CodeList |
CodeListItem |
NCI attributes |
OID | Name (CDISC Submission Value) | DataType Extensible | NCI Code | CDISC Synonym | CDISC Definition | Preferred Term |
---|---|---|---|---|---|---|
CDISC Submission Value [ODM:CodedValue] | ||||||
CL.C118971.CCCAT | Category of Clinical Classification (CCCAT) | text Extensible: Yes | C118971 | Category of Clinical Classification | A grouping of observations within the Clinical Classification domain. | CDISC Clinical Classification Category Terminology |
APACHE II | C121005 | APCH1 | Acute Physiology and Chronic Health Evaluation II (APACHE II) (Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Critical Care Medicine 1985; 13(10):818-29). | Acute Physiology and Chronic Health Evaluation II Clinical Classification | ||
BODE INDEX | C121006 | BODE01 | The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index (BODE Index) (Bartolome R. Celli, M.D., Claudia G. Cote, M.D., Jose M. Marin, M.D., Ciro Casanova, M.D., Maria Montes de Oca, M.D., Reina A. Mendez, M.D., Victor Pinto Plata, M.D., and Howard J. Cabral, Ph.D.; N Engl J Med 2004;350:1005-12). | The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification | ||
CHILD-PUGH CLASSIFICATION | C121007 | CPS01 | Child-Pugh Classification (Guidance for Industry Pharmacokinetics in Patients with Impaired Hepatic Function: Study Design, Data Analysis, and Impact on Dosing and Labeling. U.S. Department of Health and Human Services; Food and Drug Administration; Center for Drug Evaluation and Research (CDER); Center for Biologics Evaluation and Research (CBER). May 2003, Clinical Pharmacology. http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM072123.pdf; http://www.halaven.com/sites/default/files/ChildPugh_FlashCard.pdf). | Child-Pugh Clinical Classification | ||
CORONARY ARTERY DISSECTION NHLBI GRADE | C119105 | CADG01 | Coronary Artery Dissection NHLBI Grade (Coronary Artery angiographic changes after PTCA: Manual of Operations NHBLI PTCA Registry 1985-6:9). | Coronary Artery Dissection NHLBI Grade Clinical Classification | ||
CORONARY THROMBUS TIMI GRADE | C119104 | TIMG01 | Coronary Thrombus TIMI Grade (TIMI Definitions for Commonly Used Terms in Clinical Trials. Available at http://www.timi.org/wp-content/uploads/2010/10/TIMI-Definitions.pdf. Accessed November 30, 2013). | Coronary Thrombus TIMI Grade Clinical Classification | ||
MELD | C121008 | MELD01 | Model for End Stage Liver Disease (MELD) (Malinchoc M, Kamath PS, Gordon FD, Peine CJ, Rank J, ter Borg PC (April 2000). A model to predict poor survival in patients undergoing transjugular intrahepatic portosystemic shunts. Hepatology 31 (4): 864-71). | Model for End Stage Liver Disease Clinical Classification | ||
NSA-16 | C121009 | NSA01 | Negative Symptom Assessment-16 (NSA-16) (Version 2.0, Copyright 2006, Larry Alphs, MD, PhD, All Right Reserved). | Negative Symptom Assessment-16 Clinical Classification | ||
STENT THROMBOSIS CORONARY ARC GRADE | C119107 | STCG01 | Stent Thrombosis Coronary ARC Grade (Cutlip DE, Windecker S, Mehran R, et al. Clinical End Points in Coronary Stent Trials : A Case for Standardized Definitions. Circulation. 2007;115:2344-2351). | Stent Thrombosis Coronary ARC Grade Clinical Classification | ||
Back to top | ||||||
CL.C115304.FTCAT | Category of Functional Test (FTCAT) | text Extensible: Yes | C115304 | Category of Functional Test | A grouping of observations within the Functional Test domain. | CDISC Functional Test Category Terminology |
BACS | C121004 | BACS1 | Brief Assessment of Cognition in Schizophrenia (BACS) (Richard Keefe, PhD, Copyright 1999 Duke University Medical Center, Licenses available through Neurocog Trials, Inc.). | Brief Assessment of Cognition in Schizophrenia Functional Test | ||
HAUSER AMBULATION INDEX | C115790 | HAI01 | Hauser Ambulation Index (AI) (Hauser SL, Dawson DM, Lehrich JR, Beal MF, Kevy SV, Propper RD, Mills JA, Weiner HL. Intensive immunosuppression in progressive multiple sclerosis. A randomized, three-arm study of high-dose intravenous cyclophosphamide, plasma exchange, and ACTH. N Engl J Med. 1983 Jan 27;308(4):173-80). | Hauser Ambulation Index Functional Test | ||
NHPT | C115791 | NHPT01 | Nine-Hole Peg Test (NHPT) (Copyright 2001, National Multiple Sclerosis Society). | Nine-Hole Peg Functional Test | ||
PASAT | C115792 | PASAT1 | Paced Auditory Serial Addition Test (PASAT) (Copyright 2001, National Multiple Sclerosis Society). | Paced Auditory Serial Addition Functional Test | ||
SDMT | C115793 | SDMT01 | Symbol Digit Modalities Test (SDMT) (Copyright 1973 by Western Psychological Services). | Symbol Digit Modalities Functional Test | ||
SIX MINUTE WALK | C115789 | SIXMW1 | 6 Minute Walk Test (6MWT) (Goldman MD, Marrie RA, Cohen JA. Evaluation of the six-minute walk in multiple sclerosis subjects and healthy controls. Multiple Sclerosis 2008; 14: 383-390). | 6 Minute Walk Functional Test | ||
T25FW | C115794 | T25FW1 | Timed 25-Foot Walk (T25FW) (Copyright 2001, National Multiple Sclerosis Society). | Timed 25-Foot Walk Functional Test | ||
TUG | C115795 | TUG01 | Timed Up and Go (TUG) (Podsiadlo D, Richardson S. The Timed 'Up & Go': a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991; 39:142-148). | Timed Up and Go Functional Test | ||
Back to top | ||||||
CL.C100129.QSCAT | Category of Questionnaire (QSCAT) | text Extensible: Yes | C100129 | Category of Questionnaire | A grouping of observations within the Questionnaire domain. | CDISC Questionnaire Category Terminology |
ACQ | C122370 | ACQ01 | Asthma Control Questionnaire (ACQ) (The Asthma Control Questionnaire is copyrighted. It may not be changed, translated or sold [paper or software] without the permission of Elizabeth Juniper. Juniper EF, O'Byrne PM, Guyatt GH, Ferrie PJ, King DR. Development and validation of a questionnaire to measure asthma control. Eur Respir J 1999;14:902-907). | Asthma Control Questionnaire | ||
ADAS-COG | C100762 | ADC | The CDISC version of the Alzheimer's Disease Assessment Scale-Cognitive (ADAS-Cog CDISC Version) containing 15 summary-level tests. This version is based on combining the total pool of ADAS-Cog tests that were observed during a review of multiple case report forms administered in clinical trials of Alzheimer's disease, as well as the CRF administered in the Alzheimer's Disease Neuroimaging Initiative (ADNI) observational study. (Modified from Mohs RC, Rosen WG, Davis KL. The Alzheimer's disease assessment scale: an instrument for assessing treatment efficacy. Psychopharmacol Bull 1983;19(3):448-450. Rosen WG, Mohs RC, Davis KL. A new rating scale for Alzheimer's disease. Am J Psychiatry 1984;141(11):1356-1364. Mohs RC, Knopman D, Petersen RC et al. Development of cognitive instruments for use in clinical trials of antidementia drugs: additions to the Alzheimer's Disease Assessment Scale that broaden its scope. The Alzheimer's Disease Cooperative Study. Alzheimer Dis Assoc Disord 1997;11 Suppl 2:S13-S21. Wouters H, van Gool WA, Schmand B, Lindeboom R. Revising the ADAS-cog for a more accurate assessment of cognitive impairment. Alzheimer Dis Assoc Disord 2008;22(3):236-244.). | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version Questionnaire | ||
ADCS-ADL | C105166 | ADL01 | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (ADCS-ADL) (Galasko, D., Bennett, D., Sano, M., Ernesto, C., Thomas, R., Grundman, M., Ferris, S., and the ADCS. "An Inventory to Assess Activities of Daily Living for Clinical Trials in Alzheimer's Disease." Alzheimer's Disease and Associated Disorders, 1997. Volume 11(2): S33-S39). | Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory Questionnaire | ||
ADCS-ADL MCI | C106888 | ADL03 | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (ADCS-ADL), MCI Version (Galasko, D., Bennett, D., Sano, M., Ernesto, C., Thomas, R., Grundman, M., Ferris, S., and the ADCS. An Inventory to Assess Activities of Daily Living for Clinical Trials in Alzheimer's Disease. Alzheimer's Disease and Associated Disorders, 1997. Volume 11(2): S33-S39). | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Mild Cognitive Impairment Questionnaire | ||
ADCS-ADL SEVERE | C106889 | ADL02 | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (ADCS-ADL), Severe Dementia Version (Galasko, D., Bennett, D., Sano, M., Ernesto, C., Thomas, R., Grundman, M., Ferris, S., and the ADCS. An Inventory to Assess Activities of Daily Living for Clinical Trials in Alzheimer's Disease. Alzheimer's Disease and Associated Disorders, 1997. Volume 11(2): S33-S39). | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Questionnaire | ||
ADCS-CGIC | C103515 | ACGC01 | Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change (ADCS-CGIC) (Schneider LS, Olin JT, Doody RS, Clark CM, Morris JC, Reisberg B, Schmitt FA, Grundman M, Thomas RG, Ferris SH, and the Alzheimer's Disease Cooperative Study. Validity and Reliability of the Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change. Alzheimer Disease and Associated Disorders. 1997; 11(2):S22-S32). | Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire | ||
ADHD-RS-IV HOME VERSION | C122371 | ADHD01 | ADHD Rating Scale-IV (ADHD-RS-IV) Home Version (Copyright 1998. DuPaul GJ, Power TJ, Anastopoulos AD, Reid R. ADHD Rating Scale-IV: Checklists, Norms, and Clinical Interpretation. New York: The Guilford Press; 1998). | ADHD Rating Scale-IV Home Version Questionnaire | ||
AIMS | C102111 | AIMS01 | Abnormal Involuntary Movement Scale (AIMS) (Guy W. Ed. ECDEU Assessment Manual for Psychopharmacology. Rockville MD: US Dept of Health, Education and Welfare. 1976, Publication No. (ADM) 76-338). | Abnormal Involuntary Movement Scale Questionnaire | ||
AQ20 | C112518 | AQ01 | Airway Questionnaire 20 (AQ20) (Barley EA, Quirk FH, Jones PW. Asthma health status in clinical practice: validity of a new short and simple instrument. Respir Med 1998; 92:1207-14. Copyright Reserved P.W. Jones, PhD FRCP). | Airway Questionnaire 20 | ||
AQLQ | C122372 | AQLQ01 | Asthma Quality of Life Questionnaire (AQLQ) (The AQLQ is copyrighted. It may not be altered, sold [paper or electronic], translated or adapted for another medium without the permission of Elizabeth Juniper. Juniper EF, Guyatt GH, Epstein RS, Ferrie PJ, Jaeschke R, Hiller TK. Evaluation of impairment of health-related quality of life in asthma: development of a questionnaire for use in clinical trials. Thorax 1992; 47:76-83). | Asthma Quality of Life Questionnaire | ||
AUDIT-C | C119098 | ADTC01 | Alcohol Use Disorder Identification Test-Consumption Questions (AUDIT-C) (Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA; for the Ambulatory Care Quality Improvement Project (ACQUIP). The AUDIT Alcohol Consumption Questions (AUDIT-C) An Effective Brief Screening Test for Problem Drinking. Arch Intern Med. Sep 14 1998;158:1789-1795). | Alcohol Use Disorder Identification Test Alcohol Consumption Questions Questionnaire | ||
AUDIT-SR | C119097 | ADT01 | Alcohol Use Disorder Identification Test: Self-Report Version (AUDIT) (Saunders JB, Aasland, OG, Babor, TF, De La Fuente JR, Grant M. Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with harmful Alcohol Consumption-II. Addiction (1993) 88:791-804). | Alcohol Use Disorder Identification Test Self-Report Version Questionnaire | ||
AVLT | C102112 | AVL01 | The Alzheimer's Disease Neuroimaging Initiative's (ADNI) version of the Auditory Verbal Learning Test (AVLT Version A) modified from Rey A. L'examen clinique en psychologie [Clinical tests in psychology]. Paris: Presses Universitaires de France; 1964. | Alzheimer's Disease Neuroimaging Initiative Auditory Verbal Learning Test Questionnaire | ||
BARS | C102113 | BARS01 | Barnes Akathisia Rating Scale (BARS) (Barnes TR: A Rating Scale for Drug-Induced Akathisia. British Journal of Psychiatry 154:672-676, 1989). | Barnes Akathisia Rating Scale Questionnaire | ||
BDI | C106693 | BDI01 | Baseline Dyspnea Index (BDI) (Mahler DA, Weinberg DH, Wells CK, Feinstein AR. The measurement of dyspnea. Contents, interobserver agreement, and physiologic correlates of two new clinical indexes. Chest 1984, 85: 751-758). | Baseline Dyspnea Index Questionnaire | ||
BLCS | C113874 | BLCS01 | Bladder Control Scale (BLCS) (1997 by the National Multiple Sclerosis Society. All rights reserved). | Bladder Control Scale Questionnaire | ||
BORG CR10 | C113872 | BCR101 | Borg CR10 Scale (BORG CR10) (Borg CR10 Scale. Copyright Gunnar Borg, 1981, 1982, 1998). | Borg Category-Ratio 10 Scale Questionnaire | ||
BPI | C100759 | BPI1 | Brief Pain Inventory (BPI) (copyright 1991 Charles S. Cleeland, PhD, Pain Research Group, All Right Reserved). | Brief Pain Inventory Questionnaire | ||
BPI SHORT FORM | C100760 | BPI2 | Brief Pain Inventory Short Form (BPI2) (copyright 1991 Charles S. Cleeland, PhD, Pain Research Group, All Right Reserved). | Brief Pain Inventory Short Form Questionnaire | ||
BPRS-A | C100761 | BPR01 | Brief Psychiatric Rating Scale - Anchored (BPRS-A) (Woerner MB, Mannuzza S, and Kane JM. Anchoring the BPRS: An Aid to Improved Reliability. Psychopharmacology Bulletin 1988; 24(1):112-117). | Brief Psychiatric Rating Scale A Questionnaire | ||
BSI-18 | C43524 | BSI181 | Brief Symptom Inventory-18 (BSI-18) (Leonard R. Derogatis. Brief Symptom Inventory (BSI)-18: Administration, scoring and procedures manual. Minneapolis 2001: NCS Pearson, Inc). | Brief Symptom Inventory 18 | ||
BWCS | C113875 | BWCS01 | Bowel Control Scale (BWCS) (1997 by the National Multiple Sclerosis Society. All rights reserved). | Bowel Control Scale Questionnaire | ||
C-SSRS ALREADY ENROLLED SUBJECTS | C106695 | CSS05 | Columbia-Suicidality Severity Rating Scale (C-SSRS) Already Enrolled Subjects Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). | Columbia-Suicide Severity Rating Scale Already Enrolled Subjects Questionnaire | ||
C-SSRS BASELINE | C100765 | CSS01 | Columbia-Suicidality Severity Rating Scale (C-SSRS) Baseline Version 2009-01-14 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). | Columbia-Suicidality Severity Rating Scale Baseline Questionnaire | ||
C-SSRS BASELINE/SCREENING VERSION | C106696 | CSS04 | Columbia-Suicidality Severity Rating Scale (C-SSRS) Baseline/Screening Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). | Columbia-Suicide Severity Rating Scale Baseline/Screening Version Questionnaire | ||
C-SSRS BASELINE/SCREENING VERSION PHASE 1 STUDY | C105164 | CSS03 | Columbia-Suicidality Severity Rating Scale (C-SSRS) Baseline/Screening Version Phase 1 Study Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study 1/14/09 Questionnaire | ||
C-SSRS CHILDREN'S BASELINE | C111377 | CSS06 | Columbia-Suicidality Severity Rating Scale (C-SSRS) Children's Baseline Version 6/23/2010 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). | Columbia-Suicide Severity Rating Scale Children's Baseline Questionnaire | ||
C-SSRS CHILDREN'S BASELINE/SCREENING | C111378 | CSS07 | Columbia-Suicidality Severity Rating Scale (C-SSRS) Children's Baseline/Screening Version 6/23/2010 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). | Columbia-Suicide Severity Rating Scale Children's Baseline/Screening Questionnaire | ||
C-SSRS CHILDREN'S SINCE LAST VISIT | C111379 | CSS08 | Columbia-Suicidality Severity Rating Scale (C-SSRS) Children's Since Last Visit Version 6/23/2010 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). | Columbia-Suicide Severity Rating Scale Children's Since Last Visit Questionnaire | ||
C-SSRS LIFETIME/RECENT VERSION | C117996 | CSS11 | Columbia-Suicidality Severity Rating Scale (C-SSRS) Lifetime/Recent Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). | Columbia-Suicide Severity Rating Scale Lifetime/Recent Version Questionnaire | ||
C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED LIFETIME/RECENT | C113873 | CSS10 | Columbia-Suicidality Severity Rating Scale (C-SSRS) Pediatric/Cognitively Impaired Lifetime/Recent Version 6/23/2010 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). | Columbia-Suicide Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Questionnaire | ||
C-SSRS SCREENING | C111380 | CSS09 | Columbia-Suicidality Severity Rating Scale (C-SSRS) Screening Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). | Columbia-Suicide Severity Rating Scale Screening Questionnaire | ||
C-SSRS SINCE LAST VISIT | C103516 | CSS02 | Columbia-Suicidality Severity Rating Scale (C-SSRS) Since Last Visit Version 1/14/2009 (Posner, K.; Brent, D.; Lucas, C.; Gould, M.; Stanley, B.; Brown, G.; Fisher, P.; Zelazny, J.; Burke, A.; Oquendo, M.; Mann, J.; copyright 2008 The Research Foundation for Mental Hygiene, Inc.). | Columbia-Suicidality Severity Rating Scale Since Last Visit Questionnaire | ||
CCQ 1 WEEK VERSION | C119100 | CCQ02 | Clinical COPD Questionnaire (CCQ) 1 Week Version (The CCQ is copyrighted 1999. It may not be altered, sold (paper or electronic), translated or adapted for another medium without the permission of T. van der Molen, Dept. of General Practice, University Medical Center Groningen, Postbus 196, 9700 AD Groningen, The Netherlands.). | Clinical COPD Questionnaire 1 Week Version | ||
CCQ 24 HOUR VERSION | C119099 | CCQ01 | Clinical COPD Questionnaire (CCQ) 24 Hour Version (The CCQ is copyrighted 1999. It may not be altered, sold (paper or electronic), translated or adapted for another medium without the permission of T. van der Molen, Dept. of General Practice, University Medical Center Groningen, Postbus 196, 9700 AD Groningen, The Netherlands.). | Clinical COPD Questionnaire 24 Hour Version | ||
CDLQ | C119092 | CDLQ1 | Children's Dermatology Life Quality Index (CDLQI) (Copyright of M.S. Lewis-Jones, A.Y. Finlay, May 1993, this must not be copied without the permission of the authors). | Children's Dermatology Life Quality Index Questionnaire | ||
CDR | C102114 | CDR01 | Clinical Dementia Rating (CDR) (Morris, JC. Clinical Dementia Rating: A reliable and valid diagnostic and staging measure for dementia of the Alzheimer type. International Psychogeriatrics 1997: 9, Suppl. 1, 173-176). | Clinical Dementia Rating Questionnaire | ||
CGI | C100763 | CGI01 | Clinical Global Impression (CGI) (Guy W: ECDEU Assessment Manual for Psychopharmacology. Rockville, MD: U.S. Department of Health, Education, and Welfare; 1976). | Clinical Global Impression Questionnaire | ||
CHART-SF INTERVIEW VERSION | C117995 | CHSF1 | Craig Handicap Assessment and Reporting Technique - Short Form Interview Version (CHART-SF INTERVIEW VERSION) (Whiteneck GG, Charlifue SW, Gerhart KA, Overholser JD, Richardson GN. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil. 1992;73:519-526). | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version Questionnaire | ||
CHART-SF PAPER VERSION | C119101 | CHSF2 | Craig Handicap Assessment and Reporting Technique - Short Form Paper Version (CHART-SF PAPER VERSION) (Whiteneck GG, Charlifue SW, Gerhart KA, Overholser JD, Richardson GN. Quantifying handicap: a new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil. 1992;73:519-526). | Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire | ||
COMM | C100764 | COMM1 | Current Opioid Misuse Measure (COMM) (copyright 2010 Inflexxion, Inc., All rights reserved). | Current Opioid Misuse Measure Questionnaire | ||
COWS | C102115 | COWS1 | The Clinical Opiate Withdrawal Scale (COWS) (Wesson DR and Ling W. The Clinical Opiate Withdrawal Scale (COWS). J Psychoactive Drugs 2003;35(2):253-259). | Clinical Opiate Withdrawal Scale Questionnaire | ||
CRQ-SAS FIRST ADMINISTRATION VERSION | C121002 | CRQ01 | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version (Copyright 2001 McMaster University, Hamilton, Ontario, Canada. The Chronic Respiratory Questionnaire Self-Administered including the standardized Dyspnea Domain (CRQSAS), Principal authors G.H. Guyatt and Dr. H.J. Schunemann, is the copyright of McMaster University (Copyright 2001, McMaster University). | Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Questionnaire | ||
CRQ-SAS FOLLOW-UP ADMINISTRATION VERSION | C121003 | CRQ02 | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version (Copyright 2001 McMaster University, Hamilton, Ontario, Canada. The Chronic Respiratory Questionnaire Self-Administered including the standardized Dyspnea Domain (CRQSAS), Principal authors G.H. Guyatt and Dr. H.J. Schunemann, is the copyright of McMaster University (Copyright 2001, McMaster University). | Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Questionnaire | ||
DAD | C105165 | DAD01 | Disability Assessment for Dementia (DAD) (copyright 1994 by L. Gauthier I. Gelinas. All rights reserved.). | Disability Assessment for Dementia Questionnaire | ||
DISEASE STEPS | C112519 | DS01 | Disease Steps (DS) (Hohol MJ, Orav EJ, Weiner HL. Disease steps in multiple sclerosis: a simple approach to evaluate disease progression. Neurology. 1995 Feb;45(2):251-5). | Disease Steps Questionnaire | ||
DLQI | C119102 | DLQI1 | Dermatology Life Quality Index (DLQI) (Copyright Dermatology Life Quality Index. A Y Finlay, G K Khan, April 1992. www.dermatology.org.uk. This must not be copied without the permission of the authors). | Dermatology Life Quality Index Questionnaire | ||
DRS | C115796 | DRS01 | Disability Rating Scale (DRS) (Rappaport et al. (1982) Disability Rating Scale for Severe Head Trauma Patients: Coma to Community. Archives of Physical Medicine and Rehabilitation, 63:118-123). | Disability Rating Scale Questionnaire | ||
ECOG | C102116 | ECOG1 | Eastern Cooperative Oncology Group (ECOG) Performance Status (Oken MM, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET, Carbone PP. Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol. 1982 Dec;5(6):649-55). | Eastern Cooperative Oncology Group Performance Status Questionnaire | ||
EDSS | C112520 | EDSS01 | Kurtzke Expanded Disability Status Scale (EDSS) (Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology. 1983 Nov;33(11):1444-52). | Kurtzke Expanded Disability Status Scale Questionnaire | ||
EQ-5D-3L | C66957 | EQ5D01 | European Quality of Life Five Dimension Three Level Scale (EQ-5D-3L) (Copyright 1990 EuroQol Group. EQ-5D is a trade mark of the EuroQol Group). | European Quality of Life Five Dimension Three Level Questionnaire | ||
EQ-5D-5L | C102117 | EQ5D02 | European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L) (Copyright 2009 EuroQol Group. EQ-5D is a trade mark of the EuroQol Group). | European Quality of Life Five Dimension Five Level Scale Questionnaire | ||
ESRSA | C117997 | ESRSA1 | Extrapyramidal Symptom Rating Scale-Abbreviated (ESRS-A) (Copyright 2006 Larry Alphs, MD, PhD, Guy Chouinard, MD, All Rights Reserved). | Extrapyramidal Symptom Rating Scale-Abbreviated Questionnaire | ||
ESS | C103517 | ESS01 | Epworth Sleepiness Scale (ESS) (copyright Murray W. Johns, 1990-1997. All rights reserved.). | Epworth Sleepiness Scale Questionnaire | ||
FAMS | C112521 | FAMS01 | Functional Assessment of Multiple Sclerosis Version 4 (FAMS) (Cella et al. Validation of the Functional Assessment of Multiple Sclerosis quality of life instrument. NEUROLOGY 1996;47: 129-139). (Questionnaires and all related subscales, translations, and adaptations ('FACIT System') are owned and copyrighted by David Cella, Ph.D. The ownership and copyright of the FACIT System resides strictly with Dr. Cella. Dr. Cella has granted FACIT.org the right to license usage of the FACIT System to other parties). | Functional Assessment of Multiple Sclerosis Questionnaire | ||
FAQ | C111381 | FAQ01 | Functional Activities Questionnaire (FAQ) (Pfeiffer, RI.; Kurosaki, TT.; Harrah, CH. Jr.; Chance, JM.; and Filos, S. (1982). Measurement of functional activities in older adults in the community. Journal of Gerontology, 37(3), 323-329.). | Functional Activities Questionnaire | ||
FAQ-NACC | C111382 | FAQ02 | Functional Activities Questionnaire-NACC (FAQ-NACC) (Pfeffer, RI.; Kurosaki, TT.; Harrah, CH. Jr.; Chance, JM.; and Filos, S. (1982). Measurement of functional activities in older adults in the community. Journal of Gerontology, 37(3), 323-329.). (Reproduced with permission. Copyright 2011 University of Washington. Created and published by the ADC Clinical Task Force. John C. Morris, MD, Chair, and the National Alzheimer's Coordinating Center. U01 AG016976 - Walter A. Kukull, PhD, Director). | Functional Activities Questionnaire-NACC Version | ||
FIQR | C103518 | FIQR01 | Revised Fibromyalgia Impact Questionnaire (FIQR) (copyright 2009 Bennett RM and Friend. All Rights Reserved.). | Revised Fibromyalgia Impact Questionnaire | ||
FLU-IIQ ONCE DAILY | C119093 | FLUIQ1 | Influenza Intensity and Impact Questionnaire (Flu-iiQ) Once Daily (Copyright RH Osborne 2006. No part of the Flu-iiQ may be copied or reproduced in any form without written permission from the author: measuredsolutions@bigpond.com). | Influenza Intensity and Impact Questionnaire Once Daily Version | ||
FLU-IIQ TWICE DAILY | C119094 | FLUIQ2 | Influenza Intensity and Impact Questionnaire (Flu-iiQ) Twice Daily (Copyright RH Osborne 2006. No part of the Flu-iiQ may be copied or reproduced in any form without written permission from the author: measuredsolutions@bigpond.com). | Influenza Intensity and Impact Questionnaire Twice Daily Version | ||
