime: SewingC106949ADL03-Pastime: SewingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: sewing.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Sewing
ADL03-Pastime: TennisC106953ADL03-Pastime: TennisAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: tennis.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Tennis
ADL03-Pastime: WorkshopC106954ADL03-Pastime: WorkshopAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: workshop.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Workshop
ADL03-Pay Items On His/Her OwnC106927ADL03-Pay Items On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually pay for items on his/her own?ADCS-ADL MCI - Pay for Items on His or Her Own
ADL03-Perform PastimeC106942ADL03-Perform PastimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} perform a pastime, hobby or game?ADCS-ADL MCI - Perform Pastime, Hobby or Game
ADL03-Read More Than 5 MinutesC106917ADL03-Read More Than 5 MinutesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} read a magazine, newspaper or book for more than 5 minutes at a time?ADCS-ADL MCI - Read More Than 5 Minutes
ADL03-Regional, National, InternationalC106913ADL03-Regional, National, InternationalAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, did {S} talk about regional, national or international events?ADCS-ADL MCI - Talk About Regional, National or International Events
ADL03-Select First Clothes for the DayC106893ADL03-Select First Clothes for the DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} select his/her first set of clothes for the day?ADCS-ADL MCI - Select First Clothes for the Day
ADL03-Select items Without HelpC106926ADL03-Select items Without HelpAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select correct items without supervision or help?ADCS-ADL MCI - Select Correct Items Without Help
ADL03-Select Television ProgramC106922ADL03-Select Television ProgramAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select or ask for different programs or his/her favorite show?ADCS-ADL MCI - Select or Ask for Programs or Show
ADL03-Select/Ask for Something to ReadC106918ADL03-Select/Ask for Something to ReadAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select or ask for something to read?ADCS-ADL MCI - Select or Ask for Something to Read
ADL03-Subscore for Item 17C106976ADL03-Subscore for Item 17Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 7.ADCS-ADL MCI - Subscore for Item 17
ADL03-Subscore for Item 18C106977ADL03-Subscore for Item 18Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 8.ADCS-ADL MCI - Subscore for Item 18
ADL03-Subscore for Items 1 to 3C106970ADL03-Subscore for Items 1 to 3Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 1.ADCS-ADL MCI - Subscore for Items 1 to 3
ADL03-Subscore for Items 11 to 12dC106973ADL03-Subscore for Items 11 to 12dAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 4.ADCS-ADL MCI - Subscore for Items 11 to 12
ADL03-Subscore for Items 13 to 14cC106974ADL03-Subscore for Items 13 to 14cAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 5.ADCS-ADL MCI - Subscore for Items 13 to 14
ADL03-Subscore for Items 15 to 16cC106975ADL03-Subscore for Items 15 to 16cAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 6.ADCS-ADL MCI - Subscore for Items 15 to 16
ADL03-Subscore for Items 4 to 7C106971ADL03-Subscore for Items 4 to 7Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 2.ADCS-ADL MCI - Subscore for Items 4 to 7
ADL03-Subscore for Items 8 to 10C106972ADL03-Subscore for Items 8 to 10Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 3.ADCS-ADL MCI - Subscore for Items 8 to 10
ADL03-Take Medications PerformanceC106963ADL03-Take Medications PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, was this.ADCS-ADL MCI - Description of Taking Medications Regularly
ADL03-Take Medications RegularlyC106962ADL03-Take Medications RegularlyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, did {S} take his/her medications regularly?ADCS-ADL MCI - Take Medications Regularly
ADL03-Talk About at Home EventsC106915ADL03-Talk About at Home EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about events that occurred at home that he/she took part in or watched?ADCS-ADL MCI - Talk About at Home Events
ADL03-Talk About Current EventsC106912ADL03-Talk About Current EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} talk about current events?ADCS-ADL MCI - Talk About Current Events
ADL03-Talk About Outside EventsC106914ADL03-Talk About Outside EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about events outside home involving family, friends, or neighbors?ADCS-ADL MCI - Talk About Outside Home Events
ADL03-Talk About TV Content While WatchC106923ADL03-Talk About TV Content While WatchAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about the content of a program while watching it?ADCS-ADL MCI - Talk About Content of Program While Watching
ADL03-Talk About TV Content Within a DayC106924ADL03-Talk About TV Content Within a DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about the content of a program within a day (24 hours) after watching it?ADCS-ADL MCI - Talk About Content of Program After Watching Within a Day
ADL03-Talk Within 1 Day After ReadingC106920ADL03-Talk Within 1 Day After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about what he/she read 1-24 hours after reading?ADCS-ADL MCI - Talk Within 24 Hours After Reading
ADL03-Talk Within 1 Hour After ReadingC106919ADL03-Talk Within 1 Hour After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about what he/she read while or shortly after reading (less than 1 hour)?ADCS-ADL MCI - Talk Within 1 Hour After Reading
ADL03-Talk Without RepeatingC106916ADL03-Talk Without RepeatingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} converse without repeating him/herself, or asking the same questions repeatedly?ADCS-ADL MCI - Converse Without Repeating
ADL03-Time to Complete Complex TasksC106967ADL03-Time to Complete Complex TasksAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, how long did it usually take {S} to complete complex or time-consuming tasks or activities?ADCS-ADL MCI - Time Taken to Complete Complex Activities
ADL03-Total ADCS-ADL ScoreC106978ADL03-Total ADCS-ADL ScoreAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Total Score.ADCS-ADL MCI - ADL Total Score
ADL03-Total Points for 'Don't Know'C107092ADL03-Total Points for 'Don't Know'Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Were any questions (1-18) answered 'Don't Know'? If yes, calculate total points for 'Don't Know'.ADCS-ADL MCI - Points for Questions (1-18) Answered 'Don't Know'
ADL03-Use a TelephoneC106906ADL03-Use a TelephoneAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} use a telephone?ADCS-ADL MCI - Use a Telephone
ADL03-Use Common Used Appliances (q17a)C106941ADL03-Use Common Used Appliances (q17a)Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - For the 1 or 2 most commonly used appliances, which best describes how {S} usually used them.ADCS-ADL MCI - Description of Usual Use of Commonly Used Appliances
ADL03-Use Household ApplianceC106932ADL03-Use Household ApplianceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} use a household appliance to do chores?ADCS-ADL MCI - Use Household Appliance
ADL03-Usual Dressing PerformanceC106894ADL03-Usual Dressing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her usual performance.ADCS-ADL MCI - Description of Usual Performance of Selecting First Clothes for the Day
ADL03-Usual Physically Dressing PerformC106895ADL03-Usual Physically Dressing PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Regarding physically getting dressed, which best describes his/her usual performance in the past 4 weeks.ADCS-ADL MCI - Description of Usual Performance of Physically Getting Dressed
ADL03-Watch TelevisionC106921ADL03-Watch TelevisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} watch television?ADCS-ADL MCI - Watch Television
ADL03-Write Things DownC106900ADL03-Write Things DownAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} ever write things down?ADCS-ADL MCI - Write Things Down
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CL.C105140.ADCS-ADL TESTCDAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Code
(ADCS-ADL TESTCD)
text
Extensible: No
C105140Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test CodeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory test code.CDISC Questionnaire ADCS-ADL Test Code Terminology
ADL0101C105283ADL01-Usual Eating PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding eating: which best describes {S} usual performance during the past 4 weeks?ADCS-ADL - Description of Usual Performance of Eating
ADL0102C105284ADL01-Optimal Walking PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding walking (or getting around in a wheelchair), in the past 4 weeks, which best describes his/her optimal performance.ADCS-ADL - Description of Optimal Performance of Walking
ADL0103C105285ADL01-Usual Bowel/Bladder FunctionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding bowel and bladder function at the toilet, which best describes his/her usual performance in the past 4 weeks.ADCS-ADL - Usual Bowel and Bladder Function at Toilet
ADL0104C105286ADL01-Usual Bathing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding bathing, in the past 4 weeks, which best describes his/her usual performance.ADCS-ADL - Description of Usual Performance of Bathing
ADL0105C105287ADL01-Optimal Grooming PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding grooming, in the past 4 weeks, which best describes his/her optimal performance.ADCS-ADL - Description of Optimal Performance of Grooming
ADL0106C105288ADL01-Select First Clothes for the DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding dressing in the past 4 weeks: Did {S} select his/her first set of clothes for the day?ADCS-ADL - Select First Clothes for the Day
ADL0106AC105289ADL01-Usual Dressing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes usual performance.ADCS-ADL - Description of Usual Performance of Dressing
ADL0106BC105290ADL01-Usual Physically Dressing PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding physically getting dressed, which best describes his/her usual performance in the past 4 weeks.ADCS-ADL - Description of Usual Performance of Physically Getting Dressed
ADL0107C105291ADL01-Use a TelephoneAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} use a telephone?ADCS-ADL - Use a Telephone
ADL0107AC105292ADL01-Highest Telephone Use PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of performance.ADCS-ADL - Description of Highest Performance of Telephone Use
ADL0108C105293ADL01-Watch TelevisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} watch television?ADCS-ADL - Watch Television
ADL0108AC105294ADL01-Select Television ProgramAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually select or ask for different programs or his/her favorite show?ADCS-ADL - Select or Ask for Television Program
ADL0108BC105295ADL01-Talk About TV Content While WatchAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about the content of a program while watching it?ADCS-ADL - Talk About TV Content While Watching
ADL0108CC105296ADL01-Talk About TV Content Within a DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about the content of a program within a day (24 hours) after watching it?ADCS-ADL - Talk About TV Content Within a Day After Watching
ADL0109C105297ADL01-Pay Attention to ConversationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever appear to pay attention to conversation or small talk for at least 5 minutes?ADCS-ADL - Pay Attention to Conversation
ADL0109AC105298ADL01-Usual Conversation ParticipationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her usual degree of participation.ADCS-ADL - Usual Conversation Participation
ADL0110C105299ADL01-Clear DishesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} clear the dishes from the table after a meal or snack?ADCS-ADL - Clear Dishes After Meal or Snack
ADL0110AC105300ADL01-Clear Dishes Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.ADCS-ADL - Description of Usual Performance of Clearing Dishes
ADL0111C105301ADL01-Find BelongingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?ADCS-ADL - Find Personal Belongings at Home
ADL0111AC105302ADL01-Find Belongings Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.ADCS-ADL - Description of Usual Performance of Finding Personal Belonging at Home
ADL0112C105303ADL01-Obtain BeverageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} obtain a hot or cold beverage for him/herself?ADCS-ADL - Obtain Beverage for Self
ADL0112AC105304ADL01-Obtain Beverage Highest PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of performance.ADCS-ADL - Description of Highest Performance of Obtaining Beverage
ADL0113C105305ADL01-Make a MealAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} make him/herself a meal or snack at home?ADCS-ADL - Make a Meal or Snack at Home
ADL0113AC105306ADL01-Highest Level of Food PreparationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of food preparation.ADCS-ADL - Highest Level of Food Preparation
ADL0114C105307ADL01-Dispose of GarbageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} dispose of garbage or litter in an appropriate place or container at home?ADCS-ADL - Dispose of Garbage in Appropriate Place at Home
ADL0114AC105308ADL01-Dispose Garbage Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.ADCS-ADL - Description of Usual Performance of Garbage Disposal
ADL0115C105309ADL01-Get Around Outside HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?ADCS-ADL - Get Around Outside Home
ADL0115AC105310ADL01-Get Around Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her optimal performance.ADCS-ADL - Description of Optimal Performance of Getting Around Outside of Home
ADL0116C105311ADL01-Go ShoppingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever go shopping?ADCS-ADL - Go Shopping
ADL0116AC105312ADL01-How Usually Selects ItemsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which one best describes how {S} usually selects items.ADCS-ADL - How Subject Usually Selects Items
ADL0116BC105313ADL01-Pay Without SupervisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually pay for items without supervision or physical help?ADCS-ADL - Pay for Items Without Supervision or Physical Help
ADL0117C105314ADL01-Keep AppointmentsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} keep appointments or meetings with other people, such as relatives, a doctor, the hairdresser, etc.?ADCS-ADL - Keep Appointments or Meetings with Others
ADL0117AC105315ADL01-Aware of Appointment Ahead of TimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her awareness of the meeting ahead of time.ADCS-ADL - Description of Awareness of Appointment Ahead of Time
ADL0118C105316ADL01-Left On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, was {S} ever left on his/her own?ADCS-ADL - Subject Left on Their Own
ADL0118AC105317ADL01-Left Away From HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left away from home, for 15 minutes or longer, during the day?ADCS-ADL - Left Away From Home for Fifteen Minutes or Longer
ADL0118BC105318ADL01-Left at Home for 1 Hour or LongerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left: at home, for an hour or longer, during the day?ADCS-ADL - Left at Home for One Hour or Longer
ADL0118CC105319ADL01-Left at Home for Less Than 1 HourAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left at home, for less than 1 hour, during the day?ADCS-ADL - Left at Home for Less Than One Hour
ADL0119C105320ADL01-Talk About Current EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} talk about current events?ADCS-ADL - Talk About Current Events
ADL0119AC105321ADL01-Talk About Events Heard/Read AboutAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that he/she heard or read about or saw on TV but did not take part in?ADCS-ADL - Talk About Events on TV that Subject Did not Take Part In
ADL0119BC105322ADL01-Talk About Outside EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that he/she took part in outside home involving family, friends, or neighbors?ADCS-ADL - Talk About Events Outside of Home that Subject Took Part In
ADL0119CC105323ADL01-Talk About at Home EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that occurred at home that he/she took part in or watched?ADCS-ADL - Talk About Events at Home that Subject Took Part in or Watched
ADL0120C105324ADL01-Read More Than 5 MinutesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} read a magazine, newspaper or book for more than 5 minutes at a time?ADCS-ADL - Read for More Than Five Minutes
ADL0120AC105325ADL01-Talk Within 1 Hour After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about details of what he/she read while or shortly (less than 1 hour) after reading?ADCS-ADL - Talk About What Subject Read Less Than One Hour After Reading
ADL0120BC105326ADL01-Talk 1 Hour or More After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about what he/she read 1 hour or longer after reading?ADCS-ADL - Talk About What Subject Read More Than One Hour After Reading
ADL0121C105327ADL01-Write Things DownAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever write things down?ADCS-ADL - Write Things Down
ADL0121AC105328ADL01-Most Complicated WritingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes the most complicated things that he/she wrote.ADCS-ADL - Description of Most Complicated Writings
ADL0122C105329ADL01-Perform PastimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} perform a pastime, hobby or game?ADCS-ADL - Perform Pastime, Hobby or Game
ADL0122AC105330ADL01-Pastime: Card or Board GamesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: Card or board games.ADCS-ADL - Pastime: Card or Board Games
ADL0122BC105331ADL01-Pastime: BingoAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: bingo.ADCS-ADL - Pastime: Bingo
ADL0122CC105332ADL01-Pastime: CrosswordsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: crosswords.ADCS-ADL - Pastime: Crosswords
ADL0122DC105333ADL01-Pastime: ArtAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: art.ADCS-ADL - Pastime: Art
ADL0122EC105334ADL01-Pastime: Musical InstrumentAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: musical instrument.ADCS-ADL - Pastime: Musical Instrument
ADL0122FC105335ADL01-Pastime: KnittingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: knitting.ADCS-ADL - Pastime: Knitting
ADL0122GC105336ADL01-Pastime: SewingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: sewing.ADCS-ADL - Pastime: Sewing
ADL0122HC105337ADL01-Pastime: ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: reading.ADCS-ADL - Pastime: Reading
ADL0122IC105338ADL01-Pastime: GardeningAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: gardening.ADCS-ADL - Pastime: Gardening
ADL0122JC105339ADL01-Pastime: GolfAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: golf.ADCS-ADL - Pastime: Golf
ADL0122KC105340ADL01-Pastime: TennisAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: tennis.ADCS-ADL - Pastime: Tennis
ADL0122LC105341ADL01-Pastime: WorkshopAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: workshop.ADCS-ADL - Pastime: Workshop
ADL0122MC105342ADL01-Pastime: FishingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: fishing.ADCS-ADL - Pastime: Fishing
ADL0122NC105343ADL01-Pastime: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other.ADCS-ADL - Pastime: Other
ADL0122OC105344ADL01-Pastime: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other specify.ADCS-ADL - Pastime: Other Specify
ADL0122PC105345ADL01-Hobbies Only at Day CareAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If {S} performs hobbies/pastimes only at day care, check here.ADCS-ADL - Performed Hobbies Only at Day Care
ADL0122QC105346ADL01-Usual Common Pastimes PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, how did {S} usually perform his/her most common pastimes.ADCS-ADL - Description of Usual Performance of Common Pastimes
ADL0123C105347ADL01-Use Household ApplianceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} use a household appliance to do chores?ADCS-ADL - Use Household Appliance to do Chores
ADL0123AC105348ADL01-Appliance: WasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: washer.ADCS-ADL - Appliance: Washer
ADL0123BC105349ADL01-Appliance: DryerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dryer.ADCS-ADL - Appliance: Dryer
ADL0123CC105350ADL01-Appliance: VacuumAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: vacuum.ADCS-ADL - Appliance: Vacuum
ADL0123DC105351ADL01-Appliance: DishwasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dishwasher.ADCS-ADL - Appliance: Dishwasher
ADL0123EC105352ADL01-Appliance: ToasterAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster.ADCS-ADL - Appliance: Toaster
ADL0123FC105353ADL01-Appliance: Toaster OvenAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster oven.ADCS-ADL - Appliance: Toaster Oven
ADL0123GC105354ADL01-Appliance: RangeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: range.ADCS-ADL - Appliance: Range
ADL0123HC105355ADL01-Appliance: MicrowaveAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: microwave.ADCS-ADL - Appliance: Microwave
ADL0123IC105356ADL01-Appliance: Food ProcessorAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: food processor.ADCS-ADL - Appliance: Food Processor
ADL0123JC105357ADL01-Appliance: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other.ADCS-ADL - Appliance: Other
ADL0123KC105358ADL01-Appliance: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other specify.ADCS-ADL - Appliance: Other Specify
ADL0123LC105359ADL01-Use Common Used AppliancesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, for the most commonly used appliances, which best describes how {S} usually used them.ADCS-ADL - Description of Usual Use of Commonly Used Appliances
ADL0124C105360ADL01-Total ADCS-ADL ScoreAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Total Score.ADCS-ADL - Total Score
ADL0125C105361ADL01-Number Don't Know ResponsesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Number of 'Don't Know' Responses.ADCS-ADL - Number of 'Don't Know' Responses
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CL.C105139.ADCS-ADL TESTAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Name
(ADCS-ADL TEST)
text
Extensible: No
C105139Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test NameAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory test name.CDISC Questionnaire ADCS-ADL Test Name Terminology
ADL01-Appliance: DishwasherC105351ADL01-Appliance: DishwasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dishwasher.ADCS-ADL - Appliance: Dishwasher
ADL01-Appliance: DryerC105349ADL01-Appliance: DryerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dryer.ADCS-ADL - Appliance: Dryer
ADL01-Appliance: Food ProcessorC105356ADL01-Appliance: Food ProcessorAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: food processor.ADCS-ADL - Appliance: Food Processor
ADL01-Appliance: MicrowaveC105355ADL01-Appliance: MicrowaveAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: microwave.ADCS-ADL - Appliance: Microwave
ADL01-Appliance: OtherC105357ADL01-Appliance: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other.ADCS-ADL - Appliance: Other
ADL01-Appliance: Other SpecifyC105358ADL01-Appliance: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other specify.ADCS-ADL - Appliance: Other Specify
ADL01-Appliance: RangeC105354ADL01-Appliance: RangeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: range.ADCS-ADL - Appliance: Range
ADL01-Appliance: ToasterC105352ADL01-Appliance: ToasterAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster.ADCS-ADL - Appliance: Toaster
ADL01-Appliance: Toaster OvenC105353ADL01-Appliance: Toaster OvenAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster oven.ADCS-ADL - Appliance: Toaster Oven
ADL01-Appliance: VacuumC105350ADL01-Appliance: VacuumAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: vacuum.ADCS-ADL - Appliance: Vacuum
ADL01-Appliance: WasherC105348ADL01-Appliance: WasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: washer.ADCS-ADL - Appliance: Washer
ADL01-Aware of Appointment Ahead of TimeC105315ADL01-Aware of Appointment Ahead of TimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her awareness of the meeting ahead of time.ADCS-ADL - Description of Awareness of Appointment Ahead of Time
ADL01-Clear DishesC105299ADL01-Clear DishesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} clear the dishes from the table after a meal or snack?ADCS-ADL - Clear Dishes After Meal or Snack
ADL01-Clear Dishes Usual PerformanceC105300ADL01-Clear Dishes Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.ADCS-ADL - Description of Usual Performance of Clearing Dishes
ADL01-Dispose Garbage Usual PerformanceC105308ADL01-Dispose Garbage Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.ADCS-ADL - Description of Usual Performance of Garbage Disposal
ADL01-Dispose of GarbageC105307ADL01-Dispose of GarbageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} dispose of garbage or litter in an appropriate place or container at home?ADCS-ADL - Dispose of Garbage in Appropriate Place at Home
ADL01-Find BelongingsC105301ADL01-Find BelongingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?ADCS-ADL - Find Personal Belongings at Home
ADL01-Find Belongings Usual PerformanceC105302ADL01-Find Belongings Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.ADCS-ADL - Description of Usual Performance of Finding Personal Belonging at Home
ADL01-Get Around Optimal PerformanceC105310ADL01-Get Around Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her optimal performance.ADCS-ADL - Description of Optimal Performance of Getting Around Outside of Home
ADL01-Get Around Outside HomeC105309ADL01-Get Around Outside HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?ADCS-ADL - Get Around Outside Home
ADL01-Go ShoppingC105311ADL01-Go ShoppingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever go shopping?ADCS-ADL - Go Shopping
ADL01-Highest Level of Food PreparationC105306ADL01-Highest Level of Food PreparationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of food preparation.ADCS-ADL - Highest Level of Food Preparation
ADL01-Highest Telephone Use PerformanceC105292ADL01-Highest Telephone Use PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of performance.ADCS-ADL - Description of Highest Performance of Telephone Use
ADL01-Hobbies Only at Day CareC105345ADL01-Hobbies Only at Day CareAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If {S} performs hobbies/pastimes only at day care, check here.ADCS-ADL - Performed Hobbies Only at Day Care
ADL01-How Usually Selects ItemsC105312ADL01-How Usually Selects ItemsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which one best describes how {S} usually selects items.ADCS-ADL - How Subject Usually Selects Items
ADL01-Keep AppointmentsC105314ADL01-Keep AppointmentsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} keep appointments or meetings with other people, such as relatives, a doctor, the hairdresser, etc.?ADCS-ADL - Keep Appointments or Meetings with Others
ADL01-Left at Home for 1 Hour or LongerC105318ADL01-Left at Home for 1 Hour or LongerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left: at home, for an hour or longer, during the day?ADCS-ADL - Left at Home for One Hour or Longer
ADL01-Left at Home for Less Than 1 HourC105319ADL01-Left at Home for Less Than 1 HourAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left at home, for less than 1 hour, during the day?ADCS-ADL - Left at Home for Less Than One Hour
ADL01-Left Away From HomeC105317ADL01-Left Away From HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left away from home, for 15 minutes or longer, during the day?ADCS-ADL - Left Away From Home for Fifteen Minutes or Longer
ADL01-Left On His/Her OwnC105316ADL01-Left On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, was {S} ever left on his/her own?ADCS-ADL - Subject Left on Their Own
ADL01-Make a MealC105305ADL01-Make a MealAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} make him/herself a meal or snack at home?ADCS-ADL - Make a Meal or Snack at Home
ADL01-Most Complicated WritingsC105328ADL01-Most Complicated WritingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes the most complicated things that he/she wrote.ADCS-ADL - Description of Most Complicated Writings
ADL01-Number Don't Know ResponsesC105361ADL01-Number Don't Know ResponsesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Number of 'Don't Know' Responses.ADCS-ADL - Number of 'Don't Know' Responses
ADL01-Obtain BeverageC105303ADL01-Obtain BeverageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} obtain a hot or cold beverage for him/herself?ADCS-ADL - Obtain Beverage for Self
ADL01-Obtain Beverage Highest PerformC105304ADL01-Obtain Beverage Highest PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of performance.ADCS-ADL - Description of Highest Performance of Obtaining Beverage
ADL01-Optimal Grooming PerformanceC105287ADL01-Optimal Grooming PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding grooming, in the past 4 weeks, which best describes his/her optimal performance.ADCS-ADL - Description of Optimal Performance of Grooming
ADL01-Optimal Walking PerformanceC105284ADL01-Optimal Walking PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding walking (or getting around in a wheelchair), in the past 4 weeks, which best describes his/her optimal performance.ADCS-ADL - Description of Optimal Performance of Walking
ADL01-Pastime: ArtC105333ADL01-Pastime: ArtAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: art.ADCS-ADL - Pastime: Art
ADL01-Pastime: BingoC105331ADL01-Pastime: BingoAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: bingo.ADCS-ADL - Pastime: Bingo
ADL01-Pastime: Card or Board GamesC105330ADL01-Pastime: Card or Board GamesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: Card or board games.ADCS-ADL - Pastime: Card or Board Games
ADL01-Pastime: CrosswordsC105332ADL01-Pastime: CrosswordsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: crosswords.ADCS-ADL - Pastime: Crosswords
ADL01-Pastime: FishingC105342ADL01-Pastime: FishingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: fishing.ADCS-ADL - Pastime: Fishing
ADL01-Pastime: GardeningC105338ADL01-Pastime: GardeningAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: gardening.ADCS-ADL - Pastime: Gardening
ADL01-Pastime: GolfC105339ADL01-Pastime: GolfAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: golf.ADCS-ADL - Pastime: Golf
ADL01-Pastime: KnittingC105335ADL01-Pastime: KnittingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: knitting.ADCS-ADL - Pastime: Knitting
ADL01-Pastime: Musical InstrumentC105334ADL01-Pastime: Musical InstrumentAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: musical instrument.ADCS-ADL - Pastime: Musical Instrument
ADL01-Pastime: OtherC105343ADL01-Pastime: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other.ADCS-ADL - Pastime: Other
ADL01-Pastime: Other SpecifyC105344ADL01-Pastime: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other specify.ADCS-ADL - Pastime: Other Specify
ADL01-Pastime: ReadingC105337ADL01-Pastime: ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: reading.ADCS-ADL - Pastime: Reading
ADL01-Pastime: SewingC105336ADL01-Pastime: SewingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: sewing.ADCS-ADL - Pastime: Sewing
ADL01-Pastime: TennisC105340ADL01-Pastime: TennisAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: tennis.ADCS-ADL - Pastime: Tennis
ADL01-Pastime: WorkshopC105341ADL01-Pastime: WorkshopAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: workshop.ADCS-ADL - Pastime: Workshop
ADL01-Pay Attention to ConversationC105297ADL01-Pay Attention to ConversationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever appear to pay attention to conversation or small talk for at least 5 minutes?ADCS-ADL - Pay Attention to Conversation
ADL01-Pay Without SupervisionC105313ADL01-Pay Without SupervisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually pay for items without supervision or physical help?ADCS-ADL - Pay for Items Without Supervision or Physical Help
ADL01-Perform PastimeC105329ADL01-Perform PastimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} perform a pastime, hobby or game?ADCS-ADL - Perform Pastime, Hobby or Game
ADL01-Read More Than 5 MinutesC105324ADL01-Read More Than 5 MinutesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} read a magazine, newspaper or book for more than 5 minutes at a time?ADCS-ADL - Read for More Than Five Minutes
ADL01-Select First Clothes for the DayC105288ADL01-Select First Clothes for the DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding dressing in the past 4 weeks: Did {S} select his/her first set of clothes for the day?ADCS-ADL - Select First Clothes for the Day
ADL01-Select Television ProgramC105294ADL01-Select Television ProgramAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually select or ask for different programs or his/her favorite show?ADCS-ADL - Select or Ask for Television Program
ADL01-Talk 1 Hour or More After ReadingC105326ADL01-Talk 1 Hour or More After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about what he/she read 1 hour or longer after reading?ADCS-ADL - Talk About What Subject Read More Than One Hour After Reading
ADL01-Talk About at Home EventsC105323ADL01-Talk About at Home EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that occurred at home that he/she took part in or watched?ADCS-ADL - Talk About Events at Home that Subject Took Part in or Watched
ADL01-Talk About Current EventsC105320ADL01-Talk About Current EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} talk about current events?ADCS-ADL - Talk About Current Events
ADL01-Talk About Events Heard/Read AboutC105321ADL01-Talk About Events Heard/Read AboutAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that he/she heard or read about or saw on TV but did not take part in?ADCS-ADL - Talk About Events on TV that Subject Did not Take Part In
ADL01-Talk About Outside EventsC105322ADL01-Talk About Outside EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that he/she took part in outside home involving family, friends, or neighbors?ADCS-ADL - Talk About Events Outside of Home that Subject Took Part In
ADL01-Talk About TV Content While WatchC105295ADL01-Talk About TV Content While WatchAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about the content of a program while watching it?ADCS-ADL - Talk About TV Content While Watching
ADL01-Talk About TV Content Within a DayC105296ADL01-Talk About TV Content Within a DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about the content of a program within a day (24 hours) after watching it?ADCS-ADL - Talk About TV Content Within a Day After Watching
ADL01-Talk Within 1 Hour After ReadingC105325ADL01-Talk Within 1 Hour After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about details of what he/she read while or shortly (less than 1 hour) after reading?ADCS-ADL - Talk About What Subject Read Less Than One Hour After Reading
ADL01-Total ADCS-ADL ScoreC105360ADL01-Total ADCS-ADL ScoreAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Total Score.ADCS-ADL - Total Score
ADL01-Use a TelephoneC105291ADL01-Use a TelephoneAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} use a telephone?ADCS-ADL - Use a Telephone
ADL01-Use Common Used AppliancesC105359ADL01-Use Common Used AppliancesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, for the most commonly used appliances, which best describes how {S} usually used them.ADCS-ADL - Description of Usual Use of Commonly Used Appliances
ADL01-Use Household ApplianceC105347ADL01-Use Household ApplianceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} use a household appliance to do chores?ADCS-ADL - Use Household Appliance to do Chores
ADL01-Usual Bathing PerformanceC105286ADL01-Usual Bathing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding bathing, in the past 4 weeks, which best describes his/her usual performance.ADCS-ADL - Description of Usual Performance of Bathing
ADL01-Usual Bowel/Bladder FunctionC105285ADL01-Usual Bowel/Bladder FunctionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding bowel and bladder function at the toilet, which best describes his/her usual performance in the past 4 weeks.ADCS-ADL - Usual Bowel and Bladder Function at Toilet
ADL01-Usual Common Pastimes PerformanceC105346ADL01-Usual Common Pastimes PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, how did {S} usually perform his/her most common pastimes.ADCS-ADL - Description of Usual Performance of Common Pastimes
ADL01-Usual Conversation ParticipationC105298ADL01-Usual Conversation ParticipationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her usual degree of participation.ADCS-ADL - Usual Conversation Participation
ADL01-Usual Dressing PerformanceC105289ADL01-Usual Dressing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes usual performance.ADCS-ADL - Description of Usual Performance of Dressing
ADL01-Usual Eating PerformanceC105283ADL01-Usual Eating PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding eating: which best describes {S} usual performance during the past 4 weeks?ADCS-ADL - Description of Usual Performance of Eating
ADL01-Usual Physically Dressing PerformC105290ADL01-Usual Physically Dressing PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding physically getting dressed, which best describes his/her usual performance in the past 4 weeks.ADCS-ADL - Description of Usual Performance of Physically Getting Dressed
ADL01-Watch TelevisionC105293ADL01-Watch TelevisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} watch television?ADCS-ADL - Watch Television
ADL01-Write Things DownC105327ADL01-Write Things DownAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever write things down?ADCS-ADL - Write Things Down
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CL.C106653.ADCS-ADL Severe Dementia TESTCDAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Code
(ADCS-ADL Severe Dementia TESTCD)
text
Extensible: No
C106653Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test CodeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version test code.CDISC Questionnaire ADCS-ADL Severe Dementia Test Code Terminology
ADL0201C106979ADL02-Usual Eating PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding eating, which best describes {S} usual performance during the last 4 weeks?ADCS-ADL Severe Dementia - Description of Usual Performance of Eating
ADL0202C106980ADL02-Optimal Walking PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding walking (or getting around in a wheelchair) in the past 4 weeks, which best describes {S} optimal performance?ADCS-ADL Severe Dementia - Description of Optimal Performance of Walking
ADL0203C106981ADL02-Usual Bowel/Bladder FunctionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding bowel and bladder function at the toilet, which best describes {S} usual performance during the past 4 weeks?ADCS-ADL Severe Dementia - Usual Bowel and Bladder Function at Toilet
ADL0204C106982ADL02-Usual Bathing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding bathing, in the past 4 weeks, which best describes {S} usual performance?ADCS-ADL Severe Dementia - Description of Usual Performance of Bathing
ADL0205C106983ADL02-Optimal Grooming PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding grooming, in the past 4 weeks, which best describes {S} optimal performance?ADCS-ADL Severe Dementia - Description of Optimal Performance of Grooming
ADL0206C106984ADL02 Usual Physically Dressing PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding physically getting dressed, which best describes {S} usual performance in the past 4 weeks?ADCS-ADL Severe Dementia - Description of Usual Performance of Physically Getting Dressed
ADL0207C106985ADL02-Use a TelephoneAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} use a telephone?ADCS-ADL Severe Dementia - Use a Telephone
ADL0207AC106986ADL02-Highest Telephone Use PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} highest level of performance.ADCS-ADL Severe Dementia - Description of Highest Performance of Telephone Use
ADL0208C106987ADL02-Watch TelevisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} watch television?ADCS-ADL Severe Dementia - Watch Television
ADL0208AC106988ADL02-Select Television ProgramAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} usually select or ask for different programs or {S} favorite show?ADCS-ADL Severe Dementia - Select or Ask for Television Program
ADL0208BC106989ADL02-Talk About TV Content While WatchAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} usually talk about the content of a program while watching it?ADCS-ADL Severe Dementia - Talk About TV Content While Watching
ADL0208CC106990ADL02-Talk About TV Content Within a DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} talk about the content of a program within a day (24 hours) after watching it?ADCS-ADL Severe Dementia - Talk About TV Content Within a Day After Watching
ADL0209C106991ADL02-Pay Attention to ConversationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} ever appear to pay attention to conversation or small talk for at least 5 minutes?ADCS-ADL Severe Dementia - Pay Attention to Conversation
ADL0209AC106992ADL02-Usual Conversation ParticipationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} usual degree of participation.ADCS-ADL Severe Dementia - Usual Conversation Participation
ADL0210C106993ADL02-Clear DishesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} clear the dishes from the table after a meal or snack?ADCS-ADL Severe Dementia - Clear Dishes After Meal or Snack
ADL0210AC106994ADL02-Clear Dishes Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.ADCS-ADL Severe Dementia - Description of Usual Performance of Clearing Dishes
ADL0211C106995ADL02-Find BelongingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?ADCS-ADL Severe Dementia - Find Personal Belongings at Home
ADL0211AC106996ADL02-Find Belongings Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.ADCS-ADL Severe Dementia - Description of Usual Performance of Finding Personal Belonging at Home
ADL0212C106997ADL02-Obtain BeverageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} obtain a hot or cold beverage for him/herself?ADCS-ADL Severe Dementia - Obtain Beverage for Self
ADL0212AC106998ADL02-Obtain Beverage Highest PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} highest level of performance.ADCS-ADL Severe Dementia - Description of Highest Performance of Obtaining Beverage
ADL0213C106999ADL02-Dispose of GarbageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} dispose of garbage or litter in an appropriate place or container at home?ADCS-ADL Severe Dementia - Dispose of Garbage in Appropriate Place at Home
ADL0213AC107000ADL02-Dispose Garbage Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.ADCS-ADL Severe Dementia - Description of Usual Performance of Garbage Disposal
ADL0214C107001ADL02-Get Around Outside HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?ADCS-ADL Severe Dementia - Get Around Outside Home
ADL0214AC107002ADL02-Get Around Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} optimal performance.ADCS-ADL Severe Dementia - Description of Optimal Performance of Getting Around Outside of Home
ADL0215C107003ADL02-Left On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, was {S} ever left on his/her own?ADCS-ADL Severe Dementia - Subject Left on Their Own
ADL0215AC107004ADL02-Left Away From HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: away from home for 15 minutes or longer, during the day?ADCS-ADL Severe Dementia - Alone Away From Home for Fifteen Minutes or Longer
ADL0215BC107005ADL02-Left at Home for 1 Hour or LongerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: at home for an hour or longer during the day?ADCS-ADL Severe Dementia - Alone at Home for One Hour or Longer
ADL0215CC107006ADL02-Left at Home for Less Than 1 HourAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: at home for less than 1 hour during the day?ADCS-ADL Severe Dementia - Alone at Home for Less Than One Hour
ADL0216C107007ADL02-Run Water Faucet to WashAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually run water from a faucet to wash {S} hands or face without help?ADCS-ADL Severe Dementia - Turn On Faucet to Wash Without Help
ADL0217C107008ADL02-Turn Off FaucetAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn off the faucet after finishing running water without help?ADCS-ADL Severe Dementia - Turn Off Faucet After Wash Without Help
ADL0218C107009ADL02-Turn On LightAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn on a light without help when entering a dark room or area?ADCS-ADL Severe Dementia - Turn On Light Without Help Entering Room
ADL0219C107010ADL02-Turn Off LightAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn off lights without help when leaving a room or going to sleep?ADCS-ADL Severe Dementia - Turn Off Light Without Help Leaving Room
ADL0220C107011ADL02-Sum 1 to 5Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 1-5.ADCS-ADL Severe Dementia - Sum of Items 1-5
ADL0221C107012ADL02-Sum 6 to 8Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 6-8.ADCS-ADL Severe Dementia - Sum of Items 6-8
ADL0222C107013ADL02-Sum 9 to 12Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 9-12.ADCS-ADL Severe Dementia - Sum of Items 9-12
ADL0223C107014ADL02-Sum 13 to 15Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 13-15.ADCS-ADL Severe Dementia - Sum of Items 13-15
ADL0224C107015ADL02-Sum 16 to 19Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 16-19.ADCS-ADL Severe Dementia - Sum of Items 16-19
ADL0225C107016ADL02-Total ADCS-ADL ScoreAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Total Score.ADCS-ADL Severe Dementia - Total Score
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CL.C106652.ADCS-ADL Severe Dementia TESTAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Name
(ADCS-ADL Severe Dementia TEST)
text
Extensible: No
C106652Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test NameAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version test name.CDISC Questionnaire ADCS-ADL Severe Dementia Test Name Terminology
ADL02 Usual Physically Dressing PerformC106984ADL02 Usual Physically Dressing PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding physically getting dressed, which best describes {S} usual performance in the past 4 weeks?ADCS-ADL Severe Dementia - Description of Usual Performance of Physically Getting Dressed
ADL02-Clear DishesC106993ADL02-Clear DishesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} clear the dishes from the table after a meal or snack?ADCS-ADL Severe Dementia - Clear Dishes After Meal or Snack
ADL02-Clear Dishes Usual PerformanceC106994ADL02-Clear Dishes Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.ADCS-ADL Severe Dementia - Description of Usual Performance of Clearing Dishes
ADL02-Dispose Garbage Usual PerformanceC107000ADL02-Dispose Garbage Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.ADCS-ADL Severe Dementia - Description of Usual Performance of Garbage Disposal