FPSR | C100766 | FPSR1 | Faces Pain Scale - Revised (FPS-R) (Hicks CL, von Baeyer CL, van Korlaar I, Goodenough B. Faces Pain Scale-Revised: Toward a Common Metric in Pediatric Pain Measurement. Pain 2001; 93:173-183). | Faces Pain Scale Revised Questionnaire | ||
FSS | C106621 | FSS01 | Fatigue Severity Scale (FSS) (Copyright Lauren B. Krupp). | Fatigue Severity Scale | ||
GAD-7 | C103519 | GAD01 | Generalized Anxiety Disorder - 7 (GAD-7) (Spitzer RL, Kroenke K, Williams JBW, Lowe B. A brief measure for assessing generalized anxiety disorder: The GAD-7. Arch Intern Med 2006; 166:1092-1097). | Generalized Anxiety Disorder - 7 Questionnaire | ||
GCGI | C105169 | GCGI01 | The General Clinical Global Impressions (GCGI v1) questions were created by STANDARDS (Standardized Analgesic Database for Research, Discovery, and Submissions) and sponsored by ACTTION (Analgesic Clinical Trial Translations, Innovations, Opportunities, and Networks) www.acttion.org; 2012-08-07 v1. | STANDARDS General Clinical Global Impressions Questionnaire | ||
GDS | C106697 | GDS01 | Geriatric Depression Scale (GDS) (Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatry Res. 1983;17(1):37-49). | Geriatric Depression Scale Questionnaire | ||
GDS SHORT FORM | C106698 | GDS02 | Geriatric Depression Scale Short Form (GDS Short Form) (Sheikh JI, Yesavage JA. Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clin Gerontol. 1986 June;5(1/2):165-173). | Geriatric Depression Scale Short Form Questionnaire | ||
GOSE | C115797 | GOSE1 | Extended Glasgow Outcome Scale (GOSE) (Wilson JT, Pettigrew LE, Teasdale GM. Structured interviews for the Glasgow Outcome Scale and the Extended Glasgow Outcome Scale: Guidelines for their use. Journal of Neurotrauma 1998;15:573-585). | Extended Glasgow Outcome Scale Questionnaire | ||
HADS | C103520 | HADS01 | Hospital Anxiety and Depression Scale (HADS) (copyright 1983, 1992, 1994 by R.P. Snaith and A.S. Zigmond. All rights reserved.). | Hospital Anxiety and Depression Scale Questionnaire | ||
HAEM-A-QOL | C122381 | HAEM09 | Hemophilia Quality of Life Questionnaire Adult Version (Haem-A-QoL) (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group; Von Mackensen S, Scalone L, Ravera S, Mantovani L, Gringeri A, The COCHE Study Group. Assessment of health-related quality of life in patients with Hemophilia with the newly developed Hemophilia-specific instrument (Haem-A-QoL). Value Health 2005; 8:A127). | Hemophilia Quality of Life Questionnaire Adult Version | ||
HAEMO-QOL CHILDREN'S LONG VERSION AGE GROUP I | C122373 | HAEM01 | Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Children's Long Version Age Group I (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group). | Hemophilia Quality of Life Questionnaire Children's Long Version Age Group I | ||
HAEMO-QOL CHILDREN'S LONG VERSION AGE GROUP II | C122374 | HAEM02 | Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Children's Long Version Age Group II (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group). | Hemophilia Quality of Life Questionnaire Children's Long Version Age Group II | ||
HAEMO-QOL CHILDREN'S LONG VERSION AGE GROUP III | C122375 | HAEM03 | Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Children's Long Version Age Group III (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group). | Hemophilia Quality of Life Questionnaire Children's Long Version Age Group III | ||
HAEMO-QOL CHILDREN'S SHORT VERSION AGE GROUP I | C122376 | HAEM04 | Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Children's Short Version Age Group I (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group). | Hemophilia Quality of Life Questionnaire Children's Short Version Age Group I | ||
HAEMO-QOL CHILDREN'S SHORT VERSION AGE GROUP II/III | C122377 | HAEM05 | Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Children's Short Version Age Group II/III (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group). | Hemophilia Quality of Life Questionnaire Children's Short Version Age Group II/III | ||
HAEMO-QOL PARENT'S LONG VERSION AGE GROUP I | C122378 | HAEM06 | Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Parent's Long Version Age Group I (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group). | Hemophilia Quality of Life Questionnaire Parent's Long Version Age Group I | ||
HAEMO-QOL PARENT'S LONG VERSION AGE GROUP II | C122379 | HAEM07 | Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Parent's Long Version Age Group II (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group). | Hemophilia Quality of Life Questionnaire Parent's Long Version Age Group II | ||
HAEMO-QOL PARENT'S LONG VERSION AGE GROUP III | C122380 | HAEM08 | Hemophilia Quality of Life (HAEMO-QOL) Questionnaire Parent's Long Version Age Group III (The Haemo-QoL questionnaire-set is a joint property of the Haemo-QoL Study Centre at the University of Hamburg, Germany and Bayer Biological Products, Research Triangle Park, North Carolina, USA. Development of new translations, modified versions or any other derivatives - such as electronic versions - are not permitted without special permission and involvement of the Haemo-QoL Study Group). | Hemophilia Quality of Life Questionnaire Parent's Long Version Age Group III | ||
HAM-A | C102118 | HAMA1 | The Hamilton Anxiety Rating Scale (HAM-A) (Hamilton M. The assessment of anxiety states by rating. Br J Med Psychol 1959; 32:50-55). | Hamilton Anxiety Rating Scale Questionnaire | ||
HAMD 17 | C100767 | HAMD1 | The Hamilton Depression Rating Scale 17-Item (HAMD 17) (Hamilton M. Development of a rating scale for primary depressive illness. Br J Soc Clin Psychol 1967; 6(4):278-96). | Hamilton Depression Rating Scale 17 Item Questionnaire | ||
HAMD 21 | C102119 | HAMD2 | The Hamilton Depression Rating Scale 21-Item (HAMD 21) (Hedlund and Vieweg, The Hamilton rating scale for depression. Journal of Operational Psychiatry, 1979;10(2):149-165). | Hamilton Depression Rating Scale 21-Item Questionnaire | ||
HAQ-DI | C106699 | HAQ01 | Health Assessment Questionnaire Disability Index (HAQ-DI) (Fries JF. The assessment of disability: from first to future principles. Br J Rheumatol. 1983 Aug; 22(3 Suppl):48-58). | Health Assessment Questionnaire Disability Index Questionnaire | ||
IIEF | C103521 | IIEF01 | International Index of Erectile Function (IIEF) (Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, and Mishra A. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997 49(6): 822-830). | International Index of Erectile Function Questionnaire | ||
IVIS | C113876 | IVIS01 | Impact of Visual Impairment Scale (IVIS) (1997 by the National Multiple Sclerosis Society. All rights reserved). | Impact of Visual Impairment Scale Questionnaire | ||
KFSS | C112522 | KFSS1 | Kurtzke Functional Systems Scores (FSS) (Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology. 1983 Nov;33(11):1444-52). | Kurtzke Functional Systems Scores Questionnaire | ||
KPS SCALE | C100768 | KPSS | The Karnofsky Performance Status Scale (KPSS) (Karnofsky DA, Burchenal JH. (1949). "The Clinical Evaluation of Chemotherapeutic Agents in Cancer." In: MacLeod CM (Ed), Evaluation of Chemotherapeutic Agents. Columbia Univ Press. Page 196). | Karnofsky Performance Status Scale Questionnaire | ||
MADRS | C122382 | MADRS1 | Montgomery-Asberg Depression Rating Scale (MADRS) (Copyright Stuart Montgomery 1978, Measures of Depression, Fulcrum Press, London. Stuart A. Montgomery and Marie Asberg. A new depression scale designed to be sensitive to change. Br. J. Psychiat. (1979), 134:382-389). | Montgomery-Asberg Depression Rating Scale Questionnaire | ||
MDS-UPDRS | C100769 | UPD2 | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) (copyright 2008 Movement Disorder Society. All Rights Reserved). | Movement Disorder Society Unified Parkinson's Disease Rating Scale Questionnaire | ||
MFIS | C113877 | MFIS01 | Modified Fatigue Impact Scale (MFIS) (1997 by the National Multiple Sclerosis Society. All rights reserved). | Modified Fatigue Impact Scale Questionnaire | ||
MHIS-NACC | C112523 | MHIS01 | Modified Hachinski Ischemic Scale-NACC Version (MHIS-NACC) Reproduced with permission. Copyright 2011 University of Washington. Created and published by the ADC Clinical Task Force (John C. Morris, MD, Chair) and the National Alzheimer's Coordinating Center (Walter A. Kukull, PhD, Director). This publication was funded by the National Institutes of Health through the National Institute on Aging (Cooperative Agreement U01 AG016976). | Modified Hachinski Ischemic Scale-NACC Version Questionnaire | ||
MMRC | C106700 | MMRC01 | Modified Medical Research Council dyspnea scale (MMRC) (Mahler DA, Wells CK. Evaluation of Clinical Methods for Rating Dyspnea. Chest 1988; 93:580-586). | Modified Medical Research Council Dyspnea Scale Questionnaire | ||
MNSI | C100771 | MNSI1 | Michigan Neuropathy Screening Instrument (MNSI) (copyright University of Michigan, 2000, All rights reserved). | Michigan Neuropathy Screening Instrument Questionnaire | ||
MPAI-4 | C115798 | MPAI1 | The Mayo-Portland Adaptability Inventory-4 (MPAI-4) (Malec, J. (2005). The Mayo-Portland Adaptability Inventory-4. The Center for Outcome Measurement in Brain Injury. http://www.tbims.org/combi/mpai). | Mayo-Portland Adaptability Inventory-4 Questionnaire | ||
MRS | C111383 | MRS01 | Modified Rankin Scale (MRS) (Van Swieten J., Koudstaal P., Visser M., Schouten H., and Van Gijn J. Interobserver agreement for the assessment of handicap in stroke patients, 1988. Stroke 19: 604-607). | Modified Rankin Scale Questionnaire | ||
MSQOL-54 | C113878 | MSQL1 | Multiple Sclerosis Quality of Life-54 Instrument (MSQOL-54) (Copyright 1995, University of California, Los Angeles). | Multiple Sclerosis Quality of Life-54 Instrument Questionnaire | ||
NPI | C100772 | NPI1 | Neuropsychiatric Inventory (NPI) (copyright JL Cummings, 1994, all rights reserved; permission for commercial use required; npiTEST.net). | Neuropsychiatric Inventory Questionnaire | ||
NPS | C103522 | NPS01 | Neuropathic Pain Scale (NPS) (copyright Brad Galer and Mark Jensen. All rights reserved.). | Neuropathic Pain Scale Questionnaire | ||
OAB-Q | C103523 | OABQ01 | The Overactive Bladder Questionnaire (OAB-q) (Coyne K, Revicki D, Hunt T, et al. Psychometric validation of an overactive bladder symptom and health-related quality of life questionnaire: the OAB-q. Qual Life Res. Sep 2002; 11(6):563-574). | The Overactive Bladder Questionnaire | ||
OAB-Q SHORT FORM | C103524 | OABQ02 | The Overactive Bladder Questionnaire Short Form (OAB-q Short Form) (Coyne KS, Lai JS, Zyczynski T, Kopp Z, Avery K, Abrams P. An overactive bladder symptom and quality-of-life short form: development of the Overactive Bladder Questionnaire (OAB-q) short form (SF). Presented at the Joint Meeting of the International Continence Society and the International Urogynecological Association; August 23-27, 2004; Paris, France). | The Overactive Bladder Questionnaire Short Form | ||
OCI | C119095 | OCI01 | Ocular Comfort Index (OCI) (The copyright owner of the Ocular Comfort Index is Dr. Michael Edward Johnson. Michael E. Johnson and Paul J. Murphy. Measurement of Ocular Surface Irritation on a Linear Interval Scale with the Ocular Comfort Index. Investigative Ophthalmology and Visual Science, October 2007, Vol. 48, No.10). | Ocular Comfort Index Questionnaire | ||
ODI v2.1A | C103525 | ODI01 | The Oswestry Disability Index Version 2.1a (ODI v2.1A) (copyright 1980 Jeremy Fairbank. All Rights Reserved.). | The Oswestry Disability Index Version 2.1a Questionnaire | ||
PDDS | C112524 | PDDS01 | Patient Determined Disease Steps (PDDS) (Hohol MJ, Orav EJ, Weiner HL. Disease Steps in multiple sclerosis: A simple approach to evaluate disease progression. Neurology 1995; 45: 251-55). (Hohol MJ, Orav EJ, Weiner HL. Disease Steps in multiple sclerosis: a longitudinal study comparing disease steps and EDSS to evaluate disease progression. Multiple Sclerosis 1999; 5: 349-54). (Marrie RA and Goldman M. Validity of performance scales for disability assessment in multiple sclerosis. Multiple Sclerosis 2007; 13: 1176-1182). (The PDDS and/or PS are provided for use by the NARCOMS Registry: www.narcoms.org/pdds. NARCOMS is supported in part by the Consortium of Multiple Sclerosis Centers (CMSC) and the CMSC Foundation). | Patient Determined Disease Steps Questionnaire | ||
PDQUALIF | C100773 | PDQ01 | Parkinson's Disease Quality of Life Scale (PDQUALIF) (Welsh M, McDermott MP, Holloway RG, Plumb S, Pfeiffer R, Hubble J, and The Parkinson Study Group. Development and Testing of the Parkinson's Disease Quality of Life Scale. Movement Disorders, 2003, Vol. 18; 637-645). | Parkinson's Disease Quality of Life Scale Questionnaire | ||
PHQ-15 | C103527 | PHQ02 | Patient Health Questionnaire - 15 (PHQ-15) (Kroenke K, Spitzer RL, Williams JBW. The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med 2002; 64:258-266). | Patient Health Questionnaire - 15 Item | ||
PHQ-9 | C103526 | PHQ01 | Patient Health Questionnaire - 9 (PHQ-9) (Kroenke K, Spitzer RL, Williams JBW. The PHQ-9: Validity of a brief depression severity measure. J Gen Intern Med 2001; 16:606-613). | Patient Health Questionnaire - 9 Item | ||
PI | C105167 | PI01 | The Pain Intensity (PI) questions were created by STANDARDS (Standardized Analgesic Database for Research, Discovery, and Submissions) and sponsored by ACTTION (Analgesic Clinical Trial Translations, Innovations, Opportunities, and Networks) www.acttion.org; 2012-08-07 v1. | STANDARDS Pain Intensity Questionnaire | ||
PR | C105168 | PR01 | The Pain Relief (PR) questions were created by STANDARDS (Standardized Analgesic Database for Research, Discovery, and Submissions) and sponsored by ACTTION (Analgesic Clinical Trial Translations, Innovations, Opportunities, and Networks) www.acttion.org; 2012-08-07 v1. | STANDARDS Pain Relief Questionnaire | ||
PSQI | C103849 | PSQI1 | Pittsburgh Sleep Quality Index (PSQI) (Copyright 1989, University of Pittsburgh. Buysse,D.J., Reynolds,C.F., Monk,T.H., Berman,S.R., & Kupfer, D.J. The Pittsburgh Sleep Quality Index (PSQI): A new instrument for psychiatric practice and research. Psychiatry Research, 1989, 28(2):193-213). | Pittsburgh Sleep Quality Index | ||
RAND-36 V1.0 | C113879 | R3601 | RAND 36-Item Health Survey 1.0 (RAND-36) (Copyright the RAND Corporation. Developed at RAND as part of the Medical Outcomes Study). | RAND 36-Item Health Survey 1.0 Questionnaire | ||
RDQ | C100774 | RDQ01 | Roland Morris Disability Questionnaire (RDQ) (Roland MO, Morris RW. A study of the natural history of back pain. Part 1: Development of a reliable and sensitive measure of disability in low back pain. Spine 1983;8:141-144). | Roland Morris Disability Questionnaire | ||
RPQ | C119103 | RPQ01 | Rivermead Post Concussion Symptoms Questionnaire (RPQ) (King NS, Crawford S, Wenden FJ, Moss NEG, Wade DT. The Rivermead Post Concussion Symptoms Questionnaire: a measure of symptoms commonly experienced after head injury and its reliability. J Neurol. 1995;242:587-592). | Rivermead Post-Concussion Symptoms Questionnaire | ||
SDS | C111384 | SDS01 | Sheehan Disability Scale (Copyright 1983, 2010, 2011 David V. Sheehan. All rights reserved.). | Sheehan Disability Scale Questionnaire | ||
SF36 v1.0 ACUTE | C102120 | SF362 | The Short Form 36 Health Survey Acute, US Version 1.0 (SF36 v1.0 Acute) (copyright 1988, 2002 by Medical Outcomes Trust and Quality Metric Incorporated. All rights reserved). | Short Form 36 Health Survey Acute, US Version 1.0 Questionnaire | ||
SF36 v1.0 STANDARD | C100775 | SF361 | The Short Form 36 Health Survey Standard, US Version 1.0 (SF36 v1.0 Standard) (copyright 1988, 2002 by Medical Outcomes Trust and Quality Metric Incorporated. All rights reserved). | Short Form 36 Health Survey Standard, US Version 1.0 Questionnaire | ||
SF36 v2.0 ACUTE | C102121 | SF364 | The Short Form 36 Health Survey Acute, US Version 2.0 (SF36 v2.0 Acute) (copyright 1996, 2000 by Quality Metric Incorporated and Medical Outcomes Trust. All rights reserved). | Short Form 36 Health Survey Acute, US Version 2.0 Questionnaire | ||
SF36 v2.0 STANDARD | C102122 | SF363 | The Short Form 36 Health Survey Standard, US Version 2.0 (SF36 v2.0 Standard) (copyright 1996, 2000 by Quality Metric Incorporated and Medical Outcomes Trust. All rights reserved). | Short Form 36 Health Survey Standard, US Version 2.0 Questionnaire | ||
SGRQ PAST 3 MONTHS VERSION | C112525 | SGRQ01 | St. George's Respiratory Questionnaire (SGRQ) Past 3 Months Version (copyright P.W. Jones, St. George's University of London). | St. George's Respiratory Questionnaire Past 3 Months Version | ||
SGRQ PAST 4 WEEKS VERSION | C112526 | SGRQ02 | St. George's Respiratory Questionnaire (SGRQ) Past 4 Weeks Version (copyright P.W. Jones, St. George's University of London). | St. George's Respiratory Questionnaire Past 4 Weeks Version | ||
SGRQ-C | C106890 | SGRQC1 | St. George's Respiratory Questionnaire for COPD Patients (SGRQ-C) (Jones PW, Quirk FH, Baveystock CM, and Littlejohns PA. Self-complete measure of health status for chronic airflow limitation. The St. George's Respiratory Questionnaire. Am Rev Respir Dis. 1992 Jun; 145(6):1321-7). | St. George's Respiratory Questionnaire for Chronic Obstructive Pulmonary Disease Patients | ||
SHORT-FORM MPQ-2 | C100776 | SFMP2 | Short-Form McGill Pain Questionnaire-2 (SF-MPQ-2) (Copyright R. Melzack and the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT), 2009, All Rights Reserved). | Short-Form McGill Pain Questionnaire-2 | ||
SIQR | C103528 | SIQR01 | Symptom Impact Questionnaire (SIQR) (copyright 2009 Bennett RM and Friend. All Rights Reserved.). | Symptom Impact Questionnaire | ||
SOAPP-R | C100777 | SOAPR1 | Screener and Opioid Assessment for Patients with Pain Revised (SOAPP-R) (copyright 2007 Inflexxion, Inc., All rights reserved). | Screener and Opioid Assessment for Patients with Pain Revised Questionnaire | ||
SOWS SHORT | C103529 | SOWSB1 | Short Opiate Withdrawal Scale (SOWS SHORT) (Gossop, M. The development of a short opiate withdrawal scale. Addictive Behaviors 1990; 15:487-490). | Short Opiate Withdrawal Scale Questionnaire | ||
SOWS SUBJECTIVE | C102123 | SOWSA1 | The Subjective Opiate Withdrawal Scale (SOWS) (Handelsman, L., Cochrane, K. J., Aronson, M. J. Ness, R., Rubinstein K.J., Kanof, P.D. (1987) Two New Rating Scales for Opiate Withdrawal. American Journal of Alcohol Abuse, 13, 293-308). | Subjective Opiate Withdrawal Scale Questionnaire | ||
SWLS | C115799 | SWLS01 | The Satisfaction With Life Scale (SWLS) (Diener, E., Emmons, R., Larsen, J., and Griffin, S. (1985). The Satisfaction With Life Scale. J Personality Assessment, 49(1): 71-75). | Satisfaction With Life Scale Questionnaire | ||
TDI | C106694 | TDI01 | Transition Dyspnea Index (TDI) (Mahler DA, Weinberg DH, Wells CK, Feinstein AR. The measurement of dyspnea. Contents, interobserver agreement, and physiologic correlates of two new clinical indexes. Chest 1984, 85: 751-758). | Transition Dyspnea Index Questionnaire | ||
UPDRS | C100778 | UPD1 | Unified Parkinson's Disease Rating Scale (UPDRS) (Fahn S, Marsden CD, Calne DB, Goldstein M, eds. Recent Developments in Parkinson's Disease, Vol 2. Florham Park, NJ. Macmillan Health Care Information 1987, pp 153-163, 293-304). | Unified Parkinson's Disease Rating Scale Questionnaire | ||
UPS | C103530 | UPS01 | Urgency Perception Scale (UPS) (copyright Pfizer. All rights reserved.). | Urgency Perception Scale Questionnaire | ||
VFQ-25 INTERVIEWER ADMINISTERED | C112527 | VFQ1 | National Eye Institute Visual Functioning Questionnaire - 25 (VFQ-25) Version 2000 Interviewer-Administered Format (Mangione, C. M., Lee, P. P., Gutierrez, P. R., Spritzer, K., Berry, S., & Hays, R. D. Development of the 25-item National Eye Institute Visual Function Questionnaire (VFQ-25). Archives of Ophthalmology. 2001; 119:1050-1058). (This instrument was developed at RAND under the sponsorship of the National Eye Institute). | Visual Functioning Questionnaire 25-Interviewer Administered Format Version 2000 | ||
VFQ-25 SELF ADMINISTERED | C112528 | VFQ2 | National Eye Institute Visual Functioning Questionnaire - 25 (VFQ-25) Version 2000 Self-Administered Format (Mangione, C. M., Lee, P. P., Gutierrez, P. R., Spritzer, K., Berry, S., & Hays, R. D. Development of the 25-item National Eye Institute Visual Function Questionnaire (VFQ-25). Archives of Ophthalmology. 2001; 119:1050-1058). (This instrument was developed at RAND under the sponsorship of the National Eye Institute). | Visual Functioning Questionnaire 25-Self Administered Format Version 2000 | ||
WLQ | C119096 | WLQ01 | Work Limitations Questionnaire (WLQ) (copyright 1998. The Health Institute, Tufts Medical Center f/k/a New England Medical Center Hospitals, Inc.; Debra Lerner, Ph.D.; Benjamin Amick III, Ph.D.; and GlaxoWellcome, Inc. All Rights Reserved). | Work Limitations Questionnaire | ||
WOMAC LK 3.1 INDEX | C122384 | WOMAC1 | Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Likert Scale Format (WOMAC LK 3.1) (Bellamy N. WOMAC Osteoarthritis Index User Guide. Version V. Brisbane, Australia 2002; WOMAC 3.1 User Guide XI; WOMAC is a registered trade-mark. Copyright 2008. Prof Nicholas Bellamy. All Rights Reserved). | Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Likert Scale Format Questionnaire | ||
WOMAC NRS 3.1 INDEX | C122385 | WOMAC2 | Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Numerical Rating Scale Format (WOMAC NRS 3.1) (Bellamy N. WOMAC Osteoarthritis Index User Guide. Version V. Brisbane, Australia 2002; WOMAC 3.1 User Guide XI; WOMAC is a registered trade-mark. Copyright 2008. Prof Nicholas Bellamy. All Rights Reserved). | Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Numerical Rating Scale Format Questionnaire | ||
WOMAC VA 3.1 INDEX | C122386 | WOMAC3 | Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Visual Analog Scale Format (WOMAC VA 3.1) (Bellamy N. WOMAC Osteoarthritis Index User Guide. Version V. Brisbane, Australia 2002; WOMAC 3.1 User Guide XI; WOMAC is a registered trade-mark. Copyright 2008. Prof Nicholas Bellamy. All Rights Reserved). | Western Ontario and McMaster Universities Osteoarthritis Index Version 3.1 Visual Analog Scale Format Questionnaire | ||
WPAI-SHP | C100779 | WPAI01 | The Work Productivity and Activity Impairment - Specific Health Problems Questionnaire Version 2.0 (WPAI01) (http://www.reillyassociates.net/WPAI_SHP.html). | Work Productivity and Activity Impairment Specific Health Problems Version 2.0 Questionnaire | ||
YMRS | C102124 | YMRS01 | Young Mania Rating Scale (YMRS) (Young RC, Biggs JT, Ziegler VE et al: A rating scale for mania: reliability, validity and sensitivity. Br J Psychiatry 133: 429-435, 1978). | Young Mania Rating Scale Questionnaire | ||
Back to top | ||||||
CL.C120985.APACHE II TESTCD | CC-Acute Physiology and Chronic Health Evaluation II Clinical Classification Test Code (APACHE II TESTCD) | text Extensible: No | C120985 | CC-Acute Physiology and Chronic Health Evaluation II Clinical Classification Test Code | Acute Physiology and Chronic Health Evaluation II test code. | CDISC Clinical Classification APACHE II Test Code Terminology |
APCH101 | C121096 | APCH1-Temperature - Rectal | Acute Physiology and Chronic Health Evaluation II - Temperature - rectal (degree C). | APACHE II - Temperature, Rectal | ||
APCH102 | C121097 | APCH1-Mean Arterial Pressure | Acute Physiology and Chronic Health Evaluation II - Mean arterial pressure - mm Hg. | APACHE II - Mean Arterial Pressure | ||
APCH103 | C121098 | APCH1-Heart Rate | Acute Physiology and Chronic Health Evaluation II - Heart rate (ventricular response). | APACHE II - Heart Rate | ||
APCH104 | C121099 | APCH1-Respiratory Rate | Acute Physiology and Chronic Health Evaluation II - Respiratory rate (non-ventilated or ventilated). | APACHE II - Respiratory Rate | ||
APCH105A | C121100 | APCH1-Oxygenation: A-aDO2 | Acute Physiology and Chronic Health Evaluation II - Oxygenation (mm Hg): FIO2 greater than or equal to 0.5 record A-aDO2. | APACHE II - Oxygenation, A-aDO2 | ||
APCH105B | C121101 | APCH1-Oxygenation: PaO2 | Acute Physiology and Chronic Health Evaluation II - Oxygenation (mm Hg): FIO2 less than 0.5 record only PaO2. | APACHE II - Oxygenation, PaO2 | ||
APCH106A | C121102 | APCH1-Arterial pH | Acute Physiology and Chronic Health Evaluation II - Arterial pH (preferred). | APACHE II - Arterial pH | ||
APCH106B | C121103 | APCH1-Serum HCO3 | Acute Physiology and Chronic Health Evaluation II - Serum HCO3 (venous mMol/L) (Not preferred, use if no ABGs). | APACHE II - Serum HCO3 | ||
APCH107 | C121104 | APCH1-Serum Sodium | Acute Physiology and Chronic Health Evaluation II - Serum sodium (mMol/L). | APACHE II - Serum Sodium | ||
APCH108 | C121105 | APCH1-Serum Potassium | Acute Physiology and Chronic Health Evaluation II - Serum potassium (mMol/L). | APACHE II - Serum Potassium | ||
APCH109 | C121106 | APCH1-Serum Creatinine | Acute Physiology and Chronic Health Evaluation II - Serum creatinine (mg/100 mL) (double point score for acute renal failure). | APACHE II - Serum Creatinine | ||
APCH110 | C121107 | APCH1-Hematocrit | Acute Physiology and Chronic Health Evaluation II - Hematocrit (%). | APACHE II - Hematocrit | ||