ADL02-Dispose of GarbageC106999ADL02-Dispose of GarbageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} dispose of garbage or litter in an appropriate place or container at home?ADCS-ADL Severe Dementia - Dispose of Garbage in Appropriate Place at Home
ADL02-Find BelongingsC106995ADL02-Find BelongingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?ADCS-ADL Severe Dementia - Find Personal Belongings at Home
ADL02-Find Belongings Usual PerformanceC106996ADL02-Find Belongings Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.ADCS-ADL Severe Dementia - Description of Usual Performance of Finding Personal Belonging at Home
ADL02-Get Around Optimal PerformanceC107002ADL02-Get Around Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} optimal performance.ADCS-ADL Severe Dementia - Description of Optimal Performance of Getting Around Outside of Home
ADL02-Get Around Outside HomeC107001ADL02-Get Around Outside HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?ADCS-ADL Severe Dementia - Get Around Outside Home
ADL02-Highest Telephone Use PerformanceC106986ADL02-Highest Telephone Use PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} highest level of performance.ADCS-ADL Severe Dementia - Description of Highest Performance of Telephone Use
ADL02-Left at Home for 1 Hour or LongerC107005ADL02-Left at Home for 1 Hour or LongerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: at home for an hour or longer during the day?ADCS-ADL Severe Dementia - Alone at Home for One Hour or Longer
ADL02-Left at Home for Less Than 1 HourC107006ADL02-Left at Home for Less Than 1 HourAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: at home for less than 1 hour during the day?ADCS-ADL Severe Dementia - Alone at Home for Less Than One Hour
ADL02-Left Away From HomeC107004ADL02-Left Away From HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: away from home for 15 minutes or longer, during the day?ADCS-ADL Severe Dementia - Alone Away From Home for Fifteen Minutes or Longer
ADL02-Left On His/Her OwnC107003ADL02-Left On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, was {S} ever left on his/her own?ADCS-ADL Severe Dementia - Subject Left on Their Own
ADL02-Obtain BeverageC106997ADL02-Obtain BeverageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} obtain a hot or cold beverage for him/herself?ADCS-ADL Severe Dementia - Obtain Beverage for Self
ADL02-Obtain Beverage Highest PerformC106998ADL02-Obtain Beverage Highest PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} highest level of performance.ADCS-ADL Severe Dementia - Description of Highest Performance of Obtaining Beverage
ADL02-Optimal Grooming PerformanceC106983ADL02-Optimal Grooming PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding grooming, in the past 4 weeks, which best describes {S} optimal performance?ADCS-ADL Severe Dementia - Description of Optimal Performance of Grooming
ADL02-Optimal Walking PerformanceC106980ADL02-Optimal Walking PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding walking (or getting around in a wheelchair) in the past 4 weeks, which best describes {S} optimal performance?ADCS-ADL Severe Dementia - Description of Optimal Performance of Walking
ADL02-Pay Attention to ConversationC106991ADL02-Pay Attention to ConversationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} ever appear to pay attention to conversation or small talk for at least 5 minutes?ADCS-ADL Severe Dementia - Pay Attention to Conversation
ADL02-Run Water Faucet to WashC107007ADL02-Run Water Faucet to WashAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually run water from a faucet to wash {S} hands or face without help?ADCS-ADL Severe Dementia - Turn On Faucet to Wash Without Help
ADL02-Select Television ProgramC106988ADL02-Select Television ProgramAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} usually select or ask for different programs or {S} favorite show?ADCS-ADL Severe Dementia - Select or Ask for Television Program
ADL02-Sum 1 to 5C107011ADL02-Sum 1 to 5Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 1-5.ADCS-ADL Severe Dementia - Sum of Items 1-5
ADL02-Sum 13 to 15C107014ADL02-Sum 13 to 15Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 13-15.ADCS-ADL Severe Dementia - Sum of Items 13-15
ADL02-Sum 16 to 19C107015ADL02-Sum 16 to 19Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 16-19.ADCS-ADL Severe Dementia - Sum of Items 16-19
ADL02-Sum 6 to 8C107012ADL02-Sum 6 to 8Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 6-8.ADCS-ADL Severe Dementia - Sum of Items 6-8
ADL02-Sum 9 to 12C107013ADL02-Sum 9 to 12Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 9-12.ADCS-ADL Severe Dementia - Sum of Items 9-12
ADL02-Talk About TV Content While WatchC106989ADL02-Talk About TV Content While WatchAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} usually talk about the content of a program while watching it?ADCS-ADL Severe Dementia - Talk About TV Content While Watching
ADL02-Talk About TV Content Within a DayC106990ADL02-Talk About TV Content Within a DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} talk about the content of a program within a day (24 hours) after watching it?ADCS-ADL Severe Dementia - Talk About TV Content Within a Day After Watching
ADL02-Total ADCS-ADL ScoreC107016ADL02-Total ADCS-ADL ScoreAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Total Score.ADCS-ADL Severe Dementia - Total Score
ADL02-Turn Off FaucetC107008ADL02-Turn Off FaucetAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn off the faucet after finishing running water without help?ADCS-ADL Severe Dementia - Turn Off Faucet After Wash Without Help
ADL02-Turn Off LightC107010ADL02-Turn Off LightAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn off lights without help when leaving a room or going to sleep?ADCS-ADL Severe Dementia - Turn Off Light Without Help Leaving Room
ADL02-Turn On LightC107009ADL02-Turn On LightAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn on a light without help when entering a dark room or area?ADCS-ADL Severe Dementia - Turn On Light Without Help Entering Room
ADL02-Use a TelephoneC106985ADL02-Use a TelephoneAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} use a telephone?ADCS-ADL Severe Dementia - Use a Telephone
ADL02-Usual Bathing PerformanceC106982ADL02-Usual Bathing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding bathing, in the past 4 weeks, which best describes {S} usual performance?ADCS-ADL Severe Dementia - Description of Usual Performance of Bathing
ADL02-Usual Bowel/Bladder FunctionC106981ADL02-Usual Bowel/Bladder FunctionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding bowel and bladder function at the toilet, which best describes {S} usual performance during the past 4 weeks?ADCS-ADL Severe Dementia - Usual Bowel and Bladder Function at Toilet
ADL02-Usual Conversation ParticipationC106992ADL02-Usual Conversation ParticipationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} usual degree of participation.ADCS-ADL Severe Dementia - Usual Conversation Participation
ADL02-Usual Eating PerformanceC106979ADL02-Usual Eating PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding eating, which best describes {S} usual performance during the last 4 weeks?ADCS-ADL Severe Dementia - Description of Usual Performance of Eating
ADL02-Watch TelevisionC106987ADL02-Watch TelevisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} watch television?ADCS-ADL Severe Dementia - Watch Television
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CL.C103459.ADCS-CGIC TESTCDAlzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Code
(ADCS-CGIC TESTCD)
text
Extensible: No
C103459Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test CodeAlzheimer's Disease Cooperative Study-Clinical Global Impression of Change test code.CDISC Questionnaire ADCS-CGIC Test Code Terminology
ACGC0101C103531ACGC01-Clinical Impression of ChangeAlzheimer's Disease Cooperative Study-Clinical Global Impression of Change - Clinical impression of change from baseline.ADCS-CGIC - Clinical Impression of Change from Baseline
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CL.C103458.ADCS-CGIC TESTAlzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Name
(ADCS-CGIC TEST)
text
Extensible: No
C103458Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test NameAlzheimer's Disease Cooperative Study-Clinical Global Impression of Change test name.CDISC Questionnaire ADCS-CGIC Test Name Terminology
ACGC01-Clinical Impression of ChangeC103531ACGC01-Clinical Impression of ChangeAlzheimer's Disease Cooperative Study-Clinical Global Impression of Change - Clinical impression of change from baseline.ADCS-CGIC - Clinical Impression of Change from Baseline
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CL.C101809.BARS TESTCDBarnes Akathisia Rating Scale Test Code
(BARS TESTCD)
text
Extensible: No
C101809Barnes Akathisia Rating Scale Test CodeBarnes Akathisia Rating Scale test code.CDISC Questionnaire BARS Test Code Terminology
BARS0101C102046BARS01-ObjectiveBarnes Akathisia Rating Scale - Objective.BARS - Objective
BARS0102C102047BARS01-Subjective, AwarenessBarnes Akathisia Rating Scale - Subjective, awareness of restlessness.BARS - Subjective, Awareness
BARS0103C102048BARS01-Subjective, DistressBarnes Akathisia Rating Scale - Subjective, distress related to restlessness.BARS - Subjective, Distress
BARS0104C102049BARS01-Global Clinical AssessmentBarnes Akathisia Rating Scale - Global clinical assessment of akathisia.BARS - Global Clinical Assessment
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CL.C101810.BARS TESTBarnes Akathisia Rating Scale Test Name
(BARS TEST)
text
Extensible: No
C101810Barnes Akathisia Rating Scale Test NameBarnes Akathisia Rating Scale test name.CDISC Questionnaire BARS Test Name Terminology
BARS01-Global Clinical AssessmentC102049BARS01-Global Clinical AssessmentBarnes Akathisia Rating Scale - Global clinical assessment of akathisia.BARS - Global Clinical Assessment
BARS01-ObjectiveC102046BARS01-ObjectiveBarnes Akathisia Rating Scale - Objective.BARS - Objective
BARS01-Subjective, AwarenessC102047BARS01-Subjective, AwarenessBarnes Akathisia Rating Scale - Subjective, awareness of restlessness.BARS - Subjective, Awareness
BARS01-Subjective, DistressC102048BARS01-Subjective, DistressBarnes Akathisia Rating Scale - Subjective, distress related to restlessness.BARS - Subjective, Distress
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CL.C106655.BDI TESTCDBaseline Dyspnea Index Questionnaire Test Code
(BDI TESTCD)
text
Extensible: No
C106655Baseline Dyspnea Index Questionnaire Test CodeBaseline Dyspnea Index test code.CDISC Questionnaire BDI Test Code Terminology
BDI0101C106701BDI01-Functional ImpairmentBaseline Dyspnea Index - Functional impairment.BDI - Functional Impairment
BDI0102C106702BDI01-Magnitude of TaskBaseline Dyspnea Index - Magnitude of task.BDI - Magnitude of Task
BDI0103C106703BDI01-Magnitude of EffortBaseline Dyspnea Index - Magnitude of effort.BDI - Magnitude of Effort
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CL.C106654.BDI TESTBaseline Dyspnea Index Questionnaire Test Name
(BDI TEST)
text
Extensible: No
C106654Baseline Dyspnea Index Questionnaire Test NameBaseline Dyspnea Index test name.CDISC Questionnaire BDI Test Name Terminology
BDI01-Functional ImpairmentC106701BDI01-Functional ImpairmentBaseline Dyspnea Index - Functional impairment.BDI - Functional Impairment
BDI01-Magnitude of EffortC106703BDI01-Magnitude of EffortBaseline Dyspnea Index - Magnitude of effort.BDI - Magnitude of Effort
BDI01-Magnitude of TaskC106702BDI01-Magnitude of TaskBaseline Dyspnea Index - Magnitude of task.BDI - Magnitude of Task
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CL.C113852.BLCS TESTCDBladder Control Scale Test Code
(BLCS TESTCD)
text
Extensible: No
C113852Bladder Control Scale Test CodeBladder Control Scale test code.CDISC Questionnaire Bladder Control Scale Test Code Terminology
BLCS0101C113953BLCS01-Lost Control of BladderBladder Control Scale - During the past 4 weeks, how often have you lost control of your bladder or had an accident?BLCS - Lost Control of Your Bladder
BLCS0102C113954BLCS01-Almost Lost Control of BladderBladder Control Scale - During the past 4 weeks, how often have you almost lost control of your bladder or had an accident?BLCS - Almost Lost Control of Your Bladder
BLCS0103C113955BLCS01-Altered Activity Because BladderBladder Control Scale - During the past 4 weeks, how often have you altered your activities because of bladder problems?BLCS - Altered Activities Because Bladder Problems
BLCS0104C113956BLCS01-Bladder Restricted LifestyleBladder Control Scale - During the past 4 weeks, how much have bladder problems restricted your overall lifestyle?BLCS - Bladder Problems Restrict Overall Lifestyle
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CL.C113851.BLCS TESTBladder Control Scale Test Name
(BLCS TEST)
text
Extensible: No
C113851Bladder Control Scale Test NameBladder Control Scale test name.CDISC Questionnaire Bladder Control Scale Test Name Terminology
BLCS01-Almost Lost Control of BladderC113954BLCS01-Almost Lost Control of BladderBladder Control Scale - During the past 4 weeks, how often have you almost lost control of your bladder or had an accident?BLCS - Almost Lost Control of Your Bladder
BLCS01-Altered Activity Because BladderC113955BLCS01-Altered Activity Because BladderBladder Control Scale - During the past 4 weeks, how often have you altered your activities because of bladder problems?BLCS - Altered Activities Because Bladder Problems
BLCS01-Bladder Restricted LifestyleC113956BLCS01-Bladder Restricted LifestyleBladder Control Scale - During the past 4 weeks, how much have bladder problems restricted your overall lifestyle?BLCS - Bladder Problems Restrict Overall Lifestyle
BLCS01-Lost Control of BladderC113953BLCS01-Lost Control of BladderBladder Control Scale - During the past 4 weeks, how often have you lost control of your bladder or had an accident?BLCS - Lost Control of Your Bladder
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CL.C113846.Borg CR-10 Scale TESTCDBorg CR-10 Scale Test Code
(Borg CR-10 Scale TESTCD)
text
Extensible: No
C113846Borg CR-10 Scale Test CodeBorg CR-10 scale test code.CDISC Questionnaire Borg CR-10 Test Code Terminology
BCR10101C113888BCR101-Rating of BreathlessnessBorg CR10 Scale - Rating of breathlessness.Borg CR10 - Rating of Breathlessness
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CL.C113845.Borg CR-10 Scale TESTBorg CR-10 Scale Test Name
(Borg CR-10 Scale TEST)
text
Extensible: No
C113845Borg CR-10 Scale Test NameBorg CR-10 scale test name.CDISC Questionnaire Borg CR-10 Test Name Terminology
BCR101-Rating of BreathlessnessC113888BCR101-Rating of BreathlessnessBorg CR10 Scale - Rating of breathlessness.Borg CR10 - Rating of Breathlessness
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CL.C113854.BWCS TESTCDBowel Control Scale Test Code
(BWCS TESTCD)
text
Extensible: No
C113854Bowel Control Scale Test CodeBowel Control Scale test code.CDISC Questionnaire Bowel Control Scale Test Code Terminology
BWCS0101C113957BWCS01-Been ConstipatedBowel Control Scale - During the past 4 weeks, how often have you been constipated?BWCS - Been Constipated
BWCS0102C113958BWCS01-Lost Control of BowelsBowel Control Scale - During the past 4 weeks, how often have you lost control of your bowels or had an accident?BWCS - Lost Control of Your Bowels
BWCS0103C113959BWCS01-Almost Lost Control of BowelsBowel Control Scale - During the past 4 weeks, how often have you almost lost control of your bowels or almost had an accident?BWCS - Almost Lost Control of Your Bowels
BWCS0104C113960BWCS01-Altered Activity Because BowelsBowel Control Scale - During the past 4 weeks, how often have you altered your activities because of bowel control problems?BWCS - Altered Activities Because Bowel Control Problems
BWCS0105C113961BWCS01-Bowels Restricted LifestyleBowel Control Scale - During the past 4 weeks, how much have bowel problems restricted your overall lifestyle?BWCS - Bowel Problems Restrict Overall Lifestyle
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CL.C113853.BWCS TESTBowel Control Scale Test Name
(BWCS TEST)
text
Extensible: No
C113853Bowel Control Scale Test NameBowel Control Scale test name.CDISC Questionnaire Bowel Control Scale Test Name Terminology
BWCS01-Almost Lost Control of BowelsC113959BWCS01-Almost Lost Control of BowelsBowel Control Scale - During the past 4 weeks, how often have you almost lost control of your bowels or almost had an accident?BWCS - Almost Lost Control of Your Bowels
BWCS01-Altered Activity Because BowelsC113960BWCS01-Altered Activity Because BowelsBowel Control Scale - During the past 4 weeks, how often have you altered your activities because of bowel control problems?BWCS - Altered Activities Because Bowel Control Problems
BWCS01-Been ConstipatedC113957BWCS01-Been ConstipatedBowel Control Scale - During the past 4 weeks, how often have you been constipated?BWCS - Been Constipated
BWCS01-Bowels Restricted LifestyleC113961BWCS01-Bowels Restricted LifestyleBowel Control Scale - During the past 4 weeks, how much have bowel problems restricted your overall lifestyle?BWCS - Bowel Problems Restrict Overall Lifestyle
BWCS01-Lost Control of BowelsC113958BWCS01-Lost Control of BowelsBowel Control Scale - During the past 4 weeks, how often have you lost control of your bowels or had an accident?BWCS - Lost Control of Your Bowels
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CL.C100164.BPI Short Form TESTCDBrief Pain Inventory Short Form Test Code
(BPI Short Form TESTCD)
text
Extensible: No
C100164Brief Pain Inventory Short Form Test CodeBrief Pain Inventory Short Form test code.CDISC Questionnaire BPI Short Form Test Code Terminology
BPI201C100356BPI2-Pain Other Than Everyday KindsBrief Pain Inventory Short Form - Have you had pain other than these everyday kinds of pain today?BPI Short Form - Pain Other Than Everyday Kinds
BPI202AC100357BPI2-Areas of PainBrief Pain Inventory Short Form - On the diagram, shade in the areas where you feel pain.BPI Short Form - Areas of Pain
BPI202BC100358BPI2-Area Hurts MostBrief Pain Inventory Short Form - On the diagram, put an X on the area that hurts the most.BPI Short Form - Area that Hurts Most
BPI203C100359BPI2-Pain at its Worst in Last 24 HoursBrief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain at its worst in the last 24 hours.BPI Short Form - Pain at its Worst in Last 24 Hours
BPI204C100360BPI2-Pain at its Least in Last 24 HoursBrief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain at its least in the last 24 hours.BPI Short Form - Pain at its Least in Last 24 Hours
BPI205C100361BPI2-Pain on the AverageBrief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain on the average.BPI Short Form - Pain on the Average
BPI206C100362BPI2-Pain Right NowBrief Pain Inventory Short Form - Please rate your pain by circling the one number that tells how much pain you have right now.BPI Short Form - Pain Right Now
BPI207C100363BPI2-Treatments Receiving for PainBrief Pain Inventory Short Form - What treatments or medications are you receiving for your pain?BPI Short Form - Treatments or Medications Receiving for Pain
BPI208C100364BPI2-Relief Pain Treatments ProvidedBrief Pain Inventory Short Form - In the last 24 hours, how much relief have pain treatments or medications provided? Please circle the one percentage that most shows how much relief you have received.BPI Short Form - Relief from Pain Treatments Provided
BPI209AC100365BPI2-Pain Interfered General ActivityBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your general activity.BPI Short Form - Pain Interfered with General Activity
BPI209BC100366BPI2-Pain Interfered with MoodBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your mood.BPI Short Form - Pain Interfered with Mood
BPI209CC100367BPI2-Pain Interfered Walking AbilityBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your walking ability.BPI Short Form - Pain Interfered with Walking Ability
BPI209DC100368BPI2-Pain Interfered with Normal WorkBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your normal work.BPI Short Form - Pain Interfered with Normal Work
BPI209EC100369BPI2-Pain Interfered with RelationsBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your relations with other people.BPI Short Form - Pain Interfered with Relations
BPI209FC100370BPI2-Pain Interfered with SleepBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your sleep.BPI Short Form - Pain Interfered with Sleep
BPI209GC100371BPI2-Pain Interfered Enjoyment of LifeBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your enjoyment of life.BPI Short Form - Pain Interfered with Enjoyment of Life
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CL.C100163.BPI Short Form TESTBrief Pain Inventory Short Form Test Name
(BPI Short Form TEST)
text
Extensible: No
C100163Brief Pain Inventory Short Form Test NameBrief Pain Inventory Short Form test name.CDISC Questionnaire BPI Short Form Test Name Terminology
BPI2-Area Hurts MostC100358BPI2-Area Hurts MostBrief Pain Inventory Short Form - On the diagram, put an X on the area that hurts the most.BPI Short Form - Area that Hurts Most
BPI2-Areas of PainC100357BPI2-Areas of PainBrief Pain Inventory Short Form - On the diagram, shade in the areas where you feel pain.BPI Short Form - Areas of Pain
BPI2-Pain at its Least in Last 24 HoursC100360BPI2-Pain at its Least in Last 24 HoursBrief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain at its least in the last 24 hours.BPI Short Form - Pain at its Least in Last 24 Hours
BPI2-Pain at its Worst in Last 24 HoursC100359BPI2-Pain at its Worst in Last 24 HoursBrief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain at its worst in the last 24 hours.BPI Short Form - Pain at its Worst in Last 24 Hours
BPI2-Pain Interfered Enjoyment of LifeC100371BPI2-Pain Interfered Enjoyment of LifeBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your enjoyment of life.BPI Short Form - Pain Interfered with Enjoyment of Life
BPI2-Pain Interfered General ActivityC100365BPI2-Pain Interfered General ActivityBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your general activity.BPI Short Form - Pain Interfered with General Activity
BPI2-Pain Interfered Walking AbilityC100367BPI2-Pain Interfered Walking AbilityBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your walking ability.BPI Short Form - Pain Interfered with Walking Ability
BPI2-Pain Interfered with MoodC100366BPI2-Pain Interfered with MoodBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your mood.BPI Short Form - Pain Interfered with Mood
BPI2-Pain Interfered with Normal WorkC100368BPI2-Pain Interfered with Normal WorkBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your normal work.BPI Short Form - Pain Interfered with Normal Work
BPI2-Pain Interfered with RelationsC100369BPI2-Pain Interfered with RelationsBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your relations with other people.BPI Short Form - Pain Interfered with Relations
BPI2-Pain Interfered with SleepC100370BPI2-Pain Interfered with SleepBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your sleep.BPI Short Form - Pain Interfered with Sleep
BPI2-Pain on the AverageC100361BPI2-Pain on the AverageBrief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain on the average.BPI Short Form - Pain on the Average
BPI2-Pain Other Than Everyday KindsC100356BPI2-Pain Other Than Everyday KindsBrief Pain Inventory Short Form - Have you had pain other than these everyday kinds of pain today?BPI Short Form - Pain Other Than Everyday Kinds
BPI2-Pain Right NowC100362BPI2-Pain Right NowBrief Pain Inventory Short Form - Please rate your pain by circling the one number that tells how much pain you have right now.BPI Short Form - Pain Right Now
BPI2-Relief Pain Treatments ProvidedC100364BPI2-Relief Pain Treatments ProvidedBrief Pain Inventory Short Form - In the last 24 hours, how much relief have pain treatments or medications provided? Please circle the one percentage that most shows how much relief you have received.BPI Short Form - Relief from Pain Treatments Provided
BPI2-Treatments Receiving for PainC100363BPI2-Treatments Receiving for PainBrief Pain Inventory Short Form - What treatments or medications are you receiving for your pain?BPI Short Form - Treatments or Medications Receiving for Pain
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CL.C100162.BPI TESTCDBrief Pain Inventory Test Code
(BPI TESTCD)
text
Extensible: No
C100162Brief Pain Inventory Test CodeBrief Pain Inventory test code.CDISC Questionnaire BPI Test Code Terminology
BPI101C100287BPI1-Marital StatusBrief Pain Inventory - Marital status.BPI - Marital Status
BPI102C100288BPI1-EducationBrief Pain Inventory - Education.BPI - Education
BPI102AC100289BPI1-Professional DegreeBrief Pain Inventory - Education. Professional degree.BPI - Professional Degree
BPI103C100290BPI1-Current OccupationBrief Pain Inventory - Current occupation.BPI - Current Occupation
BPI104C100291BPI1-Spouse's OccupationBrief Pain Inventory - Spouse's occupation.BPI - Spouse's Occupation
BPI105C100292BPI1-Current Job StatusBrief Pain Inventory - Which of the following best describes your current job status?BPI - Current Job Status
BPI106C100293BPI1-How Long Since DiagnosisBrief Pain Inventory - How long has it been since you first learned your diagnosis?BPI - How Long Since Diagnosis
BPI107C100294BPI1-Pain Due to Present DiseaseBrief Pain Inventory - Have you ever had pain due to your present disease?BPI - Pain Due to Present Disease
BPI108C100295BPI1-Pain One of Your SymptomsBrief Pain Inventory - When you first received your diagnosis, was pain one of your symptoms?BPI - Pain as a Symptom
BPI109C100296BPI1-Surgery in Past MonthBrief Pain Inventory - Have you had surgery in the past month?BPI - Surgery in Past Month
BPI109AC100297BPI1-Kind of Surgery in Past MonthBrief Pain Inventory - What kind of surgery have you had in the past month?BPI - Kind of Surgery in Past Month
BPI110C100298BPI1-Pain Other than Everyday KindsBrief Pain Inventory - Have you had pain other than these everyday kinds of pain during the last week?BPI - Pain Other than Everyday Kinds
BPI110AC100299BPI1-Pain Medications in the Last 7 DaysBrief Pain Inventory - Did you take pain medications in the last 7 days?BPI - Pain Medications in the Last 7 Days
BPI110BC100300BPI1-Pain Requires Medication DailyBrief Pain Inventory - I feel I have some form of pain that requires medication each and every day.BPI - Pain Requires Medication Daily
BPI111AC100301BPI1-Areas of PainBrief Pain Inventory - On the diagram, shade in the areas where you feel pain.BPI - Areas of Pain
BPI111BC100302BPI1-Area Hurts MostBrief Pain Inventory - On the diagram, put an X on the area that hurts the most.BPI - Area Hurts Most
BPI112C100303BPI1-Pain at its Worst in Last WeekBrief Pain Inventory - Please rate your pain by circling the one number that best describes your pain at its worst in the last week.BPI - Pain at its Worst in Last Week
BPI113C100304BPI1-Pain at its Least in Last WeekBrief Pain Inventory - Please rate your pain by circling the one number that best describes your pain at its least in the last week.BPI - Pain at its Least in Last Week
BPI114C100305BPI1-Pain on the AverageBrief Pain Inventory - Please rate your pain by circling the one number that best describes your pain on the average.BPI - Pain on the Average
BPI115C100306BPI1-Pain Right NowBrief Pain Inventory - Please rate your pain by circling the one number that tells how much pain you have right now.BPI - Pain Right Now
BPI116C100307BPI1-Things that Make Pain Feel BetterBrief Pain Inventory - What kinds of things make your pain feel better?BPI - Things that Make Pain Feel Better
BPI117C100308BPI1-Things that Make your Pain WorseBrief Pain Inventory - What kinds of things make your pain feel worse?BPI - Things that Make your Pain Worse
BPI118C100309BPI1-Treatments Receiving for PainBrief Pain Inventory - What treatments or medications are you receiving for your pain?BPI - Treatments Receiving for Pain
BPI119C100310BPI1-Relief Pain Treatments ProvidedBrief Pain Inventory - In the last week, how much relief have pain treatments or medications provided? Please circle the one percentage that most shows how much relief you have received.BPI - Relief Pain Treatments Provided
BPI120C100311BPI1-Hours before Pain ReturnsBrief Pain Inventory - If you take pain medication, how many hours does it take before the pain returns?BPI - Hours before Pain Returns
BPI1211C100312BPI1-Pain Due to Effects of TreatmentBrief Pain Inventory - I believe my pain is due to the effects of treatment.BPI - Pain Due to Effects of Treatment
BPI1212C100313BPI1-Pain Due to Primary DiseaseBrief Pain Inventory - I believe my pain is due to my primary disease.BPI - Pain Due to Primary Disease
BPI1213C100314BPI1-Pain Due to Unrelated Med ConditionBrief Pain Inventory - I believe my pain is due to a medical condition unrelated to my primary disease.BPI - Pain Due to Unrelated Medical Condition
BPI1213AC100315BPI1-Describe Unrelated Med ConditionBrief Pain Inventory - I believe my pain is due to a medical condition unrelated to my primary disease. Please describe condition.BPI - Describe Unrelated Medical Condition
BPI122AC100316BPI1-AchingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: aching.BPI - Aching
BPI122BC100317BPI1-ThrobbingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: throbbing.BPI - Throbbing
BPI122CC100318BPI1-ShootingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: shooting.BPI - Shooting
BPI122DC100319BPI1-StabbingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: stabbing.BPI - Stabbing
BPI122EC100320BPI1-GnawingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: gnawing.BPI - Gnawing
BPI122FC100321BPI1-SharpBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: sharp.BPI - Sharp
BPI122GC100322BPI1-TenderBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: tender.BPI - Tender
BPI122HC100323BPI1-BurningBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: burning.BPI - Burning
BPI122IC100324BPI1-ExhaustingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: exhausting.BPI - Exhausting
BPI122JC100325BPI1-TiringBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: tiring.BPI - Tiring
BPI122KC100326BPI1-PenetratingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: penetrating.BPI - Penetrating
BPI122LC100327BPI1-NaggingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: nagging.BPI - Nagging
BPI122MC100328BPI1-NumbBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: numb.BPI - Numb
BPI122NC100329BPI1-MiserableBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: miserable.BPI - Miserable
BPI122OC100330BPI1-UnbearableBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: unbearable.BPI - Unbearable
BPI123AC100331BPI1-Pain Interfered General ActivityBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your general activity.BPI - Pain Interfered with General Activity
BPI123BC100332BPI1-Pain Interfered with MoodBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your mood.BPI - Pain Interfered with Mood
BPI123CC100333BPI1-Pain Interfered Walking AbilityBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your walking ability.BPI - Pain Interfered with Walking Ability
BPI123DC100334BPI1-Pain Interfered with Normal WorkBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your normal work.BPI - Pain Interfered with Normal Work
BPI123EC100335BPI1-Pain Interfered with RelationsBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your relations with other people.BPI - Pain Interfered with Relations
BPI123FC100336BPI1-Pain Interfered with SleepBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your sleep.BPI - Pain Interfered with Sleep
BPI123GC100337BPI1-Pain Interfered Enjoyment of LifeBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your enjoyment of life.BPI - Pain Interfered with Enjoyment of Life
BPI124C100338BPI1-Prefer to Take Pain MedicineBrief Pain Inventory - I prefer to take my pain medicine.BPI - Prefer to Take Pain Medicine
BPI125C100339BPI1-Take my Pain MedicineBrief Pain Inventory - I take my pain medicine (in a 24 hour period).BPI - Take my Pain Medicine
BPI126C100340BPI1-Need Stronger Type of Pain MedBrief Pain Inventory - Do you feel you need a stronger type of pain medication?BPI - Need Stronger Type of Pain Medication
BPI127C100341BPI1-Need more Pain Med than PrescribedBrief Pain Inventory - Do you feel you need to take more of the pain medication than your doctor has prescribed?BPI - Need more Pain Medication than Prescribed
BPI128C100342BPI1-Concerned Use Too Much Pain MedBrief Pain Inventory - Are you concerned that you use too much pain medication?BPI - Concerned with Too Much Pain Medication Use
BPI128AC100343BPI1-Why Concerned Use Too Much Pain MedBrief Pain Inventory - Are you concerned that you use too much pain medication? If Yes, why?BPI - Why Concerned with Too Much Pain Medication Use
BPI129C100344BPI1-Problems with Side Effects Pain MedBrief Pain Inventory - Are you having problems with side effects from your pain medication?BPI - Problems with Side Effects Pain Medication
BPI129AC100345BPI1-Which Side Effects from Pain MedBrief Pain Inventory - Are you having problems with side effects from your pain medication? Which side effects?BPI - What Side Effects from Pain Medication
BPI130C100346BPI1-Need Further Info about Pain MedBrief Pain Inventory - Do you feel you need to receive further information about your pain medication?BPI - Need Further Information about Pain Medication
BPI131AC100347BPI1-Warm Compresses to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: warm compresses.BPI - Warm Compresses to Relieve Pain
BPI131BC100348BPI1-Cold Compresses to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: cold compresses.BPI - Cold Compresses to Relieve Pain
BPI131CC100349BPI1-Relaxation Techniques Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: relaxation techniques.BPI - Relaxation Techniques Relieve Pain
BPI131DC100350BPI1-Distraction to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: distraction.BPI - Distraction to Relieve Pain
BPI131EC100351BPI1-Biofeedback to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: biofeedback.BPI - Biofeedback to Relieve Pain
BPI131FC100352BPI1-Hypnosis to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: hypnosis.BPI - Hypnosis to Relieve Pain
BPI131GC100353BPI1-Other to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: other.BPI - Other Methods to Relieve Pain
BPI131HC100354BPI1-Other specify to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: other. Please specify.BPI - Specified Other Method to Relieve Pain
BPI132C100355BPI1-Meds not Prescribed Taken for PainBrief Pain Inventory - Medications not prescribed by my doctor that I take for pain are.BPI - Medications not Prescribed Taken for Pain
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CL.C100161.BPI TESTBrief Pain Inventory Test Name
(BPI TEST)
text
Extensible: No
C100161Brief Pain Inventory Test NameBrief Pain Inventory test name.CDISC Questionnaire BPI Test Name Terminology
BPI1-AchingC100316BPI1-AchingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: aching.BPI - Aching
BPI1-Area Hurts MostC100302BPI1-Area Hurts MostBrief Pain Inventory - On the diagram, put an X on the area that hurts the most.BPI - Area Hurts Most
BPI1-Areas of PainC100301BPI1-Areas of PainBrief Pain Inventory - On the diagram, shade in the areas where you feel pain.BPI - Areas of Pain
BPI1-Biofeedback to Relieve PainC100351BPI1-Biofeedback to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: biofeedback.BPI - Biofeedback to Relieve Pain
BPI1-BurningC100323BPI1-BurningBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: burning.BPI - Burning
BPI1-Cold Compresses to Relieve PainC100348BPI1-Cold Compresses to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: cold compresses.BPI - Cold Compresses to Relieve Pain
BPI1-Concerned Use Too Much Pain MedC100342BPI1-Concerned Use Too Much Pain MedBrief Pain Inventory - Are you concerned that you use too much pain medication?BPI - Concerned with Too Much Pain Medication Use
BPI1-Current Job StatusC100292BPI1-Current Job StatusBrief Pain Inventory - Which of the following best describes your current job status?BPI - Current Job Status
BPI1-Current OccupationC100290BPI1-Current OccupationBrief Pain Inventory - Current occupation.BPI - Current Occupation
BPI1-Describe Unrelated Med ConditionC100315BPI1-Describe Unrelated Med ConditionBrief Pain Inventory - I believe my pain is due to a medical condition unrelated to my primary disease. Please describe condition.BPI - Describe Unrelated Medical Condition
BPI1-Distraction to Relieve PainC100350BPI1-Distraction to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: distraction.BPI - Distraction to Relieve Pain
BPI1-EducationC100288BPI1-EducationBrief Pain Inventory - Education.BPI - Education
BPI1-ExhaustingC100324BPI1-ExhaustingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: exhausting.BPI - Exhausting
BPI1-GnawingC100320BPI1-GnawingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: gnawing.BPI - Gnawing
BPI1-Hours before Pain ReturnsC100311BPI1-Hours before Pain ReturnsBrief Pain Inventory - If you take pain medication, how many hours does it take before the pain returns?BPI - Hours before Pain Returns
BPI1-How Long Since DiagnosisC100293BPI1-How Long Since DiagnosisBrief Pain Inventory - How long has it been since you first learned your diagnosis?BPI - How Long Since Diagnosis
BPI1-Hypnosis to Relieve PainC100352BPI1-Hypnosis to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: hypnosis.BPI - Hypnosis to Relieve Pain
BPI1-Kind of Surgery in Past MonthC100297BPI1-Kind of Surgery in Past MonthBrief Pain Inventory - What kind of surgery have you had in the past month?BPI - Kind of Surgery in Past Month
BPI1-Marital StatusC100287BPI1-Marital StatusBrief Pain Inventory - Marital status.BPI - Marital Status
BPI1-Meds not Prescribed Taken for PainC100355BPI1-Meds not Prescribed Taken for PainBrief Pain Inventory - Medications not prescribed by my doctor that I take for pain are.BPI - Medications not Prescribed Taken for Pain
BPI1-MiserableC100329BPI1-MiserableBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: miserable.BPI - Miserable
BPI1-NaggingC100327BPI1-NaggingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: nagging.BPI - Nagging
BPI1-Need Further Info about Pain MedC100346BPI1-Need Further Info about Pain MedBrief Pain Inventory - Do you feel you need to receive further information about your pain medication?BPI - Need Further Information about Pain Medication
BPI1-Need more Pain Med than PrescribedC100341BPI1-Need more Pain Med than PrescribedBrief Pain Inventory - Do you feel you need to take more of the pain medication than your doctor has prescribed?BPI - Need more Pain Medication than Prescribed
BPI1-Need Stronger Type of Pain MedC100340BPI1-Need Stronger Type of Pain MedBrief Pain Inventory - Do you feel you need a stronger type of pain medication?BPI - Need Stronger Type of Pain Medication
BPI1-NumbC100328BPI1-NumbBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: numb.BPI - Numb
BPI1-Other specify to Relieve PainC100354BPI1-Other specify to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: other. Please specify.BPI - Specified Other Method to Relieve Pain
BPI1-Other to Relieve PainC100353BPI1-Other to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: other.BPI - Other Methods to Relieve Pain
BPI1-Pain at its Least in Last WeekC100304BPI1-Pain at its Least in Last WeekBrief Pain Inventory - Please rate your pain by circling the one number that best describes your pain at its least in the last week.BPI - Pain at its Least in Last Week
BPI1-Pain at its Worst in Last WeekC100303BPI1-Pain at its Worst in Last WeekBrief Pain Inventory - Please rate your pain by circling the one number that best describes your pain at its worst in the last week.BPI - Pain at its Worst in Last Week
BPI1-Pain Due to Effects of TreatmentC100312BPI1-Pain Due to Effects of TreatmentBrief Pain Inventory - I believe my pain is due to the effects of treatment.BPI - Pain Due to Effects of Treatment
BPI1-Pain Due to Present DiseaseC100294BPI1-Pain Due to Present DiseaseBrief Pain Inventory - Have you ever had pain due to your present disease?BPI - Pain Due to Present Disease
BPI1-Pain Due to Primary DiseaseC100313BPI1-Pain Due to Primary DiseaseBrief Pain Inventory - I believe my pain is due to my primary disease.BPI - Pain Due to Primary Disease
BPI1-Pain Due to Unrelated Med ConditionC100314BPI1-Pain Due to Unrelated Med ConditionBrief Pain Inventory - I believe my pain is due to a medical condition unrelated to my primary disease.BPI - Pain Due to Unrelated Medical Condition
BPI1-Pain Interfered Enjoyment of LifeC100337BPI1-Pain Interfered Enjoyment of LifeBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your enjoyment of life.BPI - Pain Interfered with Enjoyment of Life
BPI1-Pain Interfered General ActivityC100331BPI1-Pain Interfered General ActivityBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your general activity.BPI - Pain Interfered with General Activity
BPI1-Pain Interfered Walking AbilityC100333BPI1-Pain Interfered Walking AbilityBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your walking ability.BPI - Pain Interfered with Walking Ability
BPI1-Pain Interfered with MoodC100332BPI1-Pain Interfered with MoodBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your mood.BPI - Pain Interfered with Mood
BPI1-Pain Interfered with Normal WorkC100334BPI1-Pain Interfered with Normal WorkBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your normal work.BPI - Pain Interfered with Normal Work
BPI1-Pain Interfered with RelationsC100335BPI1-Pain Interfered with RelationsBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your relations with other people.BPI - Pain Interfered with Relations
BPI1-Pain Interfered with SleepC100336BPI1-Pain Interfered with SleepBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your sleep.BPI - Pain Interfered with Sleep
BPI1-Pain Medications in the Last 7 DaysC100299BPI1-Pain Medications in the Last 7 DaysBrief Pain Inventory - Did you take pain medications in the last 7 days?BPI - Pain Medications in the Last 7 Days
BPI1-Pain on the AverageC100305BPI1-Pain on the AverageBrief Pain Inventory - Please rate your pain by circling the one number that best describes your pain on the average.BPI - Pain on the Average
BPI1-Pain One of Your SymptomsC100295BPI1-Pain One of Your SymptomsBrief Pain Inventory - When you first received your diagnosis, was pain one of your symptoms?BPI - Pain as a Symptom
BPI1-Pain Other than Everyday KindsC100298BPI1-Pain Other than Everyday KindsBrief Pain Inventory - Have you had pain other than these everyday kinds of pain during the last week?BPI - Pain Other than Everyday Kinds
BPI1-Pain Requires Medication DailyC100300BPI1-Pain Requires Medication DailyBrief Pain Inventory - I feel I have some form of pain that requires medication each and every day.BPI - Pain Requires Medication Daily
BPI1-Pain Right NowC100306BPI1-Pain Right NowBrief Pain Inventory - Please rate your pain by circling the one number that tells how much pain you have right now.BPI - Pain Right Now
BPI1-PenetratingC100326BPI1-PenetratingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: penetrating.BPI - Penetrating
BPI1-Prefer to Take Pain MedicineC100338BPI1-Prefer to Take Pain MedicineBrief Pain Inventory - I prefer to take my pain medicine.BPI - Prefer to Take Pain Medicine
BPI1-Problems with Side Effects Pain MedC100344BPI1-Problems with Side Effects Pain MedBrief Pain Inventory - Are you having problems with side effects from your pain medication?BPI - Problems with Side Effects Pain Medication
BPI1-Professional DegreeC100289BPI1-Professional DegreeBrief Pain Inventory - Education. Professional degree.BPI - Professional Degree
BPI1-Relaxation Techniques Relieve PainC100349BPI1-Relaxation Techniques Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: relaxation techniques.BPI - Relaxation Techniques Relieve Pain
BPI1-Relief Pain Treatments ProvidedC100310BPI1-Relief Pain Treatments ProvidedBrief Pain Inventory - In the last week, how much relief have pain treatments or medications provided? Please circle the one percentage that most shows how much relief you have received.BPI - Relief Pain Treatments Provided
BPI1-SharpC100321BPI1-SharpBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: sharp.BPI - Sharp
BPI1-ShootingC100318BPI1-ShootingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: shooting.BPI - Shooting
BPI1-Spouse's OccupationC100291BPI1-Spouse's OccupationBrief Pain Inventory - Spouse's occupation.BPI - Spouse's Occupation
BPI1-StabbingC100319BPI1-StabbingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: stabbing.BPI - Stabbing
BPI1-Surgery in Past MonthC100296BPI1-Surgery in Past MonthBrief Pain Inventory - Have you had surgery in the past month?BPI - Surgery in Past Month
BPI1-Take my Pain MedicineC100339BPI1-Take my Pain MedicineBrief Pain Inventory - I take my pain medicine (in a 24 hour period).BPI - Take my Pain Medicine
BPI1-TenderC100322BPI1-TenderBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: tender.BPI - Tender
BPI1-Things that Make Pain Feel BetterC100307BPI1-Things that Make Pain Feel BetterBrief Pain Inventory - What kinds of things make your pain feel better?BPI - Things that Make Pain Feel Better
BPI1-Things that Make your Pain WorseC100308BPI1-Things that Make your Pain WorseBrief Pain Inventory - What kinds of things make your pain feel worse?BPI - Things that Make your Pain Worse
BPI1-ThrobbingC100317BPI1-ThrobbingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: throbbing.BPI - Throbbing
BPI1-TiringC100325BPI1-TiringBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: tiring.BPI - Tiring
BPI1-Treatments Receiving for PainC100309BPI1-Treatments Receiving for PainBrief Pain Inventory - What treatments or medications are you receiving for your pain?BPI - Treatments Receiving for Pain
BPI1-UnbearableC100330BPI1-UnbearableBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: unbearable.BPI - Unbearable
BPI1-Warm Compresses to Relieve PainC100347BPI1-Warm Compresses to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: warm compresses.BPI - Warm Compresses to Relieve Pain
BPI1-Which Side Effects from Pain MedC100345BPI1-Which Side Effects from Pain MedBrief Pain Inventory - Are you having problems with side effects from your pain medication? Which side effects?BPI - What Side Effects from Pain Medication
BPI1-Why Concerned Use Too Much Pain MedC100343BPI1-Why Concerned Use Too Much Pain MedBrief Pain Inventory - Are you concerned that you use too much pain medication? If Yes, why?BPI - Why Concerned with Too Much Pain Medication Use
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CL.C100134.BPRS-A TESTCDBrief Psychiatric Rating Scale-A Test Code
(BPRS-A TESTCD)
text
Extensible: No
C100134Brief Psychiatric Rating Scale-A Test CodeThe Brief Psychiatric Rating Scale-A test code.CDISC Questionnaire BPRS-A Test Code Terminology
BPR0101C100372BPR01-Somatic ConcernBrief Psychiatric Rating Scale-A - Somatic Concern.BPRS-A - Somatic Concern
BPR0102C100373BPR01-AnxietyBrief Psychiatric Rating Scale-A - Anxiety.BPRS-A - Anxiety
BPR0103C100374BPR01-Emotional WithdrawalBrief Psychiatric Rating Scale-A - Emotional Withdrawal.BPRS-A - Emotional Withdrawal
BPR0104C100375BPR01-Conceptual DisorganizationBrief Psychiatric Rating Scale-A - Conceptual Disorganization.BPRS-A - Conceptual Disorganization
BPR0105C100376BPR01-Guilt FeelingsBrief Psychiatric Rating Scale-A - Guilt Feelings.BPRS-A - Guilt Feelings
BPR0106C100377BPR01-TensionBrief Psychiatric Rating Scale-A - Tension.BPRS-A - Tension
BPR0107C100378BPR01-Mannerisms and PosturingBrief Psychiatric Rating Scale-A - Mannerisms and Posturing.BPRS-A - Mannerisms and Posturing
BPR0108C100379BPR01-GrandiosityBrief Psychiatric Rating Scale-A - Grandiosity.BPRS-A - Grandiosity
BPR0109C100380BPR01-Depressive MoodBrief Psychiatric Rating Scale-A - Depressive Mood.BPRS-A - Depressive Mood
BPR0110C100381BPR01-HostilityBrief Psychiatric Rating Scale-A - Hostility.BPRS-A - Hostility
BPR0111C100382BPR01-SuspiciousnessBrief Psychiatric Rating Scale-A - Suspiciousness.BPRS-A - Suspiciousness
BPR0112C100383BPR01-Hallucinatory BehaviorBrief Psychiatric Rating Scale-A - Hallucinatory Behavior.BPRS-A - Hallucinatory Behavior
BPR0113C100384BPR01-Motor RetardationBrief Psychiatric Rating Scale-A - Motor Retardation.BPRS-A - Motor Retardation
BPR0114C100385BPR01-UncooperativenessBrief Psychiatric Rating Scale-A - Uncooperativeness.BPRS-A - Uncooperativeness
BPR0115C100386BPR01-Unusual Thought ContentBrief Psychiatric Rating Scale-A - Unusual Thought Content.BPRS-A - Unusual Thought Content
BPR0116C100387BPR01-Blunted AffectBrief Psychiatric Rating Scale-A - Blunted Affect.BPRS-A - Blunted Affect
BPR0117C100388BPR01-ExcitementBrief Psychiatric Rating Scale-A - Excitement.BPRS-A - Excitement
BPR0118C100389BPR01-DisorientationBrief Psychiatric Rating Scale-A - Disorientation.BPRS-A - Disorientation
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CL.C100133.BPRS-A TESTBrief Psychiatric Rating Scale-A Test Name
(BPRS-A TEST)
text
Extensible: No
C100133Brief Psychiatric Rating Scale-A Test NameThe Brief Psychiatric Rating Scale-A test name.CDISC Questionnaire BPRS-A Test Name Terminology
BPR01-AnxietyC100373BPR01-AnxietyBrief Psychiatric Rating Scale-A - Anxiety.BPRS-A - Anxiety
BPR01-Blunted AffectC100387BPR01-Blunted AffectBrief Psychiatric Rating Scale-A - Blunted Affect.BPRS-A - Blunted Affect
BPR01-Conceptual DisorganizationC100375BPR01-Conceptual DisorganizationBrief Psychiatric Rating Scale-A - Conceptual Disorganization.BPRS-A - Conceptual Disorganization
BPR01-Depressive MoodC100380BPR01-Depressive MoodBrief Psychiatric Rating Scale-A - Depressive Mood.BPRS-A - Depressive Mood
BPR01-DisorientationC100389BPR01-DisorientationBrief Psychiatric Rating Scale-A - Disorientation.BPRS-A - Disorientation
BPR01-Emotional WithdrawalC100374BPR01-Emotional WithdrawalBrief Psychiatric Rating Scale-A - Emotional Withdrawal.BPRS-A - Emotional Withdrawal
BPR01-ExcitementC100388BPR01-ExcitementBrief Psychiatric Rating Scale-A - Excitement.BPRS-A - Excitement
BPR01-GrandiosityC100379BPR01-GrandiosityBrief Psychiatric Rating Scale-A - Grandiosity.BPRS-A - Grandiosity
BPR01-Guilt FeelingsC100376BPR01-Guilt FeelingsBrief Psychiatric Rating Scale-A - Guilt Feelings.BPRS-A - Guilt Feelings
BPR01-Hallucinatory BehaviorC100383BPR01-Hallucinatory BehaviorBrief Psychiatric Rating Scale-A - Hallucinatory Behavior.BPRS-A - Hallucinatory Behavior
BPR01-HostilityC100381BPR01-HostilityBrief Psychiatric Rating Scale-A - Hostility.BPRS-A - Hostility
BPR01-Mannerisms and PosturingC100378BPR01-Mannerisms and PosturingBrief Psychiatric Rating Scale-A - Mannerisms and Posturing.BPRS-A - Mannerisms and Posturing
BPR01-Motor RetardationC100384BPR01-Motor RetardationBrief Psychiatric Rating Scale-A - Motor Retardation.BPRS-A - Motor Retardation
BPR01-Somatic ConcernC100372BPR01-Somatic ConcernBrief Psychiatric Rating Scale-A - Somatic Concern.BPRS-A - Somatic Concern
BPR01-SuspiciousnessC100382BPR01-SuspiciousnessBrief Psychiatric Rating Scale-A - Suspiciousness.BPRS-A - Suspiciousness
BPR01-TensionC100377BPR01-TensionBrief Psychiatric Rating Scale-A - Tension.BPRS-A - Tension
BPR01-UncooperativenessC100385BPR01-UncooperativenessBrief Psychiatric Rating Scale-A - Uncooperativeness.BPRS-A - Uncooperativeness
BPR01-Unusual Thought ContentC100386BPR01-Unusual Thought ContentBrief Psychiatric Rating Scale-A - Unusual Thought Content.BPRS-A - Unusual Thought Content
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CL.C101811.CDR TESTCDClinical Dementia Rating Test Code
(CDR TESTCD)
text
Extensible: No
C101811Clinical Dementia Rating Test CodeClinical Dementia Rating test code.CDISC Questionnaire CDR Test Code Terminology
CDR0101C102050CDR01-MemoryClinical Dementia Rating - Memory.CDR - Memory
CDR0102C102051CDR01-OrientationClinical Dementia Rating - Orientation.CDR - Orientation
CDR0103C102052CDR01-Judgment and Problem SolvingClinical Dementia Rating - Judgment and problem solving.CDR - Judgment and Problem Solving
CDR0104C102053CDR01-Community AffairsClinical Dementia Rating - Community affairs.CDR - Community Affairs
CDR0105C102054CDR01-Home and HobbiesClinical Dementia Rating - Home and hobbies.CDR - Home and Hobbies
CDR0106C102055CDR01-Personal CareClinical Dementia Rating - Personal care.CDR - Personal Care
CDR0107C113880CDR01-Sum of BoxesClinical Dementia Rating - Sum of Boxes.CDR - Sum of Boxes
CDR0108C113881CDR01-Global CDRClinical Dementia Rating - Global CDR.CDR - Global CDR
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CL.C101812.CDR TESTClinical Dementia Rating Test Name
(CDR TEST)
text
Extensible: No
C101812Clinical Dementia Rating Test NameClinical Dementia Rating test name.CDISC Questionnaire CDR Test Name Terminology
CDR01-Community AffairsC102053CDR01-Community AffairsClinical Dementia Rating - Community affairs.CDR - Community Affairs
CDR01-Global CDRC113881CDR01-Global CDRClinical Dementia Rating - Global CDR.CDR - Global CDR
CDR01-Home and HobbiesC102054CDR01-Home and HobbiesClinical Dementia Rating - Home and hobbies.CDR - Home and Hobbies
CDR01-Judgment and Problem SolvingC102052CDR01-Judgment and Problem SolvingClinical Dementia Rating - Judgment and problem solving.CDR - Judgment and Problem Solving
CDR01-MemoryC102050CDR01-MemoryClinical Dementia Rating - Memory.CDR - Memory
CDR01-OrientationC102051CDR01-OrientationClinical Dementia Rating - Orientation.CDR - Orientation
CDR01-Personal CareC102055CDR01-Personal CareClinical Dementia Rating - Personal care.CDR - Personal Care
CDR01-Sum of BoxesC113880CDR01-Sum of BoxesClinical Dementia Rating - Sum of Boxes.CDR - Sum of Boxes
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CL.C100150.CGI TESTCDClinical Global Impression Test Code
(CGI TESTCD)
text
Extensible: No
C100150Clinical Global Impression Test CodeClinical Global Impression test code.CDISC Questionnaire CGI Test Code Terminology
CGI0101C100955CGI01-Severity of IllnessClinical Global Impression - Considering your total clinical experience with this particular population, how mentally ill is the patient at this time?CGI - Severity of Illness
CGI0102C100956CGI01-Global ImprovementClinical Global Impression - Rate total improvement whether or not, in your judgment, it is due entirely to drug treatment. Compared to his condition at admission to the project, how much has he changed?CGI - Global Improvement
CGI0103C100957CGI01-Efficacy IndexClinical Global Impression - Rate this item on the basis of drug effect only. Select the terms which best describe the degrees of therapeutic effect and side effects and record the number in the box where the two items intersect.CGI - Efficacy Index
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CL.C100149.CGI TESTClinical Global Impression Test Name
(CGI TEST)
text
Extensible: No
C100149Clinical Global Impression Test NameClinical Global Impression test name.CDISC Questionnaire CGI Test Name Terminology
CGI01-Efficacy IndexC100957CGI01-Efficacy IndexClinical Global Impression - Rate this item on the basis of drug effect only. Select the terms which best describe the degrees of therapeutic effect and side effects and record the number in the box where the two items intersect.CGI - Efficacy Index
CGI01-Global ImprovementC100956CGI01-Global ImprovementClinical Global Impression - Rate total improvement whether or not, in your judgment, it is due entirely to drug treatment. Compared to his condition at admission to the project, how much has he changed?CGI - Global Improvement
CGI01-Severity of IllnessC100955CGI01-Severity of IllnessClinical Global Impression - Considering your total clinical experience with this particular population, how mentally ill is the patient at this time?CGI - Severity of Illness
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CL.C101813.COWS TESTCDClinical Opiate Withdrawal Scale Test Code
(COWS TESTCD)
text
Extensible: No
C101813Clinical Opiate Withdrawal Scale Test CodeClinical Opiate Withdrawal Scale test code.CDISC Questionnaire COWS Test Code Terminology
COWS101C102056COWS1-Resting Pulse RateClinical Opiate Withdrawal Scale - Resting pulse rate.COWS - Resting Pulse Rate
COWS101AC112467COWS1-Resting Pulse Rate Beats/minuteClinical Opiate Withdrawal Scale - Resting pulse rate: beats/minute.COWS - Resting Pulse Rate: Beats/Minute
COWS102C102057COWS1-SweatingClinical Opiate Withdrawal Scale - Sweating.COWS - Sweating
COWS103C102058COWS1-RestlessnessClinical Opiate Withdrawal Scale - Restlessness.COWS - Restlessness
COWS104C102059COWS1-Pupil SizeClinical Opiate Withdrawal Scale - Pupil size.COWS - Pupil Size
COWS105C102060COWS1-Bone or Joint AchesClinical Opiate Withdrawal Scale - Bone or joint aches.COWS - Bone or Joint Aches
COWS106C102061COWS1-Runny Nose or TearingClinical Opiate Withdrawal Scale - Runny nose or tearing.COWS - Runny Nose or Tearing
COWS107C102062COWS1-GI UpsetClinical Opiate Withdrawal Scale - GI upset.COWS - GI Upset
COWS108C102063COWS1-TremorClinical Opiate Withdrawal Scale - Tremor.COWS - Tremor
COWS109C102064COWS1-YawningClinical Opiate Withdrawal Scale - Yawning.COWS - Yawning
COWS110C102065COWS1-Anxiety or IrritabilityClinical Opiate Withdrawal Scale - Anxiety or irritability.COWS - Anxiety or Irritability
COWS111C102066COWS1-Gooseflesh SkinClinical Opiate Withdrawal Scale - Gooseflesh skin.COWS - Gooseflesh Skin
COWS112C112468COWS1-Total ScoreClinical Opiate Withdrawal Scale - Total score.COWS - Total Score
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CL.C101814.COWS TESTClinical Opiate Withdrawal Scale Test Name
(COWS TEST)
text
Extensible: No
C101814Clinical Opiate Withdrawal Scale Test NameClinical Opiate Withdrawal Scale test name.CDISC Questionnaire COWS Test Name Terminology
COWS1-Anxiety or IrritabilityC102065COWS1-Anxiety or IrritabilityClinical Opiate Withdrawal Scale - Anxiety or irritability.COWS - Anxiety or Irritability
COWS1-Bone or Joint AchesC102060COWS1-Bone or Joint AchesClinical Opiate Withdrawal Scale - Bone or joint aches.COWS - Bone or Joint Aches
COWS1-GI UpsetC102062COWS1-GI UpsetClinical Opiate Withdrawal Scale - GI upset.COWS - GI Upset
COWS1-Gooseflesh SkinC102066COWS1-Gooseflesh SkinClinical Opiate Withdrawal Scale - Gooseflesh skin.COWS - Gooseflesh Skin
COWS1-Pupil SizeC102059COWS1-Pupil SizeClinical Opiate Withdrawal Scale - Pupil size.COWS - Pupil Size
COWS1-Resting Pulse RateC102056COWS1-Resting Pulse RateClinical Opiate Withdrawal Scale - Resting pulse rate.COWS - Resting Pulse Rate
COWS1-Resting Pulse Rate Beats/MinuteC112467COWS1-Resting Pulse Rate Beats/minuteClinical Opiate Withdrawal Scale - Resting pulse rate: beats/minute.COWS - Resting Pulse Rate: Beats/Minute
COWS1-RestlessnessC102058COWS1-RestlessnessClinical Opiate Withdrawal Scale - Restlessness.COWS - Restlessness
COWS1-Runny Nose or TearingC102061COWS1-Runny Nose or TearingClinical Opiate Withdrawal Scale - Runny nose or tearing.COWS - Runny Nose or Tearing
COWS1-SweatingC102057COWS1-SweatingClinical Opiate Withdrawal Scale - Sweating.COWS - Sweating
COWS1-Total ScoreC112468COWS1-Total ScoreClinical Opiate Withdrawal Scale - Total score.COWS - Total Score
COWS1-TremorC102063COWS1-TremorClinical Opiate Withdrawal Scale - Tremor.COWS - Tremor
COWS1-YawningC102064COWS1-YawningClinical Opiate Withdrawal Scale - Yawning.COWS - Yawning
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CL.C100168.C-SSRS Baseline TESTCDColumbia-Suicidality Severity Rating Scale Baseline Test Code
(C-SSRS Baseline TESTCD)
text
Extensible: No
C100168Columbia-Suicidality Severity Rating Scale Baseline Test CodeColumbia-Suicidality Severity Rating Scale Baseline test code.CDISC Questionnaire C-SSRS Baseline Test Code Terminology
CSS0101C100976CSS01-Wish to be DeadColumbia-Suicidality Severity Rating Scale Baseline - Have you wished you were dead or wished you could go to sleep and not wake up?C-SSRS Baseline - Wish to be Dead or go to Sleep and not Wake Up
CSS0101AC100977CSS01-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Baseline - Description of wishing to be dead.C-SSRS Baseline - Description of Wish to be Dead
CSS0102C100978CSS01-Non-Specific Suicidal ThoughtColumbia-Suicidality Severity Rating Scale Baseline - Have you actually had any thoughts of killing yourself?C-SSRS Baseline - Non-Specific Suicidal Thought
CSS0102AC100979CSS01-Non-Specific Suicid Thought, DescrColumbia-Suicidality Severity Rating Scale Baseline - Description of non-specific active suicidal thoughts.C-SSRS Baseline - Description of Non-Specific Suicide Thought
CSS0103C100980CSS01-Suicidal Ideation-No IntentColumbia-Suicidality Severity Rating Scale Baseline - Have you been thinking about how you might do this?C-SSRS Baseline - Suicidal Ideation-No Intent
CSS0103AC100981CSS01-Suicidal Ideation-No Intent, DescrColumbia-Suicidality Severity Rating Scale Baseline - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Baseline - Description of Suicidal Ideation-No Intent
CSS0104C101014CSS01-Ideation With Intent, No PlanColumbia-Suicidality Severity Rating Scale Baseline - Have you have these thoughts and had some intention of acting on them?C-SSRS Baseline - Ideation With Intent, No Plan
CSS0104AC101015CSS01-Ideation With Intent No Plan DescrColumbia-Suicidality Severity Rating Scale Baseline - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Baseline - Description of Ideation With Intent, No Plan
CSS0105C100982CSS01-Ideation With Plan/IntentColumbia-Suicidality Severity Rating Scale Baseline - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?C-SSRS Baseline - Ideation With Plan/Intent
CSS0105AC100983CSS01-Ideation With Plan/Intent, DescrColumbia-Suicidality Severity Rating Scale Baseline - Description of active suicidal ideation with specific plan and intent.C-SSRS Baseline - Description of Ideation With Plan and Intent
CSS0106C100984CSS01-Most Severe IdeationColumbia-Suicidality Severity Rating Scale Baseline - Most severe ideation.C-SSRS Baseline - Most Severe Ideation
CSS0106AC100985CSS01-Most Severe Ideation, DescriptionColumbia-Suicidality Severity Rating Scale Baseline - Description of most severe ideation.C-SSRS Baseline - Describe Most Severe Ideation
CSS0107C100986CSS01-Most Severe Ideation, FrequencyColumbia-Suicidality Severity Rating Scale Baseline - How many times have you had these thoughts?C-SSRS Baseline - Frequency of Most Severe Ideation
CSS0108C100987CSS01-Most Severe Ideation, DurationColumbia-Suicidality Severity Rating Scale Baseline - When you have these thoughts, how long do they last?C-SSRS Baseline - Duration of Most Severe Ideation
CSS0109C100988CSS01-Most Severe Ideation, ControlColumbia-Suicidality Severity Rating Scale Baseline - Could/can you stop thinking about killing yourself or wanting to die if you want to?C-SSRS Baseline - Control over Most Severe Ideation
CSS0110C100989CSS01-Most Severe Ideation, DeterrentsColumbia-Suicidality Severity Rating Scale Baseline - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?C-SSRS Baseline - Deterrents to Most Severe Ideation
CSS0111C100990CSS01-Most Severe Ideation, ReasonsColumbia-Suicidality Severity Rating Scale Baseline - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?C-SSRS Baseline - Reasons for Most Severe Ideation
CSS0112C100991CSS01-Actual AttemptColumbia-Suicidality Severity Rating Scale Baseline - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Baseline - Actual Suicide Attempt
CSS0113C100992CSS01-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Baseline - Total number of actual attempts.C-SSRS Baseline - Number of Actual Suicide Attempts
CSS0113AC100993CSS01-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline - Description of actual attempt.C-SSRS Baseline - Description of Actual Suicide Attempts
CSS0114C100994CSS01-Non-suicidal Self-injurious BehavColumbia-Suicidality Severity Rating Scale Baseline - Has the subject engaged in non-suicidal self-injurious behavior.C-SSRS Baseline - Non-suicidal Self-injurious Behavior
CSS0115C100995CSS01-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Baseline - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?C-SSRS Baseline - Interrupted Suicide Attempt
CSS0116C100996CSS01-Number of Interrupted AttemptsColumbia-Suicidality Severity Rating Scale Baseline - Total number of interrupted attempts.C-SSRS Baseline - Number of Interrupted Suicide Attempts
CSS0116AC100997CSS01-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline - Description of interrupted attempt.C-SSRS Baseline - Description of Interrupted Suicide Attempt
CSS0117C100998CSS01-Aborted AttemptColumbia-Suicidality Severity Rating Scale Baseline - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Baseline - Aborted Suicide Attempt
CSS0118C100999CSS01-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Baseline - Total number of aborted.C-SSRS Baseline - Number of Aborted Suicide Attempts
CSS0118AC101000CSS01-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline - Description of aborted attempt.C-SSRS Baseline - Description of Aborted Suicide Attempt
CSS0119C101001CSS01-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Baseline - Have you taken any steps toward making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?C-SSRS Baseline - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0119AC101002CSS01-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Baseline - Description of preparatory acts or behaviors.C-SSRS Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0120C101003CSS01-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Baseline - Suicidal behavior was present during the assessment period?C-SSRS Baseline - Suicidal Behavior
CSS0121AC101004CSS01-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Baseline - Most recent attempt date.C-SSRS Baseline - Most Recent Suicide Attempt Date
CSS0121BC101005CSS01-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline - Most recent attempt actual lethality/medical damage.C-SSRS Baseline - Most Recent Suicide Attempt Damage
CSS0121CC101006CSS01-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline - Most recent attempt potential lethality.C-SSRS Baseline - Most Recent Suicide Attempt Potential
CSS0122AC101007CSS01-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Baseline - Most lethal attempt date.C-SSRS Baseline - Most Lethal Suicide Attempt Date
CSS0122BC101008CSS01-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline - Most lethal attempt actual lethality/medical damage.C-SSRS Baseline - Most Lethal Suicide Attempt Damage
CSS0122CC101009CSS01-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline - Most lethal attempt potential lethality.C-SSRS Baseline - Most Lethal Suicide Attempt Potential
CSS0123AC101010CSS01-First Attempt DateColumbia-Suicidality Severity Rating Scale Baseline - Initial/first attempt date.C-SSRS Baseline - First Suicide Attempt Date
CSS0123BC101011CSS01-First Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline - Initial/first attempt actual lethality/medical damage.C-SSRS Baseline - First Suicide Attempt Damage
CSS0123CC101012CSS01-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline - Initial/first attempt potential lethality.C-SSRS Baseline - First Suicide Attempt Potential
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CL.C100167.C-SSRS Baseline TESTColumbia-Suicidality Severity Rating Scale Baseline Test Name
(C-SSRS Baseline TEST)
text
Extensible: No
C100167Columbia-Suicidality Severity Rating Scale Baseline Test NameColumbia-Suicidality Severity Rating Scale Baseline test name.CDISC Questionnaire C-SSRS Baseline Test Name Terminology
CSS01-Aborted AttemptC100998CSS01-Aborted AttemptColumbia-Suicidality Severity Rating Scale Baseline - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Baseline - Aborted Suicide Attempt
CSS01-Aborted Attempt, DescribeC101000CSS01-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline - Description of aborted attempt.C-SSRS Baseline - Description of Aborted Suicide Attempt
CSS01-Actual AttemptC100991CSS01-Actual AttemptColumbia-Suicidality Severity Rating Scale Baseline - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Baseline - Actual Suicide Attempt
CSS01-Actual Attempt, DescribeC100993CSS01-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline - Description of actual attempt.C-SSRS Baseline - Description of Actual Suicide Attempts
CSS01-First Attempt DamageC101011CSS01-First Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline - Initial/first attempt actual lethality/medical damage.C-SSRS Baseline - First Suicide Attempt Damage
CSS01-First Attempt DateC101010CSS01-First Attempt DateColumbia-Suicidality Severity Rating Scale Baseline - Initial/first attempt date.C-SSRS Baseline - First Suicide Attempt Date
CSS01-First Attempt PotentialC101012CSS01-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline - Initial/first attempt potential lethality.C-SSRS Baseline - First Suicide Attempt Potential
CSS01-Ideation With Intent No Plan DescrC101015CSS01-Ideation With Intent No Plan DescrColumbia-Suicidality Severity Rating Scale Baseline - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Baseline - Description of Ideation With Intent, No Plan
CSS01-Ideation With Intent, No PlanC101014CSS01-Ideation With Intent, No PlanColumbia-Suicidality Severity Rating Scale Baseline - Have you have these thoughts and had some intention of acting on them?C-SSRS Baseline - Ideation With Intent, No Plan
CSS01-Ideation With Plan/IntentC100982CSS01-Ideation With Plan/IntentColumbia-Suicidality Severity Rating Scale Baseline - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?C-SSRS Baseline - Ideation With Plan/Intent
CSS01-Ideation With Plan/Intent, DescrC100983CSS01-Ideation With Plan/Intent, DescrColumbia-Suicidality Severity Rating Scale Baseline - Description of active suicidal ideation with specific plan and intent.C-SSRS Baseline - Description of Ideation With Plan and Intent
CSS01-Interrupted AttemptC100995CSS01-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Baseline - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?C-SSRS Baseline - Interrupted Suicide Attempt
CSS01-Interrupted Attempt, DescribeC100997CSS01-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline - Description of interrupted attempt.C-SSRS Baseline - Description of Interrupted Suicide Attempt
CSS01-Most Lethal Attempt DamageC101008CSS01-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline - Most lethal attempt actual lethality/medical damage.C-SSRS Baseline - Most Lethal Suicide Attempt Damage
CSS01-Most Lethal Attempt DateC101007CSS01-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Baseline - Most lethal attempt date.C-SSRS Baseline - Most Lethal Suicide Attempt Date
CSS01-Most Lethal Attempt PotentialC101009CSS01-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline - Most lethal attempt potential lethality.C-SSRS Baseline - Most Lethal Suicide Attempt Potential
CSS01-Most Recent Attempt DamageC101005CSS01-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline - Most recent attempt actual lethality/medical damage.C-SSRS Baseline - Most Recent Suicide Attempt Damage
CSS01-Most Recent Attempt DateC101004CSS01-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Baseline - Most recent attempt date.C-SSRS Baseline - Most Recent Suicide Attempt Date
CSS01-Most Recent Attempt PotentialC101006CSS01-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline - Most recent attempt potential lethality.C-SSRS Baseline - Most Recent Suicide Attempt Potential
CSS01-Most Severe IdeationC100984CSS01-Most Severe IdeationColumbia-Suicidality Severity Rating Scale Baseline - Most severe ideation.C-SSRS Baseline - Most Severe Ideation
CSS01-Most Severe Ideation, ControlC100988CSS01-Most Severe Ideation, ControlColumbia-Suicidality Severity Rating Scale Baseline - Could/can you stop thinking about killing yourself or wanting to die if you want to?C-SSRS Baseline - Control over Most Severe Ideation
CSS01-Most Severe Ideation, DescriptionC100985CSS01-Most Severe Ideation, DescriptionColumbia-Suicidality Severity Rating Scale Baseline - Description of most severe ideation.C-SSRS Baseline - Describe Most Severe Ideation
CSS01-Most Severe Ideation, DeterrentsC100989CSS01-Most Severe Ideation, DeterrentsColumbia-Suicidality Severity Rating Scale Baseline - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?C-SSRS Baseline - Deterrents to Most Severe Ideation
CSS01-Most Severe Ideation, DurationC100987CSS01-Most Severe Ideation, DurationColumbia-Suicidality Severity Rating Scale Baseline - When you have these thoughts, how long do they last?C-SSRS Baseline - Duration of Most Severe Ideation
CSS01-Most Severe Ideation, FrequencyC100986CSS01-Most Severe Ideation, FrequencyColumbia-Suicidality Severity Rating Scale Baseline - How many times have you had these thoughts?C-SSRS Baseline - Frequency of Most Severe Ideation
CSS01-Most Severe Ideation, ReasonsC100990CSS01-Most Severe Ideation, ReasonsColumbia-Suicidality Severity Rating Scale Baseline - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?C-SSRS Baseline - Reasons for Most Severe Ideation
CSS01-Non-Specific Suicid Thought, DescrC100979CSS01-Non-Specific Suicid Thought, DescrColumbia-Suicidality Severity Rating Scale Baseline - Description of non-specific active suicidal thoughts.C-SSRS Baseline - Description of Non-Specific Suicide Thought
CSS01-Non-Specific Suicidal ThoughtC100978CSS01-Non-Specific Suicidal ThoughtColumbia-Suicidality Severity Rating Scale Baseline - Have you actually had any thoughts of killing yourself?C-SSRS Baseline - Non-Specific Suicidal Thought
CSS01-Non-suicidal Self-injurious BehavC100994CSS01-Non-suicidal Self-injurious BehavColumbia-Suicidality Severity Rating Scale Baseline - Has the subject engaged in non-suicidal self-injurious behavior.C-SSRS Baseline - Non-suicidal Self-injurious Behavior
CSS01-Number of Aborted AttemptsC100999CSS01-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Baseline - Total number of aborted.C-SSRS Baseline - Number of Aborted Suicide Attempts
CSS01-Number of Actual AttemptsC100992CSS01-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Baseline - Total number of actual attempts.C-SSRS Baseline - Number of Actual Suicide Attempts
CSS01-Number of Interrupted AttemptsC100996CSS01-Number of Interrupted AttemptsColumbia-Suicidality Severity Rating Scale Baseline - Total number of interrupted attempts.C-SSRS Baseline - Number of Interrupted Suicide Attempts
CSS01-Preparatory Acts/BehaviorC101001CSS01-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Baseline - Have you taken any steps toward making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?C-SSRS Baseline - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS01-Preparatory Acts/Behavior, DescrC101002CSS01-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Baseline - Description of preparatory acts or behaviors.C-SSRS Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS01-Suicidal BehaviorC101003CSS01-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Baseline - Suicidal behavior was present during the assessment period?C-SSRS Baseline - Suicidal Behavior
CSS01-Suicidal Ideation-No IntentC100980CSS01-Suicidal Ideation-No IntentColumbia-Suicidality Severity Rating Scale Baseline - Have you been thinking about how you might do this?C-SSRS Baseline - Suicidal Ideation-No Intent
CSS01-Suicidal Ideation-No Intent, DescrC100981CSS01-Suicidal Ideation-No Intent, DescrColumbia-Suicidality Severity Rating Scale Baseline - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Baseline - Description of Suicidal Ideation-No Intent
CSS01-Wish to be DeadC100976CSS01-Wish to be DeadColumbia-Suicidality Severity Rating Scale Baseline - Have you wished you were dead or wished you could go to sleep and not wake up?C-SSRS Baseline - Wish to be Dead or go to Sleep and not Wake Up
CSS01-Wish to be Dead, DescribeC100977CSS01-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Baseline - Description of wishing to be dead.C-SSRS Baseline - Description of Wish to be Dead
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CL.C105132.C-SSRS Baseline/Screening Version Phase 1 Study TESTCDColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Code
(C-SSRS Baseline/Screening Version Phase 1 Study TESTCD)
text
Extensible: No
C105132Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test CodeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study Version 1/14/2009 Questionnaire test code.CDISC Questionnaire C-SSRS Baseline/Screening Version Phase 1 Study Version 1/14/09 Test Code Terminology
CSS0301AC105210CSS03-Wish to be Dead-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Wish to be Dead (Lifetime)
CSS0301BC105211CSS03-Wish to be Dead-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you wished you were dead or wished you could go to sleep and not wake up? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Wish to be Dead (Past 6 Months)
CSS0301CC105212CSS03-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of wishing to be dead.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Wish to be Dead (Lifetime)
CSS0302AC105213CSS03-Non-Spec Suicid Thought-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you actually had any thoughts of killing yourself? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS0302BC105214CSS03-Non-Spec Suicid Thought-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you actually had any thoughts of killing yourself? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Non-Specific Active Suicidal Thoughts (Past 6 Months)
CSS0302CC105215CSS03-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of non-specific active suicidal thoughts.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Non-Specific Active Suicidal Thoughts (Lifetime)
CSS0303AC105216CSS03-Idea, No Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you been thinking about how you might do this? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS0303BC105217CSS03-Idea, No Intent, No Plan-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you been thinking about how you might do this? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 6 Months)
CSS0303CC105218CSS03-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS0304AC105219CSS03-Idea, Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you had these thoughts and had some intention of acting on them? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS0304BC105220CSS03-Idea, Intent, No Plan-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you had these thoughts and had some intention of acting on them? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 6 Months)
CSS0304CC105221CSS03-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS0305AC105222CSS03-Idea, Plan, Intent-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS0305BC105223CSS03-Idea, Plan, Intent-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Specific Plan and Intent (Past 6 Months)
CSS0305CC105224CSS03-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with specific plan and intent.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS0306AC105225CSS03-Most Severe Idea-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Most Severe Ideation (Lifetime)
CSS0306BC105226CSS03-Most Severe Idea, Desc-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Describe Most Severe Ideation (Lifetime)
CSS0306CC105227CSS03-Most Severe Idea-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most severe ideation. (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Most Severe Ideation (Past 6 Months)
CSS0306DC105228CSS03-Most Severe Idea, Desc-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of most severe ideation. (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Describe Most Severe Ideation (Past 6 Months)
CSS0307AC105229CSS03-Most Severe Idea, Frequency-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - How many times have you had these thoughts? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Frequency of Most Severe Ideation (Lifetime)
CSS0307BC105230CSS03-Most Severe Idea, Frequency-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - How many times have you had these thoughts? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Frequency of Most Severe Ideation (Past 6 Months)
CSS0308AC105231CSS03-Most Severe Idea, Duration-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have these thoughts, how long do they last? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Duration of Most Severe Ideation (Lifetime)
CSS0308BC105232CSS03-Most Severe Idea, Duration-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have these thoughts, how long do they last? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Duration of Most Severe Ideation (Past 6 Months)
CSS0309AC105233CSS03-Most Severe Idea, Control-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Controllability of Most Severe Ideation (Lifetime)
CSS0309BC105234CSS03-Most Severe Idea, Control-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Controllability of Most Severe Ideation (Past 6 Months)
CSS0310AC105235CSS03-Most Severe Idea, Deterrents-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Deterrents to Most Severe Ideation (Lifetime)
CSS0310BC105236CSS03-Most Severe Idea, Deterrents-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Deterrents to Most Severe Ideation (Past 6 Months)
CSS0311AC105237CSS03-Most Severe Idea, Reasons-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Reasons for Most Severe Ideation (Lifetime)
CSS0311BC105238CSS03-Most Severe Idea, Reasons-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Reasons for Most Severe Ideation (Past 6 Months)
CSS0312C105239CSS03-Actual AttemptColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Baseline/Screening Version Phase 1 Study - Actual Suicide Attempt
CSS0313C105240CSS03-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of actual attempts.C-SSRS Baseline/Screening Version Phase 1 Study - Number of Actual Suicide Attempts
CSS0313AC105241CSS03-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of actual attempt.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Actual Suicide Attempt
CSS0314C105242CSS03-Non-suicidal Self-injurious BehavColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has the subject engaged in non-suicidal self-injurious behavior.C-SSRS Baseline/Screening Version Phase 1 Study - Non-suicidal Self-injurious Behavior
CSS0315C105243CSS03-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?C-SSRS Baseline/Screening Version Phase 1 Study - Interrupted Suicide Attempt
CSS0316C105244CSS03-Number of Interrupted AttemptsColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of interrupted.C-SSRS Baseline/Screening Version Phase 1 Study - Number of Interrupted Suicide Attempts
CSS0316AC105245CSS03-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of interrupted attempt.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Interrupted Suicide Attempt
CSS0317C105246CSS03-Aborted AttemptColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Baseline/Screening Version Phase 1 Study - Aborted Suicide Attempt
CSS0318C105247CSS03-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of aborted.C-SSRS Baseline/Screening Version Phase 1 Study - Number of Aborted Suicide Attempts
CSS0318AC105248CSS03-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of aborted attempt.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Aborted Suicide Attempt
CSS0319C105249CSS03-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you taken any steps toward making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?C-SSRS Baseline/Screening Version Phase 1 Study - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0319AC105250CSS03-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of preparatory acts or behaviors.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0320C105251CSS03-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Suicidal behavior was present during the assessment period?C-SSRS Baseline/Screening Version Phase 1 Study - Suicidal Behavior
CSS0321AC105252CSS03-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt date.C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Date
CSS0321BC105253CSS03-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS0321CC105254CSS03-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt potential lethality.C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Potential Lethality
CSS0322AC105255CSS03-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt date.C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Date
CSS0322BC105256CSS03-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS0322CC105257CSS03-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt potential lethality.C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Potential Lethality
CSS0323AC105258CSS03-First Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt date.C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Date
CSS0323BC105259CSS03-First Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Actual Lethality/Medical Damage
CSS0323CC105260CSS03-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt potential lethality.C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Potential Lethality
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CL.C105131.C-SSRS Baseline/Screening Version Phase 1 Study TESTColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Name
(C-SSRS Baseline/Screening Version Phase 1 Study TEST)
text
Extensible: No
C105131Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test NameColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study Version 1/14/2009 test name.CDISC Questionnaire C-SSRS Baseline/Screening Version Phase 1 Study Version 1/14/09 Test Name Terminology
CSS03-Aborted AttemptC105246CSS03-Aborted AttemptColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Baseline/Screening Version Phase 1 Study - Aborted Suicide Attempt
CSS03-Aborted Attempt, DescribeC105248CSS03-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of aborted attempt.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Aborted Suicide Attempt
CSS03-Actual AttemptC105239CSS03-Actual AttemptColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Baseline/Screening Version Phase 1 Study - Actual Suicide Attempt
CSS03-Actual Attempt, DescribeC105241CSS03-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of actual attempt.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Actual Suicide Attempt
CSS03-First Attempt DamageC105259CSS03-First Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Actual Lethality/Medical Damage
CSS03-First Attempt DateC105258CSS03-First Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt date.C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Date
CSS03-First Attempt PotentialC105260CSS03-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt potential lethality.C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Potential Lethality
CSS03-Idea, Intent, No Plan, DescribeC105221CSS03-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS03-Idea, Intent, No Plan-LifeC105219CSS03-Idea, Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you had these thoughts and had some intention of acting on them? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS03-Idea, Intent, No Plan-P6MC105220CSS03-Idea, Intent, No Plan-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you had these thoughts and had some intention of acting on them? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 6 Months)
CSS03-Idea, No Intent, No Plan, DescribeC105218CSS03-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS03-Idea, No Intent, No Plan-LifeC105216CSS03-Idea, No Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you been thinking about how you might do this? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS03-Idea, No Intent, No Plan-P6MC105217CSS03-Idea, No Intent, No Plan-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you been thinking about how you might do this? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 6 Months)
CSS03-Idea, Plan, Intent, DescribeC105224CSS03-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with specific plan and intent.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS03-Idea, Plan, Intent-LifeC105222CSS03-Idea, Plan, Intent-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS03-Idea, Plan, Intent-P6MC105223CSS03-Idea, Plan, Intent-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Specific Plan and Intent (Past 6 Months)
CSS03-Interrupted AttemptC105243CSS03-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?C-SSRS Baseline/Screening Version Phase 1 Study - Interrupted Suicide Attempt
CSS03-Interrupted Attempt, DescribeC105245CSS03-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of interrupted attempt.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Interrupted Suicide Attempt
CSS03-Most Lethal Attempt DamageC105256CSS03-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS03-Most Lethal Attempt DateC105255CSS03-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt date.C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Date
CSS03-Most Lethal Attempt PotentialC105257CSS03-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt potential lethality.C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Potential Lethality
CSS03-Most Recent Attempt DamageC105253CSS03-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS03-Most Recent Attempt DateC105252CSS03-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt date.C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Date
CSS03-Most Recent Attempt PotentialC105254CSS03-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt potential lethality.C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Potential Lethality
CSS03-Most Severe Idea, Control-LifeC105233CSS03-Most Severe Idea, Control-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Controllability of Most Severe Ideation (Lifetime)
CSS03-Most Severe Idea, Control-P6MC105234CSS03-Most Severe Idea, Control-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Controllability of Most Severe Ideation (Past 6 Months)
CSS03-Most Severe Idea, Desc-LifeC105226CSS03-Most Severe Idea, Desc-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Describe Most Severe Ideation (Lifetime)
CSS03-Most Severe Idea, Desc-P6MC105228CSS03-Most Severe Idea, Desc-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of most severe ideation. (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Describe Most Severe Ideation (Past 6 Months)
CSS03-Most Severe Idea, Deterrents-LifeC105235CSS03-Most Severe Idea, Deterrents-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Deterrents to Most Severe Ideation (Lifetime)
CSS03-Most Severe Idea, Deterrents-P6MC105236CSS03-Most Severe Idea, Deterrents-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Deterrents to Most Severe Ideation (Past 6 Months)
CSS03-Most Severe Idea, Duration-LifeC105231CSS03-Most Severe Idea, Duration-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have these thoughts, how long do they last? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Duration of Most Severe Ideation (Lifetime)
CSS03-Most Severe Idea, Duration-P6MC105232CSS03-Most Severe Idea, Duration-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have these thoughts, how long do they last? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Duration of Most Severe Ideation (Past 6 Months)
CSS03-Most Severe Idea, Frequency-LifeC105229CSS03-Most Severe Idea, Frequency-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - How many times have you had these thoughts? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Frequency of Most Severe Ideation (Lifetime)
CSS03-Most Severe Idea, Frequency-P6MC105230CSS03-Most Severe Idea, Frequency-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - How many times have you had these thoughts? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Frequency of Most Severe Ideation (Past 6 Months)
CSS03-Most Severe Idea, Reasons-LifeC105237CSS03-Most Severe Idea, Reasons-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Reasons for Most Severe Ideation (Lifetime)
CSS03-Most Severe Idea, Reasons-P6MC105238CSS03-Most Severe Idea, Reasons-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Reasons for Most Severe Ideation (Past 6 Months)
CSS03-Most Severe Idea-LifeC105225CSS03-Most Severe Idea-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Most Severe Ideation (Lifetime)
CSS03-Most Severe Idea-P6MC105227CSS03-Most Severe Idea-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most severe ideation. (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Most Severe Ideation (Past 6 Months)
CSS03-Non-Spec Suicid Thought, DescribeC105215CSS03-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of non-specific active suicidal thoughts.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Non-Specific Active Suicidal Thoughts (Lifetime)
CSS03-Non-Spec Suicid Thought-LifeC105213CSS03-Non-Spec Suicid Thought-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you actually had any thoughts of killing yourself? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS03-Non-Spec Suicid Thought-P6MC105214CSS03-Non-Spec Suicid Thought-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you actually had any thoughts of killing yourself? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Non-Specific Active Suicidal Thoughts (Past 6 Months)
CSS03-Non-suicidal Self-injurious BehavC105242CSS03-Non-suicidal Self-injurious BehavColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has the subject engaged in non-suicidal self-injurious behavior.C-SSRS Baseline/Screening Version Phase 1 Study - Non-suicidal Self-injurious Behavior
CSS03-Number of Aborted AttemptsC105247CSS03-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of aborted.C-SSRS Baseline/Screening Version Phase 1 Study - Number of Aborted Suicide Attempts
CSS03-Number of Actual AttemptsC105240CSS03-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of actual attempts.C-SSRS Baseline/Screening Version Phase 1 Study - Number of Actual Suicide Attempts
CSS03-Number of Interrupted AttemptsC105244CSS03-Number of Interrupted AttemptsColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of interrupted.C-SSRS Baseline/Screening Version Phase 1 Study - Number of Interrupted Suicide Attempts
CSS03-Preparatory Acts/BehaviorC105249CSS03-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you taken any steps toward making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?C-SSRS Baseline/Screening Version Phase 1 Study - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS03-Preparatory Acts/Behavior, DescrC105250CSS03-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of preparatory acts or behaviors.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS03-Suicidal BehaviorC105251CSS03-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Suicidal behavior was present during the assessment period?C-SSRS Baseline/Screening Version Phase 1 Study - Suicidal Behavior