APCH111 | C121108 | APCH1-White Blood Count | Acute Physiology and Chronic Health Evaluation II - White blood count (total/mm3) (in 1,000s). | APACHE II - White Blood Count | ||
APCH112 | C121109 | APCH1-15 Minus Glasgow Coma Score | Acute Physiology and Chronic Health Evaluation II - Glasgow coma score: Score equals 15 minus actual GCS. | APACHE II - 15 Minus Glasgow Coma Score | ||
APCH113 | C121110 | APCH1-A: Total Acute Physiology Score | Acute Physiology and Chronic Health Evaluation II - A: Total acute physiology score. | APACHE II - A, Total Acute Physiology Score | ||
APCH114 | C121111 | APCH1-B: Age Points | Acute Physiology and Chronic Health Evaluation II - B: Age points (years). | APACHE II - B, Age Points | ||
APCH115 | C121112 | APCH1-C: Chronic Health Points | Acute Physiology and Chronic Health Evaluation II - C: Chronic health points. | APACHE II - C, Chronic Health Points | ||
APCH116 | C121113 | APCH1-Total APACHE II Score | Acute Physiology and Chronic Health Evaluation II - Total APACHE II score. | APACHE II - Total APACHE II Score | ||
Back to top | ||||||
CL.C120984.APACHE II TEST | CC-Acute Physiology and Chronic Health Evaluation II Clinical Classification Test Name (APACHE II TEST) | text Extensible: No | C120984 | CC-Acute Physiology and Chronic Health Evaluation II Clinical Classification Test Name | Acute Physiology and Chronic Health Evaluation II test name. | CDISC Clinical Classification APACHE II Test Name Terminology |
APCH1-15 Minus Glasgow Coma Score | C121109 | APCH1-15 Minus Glasgow Coma Score | Acute Physiology and Chronic Health Evaluation II - Glasgow coma score: Score equals 15 minus actual GCS. | APACHE II - 15 Minus Glasgow Coma Score | ||
APCH1-A: Total Acute Physiology Score | C121110 | APCH1-A: Total Acute Physiology Score | Acute Physiology and Chronic Health Evaluation II - A: Total acute physiology score. | APACHE II - A, Total Acute Physiology Score | ||
APCH1-Arterial pH | C121102 | APCH1-Arterial pH | Acute Physiology and Chronic Health Evaluation II - Arterial pH (preferred). | APACHE II - Arterial pH | ||
APCH1-B: Age Points | C121111 | APCH1-B: Age Points | Acute Physiology and Chronic Health Evaluation II - B: Age points (years). | APACHE II - B, Age Points | ||
APCH1-C: Chronic Health Points | C121112 | APCH1-C: Chronic Health Points | Acute Physiology and Chronic Health Evaluation II - C: Chronic health points. | APACHE II - C, Chronic Health Points | ||
APCH1-Heart Rate | C121098 | APCH1-Heart Rate | Acute Physiology and Chronic Health Evaluation II - Heart rate (ventricular response). | APACHE II - Heart Rate | ||
APCH1-Hematocrit | C121107 | APCH1-Hematocrit | Acute Physiology and Chronic Health Evaluation II - Hematocrit (%). | APACHE II - Hematocrit | ||
APCH1-Mean Arterial Pressure | C121097 | APCH1-Mean Arterial Pressure | Acute Physiology and Chronic Health Evaluation II - Mean arterial pressure - mm Hg. | APACHE II - Mean Arterial Pressure | ||
APCH1-Oxygenation: A-aDO2 | C121100 | APCH1-Oxygenation: A-aDO2 | Acute Physiology and Chronic Health Evaluation II - Oxygenation (mm Hg): FIO2 greater than or equal to 0.5 record A-aDO2. | APACHE II - Oxygenation, A-aDO2 | ||
APCH1-Oxygenation: PaO2 | C121101 | APCH1-Oxygenation: PaO2 | Acute Physiology and Chronic Health Evaluation II - Oxygenation (mm Hg): FIO2 less than 0.5 record only PaO2. | APACHE II - Oxygenation, PaO2 | ||
APCH1-Respiratory Rate | C121099 | APCH1-Respiratory Rate | Acute Physiology and Chronic Health Evaluation II - Respiratory rate (non-ventilated or ventilated). | APACHE II - Respiratory Rate | ||
APCH1-Serum Creatinine | C121106 | APCH1-Serum Creatinine | Acute Physiology and Chronic Health Evaluation II - Serum creatinine (mg/100 mL) (double point score for acute renal failure). | APACHE II - Serum Creatinine | ||
APCH1-Serum HCO3 | C121103 | APCH1-Serum HCO3 | Acute Physiology and Chronic Health Evaluation II - Serum HCO3 (venous mMol/L) (Not preferred, use if no ABGs). | APACHE II - Serum HCO3 | ||
APCH1-Serum Potassium | C121105 | APCH1-Serum Potassium | Acute Physiology and Chronic Health Evaluation II - Serum potassium (mMol/L). | APACHE II - Serum Potassium | ||
APCH1-Serum Sodium | C121104 | APCH1-Serum Sodium | Acute Physiology and Chronic Health Evaluation II - Serum sodium (mMol/L). | APACHE II - Serum Sodium | ||
APCH1-Temperature - Rectal | C121096 | APCH1-Temperature - Rectal | Acute Physiology and Chronic Health Evaluation II - Temperature - rectal (degree C). | APACHE II - Temperature, Rectal | ||
APCH1-Total APACHE II Score | C121113 | APCH1-Total APACHE II Score | Acute Physiology and Chronic Health Evaluation II - Total APACHE II score. | APACHE II - Total APACHE II Score | ||
APCH1-White Blood Count | C121108 | APCH1-White Blood Count | Acute Physiology and Chronic Health Evaluation II - White blood count (total/mm3) (in 1,000s). | APACHE II - White Blood Count | ||
Back to top | ||||||
CL.C120989.CHILD-PUGH CLASSIFICATION TESTCD | CC-Child-Pugh Clinical Classification Test Code (CHILD-PUGH CLASSIFICATION TESTCD) | text Extensible: No | C120989 | CC-Child-Pugh Clinical Classification Test Code | Child-Pugh Classification test code. | CDISC Clinical Classification Child-Pugh Test Code Terminology |
CPS0101 | C121068 | CPS01-Encephalopathy Grade | Child-Pugh Classification - Encephalopathy grade. | Child-Pugh - Encephalopathy Grade | ||
CPS0102 | C121069 | CPS01-Ascites | Child-Pugh Classification - Ascites. | Child-Pugh - Ascites | ||
CPS0103 | C121070 | CPS01-Serum Bilirubin | Child-Pugh Classification - Serum bilirubin, mg/dL. | Child-Pugh - Serum Bilirubin | ||
CPS0104 | C121071 | CPS01-Serum Albumin | Child-Pugh Classification - Serum albumin, g/dL. | Child-Pugh - Serum Albumin | ||
CPS0105A | C121072 | CPS01-PT, Sec Prolonged | Child-Pugh Classification - Prothrombin time, sec prolonged. | Child-Pugh - PT, Sec Prolonged | ||
CPS0105B | C121073 | CPS01-PT, INR | Child-Pugh Classification - Prothrombin time, international normalized ratio (INR). | Child-Pugh - PT, INR | ||
CPS0106 | C121074 | CPS01-Total Score | Child-Pugh Classification - Child-Pugh total score. | Child-Pugh - Total Score | ||
CPS0107 | C121075 | CPS01-Grade | Child-Pugh Classification - Child-Pugh grade. | Child-Pugh - Grade | ||
Back to top | ||||||
CL.C120988.CHILD-PUGH CLASSIFICATION TEST | CC-Child-Pugh Clinical Classification Test Name (CHILD-PUGH CLASSIFICATION TEST) | text Extensible: No | C120988 | CC-Child-Pugh Clinical Classification Test Name | Child-Pugh Classification test name. | CDISC Clinical Classification Child-Pugh Test Name Terminology |
CPS01-Ascites | C121069 | CPS01-Ascites | Child-Pugh Classification - Ascites. | Child-Pugh - Ascites | ||
CPS01-Encephalopathy Grade | C121068 | CPS01-Encephalopathy Grade | Child-Pugh Classification - Encephalopathy grade. | Child-Pugh - Encephalopathy Grade | ||
CPS01-Grade | C121075 | CPS01-Grade | Child-Pugh Classification - Child-Pugh grade. | Child-Pugh - Grade | ||
CPS01-PT, INR | C121073 | CPS01-PT, INR | Child-Pugh Classification - Prothrombin time, international normalized ratio (INR). | Child-Pugh - PT, INR | ||
CPS01-PT, Sec Prolonged | C121072 | CPS01-PT, Sec Prolonged | Child-Pugh Classification - Prothrombin time, sec prolonged. | Child-Pugh - PT, Sec Prolonged | ||
CPS01-Serum Albumin | C121071 | CPS01-Serum Albumin | Child-Pugh Classification - Serum albumin, g/dL. | Child-Pugh - Serum Albumin | ||
CPS01-Serum Bilirubin | C121070 | CPS01-Serum Bilirubin | Child-Pugh Classification - Serum bilirubin, mg/dL. | Child-Pugh - Serum Bilirubin | ||
CPS01-Total Score | C121074 | CPS01-Total Score | Child-Pugh Classification - Child-Pugh total score. | Child-Pugh - Total Score | ||
Back to top | ||||||
CL.C119076.NHLBI CAD Grade TESTCD | CC-Coronary Artery Dissection NHLBI Grade Clinical Classification Test Code (NHLBI CAD Grade TESTCD) | text Extensible: No | C119076 | CC-Coronary Artery Dissection NHLBI Grade Clinical Classification Test Code | Coronary Artery Dissection NHLBI Grade test code. | CDISC Clinical Classification NHLBI CAD Grade Test Code Terminology |
CADG0101 | C119196 | CADG01-Coronary Dissection NHLBI Grade | Coronary Artery Dissection NHLBI Grade - A grading system to describe coronary artery dissection per the NHLBI, American College of Cardiology, American Heart Association. | NHLBI CAD Grade - Coronary Artery Dissection NHLBI Grade | ||
Back to top | ||||||
CL.C119075.NHLBI CAD Grade TEST | CC-Coronary Artery Dissection NHLBI Grade Clinical Classification Test Name (NHLBI CAD Grade TEST) | text Extensible: No | C119075 | CC-Coronary Artery Dissection NHLBI Grade Clinical Classification Test Name | Coronary Artery Dissection NHLBI Grade test name. | CDISC Clinical Classification NHLBI CAD Grade Test Name Terminology |
CADG01-Coronary Dissection NHLBI Grade | C119196 | CADG01-Coronary Dissection NHLBI Grade | Coronary Artery Dissection NHLBI Grade - A grading system to describe coronary artery dissection per the NHLBI, American College of Cardiology, American Heart Association. | NHLBI CAD Grade - Coronary Artery Dissection NHLBI Grade | ||
Back to top | ||||||
CL.C119074.TIMI Thrombus Grade TESTCD | CC-Coronary Thrombus TIMI Grade Clinical Classification Test Code (TIMI Thrombus Grade TESTCD) | text Extensible: No | C119074 | CC-Coronary Thrombus TIMI Grade Clinical Classification Test Code | Coronary Thrombus TIMI Grade test code. | CDISC Clinical Classification TIMI Thrombus Grade Test Code Terminology |
TIMG0101 | C119195 | TIMG01-Coronary Thrombus TIMI Grade | Coronary Thrombus TIMI Grade - Grade corresponding to thrombus development as defined in the grading system by the Thrombolysis in the Myocardial Infarction Group. | TIMI Thrombus Grade - Coronary Thrombus TIMI Grade | ||
Back to top | ||||||
CL.C119073.TIMI Thrombus Grade TEST | CC-Coronary Thrombus TIMI Grade Clinical Classification Test Name (TIMI Thrombus Grade TEST) | text Extensible: No | C119073 | CC-Coronary Thrombus TIMI Grade Clinical Classification Test Name | Coronary Thrombus TIMI Grade test name. | CDISC Clinical Classification TIMI Thrombus Grade Test Name Terminology |
TIMG01-Coronary Thrombus TIMI Grade | C119195 | TIMG01-Coronary Thrombus TIMI Grade | Coronary Thrombus TIMI Grade - Grade corresponding to thrombus development as defined in the grading system by the Thrombolysis in the Myocardial Infarction Group. | TIMI Thrombus Grade - Coronary Thrombus TIMI Grade | ||
Back to top | ||||||
CL.C120991.MELD TESTCD | CC-Model for End Stage Liver Disease Clinical Classification Test Code (MELD TESTCD) | text Extensible: No | C120991 | CC-Model for End Stage Liver Disease Clinical Classification Test Code | Model for End Stage Liver Disease test code. | CDISC Clinical Classification MELD Test Code Terminology |
MELD0101 | C121076 | MELD01-Score | Model for End Stage Liver Disease - MELD score. | MELD - Score | ||
Back to top | ||||||
CL.C120990.MELD TEST | CC-Model for End Stage Liver Disease Clinical Classification Test Name (MELD TEST) | text Extensible: No | C120990 | CC-Model for End Stage Liver Disease Clinical Classification Test Name | Model for End Stage Liver Disease test name. | CDISC Clinical Classification MELD Test Name Terminology |
MELD01-Score | C121076 | MELD01-Score | Model for End Stage Liver Disease - MELD score. | MELD - Score | ||
Back to top | ||||||
CL.C120993.NSA-16 TESTCD | CC-Negative Symptom Assessment-16 Clinical Classification Test Code (NSA-16 TESTCD) | text Extensible: No | C120993 | CC-Negative Symptom Assessment-16 Clinical Classification Test Code | Negative Symptom Assessment-16 test code. | CDISC Clinical Classification NSA-16 Test Code Terminology |
NSA0101 | C121077 | NSA01-Prolonged Time to Respond | Negative Symptom Assessment-16 - Prolonged time to respond. | NSA-16 - Prolonged Time to Respond | ||
NSA0102 | C121078 | NSA01-Restricted Speech Quantity | Negative Symptom Assessment-16 - Restricted speech quantity. | NSA-16 - Restricted Speech Quantity | ||
NSA0103 | C121079 | NSA01-Impoverished Speech Content | Negative Symptom Assessment-16 - Impoverished speech content. | NSA-16 - Impoverished Speech Content | ||
NSA0104 | C121080 | NSA01-Inarticulate Speech | Negative Symptom Assessment-16 - Inarticulate speech. | NSA-16 - Inarticulate Speech | ||
NSA0105 | C121081 | NSA01-Emotion: Reduced Range | Negative Symptom Assessment-16 - Emotion: Reduced range. | NSA-16 - Emotion: Reduced Range | ||
NSA0106 | C121082 | NSA01-Affect Reduce Modulation Intensity | Negative Symptom Assessment-16 - Affect: Reduced modulation of intensity. | NSA-16 - Affect: Reduce Modulation Intensity | ||
NSA0107 | C121083 | NSA01-Affect: Reduced Display on Demand | Negative Symptom Assessment-16 - Affect: Reduced display on demand. | NSA-16 - Affect: Reduced Display on Demand | ||
NSA0108 | C121084 | NSA01-Reduced Social Drive | Negative Symptom Assessment-16 - Reduced social drive. | NSA-16 - Reduced Social Drive | ||
NSA0109 | C121085 | NSA01-Poor Rapport With Interviewer | Negative Symptom Assessment-16 - Poor rapport with interviewer. | NSA-16 - Poor Rapport With Interviewer | ||
NSA0110 | C121086 | NSA01-Interest Emotional/Phys Intimacy | Negative Symptom Assessment-16 - Interest in emotional and physical intimacy. | NSA-16 - Interest in Emotional and Physical Intimacy | ||
NSA0111 | C121087 | NSA01-Poor Grooming and Hygiene | Negative Symptom Assessment-16 - Poor grooming and hygiene. | NSA-16 - Poor Grooming and Hygiene | ||
NSA0112 | C121088 | NSA01-Reduced Sense of Purpose | Negative Symptom Assessment-16 - Reduced sense of purpose. | NSA-16 - Reduced Sense of Purpose | ||
NSA0113 | C121089 | NSA01-Reduced Interests | Negative Symptom Assessment-16 - Reduced interests. | NSA-16 - Reduced Interests | ||
NSA0114 | C121090 | NSA01-Reduced Daily Activity | Negative Symptom Assessment-16 - Reduced daily activity. | NSA-16 - Reduced Daily Activity | ||
NSA0115 | C121091 | NSA01-Reduced Expressive Gestures | Negative Symptom Assessment-16 - Reduced expressive gestures. | NSA-16 - Reduced Expressive Gestures | ||
NSA0116 | C121092 | NSA01-Slowed Movements | Negative Symptom Assessment-16 - Slowed movements. | NSA-16 - Slowed Movements | ||
NSA0117 | C121093 | NSA01-Global Negative Symptoms Rating | Negative Symptom Assessment-16 - Global negative symptoms rating. | NSA-16 - Global Negative Symptoms Rating | ||
NSA0118 | C121094 | NSA01-Global Neg Symptom Rating-Severity | Negative Symptom Assessment-16 - Global negative symptoms rating - severity. | NSA-16 - Global Negative Symptoms Rating-Severity | ||
NSA0119 | C121095 | NSA01-Global Level of Functioning | Negative Symptom Assessment-16 - Global level of functioning. | NSA-16 - Global Level of Functioning | ||
Back to top | ||||||
CL.C120992.NSA-16 TEST | CC-Negative Symptom Assessment-16 Clinical Classification Test Name (NSA-16 TEST) | text Extensible: No | C120992 | CC-Negative Symptom Assessment-16 Clinical Classification Test Name | Negative Symptom Assessment-16 test name. | CDISC Clinical Classification NSA-16 Test Name Terminology |
NSA01-Affect Reduce Modulation Intensity | C121082 | NSA01-Affect Reduce Modulation Intensity | Negative Symptom Assessment-16 - Affect: Reduced modulation of intensity. | NSA-16 - Affect: Reduce Modulation Intensity | ||
NSA01-Affect: Reduced Display on Demand | C121083 | NSA01-Affect: Reduced Display on Demand | Negative Symptom Assessment-16 - Affect: Reduced display on demand. | NSA-16 - Affect: Reduced Display on Demand | ||
NSA01-Emotion: Reduced Range | C121081 | NSA01-Emotion: Reduced Range | Negative Symptom Assessment-16 - Emotion: Reduced range. | NSA-16 - Emotion: Reduced Range | ||
NSA01-Global Level of Functioning | C121095 | NSA01-Global Level of Functioning | Negative Symptom Assessment-16 - Global level of functioning. | NSA-16 - Global Level of Functioning | ||
NSA01-Global Neg Symptom Rating-Severity | C121094 | NSA01-Global Neg Symptom Rating-Severity | Negative Symptom Assessment-16 - Global negative symptoms rating - severity. | NSA-16 - Global Negative Symptoms Rating-Severity | ||
NSA01-Global Negative Symptoms Rating | C121093 | NSA01-Global Negative Symptoms Rating | Negative Symptom Assessment-16 - Global negative symptoms rating. | NSA-16 - Global Negative Symptoms Rating | ||
NSA01-Impoverished Speech Content | C121079 | NSA01-Impoverished Speech Content | Negative Symptom Assessment-16 - Impoverished speech content. | NSA-16 - Impoverished Speech Content | ||
NSA01-Inarticulate Speech | C121080 | NSA01-Inarticulate Speech | Negative Symptom Assessment-16 - Inarticulate speech. | NSA-16 - Inarticulate Speech | ||
NSA01-Interest Emotional/Phys Intimacy | C121086 | NSA01-Interest Emotional/Phys Intimacy | Negative Symptom Assessment-16 - Interest in emotional and physical intimacy. | NSA-16 - Interest in Emotional and Physical Intimacy | ||
NSA01-Poor Grooming and Hygiene | C121087 | NSA01-Poor Grooming and Hygiene | Negative Symptom Assessment-16 - Poor grooming and hygiene. | NSA-16 - Poor Grooming and Hygiene | ||
NSA01-Poor Rapport With Interviewer | C121085 | NSA01-Poor Rapport With Interviewer | Negative Symptom Assessment-16 - Poor rapport with interviewer. | NSA-16 - Poor Rapport With Interviewer | ||
NSA01-Prolonged Time to Respond | C121077 | NSA01-Prolonged Time to Respond | Negative Symptom Assessment-16 - Prolonged time to respond. | NSA-16 - Prolonged Time to Respond | ||
NSA01-Reduced Daily Activity | C121090 | NSA01-Reduced Daily Activity | Negative Symptom Assessment-16 - Reduced daily activity. | NSA-16 - Reduced Daily Activity | ||
NSA01-Reduced Expressive Gestures | C121091 | NSA01-Reduced Expressive Gestures | Negative Symptom Assessment-16 - Reduced expressive gestures. | NSA-16 - Reduced Expressive Gestures | ||
NSA01-Reduced Interests | C121089 | NSA01-Reduced Interests | Negative Symptom Assessment-16 - Reduced interests. | NSA-16 - Reduced Interests | ||
NSA01-Reduced Sense of Purpose | C121088 | NSA01-Reduced Sense of Purpose | Negative Symptom Assessment-16 - Reduced sense of purpose. | NSA-16 - Reduced Sense of Purpose | ||
NSA01-Reduced Social Drive | C121084 | NSA01-Reduced Social Drive | Negative Symptom Assessment-16 - Reduced social drive. | NSA-16 - Reduced Social Drive | ||
NSA01-Restricted Speech Quantity | C121078 | NSA01-Restricted Speech Quantity | Negative Symptom Assessment-16 - Restricted speech quantity. | NSA-16 - Restricted Speech Quantity | ||
NSA01-Slowed Movements | C121092 | NSA01-Slowed Movements | Negative Symptom Assessment-16 - Slowed movements. | NSA-16 - Slowed Movements | ||
Back to top | ||||||
CL.C119080.ARC STC Grade TESTCD | CC-Stent Thrombosis Coronary ARC Grade Clinical Classification Test Code (ARC STC Grade TESTCD) | text Extensible: No | C119080 | CC-Stent Thrombosis Coronary ARC Grade Clinical Classification Test Code | Stent Thrombosis Coronary ARC Grade test code. | CDISC Clinical Classification ARC STC Grade Test Code Terminology |
STCG0101 | C119198 | STCG01-STC ARC Grade | Stent Thrombosis Coronary ARC Grade - A grading system to describe the coronary stent thrombosis per the classification schema described by the Academic Research Consortium. | ARC STC Grade - Stent Thrombosis Coronary ARC Grade | ||
Back to top | ||||||
CL.C119079.ARC STC Grade TEST | CC-Stent Thrombosis Coronary ARC Grade Clinical Classification Test Name (ARC STC Grade TEST) | text Extensible: No | C119079 | CC-Stent Thrombosis Coronary ARC Grade Clinical Classification Test Name | Stent Thrombosis Coronary ARC Grade test name. | CDISC Clinical Classification ARC STC Grade Test Name Terminology |
STCG01-STC ARC Grade | C119198 | STCG01-STC ARC Grade | Stent Thrombosis Coronary ARC Grade - A grading system to describe the coronary stent thrombosis per the classification schema described by the Academic Research Consortium. | ARC STC Grade - Stent Thrombosis Coronary ARC Grade | ||
Back to top | ||||||
CL.C120987.BODE INDEX TESTCD | CC-The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Code (BODE INDEX TESTCD) | text Extensible: No | C120987 | CC-The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Code | The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index test code. | CDISC Clinical Classification BODE Index Test Code Terminology |
BODE0101 | C121063 | BODE01-Body-mass Index | Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - Body-mass index. | BODE Index - Body-mass Index | ||
BODE0102 | C121064 | BODE01-FEV1 % Predicted | Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - FEV1 (% of predicted). | BODE Index - FEV1 Percent Predicted | ||
BODE0103 | C121065 | BODE01-MMRC Dyspnea Scale | Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - MMRC dyspnea scale. | BODE Index - MMRC Dyspnea Scale | ||
BODE0104 | C121066 | BODE01-Distance Walked in 6 Minutes | Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - Distance walked in 6 min (in meter). | BODE Index - Distance Walked in 6 Minutes | ||
BODE0105 | C121067 | BODE01-BODE Score | Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - BODE score. | BODE Index - Score | ||
Back to top | ||||||
CL.C120986.BODE INDEX TEST | CC-The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Name (BODE INDEX TEST) | text Extensible: No | C120986 | CC-The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Name | The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index test name. | CDISC Clinical Classification BODE Index Test Name Terminology |
BODE01-BODE Score | C121067 | BODE01-BODE Score | Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - BODE score. | BODE Index - Score | ||
BODE01-Body-mass Index | C121063 | BODE01-Body-mass Index | Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - Body-mass index. | BODE Index - Body-mass Index | ||
BODE01-Distance Walked in 6 Minutes | C121066 | BODE01-Distance Walked in 6 Minutes | Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - Distance walked in 6 min (in meter). | BODE Index - Distance Walked in 6 Minutes | ||
BODE01-FEV1 % Predicted | C121064 | BODE01-FEV1 % Predicted | Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - FEV1 (% of predicted). | BODE Index - FEV1 Percent Predicted | ||
BODE01-MMRC Dyspnea Scale | C121065 | BODE01-MMRC Dyspnea Scale | Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - MMRC dyspnea scale. | BODE Index - MMRC Dyspnea Scale | ||
Back to top | ||||||
CL.C115388.6MWT TESTCD | FT-6 Minute Walk Functional Test Test Code (6MWT TESTCD) | text Extensible: No | C115388 | FT-6 Minute Walk Functional Test Test Code | 6 Minute Walk Test test code. | CDISC Functional Test 6MWT Test Code Terminology |
SIXMW101 | C115800 | SIXMW1-Distance at 1 Minute | 6 Minute Walk Test - Distance at 1 minute. | 6MWT - Distance at 1 Minute | ||
SIXMW102 | C115801 | SIXMW1-Distance at 2 Minutes | 6 Minute Walk Test - Distance at 2 minutes. | 6MWT - Distance at 2 Minutes | ||
SIXMW103 | C115802 | SIXMW1-Distance at 3 Minutes | 6 Minute Walk Test - Distance at 3 minutes. | 6MWT - Distance at 3 Minutes | ||
SIXMW104 | C115803 | SIXMW1-Distance at 4 Minutes | 6 Minute Walk Test - Distance at 4 minutes. | 6MWT - Distance at 4 Minutes | ||
SIXMW105 | C115804 | SIXMW1-Distance at 5 Minutes | 6 Minute Walk Test - Distance at 5 minutes. | 6MWT - Distance at 5 Minutes | ||
SIXMW106 | C115805 | SIXMW1-Distance at 6 Minutes | 6 Minute Walk Test - Distance at 6 minutes. | 6MWT - Distance at 6 Minutes | ||
Back to top | ||||||
CL.C115387.6MWT TEST | FT-6 Minute Walk Functional Test Test Name (6MWT TEST) | text Extensible: No | C115387 | FT-6 Minute Walk Functional Test Test Name | 6 Minute Walk Test test name. | CDISC Functional Test 6MWT Test Name Terminology |
SIXMW1-Distance at 1 Minute | C115800 | SIXMW1-Distance at 1 Minute | 6 Minute Walk Test - Distance at 1 minute. | 6MWT - Distance at 1 Minute | ||
SIXMW1-Distance at 2 Minutes | C115801 | SIXMW1-Distance at 2 Minutes | 6 Minute Walk Test - Distance at 2 minutes. | 6MWT - Distance at 2 Minutes | ||
SIXMW1-Distance at 3 Minutes | C115802 | SIXMW1-Distance at 3 Minutes | 6 Minute Walk Test - Distance at 3 minutes. | 6MWT - Distance at 3 Minutes | ||
SIXMW1-Distance at 4 Minutes | C115803 | SIXMW1-Distance at 4 Minutes | 6 Minute Walk Test - Distance at 4 minutes. | 6MWT - Distance at 4 Minutes | ||
SIXMW1-Distance at 5 Minutes | C115804 | SIXMW1-Distance at 5 Minutes | 6 Minute Walk Test - Distance at 5 minutes. | 6MWT - Distance at 5 Minutes | ||
SIXMW1-Distance at 6 Minutes | C115805 | SIXMW1-Distance at 6 Minutes | 6 Minute Walk Test - Distance at 6 minutes. | 6MWT - Distance at 6 Minutes | ||
Back to top | ||||||
CL.C120983.BACS TESTCD | FT-Brief Assessment of Cognition in Schizophrenia Test Code (BACS TESTCD) | text Extensible: No | C120983 | FT-Brief Assessment of Cognition in Schizophrenia Test Code | Brief Assessment of Cognition in Schizophrenia test code. | CDISC Functional Test BACS Test Code Terminology |
BACS101 | C121050 | BACS1-Number of Items Recalled | Brief Assessment of Cognition in Schizophrenia - Verbal Memory-Number of items recalled on each trial. | BACS - Number of Items Recalled | ||
BACS101A | C121051 | BACS1-Number of Items Recalled Total | Brief Assessment of Cognition in Schizophrenia - Verbal Memory-Total number of items recalled. | BACS - Number of Items Recalled Total | ||
BACS102 | C121052 | BACS1-Number of Correct Sequences | Brief Assessment of Cognition in Schizophrenia - Digit Sequencing-Number of correct sequences. | BACS - Number of Correct Sequences | ||
BACS103A | C121053 | BACS1-Number of Tokens Left on the Table | Brief Assessment of Cognition in Schizophrenia - Token Motor Task-Total number of tokens left on the table. | BACS - Number of Tokens Left on the Table | ||
BACS103B | C121054 | BACS1-Total Number Tokens in Container | Brief Assessment of Cognition in Schizophrenia - Token Motor Task-Total number of tokens placed in the container. | BACS - Total Number Tokens in Container | ||
BACS103C | C121055 | BACS1-Number Tokens Incorrectly Placed | Brief Assessment of Cognition in Schizophrenia Questionnaire - Token Motor Task-Total number of tokens incorrectly placed in container. | BACS - Number Tokens Incorrectly Placed | ||
BACS103D | C121056 | BACS1-Number of Tokens Correctly Placed | Brief Assessment of Cognition in Schizophrenia Questionnaire - Token Motor Task-Number of tokens correctly placed. | BACS - Number of Tokens Correctly Placed | ||
BACS104A | C121057 | BACS1-Category Instances | Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Category instances. | BACS - Category Instances | ||
BACS104B | C121058 | BACS1-Letter Fluency 1 | Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Letter fluency 1. | BACS - Letter Fluency 1 | ||
BACS104C | C121059 | BACS1-Letter Fluency 2 | Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Letter fluency 2. | BACS - Letter Fluency 2 | ||
BACS104D | C121060 | BACS-Verbal Fluency Total | Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Total number of Verbal Fluency items. | BACS - Verbal Fluency Total | ||
BACS105 | C121061 | BACS-Symbol Coding Raw Score | Brief Assessment of Cognition in Schizophrenia Questionnaire - Symbol Coding-Raw score. | BACS - Symbol Coding Raw Score | ||
BACS106 | C121062 | BACS1-Tower of London Correct Responses | Brief Assessment of Cognition in Schizophrenia Questionnaire - Tower of London-Number of correct responses. | BACS - Tower of London Correct Responses | ||
Back to top | ||||||
CL.C120982.BACS TEST | FT-Brief Assessment of Cognition in Schizophrenia Test Name (BACS TEST) | text Extensible: No | C120982 | FT-Brief Assessment of Cognition in Schizophrenia Test Name | Brief Assessment of Cognition in Schizophrenia test name. | CDISC Functional Test BACS Test Name Terminology |
BACS-Symbol Coding Raw Score | C121061 | BACS-Symbol Coding Raw Score | Brief Assessment of Cognition in Schizophrenia Questionnaire - Symbol Coding-Raw score. | BACS - Symbol Coding Raw Score | ||
BACS-Verbal Fluency Total | C121060 | BACS-Verbal Fluency Total | Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Total number of Verbal Fluency items. | BACS - Verbal Fluency Total | ||
BACS1-Category Instances | C121057 | BACS1-Category Instances | Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Category instances. | BACS - Category Instances | ||
BACS1-Letter Fluency 1 | C121058 | BACS1-Letter Fluency 1 | Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Letter fluency 1. | BACS - Letter Fluency 1 | ||
BACS1-Letter Fluency 2 | C121059 | BACS1-Letter Fluency 2 | Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Letter fluency 2. | BACS - Letter Fluency 2 | ||
BACS1-Number of Correct Sequences | C121052 | BACS1-Number of Correct Sequences | Brief Assessment of Cognition in Schizophrenia - Digit Sequencing-Number of correct sequences. | BACS - Number of Correct Sequences | ||
BACS1-Number of Items Recalled | C121050 | BACS1-Number of Items Recalled | Brief Assessment of Cognition in Schizophrenia - Verbal Memory-Number of items recalled on each trial. | BACS - Number of Items Recalled | ||
BACS1-Number of Items Recalled Total | C121051 | BACS1-Number of Items Recalled Total | Brief Assessment of Cognition in Schizophrenia - Verbal Memory-Total number of items recalled. | BACS - Number of Items Recalled Total | ||
BACS1-Number of Tokens Correctly Placed | C121056 | BACS1-Number of Tokens Correctly Placed | Brief Assessment of Cognition in Schizophrenia Questionnaire - Token Motor Task-Number of tokens correctly placed. | BACS - Number of Tokens Correctly Placed | ||
BACS1-Number of Tokens Left on the Table | C121053 | BACS1-Number of Tokens Left on the Table | Brief Assessment of Cognition in Schizophrenia - Token Motor Task-Total number of tokens left on the table. | BACS - Number of Tokens Left on the Table | ||
BACS1-Number Tokens Incorrectly Placed | C121055 | BACS1-Number Tokens Incorrectly Placed | Brief Assessment of Cognition in Schizophrenia Questionnaire - Token Motor Task-Total number of tokens incorrectly placed in container. | BACS - Number Tokens Incorrectly Placed | ||
BACS1-Total Number Tokens in Container | C121054 | BACS1-Total Number Tokens in Container | Brief Assessment of Cognition in Schizophrenia - Token Motor Task-Total number of tokens placed in the container. | BACS - Total Number Tokens in Container | ||
BACS1-Tower of London Correct Responses | C121062 | BACS1-Tower of London Correct Responses | Brief Assessment of Cognition in Schizophrenia Questionnaire - Tower of London-Number of correct responses. | BACS - Tower of London Correct Responses | ||
Back to top | ||||||
CL.C115390.HAI TESTCD | FT-Hauser Ambulation Index Functional Test Test Code (HAI TESTCD) | text Extensible: No | C115390 | FT-Hauser Ambulation Index Functional Test Test Code | Hauser Ambulation Index test code. | CDISC Functional Test HAI Test Code Terminology |
HAI0101 | C115806 | HAI01-Ambulation Index | Hauser Ambulation Index - Ambulation index. | HAI - Ambulation Index | ||
Back to top | ||||||
CL.C115389.HAI TEST | FT-Hauser Ambulation Index Functional Test Test Name (HAI TEST) | text Extensible: No | C115389 | FT-Hauser Ambulation Index Functional Test Test Name | Hauser Ambulation Index test name. | CDISC Functional Test HAI Test Name Terminology |
HAI01-Ambulation Index | C115806 | HAI01-Ambulation Index | Hauser Ambulation Index - Ambulation index. | HAI - Ambulation Index | ||
Back to top | ||||||
CL.C115392.NHPT TESTCD | FT-Nine-Hole Peg Functional Test Test Code (NHPT TESTCD) | text Extensible: No | C115392 | FT-Nine-Hole Peg Functional Test Test Code | Nine-Hole Peg Test test code. | CDISC Functional Test NHPT Test Code Terminology |
NHPT0101 | C115807 | NHPT01-Time to Complete 9-Hole Peg Test | Nine-Hole Peg Test - Time in seconds to complete 9-Hole Peg Test. | NHPT - Time to Complete 9-Hole Peg Test | ||
NHPT0102 | C115808 | NHPT01-More Than Two Attempts | Nine-Hole Peg Test - Did it take more than two attempts to get two successful trials? | NHPT - More Than Two Attempts | ||
Back to top | ||||||
CL.C115391.NHPT TEST | FT-Nine-Hole Peg Functional Test Test Name (NHPT TEST) | text Extensible: No | C115391 | FT-Nine-Hole Peg Functional Test Test Name | Nine-Hole Peg Test test name. | CDISC Functional Test NHPT Test Name Terminology |
NHPT01-More Than Two Attempts | C115808 | NHPT01-More Than Two Attempts | Nine-Hole Peg Test - Did it take more than two attempts to get two successful trials? | NHPT - More Than Two Attempts | ||
NHPT01-Time to Complete 9-Hole Peg Test | C115807 | NHPT01-Time to Complete 9-Hole Peg Test | Nine-Hole Peg Test - Time in seconds to complete 9-Hole Peg Test. | NHPT - Time to Complete 9-Hole Peg Test | ||
Back to top | ||||||
CL.C115394.PASAT TESTCD | FT-Paced Auditory Serial Addition Functional Test Test Code (PASAT TESTCD) | text Extensible: No | C115394 | FT-Paced Auditory Serial Addition Functional Test Test Code | Paced Auditory Serial Addition Test test code. | CDISC Functional Test PASAT Test Code Terminology |
PASAT101 | C115809 | PASAT1-Total Correct | Paced Auditory Serial Addition Test - Total correct. | PASAT - Total Correct | ||
PASAT102 | C115810 | PASAT1-Percent Correct | Paced Auditory Serial Addition Test - Percent correct. | PASAT - Percent Correct | ||
PASAT103 | C115811 | PASAT1-More Than One Attempt | Paced Auditory Serial Addition Test - Did it take more than one attempt to get one successful trial? | PASAT - More Than One Attempt | ||
PASAT104 | C115812 | PASAT1-Total Correct in First Half | Paced Auditory Serial Addition Test - Total correct in first half. | PASAT - Total Correct in First Half | ||
PASAT105 | C115813 | PASAT1-Total Correct in Second Half | Paced Auditory Serial Addition Test - Total correct in second half. | PASAT - Total Correct in Second Half | ||
PASAT106 | C115814 | PASAT1-Total Commission Errors | Paced Auditory Serial Addition Test - Total commission errors. | PASAT - Total Commission Errors | ||
PASAT107 | C115815 | PASAT1-Total Omission Errors | Paced Auditory Serial Addition Test - Total omission errors. | PASAT - Total Omission Errors | ||
Back to top | ||||||
CL.C115393.PASAT TEST | FT-Paced Auditory Serial Addition Functional Test Test Name (PASAT TEST) | text Extensible: No | C115393 | FT-Paced Auditory Serial Addition Functional Test Test Name | Paced Auditory Serial Addition Test test name. | CDISC Functional Test PASAT Test Name Terminology |
PASAT1-More Than One Attempt | C115811 | PASAT1-More Than One Attempt | Paced Auditory Serial Addition Test - Did it take more than one attempt to get one successful trial? | PASAT - More Than One Attempt | ||
PASAT1-Percent Correct | C115810 | PASAT1-Percent Correct | Paced Auditory Serial Addition Test - Percent correct. | PASAT - Percent Correct | ||
PASAT1-Total Commission Errors | C115814 | PASAT1-Total Commission Errors | Paced Auditory Serial Addition Test - Total commission errors. | PASAT - Total Commission Errors | ||
PASAT1-Total Correct | C115809 | PASAT1-Total Correct | Paced Auditory Serial Addition Test - Total correct. | PASAT - Total Correct | ||
PASAT1-Total Correct in First Half | C115812 | PASAT1-Total Correct in First Half | Paced Auditory Serial Addition Test - Total correct in first half. | PASAT - Total Correct in First Half | ||
PASAT1-Total Correct in Second Half | C115813 | PASAT1-Total Correct in Second Half | Paced Auditory Serial Addition Test - Total correct in second half. | PASAT - Total Correct in Second Half | ||
PASAT1-Total Omission Errors | C115815 | PASAT1-Total Omission Errors | Paced Auditory Serial Addition Test - Total omission errors. | PASAT - Total Omission Errors | ||
Back to top | ||||||
CL.C115396.SDMT TESTCD | FT-Symbol Digit Modalities Functional Test Test Code (SDMT TESTCD) | text Extensible: No | C115396 | FT-Symbol Digit Modalities Functional Test Test Code | Symbol Digit Modalities Test test code. | CDISC Functional Test SDMT Test Code Terminology |
SDMT0101 | C115816 | SDMT01-Total Score | Symbol Digit Modalities Test - Total score. | SDMT - Total Score | ||
Back to top | ||||||
CL.C115395.SDMT TEST | FT-Symbol Digit Modalities Functional Test Test Name (SDMT TEST) | text Extensible: No | C115395 | FT-Symbol Digit Modalities Functional Test Test Name | Symbol Digit Modalities Test test name. | CDISC Functional Test SDMT Test Name Terminology |
SDMT01-Total Score | C115816 | SDMT01-Total Score | Symbol Digit Modalities Test - Total score. | SDMT - Total Score | ||
Back to top | ||||||
CL.C115398.T25FW TESTCD | FT-Timed 25-Foot Walk Functional Test Test Code (T25FW TESTCD) | text Extensible: No | C115398 | FT-Timed 25-Foot Walk Functional Test Test Code | Timed 25-Foot Walk Test test code. | CDISC Functional Test T25FW Test Code Terminology |
T25FW101 | C115817 | T25FW1-Time to Complete 25-Foot Walk | Timed 25-Foot Walk - Time in seconds to complete 25-foot walk. | T25FW - Time to Complete 25-Foot Walk | ||
T25FW102 | C115818 | T25FW1-More Than Two Attempts | Timed 25-Foot Walk - Did it take more than two attempts to get two successful trials? | T25FW - More Than Two Attempts | ||
Back to top | ||||||
CL.C115397.T25FW TEST | FT-Timed 25-Foot Walk Functional Test Test Name (T25FW TEST) | text Extensible: No | C115397 | FT-Timed 25-Foot Walk Functional Test Test Name | Timed 25-Foot Walk Test test name. | CDISC Functional Test T25FW Test Name Terminology |
T25FW1-More Than Two Attempts | C115818 | T25FW1-More Than Two Attempts | Timed 25-Foot Walk - Did it take more than two attempts to get two successful trials? | T25FW - More Than Two Attempts | ||
T25FW1-Time to Complete 25-Foot Walk | C115817 | T25FW1-Time to Complete 25-Foot Walk | Timed 25-Foot Walk - Time in seconds to complete 25-foot walk. | T25FW - Time to Complete 25-Foot Walk | ||
Back to top | ||||||
CL.C115400.TUG TESTCD | FT-Timed Up and Go Functional Test Test Code (TUG TESTCD) | text Extensible: No | C115400 | FT-Timed Up and Go Functional Test Test Code | Timed Up and Go Test test code. | CDISC Functional Test TUG Test Code Terminology |
TUG0101 | C115819 | TUG01-Time to Complete TUG Test | Timed Up and Go - Time in seconds to complete TUG test. | TUG - Time to Complete TUG Test | ||
Back to top | ||||||
CL.C115399.TUG TEST | FT-Timed Up and Go Functional Test Test Name (TUG TEST) | text Extensible: No | C115399 | FT-Timed Up and Go Functional Test Test Name | Timed Up and Go Test test name. | CDISC Functional Test TUG Test Name Terminology |
TUG01-Time to Complete TUG Test | C115819 | TUG01-Time to Complete TUG Test | Timed Up and Go - Time in seconds to complete TUG test. | TUG - Time to Complete TUG Test | ||
Back to top | ||||||
CL.C101805.AIMS TESTCD | QS-Abnormal Involuntary Movement Scale Test Code (AIMS TESTCD) | text Extensible: No | C101805 | QS-Abnormal Involuntary Movement Scale Test Code | Abnormal Involuntary Movement Scale test code. | CDISC Questionnaire AIMS Test Code Terminology |
AIMS0101 | C102034 | AIMS01-Muscles of Facial Expression | Abnormal 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 | ||
AIMS0102 | C102035 | AIMS01-Lips and Perioral Area | Abnormal Involuntary Movement Scale - Facial and Oral Movements, Lips and perioral area, e.g., puckering, pouting, smacking. | AIMS - Lips and Perioral Area | ||
AIMS0103 | C102036 | AIMS01-Jaw | Abnormal Involuntary Movement Scale - Facial and Oral Movements, Jaw, e.g., biting, clenching, chewing, mouth opening, lateral movement. | AIMS - Jaw | ||
AIMS0104 | C102037 | AIMS01-Tongue | Abnormal 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 | ||
AIMS0105 | C102038 | AIMS01-Upper Extremities | Abnormal 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 | ||
AIMS0106 | C102039 | AIMS01-Lower Extremities | Abnormal 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 | ||
AIMS0107 | C102040 | AIMS01-Neck, Shoulders, Hips | Abnormal Involuntary Movement Scale - Trunk Movements, Neck, shoulders, hips, e.g., rocking, twisting, squirming, pelvic gyrations. Include diaphragmatic movements. | AIMS - Neck, Shoulders, Hips | ||
AIMS0108 | C102041 | AIMS01-Severity of Abnormal Movements | Abnormal Involuntary Movement Scale - Global Judgments, Severity of abnormal movements, based on the highest single score on the above items. | AIMS - Severity of Abnormal Movements | ||
AIMS0109 | C102042 | AIMS01-Incapacitation due Abn Movements | Abnormal Involuntary Movement Scale - Global Judgments, Incapacitation due to abnormal movements. | AIMS - Incapacitation Due to Abnormal Movements | ||
AIMS0110 | C102043 | AIMS01-Patient Awareness Abn Movements | Abnormal Involuntary Movement Scale - Global Judgments, Patient's awareness of abnormal movements. | AIMS - Patient's Awareness of Abnormal Movements | ||
AIMS0111 | C102044 | AIMS01-Current Problems Teeth/Dentures | Abnormal Involuntary Movement Scale - Dental Status, Current problems with teeth and/or dentures. | AIMS - Current Teeth/Dentures Problems | ||
AIMS0112 | C102045 | AIMS01-Patient Usually Wear Dentures | Abnormal Involuntary Movement Scale - Dental Status, Does patient usually wear dentures? | AIMS - Patient Usually Wears Dentures | ||
Back to top | ||||||
CL.C101806.AIMS TEST | QS-Abnormal Involuntary Movement Scale Test Name (AIMS TEST) | text Extensible: No | C101806 | QS-Abnormal Involuntary Movement Scale Test Name | Abnormal Involuntary Movement Scale test name. | CDISC Questionnaire AIMS Test Name Terminology |
AIMS01-Current Problems Teeth/Dentures | C102044 | AIMS01-Current Problems Teeth/Dentures | Abnormal Involuntary Movement Scale - Dental Status, Current problems with teeth and/or dentures. | AIMS - Current Teeth/Dentures Problems | ||
AIMS01-Incapacitation due Abn Movements | C102042 | AIMS01-Incapacitation due Abn Movements | Abnormal Involuntary Movement Scale - Global Judgments, Incapacitation due to abnormal movements. | AIMS - Incapacitation Due to Abnormal Movements | ||
AIMS01-Jaw | C102036 | AIMS01-Jaw | Abnormal Involuntary Movement Scale - Facial and Oral Movements, Jaw, e.g., biting, clenching, chewing, mouth opening, lateral movement. | AIMS - Jaw | ||
AIMS01-Lips and Perioral Area | C102035 | AIMS01-Lips and Perioral Area | Abnormal Involuntary Movement Scale - Facial and Oral Movements, Lips and perioral area, e.g., puckering, pouting, smacking. | AIMS - Lips and Perioral Area | ||
AIMS01-Lower Extremities | C102039 | AIMS01-Lower Extremities | Abnormal 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 Expression | C102034 | AIMS01-Muscles of Facial Expression | Abnormal 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, Hips | C102040 | AIMS01-Neck, Shoulders, Hips | Abnormal 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 Movements | C102043 | AIMS01-Patient Awareness Abn Movements | Abnormal Involuntary Movement Scale - Global Judgments, Patient's awareness of abnormal movements. | AIMS - Patient's Awareness of Abnormal Movements | ||
AIMS01-Patient Usually Wear Dentures | C102045 | AIMS01-Patient Usually Wear Dentures | Abnormal Involuntary Movement Scale - Dental Status, Does patient usually wear dentures? | AIMS - Patient Usually Wears Dentures | ||
AIMS01-Severity of Abnormal Movements | C102041 | AIMS01-Severity of Abnormal Movements | Abnormal 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-Tongue | C102037 | AIMS01-Tongue | Abnormal 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 Extremities | C102038 | AIMS01-Upper Extremities | Abnormal 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 | ||
Back to top | ||||||
CL.C101807.AVLT TESTCD | QS-ADNI AVLT Test Code (AVLT TESTCD) | text Extensible: No | C101807 | QS-ADNI AVLT Test Code | ADNI AVLT test code. | CDISC Questionnaire ADNI AVLT Test Code Terminology |
AVL01001 | C101896 | AVL01-List A Recall 1 Word 1 | Auditory Verbal Learning Test Version A - List A, Recall 1, Word 1. | ADNI AVLT - List A Recall 1 Word 1 | ||
AVL01002 | C101897 | AVL01-List A Recall 1 Word 2 | Auditory Verbal Learning Test Version A - List A, Recall 1, Word 2. | ADNI AVLT - List A Recall 1 Word 2 | ||
AVL01003 | C101898 | AVL01-List A Recall 1 Word 3 | Auditory Verbal Learning Test Version A - List A, Recall 1, Word 3. | ADNI AVLT - List A Recall 1 Word 3 | ||
AVL01004 | C101899 | AVL01-List A Recall 1 Word 4 | Auditory Verbal Learning Test Version A - List A, Recall 1, Word 4. | ADNI AVLT - List A Recall 1 Word 4 | ||
AVL01005 | C101900 | AVL01-List A Recall 1 Word 5 | Auditory Verbal Learning Test Version A - List A, Recall 1, Word 5. | ADNI AVLT - List A Recall 1 Word 5 | ||
AVL01006 | C101901 | AVL01-List A Recall 1 Word 6 | Auditory Verbal Learning Test Version A - List A, Recall 1, Word 6. | ADNI AVLT - List A Recall 1 Word 6 | ||
AVL01007 | C101902 | AVL01-List A Recall 1 Word 7 | Auditory Verbal Learning Test Version A - List A, Recall 1, Word 7. | ADNI AVLT - List A Recall 1 Word 7 | ||
AVL01008 | C101903 | AVL01-List A Recall 1 Word 8 | Auditory Verbal Learning Test Version A - List A, Recall 1, Word 8. | ADNI AVLT - List A Recall 1 Word 8 | ||
AVL01009 | C101904 | AVL01-List A Recall 1 Word 9 | Auditory Verbal Learning Test Version A - List A, Recall 1, Word 9. | ADNI AVLT - List A Recall 1 Word 9 | ||
AVL01010 | C101905 | AVL01-List A Recall 1 Word 10 | Auditory Verbal Learning Test Version A - List A, Recall 1, Word 10. | ADNI AVLT - List A Recall 1 Word 10 | ||
AVL01011 | C101906 | AVL01-List A Recall 1 Word 11 | Auditory Verbal Learning Test Version A - List A, Recall 1, Word 11. | ADNI AVLT - List A Recall 1 Word 11 | ||
AVL01012 | C101907 | AVL01-List A Recall 1 Word 12 | Auditory Verbal Learning Test Version A - List A, Recall 1, Word 12. | ADNI AVLT - List A Recall 1 Word 12 | ||
AVL01013 | C101908 | AVL01-List A Recall 1 Word 13 | Auditory Verbal Learning Test Version A - List A, Recall 1, Word 13. | ADNI AVLT - List A Recall 1 Word 13 | ||
AVL01014 | C101909 | AVL01-List A Recall 1 Word 14 | Auditory Verbal Learning Test Version A - List A, Recall 1, Word 14. | ADNI AVLT - List A Recall 1 Word 14 | ||
AVL01015 | C101910 | AVL01-List A Recall 1 Word 15 | Auditory Verbal Learning Test Version A - List A, Recall 1, Word 15. | ADNI AVLT - List A Recall 1 Word 15 | ||
AVL01016 | C101911 | AVL01-List A Recall 1 Total | Auditory Verbal Learning Test Version A - The number of words recalled from List A, first attempt. | ADNI AVLT - List A Recall 1 Total | ||
AVL01017 | C101912 | AVL01-List A Intrusions 1 | Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, first attempt. | ADNI AVLT - List A Intrusions 1 | ||
AVL01018 | C101913 | AVL01-List A Recall 2 Word 1 | Auditory Verbal Learning Test Version A - List A, Recall 2, Word 1. | ADNI AVLT - List A Recall 2 Word 1 | ||
AVL01019 | C101914 | AVL01-List A Recall 2 Word 2 | Auditory Verbal Learning Test Version A - List A, Recall 2, Word 2. | ADNI AVLT - List A Recall 2 Word 2 | ||
AVL01020 | C101915 | AVL01-List A Recall 2 Word 3 | Auditory Verbal Learning Test Version A - List A, Recall 2, Word 3. | ADNI AVLT - List A Recall 2 Word 3 | ||
AVL01021 | C101916 | AVL01-List A Recall 2 Word 4 | Auditory Verbal Learning Test Version A - List A, Recall 2, Word 4. | ADNI AVLT - List A Recall 2 Word 4 | ||
AVL01022 | C101917 | AVL01-List A Recall 2 Word 5 | Auditory Verbal Learning Test Version A - List A, Recall 2, Word 5. | ADNI AVLT - List A Recall 2 Word 5 | ||
AVL01023 | C101918 | AVL01-List A Recall 2 Word 6 | Auditory Verbal Learning Test Version A - List A, Recall 2, Word 6. | ADNI AVLT - List A Recall 2 Word 6 | ||
AVL01024 | C101919 | AVL01-List A Recall 2 Word 7 | Auditory Verbal Learning Test Version A - List A, Recall 2, Word 7. | ADNI AVLT - List A Recall 2 Word 7 | ||
AVL01025 | C101920 | AVL01-List A Recall 2 Word 8 | Auditory Verbal Learning Test Version A - List A, Recall 2, Word 8. | ADNI AVLT - List A Recall 2 Word 8 | ||
AVL01026 | C101921 | AVL01-List A Recall 2 Word 9 | Auditory Verbal Learning Test Version A - List A, Recall 2, Word 9. | ADNI AVLT - List A Recall 2 Word 9 | ||
AVL01027 | C101922 | AVL01-List A Recall 2 Word 10 | Auditory Verbal Learning Test Version A - List A, Recall 2, Word 10. | ADNI AVLT - List A Recall 2 Word 10 | ||
AVL01028 | C101923 | AVL01-List A Recall 2 Word 11 | Auditory Verbal Learning Test Version A - List A, Recall 2, Word 11. | ADNI AVLT - List A Recall 2 Word 11 | ||
AVL01029 | C101924 | AVL01-List A Recall 2 Word 12 | Auditory Verbal Learning Test Version A - List A, Recall 2, Word 12. | ADNI AVLT - List A Recall 2 Word 12 | ||
AVL01030 | C101925 | AVL01-List A Recall 2 Word 13 | Auditory Verbal Learning Test Version A - List A, Recall 2, Word 13. | ADNI AVLT - List A Recall 2 Word 13 | ||
AVL01031 | C101926 | AVL01-List A Recall 2 Word 14 | Auditory Verbal Learning Test Version A - List A, Recall 2, Word 14. | ADNI AVLT - List A Recall 2 Word 14 | ||
AVL01032 | C101927 | AVL01-List A Recall 2 Word 15 | Auditory Verbal Learning Test Version A - List A, Recall 2, Word 15. | ADNI AVLT - List A Recall 2 Word 15 | ||
AVL01033 | C101928 | AVL01-List A Recall 2 Total | Auditory Verbal Learning Test Version A - The number of words recalled from List A, second attempt. | ADNI AVLT - List A Recall 2 Total | ||
AVL01034 | C101929 | AVL01-List A Intrusions 2 | Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, second attempt. | ADNI AVLT - List A Intrusions 2 | ||
AVL01035 | C101930 | AVL01-List A Recall 3 Word 1 | Auditory Verbal Learning Test Version A - List A, Recall 3, Word 1. | ADNI AVLT - List A Recall 3 Word 1 | ||
AVL01036 | C101931 | AVL01-List A Recall 3 Word 2 | Auditory Verbal Learning Test Version A - List A, Recall 3, Word 2. | ADNI AVLT - List A Recall 3 Word 2 | ||
AVL01037 | C101932 | AVL01-List A Recall 3 Word 3 | Auditory Verbal Learning Test Version A - List A, Recall 3, Word 3. | ADNI AVLT - List A Recall 3 Word 3 | ||
AVL01038 | C101933 | AVL01-List A Recall 3 Word 4 | Auditory Verbal Learning Test Version A - List A, Recall 3, Word 4. | ADNI AVLT - List A Recall 3 Word 4 | ||
AVL01039 | C101934 | AVL01-List A Recall 3 Word 5 | Auditory Verbal Learning Test Version A - List A, Recall 3, Word 5. | ADNI AVLT - List A Recall 3 Word 5 | ||
AVL01040 | C101935 | AVL01-List A Recall 3 Word 6 | Auditory Verbal Learning Test Version A - List A, Recall 3, Word 6. | ADNI AVLT - List A Recall 3 Word 6 | ||
AVL01041 | C101936 | AVL01-List A Recall 3 Word 7 | Auditory Verbal Learning Test Version A - List A, Recall 3, Word 7. | ADNI AVLT - List A Recall 3 Word 7 | ||
AVL01042 | C101937 | AVL01-List A Recall 3 Word 8 | Auditory Verbal Learning Test Version A - List A, Recall 3, Word 8. | ADNI AVLT - List A Recall 3 Word 8 | ||
AVL01043 | C101938 | AVL01-List A Recall 3 Word 9 | Auditory Verbal Learning Test Version A - List A, Recall 3, Word 9. | ADNI AVLT - List A Recall 3 Word 9 | ||