CSS03-Wish to be Dead, DescribeC105212CSS03-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of wishing to be dead.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Wish to be Dead (Lifetime)
CSS03-Wish to be Dead-LifeC105210CSS03-Wish to be Dead-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Wish to be Dead (Lifetime)
CSS03-Wish to be Dead-P6MC105211CSS03-Wish to be Dead-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you wished you were dead or wished you could go to sleep and not wake up? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Wish to be Dead (Past 6 Months)
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CL.C103461.C-SSRS Since Last Visit TESTCDColumbia-Suicidality Severity Rating Scale Since Last Visit Questionnaire Test Code
(C-SSRS Since Last Visit TESTCD)
text
Extensible: No
C103461Columbia-Suicidality Severity Rating Scale Since Last Visit Questionnaire Test CodeColumbia-Suicidality Severity Rating Scale Since Last Visit test code.CDISC Questionnaire C-SSRS Since Last Visit Test Code Terminology
CSS0201C103772CSS02-Wish to be DeadColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you wished you were dead or wished you could go to sleep and not wake up?C-SSRS Since Last Visit - Wish to be Dead or go to Sleep and not Wake Up
CSS0201AC103773CSS02-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of wishing to be dead.C-SSRS Since Last Visit - Description of Wish to be Dead
CSS0202C103774CSS02-Non-Specific Suicidal ThoughtColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you actually had any thoughts of killing yourself?C-SSRS Since Last Visit - Non-Specific Suicidal Thought
CSS0202AC103775CSS02-Non-Specific Suicid Thought, DescrColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of non-specific active suicidal thoughts.C-SSRS Since Last Visit - Description of Non-Specific Suicide Thought
CSS0203C103776CSS02-Suicidal Ideation-No IntentColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you been thinking about how you might do this?C-SSRS Since Last Visit - Suicidal Ideation-No Intent
CSS0203AC103777CSS02-Suicidal Ideation-No Intent, DescrColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Since Last Visit - Description of Suicidal Ideation-No Intent
CSS0204C103799CSS02-Ideation With Intent, No PlanColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you had these thoughts and had some intention of acting on them?C-SSRS Since Last Visit - Ideation With Intent, No Plan
CSS0204AC103800CSS02-Ideation With Intent No Plan DescrColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Since Last Visit - Description of Ideation With Intent, No Plan
CSS0205C103801CSS02-Ideation With Plan/IntentColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?C-SSRS Since Last Visit - Ideation With Plan/Intent
CSS0205AC103778CSS02-Ideation With Plan/Intent, DescrColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of active suicidal ideation with specific plan and intent.C-SSRS Since Last Visit - Description of Ideation With Plan and Intent
CSS0206C103779CSS02-Most Severe IdeationColumbia-Suicidality Severity Rating Scale Since Last Visit - Most severe ideation.C-SSRS Since Last Visit - Most Severe Ideation
CSS0206AC103780CSS02-Most Severe Ideation, DescriptionColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of most severe ideation.C-SSRS Since Last Visit - Describe Most Severe Ideation
CSS0207C103781CSS02-Most Severe Ideation, FrequencyColumbia-Suicidality Severity Rating Scale Since Last Visit - How many times have you had these thoughts?C-SSRS Since Last Visit - Frequency of Most Severe Ideation
CSS0208C103782CSS02-Most Severe Ideation, DurationColumbia-Suicidality Severity Rating Scale Since Last Visit - When you have these thoughts, how long do they last?C-SSRS Since Last Visit - Duration of Most Severe Ideation
CSS0209C103783CSS02-Most Severe Ideation, ControlColumbia-Suicidality Severity Rating Scale Since Last Visit - Could/can you stop thinking about killing yourself or wanting to die if you want to?C-SSRS Since Last Visit - Control over Most Severe Ideation
CSS0210C103784CSS02-Most Severe Ideation, DeterrentsColumbia-Suicidality Severity Rating Scale Since Last Visit - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?C-SSRS Since Last Visit - Deterrents to Most Severe Ideation
CSS0211C103785CSS02-Most Severe Ideation, ReasonsColumbia-Suicidality Severity Rating Scale Since Last Visit - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?C-SSRS Since Last Visit - Reasons for Most Severe Ideation
CSS0212C103786CSS02-Actual AttemptColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Since Last Visit - Actual Suicide Attempt
CSS0213C103787CSS02-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Since Last Visit - Total number of actual attempts.C-SSRS Since Last Visit - Number of Actual Suicide Attempts
CSS0213AC103788CSS02-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of actual attempt.C-SSRS Since Last Visit - Description of Actual Suicide Attempts
CSS0214C103789CSS02-Non-suicidal Self-injurious BehavColumbia-Suicidality Severity Rating Scale Since Last Visit - Has the subject engaged in non-suicidal self-injurious behavior.C-SSRS Since Last Visit - Non-suicidal Self-injurious Behavior
CSS0215C103790CSS02-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Since Last Visit - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?C-SSRS Since Last Visit - Interrupted Suicide Attempt
CSS0216C103791CSS02-Number of Interrupted AttemptsColumbia-Suicidality Severity Rating Scale Since Last Visit - Total number of interrupted attempts.C-SSRS Since Last Visit - Number of Interrupted Suicide Attempts
CSS0216AC103792CSS02-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of interrupted attempt.C-SSRS Since Last Visit - Description of Interrupted Suicide Attempt
CSS0217C103793CSS02-Aborted AttemptColumbia-Suicidality Severity Rating Scale Since Last Visit - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Since Last Visit - Aborted Suicide Attempt
CSS0218C103794CSS02-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Since Last Visit - Total number of aborted attempts.C-SSRS Since Last Visit - Number of Aborted Suicide Attempts
CSS0218AC103795CSS02-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of aborted attempt.C-SSRS Since Last Visit - Description of Aborted Suicide Attempt
CSS0219C103796CSS02-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you taken any steps toward making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?C-SSRS Since Last Visit - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0219AC103797CSS02-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of preparatory acts or behavior.C-SSRS Since Last Visit - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0220C103798CSS02-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Since Last Visit - Suicidal behavior was present during the assessment period?C-SSRS Since Last Visit - Suicidal Behavior
CSS0221C103532CSS02-SuicideColumbia-Suicidality Severity Rating Scale Since Last Visit - Suicide.C-SSRS Since Last Visit - Suicide
CSS0222AC103533CSS02-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Since Last Visit - Most lethal attempt date.C-SSRS Since Last Visit - Most Lethal Attempt Date
CSS0222BC103534CSS02-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Since Last Visit - Most lethal attempt actual lethality/medical damage.C-SSRS Since Last Visit - Most Lethal Actual Attempt Lethality/Medical Damage
CSS0222CC103535CSS02-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Since Last Visit - Most lethal attempt potential lethality.C-SSRS Since Last Visit - Most Lethal Actual Attempt Potential Lethality
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CL.C103460.C-SSRS Since Last Visit TESTColumbia-Suicidality Severity Rating Scale Since Last Visit Questionnaire Test Name
(C-SSRS Since Last Visit TEST)
text
Extensible: No
C103460Columbia-Suicidality Severity Rating Scale Since Last Visit Questionnaire Test NameColumbia-Suicidality Severity Rating Scale Since Last Visit test name.CDISC Questionnaire C-SSRS Since Last Visit Test Name Terminology
CSS02-Aborted AttemptC103793CSS02-Aborted AttemptColumbia-Suicidality Severity Rating Scale Since Last Visit - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Since Last Visit - Aborted Suicide Attempt
CSS02-Aborted Attempt, DescribeC103795CSS02-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of aborted attempt.C-SSRS Since Last Visit - Description of Aborted Suicide Attempt
CSS02-Actual AttemptC103786CSS02-Actual AttemptColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Since Last Visit - Actual Suicide Attempt
CSS02-Actual Attempt, DescribeC103788CSS02-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of actual attempt.C-SSRS Since Last Visit - Description of Actual Suicide Attempts
CSS02-Ideation With Intent No Plan DescrC103800CSS02-Ideation With Intent No Plan DescrColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Since Last Visit - Description of Ideation With Intent, No Plan
CSS02-Ideation With Intent, No PlanC103799CSS02-Ideation With Intent, No PlanColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you had these thoughts and had some intention of acting on them?C-SSRS Since Last Visit - Ideation With Intent, No Plan
CSS02-Ideation With Plan/IntentC103801CSS02-Ideation With Plan/IntentColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?C-SSRS Since Last Visit - Ideation With Plan/Intent
CSS02-Ideation With Plan/Intent, DescrC103778CSS02-Ideation With Plan/Intent, DescrColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of active suicidal ideation with specific plan and intent.C-SSRS Since Last Visit - Description of Ideation With Plan and Intent
CSS02-Interrupted AttemptC103790CSS02-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Since Last Visit - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?C-SSRS Since Last Visit - Interrupted Suicide Attempt
CSS02-Interrupted Attempt, DescribeC103792CSS02-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of interrupted attempt.C-SSRS Since Last Visit - Description of Interrupted Suicide Attempt
CSS02-Most Lethal Attempt DamageC103534CSS02-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Since Last Visit - Most lethal attempt actual lethality/medical damage.C-SSRS Since Last Visit - Most Lethal Actual Attempt Lethality/Medical Damage
CSS02-Most Lethal Attempt DateC103533CSS02-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Since Last Visit - Most lethal attempt date.C-SSRS Since Last Visit - Most Lethal Attempt Date
CSS02-Most Lethal Attempt PotentialC103535CSS02-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Since Last Visit - Most lethal attempt potential lethality.C-SSRS Since Last Visit - Most Lethal Actual Attempt Potential Lethality
CSS02-Most Severe IdeationC103779CSS02-Most Severe IdeationColumbia-Suicidality Severity Rating Scale Since Last Visit - Most severe ideation.C-SSRS Since Last Visit - Most Severe Ideation
CSS02-Most Severe Ideation, ControlC103783CSS02-Most Severe Ideation, ControlColumbia-Suicidality Severity Rating Scale Since Last Visit - Could/can you stop thinking about killing yourself or wanting to die if you want to?C-SSRS Since Last Visit - Control over Most Severe Ideation
CSS02-Most Severe Ideation, DescriptionC103780CSS02-Most Severe Ideation, DescriptionColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of most severe ideation.C-SSRS Since Last Visit - Describe Most Severe Ideation
CSS02-Most Severe Ideation, DeterrentsC103784CSS02-Most Severe Ideation, DeterrentsColumbia-Suicidality Severity Rating Scale Since Last Visit - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?C-SSRS Since Last Visit - Deterrents to Most Severe Ideation
CSS02-Most Severe Ideation, DurationC103782CSS02-Most Severe Ideation, DurationColumbia-Suicidality Severity Rating Scale Since Last Visit - When you have these thoughts, how long do they last?C-SSRS Since Last Visit - Duration of Most Severe Ideation
CSS02-Most Severe Ideation, FrequencyC103781CSS02-Most Severe Ideation, FrequencyColumbia-Suicidality Severity Rating Scale Since Last Visit - How many times have you had these thoughts?C-SSRS Since Last Visit - Frequency of Most Severe Ideation
CSS02-Most Severe Ideation, ReasonsC103785CSS02-Most Severe Ideation, ReasonsColumbia-Suicidality Severity Rating Scale Since Last Visit - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?C-SSRS Since Last Visit - Reasons for Most Severe Ideation
CSS02-Non-Specific Suicid Thought, DescrC103775CSS02-Non-Specific Suicid Thought, DescrColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of non-specific active suicidal thoughts.C-SSRS Since Last Visit - Description of Non-Specific Suicide Thought
CSS02-Non-Specific Suicidal ThoughtC103774CSS02-Non-Specific Suicidal ThoughtColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you actually had any thoughts of killing yourself?C-SSRS Since Last Visit - Non-Specific Suicidal Thought
CSS02-Non-suicidal Self-injurious BehavC103789CSS02-Non-suicidal Self-injurious BehavColumbia-Suicidality Severity Rating Scale Since Last Visit - Has the subject engaged in non-suicidal self-injurious behavior.C-SSRS Since Last Visit - Non-suicidal Self-injurious Behavior
CSS02-Number of Aborted AttemptsC103794CSS02-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Since Last Visit - Total number of aborted attempts.C-SSRS Since Last Visit - Number of Aborted Suicide Attempts
CSS02-Number of Actual AttemptsC103787CSS02-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Since Last Visit - Total number of actual attempts.C-SSRS Since Last Visit - Number of Actual Suicide Attempts
CSS02-Number of Interrupted AttemptsC103791CSS02-Number of Interrupted AttemptsColumbia-Suicidality Severity Rating Scale Since Last Visit - Total number of interrupted attempts.C-SSRS Since Last Visit - Number of Interrupted Suicide Attempts
CSS02-Preparatory Acts/BehaviorC103796CSS02-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you taken any steps toward making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?C-SSRS Since Last Visit - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS02-Preparatory Acts/Behavior, DescrC103797CSS02-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of preparatory acts or behavior.C-SSRS Since Last Visit - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS02-Suicidal BehaviorC103798CSS02-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Since Last Visit - Suicidal behavior was present during the assessment period?C-SSRS Since Last Visit - Suicidal Behavior
CSS02-Suicidal Ideation-No IntentC103776CSS02-Suicidal Ideation-No IntentColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you been thinking about how you might do this?C-SSRS Since Last Visit - Suicidal Ideation-No Intent
CSS02-Suicidal Ideation-No Intent, DescrC103777CSS02-Suicidal Ideation-No Intent, DescrColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Since Last Visit - Description of Suicidal Ideation-No Intent
CSS02-SuicideC103532CSS02-SuicideColumbia-Suicidality Severity Rating Scale Since Last Visit - Suicide.C-SSRS Since Last Visit - Suicide
CSS02-Wish to be DeadC103772CSS02-Wish to be DeadColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you wished you were dead or wished you could go to sleep and not wake up?C-SSRS Since Last Visit - Wish to be Dead or go to Sleep and not Wake Up
CSS02-Wish to be Dead, DescribeC103773CSS02-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of wishing to be dead.C-SSRS Since Last Visit - Description of Wish to be Dead
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CL.C106659.C-SSRS Already Enrolled Subjects TESTCDColumbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test Code
(C-SSRS Already Enrolled Subjects TESTCD)
text
Extensible: No
C106659Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test CodeColumbia-Suicide Severity Rating Scale Already Enrolled Subject test code.CDISC Questionnaire C-SSRS Already Enrolled Subjects Test Code Terminology
CSS0501AC107027CSS05-Wish to be Dead-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you wished you were dead or wished you could go to sleep and not wake up? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Wish to Be Dead (Prior to Study Entry)
CSS0501BC107028CSS05-Wish to be Dead-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you wished you were dead or wished you could go to sleep and not wake up? (Since Study Start).C-SSRS Already Enrolled Subjects - Wish to Be Dead (Since Study Start)
CSS0501CC107029CSS05-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of wishing to be dead.C-SSRS Already Enrolled Subjects - Description of Wish to Be Dead
CSS0502AC107030CSS05-Non-Spec Suicid Thought-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you actually had any thoughts of killing yourself? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Non-Specific Active Suicidal Thoughts (Prior to Study Entry)
CSS0502BC107031CSS05-Non-Spec Suicid Thought-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you actually had any thoughts of killing yourself? (Since Study Start).C-SSRS Already Enrolled Subjects - Non-Specific Active Suicidal Thoughts (Since Study Start)
CSS0502CC107032CSS05-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of non-specific active suicidal thoughts.C-SSRS Already Enrolled Subjects - Description of Non-Specific Active Suicidal Thoughts
CSS0503AC107033CSS05-Idea, No Intent, No Plan-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you been thinking about how you might do this? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Prior to Study Entry)
CSS0503BC107034CSS05-Idea, No Intent, No Plan-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you been thinking about how you might do this? (Since Study Start).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Since Study Start)
CSS0503CC107035CSS05-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act
CSS0504AC107036CSS05-Idea, Intent, No Plan-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you had these thoughts and had some intention of acting on them? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Prior to Study Entry)
CSS0504BC107037CSS05-Idea, Intent, No Plan-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you had these thoughts and had some intention of acting on them? (Since Study Start).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Since Study Start)
CSS0504CC107038CSS05-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Some Intent to Act, Without Specific Plan
CSS0505AC107039CSS05-Idea, Plan, Intent-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Specific Plan and Intent (Prior to Study Entry)
CSS0505BC107040CSS05-Idea, Plan, Intent-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Since Study Start).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Specific Plan and Intent (Since Study Start)
CSS0505CC107041CSS05-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with specific plan and intent.C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Specific Plan and Intent
CSS0506AC107042CSS05-Most Severe Idea-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most severe ideation. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Most Severe Ideation (Prior to Study Entry)
CSS0506BC107043CSS05-Most Severe Idea, Desc-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of most severe ideation. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Describe Most Severe Ideation (Prior to Study Entry)
CSS0506CC107044CSS05-Most Severe Idea-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most severe ideation. (Since Study Start).C-SSRS Already Enrolled Subjects - Most Severe Ideation (Since Study Start)
CSS0506DC107045CSS05-Most Severe Idea, Desc-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of most severe ideation. (Since Study Start).C-SSRS Already Enrolled Subjects - Describe Most Severe Ideation (Since Study Start)
CSS0507AC107046CSS05-Most Severe Idea, Frequency-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - How many times have you had these thoughts? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Frequency of Most Severe Ideation (Prior to Study Entry)
CSS0507BC107047CSS05-Most Severe Idea, Frequency-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - How many times have you had these thoughts? (Since Study Start).C-SSRS Already Enrolled Subjects - Frequency of Most Severe Ideation (Since Study Start)
CSS0508AC107048CSS05-Most Severe Idea, Duration-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - When you have these thoughts, how long do they last? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Duration of Most Severe Ideation (Prior to Study Entry)
CSS0508BC107049CSS05-Most Severe Idea, Duration-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - When you have these thoughts, how long do they last? (Since Study Start).C-SSRS Already Enrolled Subjects - Duration of Most Severe Ideation (Since Study Start)
CSS0509AC107050CSS05-Most Severe Idea, Control-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Controllability of Most Severe Ideation (Prior to Study Entry)
CSS0509BC107051CSS05-Most Severe Idea, Control-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Since Study Start).C-SSRS Already Enrolled Subjects - Controllability of Most Severe Ideation (Since Study Start)
CSS0510AC107052CSS05-Most Severe Idea, Deterrents-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Deterrents to Most Severe Ideation (Prior to Study Entry)
CSS0510BC107053CSS05-Most Severe Idea, Deterrents-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Since Study Start).C-SSRS Already Enrolled Subjects - Deterrents to Most Severe Ideation (Since Study Start)
CSS0511AC107054CSS05-Most Severe Idea, Reasons-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Reasons For Most Severe Ideation (Prior to Study Entry)
CSS0511BC107055CSS05-Most Severe Idea, Reasons-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Since Study Start).C-SSRS Already Enrolled Subjects - Reasons For Most Severe Ideation (Since Study Start)
CSS0512AC107056CSS05-Actual Attempt-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Actual Suicide Attempt (Prior to Study Entry)
CSS0512BC107057CSS05-Actual Attempt-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Since Study Start).C-SSRS Already Enrolled Subjects - Actual Suicide Attempt (Since Study Start)
CSS0513AC107058CSS05-Number of Actual Attempts-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of actual attempts. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Number of Actual Suicide Attempts (Prior to Study Entry)
CSS0513BC107059CSS05-Number of Actual Attempts-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of actual attempts. (Since Study Start).C-SSRS Already Enrolled Subjects - Number of Actual Suicide Attempts (Since Study Start)
CSS0513CC107060CSS05-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of actual attempt.C-SSRS Already Enrolled Subjects - Description of Actual Suicide Attempt
CSS0514AC107061CSS05-Non-suicid Self-injur Behav-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has the subject engaged in non-suicidal self-injurious behavior? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Non-suicidal Self-injurious Behavior (Prior to Study Entry)
CSS0514BC107062CSS05-Non-suicid Self-injur Behav-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has the subject engaged in non-suicidal self-injurious behavior? (Since Study Start).C-SSRS Already Enrolled Subjects - Non-suicidal Self-injurious Behavior (Since Study Start)
CSS0515AC107063CSS05-Interrupted Attempt-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Interrupted Suicide Attempt (Prior to Study Entry)
CSS0515BC107064CSS05-Interrupted Attempt-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Since Study Start).C-SSRS Already Enrolled Subjects - Interrupted Suicide Attempt (Since Study Start)
CSS0516AC107065CSS05-Num of Interrupted Attempts-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of interrupted. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Prior to Study Entry)
CSS0516BC107066CSS05-Num of Interrupted Attempts-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of interrupted. (Since Study Start).C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Since Study Start)
CSS0516CC107067CSS05-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of interrupted attempt.C-SSRS Already Enrolled Subjects - Description of Interrupted Suicide Attempt
CSS0517AC107068CSS05-Aborted Attempt-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Aborted Suicide Attempt (Prior to Study Entry)
CSS0517BC107069CSS05-Aborted Attempt-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Since Study Start).C-SSRS Already Enrolled Subjects - Aborted Suicide Attempt (Since Study Start)
CSS0518AC107070CSS05-Number of Aborted Attempts-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of aborted. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Prior to Study Entry)
CSS0518BC107071CSS05-Number of Aborted Attempts-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of aborted. (Since Study Start).C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Since Study Start)
CSS0518CC107072CSS05-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of aborted attempt.C-SSRS Already Enrolled Subjects - Description of Aborted Suicide Attempt
CSS0519AC107073CSS05-Preparatory Acts/Behavior-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you taken any steps toward making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Preparatory Acts or Behaviors Toward Suicide Attempt (Prior to Study Entry)
CSS0519BC107074CSS05-Preparatory Acts/Behavior-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you taken any steps toward making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Since Study Start).C-SSRS Already Enrolled Subjects - Preparatory Acts or Behaviors Toward Suicide Attempt (Since Study Start)
CSS0519CC107075CSS05-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of preparatory acts or behaviors. (Since Study Start).C-SSRS Already Enrolled Subjects - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0520AC107076CSS05-Suicidal Behavior-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Suicidal behavior was present during the assessment period? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Suicidal Behavior (Prior to Study Entry)
CSS0520BC107077CSS05-Suicidal Behavior-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Suicidal behavior was present during the assessment period? (Since Study Start).C-SSRS Already Enrolled Subjects - Suicidal Behavior (Since Study Start)
CSS0521AC107078CSS05-Completed Suicide-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Completed Suicide (Prior to Study Entry)
CSS0521BC107079CSS05-Completed Suicide-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Since Study Start).C-SSRS Already Enrolled Subjects - Completed Suicide (Since Study Start)
CSS0522AC107080CSS05-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most recent attempt date.C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Date
CSS0522BC107081CSS05-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most recent attempt actual lethality/medical damage.C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS0522CC107082CSS05-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most recent attempt potential lethality.C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Potential Lethality
CSS0523AC107083CSS05-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most lethal attempt date.C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Date
CSS0523BC107084CSS05-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most lethal attempt actual lethality/medical damage.C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS0523CC107085CSS05-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most lethal attempt potential lethality.C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Potential Lethality
CSS0524AC107086CSS05-First Attempt DateColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Initial/first attempt date.C-SSRS Already Enrolled Subjects - First Suicide Attempt Date
CSS0524BC107087CSS05-First Attempt DamageColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Initial/first attempt actual lethality/medical damage.C-SSRS Already Enrolled Subjects - First Suicide Attempt Actual Lethality/Medical Damage
CSS0524CC107088CSS05-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Initial/first attempt potential lethality.C-SSRS Already Enrolled Subjects - First Suicide Attempt Potential Lethality
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CL.C106658.C-SSRS Already Enrolled Subjects TESTColumbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test Name
(C-SSRS Already Enrolled Subjects TEST)
text
Extensible: No
C106658Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire Test NameColumbia-Suicide Severity Rating Scale Already Enrolled Subject test name.CDISC Questionnaire C-SSRS Already Enrolled Subjects Test Name Terminology
CSS05-Aborted Attempt, DescribeC107072CSS05-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of aborted attempt.C-SSRS Already Enrolled Subjects - Description of Aborted Suicide Attempt
CSS05-Aborted Attempt-PriorC107068CSS05-Aborted Attempt-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Aborted Suicide Attempt (Prior to Study Entry)
CSS05-Aborted Attempt-SinceC107069CSS05-Aborted Attempt-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Since Study Start).C-SSRS Already Enrolled Subjects - Aborted Suicide Attempt (Since Study Start)
CSS05-Actual Attempt, DescribeC107060CSS05-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of actual attempt.C-SSRS Already Enrolled Subjects - Description of Actual Suicide Attempt
CSS05-Actual Attempt-PriorC107056CSS05-Actual Attempt-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Actual Suicide Attempt (Prior to Study Entry)
CSS05-Actual Attempt-SinceC107057CSS05-Actual Attempt-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Since Study Start).C-SSRS Already Enrolled Subjects - Actual Suicide Attempt (Since Study Start)
CSS05-Completed Suicide-PriorC107078CSS05-Completed Suicide-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Completed Suicide (Prior to Study Entry)
CSS05-Completed Suicide-SinceC107079CSS05-Completed Suicide-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Since Study Start).C-SSRS Already Enrolled Subjects - Completed Suicide (Since Study Start)
CSS05-First Attempt DamageC107087CSS05-First Attempt DamageColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Initial/first attempt actual lethality/medical damage.C-SSRS Already Enrolled Subjects - First Suicide Attempt Actual Lethality/Medical Damage
CSS05-First Attempt DateC107086CSS05-First Attempt DateColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Initial/first attempt date.C-SSRS Already Enrolled Subjects - First Suicide Attempt Date
CSS05-First Attempt PotentialC107088CSS05-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Initial/first attempt potential lethality.C-SSRS Already Enrolled Subjects - First Suicide Attempt Potential Lethality
CSS05-Idea, Intent, No Plan, DescribeC107038CSS05-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Some Intent to Act, Without Specific Plan
CSS05-Idea, Intent, No Plan-PriorC107036CSS05-Idea, Intent, No Plan-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you had these thoughts and had some intention of acting on them? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Prior to Study Entry)
CSS05-Idea, Intent, No Plan-SinceC107037CSS05-Idea, Intent, No Plan-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you had these thoughts and had some intention of acting on them? (Since Study Start).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Since Study Start)
CSS05-Idea, No Intent, No Plan, DescribeC107035CSS05-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act
CSS05-Idea, No Intent, No Plan-PriorC107033CSS05-Idea, No Intent, No Plan-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you been thinking about how you might do this? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Prior to Study Entry)
CSS05-Idea, No Intent, No Plan-SinceC107034CSS05-Idea, No Intent, No Plan-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you been thinking about how you might do this? (Since Study Start).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Since Study Start)
CSS05-Idea, Plan, Intent, DescribeC107041CSS05-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with specific plan and intent.C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Specific Plan and Intent
CSS05-Idea, Plan, Intent-PriorC107039CSS05-Idea, Plan, Intent-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Specific Plan and Intent (Prior to Study Entry)
CSS05-Idea, Plan, Intent-SinceC107040CSS05-Idea, Plan, Intent-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Since Study Start).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Specific Plan and Intent (Since Study Start)
CSS05-Interrupted Attempt, DescribeC107067CSS05-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of interrupted attempt.C-SSRS Already Enrolled Subjects - Description of Interrupted Suicide Attempt
CSS05-Interrupted Attempt-PriorC107063CSS05-Interrupted Attempt-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Interrupted Suicide Attempt (Prior to Study Entry)
CSS05-Interrupted Attempt-SinceC107064CSS05-Interrupted Attempt-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Since Study Start).C-SSRS Already Enrolled Subjects - Interrupted Suicide Attempt (Since Study Start)
CSS05-Most Lethal Attempt DamageC107084CSS05-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most lethal attempt actual lethality/medical damage.C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS05-Most Lethal Attempt DateC107083CSS05-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most lethal attempt date.C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Date
CSS05-Most Lethal Attempt PotentialC107085CSS05-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most lethal attempt potential lethality.C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Potential Lethality
CSS05-Most Recent Attempt DamageC107081CSS05-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most recent attempt actual lethality/medical damage.C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS05-Most Recent Attempt DateC107080CSS05-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most recent attempt date.C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Date
CSS05-Most Recent Attempt PotentialC107082CSS05-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most recent attempt potential lethality.C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Potential Lethality
CSS05-Most Severe Idea, Control-PriorC107050CSS05-Most Severe Idea, Control-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Controllability of Most Severe Ideation (Prior to Study Entry)
CSS05-Most Severe Idea, Control-SinceC107051CSS05-Most Severe Idea, Control-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Since Study Start).C-SSRS Already Enrolled Subjects - Controllability of Most Severe Ideation (Since Study Start)
CSS05-Most Severe Idea, Desc-PriorC107043CSS05-Most Severe Idea, Desc-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of most severe ideation. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Describe Most Severe Ideation (Prior to Study Entry)
CSS05-Most Severe Idea, Desc-SinceC107045CSS05-Most Severe Idea, Desc-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of most severe ideation. (Since Study Start).C-SSRS Already Enrolled Subjects - Describe Most Severe Ideation (Since Study Start)
CSS05-Most Severe Idea, Deterrents-PriorC107052CSS05-Most Severe Idea, Deterrents-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Deterrents to Most Severe Ideation (Prior to Study Entry)
CSS05-Most Severe Idea, Deterrents-SinceC107053CSS05-Most Severe Idea, Deterrents-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Since Study Start).C-SSRS Already Enrolled Subjects - Deterrents to Most Severe Ideation (Since Study Start)
CSS05-Most Severe Idea, Duration-PriorC107048CSS05-Most Severe Idea, Duration-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - When you have these thoughts, how long do they last? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Duration of Most Severe Ideation (Prior to Study Entry)
CSS05-Most Severe Idea, Duration-SinceC107049CSS05-Most Severe Idea, Duration-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - When you have these thoughts, how long do they last? (Since Study Start).C-SSRS Already Enrolled Subjects - Duration of Most Severe Ideation (Since Study Start)
CSS05-Most Severe Idea, Frequency-PriorC107046CSS05-Most Severe Idea, Frequency-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - How many times have you had these thoughts? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Frequency of Most Severe Ideation (Prior to Study Entry)
CSS05-Most Severe Idea, Frequency-SinceC107047CSS05-Most Severe Idea, Frequency-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - How many times have you had these thoughts? (Since Study Start).C-SSRS Already Enrolled Subjects - Frequency of Most Severe Ideation (Since Study Start)
CSS05-Most Severe Idea, Reasons-PriorC107054CSS05-Most Severe Idea, Reasons-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Reasons For Most Severe Ideation (Prior to Study Entry)
CSS05-Most Severe Idea, Reasons-SinceC107055CSS05-Most Severe Idea, Reasons-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Since Study Start).C-SSRS Already Enrolled Subjects - Reasons For Most Severe Ideation (Since Study Start)
CSS05-Most Severe Idea-PriorC107042CSS05-Most Severe Idea-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most severe ideation. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Most Severe Ideation (Prior to Study Entry)
CSS05-Most Severe Idea-SinceC107044CSS05-Most Severe Idea-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most severe ideation. (Since Study Start).C-SSRS Already Enrolled Subjects - Most Severe Ideation (Since Study Start)
CSS05-Non-Spec Suicid Thought, DescribeC107032CSS05-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of non-specific active suicidal thoughts.C-SSRS Already Enrolled Subjects - Description of Non-Specific Active Suicidal Thoughts
CSS05-Non-Spec Suicid Thought-PriorC107030CSS05-Non-Spec Suicid Thought-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you actually had any thoughts of killing yourself? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Non-Specific Active Suicidal Thoughts (Prior to Study Entry)
CSS05-Non-Spec Suicid Thought-SinceC107031CSS05-Non-Spec Suicid Thought-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you actually had any thoughts of killing yourself? (Since Study Start).C-SSRS Already Enrolled Subjects - Non-Specific Active Suicidal Thoughts (Since Study Start)
CSS05-Non-suicid Self-injur Behav-PriorC107061CSS05-Non-suicid Self-injur Behav-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has the subject engaged in non-suicidal self-injurious behavior? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Non-suicidal Self-injurious Behavior (Prior to Study Entry)
CSS05-Non-suicid Self-injur Behav-SinceC107062CSS05-Non-suicid Self-injur Behav-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has the subject engaged in non-suicidal self-injurious behavior? (Since Study Start).C-SSRS Already Enrolled Subjects - Non-suicidal Self-injurious Behavior (Since Study Start)
CSS05-Num of Interrupted Attempts-PriorC107065CSS05-Num of Interrupted Attempts-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of interrupted. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Prior to Study Entry)
CSS05-Num of Interrupted Attempts-SinceC107066CSS05-Num of Interrupted Attempts-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of interrupted. (Since Study Start).C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Since Study Start)
CSS05-Number of Aborted Attempts-PriorC107070CSS05-Number of Aborted Attempts-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of aborted. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Prior to Study Entry)
CSS05-Number of Aborted Attempts-SinceC107071CSS05-Number of Aborted Attempts-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of aborted. (Since Study Start).C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Since Study Start)
CSS05-Number of Actual Attempts-PriorC107058CSS05-Number of Actual Attempts-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of actual attempts. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Number of Actual Suicide Attempts (Prior to Study Entry)
CSS05-Number of Actual Attempts-SinceC107059CSS05-Number of Actual Attempts-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of actual attempts. (Since Study Start).C-SSRS Already Enrolled Subjects - Number of Actual Suicide Attempts (Since Study Start)
CSS05-Preparatory Acts/Behavior, DescrC107075CSS05-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of preparatory acts or behaviors. (Since Study Start).C-SSRS Already Enrolled Subjects - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS05-Preparatory Acts/Behavior-PriorC107073CSS05-Preparatory Acts/Behavior-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you taken any steps toward making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Preparatory Acts or Behaviors Toward Suicide Attempt (Prior to Study Entry)
CSS05-Preparatory Acts/Behavior-SinceC107074CSS05-Preparatory Acts/Behavior-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you taken any steps toward making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Since Study Start).C-SSRS Already Enrolled Subjects - Preparatory Acts or Behaviors Toward Suicide Attempt (Since Study Start)
CSS05-Suicidal Behavior-PriorC107076CSS05-Suicidal Behavior-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Suicidal behavior was present during the assessment period? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Suicidal Behavior (Prior to Study Entry)
CSS05-Suicidal Behavior-SinceC107077CSS05-Suicidal Behavior-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Suicidal behavior was present during the assessment period? (Since Study Start).C-SSRS Already Enrolled Subjects - Suicidal Behavior (Since Study Start)
CSS05-Wish to be Dead, DescribeC107029CSS05-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of wishing to be dead.C-SSRS Already Enrolled Subjects - Description of Wish to Be Dead
CSS05-Wish to be Dead-PriorC107027CSS05-Wish to be Dead-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you wished you were dead or wished you could go to sleep and not wake up? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Wish to Be Dead (Prior to Study Entry)
CSS05-Wish to be Dead-SinceC107028CSS05-Wish to be Dead-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you wished you were dead or wished you could go to sleep and not wake up? (Since Study Start).C-SSRS Already Enrolled Subjects - Wish to Be Dead (Since Study Start)
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CL.C106661.C-SSRS Baseline/Screening Version TESTCDColumbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test Code
(C-SSRS Baseline/Screening Version TESTCD)
text
Extensible: No
C106661Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test CodeColumbia-Suicide Severity Rating Scale Baseline/Screening Version test code.CDISC Questionnaire C-SSRS Baseline/Screening Version Test Code Terminology
CSS0401AC106707CSS04-Wish to be Dead-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime).C-SSRS Baseline/Screening Version - Wish to be Dead (Lifetime)
CSS0401BC106708CSS04-Wish to be Dead-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Past _ Months).C-SSRS Baseline/Screening Version - Wish to be Dead (Past X Months)
CSS0401CC106709CSS04-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of wishing to be dead.C-SSRS Baseline/Screening Version - Description of Wish to be Dead
CSS0402AC106710CSS04-Non-Spec Suicid Thought-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you actually had any thoughts of killing yourself? (Lifetime).C-SSRS Baseline/Screening Version - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS0402BC106711CSS04-Non-Spec Suicid Thought-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you actually had any thoughts of killing yourself? (Past _ Months).C-SSRS Baseline/Screening Version - Non-Specific Active Suicidal Thoughts (Past X Months)
CSS0402CC106712CSS04-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of non-specific active suicidal thoughts.C-SSRS Baseline/Screening Version - Description of Non-Specific Active Suicidal Thoughts
CSS0403AC106713CSS04-Idea, No Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you been thinking about how you might do this? (Lifetime).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS0403BC106714CSS04-Idea, No Intent, No Plan-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you been thinking about how you might do this? (Past _ Months).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past X Months)
CSS0403CC106715CSS04-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0404AC107017CSS04-Idea, Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you had these thoughts and had some intention of acting on them? (Lifetime).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS0404BC107018CSS04-Idea, Intent, No Plan-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you had these thoughts and had some intention of acting on them? (Past _ Months).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past X Months)
CSS0404CC107019CSS04-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0405AC106716CSS04-Idea, Plan, Intent-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS0405BC106717CSS04-Idea, Plan, Intent-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past _ Months).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Specific Plan and Intent (Past X Months)
CSS0405CC106718CSS04-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with specific plan and intent.C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS0406AC106719CSS04-Most Severe Idea-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version - Most Severe Ideation (Lifetime)
CSS0406BC106720CSS04-Most Severe Idea, Desc-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version - Describe Most Severe Ideation (Lifetime)
CSS0406CC106721CSS04-Most Severe Idea-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Past _ Months).C-SSRS Baseline/Screening Version - Most Severe Ideation (Past X Months)
CSS0406DC106722CSS04-Most Severe Idea, Desc-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of most severe ideation. (Past _ Months).C-SSRS Baseline/Screening Version - Describe Most Severe Ideation (Past X Months)
CSS0407AC106723CSS04-Most Severe Idea, Frequency-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - How many times have you had these thoughts? (Lifetime).C-SSRS Baseline/Screening Version - Frequency of Most Severe Ideation (Lifetime)