AVL01044 | C101939 | AVL01-List A Recall 3 Word 10 | Auditory Verbal Learning Test Version A - List A, Recall 3, Word 10. | ADNI AVLT - List A Recall 3 Word 10 | ||
AVL01045 | C101940 | AVL01-List A Recall 3 Word 11 | Auditory Verbal Learning Test Version A - List A, Recall 3, Word 11. | ADNI AVLT - List A Recall 3 Word 11 | ||
AVL01046 | C101941 | AVL01-List A Recall 3 Word 12 | Auditory Verbal Learning Test Version A - List A, Recall 3, Word 12. | ADNI AVLT - List A Recall 3 Word 12 | ||
AVL01047 | C101942 | AVL01-List A Recall 3 Word 13 | Auditory Verbal Learning Test Version A - List A, Recall 3, Word 13. | ADNI AVLT - List A Recall 3 Word 13 | ||
AVL01048 | C101943 | AVL01-List A Recall 3 Word 14 | Auditory Verbal Learning Test Version A - List A, Recall 3, Word 14. | ADNI AVLT - List A Recall 3 Word 14 | ||
AVL01049 | C101944 | AVL01-List A Recall 3 Word 15 | Auditory Verbal Learning Test Version A - List A, Recall 3, Word 15. | ADNI AVLT - List A Recall 3 Word 15 | ||
AVL01050 | C101945 | AVL01-List A Recall 3 Total | Auditory Verbal Learning Test Version A - The number of words recalled from List A, third attempt. | ADNI AVLT - List A Recall 3 Total | ||
AVL01051 | C101946 | AVL01-List A Intrusions 3 | Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, third attempt. | ADNI AVLT - List A Intrusions 3 | ||
AVL01052 | C101947 | AVL01-List A Recall 4 Word 1 | Auditory Verbal Learning Test Version A - List A, Recall 4, Word 1. | ADNI AVLT - List A Recall 4 Word 1 | ||
AVL01053 | C101948 | AVL01-List A Recall 4 Word 2 | Auditory Verbal Learning Test Version A - List A, Recall 4, Word 2. | ADNI AVLT - List A Recall 4 Word 2 | ||
AVL01054 | C101949 | AVL01-List A Recall 4 Word 3 | Auditory Verbal Learning Test Version A - List A, Recall 4, Word 3. | ADNI AVLT - List A Recall 4 Word 3 | ||
AVL01055 | C101950 | AVL01-List A Recall 4 Word 4 | Auditory Verbal Learning Test Version A - List A, Recall 4, Word 4. | ADNI AVLT - List A Recall 4 Word 4 | ||
AVL01056 | C101951 | AVL01-List A Recall 4 Word 5 | Auditory Verbal Learning Test Version A - List A, Recall 4, Word 5. | ADNI AVLT - List A Recall 4 Word 5 | ||
AVL01057 | C101952 | AVL01-List A Recall 4 Word 6 | Auditory Verbal Learning Test Version A - List A, Recall 4, Word 6. | ADNI AVLT - List A Recall 4 Word 6 | ||
AVL01058 | C101953 | AVL01-List A Recall 4 Word 7 | Auditory Verbal Learning Test Version A - List A, Recall 4, Word 7. | ADNI AVLT - List A Recall 4 Word 7 | ||
AVL01059 | C101954 | AVL01-List A Recall 4 Word 8 | Auditory Verbal Learning Test Version A - List A, Recall 4, Word 8. | ADNI AVLT - List A Recall 4 Word 8 | ||
AVL01060 | C101955 | AVL01-List A Recall 4 Word 9 | Auditory Verbal Learning Test Version A - List A, Recall 4, Word 9. | ADNI AVLT - List A Recall 4 Word 9 | ||
AVL01061 | C101956 | AVL01-List A Recall 4 Word 10 | Auditory Verbal Learning Test Version A - List A, Recall 4, Word 10. | ADNI AVLT - List A Recall 4 Word 10 | ||
AVL01062 | C101957 | AVL01-List A Recall 4 Word 11 | Auditory Verbal Learning Test Version A - List A, Recall 4, Word 11. | ADNI AVLT - List A Recall 4 Word 11 | ||
AVL01063 | C101958 | AVL01-List A Recall 4 Word 12 | Auditory Verbal Learning Test Version A - List A, Recall 4, Word 12. | ADNI AVLT - List A Recall 4 Word 12 | ||
AVL01064 | C101959 | AVL01-List A Recall 4 Word 13 | Auditory Verbal Learning Test Version A - List A, Recall 4, Word 13. | ADNI AVLT - List A Recall 4 Word 13 | ||
AVL01065 | C101960 | AVL01-List A Recall 4 Word 14 | Auditory Verbal Learning Test Version A - List A, Recall 4, Word 14. | ADNI AVLT - List A Recall 4 Word 14 | ||
AVL01066 | C101961 | AVL01-List A Recall 4 Word 15 | Auditory Verbal Learning Test Version A - List A, Recall 4, Word 15. | ADNI AVLT - List A Recall 4 Word 15 | ||
AVL01067 | C101962 | AVL01-List A Recall 4 Total | Auditory Verbal Learning Test Version A - The number of words recalled from List A, fourth attempt. | ADNI AVLT - List A Recall 4 Total | ||
AVL01068 | C101963 | AVL01-List A Intrusions 4 | Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fourth attempt. | ADNI AVLT - List A Intrusions 4 | ||
AVL01069 | C101964 | AVL01-List A Recall 5 Word 1 | Auditory Verbal Learning Test Version A - List A, Recall 5, Word 1. | ADNI AVLT - List A Recall 5 Word 1 | ||
AVL01070 | C101965 | AVL01-List A Recall 5 Word 2 | Auditory Verbal Learning Test Version A - List A, Recall 5, Word 2. | ADNI AVLT - List A Recall 5 Word 2 | ||
AVL01071 | C101966 | AVL01-List A Recall 5 Word 3 | Auditory Verbal Learning Test Version A - List A, Recall 5, Word 3. | ADNI AVLT - List A Recall 5 Word 3 | ||
AVL01072 | C101967 | AVL01-List A Recall 5 Word 4 | Auditory Verbal Learning Test Version A - List A, Recall 5, Word 4. | ADNI AVLT - List A Recall 5 Word 4 | ||
AVL01073 | C101968 | AVL01-List A Recall 5 Word 5 | Auditory Verbal Learning Test Version A - List A, Recall 5, Word 5. | ADNI AVLT - List A Recall 5 Word 5 | ||
AVL01074 | C101969 | AVL01-List A Recall 5 Word 6 | Auditory Verbal Learning Test Version A - List A, Recall 5, Word 6. | ADNI AVLT - List A Recall 5 Word 6 | ||
AVL01075 | C101970 | AVL01-List A Recall 5 Word 7 | Auditory Verbal Learning Test Version A - List A, Recall 5, Word 7. | ADNI AVLT - List A Recall 5 Word 7 | ||
AVL01076 | C101971 | AVL01-List A Recall 5 Word 8 | Auditory Verbal Learning Test Version A - List A, Recall 5, Word 8. | ADNI AVLT - List A Recall 5 Word 8 | ||
AVL01077 | C101972 | AVL01-List A Recall 5 Word 9 | Auditory Verbal Learning Test Version A - List A, Recall 5, Word 9. | ADNI AVLT - List A Recall 5 Word 9 | ||
AVL01078 | C101973 | AVL01-List A Recall 5 Word 10 | Auditory Verbal Learning Test Version A - List A, Recall 5, Word 10. | ADNI AVLT - List A Recall 5 Word 10 | ||
AVL01079 | C101974 | AVL01-List A Recall 5 Word 11 | Auditory Verbal Learning Test Version A - List A, Recall 5, Word 11. | ADNI AVLT - List A Recall 5 Word 11 | ||
AVL01080 | C101975 | AVL01-List A Recall 5 Word 12 | Auditory Verbal Learning Test Version A - List A, Recall 5, Word 12. | ADNI AVLT - List A Recall 5 Word 12 | ||
AVL01081 | C101976 | AVL01-List A Recall 5 Word 13 | Auditory Verbal Learning Test Version A - List A, Recall 5, Word 13. | ADNI AVLT - List A Recall 5 Word 13 | ||
AVL01082 | C101977 | AVL01-List A Recall 5 Word 14 | Auditory Verbal Learning Test Version A - List A, Recall 5, Word 14. | ADNI AVLT - List A Recall 5 Word 14 | ||
AVL01083 | C101978 | AVL01-List A Recall 5 Word 15 | Auditory Verbal Learning Test Version A - List A, Recall 5, Word 15. | ADNI AVLT - List A Recall 5 Word 15 | ||
AVL01084 | C101979 | AVL01-List A Recall 5 Total | Auditory Verbal Learning Test Version A - The number of words recalled from List A, fifth attempt. | ADNI AVLT - List A Recall 5 Total | ||
AVL01085 | C101980 | AVL01-List A Intrusions 5 | Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fifth attempt. | ADNI AVLT - List A Intrusions 5 | ||
AVL01086 | C101981 | AVL01-List A Recall 6 (After B) Word 1 | Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 1. | ADNI AVLT - List A Recall 6 (After B) Word 1 | ||
AVL01087 | C101982 | AVL01-List A Recall 6 (After B) Word 2 | Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 2. | ADNI AVLT - List A Recall 6 (After B) Word 2 | ||
AVL01088 | C101983 | AVL01-List A Recall 6 (After B) Word 3 | Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 3. | ADNI AVLT - List A Recall 6 (After B) Word 3 | ||
AVL01089 | C101984 | AVL01-List A Recall 6 (After B) Word 4 | Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 4. | ADNI AVLT - List A Recall 6 (After B) Word 4 | ||
AVL01090 | C101985 | AVL01-List A Recall 6 (After B) Word 5 | Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 5. | ADNI AVLT - List A Recall 6 (After B) Word 5 | ||
AVL01091 | C101986 | AVL01-List A Recall 6 (After B) Word 6 | Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 6. | ADNI AVLT - List A Recall 6 (After B) Word 6 | ||
AVL01092 | C101987 | AVL01-List A Recall 6 (After B) Word 7 | Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 7. | ADNI AVLT - List A Recall 6 (After B) Word 7 | ||
AVL01093 | C101988 | AVL01-List A Recall 6 (After B) Word 8 | Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 8. | ADNI AVLT - List A Recall 6 (After B) Word 8 | ||
AVL01094 | C101989 | AVL01-List A Recall 6 (After B) Word 9 | Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 9. | ADNI AVLT - List A Recall 6 (After B) Word 9 | ||
AVL01095 | C101990 | AVL01-List A Recall 6 (After B) Word 10 | Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 10. | ADNI AVLT - List A Recall 6 (After B) Word 10 | ||
AVL01096 | C101991 | AVL01-List A Recall 6 (After B) Word 11 | Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 11. | ADNI AVLT - List A Recall 6 (After B) Word 11 | ||
AVL01097 | C101992 | AVL01-List A Recall 6 (After B) Word 12 | Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 12. | ADNI AVLT - List A Recall 6 (After B) Word 12 | ||
AVL01098 | C101993 | AVL01-List A Recall 6 (After B) Word 13 | Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 13. | ADNI AVLT - List A Recall 6 (After B) Word 13 | ||
AVL01099 | C101994 | AVL01-List A Recall 6 (After B) Word 14 | Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 14. | ADNI AVLT - List A Recall 6 (After B) Word 14 | ||
AVL01100 | C101995 | AVL01-List A Recall 6 (After B) Word 15 | Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 15. | ADNI AVLT - List A Recall 6 (After B) Word 15 | ||
AVL01101 | C101996 | AVL01-List A Recall 6 (After B) Total | Auditory 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 | ||
AVL01102 | C101997 | AVL01-List A Intrusions 6 | Auditory 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 | ||
AVL01103 | C101998 | AVL01-List B Recall Word 1 | Auditory Verbal Learning Test Version A - List B, Word 1. | ADNI AVLT - List B Recall Word 1 | ||
AVL01104 | C101999 | AVL01-List B Recall Word 2 | Auditory Verbal Learning Test Version A - List B, Word 2. | ADNI AVLT - List B Recall Word 2 | ||
AVL01105 | C102000 | AVL01-List B Recall Word 3 | Auditory Verbal Learning Test Version A - List B, Word 3. | ADNI AVLT - List B Recall Word 3 | ||
AVL01106 | C102001 | AVL01-List B Recall Word 4 | Auditory Verbal Learning Test Version A - List B, Word 4. | ADNI AVLT - List B Recall Word 4 | ||
AVL01107 | C102002 | AVL01-List B Recall Word 5 | Auditory Verbal Learning Test Version A - List B, Word 5. | ADNI AVLT - List B Recall Word 5 | ||
AVL01108 | C102003 | AVL01-List B Recall Word 6 | Auditory Verbal Learning Test Version A - List B, Word 6. | ADNI AVLT - List B Recall Word 6 | ||
AVL01109 | C102004 | AVL01-List B Recall Word 7 | Auditory Verbal Learning Test Version A - List B, Word 7. | ADNI AVLT - List B Recall Word 7 | ||
AVL01110 | C102005 | AVL01-List B Recall Word 8 | Auditory Verbal Learning Test Version A - List B, Word 8. | ADNI AVLT - List B Recall Word 8 | ||
AVL01111 | C102006 | AVL01-List B Recall Word 9 | Auditory Verbal Learning Test Version A - List B, Word 9. | ADNI AVLT - List B Recall Word 9 | ||
AVL01112 | C102007 | AVL01-List B Recall Word 10 | Auditory Verbal Learning Test Version A - List B, Word 10. | ADNI AVLT - List B Recall Word 10 | ||
AVL01113 | C102008 | AVL01-List B Recall Word 11 | Auditory Verbal Learning Test Version A - List B, Word 11. | ADNI AVLT - List B Recall Word 11 | ||
AVL01114 | C102009 | AVL01-List B Recall Word 12 | Auditory Verbal Learning Test Version A - List B, Word 12. | ADNI AVLT - List B Recall Word 12 | ||
AVL01115 | C102010 | AVL01-List B Recall Word 13 | Auditory Verbal Learning Test Version A - List B, Word 13. | ADNI AVLT - List B Recall Word 13 | ||
AVL01116 | C102011 | AVL01-List B Recall Word 14 | Auditory Verbal Learning Test Version A - List B, Word 14. | ADNI AVLT - List B Recall Word 14 | ||
AVL01117 | C102012 | AVL01-List B Recall Word 15 | Auditory Verbal Learning Test Version A - List B, Word 15. | ADNI AVLT - List B Recall Word 15 | ||
AVL01118 | C102013 | AVL01-List B Recall Total | Auditory Verbal Learning Test Version A - The number of words recalled from List B. | ADNI AVLT - List B Recall Total | ||
AVL01119 | C102014 | AVL01-List B Intrusions | Auditory Verbal Learning Test Version A - The number of intrusions while recalling List B. | ADNI AVLT - List B Intrusions | ||
AVL01120 | C102015 | AVL01-List A 30 Min Delay Recall Word 1 | Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 1. | ADNI AVLT - List A 30 Min Delay Recall Word 1 | ||
AVL01121 | C102016 | AVL01-List A 30 Min Delay Recall Word 2 | Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 2. | ADNI AVLT - List A 30 Min Delay Recall Word 2 | ||
AVL01122 | C102017 | AVL01-List A 30 Min Delay Recall Word 3 | Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 3. | ADNI AVLT - List A 30 Min Delay Recall Word 3 | ||
AVL01123 | C102018 | AVL01-List A 30 Min Delay Recall Word 4 | Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 4. | ADNI AVLT - List A 30 Min Delay Recall Word 4 | ||
AVL01124 | C102019 | AVL01-List A 30 Min Delay Recall Word 5 | Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 5. | ADNI AVLT - List A 30 Min Delay Recall Word 5 | ||
AVL01125 | C102020 | AVL01-List A 30 Min Delay Recall Word 6 | Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 6. | ADNI AVLT - List A 30 Min Delay Recall Word 6 | ||
AVL01126 | C102021 | AVL01-List A 30 Min Delay Recall Word 7 | Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 7. | ADNI AVLT - List A 30 Min Delay Recall Word 7 | ||
AVL01127 | C102022 | AVL01-List A 30 Min Delay Recall Word 8 | Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 8. | ADNI AVLT - List A 30 Min Delay Recall Word 8 | ||
AVL01128 | C102023 | AVL01-List A 30 Min Delay Recall Word 9 | Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 9. | ADNI AVLT - List A 30 Min Delay Recall Word 9 | ||
AVL01129 | C102024 | AVL01-List A 30 Min Delay Recall Word 10 | Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 10. | ADNI AVLT - List A 30 Min Delay Recall Word 10 | ||
AVL01130 | C102025 | AVL01-List A 30 Min Delay Recall Word 11 | Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 11. | ADNI AVLT - List A 30 Min Delay Recall Word 11 | ||
AVL01131 | C102026 | AVL01-List A 30 Min Delay Recall Word 12 | Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 12. | ADNI AVLT - List A 30 Min Delay Recall Word 12 | ||
AVL01132 | C102027 | AVL01-List A 30 Min Delay Recall Word 13 | Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 13. | ADNI AVLT - List A 30 Min Delay Recall Word 13 | ||
AVL01133 | C102028 | AVL01-List A 30 Min Delay Recall Word 14 | Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 14. | ADNI AVLT - List A 30 Min Delay Recall Word 14 | ||
AVL01134 | C102029 | AVL01-List A 30 Min Delay Recall Word 15 | Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 15. | ADNI AVLT - List A 30 Min Delay Recall Word 15 | ||
AVL01135 | C102030 | AVL01-List A 30 Min Delay Recall Total | Auditory 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 | ||
AVL01136 | C102031 | AVL01-List A 30 Min Delay Intrusions | Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, 30 Minute Delay. | ADNI AVLT - List A 30 Min Delay Intrusions | ||
AVL01137 | C102032 | AVL01-List A Recognition Total | Auditory Verbal Learning Test Version A - The number of words correct on recognition test. | ADNI AVLT - List A Recognition Total | ||
AVL01138 | C102033 | AVL01-List A Recognition Intrusions | Auditory Verbal Learning Test Version A - The number of intrusions on recognition test. | ADNI AVLT - List A Recognition Intrusions | ||
Back to top | ||||||
CL.C101808.AVLT TEST | QS-ADNI AVLT Test Name (AVLT TEST) | text Extensible: No | C101808 | QS-ADNI AVLT Test Name | ADNI AVLT test name. | CDISC Questionnaire ADNI AVLT Test Name Terminology |
AVL01-List A 30 Min Delay Intrusions | C102031 | AVL01-List A 30 Min Delay Intrusions | Auditory 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 Total | C102030 | AVL01-List A 30 Min Delay Recall Total | Auditory 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 1 | C102015 | AVL01-List A 30 Min Delay Recall Word 1 | Auditory 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 10 | C102024 | AVL01-List A 30 Min Delay Recall Word 10 | Auditory 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 11 | C102025 | AVL01-List A 30 Min Delay Recall Word 11 | Auditory 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 12 | C102026 | AVL01-List A 30 Min Delay Recall Word 12 | Auditory 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 13 | C102027 | AVL01-List A 30 Min Delay Recall Word 13 | Auditory 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 14 | C102028 | AVL01-List A 30 Min Delay Recall Word 14 | Auditory 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 15 | C102029 | AVL01-List A 30 Min Delay Recall Word 15 | Auditory 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 2 | C102016 | AVL01-List A 30 Min Delay Recall Word 2 | Auditory 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 3 | C102017 | AVL01-List A 30 Min Delay Recall Word 3 | Auditory 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 4 | C102018 | AVL01-List A 30 Min Delay Recall Word 4 | Auditory 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 5 | C102019 | AVL01-List A 30 Min Delay Recall Word 5 | Auditory 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 6 | C102020 | AVL01-List A 30 Min Delay Recall Word 6 | Auditory 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 7 | C102021 | AVL01-List A 30 Min Delay Recall Word 7 | Auditory 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 8 | C102022 | AVL01-List A 30 Min Delay Recall Word 8 | Auditory 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 9 | C102023 | AVL01-List A 30 Min Delay Recall Word 9 | Auditory 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 1 | C101912 | AVL01-List A Intrusions 1 | Auditory 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 2 | C101929 | AVL01-List A Intrusions 2 | Auditory 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 3 | C101946 | AVL01-List A Intrusions 3 | Auditory 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 4 | C101963 | AVL01-List A Intrusions 4 | Auditory 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 5 | C101980 | AVL01-List A Intrusions 5 | Auditory 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 6 | C101997 | AVL01-List A Intrusions 6 | Auditory 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 Total | C101911 | AVL01-List A Recall 1 Total | Auditory 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 1 | C101896 | AVL01-List A Recall 1 Word 1 | Auditory 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 10 | C101905 | AVL01-List A Recall 1 Word 10 | Auditory 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 11 | C101906 | AVL01-List A Recall 1 Word 11 | Auditory 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 12 | C101907 | AVL01-List A Recall 1 Word 12 | Auditory 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 13 | C101908 | AVL01-List A Recall 1 Word 13 | Auditory 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 14 | C101909 | AVL01-List A Recall 1 Word 14 | Auditory 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 15 | C101910 | AVL01-List A Recall 1 Word 15 | Auditory 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 2 | C101897 | AVL01-List A Recall 1 Word 2 | Auditory 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 3 | C101898 | AVL01-List A Recall 1 Word 3 | Auditory 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 4 | C101899 | AVL01-List A Recall 1 Word 4 | Auditory 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 5 | C101900 | AVL01-List A Recall 1 Word 5 | Auditory 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 6 | C101901 | AVL01-List A Recall 1 Word 6 | Auditory 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 7 | C101902 | AVL01-List A Recall 1 Word 7 | Auditory 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 8 | C101903 | AVL01-List A Recall 1 Word 8 | Auditory 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 9 | C101904 | AVL01-List A Recall 1 Word 9 | Auditory Verbal Learning Test Version A - List A, Recall 1, Word 9. | ADNI AVLT - List A Recall 1 Word 9 | ||
AVL01-List A Recall 2 Total | C101928 | AVL01-List A Recall 2 Total | Auditory 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 1 | C101913 | AVL01-List A Recall 2 Word 1 | Auditory 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 10 | C101922 | AVL01-List A Recall 2 Word 10 | Auditory 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 11 | C101923 | AVL01-List A Recall 2 Word 11 | Auditory 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 12 | C101924 | AVL01-List A Recall 2 Word 12 | Auditory 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 13 | C101925 | AVL01-List A Recall 2 Word 13 | Auditory 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 14 | C101926 | AVL01-List A Recall 2 Word 14 | Auditory 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 15 | C101927 | AVL01-List A Recall 2 Word 15 | Auditory 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 2 | C101914 | AVL01-List A Recall 2 Word 2 | Auditory 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 3 | C101915 | AVL01-List A Recall 2 Word 3 | Auditory 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 4 | C101916 | AVL01-List A Recall 2 Word 4 | Auditory 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 5 | C101917 | AVL01-List A Recall 2 Word 5 | Auditory 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 6 | C101918 | AVL01-List A Recall 2 Word 6 | Auditory 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 7 | C101919 | AVL01-List A Recall 2 Word 7 | Auditory 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 8 | C101920 | AVL01-List A Recall 2 Word 8 | Auditory 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 9 | C101921 | AVL01-List A Recall 2 Word 9 | Auditory Verbal Learning Test Version A - List A, Recall 2, Word 9. | ADNI AVLT - List A Recall 2 Word 9 | ||
AVL01-List A Recall 3 Total | C101945 | AVL01-List A Recall 3 Total | Auditory 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 1 | C101930 | AVL01-List A Recall 3 Word 1 | Auditory 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 10 | C101939 | AVL01-List A Recall 3 Word 10 | Auditory 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 11 | C101940 | AVL01-List A Recall 3 Word 11 | Auditory 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 12 | C101941 | AVL01-List A Recall 3 Word 12 | Auditory 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 13 | C101942 | AVL01-List A Recall 3 Word 13 | Auditory 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 14 | C101943 | AVL01-List A Recall 3 Word 14 | Auditory 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 15 | C101944 | AVL01-List A Recall 3 Word 15 | Auditory 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 2 | C101931 | AVL01-List A Recall 3 Word 2 | Auditory 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 3 | C101932 | AVL01-List A Recall 3 Word 3 | Auditory 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 4 | C101933 | AVL01-List A Recall 3 Word 4 | Auditory 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 5 | C101934 | AVL01-List A Recall 3 Word 5 | Auditory 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 6 | C101935 | AVL01-List A Recall 3 Word 6 | Auditory 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 7 | C101936 | AVL01-List A Recall 3 Word 7 | Auditory 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 8 | C101937 | AVL01-List A Recall 3 Word 8 | Auditory 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 9 | C101938 | AVL01-List A Recall 3 Word 9 | Auditory Verbal Learning Test Version A - List A, Recall 3, Word 9. | ADNI AVLT - List A Recall 3 Word 9 | ||
AVL01-List A Recall 4 Total | C101962 | AVL01-List A Recall 4 Total | Auditory 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 1 | C101947 | AVL01-List A Recall 4 Word 1 | Auditory 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 10 | C101956 | AVL01-List A Recall 4 Word 10 | Auditory 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 11 | C101957 | AVL01-List A Recall 4 Word 11 | Auditory 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 12 | C101958 | AVL01-List A Recall 4 Word 12 | Auditory 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 13 | C101959 | AVL01-List A Recall 4 Word 13 | Auditory 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 14 | C101960 | AVL01-List A Recall 4 Word 14 | Auditory 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 15 | C101961 | AVL01-List A Recall 4 Word 15 | Auditory 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 2 | C101948 | AVL01-List A Recall 4 Word 2 | Auditory 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 3 | C101949 | AVL01-List A Recall 4 Word 3 | Auditory 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 4 | C101950 | AVL01-List A Recall 4 Word 4 | Auditory 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 5 | C101951 | AVL01-List A Recall 4 Word 5 | Auditory 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 6 | C101952 | AVL01-List A Recall 4 Word 6 | Auditory 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 7 | C101953 | AVL01-List A Recall 4 Word 7 | Auditory 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 8 | C101954 | AVL01-List A Recall 4 Word 8 | Auditory 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 9 | C101955 | AVL01-List A Recall 4 Word 9 | Auditory Verbal Learning Test Version A - List A, Recall 4, Word 9. | ADNI AVLT - List A Recall 4 Word 9 | ||
AVL01-List A Recall 5 Total | C101979 | AVL01-List A Recall 5 Total | Auditory 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 1 | C101964 | AVL01-List A Recall 5 Word 1 | Auditory 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 10 | C101973 | AVL01-List A Recall 5 Word 10 | Auditory 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 11 | C101974 | AVL01-List A Recall 5 Word 11 | Auditory 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 12 | C101975 | AVL01-List A Recall 5 Word 12 | Auditory 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 13 | C101976 | AVL01-List A Recall 5 Word 13 | Auditory 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 14 | C101977 | AVL01-List A Recall 5 Word 14 | Auditory 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 15 | C101978 | AVL01-List A Recall 5 Word 15 | Auditory 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 2 | C101965 | AVL01-List A Recall 5 Word 2 | Auditory 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 3 | C101966 | AVL01-List A Recall 5 Word 3 | Auditory 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 4 | C101967 | AVL01-List A Recall 5 Word 4 | Auditory 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 5 | C101968 | AVL01-List A Recall 5 Word 5 | Auditory 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 6 | C101969 | AVL01-List A Recall 5 Word 6 | Auditory 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 7 | C101970 | AVL01-List A Recall 5 Word 7 | Auditory 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 8 | C101971 | AVL01-List A Recall 5 Word 8 | Auditory 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 9 | C101972 | AVL01-List A Recall 5 Word 9 | Auditory 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) Total | C101996 | AVL01-List A Recall 6 (After B) Total | Auditory 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 1 | C101981 | AVL01-List A Recall 6 (After B) Word 1 | Auditory 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 10 | C101990 | AVL01-List A Recall 6 (After B) Word 10 | Auditory 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 11 | C101991 | AVL01-List A Recall 6 (After B) Word 11 | Auditory 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 12 | C101992 | AVL01-List A Recall 6 (After B) Word 12 | Auditory 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 13 | C101993 | AVL01-List A Recall 6 (After B) Word 13 | Auditory 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 14 | C101994 | AVL01-List A Recall 6 (After B) Word 14 | Auditory 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 15 | C101995 | AVL01-List A Recall 6 (After B) Word 15 | Auditory 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 2 | C101982 | AVL01-List A Recall 6 (After B) Word 2 | Auditory 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 3 | C101983 | AVL01-List A Recall 6 (After B) Word 3 | Auditory 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 4 | C101984 | AVL01-List A Recall 6 (After B) Word 4 | Auditory 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 5 | C101985 | AVL01-List A Recall 6 (After B) Word 5 | Auditory 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 6 | C101986 | AVL01-List A Recall 6 (After B) Word 6 | Auditory 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 7 | C101987 | AVL01-List A Recall 6 (After B) Word 7 | Auditory 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 8 | C101988 | AVL01-List A Recall 6 (After B) Word 8 | Auditory 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 9 | C101989 | AVL01-List A Recall 6 (After B) Word 9 | Auditory 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 Intrusions | C102033 | AVL01-List A Recognition Intrusions | Auditory Verbal Learning Test Version A - The number of intrusions on recognition test. | ADNI AVLT - List A Recognition Intrusions | ||
AVL01-List A Recognition Total | C102032 | AVL01-List A Recognition Total | Auditory Verbal Learning Test Version A - The number of words correct on recognition test. | ADNI AVLT - List A Recognition Total | ||
AVL01-List B Intrusions | C102014 | AVL01-List B Intrusions | Auditory Verbal Learning Test Version A - The number of intrusions while recalling List B. | ADNI AVLT - List B Intrusions | ||
AVL01-List B Recall Total | C102013 | AVL01-List B Recall Total | Auditory Verbal Learning Test Version A - The number of words recalled from List B. | ADNI AVLT - List B Recall Total | ||
AVL01-List B Recall Word 1 | C101998 | AVL01-List B Recall Word 1 | Auditory Verbal Learning Test Version A - List B, Word 1. | ADNI AVLT - List B Recall Word 1 | ||
AVL01-List B Recall Word 10 | C102007 | AVL01-List B Recall Word 10 | Auditory Verbal Learning Test Version A - List B, Word 10. | ADNI AVLT - List B Recall Word 10 | ||
AVL01-List B Recall Word 11 | C102008 | AVL01-List B Recall Word 11 | Auditory Verbal Learning Test Version A - List B, Word 11. | ADNI AVLT - List B Recall Word 11 | ||
AVL01-List B Recall Word 12 | C102009 | AVL01-List B Recall Word 12 | Auditory Verbal Learning Test Version A - List B, Word 12. | ADNI AVLT - List B Recall Word 12 | ||
AVL01-List B Recall Word 13 | C102010 | AVL01-List B Recall Word 13 | Auditory Verbal Learning Test Version A - List B, Word 13. | ADNI AVLT - List B Recall Word 13 | ||
AVL01-List B Recall Word 14 | C102011 | AVL01-List B Recall Word 14 | Auditory Verbal Learning Test Version A - List B, Word 14. | ADNI AVLT - List B Recall Word 14 | ||
AVL01-List B Recall Word 15 | C102012 | AVL01-List B Recall Word 15 | Auditory Verbal Learning Test Version A - List B, Word 15. | ADNI AVLT - List B Recall Word 15 | ||
AVL01-List B Recall Word 2 | C101999 | AVL01-List B Recall Word 2 | Auditory Verbal Learning Test Version A - List B, Word 2. | ADNI AVLT - List B Recall Word 2 | ||
AVL01-List B Recall Word 3 | C102000 | AVL01-List B Recall Word 3 | Auditory Verbal Learning Test Version A - List B, Word 3. | ADNI AVLT - List B Recall Word 3 | ||
AVL01-List B Recall Word 4 | C102001 | AVL01-List B Recall Word 4 | Auditory Verbal Learning Test Version A - List B, Word 4. | ADNI AVLT - List B Recall Word 4 | ||
AVL01-List B Recall Word 5 | C102002 | AVL01-List B Recall Word 5 | Auditory Verbal Learning Test Version A - List B, Word 5. | ADNI AVLT - List B Recall Word 5 | ||
AVL01-List B Recall Word 6 | C102003 | AVL01-List B Recall Word 6 | Auditory Verbal Learning Test Version A - List B, Word 6. | ADNI AVLT - List B Recall Word 6 | ||
AVL01-List B Recall Word 7 | C102004 | AVL01-List B Recall Word 7 | Auditory Verbal Learning Test Version A - List B, Word 7. | ADNI AVLT - List B Recall Word 7 | ||
AVL01-List B Recall Word 8 | C102005 | AVL01-List B Recall Word 8 | Auditory Verbal Learning Test Version A - List B, Word 8. | ADNI AVLT - List B Recall Word 8 | ||
AVL01-List B Recall Word 9 | C102006 | AVL01-List B Recall Word 9 | Auditory Verbal Learning Test Version A - List B, Word 9. | ADNI AVLT - List B Recall Word 9 | ||
Back to top | ||||||
CL.C112435.AQ20 TESTCD | QS-Airway Questionnaire 20 Test Code (AQ20 TESTCD) | text Extensible: No | C112435 | QS-Airway Questionnaire 20 Test Code | Airway Questionnaire 20 test code. | CDISC Questionnaire AQ20 Test Code Terminology |
AQ0101 | C112529 | AQ01-Cough Often During Day | Airway Questionnaire 20 - Do you cough often during the day? | AQ20 - Cough Often During the Day | ||
AQ0102 | C112530 | AQ01-Feel Restless Due to Chest Trouble | Airway Questionnaire 20 - Does your chest trouble often make you feel restless? | AQ20 - Chest Trouble Make You Feel Restless | ||
AQ0103 | C112531 | AQ01-Gardening Make You Breathless | Airway Questionnaire 20 - Does gardening make you breathless? | AQ20 - Gardening Make You Breathless | ||
AQ0104 | C112532 | AQ01-Chest Upset at Friend House | Airway 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 | ||
AQ0105 | C112533 | AQ01-Chest Prob Smell/Fume/Smoke/Perfume | Airway 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 | ||
AQ0106 | C112534 | AQ01-Partner Upset by Your Chest Trouble | Airway Questionnaire 20 - Does your partner find your chest trouble upsetting? | AQ20 - Partner Find Your Chest Trouble Upsetting | ||
AQ0107 | C112535 | AQ01-Breathless When Trying to Sleep | Airway Questionnaire 20 - Do you feel breathless when trying to sleep? | AQ20 - Feel Breathless When Trying to Sleep | ||
AQ0108 | C112536 | AQ01-Long Term Effects of Drugs | Airway 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 | ||
AQ0109 | C112537 | AQ01-Emotional Upset Worse Chest Trouble | Airway Questionnaire 20 - Does getting emotionally upset make your chest trouble worse? | AQ20 - Getting Emotionally Upset Make Chest Trouble Worse | ||
AQ0110 | C112538 | AQ01-Difficulty Getting Around the House | Airway 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 | ||
AQ0111 | C112539 | AQ01-Breathless Carry out Work Activity | Airway 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 | ||
AQ0112 | C112540 | AQ01-Breathless Walking Upstairs | Airway Questionnaire 20 - Does walking upstairs make you breathless? | AQ20 - Walking Upstairs Make You Breathless | ||
AQ0113 | C112541 | AQ01-Get Breathless Doing Housework | Airway Questionnaire 20 - Do you get breathless doing housework? | AQ20 - Get Breathless Doing Housework | ||
AQ0114 | C112542 | AQ01-Go Home Sooner Than Others | Airway 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 | ||
AQ0115 | C112543 | AQ01-Breathlessness When Laugh | Airway Questionnaire 20 - Do you suffer from breathlessness when you laugh? | AQ20 - Suffer From Breathlessness When Laugh | ||
AQ0116 | C112544 | AQ01-Impatient Due to Chest Trouble | Airway Questionnaire 20 - Does your chest trouble often make you feel impatient? | AQ20 - Chest Trouble Make You Feel Impatient | ||
AQ0117 | C112545 | AQ01-Full Life Limited by Chest Trouble | Airway 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 | ||
AQ0118 | C112546 | AQ01-Drained After a Cold | Airway Questionnaire 20 - Do you feel drained after a cold because of your chest trouble? | AQ20 - Feel Drained After a Cold Because of Chest Trouble | ||
AQ0119 | C112547 | AQ01-Feeling of Chest Heaviness | Airway Questionnaire 20 - Do you have a feeling of chest heaviness? | AQ20 - Feeling of Chest Heaviness | ||
AQ0120 | C112548 | AQ01-Worry About Chest Trouble | Airway Questionnaire 20 - Do you worry a lot about your chest trouble? | AQ20 - Worry a Lot About Chest Trouble | ||
Back to top | ||||||
CL.C112434.AQ20 TEST | QS-Airway Questionnaire 20 Test Name (AQ20 TEST) | text Extensible: No | C112434 | QS-Airway Questionnaire 20 Test Name | Airway Questionnaire 20 test name. | CDISC Questionnaire AQ20 Test Name Terminology |
AQ01-Breathless Carry out Work Activity | C112539 | AQ01-Breathless Carry out Work Activity | Airway 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 Upstairs | C112540 | AQ01-Breathless Walking Upstairs | Airway Questionnaire 20 - Does walking upstairs make you breathless? | AQ20 - Walking Upstairs Make You Breathless | ||
AQ01-Breathless When Trying to Sleep | C112535 | AQ01-Breathless When Trying to Sleep | Airway Questionnaire 20 - Do you feel breathless when trying to sleep? | AQ20 - Feel Breathless When Trying to Sleep | ||
AQ01-Breathlessness When Laugh | C112543 | AQ01-Breathlessness When Laugh | Airway Questionnaire 20 - Do you suffer from breathlessness when you laugh? | AQ20 - Suffer From Breathlessness When Laugh | ||
AQ01-Chest Prob Smell/Fume/Smoke/Perfume | C112533 | AQ01-Chest Prob Smell/Fume/Smoke/Perfume | Airway 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 House | C112532 | AQ01-Chest Upset at Friend House | Airway 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 Day | C112529 | AQ01-Cough Often During Day | Airway Questionnaire 20 - Do you cough often during the day? | AQ20 - Cough Often During the Day | ||
AQ01-Difficulty Getting Around the House | C112538 | AQ01-Difficulty Getting Around the House | Airway 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 Cold | C112546 | AQ01-Drained After a Cold | Airway 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 Trouble | C112537 | AQ01-Emotional Upset Worse Chest Trouble | Airway 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 Trouble | C112530 | AQ01-Feel Restless Due to Chest Trouble | Airway Questionnaire 20 - Does your chest trouble often make you feel restless? | AQ20 - Chest Trouble Make You Feel Restless | ||
AQ01-Feeling of Chest Heaviness | C112547 | AQ01-Feeling of Chest Heaviness | Airway Questionnaire 20 - Do you have a feeling of chest heaviness? | AQ20 - Feeling of Chest Heaviness | ||
AQ01-Full Life Limited by Chest Trouble | C112545 | AQ01-Full Life Limited by Chest Trouble | Airway 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 Breathless | C112531 | AQ01-Gardening Make You Breathless | Airway Questionnaire 20 - Does gardening make you breathless? | AQ20 - Gardening Make You Breathless | ||
AQ01-Get Breathless Doing Housework | C112541 | AQ01-Get Breathless Doing Housework | Airway Questionnaire 20 - Do you get breathless doing housework? | AQ20 - Get Breathless Doing Housework | ||
AQ01-Go Home Sooner Than Others | C112542 | AQ01-Go Home Sooner Than Others | Airway 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 Trouble | C112544 | AQ01-Impatient Due to Chest Trouble | Airway Questionnaire 20 - Does your chest trouble often make you feel impatient? | AQ20 - Chest Trouble Make You Feel Impatient | ||
AQ01-Long Term Effects of Drugs | C112536 | AQ01-Long Term Effects of Drugs | Airway 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 Trouble | C112534 | AQ01-Partner Upset by Your Chest Trouble | Airway Questionnaire 20 - Does your partner find your chest trouble upsetting? | AQ20 - Partner Find Your Chest Trouble Upsetting | ||
AQ01-Worry About Chest Trouble | C112548 | AQ01-Worry About Chest Trouble | Airway Questionnaire 20 - Do you worry a lot about your chest trouble? | AQ20 - Worry a Lot About Chest Trouble | ||
Back to top | ||||||
CL.C119062.AUDIT-C TESTCD | QS-Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Code (AUDIT-C TESTCD) | text Extensible: No | C119062 | QS-Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Code | Alcohol Use Disorder Identification Test-Consumption Questions test code. | CDISC Questionnaire AUDIT-C Test Code Terminology |
ADTC0101 | C119119 | ADTC01-How Often Drink Alcohol | Alcohol Use Disorder Identification Test-Consumption questions - How often do you have a drink containing alcohol? | AUDIT-C - How Often Have Alcohol Drink | ||
ADTC0102 | C119120 | ADTC01-Alcohol Drinks on a Typical Day | Alcohol Use Disorder Identification Test-Consumption questions - How many standard drinks containing alcohol do you have on a typical day? | AUDIT-C - How Many Alcohol Drinks on a Typical Day | ||
ADTC0103 | C119121 | ADTC01-Six or More Drinks One Occasion | Alcohol Use Disorder Identification Test-Consumption questions - How often do you have six or more drinks on one occasion? | AUDIT-C - How Often Have Six or More Drinks | ||
Back to top | ||||||
CL.C119061.AUDIT-C TEST | QS-Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Name (AUDIT-C TEST) | text Extensible: No | C119061 | QS-Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Name | Alcohol Use Disorder Identification Test-Consumption Questions test name. | CDISC Questionnaire AUDIT-C Test Name Terminology |
ADTC01-Alcohol Drinks on a Typical Day | C119120 | ADTC01-Alcohol Drinks on a Typical Day | Alcohol Use Disorder Identification Test-Consumption questions - How many standard drinks containing alcohol do you have on a typical day? | AUDIT-C - How Many Alcohol Drinks on a Typical Day | ||
ADTC01-How Often Drink Alcohol | C119119 | ADTC01-How Often Drink Alcohol | Alcohol Use Disorder Identification Test-Consumption questions - How often do you have a drink containing alcohol? | AUDIT-C - How Often Have Alcohol Drink | ||
ADTC01-Six or More Drinks One Occasion | C119121 | ADTC01-Six or More Drinks One Occasion | Alcohol Use Disorder Identification Test-Consumption questions - How often do you have six or more drinks on one occasion? | AUDIT-C - How Often Have Six or More Drinks | ||
Back to top | ||||||
CL.C119060.AUDIT-SR TESTCD | QS-Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Code (AUDIT-SR TESTCD) | text Extensible: No | C119060 | QS-Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Code | Alcohol Use Disorder Identification Test: Self-Report Version test code. | CDISC Questionnaire AUDIT-SR Test Code Terminology |
ADT0101 | C119108 | ADT01-How Often Drink Alcohol | Alcohol Use Disorder Identification Test: Self-Report Version - How often do you have a drink containing alcohol? | AUDIT - How Often Have Alcohol Drink | ||
ADT0102 | C119109 | ADT01-Alcohol Drinks on a Typical Day | Alcohol Use Disorder Identification Test: Self-Report Version - How many drinks containing alcohol do you have on a typical day when you are drinking? | AUDIT - How Many Alcohol Drinks on a Typical Day | ||
ADT0103 | C119110 | ADT01-Six or More Drinks One Occasion | Alcohol Use Disorder Identification Test: Self-Report Version - How often do you have six or more drinks on one occasion? | AUDIT - How Often Have Six or More Drinks | ||
ADT0104 | C119111 | ADT01-Not Able Stop Drinking Once Start | Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you found that you were not able to stop drinking once you had started? | AUDIT - How Often Last Year You Found Not Able to Stop Drinking | ||
ADT0105 | C119112 | ADT01-Failed to Do as Expected | Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you failed to do what was normally expected of you because of drinking? | AUDIT - How Often Last Year You Failed to Do Normally Expected of You | ||
ADT0106 | C119113 | ADT01-Need Drink Morning After Drinking | Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session? | AUDIT - How Often Last Year Need a Drink in the Morning to Get Going | ||
ADT0107 | C119114 | ADT01-Feeling of Guilt or Remorse | Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you had a feeling of guilt or remorse after drinking? | AUDIT - How Often Last Year You Feel Guilt or Remorse After Drinking | ||
ADT0108 | C119115 | ADT01-Unable to Remember What Happened | Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you been unable to remember what happened the night before because of your drinking? | AUDIT - How Often Last Year You Unable to Remember What Happened the Night Before | ||
ADT0109 | C119116 | ADT01-Injured Because of Your Drinking | Alcohol Use Disorder Identification Test: Self-Report Version - Have you or someone else been injured because of your drinking? | AUDIT - Injured Because of Drinking | ||
ADT0110 | C119117 | ADT01-Suggested to Cut Down | Alcohol Use Disorder Identification Test: Self-Report Version - Has a relative, friend, doctor, or other health care worker been concerned about your drinking or suggested you cut down? | AUDIT - Concerned About Your Drinking | ||
ADT0111 | C119118 | ADT01-Total | Alcohol Use Disorder Identification Test: Self-Report Version - Total. | AUDIT - Total | ||
Back to top | ||||||
CL.C119059.AUDIT-SR TEST | QS-Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Name (AUDIT-SR TEST) | text Extensible: No | C119059 | QS-Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Name | Alcohol Use Disorder Identification Test: Self-Report Version test name. | CDISC Questionnaire AUDIT-SR Test Name Terminology |
ADT01-Alcohol Drinks on a Typical Day | C119109 | ADT01-Alcohol Drinks on a Typical Day | Alcohol Use Disorder Identification Test: Self-Report Version - How many drinks containing alcohol do you have on a typical day when you are drinking? | AUDIT - How Many Alcohol Drinks on a Typical Day | ||
ADT01-Failed to Do as Expected | C119112 | ADT01-Failed to Do as Expected | Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you failed to do what was normally expected of you because of drinking? | AUDIT - How Often Last Year You Failed to Do Normally Expected of You | ||
ADT01-Feeling of Guilt or Remorse | C119114 | ADT01-Feeling of Guilt or Remorse | Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you had a feeling of guilt or remorse after drinking? | AUDIT - How Often Last Year You Feel Guilt or Remorse After Drinking | ||
ADT01-How Often Drink Alcohol | C119108 | ADT01-How Often Drink Alcohol | Alcohol Use Disorder Identification Test: Self-Report Version - How often do you have a drink containing alcohol? | AUDIT - How Often Have Alcohol Drink | ||
ADT01-Injured Because of Your Drinking | C119116 | ADT01-Injured Because of Your Drinking | Alcohol Use Disorder Identification Test: Self-Report Version - Have you or someone else been injured because of your drinking? | AUDIT - Injured Because of Drinking | ||
ADT01-Need Drink Morning After Drinking | C119113 | ADT01-Need Drink Morning After Drinking | Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session? | AUDIT - How Often Last Year Need a Drink in the Morning to Get Going | ||
ADT01-Not Able Stop Drinking Once Start | C119111 | ADT01-Not Able Stop Drinking Once Start | Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you found that you were not able to stop drinking once you had started? | AUDIT - How Often Last Year You Found Not Able to Stop Drinking | ||
ADT01-Six or More Drinks One Occasion | C119110 | ADT01-Six or More Drinks One Occasion | Alcohol Use Disorder Identification Test: Self-Report Version - How often do you have six or more drinks on one occasion? | AUDIT - How Often Have Six or More Drinks | ||
ADT01-Suggested to Cut Down | C119117 | ADT01-Suggested to Cut Down | Alcohol Use Disorder Identification Test: Self-Report Version - Has a relative, friend, doctor, or other health care worker been concerned about your drinking or suggested you cut down? | AUDIT - Concerned About Your Drinking | ||
ADT01-Total | C119118 | ADT01-Total | Alcohol Use Disorder Identification Test: Self-Report Version - Total. | AUDIT - Total | ||
ADT01-Unable to Remember What Happened | C119115 | ADT01-Unable to Remember What Happened | Alcohol Use Disorder Identification Test: Self-Report Version - How often during the last year have you been unable to remember what happened the night before because of your drinking? | AUDIT - How Often Last Year You Unable to Remember What Happened the Night Before | ||
Back to top | ||||||
CL.C100132.ADAS-Cog CDISC Version TESTCD | QS-Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Test Code (ADAS-Cog CDISC Version TESTCD) | text Extensible: No | C100132 | QS-Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Test Code | ADAS-Cog CDISC Version test code. | CDISC Questionnaire ADAS-Cog CDISC Version Test Code Terminology |
ADCCMD | C100209 | Commands | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for commands. | CDISC ADAS-Cog - Commands Summary Score | ||
ADCCMD01 | C100210 | Commands: Fist | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for making a fist. | CDISC ADAS-Cog - Commands: Fist | ||
ADCCMD02 | C100211 | Commands: Ceiling | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for pointing to the ceiling then to the floor. | CDISC ADAS-Cog - Commands: Ceiling | ||
ADCCMD03 | C100212 | Commands: Pencil | Alzheimer'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 | ||
ADCCMD04 | C100213 | Commands: Watch | Alzheimer'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 | ||
ADCCMD05 | C100214 | Commands: Shoulder | Alzheimer'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 | ||
ADCCMP | C100278 | Comprehension | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to comprehend speech. | CDISC ADAS-Cog - Comprehension | ||
ADCCON | C100279 | Concentration/Distractibility | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to concentrate or easily be distracted. | CDISC ADAS-Cog - Concentration/Distractibility | ||
ADCCP | C100226 | Constructional Praxis | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for constructional praxis. | CDISC ADAS-Cog - Constructional Praxis Summary Score | ||
ADCCP01 | C100227 | Constructional Praxis: Circle | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a circle. | CDISC ADAS-Cog - Constructional Praxis: Circle | ||
ADCCP02 | C100228 | Constructional Praxis: 2 Rectangles | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying two overlapping rectangles. | CDISC ADAS-Cog - Constructional Praxis: 2 Rectangles | ||
ADCCP03 | C100229 | Constructional Praxis: Diamond | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a diamond. | CDISC ADAS-Cog - Constructional Praxis: Diamond | ||
ADCCP04 | C100230 | Constructional Praxis: Cube | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a cube. | CDISC ADAS-Cog - Constructional Praxis: Cube | ||
ADCCPS | C100231 | Attempt to Draw | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis attempted to draw, but drew no forms correctly. | CDISC ADAS-Cog - Attempt to Draw | ||