CSS0407BC106724CSS04-Most Severe Idea, Frequency-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - How many times have you had these thoughts? (Past _ Months).C-SSRS Baseline/Screening Version - Frequency of Most Severe Ideation (Past X Months)
CSS0408AC106725CSS04-Most Severe Idea, Duration-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - When you have these thoughts, how long do they last? (Lifetime).C-SSRS Baseline/Screening Version - Duration of Most Severe Ideation (Lifetime)
CSS0408BC106726CSS04-Most Severe Idea, Duration-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - When you have these thoughts, how long do they last? (Past _ Months).C-SSRS Baseline/Screening Version - Duration of Most Severe Ideation (Past X Months)
CSS0409AC106727CSS04-Most Severe Idea, Control-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime).C-SSRS Baseline/Screening Version - Controllability of Most Severe Ideation (Lifetime)
CSS0409BC106728CSS04-Most Severe Idea, Control-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past _ Months).C-SSRS Baseline/Screening Version - Controllability of Most Severe Ideation (Past X Months)
CSS0410AC106729CSS04-Most Severe Idea, Deterrents-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime).C-SSRS Baseline/Screening Version - Deterrents to Most Severe Ideation (Lifetime)
CSS0410BC106730CSS04-Most Severe Idea, Deterrents-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past _ Months).C-SSRS Baseline/Screening Version - Deterrents to Most Severe Ideation (Past X Months)
CSS0411AC106731CSS04-Most Severe Idea, Reasons-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime).C-SSRS Baseline/Screening Version - Reasons for Most Severe Ideation (Lifetime)
CSS0411BC106732CSS04-Most Severe Idea, Reasons-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past _ Months).C-SSRS Baseline/Screening Version - Reasons for Most Severe Ideation (Past X Months)
CSS0412AC106733CSS04-Actual Attempt-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Lifetime).C-SSRS Baseline/Screening Version - Actual Suicide Attempt (Lifetime)
CSS0412BC106734CSS04-Actual Attempt-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Past _ Years).C-SSRS Baseline/Screening Version - Actual Suicide Attempt (Past X Years)
CSS0413AC106735CSS04-Number of Actual Attempts-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of actual attempts. (Lifetime).C-SSRS Baseline/Screening Version - Number of Actual Suicide Attempts (Lifetime)
CSS0413BC106736CSS04-Number of Actual Attempts-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of actual attempts. (Past _ Years).C-SSRS Baseline/Screening Version - Number of Actual Suicide Attempts (Past X Years)
CSS0413CC106737CSS04-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of actual attempt.C-SSRS Baseline/Screening Version - Description of Actual Suicide Attempt
CSS0414AC106738CSS04-Non-suicidal Self-injur Behav-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has the subject engaged in non-suicidal self-injurious behavior. (Lifetime).C-SSRS Baseline/Screening Version - Non-suicidal Self-injurious Behavior (Lifetime)
CSS0414BC106739CSS04-Non-suicidal Self-injur Behav-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has the subject engaged in non-suicidal self-injurious behavior. (Past _ Years).C-SSRS Baseline/Screening Version - Non-suicidal Self-injurious Behavior (Past X Years)
CSS0415AC106740CSS04-Interrupted Attempt-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Lifetime).C-SSRS Baseline/Screening Version - Interrupted Suicide Attempt (Lifetime)
CSS0415BC106741CSS04-Interrupted Attempt-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Past _ Years).C-SSRS Baseline/Screening Version - Interrupted Suicide Attempt (Past X Years)
CSS0416AC106742CSS04-Number of Interrupt Attempts-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of interrupted. (Lifetime).C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Lifetime)
CSS0416BC106743CSS04-Number of Interrupt Attempts-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of interrupted. (Past _ Years).C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Past X Years)
CSS0416CC106744CSS04-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of interrupted attempt.C-SSRS Baseline/Screening Version - Description of Interrupted Suicide Attempt
CSS0417AC106745CSS04-Aborted Attempt-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Lifetime).C-SSRS Baseline/Screening Version - Aborted Suicide Attempt (Lifetime)
CSS0417BC106746CSS04-Aborted Attempt-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Past _ Years).C-SSRS Baseline/Screening Version - Aborted Suicide Attempt (Past X Years)
CSS0418AC106747CSS04-Number of Aborted Attempts-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of aborted. (Lifetime).C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Lifetime)
CSS0418BC106748CSS04-Number of Aborted Attempts-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of aborted. (Past _ Years).C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Past X Years)
CSS0418CC106749CSS04-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of aborted attempt.C-SSRS Baseline/Screening Version - Description of Aborted Suicide Attempt
CSS0419AC106750CSS04-Preparatory Acts/Behavior-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you taken any steps toward making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Lifetime).C-SSRS Baseline/Screening Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
CSS0419BC106751CSS04-Preparatory Acts/Behavior-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you taken any steps toward making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Past _ Years).C-SSRS Baseline/Screening Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Past X Years)
CSS0419CC106752CSS04-Preparatory Acts/Behav, DescrColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of preparatory acts or behaviors.C-SSRS Baseline/Screening Version - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0420AC106753CSS04-Suicidal Behavior-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Suicidal behavior was present during the assessment period? (Lifetime).C-SSRS Baseline/Screening Version - Suicidal Behavior (Lifetime)
CSS0420BC106754CSS04-Suicidal Behavior-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Suicidal behavior was present during the assessment period? (Past _ Years).C-SSRS Baseline/Screening Version - Suicidal Behavior (Past X Years)
CSS0421AC106755CSS04-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most recent attempt date.C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Date
CSS0421BC106756CSS04-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most recent attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS0421CC106757CSS04-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most recent attempt potential lethality.C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Potential Lethality
CSS0422AC106758CSS04-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most lethal attempt date.C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Date
CSS0422BC106759CSS04-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most lethal attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS0422CC106760CSS04-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most lethal attempt potential lethality.C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Potential Lethality
CSS0423AC106761CSS04-First Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Initial/first attempt date.C-SSRS Baseline/Screening Version - First Suicide Attempt Date
CSS0423BC106762CSS04-First Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Initial/first attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version - First Suicide Attempt Actual Lethality/Medical Damage
CSS0423CC106763CSS04-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Initial/first attempt potential lethality.C-SSRS Baseline/Screening Version - First Suicide Attempt Potential Lethality
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CL.C106660.C-SSRS Baseline/Screening Version TESTColumbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test Name
(C-SSRS Baseline/Screening Version TEST)
text
Extensible: No
C106660Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire Test NameColumbia-Suicide Severity Rating Scale Baseline/Screening Version test name.CDISC Questionnaire C-SSRS Baseline/Screening Version Test Name Terminology
CSS04-Aborted Attempt, DescribeC106749CSS04-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of aborted attempt.C-SSRS Baseline/Screening Version - Description of Aborted Suicide Attempt
CSS04-Aborted Attempt-LifeC106745CSS04-Aborted Attempt-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Lifetime).C-SSRS Baseline/Screening Version - Aborted Suicide Attempt (Lifetime)
CSS04-Aborted Attempt-P_YC106746CSS04-Aborted Attempt-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Past _ Years).C-SSRS Baseline/Screening Version - Aborted Suicide Attempt (Past X Years)
CSS04-Actual Attempt, DescribeC106737CSS04-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of actual attempt.C-SSRS Baseline/Screening Version - Description of Actual Suicide Attempt
CSS04-Actual Attempt-LifeC106733CSS04-Actual Attempt-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Lifetime).C-SSRS Baseline/Screening Version - Actual Suicide Attempt (Lifetime)
CSS04-Actual Attempt-P_YC106734CSS04-Actual Attempt-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Past _ Years).C-SSRS Baseline/Screening Version - Actual Suicide Attempt (Past X Years)
CSS04-First Attempt DamageC106762CSS04-First Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Initial/first attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version - First Suicide Attempt Actual Lethality/Medical Damage
CSS04-First Attempt DateC106761CSS04-First Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Initial/first attempt date.C-SSRS Baseline/Screening Version - First Suicide Attempt Date
CSS04-First Attempt PotentialC106763CSS04-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Initial/first attempt potential lethality.C-SSRS Baseline/Screening Version - First Suicide Attempt Potential Lethality
CSS04-Idea, Intent, No Plan, DescribeC107019CSS04-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS04-Idea, Intent, No Plan-LifeC107017CSS04-Idea, Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you had these thoughts and had some intention of acting on them? (Lifetime).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS04-Idea, Intent, No Plan-P_MC107018CSS04-Idea, Intent, No Plan-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you had these thoughts and had some intention of acting on them? (Past _ Months).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past X Months)
CSS04-Idea, No Intent, No Plan, DescribeC106715CSS04-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS04-Idea, No Intent, No Plan-LifeC106713CSS04-Idea, No Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you been thinking about how you might do this? (Lifetime).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS04-Idea, No Intent, No Plan-P_MC106714CSS04-Idea, No Intent, No Plan-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you been thinking about how you might do this? (Past _ Months).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past X Months)
CSS04-Idea, Plan, Intent, DescribeC106718CSS04-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with specific plan and intent.C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS04-Idea, Plan, Intent-LifeC106716CSS04-Idea, Plan, Intent-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS04-Idea, Plan, Intent-P_MC106717CSS04-Idea, Plan, Intent-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past _ Months).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Specific Plan and Intent (Past X Months)
CSS04-Interrupted Attempt, DescribeC106744CSS04-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of interrupted attempt.C-SSRS Baseline/Screening Version - Description of Interrupted Suicide Attempt
CSS04-Interrupted Attempt-LifeC106740CSS04-Interrupted Attempt-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Lifetime).C-SSRS Baseline/Screening Version - Interrupted Suicide Attempt (Lifetime)
CSS04-Interrupted Attempt-P_YC106741CSS04-Interrupted Attempt-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Past _ Years).C-SSRS Baseline/Screening Version - Interrupted Suicide Attempt (Past X Years)
CSS04-Most Lethal Attempt DamageC106759CSS04-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most lethal attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS04-Most Lethal Attempt DateC106758CSS04-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most lethal attempt date.C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Date
CSS04-Most Lethal Attempt PotentialC106760CSS04-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most lethal attempt potential lethality.C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Potential Lethality
CSS04-Most Recent Attempt DamageC106756CSS04-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most recent attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS04-Most Recent Attempt DateC106755CSS04-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most recent attempt date.C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Date
CSS04-Most Recent Attempt PotentialC106757CSS04-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most recent attempt potential lethality.C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Potential Lethality
CSS04-Most Severe Idea, Control-LifeC106727CSS04-Most Severe Idea, Control-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime).C-SSRS Baseline/Screening Version - Controllability of Most Severe Ideation (Lifetime)
CSS04-Most Severe Idea, Control-P_MC106728CSS04-Most Severe Idea, Control-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past _ Months).C-SSRS Baseline/Screening Version - Controllability of Most Severe Ideation (Past X Months)
CSS04-Most Severe Idea, Desc-LifeC106720CSS04-Most Severe Idea, Desc-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version - Describe Most Severe Ideation (Lifetime)
CSS04-Most Severe Idea, Desc-P_MC106722CSS04-Most Severe Idea, Desc-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of most severe ideation. (Past _ Months).C-SSRS Baseline/Screening Version - Describe Most Severe Ideation (Past X Months)
CSS04-Most Severe Idea, Deterrents-LifeC106729CSS04-Most Severe Idea, Deterrents-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime).C-SSRS Baseline/Screening Version - Deterrents to Most Severe Ideation (Lifetime)
CSS04-Most Severe Idea, Deterrents-P_MC106730CSS04-Most Severe Idea, Deterrents-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past _ Months).C-SSRS Baseline/Screening Version - Deterrents to Most Severe Ideation (Past X Months)
CSS04-Most Severe Idea, Duration-LifeC106725CSS04-Most Severe Idea, Duration-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - When you have these thoughts, how long do they last? (Lifetime).C-SSRS Baseline/Screening Version - Duration of Most Severe Ideation (Lifetime)
CSS04-Most Severe Idea, Duration-P_MC106726CSS04-Most Severe Idea, Duration-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - When you have these thoughts, how long do they last? (Past _ Months).C-SSRS Baseline/Screening Version - Duration of Most Severe Ideation (Past X Months)
CSS04-Most Severe Idea, Frequency-LifeC106723CSS04-Most Severe Idea, Frequency-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - How many times have you had these thoughts? (Lifetime).C-SSRS Baseline/Screening Version - Frequency of Most Severe Ideation (Lifetime)
CSS04-Most Severe Idea, Frequency-P_MC106724CSS04-Most Severe Idea, Frequency-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - How many times have you had these thoughts? (Past _ Months).C-SSRS Baseline/Screening Version - Frequency of Most Severe Ideation (Past X Months)
CSS04-Most Severe Idea, Reasons-LifeC106731CSS04-Most Severe Idea, Reasons-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime).C-SSRS Baseline/Screening Version - Reasons for Most Severe Ideation (Lifetime)
CSS04-Most Severe Idea, Reasons-P_MC106732CSS04-Most Severe Idea, Reasons-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past _ Months).C-SSRS Baseline/Screening Version - Reasons for Most Severe Ideation (Past X Months)
CSS04-Most Severe Idea-LifeC106719CSS04-Most Severe Idea-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version - Most Severe Ideation (Lifetime)
CSS04-Most Severe Idea-P_MC106721CSS04-Most Severe Idea-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Past _ Months).C-SSRS Baseline/Screening Version - Most Severe Ideation (Past X Months)
CSS04-Non-Spec Suicid Thought, DescribeC106712CSS04-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of non-specific active suicidal thoughts.C-SSRS Baseline/Screening Version - Description of Non-Specific Active Suicidal Thoughts
CSS04-Non-Spec Suicid Thought-LifeC106710CSS04-Non-Spec Suicid Thought-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you actually had any thoughts of killing yourself? (Lifetime).C-SSRS Baseline/Screening Version - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS04-Non-Spec Suicid Thought-P_MC106711CSS04-Non-Spec Suicid Thought-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you actually had any thoughts of killing yourself? (Past _ Months).C-SSRS Baseline/Screening Version - Non-Specific Active Suicidal Thoughts (Past X Months)
CSS04-Non-suicidal Self-injur Behav-LifeC106738CSS04-Non-suicidal Self-injur Behav-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has the subject engaged in non-suicidal self-injurious behavior. (Lifetime).C-SSRS Baseline/Screening Version - Non-suicidal Self-injurious Behavior (Lifetime)
CSS04-Non-suicidal Self-injur Behav-P_YC106739CSS04-Non-suicidal Self-injur Behav-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has the subject engaged in non-suicidal self-injurious behavior. (Past _ Years).C-SSRS Baseline/Screening Version - Non-suicidal Self-injurious Behavior (Past X Years)
CSS04-Number of Aborted Attempts-LifeC106747CSS04-Number of Aborted Attempts-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of aborted. (Lifetime).C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Lifetime)
CSS04-Number of Aborted Attempts-P_YC106748CSS04-Number of Aborted Attempts-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of aborted. (Past _ Years).C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Past X Years)
CSS04-Number of Actual Attempts-LifeC106735CSS04-Number of Actual Attempts-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of actual attempts. (Lifetime).C-SSRS Baseline/Screening Version - Number of Actual Suicide Attempts (Lifetime)
CSS04-Number of Actual Attempts-P_YC106736CSS04-Number of Actual Attempts-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of actual attempts. (Past _ Years).C-SSRS Baseline/Screening Version - Number of Actual Suicide Attempts (Past X Years)
CSS04-Number of Interrupt Attempts-LifeC106742CSS04-Number of Interrupt Attempts-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of interrupted. (Lifetime).C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Lifetime)
CSS04-Number of Interrupt Attempts-P_YC106743CSS04-Number of Interrupt Attempts-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of interrupted. (Past _ Years).C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Past X Years)
CSS04-Preparatory Acts/Behav, DescrC106752CSS04-Preparatory Acts/Behav, DescrColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of preparatory acts or behaviors.C-SSRS Baseline/Screening Version - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS04-Preparatory Acts/Behavior-LifeC106750CSS04-Preparatory Acts/Behavior-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you taken any steps toward making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Lifetime).C-SSRS Baseline/Screening Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
CSS04-Preparatory Acts/Behavior-P_YC106751CSS04-Preparatory Acts/Behavior-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you taken any steps toward making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)? (Past _ Years).C-SSRS Baseline/Screening Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Past X Years)
CSS04-Suicidal Behavior-LifeC106753CSS04-Suicidal Behavior-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Suicidal behavior was present during the assessment period? (Lifetime).C-SSRS Baseline/Screening Version - Suicidal Behavior (Lifetime)
CSS04-Suicidal Behavior-P_YC106754CSS04-Suicidal Behavior-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Suicidal behavior was present during the assessment period? (Past _ Years).C-SSRS Baseline/Screening Version - Suicidal Behavior (Past X Years)
CSS04-Wish to be Dead, DescribeC106709CSS04-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of wishing to be dead.C-SSRS Baseline/Screening Version - Description of Wish to be Dead
CSS04-Wish to be Dead-LifeC106707CSS04-Wish to be Dead-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime).C-SSRS Baseline/Screening Version - Wish to be Dead (Lifetime)
CSS04-Wish to be Dead-P_MC106708CSS04-Wish to be Dead-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Past _ Months).C-SSRS Baseline/Screening Version - Wish to be Dead (Past X Months)
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CL.C111336.C-SSRS Children's Baseline TESTCDColumbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test Code
(C-SSRS Children's Baseline TESTCD)
text
Extensible: No
C111336Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test CodeColumbia-Suicide Severity Rating Scale Children's Baseline test code.CDISC Questionnaire C-SSRS Children's Baseline Test Code Terminology
CSS0601C111527CSS06-Wish to be DeadColumbia-Suicidality Severity Rating Scale Children's Baseline - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore?C-SSRS Children's Baseline - Wish to be Dead
CSS0601AC111528CSS06-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of wishing to be dead.C-SSRS Children's Baseline - Description of Wish to be Dead
CSS0602C111529CSS06-Non-Specific Suicidal ThoughtColumbia-Suicidality Severity Rating Scale Children's Baseline - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself?C-SSRS Children's Baseline - Non-Specific Active Suicidal Thoughts
CSS0602AC111530CSS06-Non-Specific Suicid Thought, DescrColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of non-specific active suicidal thoughts.C-SSRS Children's Baseline - Description of Non-Specific Active Suicidal Thoughts
CSS0603C111531CSS06-Idea, No Intent, No PlanColumbia-Suicidality Severity Rating Scale Children's Baseline - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about?C-SSRS Children's Baseline - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0603AC111532CSS06-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0604C111533CSS06-Ideation With Intent, No PlanColumbia-Suicidality Severity Rating Scale Children's Baseline - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it.C-SSRS Children's Baseline - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0604AC111534CSS06-Ideation With Intent No Plan DescrColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0605C111535CSS06-Ideation With Plan/IntentColumbia-Suicidality Severity Rating Scale Children's Baseline - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it?C-SSRS Children's Baseline - Active Suicidal Ideation with Specific Plan and Intent
CSS0605AC111536CSS06-Ideation With Plan/Intent, DescrColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of active suicidal ideation with specific plan and intent.C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS0606C111537CSS06-Most Severe IdeationColumbia-Suicidality Severity Rating Scale Children's Baseline - Most severe ideation.C-SSRS Children's Baseline - Most Severe Ideation
CSS0606AC111538CSS06-Most Severe Ideation, DescriptionColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of most severe ideation.C-SSRS Children's Baseline - Describe Most Severe Ideation
CSS0607C111539CSS06-Most Severe Ideation, FrequencyColumbia-Suicidality Severity Rating Scale Children's Baseline - How many times have you had these thoughts?C-SSRS Children's Baseline - Frequency of Most Severe Ideation
CSS0607AC111540CSS06-Frequency, Write ResponseColumbia-Suicidality Severity Rating Scale Children's Baseline - Frequency, write response.C-SSRS Children's Baseline - Frequency, Write Response
CSS0608C111541CSS06-Actual AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that?C-SSRS Children's Baseline - Actual Suicide Attempt
CSS0609C111542CSS06-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline - Total number of actual attempts.C-SSRS Children's Baseline - Number of Actual Suicide Attempts
CSS0609AC111543CSS06-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of actual attempt.C-SSRS Children's Baseline - Description of Actual Suicide Attempt
CSS0610C111544CSS06-Non-suicidal Self-injurious BehavColumbia-Suicidality Severity Rating Scale Children's Baseline - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Children's Baseline - Non-suicidal Self-injurious Behavior
CSS0611C111545CSS06-Self-injur Behav, Intent UnknownColumbia-Suicidality Severity Rating Scale Children's Baseline - Has subject engaged in self-injurious behavior, intent unknown?C-SSRS Children's Baseline - Self-injurious Behavior, Intent Unknown
CSS0612C111546CSS06-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?C-SSRS Children's Baseline - Interrupted Suicide Attempt
CSS0613C111547CSS06-Number of Interrupt AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline - Total number of interrupted.C-SSRS Children's Baseline - Number of Interrupted Suicide Attempts
CSS0613AC111548CSS06-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of interrupted attempt.C-SSRS Children's Baseline - Description of Interrupted Suicide Attempt
CSS0614C111549CSS06-Aborted AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?C-SSRS Children's Baseline - Aborted Suicide Attempt
CSS0615C111550CSS06-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline - Total number of aborted.C-SSRS Children's Baseline - Number of Aborted Suicide Attempts
CSS0615AC111551CSS06-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of aborted attempt.C-SSRS Children's Baseline - Description of Aborted Suicide Attempt
CSS0616C111552CSS06-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Children's Baseline - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?C-SSRS Children's Baseline - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0616AC111553CSS06-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of preparatory acts or behaviors.C-SSRS Children's Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0617C111554CSS06-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Children's Baseline - Suicidal behavior was present during the assessment period?C-SSRS Children's Baseline - Suicidal Behavior
CSS0618AC111555CSS06-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline - Most recent attempt date.C-SSRS Children's Baseline - Most Recent Suicide Attempt Date
CSS0618BC111556CSS06-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline - Most recent attempt actual lethality/medical damage.C-SSRS Children's Baseline - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS0618CC111557CSS06-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline - Most recent attempt potential lethality.C-SSRS Children's Baseline - Most Recent Suicide Attempt Potential Lethality
CSS0619AC111558CSS06-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline - Most lethal attempt date.C-SSRS Children's Baseline - Most Lethal Suicide Attempt Date
CSS0619BC111559CSS06-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline - Most lethal attempt actual lethality/medical damage.C-SSRS Children's Baseline - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS0619CC111560CSS06-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline - Most lethal attempt potential lethality.C-SSRS Children's Baseline - Most Lethal Suicide Attempt Potential Lethality
CSS0620AC111561CSS06-First Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline - Initial/first attempt date.C-SSRS Children's Baseline - First Suicide Attempt Date
CSS0620BC111562CSS06-First Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline - Initial/first attempt actual lethality/medical damage.C-SSRS Children's Baseline - First Suicide Attempt Actual Lethality/Medical Damage
CSS0620CC111563CSS06-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline - Initial/first attempt potential lethality.C-SSRS Children's Baseline - First Suicide Attempt Potential Lethality
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CL.C111335.C-SSRS Children's Baseline TESTColumbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test Name
(C-SSRS Children's Baseline TEST)
text
Extensible: No
C111335Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire Test NameColumbia-Suicide Severity Rating Scale Children's Baseline test name.CDISC Questionnaire C-SSRS Children's Baseline Test Name Terminology
CSS06-Aborted AttemptC111549CSS06-Aborted AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?C-SSRS Children's Baseline - Aborted Suicide Attempt
CSS06-Aborted Attempt, DescribeC111551CSS06-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of aborted attempt.C-SSRS Children's Baseline - Description of Aborted Suicide Attempt
CSS06-Actual AttemptC111541CSS06-Actual AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that?C-SSRS Children's Baseline - Actual Suicide Attempt
CSS06-Actual Attempt, DescribeC111543CSS06-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of actual attempt.C-SSRS Children's Baseline - Description of Actual Suicide Attempt
CSS06-First Attempt DamageC111562CSS06-First Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline - Initial/first attempt actual lethality/medical damage.C-SSRS Children's Baseline - First Suicide Attempt Actual Lethality/Medical Damage
CSS06-First Attempt DateC111561CSS06-First Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline - Initial/first attempt date.C-SSRS Children's Baseline - First Suicide Attempt Date
CSS06-First Attempt PotentialC111563CSS06-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline - Initial/first attempt potential lethality.C-SSRS Children's Baseline - First Suicide Attempt Potential Lethality
CSS06-Frequency, Write ResponseC111540CSS06-Frequency, Write ResponseColumbia-Suicidality Severity Rating Scale Children's Baseline - Frequency, write response.C-SSRS Children's Baseline - Frequency, Write Response
CSS06-Idea, No Intent, No PlanC111531CSS06-Idea, No Intent, No PlanColumbia-Suicidality Severity Rating Scale Children's Baseline - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about?C-SSRS Children's Baseline - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS06-Idea, No Intent, No Plan, DescribeC111532CSS06-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS06-Ideation With Intent No Plan DescrC111534CSS06-Ideation With Intent No Plan DescrColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS06-Ideation With Intent, No PlanC111533CSS06-Ideation With Intent, No PlanColumbia-Suicidality Severity Rating Scale Children's Baseline - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it.C-SSRS Children's Baseline - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS06-Ideation With Plan/IntentC111535CSS06-Ideation With Plan/IntentColumbia-Suicidality Severity Rating Scale Children's Baseline - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it?C-SSRS Children's Baseline - Active Suicidal Ideation with Specific Plan and Intent
CSS06-Ideation With Plan/Intent, DescrC111536CSS06-Ideation With Plan/Intent, DescrColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of active suicidal ideation with specific plan and intent.C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS06-Interrupted AttemptC111546CSS06-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?C-SSRS Children's Baseline - Interrupted Suicide Attempt
CSS06-Interrupted Attempt, DescribeC111548CSS06-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of interrupted attempt.C-SSRS Children's Baseline - Description of Interrupted Suicide Attempt
CSS06-Most Lethal Attempt DamageC111559CSS06-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline - Most lethal attempt actual lethality/medical damage.C-SSRS Children's Baseline - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS06-Most Lethal Attempt DateC111558CSS06-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline - Most lethal attempt date.C-SSRS Children's Baseline - Most Lethal Suicide Attempt Date
CSS06-Most Lethal Attempt PotentialC111560CSS06-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline - Most lethal attempt potential lethality.C-SSRS Children's Baseline - Most Lethal Suicide Attempt Potential Lethality
CSS06-Most Recent Attempt DamageC111556CSS06-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline - Most recent attempt actual lethality/medical damage.C-SSRS Children's Baseline - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS06-Most Recent Attempt DateC111555CSS06-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline - Most recent attempt date.C-SSRS Children's Baseline - Most Recent Suicide Attempt Date
CSS06-Most Recent Attempt PotentialC111557CSS06-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline - Most recent attempt potential lethality.C-SSRS Children's Baseline - Most Recent Suicide Attempt Potential Lethality
CSS06-Most Severe IdeationC111537CSS06-Most Severe IdeationColumbia-Suicidality Severity Rating Scale Children's Baseline - Most severe ideation.C-SSRS Children's Baseline - Most Severe Ideation
CSS06-Most Severe Ideation, DescriptionC111538CSS06-Most Severe Ideation, DescriptionColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of most severe ideation.C-SSRS Children's Baseline - Describe Most Severe Ideation
CSS06-Most Severe Ideation, FrequencyC111539CSS06-Most Severe Ideation, FrequencyColumbia-Suicidality Severity Rating Scale Children's Baseline - How many times have you had these thoughts?C-SSRS Children's Baseline - Frequency of Most Severe Ideation
CSS06-Non-Specific Suicid Thought, DescrC111530CSS06-Non-Specific Suicid Thought, DescrColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of non-specific active suicidal thoughts.C-SSRS Children's Baseline - Description of Non-Specific Active Suicidal Thoughts
CSS06-Non-Specific Suicidal ThoughtC111529CSS06-Non-Specific Suicidal ThoughtColumbia-Suicidality Severity Rating Scale Children's Baseline - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself?C-SSRS Children's Baseline - Non-Specific Active Suicidal Thoughts
CSS06-Non-suicidal Self-injurious BehavC111544CSS06-Non-suicidal Self-injurious BehavColumbia-Suicidality Severity Rating Scale Children's Baseline - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Children's Baseline - Non-suicidal Self-injurious Behavior
CSS06-Number of Aborted AttemptsC111550CSS06-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline - Total number of aborted.C-SSRS Children's Baseline - Number of Aborted Suicide Attempts
CSS06-Number of Actual AttemptsC111542CSS06-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline - Total number of actual attempts.C-SSRS Children's Baseline - Number of Actual Suicide Attempts
CSS06-Number of Interrupt AttemptsC111547CSS06-Number of Interrupt AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline - Total number of interrupted.C-SSRS Children's Baseline - Number of Interrupted Suicide Attempts
CSS06-Preparatory Acts/BehaviorC111552CSS06-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Children's Baseline - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?C-SSRS Children's Baseline - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS06-Preparatory Acts/Behavior, DescrC111553CSS06-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of preparatory acts or behaviors.C-SSRS Children's Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS06-Self-injur Behav, Intent UnknownC111545CSS06-Self-injur Behav, Intent UnknownColumbia-Suicidality Severity Rating Scale Children's Baseline - Has subject engaged in self-injurious behavior, intent unknown?C-SSRS Children's Baseline - Self-injurious Behavior, Intent Unknown
CSS06-Suicidal BehaviorC111554CSS06-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Children's Baseline - Suicidal behavior was present during the assessment period?C-SSRS Children's Baseline - Suicidal Behavior
CSS06-Wish to be DeadC111527CSS06-Wish to be DeadColumbia-Suicidality Severity Rating Scale Children's Baseline - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore?C-SSRS Children's Baseline - Wish to be Dead
CSS06-Wish to be Dead, DescribeC111528CSS06-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of wishing to be dead.C-SSRS Children's Baseline - Description of Wish to be Dead
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CL.C111338.C-SSRS Children's Baseline/Screening TESTCDColumbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test Code
(C-SSRS Children's Baseline/Screening TESTCD)
text
Extensible: No
C111338Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test CodeColumbia-Suicide Severity Rating Scale Children's Baseline/Screening test code.CDISC Questionnaire C-SSRS Children's Baseline/Screening Test Code Terminology
CSS0701AC111385CSS07-Wish to be Dead-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Lifetime).C-SSRS Children's Baseline/Screening - Wish to be Dead (Lifetime)
CSS0701BC111386CSS07-Wish to be Dead-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Past 6 Months).C-SSRS Children's Baseline/Screening - Wish to be Dead (Past 6 Months)
CSS0701CC111387CSS07-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of wishing to be dead.C-SSRS Children's Baseline/Screening - Description of Wish to be Dead
CSS0702AC111388CSS07-Non-Spec Suicid Thought-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Lifetime).C-SSRS Children's Baseline/Screening - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS0702BC111389CSS07-Non-Spec Suicid Thought-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Past 6 Months).C-SSRS Children's Baseline/Screening - Non-Specific Active Suicidal Thoughts (Past 6 Months)
CSS0702CC111390CSS07-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of non-specific active suicidal thoughts.C-SSRS Children's Baseline/Screening - Description of Non-Specific Active Suicidal Thoughts
CSS0703AC111391CSS07-Idea, No Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Lifetime).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS0703BC111392CSS07-Idea, No Intent, No Plan-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Past 6 Months).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 6 Months)
CSS0703CC111393CSS07-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0704AC111394CSS07-Idea, Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Lifetime).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS0704BC111395CSS07-Idea, Intent, No Plan-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Past 6 Months).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 6 Months)
CSS0704CC111396CSS07-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0705AC111397CSS07-Idea, Plan, Intent-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Lifetime).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS0705BC111398CSS07-Idea, Plan, Intent-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Past 6 Months).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Specific Plan and Intent (Past 6 Months)
CSS0705CC111399CSS07-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with specific plan and intent.C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS0706AC111400CSS07-Most Severe IdeaColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most severe ideation.C-SSRS Children's Baseline/Screening - Most Severe Ideation
CSS0706BC111401CSS07-Most Severe Idea, DescColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of most severe ideation.C-SSRS Children's Baseline/Screening - Describe Most Severe Ideation
CSS0707AC111402CSS07-Most Severe Idea, Frequency-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - How many times have you had these thoughts? (Lifetime).C-SSRS Children's Baseline/Screening - Frequency of Most Severe Ideation (Lifetime)
CSS0707BC111403CSS07-Most Severe Idea, Frequency-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - How many times have you had these thoughts? (Past 6 Months).C-SSRS Children's Baseline/Screening - Frequency of Most Severe Ideation (Past 6 Months)
CSS0707CC111404CSS07-Frequency, Write ResponseColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Frequency, write response.C-SSRS Children's Baseline/Screening - Frequency, Write Response
CSS0708C111405CSS07-Actual AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that?C-SSRS Children's Baseline/Screening - Actual Suicide Attempt
CSS0709C111406CSS07-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Total number of actual attempts.C-SSRS Children's Baseline/Screening - Number of Actual Suicide Attempts
CSS0709AC111407CSS07-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of actual attempt.C-SSRS Children's Baseline/Screening - Description of Actual Suicide Attempt
CSS0710C111408CSS07-Non-suicidal Self-injur BehavColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Children's Baseline/Screening - Non-suicidal Self-injurious Behavior
CSS0711C111409CSS07-Self-injur Behav, Intent UnknownColumbia-Suicidality Severity Rating Scale Children's Baseline - Has subject engaged in self-injurious behavior, intent unknown?C-SSRS Children's Baseline/Screening - Self-injurious Behavior, Intent Unknown
CSS0712C111410CSS07-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?C-SSRS Children's Baseline/Screening - Interrupted Suicide Attempt
CSS0713C111411CSS07-Number of Interrupt AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Total number of interrupted.C-SSRS Children's Baseline/Screening - Number of Interrupted Suicide Attempts
CSS0713AC111412CSS07-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of interrupted attempt.C-SSRS Children's Baseline/Screening - Description of Interrupted Suicide Attempt
CSS0714C111413CSS07-Aborted AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?C-SSRS Children's Baseline/Screening - Aborted Suicide Attempt
CSS0715C111414CSS07-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Total number of aborted.C-SSRS Children's Baseline/Screening - Number of Aborted Suicide Attempts
CSS0715AC111415CSS07-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of aborted attempt.C-SSRS Children's Baseline/Screening - Description of Aborted Suicide Attempt
CSS0716C111416CSS07-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?C-SSRS Children's Baseline/Screening - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0716AC111417CSS07-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of preparatory acts or behaviors.C-SSRS Children's Baseline/Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0717C111418CSS07-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Suicidal behavior was present during the assessment period?C-SSRS Children's Baseline/Screening - Suicidal Behavior
CSS0718AC111419CSS07-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most recent attempt date.C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Date
CSS0718BC111420CSS07-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most recent attempt actual lethality/medical damage.C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS0718CC111421CSS07-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most recent attempt potential lethality.C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Potential Lethality
CSS0719AC111422CSS07-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most lethal attempt date.C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Date
CSS0719BC111423CSS07-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most lethal attempt actual lethality/medical damage.C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS0719CC111424CSS07-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most lethal attempt potential lethality.C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Potential Lethality
CSS0720AC111425CSS07-First Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Initial/first attempt date.C-SSRS Children's Baseline/Screening - First Suicide Attempt Date
CSS0720BC111426CSS07-First Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Initial/first attempt actual lethality/medical damage.C-SSRS Children's Baseline/Screening - First Suicide Attempt Actual Lethality/Medical Damage
CSS0720CC111427CSS07-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Initial/first attempt potential lethality.C-SSRS Children's Baseline/Screening - First Suicide Attempt Potential Lethality
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CL.C111337.C-SSRS Children's Baseline/Screening TESTColumbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test Name
(C-SSRS Children's Baseline/Screening TEST)
text
Extensible: No
C111337Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire Test NameColumbia-Suicide Severity Rating Scale Children's Baseline/Screening test name.CDISC Questionnaire C-SSRS Children's Baseline/Screening Test Name Terminology
CSS07-Aborted AttemptC111413CSS07-Aborted AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?C-SSRS Children's Baseline/Screening - Aborted Suicide Attempt
CSS07-Aborted Attempt, DescribeC111415CSS07-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of aborted attempt.C-SSRS Children's Baseline/Screening - Description of Aborted Suicide Attempt
CSS07-Actual AttemptC111405CSS07-Actual AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that?C-SSRS Children's Baseline/Screening - Actual Suicide Attempt
CSS07-Actual Attempt, DescribeC111407CSS07-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of actual attempt.C-SSRS Children's Baseline/Screening - Description of Actual Suicide Attempt
CSS07-First Attempt DamageC111426CSS07-First Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Initial/first attempt actual lethality/medical damage.C-SSRS Children's Baseline/Screening - First Suicide Attempt Actual Lethality/Medical Damage
CSS07-First Attempt DateC111425CSS07-First Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Initial/first attempt date.C-SSRS Children's Baseline/Screening - First Suicide Attempt Date
CSS07-First Attempt PotentialC111427CSS07-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Initial/first attempt potential lethality.C-SSRS Children's Baseline/Screening - First Suicide Attempt Potential Lethality
CSS07-Frequency, Write ResponseC111404CSS07-Frequency, Write ResponseColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Frequency, write response.C-SSRS Children's Baseline/Screening - Frequency, Write Response