ADCDIF | C100277 | Word Finding Difficulty in Spont Speech | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Difficulty finding the desired word in spontaneous speech. | CDISC ADAS-Cog - Word Difficulty in Spontaneous Speech | ||
ADCDRL | C100215 | Delayed Word Recall | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for delayed word recall. | CDISC ADAS-Cog - Delayed Word Recall Summary Score | ||
ADCDRL01 | C100216 | Delayed 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 | ||
ADCDRL02 | C100217 | Delayed 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 | ||
ADCDRL03 | C100218 | Delayed 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 | ||
ADCDRL04 | C100219 | Delayed 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 | ||
ADCDRL05 | C100220 | Delayed 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 | ||
ADCDRL06 | C100221 | Delayed 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 | ||
ADCDRL07 | C100222 | Delayed 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 | ||
ADCDRL08 | C100223 | Delayed 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 | ||
ADCDRL09 | C100224 | Delayed 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 | ||
ADCDRL10 | C100225 | Delayed 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 | ||
ADCIP | C100232 | Ideational Praxis | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for ideational praxis. | CDISC ADAS-Cog - Ideational Praxis Summary Score | ||
ADCIP01 | C100233 | Ideational Praxis: Fold | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for folding the paper. | CDISC ADAS-Cog - Ideational Praxis: Fold | ||
ADCIP02 | C100234 | Ideational Praxis: Insert | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for put the paper in the envelop. | CDISC ADAS-Cog - Ideational Praxis: Insert | ||
ADCIP03 | C100235 | Ideational Praxis: Seal | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for seal the envelop. | CDISC ADAS-Cog - Ideational Praxis: Seal | ||
ADCIP04 | C100236 | Ideational Praxis: Address | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for address the envelop to yourself. | CDISC ADAS-Cog - Ideational Praxis: Address | ||
ADCIP05 | C100237 | Ideational Praxis: Stamp | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for showing where the stamp goes. | CDISC ADAS-Cog - Ideational Praxis: Stamp | ||
ADCMZ | C100284 | Executive Function Maze | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the executive function maze tasks. | CDISC ADAS-Cog - Executive Function Maze Summary Score | ||
ADCMZ01 | C100285 | Executive Function Maze: Errors | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the executive function maze task. | CDISC ADAS-Cog - Executive Function Maze: Errors | ||
ADCMZ02 | C100286 | Executive Function Maze: Time | Alzheimer'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 | ||
ADCNC | C100280 | Number Cancellation | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the number cancellation tasks. | CDISC ADAS-Cog - Number Cancellation Summary Score | ||
ADCNC01 | C100281 | Number Cancellation: Correct | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of targets hit during the number cancellation task. | CDISC ADAS-Cog - Number Cancellation: Correct | ||
ADCNC02 | C100282 | Number Cancellation: Errors | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the number cancellation task. | CDISC ADAS-Cog - Number Cancellation: Errors | ||
ADCNC03 | C100283 | Number Cancellation: Remind | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of times reminded for the number cancellation task. | CDISC ADAS-Cog - Number Cancellation: Remind | ||
ADCOF | C100191 | Naming Objects and Fingers | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task summary score for object and fingers. | CDISC ADAS-Cog - Naming Objects and Fingers Summary Score | ||
ADCOFF01 | C100204 | Naming Objects and Fingers: Thumb | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, thumb. | CDISC ADAS-Cog - Naming Objects and Fingers: Thumb | ||
ADCOFF02 | C100205 | Naming Objects and Fingers: Pointer | Alzheimer'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 | ||
ADCOFF03 | C100206 | Naming Objects and Fingers: Middle | Alzheimer'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 | ||
ADCOFF04 | C100207 | Naming Objects and Fingers: Ring | Alzheimer'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 | ||
ADCOFF05 | C100208 | Naming Objects and Fingers: Pinky | Alzheimer'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 | ||
ADCOFO01 | C100192 | Naming Objects and Fingers: 1 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 1. | CDISC ADAS-Cog - Naming Objects and Fingers: 1 | ||
ADCOFO02 | C100193 | Naming Objects and Fingers: 2 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 2. | CDISC ADAS-Cog - Naming Objects and Fingers: 2 | ||
ADCOFO03 | C100194 | Naming Objects and Fingers: 3 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 3. | CDISC ADAS-Cog - Naming Objects and Fingers: 3 | ||
ADCOFO04 | C100195 | Naming Objects and Fingers: 4 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 4. | CDISC ADAS-Cog - Naming Objects and Fingers: 4 | ||
ADCOFO05 | C100196 | Naming Objects and Fingers: 5 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 5. | CDISC ADAS-Cog - Naming Objects and Fingers: 5 | ||
ADCOFO06 | C100197 | Naming Objects and Fingers: 6 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 6. | CDISC ADAS-Cog - Naming Objects and Fingers: 6 | ||
ADCOFO07 | C100198 | Naming Objects and Fingers: 7 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 7. | CDISC ADAS-Cog - Naming Objects and Fingers: 7 | ||
ADCOFO08 | C100199 | Naming Objects and Fingers: 8 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 8. | CDISC ADAS-Cog - Naming Objects and Fingers: 8 | ||
ADCOFO09 | C100200 | Naming Objects and Fingers: 9 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 9. | CDISC ADAS-Cog - Naming Objects and Fingers: 9 | ||
ADCOFO10 | C100201 | Naming Objects and Fingers: 10 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 10. | CDISC ADAS-Cog - Naming Objects and Fingers: 10 | ||
ADCOFO11 | C100202 | Naming Objects and Fingers: 11 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 11. | CDISC ADAS-Cog - Naming Objects and Fingers: 11 | ||
ADCOFO12 | C100203 | Naming Objects and Fingers: 12 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 12. | CDISC ADAS-Cog - Naming Objects and Fingers: 12 | ||
ADCOR | C100238 | Orientation | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for orientation. | CDISC ADAS-Cog - Orientation Summary Score | ||
ADCOR01 | C100239 | Orientation: Full Name | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing one's own full name. | CDISC ADAS-Cog - Orientation: Full Name | ||
ADCOR02 | C100240 | Orientation: Month | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current month. | CDISC ADAS-Cog - Orientation: Month | ||
ADCOR03 | C100241 | Orientation: Date | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day. | CDISC ADAS-Cog - Orientation: Date | ||
ADCOR04 | C100242 | Orientation: Year | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current year. | CDISC ADAS-Cog - Orientation: Year | ||
ADCOR05 | C100243 | Orientation: Day of Week | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day of the week. | CDISC ADAS-Cog - Orientation: Day of Week | ||
ADCOR06 | C100244 | Orientation: Season | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current season. | CDISC ADAS-Cog - Orientation: Season | ||
ADCOR07 | C100245 | Orientation: Place | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current place. | CDISC ADAS-Cog - Orientation: Place | ||
ADCOR08 | C100246 | Orientation: Time | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the approximate current clock time. | CDISC ADAS-Cog - Orientation: Time | ||
ADCRG | C100247 | Word Recognition | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for word recognition across trials 1-3. | CDISC ADAS-Cog - Word Recognition Summary Score | ||
ADCRGT01 | C100248 | Word Recognition Trial 1 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 1. | CDISC ADAS-Cog - Word Recognition Trial 1 Summary Score | ||
ADCRGT02 | C100249 | Word Recognition Trial 2 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 2. | CDISC ADAS-Cog - Word Recognition Trial 2 Summary Score | ||
ADCRGT03 | C100250 | Word Recognition Trial 3 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 3. | CDISC ADAS-Cog - Word Recognition Trial 3 Summary Score | ||
ADCRGW01 | C100251 | Word 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 | ||
ADCRGW02 | C100252 | Word 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 | ||
ADCRGW03 | C100253 | Word 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 | ||
ADCRGW04 | C100254 | Word 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 | ||
ADCRGW05 | C100255 | Word 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 | ||
ADCRGW06 | C100256 | Word 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 | ||
ADCRGW07 | C100257 | Word 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 | ||
ADCRGW08 | C100258 | Word 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 | ||
ADCRGW09 | C100259 | Word 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 | ||
ADCRGW10 | C100260 | Word 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 | ||
ADCRGW11 | C100261 | Word 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 | ||
ADCRGW12 | C100262 | Word 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 | ||
ADCRGW13 | C100263 | Word 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 | ||
ADCRGW14 | C100264 | Word 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 | ||
ADCRGW15 | C100265 | Word 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 | ||
ADCRGW16 | C100266 | Word 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 | ||
ADCRGW17 | C100267 | Word 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 | ||
ADCRGW18 | C100268 | Word 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 | ||
ADCRGW19 | C100269 | Word 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 | ||
ADCRGW20 | C100270 | Word 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 | ||
ADCRGW21 | C100271 | Word 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 | ||
ADCRGW22 | C100272 | Word 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 | ||
ADCRGW23 | C100273 | Word 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 | ||
ADCRGW24 | C100274 | Word 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 | ||
ADCRI | C100275 | Remembering Test Instructions | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Remembering test instructions. | CDISC ADAS-Cog - Remembering Test Instructions | ||
ADCRL | C100177 | Word Recall | Alzheimer'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 | ||
ADCRLT01 | C100178 | Word Recall Trial 1 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 1. | CDISC ADAS-Cog - Word Recall Trial 1 Subscore | ||
ADCRLT02 | C100179 | Word Recall Trial 2 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 2. | CDISC ADAS-Cog - Word Recall Trial 2 Subscore | ||
ADCRLT03 | C100180 | Word Recall Trial 3 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 3. | CDISC ADAS-Cog - Word Recall Trial 3 Subscore | ||
ADCRLW01 | C100181 | Word 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 | ||
ADCRLW02 | C100182 | Word 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 | ||
ADCRLW03 | C100183 | Word 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 | ||
ADCRLW04 | C100184 | Word 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 | ||
ADCRLW05 | C100185 | Word 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 | ||
ADCRLW06 | C100186 | Word 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 | ||
ADCRLW07 | C100187 | Word 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 | ||
ADCRLW08 | C100188 | Word 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 | ||
ADCRLW09 | C100189 | Word 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 | ||
ADCRLW10 | C100190 | Word 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 | ||
ADCSL | C100276 | Spoken Language Ability | Alzheimer'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 | ||
Back to top | ||||||
CL.C100131.ADAS-Cog CDISC Version TEST | QS-Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Test Name (ADAS-Cog CDISC Version TEST) | text Extensible: No | C100131 | QS-Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Test Name | ADAS-Cog CDISC Version test name. | CDISC Questionnaire ADAS-Cog CDISC Version Test Name Terminology |
Attempt to Draw | C100231 | Attempt to Draw | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis attempted to draw, but drew no forms correctly. | CDISC ADAS-Cog - Attempt to Draw | ||
Commands | C100209 | Commands | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for commands. | CDISC ADAS-Cog - Commands Summary Score | ||
Commands: Ceiling | C100211 | Commands: Ceiling | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for pointing to the ceiling then to the floor. | CDISC ADAS-Cog - Commands: Ceiling | ||
Commands: Fist | C100210 | Commands: Fist | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for making a fist. | CDISC ADAS-Cog - Commands: Fist | ||
Commands: Pencil | C100212 | Commands: Pencil | Alzheimer'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: Shoulder | C100214 | Commands: Shoulder | Alzheimer'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: Watch | C100213 | Commands: Watch | Alzheimer'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 | ||
Comprehension | C100278 | Comprehension | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to comprehend speech. | CDISC ADAS-Cog - Comprehension | ||
Concentration/Distractibility | C100279 | Concentration/Distractibility | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to concentrate or easily be distracted. | CDISC ADAS-Cog - Concentration/Distractibility | ||
Constructional Praxis | C100226 | Constructional Praxis | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for constructional praxis. | CDISC ADAS-Cog - Constructional Praxis Summary Score | ||
Constructional Praxis: 2 Rectangles | C100228 | Constructional Praxis: 2 Rectangles | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying two overlapping rectangles. | CDISC ADAS-Cog - Constructional Praxis: 2 Rectangles | ||
Constructional Praxis: Circle | C100227 | Constructional Praxis: Circle | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a circle. | CDISC ADAS-Cog - Constructional Praxis: Circle | ||
Constructional Praxis: Cube | C100230 | Constructional Praxis: Cube | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a cube. | CDISC ADAS-Cog - Constructional Praxis: Cube | ||
Constructional Praxis: Diamond | C100229 | Constructional Praxis: Diamond | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a diamond. | CDISC ADAS-Cog - Constructional Praxis: Diamond | ||
Delayed Word Recall | C100215 | Delayed Word Recall | Alzheimer'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 [10] | C100225 | Delayed 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 [1] | C100216 | Delayed 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 [2] | C100217 | Delayed 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] | C100218 | Delayed 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] | C100219 | Delayed 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] | C100220 | Delayed 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] | C100221 | Delayed 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] | C100222 | Delayed 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] | C100223 | Delayed 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] | C100224 | Delayed 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 Maze | C100284 | Executive Function Maze | Alzheimer'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: Errors | C100285 | Executive Function Maze: Errors | Alzheimer'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: Time | C100286 | Executive Function Maze: Time | Alzheimer'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 Praxis | C100232 | Ideational Praxis | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for ideational praxis. | CDISC ADAS-Cog - Ideational Praxis Summary Score | ||
Ideational Praxis: Address | C100236 | Ideational Praxis: Address | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for address the envelop to yourself. | CDISC ADAS-Cog - Ideational Praxis: Address | ||
Ideational Praxis: Fold | C100233 | Ideational Praxis: Fold | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for folding the paper. | CDISC ADAS-Cog - Ideational Praxis: Fold | ||
Ideational Praxis: Insert | C100234 | Ideational Praxis: Insert | Alzheimer'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: Seal | C100235 | Ideational Praxis: Seal | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for seal the envelop. | CDISC ADAS-Cog - Ideational Praxis: Seal | ||
Ideational Praxis: Stamp | C100237 | Ideational Praxis: Stamp | Alzheimer'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 Fingers | C100191 | Naming Objects and Fingers | Alzheimer'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: 1 | C100192 | Naming Objects and Fingers: 1 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 1. | CDISC ADAS-Cog - Naming Objects and Fingers: 1 | ||
Naming Objects and Fingers: 10 | C100201 | Naming Objects and Fingers: 10 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 10. | CDISC ADAS-Cog - Naming Objects and Fingers: 10 | ||
Naming Objects and Fingers: 11 | C100202 | Naming Objects and Fingers: 11 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 11. | CDISC ADAS-Cog - Naming Objects and Fingers: 11 | ||
Naming Objects and Fingers: 12 | C100203 | Naming Objects and Fingers: 12 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 12. | CDISC ADAS-Cog - Naming Objects and Fingers: 12 | ||
Naming Objects and Fingers: 2 | C100193 | Naming Objects and Fingers: 2 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 2. | CDISC ADAS-Cog - Naming Objects and Fingers: 2 | ||
Naming Objects and Fingers: 3 | C100194 | Naming Objects and Fingers: 3 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 3. | CDISC ADAS-Cog - Naming Objects and Fingers: 3 | ||
Naming Objects and Fingers: 4 | C100195 | Naming Objects and Fingers: 4 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 4. | CDISC ADAS-Cog - Naming Objects and Fingers: 4 | ||
Naming Objects and Fingers: 5 | C100196 | Naming Objects and Fingers: 5 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 5. | CDISC ADAS-Cog - Naming Objects and Fingers: 5 | ||
Naming Objects and Fingers: 6 | C100197 | Naming Objects and Fingers: 6 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 6. | CDISC ADAS-Cog - Naming Objects and Fingers: 6 | ||
Naming Objects and Fingers: 7 | C100198 | Naming Objects and Fingers: 7 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 7. | CDISC ADAS-Cog - Naming Objects and Fingers: 7 | ||
Naming Objects and Fingers: 8 | C100199 | Naming Objects and Fingers: 8 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 8. | CDISC ADAS-Cog - Naming Objects and Fingers: 8 | ||
Naming Objects and Fingers: 9 | C100200 | Naming Objects and Fingers: 9 | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 9. | CDISC ADAS-Cog - Naming Objects and Fingers: 9 | ||
Naming Objects and Fingers: Middle | C100206 | Naming Objects and Fingers: Middle | Alzheimer'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: Pinky | C100208 | Naming Objects and Fingers: Pinky | Alzheimer'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: Pointer | C100205 | Naming Objects and Fingers: Pointer | Alzheimer'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: Ring | C100207 | Naming Objects and Fingers: Ring | Alzheimer'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: Thumb | C100204 | Naming Objects and Fingers: Thumb | Alzheimer'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 Cancellation | C100280 | Number Cancellation | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the number cancellation tasks. | CDISC ADAS-Cog - Number Cancellation Summary Score | ||
Number Cancellation: Correct | C100281 | Number Cancellation: Correct | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of targets hit during the number cancellation task. | CDISC ADAS-Cog - Number Cancellation: Correct | ||
Number Cancellation: Errors | C100282 | Number Cancellation: Errors | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the number cancellation task. | CDISC ADAS-Cog - Number Cancellation: Errors | ||
Number Cancellation: Remind | C100283 | Number Cancellation: Remind | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of times reminded for the number cancellation task. | CDISC ADAS-Cog - Number Cancellation: Remind | ||
Orientation | C100238 | Orientation | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for orientation. | CDISC ADAS-Cog - Orientation Summary Score | ||
Orientation: Date | C100241 | Orientation: Date | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day. | CDISC ADAS-Cog - Orientation: Date | ||
Orientation: Day of Week | C100243 | Orientation: Day of Week | Alzheimer'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 Name | C100239 | Orientation: Full Name | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing one's own full name. | CDISC ADAS-Cog - Orientation: Full Name | ||
Orientation: Month | C100240 | Orientation: Month | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current month. | CDISC ADAS-Cog - Orientation: Month | ||
Orientation: Place | C100245 | Orientation: Place | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current place. | CDISC ADAS-Cog - Orientation: Place | ||
Orientation: Season | C100244 | Orientation: Season | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current season. | CDISC ADAS-Cog - Orientation: Season | ||
Orientation: Time | C100246 | Orientation: Time | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the approximate current clock time. | CDISC ADAS-Cog - Orientation: Time | ||
Orientation: Year | C100242 | Orientation: Year | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current year. | CDISC ADAS-Cog - Orientation: Year | ||
Remembering Test Instructions | C100275 | Remembering Test Instructions | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Remembering test instructions. | CDISC ADAS-Cog - Remembering Test Instructions | ||
Spoken Language Ability | C100276 | Spoken Language Ability | Alzheimer'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 Speech | C100277 | Word Finding Difficulty in Spont Speech | Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Difficulty finding the desired word in spontaneous speech. | CDISC ADAS-Cog - Word Difficulty in Spontaneous Speech | ||
Word Recall | C100177 | Word Recall | Alzheimer'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 1 | C100178 | Word Recall Trial 1 | Alzheimer'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 2 | C100179 | Word Recall Trial 2 | Alzheimer'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 3 | C100180 | Word Recall Trial 3 | Alzheimer'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 [10] | C100190 | Word 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 [1] | C100181 | Word 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 [2] | C100182 | Word 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] | C100183 | Word 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] | C100184 | Word 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] | C100185 | Word 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] | C100186 | Word 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] | C100187 | Word 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] | C100188 | Word 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] | C100189 | Word 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 Recognition | C100247 | Word Recognition | Alzheimer'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 1 | C100248 | Word Recognition Trial 1 | Alzheimer'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 2 | C100249 | Word Recognition Trial 2 | Alzheimer'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 3 | C100250 | Word Recognition Trial 3 | Alzheimer'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 [10] | C100260 | Word 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] | C100261 | Word 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] | C100262 | Word 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] | C100263 | Word 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] | C100264 | Word 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] | C100265 | Word 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] | C100266 | Word 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] | C100267 | Word 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] | C100268 | Word 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] | C100269 | Word 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 [1] | C100251 | Word 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 [20] | C100270 | Word 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] | C100271 | Word 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] | C100272 | Word 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] | C100273 | Word 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] | C100274 | Word 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 [2] | C100252 | Word 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 [3] | C100253 | Word 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] | C100254 | Word 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] | C100255 | Word 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] | C100256 | Word 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] | C100257 | Word 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] | C100258 | Word 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] | C100259 | Word 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 | ||