CSS07-Idea, Intent, No Plan, DescribeC111396CSS07-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS07-Idea, Intent, No Plan-LifeC111394CSS07-Idea, Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Lifetime).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS07-Idea, Intent, No Plan-P6MC111395CSS07-Idea, Intent, No Plan-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Past 6 Months).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 6 Months)
CSS07-Idea, No Intent, No Plan, DescribeC111393CSS07-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS07-Idea, No Intent, No Plan-LifeC111391CSS07-Idea, No Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Lifetime).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS07-Idea, No Intent, No Plan-P6MC111392CSS07-Idea, No Intent, No Plan-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Past 6 Months).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 6 Months)
CSS07-Idea, Plan, Intent, DescribeC111399CSS07-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with specific plan and intent.C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS07-Idea, Plan, Intent-LifeC111397CSS07-Idea, Plan, Intent-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Lifetime).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS07-Idea, Plan, Intent-P6MC111398CSS07-Idea, Plan, Intent-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Past 6 Months).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Specific Plan and Intent (Past 6 Months)
CSS07-Interrupted AttemptC111410CSS07-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?C-SSRS Children's Baseline/Screening - Interrupted Suicide Attempt
CSS07-Interrupted Attempt, DescribeC111412CSS07-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of interrupted attempt.C-SSRS Children's Baseline/Screening - Description of Interrupted Suicide Attempt
CSS07-Most Lethal Attempt DamageC111423CSS07-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most lethal attempt actual lethality/medical damage.C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS07-Most Lethal Attempt DateC111422CSS07-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most lethal attempt date.C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Date
CSS07-Most Lethal Attempt PotentialC111424CSS07-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most lethal attempt potential lethality.C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Potential Lethality
CSS07-Most Recent Attempt DamageC111420CSS07-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most recent attempt actual lethality/medical damage.C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS07-Most Recent Attempt DateC111419CSS07-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most recent attempt date.C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Date
CSS07-Most Recent Attempt PotentialC111421CSS07-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most recent attempt potential lethality.C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Potential Lethality
CSS07-Most Severe IdeaC111400CSS07-Most Severe IdeaColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most severe ideation.C-SSRS Children's Baseline/Screening - Most Severe Ideation
CSS07-Most Severe Idea, DescC111401CSS07-Most Severe Idea, DescColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of most severe ideation.C-SSRS Children's Baseline/Screening - Describe Most Severe Ideation
CSS07-Most Severe Idea, Frequency-LifeC111402CSS07-Most Severe Idea, Frequency-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - How many times have you had these thoughts? (Lifetime).C-SSRS Children's Baseline/Screening - Frequency of Most Severe Ideation (Lifetime)
CSS07-Most Severe Idea, Frequency-P6MC111403CSS07-Most Severe Idea, Frequency-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - How many times have you had these thoughts? (Past 6 Months).C-SSRS Children's Baseline/Screening - Frequency of Most Severe Ideation (Past 6 Months)
CSS07-Non-Spec Suicid Thought, DescribeC111390CSS07-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of non-specific active suicidal thoughts.C-SSRS Children's Baseline/Screening - Description of Non-Specific Active Suicidal Thoughts
CSS07-Non-Spec Suicid Thought-LifeC111388CSS07-Non-Spec Suicid Thought-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Lifetime).C-SSRS Children's Baseline/Screening - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS07-Non-Spec Suicid Thought-P6MC111389CSS07-Non-Spec Suicid Thought-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Past 6 Months).C-SSRS Children's Baseline/Screening - Non-Specific Active Suicidal Thoughts (Past 6 Months)
CSS07-Non-suicidal Self-injur BehavC111408CSS07-Non-suicidal Self-injur BehavColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Children's Baseline/Screening - Non-suicidal Self-injurious Behavior
CSS07-Number of Aborted AttemptsC111414CSS07-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Total number of aborted.C-SSRS Children's Baseline/Screening - Number of Aborted Suicide Attempts
CSS07-Number of Actual AttemptsC111406CSS07-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Total number of actual attempts.C-SSRS Children's Baseline/Screening - Number of Actual Suicide Attempts
CSS07-Number of Interrupt AttemptsC111411CSS07-Number of Interrupt AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Total number of interrupted.C-SSRS Children's Baseline/Screening - Number of Interrupted Suicide Attempts
CSS07-Preparatory Acts/BehaviorC111416CSS07-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?C-SSRS Children's Baseline/Screening - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS07-Preparatory Acts/Behavior, DescrC111417CSS07-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of preparatory acts or behaviors.C-SSRS Children's Baseline/Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS07-Self-injur Behav, Intent UnknownC111409CSS07-Self-injur Behav, Intent UnknownColumbia-Suicidality Severity Rating Scale Children's Baseline - Has subject engaged in self-injurious behavior, intent unknown?C-SSRS Children's Baseline/Screening - Self-injurious Behavior, Intent Unknown
CSS07-Suicidal BehaviorC111418CSS07-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Suicidal behavior was present during the assessment period?C-SSRS Children's Baseline/Screening - Suicidal Behavior
CSS07-Wish to be Dead, DescribeC111387CSS07-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of wishing to be dead.C-SSRS Children's Baseline/Screening - Description of Wish to be Dead
CSS07-Wish to be Dead-LifeC111385CSS07-Wish to be Dead-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Lifetime).C-SSRS Children's Baseline/Screening - Wish to be Dead (Lifetime)
CSS07-Wish to be Dead-P6MC111386CSS07-Wish to be Dead-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Past 6 Months).C-SSRS Children's Baseline/Screening - Wish to be Dead (Past 6 Months)
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CL.C111340.C-SSRS Children's Since Last Visit TESTCDColumbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test Code
(C-SSRS Children's Since Last Visit TESTCD)
text
Extensible: No
C111340Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test CodeColumbia-Suicide Severity Rating Scale Children's Since Last Visit test code.CDISC Questionnaire C-SSRS Children's Since Last Visit Test Code Terminology
CSS0801C111428CSS08-Wish to be DeadColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore?C-SSRS Children's Since Last Visit - Wish to be Dead
CSS0801AC111429CSS08-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of wishing to be dead.C-SSRS Children's Since Last Visit - Description of Wish to be Dead
CSS0802C111430CSS08-Non-Specific Suicidal ThoughtColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself?C-SSRS Children's Since Last Visit - Non-Specific Active Suicidal Thoughts
CSS0802AC111431CSS08-Non-Specific Suicid Thought, DescrColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of non-specific active suicidal thoughts.C-SSRS Children's Since Last Visit - Description of Non-Specific Active Suicidal Thoughts
CSS0803C111432CSS08-Idea, No Intent, No PlanColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about?C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0803AC111433CSS08-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0804C111434CSS08-Ideation With Intent, No PlanColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it.C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0804AC111435CSS08-Ideation With Intent No Plan DescrColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0805C111436CSS08-Ideation With Plan/IntentColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Have you decided how or when you would make yourself not alive anymore/kill yourself? Have you planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it?C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Specific Plan and Intent
CSS0805AC111437CSS08-Ideation With Plan/Intent, DescrColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with specific plan and intent.C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS0806C111438CSS08-Most Severe IdeationColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Most severe ideation.C-SSRS Children's Since Last Visit - Most Severe Ideation
CSS0806AC111439CSS08-Most Severe Ideation, DescriptionColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of most severe ideation.C-SSRS Children's Since Last Visit - Describe Most Severe Ideation
CSS0807C111440CSS08-Most Severe Ideation, FrequencyColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - How many times have you had these thoughts?C-SSRS Children's Since Last Visit - Frequency of Most Severe Ideation
CSS0807AC111441CSS08-Frequency, Write ResponseColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Frequency, write response.C-SSRS Children's Since Last Visit - Frequency, Write Response
CSS0808C111442CSS08-Actual AttemptColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Did you do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you hurt yourself on purpose? Why did you do that?C-SSRS Children's Since Last Visit - Actual Suicide Attempt
CSS0809C111443CSS08-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Total number of actual attempts.C-SSRS Children's Since Last Visit - Number of Actual Suicide Attempts
CSS0809AC111444CSS08-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of actual attempt.C-SSRS Children's Since Last Visit - Description of Actual Suicide Attempt
CSS0810C111445CSS08-Non-suicidal Self-injurious BehavColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Children's Since Last Visit - Non-suicidal Self-injurious Behavior
CSS0811C111446CSS08-Self-injur Behav, Intent UnknownColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Has subject engaged in self-injurious behavior, intent unknown?C-SSRS Children's Since Last Visit - Self-injurious Behavior, Intent Unknown
CSS0812C111447CSS08-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?C-SSRS Children's Since Last Visit - Interrupted Suicide Attempt
CSS0813C111448CSS08-Number of Interrupt AttemptsColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Total number of interrupted.C-SSRS Children's Since Last Visit - Number of Interrupted Suicide Attempts
CSS0813AC111449CSS08-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of interrupted attempt.C-SSRS Children's Since Last Visit - Description of Interrupted Suicide Attempt
CSS0814C111450CSS08-Aborted/Self-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?C-SSRS Children's Since Last Visit - Aborted or Self-interrupted Suicide Attempt
CSS0815C111451CSS08-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Total number of aborted or self-interrupted.C-SSRS Children's Since Last Visit - Number of Aborted or Self-interrupted Suicide Attempts
CSS0815AC111452CSS08-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of aborted attempt or self-interrupted attempt.C-SSRS Children's Since Last Visit - Description of Aborted or Self-interrupted Suicide Attempt
CSS0816C111453CSS08-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?C-SSRS Children's Since Last Visit - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0816AC111454CSS08-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of preparatory acts or behavior.C-SSRS Children's Since Last Visit - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0817C111455CSS08-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Suicidal behavior was present during the assessment period?C-SSRS Children's Since Last Visit - Suicidal Behavior
CSS0818C111456CSS08-SuicideColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Suicide.C-SSRS Children's Since Last Visit - Suicide
CSS0819AC111457CSS08-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Most lethal attempt date.C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Date
CSS0819BC111458CSS08-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Most lethal attempt actual lethality/medical damage.C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS0819CC111459CSS08-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Most lethal attempt potential lethality.C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Potential Lethality
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CL.C111339.C-SSRS Children's Since Last Visit TESTColumbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test Name
(C-SSRS Children's Since Last Visit TEST)
text
Extensible: No
C111339Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire Test NameColumbia-Suicide Severity Rating Scale Children's Since Last Visit test name.CDISC Questionnaire C-SSRS Children's Since Last Visit Test Name Terminology
CSS08-Aborted Attempt, DescribeC111452CSS08-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of aborted attempt or self-interrupted attempt.C-SSRS Children's Since Last Visit - Description of Aborted or Self-interrupted Suicide Attempt
CSS08-Aborted/Self-Interrupted AttemptC111450CSS08-Aborted/Self-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?C-SSRS Children's Since Last Visit - Aborted or Self-interrupted Suicide Attempt
CSS08-Actual AttemptC111442CSS08-Actual AttemptColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Did you do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you hurt yourself on purpose? Why did you do that?C-SSRS Children's Since Last Visit - Actual Suicide Attempt
CSS08-Actual Attempt, DescribeC111444CSS08-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of actual attempt.C-SSRS Children's Since Last Visit - Description of Actual Suicide Attempt
CSS08-Frequency, Write ResponseC111441CSS08-Frequency, Write ResponseColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Frequency, write response.C-SSRS Children's Since Last Visit - Frequency, Write Response
CSS08-Idea, No Intent, No PlanC111432CSS08-Idea, No Intent, No PlanColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about?C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS08-Idea, No Intent, No Plan, DescribeC111433CSS08-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS08-Ideation With Intent No Plan DescrC111435CSS08-Ideation With Intent No Plan DescrColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS08-Ideation With Intent, No PlanC111434CSS08-Ideation With Intent, No PlanColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it.C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS08-Ideation With Plan/IntentC111436CSS08-Ideation With Plan/IntentColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Have you decided how or when you would make yourself not alive anymore/kill yourself? Have you planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it?C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Specific Plan and Intent
CSS08-Ideation With Plan/Intent, DescrC111437CSS08-Ideation With Plan/Intent, DescrColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with specific plan and intent.C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS08-Interrupted AttemptC111447CSS08-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?C-SSRS Children's Since Last Visit - Interrupted Suicide Attempt
CSS08-Interrupted Attempt, DescribeC111449CSS08-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of interrupted attempt.C-SSRS Children's Since Last Visit - Description of Interrupted Suicide Attempt
CSS08-Most Lethal Attempt DamageC111458CSS08-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Most lethal attempt actual lethality/medical damage.C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS08-Most Lethal Attempt DateC111457CSS08-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Most lethal attempt date.C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Date
CSS08-Most Lethal Attempt PotentialC111459CSS08-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Most lethal attempt potential lethality.C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Potential Lethality
CSS08-Most Severe IdeationC111438CSS08-Most Severe IdeationColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Most severe ideation.C-SSRS Children's Since Last Visit - Most Severe Ideation
CSS08-Most Severe Ideation, DescriptionC111439CSS08-Most Severe Ideation, DescriptionColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of most severe ideation.C-SSRS Children's Since Last Visit - Describe Most Severe Ideation
CSS08-Most Severe Ideation, FrequencyC111440CSS08-Most Severe Ideation, FrequencyColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - How many times have you had these thoughts?C-SSRS Children's Since Last Visit - Frequency of Most Severe Ideation
CSS08-Non-Specific Suicid Thought, DescrC111431CSS08-Non-Specific Suicid Thought, DescrColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of non-specific active suicidal thoughts.C-SSRS Children's Since Last Visit - Description of Non-Specific Active Suicidal Thoughts
CSS08-Non-Specific Suicidal ThoughtC111430CSS08-Non-Specific Suicidal ThoughtColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself?C-SSRS Children's Since Last Visit - Non-Specific Active Suicidal Thoughts
CSS08-Non-suicidal Self-injurious BehavC111445CSS08-Non-suicidal Self-injurious BehavColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Children's Since Last Visit - Non-suicidal Self-injurious Behavior
CSS08-Number of Aborted AttemptsC111451CSS08-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Total number of aborted or self-interrupted.C-SSRS Children's Since Last Visit - Number of Aborted or Self-interrupted Suicide Attempts
CSS08-Number of Actual AttemptsC111443CSS08-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Total number of actual attempts.C-SSRS Children's Since Last Visit - Number of Actual Suicide Attempts
CSS08-Number of Interrupt AttemptsC111448CSS08-Number of Interrupt AttemptsColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Total number of interrupted.C-SSRS Children's Since Last Visit - Number of Interrupted Suicide Attempts
CSS08-Preparatory Acts/BehaviorC111453CSS08-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?C-SSRS Children's Since Last Visit - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS08-Preparatory Acts/Behavior, DescrC111454CSS08-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of preparatory acts or behavior.C-SSRS Children's Since Last Visit - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS08-Self-injur Behav, Intent UnknownC111446CSS08-Self-injur Behav, Intent UnknownColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Has subject engaged in self-injurious behavior, intent unknown?C-SSRS Children's Since Last Visit - Self-injurious Behavior, Intent Unknown
CSS08-Suicidal BehaviorC111455CSS08-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Suicidal behavior was present during the assessment period?C-SSRS Children's Since Last Visit - Suicidal Behavior
CSS08-SuicideC111456CSS08-SuicideColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Suicide.C-SSRS Children's Since Last Visit - Suicide
CSS08-Wish to be DeadC111428CSS08-Wish to be DeadColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore?C-SSRS Children's Since Last Visit - Wish to be Dead
CSS08-Wish to be Dead, DescribeC111429CSS08-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of wishing to be dead.C-SSRS Children's Since Last Visit - Description of Wish to be Dead
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CL.C113848.C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED LIFETIME/RECENT TESTCDColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test Code
(C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED LIFETIME/RECENT TESTCD)
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Extensible: No
C113848Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test CodeC-SSRS Pediatric/Cognitively Impaired Lifetime/Recent test code.CDISC Questionnaire C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent Test Code Terminology
CSS1001AC113889CSS10-Wish to be Dead-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Wish to be Dead (Lifetime)
CSS1001BC113890CSS10-Wish to be Dead-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Wish to be Dead (Past 1 Month)
CSS1001CC113891CSS10-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of wishing to be dead.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Wish to be Dead
CSS1002AC113892CSS10-Non-Spec Suicid Thought-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS1002BC113893CSS10-Non-Spec Suicid Thought-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-Specific Active Suicidal Thoughts (Past 1 Month)
CSS1002CC113894CSS10-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of non-specific active suicidal thoughts.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Non-Specific Active Suicidal Thoughts
CSS1003AC113895CSS10-Idea, No Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Lifetime)
CSS1003BC113896CSS10-Idea, No Intent, No Plan-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Past 1 Month)
CSS1003CC113897CSS10-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act
CSS1004AC113898CSS10-Idea, Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Lifetime)
CSS1004BC113899CSS10-Idea, Intent, No Plan-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Past 1 Month)
CSS1004CC113900CSS10-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Some Intent to Act, Without Specific Plan
CSS1005AC113901CSS10-Idea, Plan, Intent-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Specific Plan and Intent (Lifetime)
CSS1005BC113902CSS10-Idea, Plan, Intent-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Specific Plan and Intent (Past 1 Month)
CSS1005CC113903CSS10-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with specific plan and intent.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Specific Plan and Intent
CSS1006AC113904CSS10-Most Severe Idea-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most severe ideation. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Severe Ideation (Lifetime)
CSS1006BC113905CSS10-Most Severe Idea, Desc-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of most severe ideation. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Describe Most Severe Ideation (Lifetime)
CSS1006CC113906CSS10-Most Severe Idea-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most severe ideation. (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Severe Ideation (Past 1 Month)
CSS1006DC113907CSS10-Most Severe Idea, Desc-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of most severe ideation. (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Describe Most Severe Ideation (Past 1 Month)
CSS1007AC113908CSS10-Most Severe Idea, Frequency-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - How many times have you had these thoughts? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency (Lifetime)
CSS1007BC113909CSS10-Most Severe Idea, Frequency-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - How many times have you had these thoughts? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency (Past 1 Month)
CSS1007CC113910CSS10-Frequency, Write ResponseColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Frequency, write response.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency Write Response
CSS1008AC113911CSS10-Actual Attempt-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Actual Suicide Attempt (Lifetime)
CSS1008BC113912CSS10-Actual Attempt-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Actual Suicide Attempt (Past 3 Month)
CSS1009AC113913CSS10-Number of Actual Attempts-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of actual attempts. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Actual Suicide Attempts (Lifetime)
CSS1009BC113914CSS10-Number of Actual Attempts-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of actual attempts. (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Actual Suicide Attempts (Past 3 Months)
CSS1009CC113915CSS10-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of actual attempt.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Actual Suicide Attempt
CSS1010AC113916CSS10-Non-suicidal Self-injur Behav-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in non-suicidal self-injurious behavior? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-suicidal Self-injurious Behavior (Lifetime)
CSS1010BC113917CSS10-Non-suicidal Self-injur Behav-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in non-suicidal self-injurious behavior? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-suicidal Self-injurious Behavior (Past 3 Months)
CSS1011AC113918CSS10-Self-injur Behav, Intent Unk-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in self-injurious behavior, intent unknown? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Self-injurious Behavior, Intent Unknown (Lifetime)
CSS1011BC113919CSS10-Self-injur Behav, Intent Unk-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in self-injurious behavior, intent unknown? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Self-injurious Behavior, Intent Unknown (Past 3 Months)
CSS1012AC113920CSS10-Interrupted Attempt-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Interrupted Suicide Attempt (Lifetime)
CSS1012BC113921CSS10-Interrupted Attempt-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Interrupted Suicide Attempt (Past 3 Months)
CSS1013AC113922CSS10-Number of Interrupt Attempts-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Lifetime)
CSS1013BC113923CSS10-Number of Interrupt Attempts-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted. (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Past 3 Months)
CSS1013CC113924CSS10-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of interrupted attempt.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Interrupted Suicide Attempt
CSS1014AC113925CSS10-Aborted Attempt-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Aborted or Self-interrupted Suicide Attempt (Lifetime)
CSS1014BC113926CSS10-Aborted Attempt-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Aborted or Self-interrupted Suicide Attempt (Past 3 Months)
CSS1015AC113927CSS10-Number of Aborted Attempts-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Lifetime)
CSS1015BC113928CSS10-Number of Aborted Attempts-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted. (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Past 3 Months)
CSS1015CC113929CSS10-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of aborted or self-interrupted attempt.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Aborted Suicide Attempt
CSS1016AC113930CSS10-Preparatory Acts/Behavior-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
CSS1016BC113931CSS10-Preparatory Acts/Behavior-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Preparatory Acts or Behaviors Toward Suicide Attempt (Past 3 Months)
CSS1016CC113932CSS10-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of preparatory acts or behaviors.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS1017AC113933CSS10-Suicidal Behavior-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal behavior was present during the assessment period? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal Behavior (Lifetime)
CSS1017BC113934CSS10-Suicidal Behavior-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal behavior was present during the assessment period? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal Behavior (Past 3 Months)
CSS1018AC113935CSS10-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt date.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Date
CSS1018BC113936CSS10-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt actual lethality/medical damage.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS1018CC113937CSS10-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt potential lethality.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Potential Lethality
CSS1019AC113938CSS10-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt date.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Date
CSS1019BC113939CSS10-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt actual lethality/medical damage.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS1019CC113940CSS10-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt potential lethality.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Potential Lethality
CSS1020AC113941CSS10-First Attempt DateColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt date.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Date
CSS1020BC113942CSS10-First Attempt DamageColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt actual lethality/medical damage.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Actual Lethality/Medical Damage
CSS1020CC113943CSS10-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt potential lethality.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Potential Lethality
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CL.C113847.C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED LIFETIME/RECENT TESTColumbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test Name
(C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED LIFETIME/RECENT TEST)
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C113847Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test NameC-SSRS Pediatric/Cognitively Impaired Lifetime/Recent test name.CDISC Questionnaire C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent Test Name Terminology
CSS10-Aborted Attempt, DescribeC113929CSS10-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of aborted or self-interrupted attempt.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Aborted Suicide Attempt
CSS10-Aborted Attempt-LifeC113925CSS10-Aborted Attempt-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Aborted or Self-interrupted Suicide Attempt (Lifetime)
CSS10-Aborted Attempt-P3MC113926CSS10-Aborted Attempt-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Aborted or Self-interrupted Suicide Attempt (Past 3 Months)
CSS10-Actual Attempt, DescribeC113915CSS10-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of actual attempt.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Actual Suicide Attempt
CSS10-Actual Attempt-LifeC113911CSS10-Actual Attempt-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Actual Suicide Attempt (Lifetime)
CSS10-Actual Attempt-P3MC113912CSS10-Actual Attempt-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Actual Suicide Attempt (Past 3 Month)
CSS10-First Attempt DamageC113942CSS10-First Attempt DamageColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt actual lethality/medical damage.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Actual Lethality/Medical Damage
CSS10-First Attempt DateC113941CSS10-First Attempt DateColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt date.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Date
CSS10-First Attempt PotentialC113943CSS10-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt potential lethality.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Potential Lethality
CSS10-Frequency, Write ResponseC113910CSS10-Frequency, Write ResponseColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Frequency, write response.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency Write Response
CSS10-Idea, Intent, No Plan, DescribeC113900CSS10-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Some Intent to Act, Without Specific Plan
CSS10-Idea, Intent, No Plan-LifeC113898CSS10-Idea, Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Lifetime)
CSS10-Idea, Intent, No Plan-P1MC113899CSS10-Idea, Intent, No Plan-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Past 1 Month)
CSS10-Idea, No Intent, No Plan, DescribeC113897CSS10-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act
CSS10-Idea, No Intent, No Plan-LifeC113895CSS10-Idea, No Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Lifetime)
CSS10-Idea, No Intent, No Plan-P1MC113896CSS10-Idea, No Intent, No Plan-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Past 1 Month)
CSS10-Idea, Plan, Intent, DescribeC113903CSS10-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with specific plan and intent.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Specific Plan and Intent
CSS10-Idea, Plan, Intent-LifeC113901CSS10-Idea, Plan, Intent-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Specific Plan and Intent (Lifetime)
CSS10-Idea, Plan, Intent-P1MC113902CSS10-Idea, Plan, Intent-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Specific Plan and Intent (Past 1 Month)
CSS10-Interrupted Attempt, DescribeC113924CSS10-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of interrupted attempt.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Interrupted Suicide Attempt
CSS10-Interrupted Attempt-LifeC113920CSS10-Interrupted Attempt-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Interrupted Suicide Attempt (Lifetime)
CSS10-Interrupted Attempt-P3MC113921CSS10-Interrupted Attempt-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Interrupted Suicide Attempt (Past 3 Months)
CSS10-Most Lethal Attempt DamageC113939CSS10-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt actual lethality/medical damage.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS10-Most Lethal Attempt DateC113938CSS10-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt date.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Date
CSS10-Most Lethal Attempt PotentialC113940CSS10-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt potential lethality.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Potential Lethality
CSS10-Most Recent Attempt DamageC113936CSS10-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt actual lethality/medical damage.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS10-Most Recent Attempt DateC113935CSS10-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt date.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Date
CSS10-Most Recent Attempt PotentialC113937CSS10-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt potential lethality.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Potential Lethality
CSS10-Most Severe Idea, Desc-LifeC113905CSS10-Most Severe Idea, Desc-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of most severe ideation. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Describe Most Severe Ideation (Lifetime)
CSS10-Most Severe Idea, Desc-P1MC113907CSS10-Most Severe Idea, Desc-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of most severe ideation. (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Describe Most Severe Ideation (Past 1 Month)
CSS10-Most Severe Idea, Frequency-LifeC113908CSS10-Most Severe Idea, Frequency-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - How many times have you had these thoughts? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency (Lifetime)
CSS10-Most Severe Idea, Frequency-P1MC113909CSS10-Most Severe Idea, Frequency-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - How many times have you had these thoughts? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency (Past 1 Month)
CSS10-Most Severe Idea-LifeC113904CSS10-Most Severe Idea-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most severe ideation. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Severe Ideation (Lifetime)
CSS10-Most Severe Idea-P1MC113906CSS10-Most Severe Idea-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most severe ideation. (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Severe Ideation (Past 1 Month)
CSS10-Non-Spec Suicid Thought, DescribeC113894CSS10-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of non-specific active suicidal thoughts.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Non-Specific Active Suicidal Thoughts
CSS10-Non-Spec Suicid Thought-LifeC113892CSS10-Non-Spec Suicid Thought-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS10-Non-Spec Suicid Thought-P1MC113893CSS10-Non-Spec Suicid Thought-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-Specific Active Suicidal Thoughts (Past 1 Month)
CSS10-Non-suicidal Self-injur Behav-LifeC113916CSS10-Non-suicidal Self-injur Behav-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in non-suicidal self-injurious behavior? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-suicidal Self-injurious Behavior (Lifetime)
CSS10-Non-suicidal Self-injur Behav-P3MC113917CSS10-Non-suicidal Self-injur Behav-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in non-suicidal self-injurious behavior? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-suicidal Self-injurious Behavior (Past 3 Months)
CSS10-Number of Aborted Attempts-LifeC113927CSS10-Number of Aborted Attempts-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Lifetime)
CSS10-Number of Aborted Attempts-P3MC113928CSS10-Number of Aborted Attempts-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted. (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Past 3 Months)
CSS10-Number of Actual Attempts-LifeC113913CSS10-Number of Actual Attempts-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of actual attempts. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Actual Suicide Attempts (Lifetime)
CSS10-Number of Actual Attempts-P3MC113914CSS10-Number of Actual Attempts-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of actual attempts. (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Actual Suicide Attempts (Past 3 Months)
CSS10-Number of Interrupt Attempts-LifeC113922CSS10-Number of Interrupt Attempts-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Lifetime)
CSS10-Number of Interrupt Attempts-P3MC113923CSS10-Number of Interrupt Attempts-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted. (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Past 3 Months)
CSS10-Preparatory Acts/Behavior, DescrC113932CSS10-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of preparatory acts or behaviors.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS10-Preparatory Acts/Behavior-LifeC113930CSS10-Preparatory Acts/Behavior-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
CSS10-Preparatory Acts/Behavior-P3MC113931CSS10-Preparatory Acts/Behavior-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Preparatory Acts or Behaviors Toward Suicide Attempt (Past 3 Months)
CSS10-Self-injur Behav, Intent Unk-LifeC113918CSS10-Self-injur Behav, Intent Unk-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in self-injurious behavior, intent unknown? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Self-injurious Behavior, Intent Unknown (Lifetime)
CSS10-Self-injur Behav, Intent Unk-P3MC113919CSS10-Self-injur Behav, Intent Unk-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in self-injurious behavior, intent unknown? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Self-injurious Behavior, Intent Unknown (Past 3 Months)
CSS10-Suicidal Behavior-LifeC113933CSS10-Suicidal Behavior-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal behavior was present during the assessment period? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal Behavior (Lifetime)
CSS10-Suicidal Behavior-P3MC113934CSS10-Suicidal Behavior-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal behavior was present during the assessment period? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal Behavior (Past 3 Months)
CSS10-Wish to be Dead, DescribeC113891CSS10-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of wishing to be dead.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Wish to be Dead
CSS10-Wish to be Dead-LifeC113889CSS10-Wish to be Dead-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Wish to be Dead (Lifetime)
CSS10-Wish to be Dead-P1MC113890CSS10-Wish to be Dead-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Wish to be Dead (Past 1 Month)
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CL.C111342.C-SSRS Screening TESTCDColumbia-Suicide Severity Rating Scale Screening Questionnaire Test Code
(C-SSRS Screening TESTCD)
text
Extensible: No
C111342Columbia-Suicide Severity Rating Scale Screening Questionnaire Test CodeColumbia-Suicide Severity Rating Scale Screening test code.CDISC Questionnaire C-SSRS Screening Test Code Terminology
CSS0901C111460CSS09-Wish to be DeadColumbia-Suicidality Severity Rating Scale Screening - Have you wished you were dead or wished you could go to sleep and not wake up?C-SSRS Screening - Wish to be Dead
CSS0901AC111461CSS09-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of wishing to be dead.C-SSRS Screening - Description of Wish to be Dead
CSS0902C111462CSS09-Non-Spec Suicid ThoughtColumbia-Suicidality Severity Rating Scale Screening - Have you actually had any thoughts of killing yourself?C-SSRS Screening - Non-Specific Active Suicidal Thoughts
CSS0902AC111463CSS09-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of non-specific active suicidal thoughts.C-SSRS Screening - Description of Non-Specific Active Suicidal Thoughts
CSS0903C111464CSS09-Idea, No Intent, No PlanColumbia-Suicidality Severity Rating Scale Screening - Have you been thinking about how you might do this?C-SSRS Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0903AC111465CSS09-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Screening - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0904C111466CSS09-Idea, Intent, No PlanColumbia-Suicidality Severity Rating Scale Screening - Have you had these thoughts and had some intention of acting on them?C-SSRS Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0904BC111467CSS09-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Screening - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0905C111468CSS09-Idea, Plan, IntentColumbia-Suicidality Severity Rating Scale Screening - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?C-SSRS Screening - Active Suicidal Ideation with Specific Plan and Intent
CSS0905AC111469CSS09-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of active suicidal ideation with specific plan and intent.C-SSRS Screening - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS0906C111470CSS09-Most Severe IdeaColumbia-Suicidality Severity Rating Scale Screening - Most severe ideation.C-SSRS Screening - Most Severe Ideation
CSS0906AC111471CSS09-Most Severe Idea, DescColumbia-Suicidality Severity Rating Scale Screening - Description of most severe ideation.C-SSRS Screening - Describe Most Severe Ideation
CSS0907C111472CSS09-Most Severe Idea, FrequencyColumbia-Suicidality Severity Rating Scale Screening - How many times have you had these thoughts?C-SSRS Screening - Frequency of Most Severe Ideation
CSS0908C111473CSS09-Most Severe Idea, DurationColumbia-Suicidality Severity Rating Scale Screening - When you have the thoughts, how long do they last?C-SSRS Screening - Duration of Most Severe Ideation
CSS0909C111474CSS09-Most Severe Idea, ControllabilityColumbia-Suicidality Severity Rating Scale Screening - Could/can you stop thinking about killing yourself or wanting to die if you want to?C-SSRS Screening - Controllability of Most Severe Ideation
CSS0910C111475CSS09-Most Severe Idea, DeterrentsColumbia-Suicidality Severity Rating Scale Screening - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?C-SSRS Screening - Deterrents to Most Severe Ideation
CSS0911C111476CSS09-Most Severe Idea, ReasonsColumbia-Suicidality Severity Rating Scale Screening - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?C-SSRS Screening - Reasons for Most Severe Ideation
CSS0912C111477CSS09-Actual AttemptColumbia-Suicidality Severity Rating Scale Screening - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Screening - Actual Suicide Attempt
CSS0913C111478CSS09-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Screening - Total number of actual attempts.C-SSRS Screening - Number of Actual Suicide Attempts
CSS0913AC111479CSS09-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of actual attempt.C-SSRS Screening - Description of Actual Suicide Attempt
CSS0914C111480CSS09-Non-suicidal Self-injur BehavColumbia-Suicidality Severity Rating Scale Screening - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Screening - Non-suicidal Self-injurious Behavior
CSS0915C111481CSS09-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Screening - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything?C-SSRS Screening - Interrupted Suicide Attempt
CSS0916C111482CSS09-Number of Interrupt AttemptsColumbia-Suicidality Severity Rating Scale Screening - Total number of interrupted.C-SSRS Screening - Number of Interrupted Suicide Attempts
CSS0916AC111483CSS09-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of interrupted attempt.C-SSRS Screening - Description of Interrupted Suicide Attempt
CSS0917C111484CSS09-Aborted AttemptColumbia-Suicidality Severity Rating Scale Screening - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Screening - Aborted Suicide Attempt
CSS0918C111485CSS09-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Screening - Total number of aborted.C-SSRS Screening - Number of Aborted Suicide Attempts
CSS0918AC111486CSS09-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of aborted attempt.C-SSRS Screening - Description of Aborted Suicide Attempt
CSS0919C111487CSS09-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Screening - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?C-SSRS Screening - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0919AC111488CSS09-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Screening - Description of preparatory acts or behavior.C-SSRS Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0920C111489CSS09-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Screening - Suicidal behavior was present during the assessment period?C-SSRS Screening - Suicidal Behavior
CSS0921AC111490CSS09-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Screening - Most recent attempt date.C-SSRS Screening - Most Recent Suicide Attempt Date
CSS0921BC111491CSS09-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Screening - Most recent attempt actual lethality/medical damage.C-SSRS Screening - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS0921CC111492CSS09-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Screening - Most recent attempt potential lethality.C-SSRS Screening - Most Recent Suicide Attempt Potential Lethality
CSS0922AC111493CSS09-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Screening - Most lethal attempt date.C-SSRS Screening - Most Lethal Suicide Attempt Date
CSS0922BC111494CSS09-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Screening - Most lethal attempt actual lethality/medical damage.C-SSRS Screening - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS0922CC111495CSS09-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Screening - Most lethal attempt potential lethality.C-SSRS Screening - Most Lethal Suicide Attempt Potential Lethality
CSS0923AC111496CSS09-First Attempt DateColumbia-Suicidality Severity Rating Scale Screening - Initial/first attempt date.C-SSRS Screening - First Suicide Attempt Date
CSS0923BC111497CSS09-First Attempt DamageColumbia-Suicidality Severity Rating Scale Screening - Initial/first attempt actual lethality/medical damage.C-SSRS Screening - First Suicide Attempt Actual Lethality/Medical Damage
CSS0923CC111498CSS09-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Screening - Initial/first attempt potential lethality.C-SSRS Screening - First Suicide Attempt Potential Lethality
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CL.C111341.C-SSRS Screening TESTColumbia-Suicide Severity Rating Scale Screening Questionnaire Test Name
(C-SSRS Screening TEST)
text
Extensible: No
C111341Columbia-Suicide Severity Rating Scale Screening Questionnaire Test NameColumbia-Suicide Severity Rating Scale Screening test name.CDISC Questionnaire C-SSRS Screening Test Name Terminology
CSS09-Aborted AttemptC111484CSS09-Aborted AttemptColumbia-Suicidality Severity Rating Scale Screening - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Screening - Aborted Suicide Attempt
CSS09-Aborted Attempt, DescribeC111486CSS09-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of aborted attempt.C-SSRS Screening - Description of Aborted Suicide Attempt
CSS09-Actual AttemptC111477CSS09-Actual AttemptColumbia-Suicidality Severity Rating Scale Screening - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Screening - Actual Suicide Attempt
CSS09-Actual Attempt, DescribeC111479CSS09-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of actual attempt.C-SSRS Screening - Description of Actual Suicide Attempt
CSS09-First Attempt DamageC111497CSS09-First Attempt DamageColumbia-Suicidality Severity Rating Scale Screening - Initial/first attempt actual lethality/medical damage.C-SSRS Screening - First Suicide Attempt Actual Lethality/Medical Damage
CSS09-First Attempt DateC111496CSS09-First Attempt DateColumbia-Suicidality Severity Rating Scale Screening - Initial/first attempt date.C-SSRS Screening - First Suicide Attempt Date
CSS09-First Attempt PotentialC111498CSS09-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Screening - Initial/first attempt potential lethality.C-SSRS Screening - First Suicide Attempt Potential Lethality
CSS09-Idea, Intent, No PlanC111466CSS09-Idea, Intent, No PlanColumbia-Suicidality Severity Rating Scale Screening - Have you had these thoughts and had some intention of acting on them?C-SSRS Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS09-Idea, Intent, No Plan, DescribeC111467CSS09-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Screening - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS09-Idea, No Intent, No PlanC111464CSS09-Idea, No Intent, No PlanColumbia-Suicidality Severity Rating Scale Screening - Have you been thinking about how you might do this?C-SSRS Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS09-Idea, No Intent, No Plan, DescribeC111465CSS09-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Screening - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS09-Idea, Plan, IntentC111468CSS09-Idea, Plan, IntentColumbia-Suicidality Severity Rating Scale Screening - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?C-SSRS Screening - Active Suicidal Ideation with Specific Plan and Intent
CSS09-Idea, Plan, Intent, DescribeC111469CSS09-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of active suicidal ideation with specific plan and intent.C-SSRS Screening - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS09-Interrupted AttemptC111481CSS09-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Screening - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything?C-SSRS Screening - Interrupted Suicide Attempt
CSS09-Interrupted Attempt, DescribeC111483CSS09-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of interrupted attempt.C-SSRS Screening - Description of Interrupted Suicide Attempt
CSS09-Most Lethal Attempt DamageC111494CSS09-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Screening - Most lethal attempt actual lethality/medical damage.C-SSRS Screening - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS09-Most Lethal Attempt DateC111493CSS09-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Screening - Most lethal attempt date.C-SSRS Screening - Most Lethal Suicide Attempt Date
CSS09-Most Lethal Attempt PotentialC111495CSS09-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Screening - Most lethal attempt potential lethality.C-SSRS Screening - Most Lethal Suicide Attempt Potential Lethality
CSS09-Most Recent Attempt DamageC111491CSS09-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Screening - Most recent attempt actual lethality/medical damage.C-SSRS Screening - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS09-Most Recent Attempt DateC111490CSS09-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Screening - Most recent attempt date.C-SSRS Screening - Most Recent Suicide Attempt Date
CSS09-Most Recent Attempt PotentialC111492CSS09-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Screening - Most recent attempt potential lethality.C-SSRS Screening - Most Recent Suicide Attempt Potential Lethality
CSS09-Most Severe IdeaC111470CSS09-Most Severe IdeaColumbia-Suicidality Severity Rating Scale Screening - Most severe ideation.C-SSRS Screening - Most Severe Ideation
CSS09-Most Severe Idea, ControllabilityC111474CSS09-Most Severe Idea, ControllabilityColumbia-Suicidality Severity Rating Scale Screening - Could/can you stop thinking about killing yourself or wanting to die if you want to?C-SSRS Screening - Controllability of Most Severe Ideation
CSS09-Most Severe Idea, DescC111471CSS09-Most Severe Idea, DescColumbia-Suicidality Severity Rating Scale Screening - Description of most severe ideation.C-SSRS Screening - Describe Most Severe Ideation
CSS09-Most Severe Idea, DeterrentsC111475CSS09-Most Severe Idea, DeterrentsColumbia-Suicidality Severity Rating Scale Screening - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?C-SSRS Screening - Deterrents to Most Severe Ideation
CSS09-Most Severe Idea, DurationC111473CSS09-Most Severe Idea, DurationColumbia-Suicidality Severity Rating Scale Screening - When you have the thoughts, how long do they last?C-SSRS Screening - Duration of Most Severe Ideation
CSS09-Most Severe Idea, FrequencyC111472CSS09-Most Severe Idea, FrequencyColumbia-Suicidality Severity Rating Scale Screening - How many times have you had these thoughts?C-SSRS Screening - Frequency of Most Severe Ideation
CSS09-Most Severe Idea, ReasonsC111476CSS09-Most Severe Idea, ReasonsColumbia-Suicidality Severity Rating Scale Screening - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?C-SSRS Screening - Reasons for Most Severe Ideation
CSS09-Non-Spec Suicid ThoughtC111462CSS09-Non-Spec Suicid ThoughtColumbia-Suicidality Severity Rating Scale Screening - Have you actually had any thoughts of killing yourself?C-SSRS Screening - Non-Specific Active Suicidal Thoughts
CSS09-Non-Spec Suicid Thought, DescribeC111463CSS09-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of non-specific active suicidal thoughts.C-SSRS Screening - Description of Non-Specific Active Suicidal Thoughts
CSS09-Non-suicidal Self-injur BehavC111480CSS09-Non-suicidal Self-injur BehavColumbia-Suicidality Severity Rating Scale Screening - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Screening - Non-suicidal Self-injurious Behavior
CSS09-Number of Aborted AttemptsC111485CSS09-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Screening - Total number of aborted.C-SSRS Screening - Number of Aborted Suicide Attempts
CSS09-Number of Actual AttemptsC111478CSS09-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Screening - Total number of actual attempts.C-SSRS Screening - Number of Actual Suicide Attempts
CSS09-Number of Interrupt AttemptsC111482CSS09-Number of Interrupt AttemptsColumbia-Suicidality Severity Rating Scale Screening - Total number of interrupted.C-SSRS Screening - Number of Interrupted Suicide Attempts
CSS09-Preparatory Acts/BehaviorC111487CSS09-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Screening - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?C-SSRS Screening - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS09-Preparatory Acts/Behavior, DescrC111488CSS09-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Screening - Description of preparatory acts or behavior.C-SSRS Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS09-Suicidal BehaviorC111489CSS09-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Screening - Suicidal behavior was present during the assessment period?C-SSRS Screening - Suicidal Behavior
CSS09-Wish to be DeadC111460CSS09-Wish to be DeadColumbia-Suicidality Severity Rating Scale Screening - Have you wished you were dead or wished you could go to sleep and not wake up?C-SSRS Screening - Wish to be Dead
CSS09-Wish to be Dead, DescribeC111461CSS09-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of wishing to be dead.C-SSRS Screening - Description of Wish to be Dead
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CL.C100158.COMM TESTCDCurrent Opioid Misuse Measure Test Code
(COMM TESTCD)
text
Extensible: No
C100158Current Opioid Misuse Measure Test CodeCurrent Opioid Misuse Measure test code.CDISC Questionnaire COMM Test Code Terminology
COMM101C100958COMM1-Trouble Thinking Clearly/MemoryCurrent Opioid Misuse Measure - In the past 30 days, how often have you had trouble with thinking clearly or had memory problems?COMM - Trouble Thinking Clearly or Memory Problems
COMM102C100959COMM1-Complaints Not Completing TasksCurrent Opioid Misuse Measure - In the past 30 days, how often do people complain that you are not completing necessary tasks? (i.e., doing things that need to be done, such as going to class, work or appointments)COMM - Complaints Not Completing Tasks
COMM103C100960COMM1-Other Sources For Pain MedicationCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to go to someone other than your prescribing physician to get sufficient pain relief from medications? (i.e., another doctor, the Emergency Room, friends, street source)COMM - Other Sources for Pain Medication
COMM104C100961COMM1-Taken Meds Other Than PrescribedCurrent Opioid Misuse Measure - In the past 30 days, how often have you taken your medications differently from how they are prescribed?COMM - Taken Medications Other Than Prescribed
COMM105C100962COMM1-Seriously Thought of Hurting SelfCurrent Opioid Misuse Measure - In the past 30 days, how often have you seriously thought about hurting yourself?COMM - Seriously Thought of Hurting Self
COMM106C100963COMM1-Time Spent Thinking About OpioidsCurrent Opioid Misuse Measure - In the past 30 days, how much of your time was spent thinking about opioid medications (having enough, taking them, dosing schedule, etc.)?COMM - Time Spent Thinking About Opioids
COMM107C100964COMM1-Been in an ArgumentCurrent Opioid Misuse Measure - In the past 30 days, how often have you been in an argument?COMM - Been in an Argument
COMM108C100965COMM1-Trouble Controlling AngerCurrent Opioid Misuse Measure - In the past 30 days, how often have you had trouble controlling your anger (e.g., road rage, screaming, etc.)?COMM - Trouble Controlling Anger
COMM109C100966COMM1-Take Meds Belonging to OthersCurrent Opioid Misuse Measure - In the past 30 days, how often have you needed to take pain medications belonging to someone else?COMM - Take Medications Belonging to Others
COMM110C100967COMM1-Worry About Handling MedsCurrent Opioid Misuse Measure - In the past 30 days, how often have you been worried about how you're handling your medications?COMM - Worry About Handling Medications
COMM111C100968COMM1-Others Worry About Your MedsCurrent Opioid Misuse Measure - In the past 30 days, how often have others been worried about how you're handling your medications?COMM - Others Worry About Your Medications
COMM112C100969COMM1-Emergency Phone Call/Clinic VisitCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to make an emergency phone call or show up at the clinic without an appointment?COMM - Emergency Phone Call or Clinic Visit
COMM113C100970COMM1-Gotten Angry With PeopleCurrent Opioid Misuse Measure - In the past 30 days, how often have you gotten angry with people?COMM - Gotten Angry With People
COMM114C100971COMM1-Take More Meds Than PrescribedCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to take more of your medication than prescribed?COMM - Take More Medication Than Prescribed
COMM115C100972COMM1-Borrowed Meds From OthersCurrent Opioid Misuse Measure - In the past 30 days, how often have you borrowed pain medication from someone else?COMM - Borrowed Medication From Others
COMM116C100973COMM1-Used Pain Meds For Other SymptomsCurrent Opioid Misuse Measure - In the past 30 days, how often have you used your pain medicine for symptoms other than for pain (e.g., to help you sleep, improve your mood, or relieve stress)?COMM - Used Pain Medicine For Other Symptoms
COMM117C100974COMM1-Visit Emergency RoomCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to visit the Emergency Room?COMM - Visit Emergency Room
COMM118C100975COMM1-ScoreCurrent Opioid Misuse Measure - Score.COMM - Score
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CL.C100157.COMM TESTCurrent Opioid Misuse Measure Test Name
(COMM TEST)
text
Extensible: No
C100157Current Opioid Misuse Measure Test NameCurrent Opioid Misuse Measure test name.CDISC Questionnaire COMM Test Name Terminology
COMM1-Been in an ArgumentC100964COMM1-Been in an ArgumentCurrent Opioid Misuse Measure - In the past 30 days, how often have you been in an argument?COMM - Been in an Argument
COMM1-Borrowed Meds From OthersC100972COMM1-Borrowed Meds From OthersCurrent Opioid Misuse Measure - In the past 30 days, how often have you borrowed pain medication from someone else?COMM - Borrowed Medication From Others
COMM1-Complaints Not Completing TasksC100959COMM1-Complaints Not Completing TasksCurrent Opioid Misuse Measure - In the past 30 days, how often do people complain that you are not completing necessary tasks? (i.e., doing things that need to be done, such as going to class, work or appointments)COMM - Complaints Not Completing Tasks
COMM1-Emergency Phone Call/Clinic VisitC100969COMM1-Emergency Phone Call/Clinic VisitCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to make an emergency phone call or show up at the clinic without an appointment?COMM - Emergency Phone Call or Clinic Visit
COMM1-Gotten Angry With PeopleC100970COMM1-Gotten Angry With PeopleCurrent Opioid Misuse Measure - In the past 30 days, how often have you gotten angry with people?COMM - Gotten Angry With People
COMM1-Other Sources For Pain MedicationC100960COMM1-Other Sources For Pain MedicationCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to go to someone other than your prescribing physician to get sufficient pain relief from medications? (i.e., another doctor, the Emergency Room, friends, street source)COMM - Other Sources for Pain Medication
COMM1-Others Worry About Your MedsC100968COMM1-Others Worry About Your MedsCurrent Opioid Misuse Measure - In the past 30 days, how often have others been worried about how you're handling your medications?COMM - Others Worry About Your Medications
COMM1-ScoreC100975COMM1-ScoreCurrent Opioid Misuse Measure - Score.COMM - Score
COMM1-Seriously Thought of Hurting SelfC100962COMM1-Seriously Thought of Hurting SelfCurrent Opioid Misuse Measure - In the past 30 days, how often have you seriously thought about hurting yourself?COMM - Seriously Thought of Hurting Self
COMM1-Take Meds Belonging to OthersC100966COMM1-Take Meds Belonging to OthersCurrent Opioid Misuse Measure - In the past 30 days, how often have you needed to take pain medications belonging to someone else?COMM - Take Medications Belonging to Others
COMM1-Take More Meds Than PrescribedC100971COMM1-Take More Meds Than PrescribedCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to take more of your medication than prescribed?COMM - Take More Medication Than Prescribed
COMM1-Taken Meds Other Than PrescribedC100961COMM1-Taken Meds Other Than PrescribedCurrent Opioid Misuse Measure - In the past 30 days, how often have you taken your medications differently from how they are prescribed?COMM - Taken Medications Other Than Prescribed
COMM1-Time Spent Thinking About OpioidsC100963COMM1-Time Spent Thinking About OpioidsCurrent Opioid Misuse Measure - In the past 30 days, how much of your time was spent thinking about opioid medications (having enough, taking them, dosing schedule, etc.)?COMM - Time Spent Thinking About Opioids
COMM1-Trouble Controlling AngerC100965COMM1-Trouble Controlling AngerCurrent Opioid Misuse Measure - In the past 30 days, how often have you had trouble controlling your anger (e.g., road rage, screaming, etc.)?COMM - Trouble Controlling Anger
COMM1-Trouble Thinking Clearly/MemoryC100958COMM1-Trouble Thinking Clearly/MemoryCurrent Opioid Misuse Measure - In the past 30 days, how often have you had trouble with thinking clearly or had memory problems?COMM - Trouble Thinking Clearly or Memory Problems
COMM1-Used Pain Meds For Other SymptomsC100973COMM1-Used Pain Meds For Other SymptomsCurrent Opioid Misuse Measure - In the past 30 days, how often have you used your pain medicine for symptoms other than for pain (e.g., to help you sleep, improve your mood, or relieve stress)?COMM - Used Pain Medicine For Other Symptoms
COMM1-Visit Emergency RoomC100974COMM1-Visit Emergency RoomCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to visit the Emergency Room?COMM - Visit Emergency Room
COMM1-Worry About Handling MedsC100967COMM1-Worry About Handling MedsCurrent Opioid Misuse Measure - In the past 30 days, how often have you been worried about how you're handling your medications?COMM - Worry About Handling Medications
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CL.C105130.DAD TESTCDDisability Assessment for Dementia Questionnaire Test Code
(DAD TESTCD)
text
Extensible: No
C105130Disability Assessment for Dementia Questionnaire Test CodeDisability Assessment for Dementia test code.CDISC Questionnaire DAD Test Code Terminology
DAD0101C105170DAD01-Decide to WashDisability Assessment for Dementia - Decide to wash himself/herself or to take a bath or shower?DAD - Decide to Wash or Take a Bath or Shower
DAD0102C105171DAD01-Decide to Brush Teeth DenturesDisability Assessment for Dementia - Decide to brush his/her teeth or care for his/her dentures?DAD - Decide to Brush Teeth or Care for Dentures
DAD0103C105172DAD01-Decide to Care For HairDisability Assessment for Dementia - Decide to care for his/her hair (wash and comb)?DAD - Decide to Care for His/Her Hair
DAD0104C105173DAD01-Prepare For Washing Bath ShowerDisability Assessment for Dementia - Prepare the water, towels, and soap for washing, taking a bath or a shower?DAD - Prepare the Water, Towels, and Soap for Washing, Taking a Bath or Shower
DAD0105C105174DAD01-Wash and Dry Body SafelyDisability Assessment for Dementia - Wash and dry all parts of his/her body safely and completely?DAD - Wash and Dry All Parts of Body Safely and Completely
DAD0106C105175DAD01-Brush Teeth Take Care of DenturesDisability Assessment for Dementia - Brush his/her teeth or take care of his/her dentures appropriately?DAD - Brush Teeth or Take Care of Dentures Appropriately
DAD0107C105176DAD01-Take Care of HairDisability Assessment for Dementia - Take care of his/her hair (wash and comb)?DAD - Take Care of His/Her Hair
DAD0108C105177DAD01-Decide to DressDisability Assessment for Dementia - Decide to dress himself/herself?DAD - Decide to Dress Himself/Herself
DAD0109C105178DAD01-Choose Appropriate ClothingDisability Assessment for Dementia - Choose appropriate clothing (with regard to the occasion, neatness, the weather and color combination)?DAD - Choose Appropriate Clothing
DAD0110C105179DAD01-Dress in Appropriate OrderDisability Assessment for Dementia - Dress himself/herself in the appropriate order (undergarments, pant/dress, shoes)?DAD - Dress in the Appropriate Order
DAD0111C105180DAD01-Dress CompletelyDisability Assessment for Dementia - Dress himself/herself completely?DAD - Dress Himself/Herself Completely
DAD0112C105181DAD01-Undress CompletelyDisability Assessment for Dementia - Undress himself/herself completely?DAD - Undress Himself/Herself Completely
DAD0113C105182DAD01-Use Toilet at Appropriate TimesDisability Assessment for Dementia - Decide to use the toilet at appropriate times?DAD - Decide to Use the Toilet at Appropriate Times
DAD0114C105183DAD01-Use Toilet Without AccidentsDisability Assessment for Dementia - Use the toilet without 'accidents'?DAD - Use the Toilet Without Accidents
DAD0115C105184DAD01-Decide That He/She Needs to EatDisability Assessment for Dementia - Decide that he/she needs to eat?DAD - Decide That He/She Needs to Eat
DAD0116C105185DAD01-Choose Appropriate UtensilsDisability Assessment for Dementia - Choose appropriate utensils and seasonings when eating?DAD - Choose Appropriate Utensils and Seasonings When Eating
DAD0117C105186DAD01-Eat at Normal Pace With MannersDisability Assessment for Dementia - Eat his/her meals at a normal pace and with appropriate manners?DAD - Eat Meals at a Normal Pace and with Appropriate Manners
DAD0118C105187DAD01-Decide to Prepare Meal SnackDisability Assessment for Dementia - Decide to prepare a light meal or snack for himself/herself?DAD - Decide to Prepare a Light Meal or Snack for Himself/Herself
DAD0119C105188DAD01-Adequately Plan Light Meal SnackDisability Assessment for Dementia - Adequately plan a light meal or snack (ingredients, cookware)?DAD - Adequately Plan a Light Meal or Snack
DAD0120C105189DAD01-Prepare or Cook Light Meal SnackDisability Assessment for Dementia - Prepare or cook a light meal or a snack safely?DAD - Safely Prepare or Cook a Light Meal or Snack
DAD0121C105190DAD01-Telephone Someone at Suitable TimeDisability Assessment for Dementia - Attempt to telephone someone at a suitable time?DAD - Attempt to Telephone Someone at a Suitable Time
DAD0122C105191DAD01-Find and Dial Telephone NumberDisability Assessment for Dementia - Find and dial a telephone number correctly?DAD - Find and Dial a Telephone Number Correctly
DAD0123C105192DAD01-Carry Out Telephone ConversationDisability Assessment for Dementia - Carry out an appropriate telephone conversation?DAD - Carry Out an Appropriate Telephone Conversation
DAD0124C105193DAD01-Write Convey Telephone MessageDisability Assessment for Dementia - Write and convey a telephone message adequately?DAD - Write and Convey a Telephone Message Adequately
DAD0125C105194DAD01-Decide to Go OutDisability Assessment for Dementia - Decide to go out (walk, visit, shop) at an appropriate time?DAD - Decide to Go Out at an Appropriate Time
DAD0126C105195DAD01-Adequately Organize an OutingDisability Assessment for Dementia - Adequately organize an outing with respect to transportation, keys, destination, weather, necessary money, shopping list?DAD - Adequately Organize an Outing with Respect to Transportation, Keys, Destination, Weather, Money, Shopping List
DAD0127C105196DAD01-Go Out Without Getting LostDisability Assessment for Dementia - Go out and reach a familiar destination without getting lost?DAD - Go Out and Reach a Familiar Destination Without Getting Lost
DAD0128C105197DAD01-Safely Take TransportationDisability Assessment for Dementia - Safely take the adequate mode of transportation (car, bus, taxi)?DAD - Safely Take the Adequate Mode of Transportation
DAD0129C105198DAD01-Return From Store With ItemsDisability Assessment for Dementia - Return from the store with the appropriate items?DAD - Return From the Store with Appropriate Items
DAD0130C105199DAD01-Show Interest in Personal AffairsDisability Assessment for Dementia - Show an interest in his/her personal affairs such as his/her finances and written correspondence?DAD - Show an Interest in Personal Affairs such as Finances and Written Correspondence
DAD0131C105200DAD01-Oragnize Finances to Pay BillsDisability Assessment for Dementia - Organize his/her finances to pay his/her bills (checks, bank statement, bills)?DAD - Organize Finances to Pay Bills
DAD0132C105201DAD01-Adequately Organize CorrespondenceDisability Assessment for Dementia - Adequately organize his/her correspondence with respect to stationery, address, stamps?DAD - Adequately Organize Correspondence
DAD0133C105202DAD01-Handle Money AdequatelyDisability Assessment for Dementia - Handle his/her money adequately (deal with cash)?DAD - Handle Money Adequately
DAD0134C105203DAD01-Take Medications at Correct TimeDisability Assessment for Dementia - Decide to take his/her medications at the correct time?DAD - Decide to Take Medications at the Correct Time
DAD0135C105204DAD01-Take Medications as PrescribedDisability Assessment for Dementia - Take his/her medications as prescribed (according to the right dosage)?DAD - Take Medications as Prescribed
DAD0136C105205DAD01-Show Interest in Leisure ActivityDisability Assessment for Dementia - Show an interest in leisure activity(ies)?DAD - Show an Interest in Leisure Activities
DAD0137C105206DAD01-Take Interest in Household ChoresDisability Assessment for Dementia - Take an interest in household chores that he/she used to perform in the past?DAD - Take an Interest in Household Chores as in the Past
DAD0138C105207DAD01-Plan Organize Household ChoresDisability Assessment for Dementia - Plan and organize adequately household chores that he/she used to perform in the past?DAD - Plan and Organize Adequately Household Chores as in the Past
DAD0139C105208DAD01-Complete Household ChoresDisability Assessment for Dementia - Complete household chores adequately as he/she used to perform in the past?DAD - Complete Household Chores Adequately as in the Past
DAD0140C105209DAD01-Stay Safely at Home When NeededDisability Assessment for Dementia - Stay safely at home by himself/herself when needed?DAD - Stay Safely at Home When Needed
DAD0141C111577DAD01-Sub-Total InitiationDisability Assessment for Dementia - Sub-Total Initiation.DAD - Sub-Total Initiation
DAD0142C111578DAD01-Initiation Num Applic ItemsDisability Assessment for Dementia - Sub-Total Initiation Number of Applicable Items.DAD - Total Initiation Number of Applicable Items
DAD0143C111579DAD01-Sub-Total Planning & OrganizationDisability Assessment for Dementia - Sub-Total Planning & Organization.DAD - Sub-Total Planning and Organization
DAD0144C111617DAD01-Plan & Org Num Applic ItemsDisability Assessment for Dementia - Sub-Total Planning & Organization Number of Applicable Items.DAD - Plan and Organize Number of Applicable Items
DAD0145C111580DAD01-Sub-Total Effective PerformanceDisability Assessment for Dementia - Sub-Total Effective Performance.DAD - Sub-Total Effective Performance
DAD0146C111581DAD01-Effective Perf Num Applic ItemsDisability Assessment for Dementia - Sub-Total Effective Performance Number of Applicable Items.DAD - Sub-Total Effective Performance Number of Applicable Items
DAD0147C111582DAD01-Total ScoreDisability Assessment for Dementia - Total Score.DAD - Total Score
DAD0148C111583DAD01-Total Num of Applic ItemsDisability Assessment for Dementia - Total Number of Applicable Items.DAD - Total Number of Applicable Items
DAD0149C111584DAD01-Total %Disability Assessment for Dementia - Total %.DAD - Total Percent
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CL.C105129.DAD TESTDisability Assessment for Dementia Questionnaire Test Name
(DAD TEST)
text
Extensible: No
C105129Disability Assessment for Dementia Questionnaire Test NameDisability Assessment for Dementia test name.CDISC Questionnaire DAD Test Name Terminology
DAD01-Adequately Organize an OutingC105195DAD01-Adequately Organize an OutingDisability Assessment for Dementia - Adequately organize an outing with respect to transportation, keys, destination, weather, necessary money, shopping list?DAD - Adequately Organize an Outing with Respect to Transportation, Keys, Destination, Weather, Money, Shopping List
DAD01-Adequately Organize CorrespondenceC105201DAD01-Adequately Organize CorrespondenceDisability Assessment for Dementia - Adequately organize his/her correspondence with respect to stationery, address, stamps?DAD - Adequately Organize Correspondence
DAD01-Adequately Plan Light Meal SnackC105188DAD01-Adequately Plan Light Meal SnackDisability Assessment for Dementia - Adequately plan a light meal or snack (ingredients, cookware)?DAD - Adequately Plan a Light Meal or Snack
DAD01-Brush Teeth Take Care of DenturesC105175DAD01-Brush Teeth Take Care of DenturesDisability Assessment for Dementia - Brush his/her teeth or take care of his/her dentures appropriately?DAD - Brush Teeth or Take Care of Dentures Appropriately
DAD01-Carry Out Telephone ConversationC105192DAD01-Carry Out Telephone ConversationDisability Assessment for Dementia - Carry out an appropriate telephone conversation?DAD - Carry Out an Appropriate Telephone Conversation
DAD01-Choose Appropriate ClothingC105178DAD01-Choose Appropriate ClothingDisability Assessment for Dementia - Choose appropriate clothing (with regard to the occasion, neatness, the weather and color combination)?DAD - Choose Appropriate Clothing
DAD01-Choose Appropriate UtensilsC105185DAD01-Choose Appropriate UtensilsDisability Assessment for Dementia - Choose appropriate utensils and seasonings when eating?DAD - Choose Appropriate Utensils and Seasonings When Eating
DAD01-Complete Household ChoresC105208DAD01-Complete Household ChoresDisability Assessment for Dementia - Complete household chores adequately as he/she used to perform in the past?DAD - Complete Household Chores Adequately as in the Past
DAD01-Decide That He/She Needs to EatC105184DAD01-Decide That He/She Needs to EatDisability Assessment for Dementia - Decide that he/she needs to eat?DAD - Decide That He/She Needs to Eat
DAD01-Decide to Brush Teeth DenturesC105171DAD01-Decide to Brush Teeth DenturesDisability Assessment for Dementia - Decide to brush his/her teeth or care for his/her dentures?DAD - Decide to Brush Teeth or Care for Dentures
DAD01-Decide to Care For HairC105172DAD01-Decide to Care For HairDisability Assessment for Dementia - Decide to care for his/her hair (wash and comb)?DAD - Decide to Care for His/Her Hair
DAD01-Decide to DressC105177DAD01-Decide to DressDisability Assessment for Dementia - Decide to dress himself/herself?DAD - Decide to Dress Himself/Herself
DAD01-Decide to Go OutC105194DAD01-Decide to Go OutDisability Assessment for Dementia - Decide to go out (walk, visit, shop) at an appropriate time?DAD - Decide to Go Out at an Appropriate Time
DAD01-Decide to Prepare Meal SnackC105187DAD01-Decide to Prepare Meal SnackDisability Assessment for Dementia - Decide to prepare a light meal or snack for himself/herself?DAD - Decide to Prepare a Light Meal or Snack for Himself/Herself
DAD01-Decide to WashC105170DAD01-Decide to WashDisability Assessment for Dementia - Decide to wash himself/herself or to take a bath or shower?DAD - Decide to Wash or Take a Bath or Shower
DAD01-Dress CompletelyC105180DAD01-Dress CompletelyDisability Assessment for Dementia - Dress himself/herself completely?DAD - Dress Himself/Herself Completely
DAD01-Dress in Appropriate OrderC105179DAD01-Dress in Appropriate OrderDisability Assessment for Dementia - Dress himself/herself in the appropriate order (undergarments, pant/dress, shoes)?DAD - Dress in the Appropriate Order
DAD01-Eat at Normal Pace With MannersC105186DAD01-Eat at Normal Pace With MannersDisability Assessment for Dementia - Eat his/her meals at a normal pace and with appropriate manners?DAD - Eat Meals at a Normal Pace and with Appropriate Manners
DAD01-Effective Perf Num Applic ItemsC111581DAD01-Effective Perf Num Applic ItemsDisability Assessment for Dementia - Sub-Total Effective Performance Number of Applicable Items.DAD - Sub-Total Effective Performance Number of Applicable Items
DAD01-Find and Dial Telephone NumberC105191DAD01-Find and Dial Telephone NumberDisability Assessment for Dementia - Find and dial a telephone number correctly?DAD - Find and Dial a Telephone Number Correctly
DAD01-Go Out Without Getting LostC105196DAD01-Go Out Without Getting LostDisability Assessment for Dementia - Go out and reach a familiar destination without getting lost?DAD - Go Out and Reach a Familiar Destination Without Getting Lost
DAD01-Handle Money AdequatelyC105202DAD01-Handle Money AdequatelyDisability Assessment for Dementia - Handle his/her money adequately (deal with cash)?DAD - Handle Money Adequately
DAD01-Initiation Num Applic ItemsC111578DAD01-Initiation Num Applic ItemsDisability Assessment for Dementia - Sub-Total Initiation Number of Applicable Items.DAD - Total Initiation Number of Applicable Items
DAD01-Oragnize Finances to Pay BillsC105200DAD01-Oragnize Finances to Pay BillsDisability Assessment for Dementia - Organize his/her finances to pay his/her bills (checks, bank statement, bills)?DAD - Organize Finances to Pay Bills
DAD01-Plan & Org Num Applic ItemsC111617DAD01-Plan & Org Num Applic ItemsDisability Assessment for Dementia - Sub-Total Planning & Organization Number of Applicable Items.DAD - Plan and Organize Number of Applicable Items
DAD01-Plan Organize Household ChoresC105207DAD01-Plan Organize Household ChoresDisability Assessment for Dementia - Plan and organize adequately household chores that he/she used to perform in the past?DAD - Plan and Organize Adequately Household Chores as in the Past
DAD01-Prepare For Washing Bath ShowerC105173DAD01-Prepare For Washing Bath ShowerDisability Assessment for Dementia - Prepare the water, towels, and soap for washing, taking a bath or a shower?DAD - Prepare the Water, Towels, and Soap for Washing, Taking a Bath or Shower
DAD01-Prepare or Cook Light Meal SnackC105189DAD01-Prepare or Cook Light Meal SnackDisability Assessment for Dementia - Prepare or cook a light meal or a snack safely?DAD - Safely Prepare or Cook a Light Meal or Snack
DAD01-Return From Store With ItemsC105198DAD01-Return From Store With ItemsDisability Assessment for Dementia - Return from the store with the appropriate items?DAD - Return From the Store with Appropriate Items
DAD01-Safely Take TransportationC105197DAD01-Safely Take TransportationDisability Assessment for Dementia - Safely take the adequate mode of transportation (car, bus, taxi)?DAD - Safely Take the Adequate Mode of Transportation
DAD01-Show Interest in Leisure ActivityC105205DAD01-Show Interest in Leisure ActivityDisability Assessment for Dementia - Show an interest in leisure activity(ies)?DAD - Show an Interest in Leisure Activities
DAD01-Show Interest in Personal AffairsC105199DAD01-Show Interest in Personal AffairsDisability Assessment for Dementia - Show an interest in his/her personal affairs such as his/her finances and written correspondence?DAD - Show an Interest in Personal Affairs such as Finances and Written Correspondence
DAD01-Stay Safely at Home When NeededC105209DAD01-Stay Safely at Home When NeededDisability Assessment for Dementia - Stay safely at home by himself/herself when needed?DAD - Stay Safely at Home When Needed
DAD01-Sub-Total Effective PerformanceC111580DAD01-Sub-Total Effective PerformanceDisability Assessment for Dementia - Sub-Total Effective Performance.DAD - Sub-Total Effective Performance
DAD01-Sub-Total InitiationC111577DAD01-Sub-Total InitiationDisability Assessment for Dementia - Sub-Total Initiation.DAD - Sub-Total Initiation
DAD01-Sub-Total Planning & OrganizationC111579DAD01-Sub-Total Planning & OrganizationDisability Assessment for Dementia - Sub-Total Planning & Organization.DAD - Sub-Total Planning and Organization
DAD01-Take Care of HairC105176DAD01-Take Care of HairDisability Assessment for Dementia - Take care of his/her hair (wash and comb)?DAD - Take Care of His/Her Hair
DAD01-Take Interest in Household ChoresC105206DAD01-Take Interest in Household ChoresDisability Assessment for Dementia - Take an interest in household chores that he/she used to perform in the past?DAD - Take an Interest in Household Chores as in the Past
DAD01-Take Medications as PrescribedC105204DAD01-Take Medications as PrescribedDisability Assessment for Dementia - Take his/her medications as prescribed (according to the right dosage)?DAD - Take Medications as Prescribed
DAD01-Take Medications at Correct TimeC105203DAD01-Take Medications at Correct TimeDisability Assessment for Dementia - Decide to take his/her medications at the correct time?DAD - Decide to Take Medications at the Correct Time
DAD01-Telephone Someone at Suitable TimeC105190DAD01-Telephone Someone at Suitable TimeDisability Assessment for Dementia - Attempt to telephone someone at a suitable time?DAD - Attempt to Telephone Someone at a Suitable Time
DAD01-Total %C111584DAD01-Total %Disability Assessment for Dementia - Total %.DAD - Total Percent
DAD01-Total Num of Applic ItemsC111583DAD01-Total Num of Applic ItemsDisability Assessment for Dementia - Total Number of Applicable Items.DAD - Total Number of Applicable Items
DAD01-Total ScoreC111582DAD01-Total ScoreDisability Assessment for Dementia - Total Score.DAD - Total Score
DAD01-Undress CompletelyC105181DAD01-Undress CompletelyDisability Assessment for Dementia - Undress himself/herself completely?DAD - Undress Himself/Herself Completely
DAD01-Use Toilet at Appropriate TimesC105182DAD01-Use Toilet at Appropriate TimesDisability Assessment for Dementia - Decide to use the toilet at appropriate times?DAD - Decide to Use the Toilet at Appropriate Times
DAD01-Use Toilet Without AccidentsC105183DAD01-Use Toilet Without AccidentsDisability Assessment for Dementia - Use the toilet without 'accidents'?DAD - Use the Toilet Without Accidents
DAD01-Wash and Dry Body SafelyC105174DAD01-Wash and Dry Body SafelyDisability Assessment for Dementia - Wash and dry all parts of his/her body safely and completely?DAD - Wash and Dry All Parts of Body Safely and Completely
DAD01-Write Convey Telephone MessageC105193DAD01-Write Convey Telephone MessageDisability Assessment for Dementia - Write and convey a telephone message adequately?DAD - Write and Convey a Telephone Message Adequately
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CL.C112437.Disease Steps TESTCDDisease Steps Questionnaire Test Code
(Disease Steps TESTCD)
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C112437Disease Steps Questionnaire Test CodeDisease Steps test code.CDISC Questionnaire DS Test Code Terminology
DS0101C112549DS01-Disease Steps ClassificationDisease Steps - Methods: For Disease Steps, classification of a patient is determined by history and neurologic examination as well as course of MS.DS - Disease Steps Classification
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CL.C112436.Disease Steps TESTDisease Steps Questionnaire Test Name
(Disease Steps TEST)
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C112436Disease Steps Questionnaire Test NameDisease Steps test name.CDISC Questionnaire DS Test Name Terminology
DS01-Disease Steps ClassificationC112549DS01-Disease Steps ClassificationDisease Steps - Methods: For Disease Steps, classification of a patient is determined by history and neurologic examination as well as course of MS.DS - Disease Steps Classification
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CL.C101815.ECOG TESTCDEastern Cooperative Oncology Group Performance Status Test Code
(ECOG TESTCD)
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C101815Eastern Cooperative Oncology Group Performance Status Test CodeEastern Cooperative Oncology Group Performance Status test code.CDISC Questionnaire ECOG Test Code Terminology
ECOG101C102408ECOG1-Performance StatusECOG Performance Status - Performance Status.ECOG - Performance Status
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CL.C101816.ECOG TESTEastern Cooperative Oncology Group Performance Status Test Name
(ECOG TEST)
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C101816Eastern Cooperative Oncology Group Performance Status Test NameEastern Cooperative Oncology Group Performance Status test name.CDISC Questionnaire ECOG Test Name Terminology
ECOG1-Performance StatusC102408ECOG1-Performance StatusECOG Performance Status - Performance Status.ECOG - Performance Status
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CL.C103463.ESS TESTCDEpworth Sleepiness Scale Questionnaire Test Code
(ESS TESTCD)
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C103463Epworth Sleepiness Scale Questionnaire Test CodeEpworth Sleepiness Scale test code.CDISC Questionnaire ESS Test Code Terminology
ESS0101C103536ESS01-Sitting and ReadingEpworth Sleepiness Scale - Sitting and reading.ESS - Sitting and Reading
ESS0102C103537ESS01-Watching TVEpworth Sleepiness Scale - Watching TV.ESS - Watching TV
ESS0103C103538ESS01-Sitting Inactive in a Public PlaceEpworth Sleepiness Scale - Sitting, inactive in a public place (e.g. a theatre or a meeting).ESS - Sitting, Inactive in a Public Place
ESS0104C103539ESS01-Passenger for Hour Without BreakEpworth Sleepiness Scale - As a passenger in a car for an hour without a break.ESS - As a Passenger in a Car for an Hour Without a Break
ESS0105C103540ESS01-Lying Down to Rest In AfternoonEpworth Sleepiness Scale - Lying down to rest in the afternoon when circumstances permit.ESS - Lying Down to Rest in the Afternoon When Circumstances Permit
ESS0106C103541ESS01-Sitting and Talking to SomeoneEpworth Sleepiness Scale - Sitting and talking to someone.ESS - Sitting and Talking to Someone
ESS0107C103542ESS01-Sitting Quietly After LunchEpworth Sleepiness Scale - Sitting quietly after a lunch without alcohol.ESS - Sitting Quietly After a Lunch without Alcohol
ESS0108C103543ESS01-In Car Stopped Few Minutes TrafficEpworth Sleepiness Scale - In a car, while stopped for a few minutes in the traffic.ESS - In a car, While Stopped for a Few Minutes in the Traffic
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CL.C103462.ESS TESTEpworth Sleepiness Scale Questionnaire Test Name
(ESS TEST)
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C103462Epworth Sleepiness Scale Questionnaire Test NameEpworth Sleepiness Scale test name.CDISC Questionnaire ESS Test Name Terminology
ESS01-In Car Stopped Few Minutes TrafficC103543ESS01-In Car Stopped Few Minutes TrafficEpworth Sleepiness Scale - In a car, while stopped for a few minutes in the traffic.ESS - In a car, While Stopped for a Few Minutes in the Traffic
ESS01-Lying Down to Rest In AfternoonC103540ESS01-Lying Down to Rest In AfternoonEpworth Sleepiness Scale - Lying down to rest in the afternoon when circumstances permit.ESS - Lying Down to Rest in the Afternoon When Circumstances Permit
ESS01-Passenger for Hour Without BreakC103539ESS01-Passenger for Hour Without BreakEpworth Sleepiness Scale - As a passenger in a car for an hour without a break.ESS - As a Passenger in a Car for an Hour Without a Break
ESS01-Sitting and ReadingC103536ESS01-Sitting and ReadingEpworth Sleepiness Scale - Sitting and reading.ESS - Sitting and Reading
ESS01-Sitting and Talking to SomeoneC103541ESS01-Sitting and Talking to SomeoneEpworth Sleepiness Scale - Sitting and talking to someone.ESS - Sitting and Talking to Someone
ESS01-Sitting Inactive in a Public PlaceC103538ESS01-Sitting Inactive in a Public PlaceEpworth Sleepiness Scale - Sitting, inactive in a public place (e.g. a theatre or a meeting).ESS - Sitting, Inactive in a Public Place
ESS01-Sitting Quietly After LunchC103542ESS01-Sitting Quietly After LunchEpworth Sleepiness Scale - Sitting quietly after a lunch without alcohol.ESS - Sitting Quietly After a Lunch without Alcohol
ESS01-Watching TVC103537ESS01-Watching TVEpworth Sleepiness Scale - Watching TV.ESS - Watching TV
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CL.C101817.EQ-5D-5L TESTCDEuropean Quality of Life Five Dimension Five Level Scale Test Code
(EQ-5D-5L TESTCD)
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C101817European Quality of Life Five Dimension Five Level Scale Test CodeEuropean Quality of Life Five Dimension Three Level Scale test code.CDISC Questionnaire EQ-5D-5L Test Code Terminology
EQ5D0201C102067EQ5D02-MobilityEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Mobility.EQ-5D-5L - Mobility
EQ5D0202C102068EQ5D02-Self-CareEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Self-care.EQ-5D-5L - Self-Care
EQ5D0203C102069EQ5D02-Usual ActivitiesEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Usual activities.EQ-5D-5L - Usual Activities
EQ5D0204C102070EQ5D02-Pain/DiscomfortEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Pain/discomfort.EQ-5D-5L - Pain or Discomfort
EQ5D0205C102071EQ5D02-Anxiety/DepressionEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Anxiety/depression.EQ-5D-5L - Anxiety or Depression
EQ5D0206C102072EQ5D02-EQ VAS ScoreEuropean Quality of Life Five Dimension Five Level Scale - Indicate how your health is today.EQ-5D-5L - EQ VAS Score
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CL.C101818.EQ-5D-5L TESTEuropean Quality of Life Five Dimension Five Level Scale Test Name
(EQ-5D-5L TEST)
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C101818European Quality of Life Five Dimension Five Level Scale Test NameEuropean Quality of Life Five Dimension Five Level Scale test name.CDISC Questionnaire EQ-5D-5L Test Name Terminology
EQ5D02-Anxiety/DepressionC102071EQ5D02-Anxiety/DepressionEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Anxiety/depression.EQ-5D-5L - Anxiety or Depression
EQ5D02-EQ VAS ScoreC102072EQ5D02-EQ VAS ScoreEuropean Quality of Life Five Dimension Five Level Scale - Indicate how your health is today.EQ-5D-5L - EQ VAS Score
EQ5D02-MobilityC102067EQ5D02-MobilityEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Mobility.EQ-5D-5L - Mobility
EQ5D02-Pain/DiscomfortC102070EQ5D02-Pain/DiscomfortEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Pain/discomfort.EQ-5D-5L - Pain or Discomfort
EQ5D02-Self-CareC102068EQ5D02-Self-CareEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Self-care.EQ-5D-5L - Self-Care
EQ5D02-Usual ActivitiesC102069EQ5D02-Usual ActivitiesEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Usual activities.EQ-5D-5L - Usual Activities
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CL.C100136.EQ-5D-3L TESTCDEuropean Quality of Life Five Dimension Three Level Scale Test Code
(EQ-5D-3L TESTCD)
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C100136European Quality of Life Five Dimension Three Level Scale Test CodeEuropean Quality of Life Five Dimension Five Level Scale test code.CDISC Questionnaire EQ-5D-3L Test Code Terminology
EQ5D0101C100392EQ5D01-MobilityEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Mobility.EQ-5D-3L - Mobility
EQ5D0102C100393EQ5D01-Self-CareEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Self-care.EQ-5D-3L - Self-Care
EQ5D0103C100394EQ5D01-Usual ActivitiesEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Usual activities.EQ-5D-3L - Usual Activities
EQ5D0104C100395EQ5D01-Pain/DiscomfortEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Pain/discomfort.EQ-5D-3L - Pain or Discomfort
EQ5D0105C100396EQ5D01-Anxiety/DepressionEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Anxiety/depression.EQ-5D-3L - Anxiety or Depression
EQ5D0106C100397EQ5D01-EQ VAS ScoreEuropean Quality of Life Five Dimension Three Level Scale - Indicate on this scale how good or bad your own health is today, in your opinion.EQ-5D-3L - EQ VAS Score
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CL.C100135.EQ-5D-3L TESTEuropean Quality of Life Five Dimension Three Level Scale Test Name
(EQ-5D-3L TEST)
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C100135European Quality of Life Five Dimension Three Level Scale Test NameEuropean Quality of Life Five Dimension Three Level Scale test name.CDISC Questionnaire EQ-5D-3L Test Name Terminology
EQ5D01-Anxiety/DepressionC100396EQ5D01-Anxiety/DepressionEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Anxiety/depression.EQ-5D-3L - Anxiety or Depression
EQ5D01-EQ VAS ScoreC100397EQ5D01-EQ VAS ScoreEuropean Quality of Life Five Dimension Three Level Scale - Indicate on this scale how good or bad your own health is today, in your opinion.EQ-5D-3L - EQ VAS Score
EQ5D01-MobilityC100392EQ5D01-MobilityEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Mobility.EQ-5D-3L - Mobility
EQ5D01-Pain/DiscomfortC100395EQ5D01-Pain/DiscomfortEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Pain/discomfort.EQ-5D-3L - Pain or Discomfort
EQ5D01-Self-CareC100393EQ5D01-Self-CareEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Self-care.EQ-5D-3L - Self-Care
EQ5D01-Usual ActivitiesC100394EQ5D01-Usual ActivitiesEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Usual activities.EQ-5D-3L - Usual Activities
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CL.C100154.FPSR TESTCDFaces Pain Scale - Revised Test Code
(FPSR TESTCD)
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C100154Faces Pain Scale - Revised Test CodeFaces Pain Scale - Revised test code.CDISC Questionnaire FPSR Test Code Terminology
FPSR101C101013FPSR1-How Much do you HurtFaces Pain Scale - Revised - Point to the face that shows how much you hurt [right now].FPSR - How Much do You Hurt
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CL.C100153.FPSR TESTFaces Pain Scale - Revised Test Name
(FPSR TEST)
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Extensible: No
C100153Faces Pain Scale - Revised Test NameFaces Pain Scale - Revised test name.CDISC Questionnaire FPSR Test Name Terminology
FPSR1-How Much do you HurtC101013FPSR1-How Much do you HurtFaces Pain Scale - Revised - Point to the face that shows how much you hurt [right now].FPSR - How Much do You Hurt
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CL.C113850.FSS TESTCDFatigue Severity Scale Test Code
(FSS TESTCD)
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Extensible: No
C113850Fatigue Severity Scale Test CodeFatigue Severity Scale test code.CDISC Questionnaire Fatigue Severity Scale Test Code Terminology
FSS0101C113944FSS01-Motivation Is Lower When FatiguedFatigue Severity Scale - My motivation is lower when I am fatigued.FSS - Motivation is Lower When Fatigued
FSS0102C113945FSS01-Exercise Brings on My FatigueFatigue Severity Scale - Exercise brings on my fatigue.FSS - Exercise Brings on My Fatigue
FSS0103C113946FSS01-I Am Easily FatiguedFatigue Severity Scale - I am easily fatigued.FSS - I Am Easily Fatigued
FSS0104C113947FSS01-Interferes With Phys FunctionFatigue Severity Scale - Fatigue interferes with my physical functioning.FSS - Fatigue Interferes With Physical Functioning
FSS0105C113948FSS01-Fatigue Causes Frequent ProblemsFatigue Severity Scale - Fatigue causes frequent problems for me.FSS - Fatigue Causes Frequent Problems
FSS0106C113949FSS01-Prevents Sustained Phys FunctionFatigue Severity Scale - My fatigue prevents sustained physical functioning.FSS - Fatigue Prevents Sustained Physical Functioning
FSS0107C113950FSS01-Fatigue Interferes With DutiesFatigue Severity Scale - Fatigue interferes with carrying out certain duties and responsibilities.FSS - Fatigue Interferes With Carrying Out Duties
FSS0108C113951FSS01-Among My 3 Most Disabling SymptomsFatigue Severity Scale - Fatigue is among my three most disabling symptoms.FSS - Fatigue is Among Most Disabling Symptoms
FSS0109C113952FSS01-Fatigue Interferes With My LifeFatigue Severity Scale - Fatigue interferes with my work, family, or social life.FSS - Fatigue Interferes With Work
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CL.C113849.FSS TESTFatigue Severity Scale Test Name
(FSS TEST)
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C113849Fatigue Severity Scale Test NameFatigue Severity Scale test name.CDISC Questionnaire Fatigue Severity Scale Test Name Terminology
FSS01-Among My 3 Most Disabling SymptomsC113951FSS01-Among My 3 Most Disabling SymptomsFatigue Severity Scale - Fatigue is among my three most disabling symptoms.FSS - Fatigue is Among Most Disabling Symptoms
FSS01-Exercise Brings on My FatigueC113945FSS01-Exercise Brings on My FatigueFatigue Severity Scale - Exercise brings on my fatigue.FSS - Exercise Brings on My Fatigue
FSS01-Fatigue Causes Frequent ProblemsC113948FSS01-Fatigue Causes Frequent ProblemsFatigue Severity Scale - Fatigue causes frequent problems for me.FSS - Fatigue Causes Frequent Problems
FSS01-Fatigue Interferes With DutiesC113950FSS01-Fatigue Interferes With DutiesFatigue Severity Scale - Fatigue interferes with carrying out certain duties and responsibilities.FSS - Fatigue Interferes With Carrying Out Duties
FSS01-Fatigue Interferes With My LifeC113952FSS01-Fatigue Interferes With My LifeFatigue Severity Scale - Fatigue interferes with my work, family, or social life.FSS - Fatigue Interferes With Work
FSS01-I Am Easily FatiguedC113946FSS01-I Am Easily FatiguedFatigue Severity Scale - I am easily fatigued.FSS - I Am Easily Fatigued
FSS01-Interferes With Phys FunctionC113947FSS01-Interferes With Phys FunctionFatigue Severity Scale - Fatigue interferes with my physical functioning.FSS - Fatigue Interferes With Physical Functioning
FSS01-Motivation Is Lower When FatiguedC113944FSS01-Motivation Is Lower When FatiguedFatigue Severity Scale - My motivation is lower when I am fatigued.FSS - Motivation is Lower When Fatigued
FSS01-Prevents Sustained Phys FunctionC113949FSS01-Prevents Sustained Phys FunctionFatigue Severity Scale - My fatigue prevents sustained physical functioning.FSS - Fatigue Prevents Sustained Physical Functioning
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CL.C111344.FAQ TESTCDFunctional Activities Questionnaire Test Code
(FAQ TESTCD)
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C111344Functional Activities Questionnaire Test CodeFunctional Activities Questionnaire test code.CDISC Questionnaire FAQ Test Code Terminology
FAQ0101C111499FAQ01-Write Checks/Pay Bills/CheckbookFunctional Activities Questionnaire - Writing checks, paying bills, balancing checkbook.FAQ - Write checks, Pay bills, Balance checkbook
FAQ0102C111500FAQ01-AssemblingFunctional Activities Questionnaire - Assembling tax records, business affairs, or papers.FAQ - Assemble
FAQ0103C111501FAQ01-Shopping AloneFunctional Activities Questionnaire - Shopping alone for clothes, household necessities, or groceries.FAQ - Shop Alone
FAQ0104C111502FAQ01-Playing a Game of SkillFunctional Activities Questionnaire - Playing a game of skill, working on a hobby.FAQ - Play Game of Skill, Work on Hobby
FAQ0105C111503FAQ01-Heat Water/Make Coffee/Stove OffFunctional Activities Questionnaire - Heating water, making a cup of coffee, turning off stove after use.FAQ - Heat water, Make Coffee, Turn Off Stove
FAQ0106C111504FAQ01-Preparing a Balanced MealFunctional Activities Questionnaire - Preparing a balanced meal.FAQ - Prepare a Meal
FAQ0107C111505FAQ01-Keeping Track of Current EventsFunctional Activities Questionnaire - Keeping track of current events.FAQ - Keep Track of Current Events
FAQ0108C111506FAQ01-Paying AttentionFunctional Activities Questionnaire - Paying attention to, understanding, discussing TV, book, magazine.FAQ - Pay Attention, Understand, Discuss
FAQ0109C111507FAQ01-RememberingFunctional Activities Questionnaire - Remembering appointments, family occasions, holidays, medications.FAQ - Remember
FAQ0110C111508FAQ01-TravelingFunctional Activities Questionnaire - Traveling out of neighborhood, driving, arranging to take buses.FAQ - Travel
FAQ0111C111509FAQ01-Total ScoreFunctional Activities Questionnaire - Total Score.FAQ - Total Score
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CL.C111343.FAQ TESTFunctional Activities Questionnaire Test Name
(FAQ TEST)
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C111343Functional Activities Questionnaire Test NameFunctional Activities Questionnaire test name.CDISC Questionnaire FAQ Test Name Terminology
FAQ01-AssemblingC111500FAQ01-AssemblingFunctional Activities Questionnaire - Assembling tax records, business affairs, or papers.FAQ - Assemble
FAQ01-Heat Water/Make Coffee/Stove OffC111503FAQ01-Heat Water/Make Coffee/Stove OffFunctional Activities Questionnaire - Heating water, making a cup of coffee, turning off stove after use.FAQ - Heat water, Make Coffee, Turn Off Stove
FAQ01-Keeping Track of Current EventsC111505FAQ01-Keeping Track of Current EventsFunctional Activities Questionnaire - Keeping track of current events.FAQ - Keep Track of Current Events
FAQ01-Paying AttentionC111506FAQ01-Paying AttentionFunctional Activities Questionnaire - Paying attention to, understanding, discussing TV, book, magazine.FAQ - Pay Attention, Understand, Discuss
FAQ01-Playing a Game of SkillC111502FAQ01-Playing a Game of SkillFunctional Activities Questionnaire - Playing a game of skill, working on a hobby.FAQ - Play Game of Skill, Work on Hobby
FAQ01-Preparing a Balanced MealC111504FAQ01-Preparing a Balanced MealFunctional Activities Questionnaire - Preparing a balanced meal.FAQ - Prepare a Meal
FAQ01-RememberingC111507FAQ01-RememberingFunctional Activities Questionnaire - Remembering appointments, family occasions, holidays, medications.FAQ - Remember
FAQ01-Shopping AloneC111501FAQ01-Shopping AloneFunctional Activities Questionnaire - Shopping alone for clothes, household necessities, or groceries.FAQ - Shop Alone
FAQ01-Total ScoreC111509FAQ01-Total ScoreFunctional Activities Questionnaire - Total Score.FAQ - Total Score
FAQ01-TravelingC111508FAQ01-TravelingFunctional Activities Questionnaire - Traveling out of neighborhood, driving, arranging to take buses.FAQ - Travel
FAQ01-Write Checks/Pay Bills/CheckbookC111499FAQ01-Write Checks/Pay Bills/CheckbookFunctional Activities Questionnaire - Writing checks, paying bills, balancing checkbook.FAQ - Write checks, Pay bills, Balance checkbook
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CL.C111346.FAQ-NACC Version TESTCDFunctional Activities Questionnaire-NACC Version Test Code
(FAQ-NACC Version TESTCD)
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C111346Functional Activities Questionnaire-NACC Version Test CodeFunctional Activities Questionnaire-NACC Version test code.CDISC Questionnaire FAQ-NACC Version Test Code Terminology
FAQ0201C111510FAQ02-Write Checks/Pay Bills/CheckbookFunctional Activities Questionnaire-NACC - Writing checks, paying bills, or balancing a checkbook.FAQ-NACC Version - Write checks, Pay bills, Balance checkbook
FAQ0202C111511FAQ02-AssemblingFunctional Activities Questionnaire-NACC - Assembling tax records, business affairs, or other papers.FAQ-NACC Version - Assemble
FAQ0203C111512FAQ02-Shopping AloneFunctional Activities Questionnaire-NACC - Shopping alone for clothes, household necessities, or groceries.FAQ-NACC Version - Shop Alone
FAQ0204C111513FAQ02-Playing a Game of SkillFunctional Activities Questionnaire-NACC - Playing a game of skill such as bridge or chess, working on a hobby.FAQ-NACC Version - Play Game of Skill, Work on Hobby
FAQ0205C111514FAQ02-Heat Water/Make Coffee/Stove OffFunctional Activities Questionnaire-NACC - Heating water, making a cup of coffee, turning off the stove.FAQ-NACC Version - Heat water, Make Coffee, Turn Off Stove
FAQ0206C111515FAQ02-Preparing a Balanced MealFunctional Activities Questionnaire-NACC - Preparing a balanced meal.FAQ-NACC Version - Prepare a Meal
FAQ0207C111516FAQ02-Keeping Track of Current EventsFunctional Activities Questionnaire-NACC - Keeping track of current events.FAQ-NACC Version - Keep Track of Current Events
FAQ0208C111517FAQ02-Paying AttentionFunctional Activities Questionnaire-NACC - Paying attention to and understanding a TV program, book, or magazine.FAQ-NACC Version - Pay Attention, Understand, Discuss
FAQ0209C111518FAQ02-RememberingFunctional Activities Questionnaire-NACC - Remembering appointments, family occasions, holidays, medications.FAQ-NACC Version - Remember
FAQ0210C111519FAQ02-TravelingFunctional Activities Questionnaire-NACC - Traveling out of the neighborhood, driving, or arranging to take public transportation.FAQ-NACC Version - Travel
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CL.C111345.FAQ-NACC Version TESTFunctional Activities Questionnaire-NACC Version Test Name
(FAQ-NACC Version TEST)
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C111345Functional Activities Questionnaire-NACC Version Test NameFunctional Activities Questionnaire-NACC Version test name.CDISC Questionnaire FAQ-NACC Version Test Name Terminology
FAQ02-AssemblingC111511FAQ02-AssemblingFunctional Activities Questionnaire-NACC - Assembling tax records, business affairs, or other papers.FAQ-NACC Version - Assemble
FAQ02-Heat Water/Make Coffee/Stove OffC111514FAQ02-Heat Water/Make Coffee/Stove OffFunctional Activities Questionnaire-NACC - Heating water, making a cup of coffee, turning off the stove.FAQ-NACC Version - Heat water, Make Coffee, Turn Off Stove
FAQ02-Keeping Track of Current EventsC111516FAQ02-Keeping Track of Current EventsFunctional Activities Questionnaire-NACC - Keeping track of current events.FAQ-NACC Version - Keep Track of Current Events
FAQ02-Paying AttentionC111517FAQ02-Paying AttentionFunctional Activities Questionnaire-NACC - Paying attention to and understanding a TV program, book, or magazine.FAQ-NACC Version - Pay Attention, Understand, Discuss
FAQ02-Playing a Game of SkillC111513FAQ02-Playing a Game of SkillFunctional Activities Questionnaire-NACC - Playing a game of skill such as bridge or chess, working on a hobby.FAQ-NACC Version - Play Game of Skill, Work on Hobby
FAQ02-Preparing a Balanced MealC111515FAQ02-Preparing a Balanced MealFunctional Activities Questionnaire-NACC - Preparing a balanced meal.FAQ-NACC Version - Prepare a Meal
FAQ02-RememberingC111518FAQ02-RememberingFunctional Activities Questionnaire-NACC - Remembering appointments, family occasions, holidays, medications.FAQ-NACC Version - Remember
FAQ02-Shopping AloneC111512FAQ02-Shopping AloneFunctional Activities Questionnaire-NACC - Shopping alone for clothes, household necessities, or groceries.FAQ-NACC Version - Shop Alone
FAQ02-TravelingC111519FAQ02-TravelingFunctional Activities Questionnaire-NACC - Traveling out of the neighborhood, driving, or arranging to take public transportation.FAQ-NACC Version - Travel
FAQ02-Write Checks/Pay Bills/CheckbookC111510FAQ02-Write Checks/Pay Bills/CheckbookFunctional Activities Questionnaire-NACC - Writing checks, paying bills, or balancing a checkbook.FAQ-NACC Version - Write checks, Pay bills, Balance checkbook
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CL.C112441.FAMS TESTCDFunctional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Code
(FAMS TESTCD)
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C112441Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test CodeFunctional Assessment of Multiple Sclerosis Version 4 test code.CDISC Questionnaire FAMS Test Code Terminology
FAMS0101C112551FAMS01-Trouble Meeting Needs of FamilyFunctional Assessment of Multiple Sclerosis - Mobility: Because of my physical condition, I have trouble meeting the needs of my family.FAMS - Have Trouble Meeting Needs of Family Because of My Condition
FAMS0102C112552FAMS01-I Am Able to WorkFunctional Assessment of Multiple Sclerosis - Mobility: I am able to work (include work at home).FAMS - I Am Able to Work
FAMS0103C112553FAMS01-I Have Trouble WalkingFunctional Assessment of Multiple Sclerosis - Mobility: I have trouble walking.FAMS - I Have Trouble Walking
FAMS0104C112554FAMS01-Limit My Social ActivityFunctional Assessment of Multiple Sclerosis - Mobility: I have to limit my social activity because of my condition.FAMS - Limit Social Activity Because of Condition
FAMS0105C112555FAMS01-I Have Strength in My LegsFunctional Assessment of Multiple Sclerosis - Mobility: I have strength in my legs.FAMS - I Have Strength in My Legs
FAMS0106C112556FAMS01-Trouble Getting Around in PublicFunctional Assessment of Multiple Sclerosis - Mobility: I have trouble getting around in public places.FAMS - Trouble Getting Around in Public Places
FAMS0107C112557FAMS01-Take My Condition Into AccountFunctional Assessment of Multiple Sclerosis - Mobility: I have to take my condition into account when making plans.FAMS - Have to Take Condition Into Account When Making Plans
FAMS0108C112558FAMS01-I Have NauseaFunctional Assessment of Multiple Sclerosis - Symptoms: I have nausea.FAMS - I Have Nausea
FAMS0109C112559FAMS01-I Have PainFunctional Assessment of Multiple Sclerosis - Symptoms: I have pain.FAMS - I Have Pain
FAMS0110C112560FAMS01-I Feel IllFunctional Assessment of Multiple Sclerosis - Symptoms: I feel ill.FAMS - I Feel Ill
FAMS0111C112561FAMS01-I Feel Weak All OverFunctional Assessment of Multiple Sclerosis - Symptoms: I feel weak all over.FAMS - I Feel Weak All Over
FAMS0112C112562FAMS01-I Have Pain in My JointsFunctional Assessment of Multiple Sclerosis - Symptoms: I have pain in my joints.FAMS - I Have Pain in My Joints
FAMS0113C112563FAMS01-I Am Bothered by HeadachesFunctional Assessment of Multiple Sclerosis - Symptoms: I am bothered by headaches.FAMS - Bothered by Headaches
FAMS0114C112564FAMS01-I Am Bothered by Muscle PainsFunctional Assessment of Multiple Sclerosis - Symptoms: I am bothered by muscle pains.FAMS - Bothered by Muscle Pains
FAMS0115C112565FAMS01-I Feel SadFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel sad.FAMS - I Feel Sad
FAMS0116C112566FAMS01-Losing Hope Against IllnessFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I am losing hope in the fight against my illness.FAMS - Losing Hope in Fight Against My Illness
FAMS0117C112567FAMS01-I Am Able to Enjoy LifeFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I am able to enjoy life.FAMS - I Am Able to Enjoy Life
FAMS0118C112568FAMS01-I Feel Trapped by My ConditionFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel trapped by my condition.FAMS - Feel Trapped by My Condition
FAMS0119C112569FAMS01-I Am Depressed About My ConditionFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I am depressed about my condition.FAMS - Depressed About My Condition
FAMS0120C112570FAMS01-I Feel UselessFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel useless.FAMS - I Feel Useless
FAMS0121C112571FAMS01-Feel Overwhelmed by My ConditionFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel overwhelmed by my condition.FAMS - Feel Overwhelmed by My Condition
FAMS0122C112572FAMS01-My Work Is FulfillingFunctional Assessment of Multiple Sclerosis - General Contentment: My work (include work at home) is fulfilling.FAMS - My Work is Fulfilling
FAMS0123C112573FAMS01-I Have Accepted My IllnessFunctional Assessment of Multiple Sclerosis - General Contentment: I have accepted my illness.FAMS - I Have Accepted My Illness
FAMS0124C112574FAMS01-Enjoy Things I Usually Do for FunFunctional Assessment of Multiple Sclerosis - General Contentment: I am enjoying the things I usually do for fun.FAMS - Enjoying Things I Usually Do for Fun
FAMS0125C112575FAMS01-Content With Quality of My LifeFunctional Assessment of Multiple Sclerosis - General Contentment: I am content with the quality of my life right now.FAMS - Content With Quality of My Life Now
FAMS0126C112576FAMS01-I Am Frustrated by My ConditionFunctional Assessment of Multiple Sclerosis - General Contentment: I am frustrated by my condition.FAMS - I Am Frustrated by My Condition
FAMS0127C112577FAMS01-Feel Sense of Purpose in My LifeFunctional Assessment of Multiple Sclerosis - General Contentment: I feel a sense of purpose in my life.FAMS - Feel Sense of Purpose in My Life
FAMS0128C112578FAMS01-I Feel Motivated to Do ThingsFunctional Assessment of Multiple Sclerosis - General Contentment: I feel motivated to do things.FAMS - Feel Motivated to Do Things
FAMS0129C112579FAMS01-I Have a Lack of EnergyFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have a lack of energy.FAMS - Have a Lack of Energy
FAMS0130C112580FAMS01-I Feel TiredFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I feel tired.FAMS - I Feel Tired
FAMS0131C112581FAMS01-Trouble Starting ThingsFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble starting things because I am tired.FAMS - Trouble Starting Things Because I Am Tired
FAMS0132C112582FAMS01-Trouble Finishing ThingsFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble finishing things because I am tired.FAMS - Trouble Finishing Things Because I Am Tired
FAMS0133C112583FAMS01-I Need to Rest During the DayFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I need to rest during the day.FAMS - Need to Rest During the Day
FAMS0134C112584FAMS01-I Have Trouble Remembering ThingsFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble remembering things.FAMS - Trouble Remembering Things
FAMS0135C112585FAMS01-I Have Trouble ConcentratingFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble concentrating.FAMS - Trouble Concentrating
FAMS0136C112586FAMS01-My Thinking Is Slower Than BeforeFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: My thinking is slower than before.FAMS - My Thinking is Slower Than Before
FAMS0137C112587FAMS01-I Have Trouble Learning New TasksFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble learning new tasks or directions.FAMS - Trouble Learning New Tasks or Directions
FAMS0138C112588FAMS01-I Feel Close to My FriendsFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel close to my friends.FAMS - Feel Close to My Friends
FAMS0139C112589FAMS01-Get Emotional Support From FamilyFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get emotional support from my family.FAMS - Get Emotional Support From Family
FAMS0140C112590FAMS01-I Get Support From My FriendsFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get support from my friends.FAMS - Get Support From Friends
FAMS0141C112591FAMS01-My Family Has Accepted My IllnessFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: My family has accepted my illness.FAMS - Family Has Accepted My Illness
FAMS0142C112592FAMS01-Satisfied Communication IllnessFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I am satisfied with family communication about my illness.FAMS - Satisfied With Family Communication About My Illness
FAMS0143C112593FAMS01-Trouble Understanding WorseningFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: My family has trouble understanding when my condition gets worse.FAMS - Family Has Trouble Understanding When My Condition Gets Worse
FAMS0144C112594FAMS01-I Feel Left Out of ThingsFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel 'left out' of things.FAMS - Feel Left Out of Things
FAMS0145C112595FAMS01-Bothered by Treatment Side EffectFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by side effects of treatment.FAMS - Bothered by Side Effects of Treatment
FAMS0146C112596FAMS01-I Am Forced to Spend Time in BedFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am forced to spend time in bed.FAMS - Forced to Spend Time in Bed
FAMS0147C112597FAMS01-I Feel Close to My PartnerFunctional Assessment of Multiple Sclerosis - Additional Concerns: I feel close to my partner (or the person who is my main support).FAMS - Feel Close to My Partner
FAMS0148C112598FAMS01-I Am Satisfied With My Sex LifeFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with my sex life.FAMS - Satisfied With My Sex Life
FAMS0149C112599FAMS01-Satisfied With How I Am CopingFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with how I am coping with my illness.FAMS - Satisfied With How I Am Coping With Illness
FAMS0150C112600FAMS01-I Feel NervousFunctional Assessment of Multiple Sclerosis - Additional Concerns: I feel nervous.FAMS - I Feel Nervous
FAMS0151C112601FAMS01-Worry My Condition Will Get WorseFunctional Assessment of Multiple Sclerosis - Additional Concerns: I worry that my condition will get worse.FAMS - Worry My Condition Will Get Worse
FAMS0152C112602FAMS01-I Am Sleeping WellFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am sleeping well.FAMS - I Am Sleeping Well
FAMS0153C112603FAMS01-Heat Worsens My SymptomsFunctional Assessment of Multiple Sclerosis - Additional Concerns: Heat worsens my symptoms.FAMS - Heat Worsens My Symptoms
FAMS0154C112604FAMS01-Have Trouble Controlling My UrineFunctional Assessment of Multiple Sclerosis - Additional Concerns: I have trouble controlling my urine.FAMS - Trouble Controlling My Urine
FAMS0155C112605FAMS01-I Urinate More FrequentlyFunctional Assessment of Multiple Sclerosis - Additional Concerns: I urinate more frequently than usual.FAMS - Urinate More Frequently Than Usual
FAMS0156C112606FAMS01-I Am Bothered by the ChillsFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by the chills.FAMS - Bothered by Chills
FAMS0157C112607FAMS01-I Am Bothered by FeversFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by fevers (episodes of high body temperature).FAMS - Bothered by Fevers
FAMS0158C112608FAMS01-I Am Bothered by Muscle SpasmsFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by muscle spasms.FAMS - Bothered by Muscle Spasms
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CL.C112440.FAMS TESTFunctional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Name
(FAMS TEST)
text
Extensible: No
C112440Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test NameFunctional Assessment of Multiple Sclerosis Version 4 test name.CDISC Questionnaire FAMS Test Name Terminology
FAMS01-Bothered by Treatment Side EffectC112595FAMS01-Bothered by Treatment Side EffectFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by side effects of treatment.FAMS - Bothered by Side Effects of Treatment
FAMS01-Content With Quality of My LifeC112575FAMS01-Content With Quality of My LifeFunctional Assessment of Multiple Sclerosis - General Contentment: I am content with the quality of my life right now.FAMS - Content With Quality of My Life Now
FAMS01-Enjoy Things I Usually Do for FunC112574FAMS01-Enjoy Things I Usually Do for FunFunctional Assessment of Multiple Sclerosis - General Contentment: I am enjoying the things I usually do for fun.FAMS - Enjoying Things I Usually Do for Fun
FAMS01-Feel Overwhelmed by My ConditionC112571FAMS01-Feel Overwhelmed by My ConditionFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel overwhelmed by my condition.FAMS - Feel Overwhelmed by My Condition
FAMS01-Feel Sense of Purpose in My LifeC112577FAMS01-Feel Sense of Purpose in My LifeFunctional Assessment of Multiple Sclerosis - General Contentment: I feel a sense of purpose in my life.FAMS - Feel Sense of Purpose in My Life
FAMS01-Get Emotional Support From FamilyC112589FAMS01-Get Emotional Support From FamilyFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get emotional support from my family.FAMS - Get Emotional Support From Family
FAMS01-Have Trouble Controlling My UrineC112604FAMS01-Have Trouble Controlling My UrineFunctional Assessment of Multiple Sclerosis - Additional Concerns: I have trouble controlling my urine.FAMS - Trouble Controlling My Urine
FAMS01-Heat Worsens My SymptomsC112603FAMS01-Heat Worsens My SymptomsFunctional Assessment of Multiple Sclerosis - Additional Concerns: Heat worsens my symptoms.FAMS - Heat Worsens My Symptoms
FAMS01-I Am Able to Enjoy LifeC112567FAMS01-I Am Able to Enjoy LifeFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I am able to enjoy life.FAMS - I Am Able to Enjoy Life
FAMS01-I Am Able to WorkC112552FAMS01-I Am Able to WorkFunctional Assessment of Multiple Sclerosis - Mobility: I am able to work (include work at home).FAMS - I Am Able to Work
FAMS01-I Am Bothered by FeversC112607FAMS01-I Am Bothered by FeversFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by fevers (episodes of high body temperature).FAMS - Bothered by Fevers
FAMS01-I Am Bothered by HeadachesC112563FAMS01-I Am Bothered by HeadachesFunctional Assessment of Multiple Sclerosis - Symptoms: I am bothered by headaches.FAMS - Bothered by Headaches
FAMS01-I Am Bothered by Muscle PainsC112564FAMS01-I Am Bothered by Muscle PainsFunctional Assessment of Multiple Sclerosis - Symptoms: I am bothered by muscle pains.FAMS - Bothered by Muscle Pains
FAMS01-I Am Bothered by Muscle SpasmsC112608FAMS01-I Am Bothered by Muscle SpasmsFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by muscle spasms.FAMS - Bothered by Muscle Spasms
FAMS01-I Am Bothered by the ChillsC112606FAMS01-I Am Bothered by the ChillsFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by the chills.FAMS - Bothered by Chills
FAMS01-I Am Depressed About My ConditionC112569FAMS01-I Am Depressed About My ConditionFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I am depressed about my condition.FAMS - Depressed About My Condition
FAMS01-I Am Forced to Spend Time in BedC112596FAMS01-I Am Forced to Spend Time in BedFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am forced to spend time in bed.FAMS - Forced to Spend Time in Bed
FAMS01-I Am Frustrated by My ConditionC112576FAMS01-I Am Frustrated by My ConditionFunctional Assessment of Multiple Sclerosis - General Contentment: I am frustrated by my condition.FAMS - I Am Frustrated by My Condition
FAMS01-I Am Satisfied With My Sex LifeC112598FAMS01-I Am Satisfied With My Sex LifeFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with my sex life.FAMS - Satisfied With My Sex Life
FAMS01-I Am Sleeping WellC112602FAMS01-I Am Sleeping WellFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am sleeping well.FAMS - I Am Sleeping Well
FAMS01-I Feel Close to My FriendsC112588FAMS01-I Feel Close to My FriendsFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel close to my friends.FAMS - Feel Close to My Friends
FAMS01-I Feel Close to My PartnerC112597FAMS01-I Feel Close to My PartnerFunctional Assessment of Multiple Sclerosis - Additional Concerns: I feel close to my partner (or the person who is my main support).FAMS - Feel Close to My Partner
FAMS01-I Feel IllC112560FAMS01-I Feel IllFunctional Assessment of Multiple Sclerosis - Symptoms: I feel ill.FAMS - I Feel Ill
FAMS01-I Feel Left Out of ThingsC112594FAMS01-I Feel Left Out of ThingsFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel 'left out' of things.FAMS - Feel Left Out of Things
FAMS01-I Feel Motivated to Do ThingsC112578FAMS01-I Feel Motivated to Do ThingsFunctional Assessment of Multiple Sclerosis - General Contentment: I feel motivated to do things.FAMS - Feel Motivated to Do Things
FAMS01-I Feel NervousC112600FAMS01-I Feel NervousFunctional Assessment of Multiple Sclerosis - Additional Concerns: I feel nervous.FAMS - I Feel Nervous
FAMS01-I Feel SadC112565FAMS01-I Feel SadFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel sad.FAMS - I Feel Sad
FAMS01-I Feel TiredC112580FAMS01-I Feel TiredFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I feel tired.FAMS - I Feel Tired
FAMS01-I Feel Trapped by My ConditionC112568FAMS01-I Feel Trapped by My ConditionFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel trapped by my condition.FAMS - Feel Trapped by My Condition
FAMS01-I Feel UselessC112570FAMS01-I Feel UselessFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel useless.FAMS - I Feel Useless
FAMS01-I Feel Weak All OverC112561FAMS01-I Feel Weak All OverFunctional Assessment of Multiple Sclerosis - Symptoms: I feel weak all over.FAMS - I Feel Weak All Over
FAMS01-I Get Support From My FriendsC112590FAMS01-I Get Support From My FriendsFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get support from my friends.FAMS - Get Support From Friends
FAMS01-I Have a Lack of EnergyC112579FAMS01-I Have a Lack of EnergyFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have a lack of energy.FAMS - Have a Lack of Energy
FAMS01-I Have Accepted My IllnessC112573FAMS01-I Have Accepted My IllnessFunctional Assessment of Multiple Sclerosis - General Contentment: I have accepted my illness.FAMS - I Have Accepted My Illness
FAMS01-I Have NauseaC112558FAMS01-I Have NauseaFunctional Assessment of Multiple Sclerosis - Symptoms: I have nausea.FAMS - I Have Nausea
FAMS01-I Have PainC112559FAMS01-I Have PainFunctional Assessment of Multiple Sclerosis - Symptoms: I have pain.FAMS - I Have Pain
FAMS01-I Have Pain in My JointsC112562FAMS01-I Have Pain in My JointsFunctional Assessment of Multiple Sclerosis - Symptoms: I have pain in my joints.FAMS - I Have Pain in My Joints
FAMS01-I Have Strength in My LegsC112555FAMS01-I Have Strength in My LegsFunctional Assessment of Multiple Sclerosis - Mobility: I have strength in my legs.FAMS - I Have Strength in My Legs
FAMS01-I Have Trouble ConcentratingC112585FAMS01-I Have Trouble ConcentratingFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble concentrating.FAMS - Trouble Concentrating
FAMS01-I Have Trouble Learning New TasksC112587FAMS01-I Have Trouble Learning New TasksFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble learning new tasks or directions.FAMS - Trouble Learning New Tasks or Directions
FAMS01-I Have Trouble Remembering ThingsC112584FAMS01-I Have Trouble Remembering ThingsFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble remembering things.FAMS - Trouble Remembering Things
FAMS01-I Have Trouble WalkingC112553FAMS01-I Have Trouble WalkingFunctional Assessment of Multiple Sclerosis - Mobility: I have trouble walking.FAMS - I Have Trouble Walking
FAMS01-I Need to Rest During the DayC112583FAMS01-I Need to Rest During the DayFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I need to rest during the day.FAMS - Need to Rest During the Day
FAMS01-I Urinate More FrequentlyC112605FAMS01-I Urinate More FrequentlyFunctional Assessment of Multiple Sclerosis - Additional Concerns: I urinate more frequently than usual.FAMS - Urinate More Frequently Than Usual
FAMS01-Limit My Social ActivityC112554FAMS01-Limit My Social ActivityFunctional Assessment of Multiple Sclerosis - Mobility: I have to limit my social activity because of my condition.FAMS - Limit Social Activity Because of Condition
FAMS01-Losing Hope Against IllnessC112566FAMS01-Losing Hope Against IllnessFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I am losing hope in the fight against my illness.FAMS - Losing Hope in Fight Against My Illness
FAMS01-My Family Has Accepted My IllnessC112591FAMS01-My Family Has Accepted My IllnessFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: My family has accepted my illness.FAMS - Family Has Accepted My Illness
FAMS01-My Thinking Is Slower Than BeforeC112586FAMS01-My Thinking Is Slower Than BeforeFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: My thinking is slower than before.FAMS - My Thinking is Slower Than Before
FAMS01-My Work Is FulfillingC112572FAMS01-My Work Is FulfillingFunctional Assessment of Multiple Sclerosis - General Contentment: My work (include work at home) is fulfilling.FAMS - My Work is Fulfilling
FAMS01-Satisfied Communication IllnessC112592FAMS01-Satisfied Communication IllnessFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I am satisfied with family communication about my illness.FAMS - Satisfied With Family Communication About My Illness
FAMS01-Satisfied With How I Am CopingC112599FAMS01-Satisfied With How I Am CopingFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with how I am coping with my illness.FAMS - Satisfied With How I Am Coping With Illness
FAMS01-Take My Condition Into AccountC112557FAMS01-Take My Condition Into AccountFunctional Assessment of Multiple Sclerosis - Mobility: I have to take my condition into account when making plans.FAMS - Have to Take Condition Into Account When Making Plans
FAMS01-Trouble Finishing ThingsC112582FAMS01-Trouble Finishing ThingsFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble finishing things because I am tired.FAMS - Trouble Finishing Things Because I Am Tired
FAMS01-Trouble Getting Around in PublicC112556FAMS01-Trouble Getting Around in PublicFunctional Assessment of Multiple Sclerosis - Mobility: I have trouble getting around in public places.FAMS - Trouble Getting Around in Public Places
FAMS01-Trouble Meeting Needs of FamilyC112551FAMS01-Trouble Meeting Needs of FamilyFunctional Assessment of Multiple Sclerosis - Mobility: Because of my physical condition, I have trouble meeting the needs of my family.FAMS - Have Trouble Meeting Needs of Family Because of My Condition
FAMS01-Trouble Starting ThingsC112581FAMS01-Trouble Starting ThingsFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble starting things because I am tired.FAMS - Trouble Starting Things Because I Am Tired
FAMS01-Trouble Understanding WorseningC112593FAMS01-Trouble Understanding WorseningFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: My family has trouble understanding when my condition gets worse.FAMS - Family Has Trouble Understanding When My Condition Gets Worse
FAMS01-Worry My Condition Will Get WorseC112601FAMS01-Worry My Condition Will Get WorseFunctional Assessment of Multiple Sclerosis - Additional Concerns: I worry that my condition will get worse.FAMS - Worry My Condition Will Get Worse
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CL.C105138.GCGI TESTCDGeneral Clinical Global Impressions Questionnaire Test Code
(GCGI TESTCD)
text
Extensible: No
C105138General Clinical Global Impressions Questionnaire Test CodeGeneral Clinical Global Impressions test code.CDISC Questionnaire GCGI v1 Test Code Terminology
GCGI0101C105278GCGI01-Global Severity of PainGeneral Clinical Global Impressions - Global severity of pain.GCGI - Global Severity of Pain
GCGI0102C105279GCGI01-Global Improvement of PainGeneral Clinical Global Impressions - Global improvement of pain.GCGI - Global Improvement of Pain
GCGI0103C105280GCGI01-Global Disease Status of PainGeneral Clinical Global Impressions - Global disease status of pain.GCGI - Global Disease Status of Pain
GCGI0104C105281GCGI01-Pain Treatment PreferenceGeneral Clinical Global Impressions - Pain treatment preference.GCGI - Pain Treatment Preference
GCGI0105C105282GCGI01-Global Rating of Pain MediationGeneral Clinical Global Impressions - Global rating of pain medication.GCGI - Global Rating of Pain Medication
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CL.C105137.GCGI TESTGeneral Clinical Global Impressions Questionnaire Test Name
(GCGI TEST)
text
Extensible: No
C105137General Clinical Global Impressions Questionnaire Test NameGeneral Clinical Global Impressions test name.CDISC Questionnaire GCGI v1 Test Name Terminology
GCGI01-Global Disease Status of PainC105280GCGI01-Global Disease Status of PainGeneral Clinical Global Impressions - Global disease status of pain.GCGI - Global Disease Status of Pain
GCGI01-Global Improvement of PainC105279GCGI01-Global Improvement of PainGeneral Clinical Global Impressions - Global improvement of pain.GCGI - Global Improvement of Pain
GCGI01-Global Rating of Pain MediationC105282GCGI01-Global Rating of Pain MediationGeneral Clinical Global Impressions - Global rating of pain medication.GCGI - Global Rating of Pain Medication
GCGI01-Global Severity of PainC105278GCGI01-Global Severity of PainGeneral Clinical Global Impressions - Global severity of pain.GCGI - Global Severity of Pain
GCGI01-Pain Treatment PreferenceC105281GCGI01-Pain Treatment PreferenceGeneral Clinical Global Impressions - Pain treatment preference.GCGI - Pain Treatment Preference
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CL.C103467.GAD-7 TESTCDGeneralized Anxiety Disorder - 7 Questionnaire Test Code
(GAD-7 TESTCD)
text
Extensible: No
C103467Generalized Anxiety Disorder - 7 Questionnaire Test CodeGeneralized Anxiety Disorder - 7 test code.CDISC Questionnaire GAD-7 Test Code Terminology
GAD0101C103565GAD01-Feeling Nervous Anxious or On EdgeGeneralized Anxiety Disorder - 7 - Feeling nervous, anxious or on edge.GAD-7 - Feeling Nervous Anxious or On Edge
GAD0102C103566GAD01-Not Able to Stop/Control WorryingGeneralized Anxiety Disorder - 7 - Not being able to stop or control worrying.GAD-7 - Not Being Able to Stop or Control Worrying
GAD0103C103567GAD01-Worrying Too Much About ThingsGeneralized Anxiety Disorder - 7 - Worrying too much about different things.GAD-7 - Worrying Too Much About Different Things
GAD0104C103568GAD01-Trouble RelaxingGeneralized Anxiety Disorder - 7 - Trouble relaxing.GAD-7 - Trouble Relaxing
GAD0105C103569GAD01-Being Restless Hard to Sit StillGeneralized Anxiety Disorder - 7 - Being so restless that it is hard to sit still.GAD-7 - Being so Restless That it is Hard to Sit Still
GAD0106C103570GAD01-Becoming Easily Annoyed/IrritableGeneralized Anxiety Disorder - 7 - Becoming easily annoyed or irritable.GAD-7 - Becoming Easily Annoyed or Irritable
GAD0107C103571GAD01-Feel Afraid/Something Awful HappenGeneralized Anxiety Disorder - 7 - Feeling afraid as if something awful might happen.GAD-7 - Feel Afraid as if Something Awful Might Happen
GAD0108C103572GAD01-Difficult to Work/Take Care ThingsGeneralized Anxiety Disorder - 7 - If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?GAD-7 - Problems Made it Difficult to Work, Take Care of Things, or Get Along with Other People
GAD0109C113886GAD01-Total ScoreGeneralized Anxiety Disorder - 7 - Total score.GAD-7 - Total Score
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CL.C103466.GAD-7 TESTGeneralized Anxiety Disorder - 7 Questionnaire Test Name
(GAD-7 TEST)
text
Extensible: No
C103466Generalized Anxiety Disorder - 7 Questionnaire Test NameGeneralized Anxiety Disorder - 7 test name.CDISC Questionnaire GAD-7 Test Name Terminology
GAD01-Becoming Easily Annoyed/IrritableC103570GAD01-Becoming Easily Annoyed/IrritableGeneralized Anxiety Disorder - 7 - Becoming easily annoyed or irritable.GAD-7 - Becoming Easily Annoyed or Irritable
GAD01-Being Restless Hard to Sit StillC103569GAD01-Being Restless Hard to Sit StillGeneralized Anxiety Disorder - 7 - Being so restless that it is hard to sit still.GAD-7 - Being so Restless That it is Hard to Sit Still
GAD01-Difficult to Work/Take Care ThingsC103572GAD01-Difficult to Work/Take Care ThingsGeneralized Anxiety Disorder - 7 - If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?GAD-7 - Problems Made it Difficult to Work, Take Care of Things, or Get Along with Other People
GAD01-Feel Afraid/Something Awful HappenC103571GAD01-Feel Afraid/Something Awful HappenGeneralized Anxiety Disorder - 7 - Feeling afraid as if something awful might happen.GAD-7 - Feel Afraid as if Something Awful Might Happen
GAD01-Feeling Nervous Anxious or On EdgeC103565GAD01-Feeling Nervous Anxious or On EdgeGeneralized Anxiety Disorder - 7 - Feeling nervous, anxious or on edge.GAD-7 - Feeling Nervous Anxious or On Edge
GAD01-Not Able to Stop/Control WorryingC103566GAD01-Not Able to Stop/Control WorryingGeneralized Anxiety Disorder - 7 - Not being able to stop or control worrying.GAD-7 - Not Being Able to Stop or Control Worrying
GAD01-Total ScoreC113886GAD01-Total ScoreGeneralized Anxiety Disorder - 7 - Total score.GAD-7 - Total Score
GAD01-Trouble RelaxingC103568GAD01-Trouble RelaxingGeneralized Anxiety Disorder - 7 - Trouble relaxing.GAD-7 - Trouble Relaxing
GAD01-Worrying Too Much About ThingsC103567GAD01-Worrying Too Much About ThingsGeneralized Anxiety Disorder - 7 - Worrying too much about different things.GAD-7 - Worrying Too Much About Different Things
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CL.C106663.GDS TESTCDGeriatric Depression Scale Questionnaire Test Code
(GDS TESTCD)
text
Extensible: No
C106663Geriatric Depression Scale Questionnaire Test CodeGeriatric Depression Scale test code.CDISC Questionnaire GDS Test Code Terminology
GDS0101C106764GDS01-Satisfied With LifeGeriatric Depression Scale - Are you basically satisfied with your life?GDS - Basically Satisfied With Life
GDS0102C106765GDS01-Dropped Activities and InterestsGeriatric Depression Scale - Have you dropped many of your activities and interests?GDS - Dropped Activities and Interests
GDS0103C106766GDS01-Life Is EmptyGeriatric Depression Scale - Do you feel that your life is empty?GDS - Feel Life Is Empty
GDS0104C106767GDS01-Bored OftenGeriatric Depression Scale - Do you often get bored?GDS - Often Get Bored
GDS0105C106768GDS01-Hopeful About FutureGeriatric Depression Scale - Are you hopeful about the future?GDS - Hopeful About Future
GDS0106C106769GDS01-Bothered by ThoughtsGeriatric Depression Scale - Are you bothered by thoughts you can't get out of your head?GDS - Bothered by Thoughts
GDS0107C106770GDS01-Good Spirits Most of TimeGeriatric Depression Scale - Are you in good spirits most of the time?GDS - Good Spirits Most of Time
GDS0108C106771GDS01-Afraid of Something Bad HappeningGeriatric Depression Scale - Are you afraid that something bad is going to happen to you?GDS - Afraid of Something Bad Happening
GDS0109C106772GDS01-Feel Happy Most of TimeGeriatric Depression Scale - Do you feel happy most of the time?GDS - Feel Happy Most of Time
GDS0110C106773GDS01-Often Feel HelplessGeriatric Depression Scale - Do you often feel helpless?GDS - Often Feel Helpless
GDS0111C106774GDS01-Get Restless and FidgetyGeriatric Depression Scale - Do you often get restless and fidgety?GDS - Get Restless and Fidgety
GDS0112C106775GDS01-Prefer to Stay HomeGeriatric Depression Scale - Do you prefer to stay at home, rather than going out and doing new things?GDS - Prefer to Stay Home
GDS0113C106776GDS01-Worry About FutureGeriatric Depression Scale - Do you frequently worry about the future?GDS - Frequently Worry About Future
GDS0114C106777GDS01-Memory ProblemsGeriatric Depression Scale - Do you feel you have more problems with memory than most?GDS - More Memory Problems Than Most
GDS0115C106778GDS01-Wonderful to Be AliveGeriatric Depression Scale - Do you think it is wonderful to be alive now?GDS - Think Wonderful to Be Alive
GDS0116C106779GDS01-Feel Downhearted and BlueGeriatric Depression Scale - Do you often feel downhearted and blue?GDS - Feel Downhearted and Blue
GDS0117C106780GDS01-Feel WorthlessGeriatric Depression Scale - Do you feel pretty worthless the way you are now?GDS - Feel Worthless
GDS0118C106781GDS01-Worry About the PastGeriatric Depression Scale - Do you worry a lot about the past?GDS - Worry About the Past
GDS0119C106782GDS01-Find Life ExcitingGeriatric Depression Scale - Do you find life very exciting?GDS - Find Life Exciting
GDS0120C106783GDS01-Hard to Start New ProjectsGeriatric Depression Scale - Is it hard for you to get started on new projects?GDS - Hard to Start New Projects
GDS0121C106784GDS01-Feel Full of EnergyGeriatric Depression Scale - Do you feel full of energy?GDS - Feel Full of Energy
GDS0122C106785GDS01-Feel HopelessGeriatric Depression Scale - Do you feel that your situation is hopeless?GDS - Feel Situation Is Hopeless
GDS0123C106786GDS01-Most People Better Off Than YouGeriatric Depression Scale - Do you think that most people are better off than you are?GDS - Think Most People Better Off Than You
GDS0124C106787GDS01-Often Upset Over Little ThingsGeriatric Depression Scale -Do you frequently get upset over little things?GDS - Often Upset Over Little Things
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