Back to top | ||||||
CL.C106651.ADCS-ADL MCI TESTCD | QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Code (ADCS-ADL MCI TESTCD) | text Extensible: No | C106651 | QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Code | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version test code. | CDISC Questionnaire ADCS-ADL MCI Test Code Terminology |
ADL0301 | C106891 | ADL03-Find Personal Belongings | Alzheimer'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 | ||
ADL0301A | C106892 | ADL03-Find Belongings Usual Performance | Alzheimer'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 | ||
ADL0302 | C106893 | ADL03-Select First Clothes for the Day | Alzheimer'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 | ||
ADL0302A | C106894 | ADL03-Usual Dressing Performance | Alzheimer'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 | ||
ADL0303 | C106895 | ADL03-Usual Physically Dressing Perform | Alzheimer'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 | ||
ADL0304 | C106896 | ADL03-Clean Room | Alzheimer'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 | ||
ADL0304A | C106897 | ADL03-Clean Room Performance | Alzheimer'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 | ||
ADL0305 | C106898 | ADL03-Balance Checkbook | Alzheimer'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 | ||
ADL0305A | C106899 | ADL03-Balance Checkbook Performance | Alzheimer'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 | ||
ADL0306 | C106900 | ADL03-Write Things Down | Alzheimer'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 | ||
ADL0306A | C106901 | ADL03-Most Complicated Writings | Alzheimer'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 | ||
ADL0307 | C106902 | ADL03-Clean Laundry | Alzheimer'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 | ||
ADL0307A | C106903 | ADL03-Laundry Cleaning Performance | Alzheimer'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 | ||
ADL0308 | C106904 | ADL03-Keep Appointments | Alzheimer'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 | ||
ADL0308A | C106905 | ADL03-Aware of Appointment Ahead of Time | Alzheimer'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 | ||
ADL0309 | C106906 | ADL03-Use a Telephone | Alzheimer'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 | ||
ADL0309A | C106907 | ADL03-Highest Telephone Use Performance | Alzheimer'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 | ||
ADL0310 | C106908 | ADL03-Make a Meal | Alzheimer'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 | ||
ADL0310A | C106909 | ADL03-Highest Level of Food Preparation | Alzheimer'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 | ||
ADL0311 | C106910 | ADL03-Get Around Outside Home | Alzheimer'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 | ||
ADL0311A | C106911 | ADL03-Get Around Optimal Performance | Alzheimer'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 | ||
ADL0312 | C106912 | ADL03-Talk About Current Events | Alzheimer'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 | ||
ADL0312A | C106913 | ADL03-Regional, National, International | Alzheimer'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 | ||
ADL0312B | C106914 | ADL03-Talk About Outside Events | Alzheimer'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 | ||
ADL0312C | C106915 | ADL03-Talk About at Home Events | Alzheimer'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 | ||
ADL0312D | C106916 | ADL03-Talk Without Repeating | Alzheimer'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 | ||
ADL0313 | C106917 | ADL03-Read More Than 5 Minutes | Alzheimer'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 | ||
ADL0313A | C106918 | ADL03-Select/Ask for Something to Read | Alzheimer'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 | ||
ADL0313B | C106919 | ADL03-Talk Within 1 Hour After Reading | Alzheimer'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 | ||
ADL0313C | C106920 | ADL03-Talk Within 1 Day After Reading | Alzheimer'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 | ||
ADL0314 | C106921 | ADL03-Watch Television | Alzheimer'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 | ||
ADL0314A | C106922 | ADL03-Select Television Program | Alzheimer'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 | ||
ADL0314B | C106923 | ADL03-Talk About TV Content While Watch | Alzheimer'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 | ||
ADL0314C | C106924 | ADL03-Talk About TV Content Within a Day | Alzheimer'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 | ||
ADL0315 | C106925 | ADL03-Go Shopping | Alzheimer'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 | ||
ADL0315A | C106926 | ADL03-Select items Without Help | Alzheimer'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 | ||
ADL0315B | C106927 | ADL03-Pay Items On His/Her Own | Alzheimer'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 | ||
ADL0316 | C106928 | ADL03-Left On His/Her Own | Alzheimer'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 | ||
ADL0316A | C106929 | ADL03-Left Away From Home | Alzheimer'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 | ||
ADL0316B | C106930 | ADL03-Left at Home for 1 Hour or Longer | Alzheimer'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 | ||
ADL0316C | C106931 | ADL03-Left at Home for Less Than 1 Hour | Alzheimer'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 | ||
ADL0317 | C106932 | ADL03-Use Household Appliance | Alzheimer'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 | ||
ADL0317A | C107089 | ADL03-Appliance: Washer | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: washer. | ADCS-ADL MCI - Use Household Appliance: Washer | ||
ADL0317B | C107090 | ADL03-Appliance: Dryer | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dryer. | ADCS-ADL MCI - Use Household Appliance: Dryer | ||
ADL0317C | C107091 | ADL03-Appliance: Vacuum | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: vacuum. | ADCS-ADL MCI - Use Household Appliance: Vacuum | ||
ADL0317D | C106933 | ADL03-Appliance: Dishwasher | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dishwasher. | ADCS-ADL MCI - Use Household Appliance: Dishwasher | ||
ADL0317E | C106934 | ADL03-Appliance: Power Tools | Alzheimer'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 | ||
ADL0317F | C106935 | ADL03-Appliance: Toaster Oven | Alzheimer'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 | ||
ADL0317G | C106936 | ADL03-Appliance: Range | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: range. | ADCS-ADL MCI - Use Household Appliance: Range | ||
ADL0317H | C106937 | ADL03-Appliance: Microwave | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: microwave. | ADCS-ADL MCI - Use Household Appliance: Microwave | ||
ADL0317I | C106938 | ADL03-Appliance: Food Processor | Alzheimer'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 | ||
ADL0317J | C106939 | ADL03-Appliance: Other | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: other. | ADCS-ADL MCI - Use Household Appliance: Other | ||
ADL0317K | C106940 | ADL03-Appliance: Other Specify | Alzheimer'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 | ||
ADL0317L | C106941 | ADL03-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 | ||
ADL0318 | C106942 | ADL03-Perform Pastime | Alzheimer'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 | ||
ADL0318A | C106943 | ADL03-Pastime: Card or Board Games | Alzheimer'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 | ||
ADL0318B | C106944 | ADL03-Pastime: Bingo | Alzheimer'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 | ||
ADL0318C | C106945 | ADL03-Pastime: Crosswords | Alzheimer'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 | ||
ADL0318D | C106946 | ADL03-Pastime: Art | Alzheimer'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 | ||
ADL0318E | C106947 | ADL03-Pastime: Musical Instrument | Alzheimer'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 | ||
ADL0318F | C106948 | ADL03-Pastime: Knitting | Alzheimer'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 | ||
ADL0318G | C106949 | ADL03-Pastime: Sewing | Alzheimer'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 | ||
ADL0318H | C106950 | ADL03-Pastime: Reading | Alzheimer'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 | ||
ADL0318I | C106951 | ADL03-Pastime: Gardening | Alzheimer'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 | ||
ADL0318J | C106952 | ADL03-Pastime: Golf | Alzheimer'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 | ||
ADL0318K | C106953 | ADL03-Pastime: Tennis | Alzheimer'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 | ||
ADL0318L | C106954 | ADL03-Pastime: Workshop | Alzheimer'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 | ||
ADL0318M | C106955 | ADL03-Pastime: Fishing | Alzheimer'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 | ||
ADL0318N | C106956 | ADL03-Pastime: Other | Alzheimer'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 | ||
ADL0318O | C106957 | ADL03-Pastime: Other Specify | Alzheimer'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 | ||
ADL0318P | C106958 | ADL03-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 | ||
ADL0318Q | C106959 | ADL03-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 | ||
ADL0319 | C106960 | ADL03-Drive Car | Alzheimer'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 | ||
ADL0319A | C106961 | ADL03-Drive Car Optimal Performance | Alzheimer'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 | ||
ADL0320 | C106962 | ADL03-Take Medications Regularly | Alzheimer'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 | ||
ADL0320A | C106963 | ADL03-Take Medications Performance | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, was this. | ADCS-ADL MCI - Description of Taking Medications Regularly | ||
ADL0321 | C106964 | ADL03-Complete Complex Activities | Alzheimer'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 | ||
ADL0321A | C106965 | ADL03-Extent Needed Reminders | Alzheimer'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 | ||
ADL0322 | C106966 | ADL03-Initiate Complex Activities | Alzheimer'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 | ||
ADL0323 | C106967 | ADL03-Time to Complete Complex Tasks | Alzheimer'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 | ||
ADL0324 | C106968 | ADL03-Extenuating Circumstances | Alzheimer'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 | ||
ADL0324A | C106969 | ADL03-Explain Circumstance | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, explain. | ADCS-ADL MCI - Explain Extenuating Circumstance | ||
ADL0325 | C107092 | ADL03-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' | ||
ADL0326 | C106970 | ADL03-Subscore for Items 1 to 3 | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 1. | ADCS-ADL MCI - Subscore for Items 1 to 3 | ||
ADL0327 | C106971 | ADL03-Subscore for Items 4 to 7 | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 2. | ADCS-ADL MCI - Subscore for Items 4 to 7 | ||
ADL0328 | C106972 | ADL03-Subscore for Items 8 to 10 | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 3. | ADCS-ADL MCI - Subscore for Items 8 to 10 | ||
ADL0329 | C106973 | ADL03-Subscore for Items 11 to 12d | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 4. | ADCS-ADL MCI - Subscore for Items 11 to 12 | ||
ADL0330 | C106974 | ADL03-Subscore for Items 13 to 14c | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 5. | ADCS-ADL MCI - Subscore for Items 13 to 14 | ||
ADL0331 | C106975 | ADL03-Subscore for Items 15 to 16c | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 6. | ADCS-ADL MCI - Subscore for Items 15 to 16 | ||
ADL0332 | C106976 | ADL03-Subscore for Item 17 | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 7. | ADCS-ADL MCI - Subscore for Item 17 | ||
ADL0333 | C106977 | ADL03-Subscore for Item 18 | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 8. | ADCS-ADL MCI - Subscore for Item 18 | ||
ADL0334 | C106978 | ADL03-Total ADCS-ADL Score | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Total Score. | ADCS-ADL MCI - ADL Total Score | ||
Back to top | ||||||
CL.C106650.ADCS-ADL MCI TEST | QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Name (ADCS-ADL MCI TEST) | text Extensible: No | C106650 | QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Name | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version test name. | CDISC Questionnaire ADCS-ADL MCI Test Name Terminology |
ADL03-Appliance: Dishwasher | C106933 | ADL03-Appliance: Dishwasher | Alzheimer'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: Dryer | C107090 | ADL03-Appliance: Dryer | Alzheimer'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 Processor | C106938 | ADL03-Appliance: Food Processor | Alzheimer'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: Microwave | C106937 | ADL03-Appliance: Microwave | Alzheimer'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: Other | C106939 | ADL03-Appliance: Other | Alzheimer'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 Specify | C106940 | ADL03-Appliance: Other Specify | Alzheimer'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 Tools | C106934 | ADL03-Appliance: Power Tools | Alzheimer'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: Range | C106936 | ADL03-Appliance: Range | Alzheimer'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 Oven | C106935 | ADL03-Appliance: Toaster Oven | Alzheimer'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: Vacuum | C107091 | ADL03-Appliance: Vacuum | Alzheimer'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: Washer | C107089 | ADL03-Appliance: Washer | Alzheimer'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 Time | C106905 | ADL03-Aware of Appointment Ahead of Time | Alzheimer'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 Checkbook | C106898 | ADL03-Balance Checkbook | Alzheimer'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 Performance | C106899 | ADL03-Balance Checkbook Performance | Alzheimer'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 Laundry | C106902 | ADL03-Clean Laundry | Alzheimer'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 Room | C106896 | ADL03-Clean Room | Alzheimer'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 Performance | C106897 | ADL03-Clean Room Performance | Alzheimer'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 Activities | C106964 | ADL03-Complete Complex Activities | Alzheimer'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 Car | C106960 | ADL03-Drive Car | Alzheimer'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 Performance | C106961 | ADL03-Drive Car Optimal Performance | Alzheimer'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 Circumstance | C106969 | ADL03-Explain Circumstance | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, explain. | ADCS-ADL MCI - Explain Extenuating Circumstance | ||
ADL03-Extent Needed Reminders | C106965 | ADL03-Extent Needed Reminders | Alzheimer'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 Circumstances | C106968 | ADL03-Extenuating Circumstances | Alzheimer'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 Performance | C106892 | ADL03-Find Belongings Usual Performance | Alzheimer'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 Belongings | C106891 | ADL03-Find Personal Belongings | Alzheimer'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 Performance | C106911 | ADL03-Get Around Optimal Performance | Alzheimer'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 Home | C106910 | ADL03-Get Around Outside Home | Alzheimer'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 Shopping | C106925 | ADL03-Go Shopping | Alzheimer'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 Preparation | C106909 | ADL03-Highest Level of Food Preparation | Alzheimer'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 Performance | C106907 | ADL03-Highest Telephone Use Performance | Alzheimer'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) | C106958 | ADL03-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) | C106959 | ADL03-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 Activities | C106966 | ADL03-Initiate Complex Activities | Alzheimer'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 Appointments | C106904 | ADL03-Keep Appointments | Alzheimer'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 Performance | C106903 | ADL03-Laundry Cleaning Performance | Alzheimer'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 Longer | C106930 | ADL03-Left at Home for 1 Hour or Longer | Alzheimer'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 Hour | C106931 | ADL03-Left at Home for Less Than 1 Hour | Alzheimer'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 Home | C106929 | ADL03-Left Away From Home | Alzheimer'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 Own | C106928 | ADL03-Left On His/Her Own | Alzheimer'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 Meal | C106908 | ADL03-Make a Meal | Alzheimer'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 Writings | C106901 | ADL03-Most Complicated Writings | Alzheimer'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: Art | C106946 | ADL03-Pastime: Art | Alzheimer'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: Bingo | C106944 | ADL03-Pastime: Bingo | Alzheimer'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 Games | C106943 | ADL03-Pastime: Card or Board Games | Alzheimer'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: Crosswords | C106945 | ADL03-Pastime: Crosswords | Alzheimer'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: Fishing | C106955 | ADL03-Pastime: Fishing | Alzheimer'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: Gardening | C106951 | ADL03-Pastime: Gardening | Alzheimer'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: Golf | C106952 | ADL03-Pastime: Golf | Alzheimer'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: Knitting | C106948 | ADL03-Pastime: Knitting | Alzheimer'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 Instrument | C106947 | ADL03-Pastime: Musical Instrument | Alzheimer'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: Other | C106956 | ADL03-Pastime: Other | Alzheimer'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 Specify | C106957 | ADL03-Pastime: Other Specify | Alzheimer'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: Reading | C106950 | ADL03-Pastime: Reading | Alzheimer'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: Sewing | C106949 | ADL03-Pastime: Sewing | Alzheimer'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: Tennis | C106953 | ADL03-Pastime: Tennis | Alzheimer'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: Workshop | C106954 | ADL03-Pastime: Workshop | Alzheimer'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 Own | C106927 | ADL03-Pay Items On His/Her Own | Alzheimer'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 Pastime | C106942 | ADL03-Perform Pastime | Alzheimer'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 Minutes | C106917 | ADL03-Read More Than 5 Minutes | Alzheimer'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, International | C106913 | ADL03-Regional, National, International | Alzheimer'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 Day | C106893 | ADL03-Select First Clothes for the Day | Alzheimer'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 Help | C106926 | ADL03-Select items Without Help | Alzheimer'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 Program | C106922 | ADL03-Select Television Program | Alzheimer'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 Read | C106918 | ADL03-Select/Ask for Something to Read | Alzheimer'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 17 | C106976 | ADL03-Subscore for Item 17 | Alzheimer'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 18 | C106977 | ADL03-Subscore for Item 18 | Alzheimer'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 3 | C106970 | ADL03-Subscore for Items 1 to 3 | Alzheimer'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 12d | C106973 | ADL03-Subscore for Items 11 to 12d | Alzheimer'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 14c | C106974 | ADL03-Subscore for Items 13 to 14c | Alzheimer'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 16c | C106975 | ADL03-Subscore for Items 15 to 16c | Alzheimer'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 7 | C106971 | ADL03-Subscore for Items 4 to 7 | Alzheimer'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 10 | C106972 | ADL03-Subscore for Items 8 to 10 | Alzheimer'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 Performance | C106963 | ADL03-Take Medications Performance | Alzheimer'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 Regularly | C106962 | ADL03-Take Medications Regularly | Alzheimer'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 Events | C106915 | ADL03-Talk About at Home Events | Alzheimer'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 Events | C106912 | ADL03-Talk About Current Events | Alzheimer'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 Events | C106914 | ADL03-Talk About Outside Events | Alzheimer'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 Watch | C106923 | ADL03-Talk About TV Content While Watch | Alzheimer'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 Day | C106924 | ADL03-Talk About TV Content Within a Day | Alzheimer'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 Reading | C106920 | ADL03-Talk Within 1 Day After Reading | Alzheimer'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 Reading | C106919 | ADL03-Talk Within 1 Hour After Reading | Alzheimer'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 Repeating | C106916 | ADL03-Talk Without Repeating | Alzheimer'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 Tasks | C106967 | ADL03-Time to Complete Complex Tasks | Alzheimer'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 Score | C106978 | ADL03-Total ADCS-ADL Score | Alzheimer'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' | C107092 | ADL03-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 Telephone | C106906 | ADL03-Use a Telephone | Alzheimer'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) | C106941 | ADL03-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 Appliance | C106932 | ADL03-Use Household Appliance | Alzheimer'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 Performance | C106894 | ADL03-Usual Dressing Performance | Alzheimer'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 Perform | C106895 | ADL03-Usual Physically Dressing Perform | Alzheimer'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 Television | C106921 | ADL03-Watch Television | Alzheimer'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 Down | C106900 | ADL03-Write Things Down | Alzheimer'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 | ||
Back to top | ||||||
CL.C105140.ADCS-ADL TESTCD | QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Code (ADCS-ADL TESTCD) | text Extensible: No | C105140 | QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Code | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory test code. | CDISC Questionnaire ADCS-ADL Test Code Terminology |
ADL0101 | C105283 | ADL01-Usual Eating Performance | Alzheimer'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 | ||
ADL0102 | C105284 | ADL01-Optimal Walking Performance | Alzheimer'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 | ||
ADL0103 | C105285 | ADL01-Usual Bowel/Bladder Function | Alzheimer'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 | ||
ADL0104 | C105286 | ADL01-Usual Bathing Performance | Alzheimer'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 | ||
ADL0105 | C105287 | ADL01-Optimal Grooming Performance | Alzheimer'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 | ||
ADL0106 | C105288 | ADL01-Select First Clothes for the Day | Alzheimer'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 | ||
ADL0106A | C105289 | ADL01-Usual Dressing Performance | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes usual performance. | ADCS-ADL - Description of Usual Performance of Dressing | ||
ADL0106B | C105290 | ADL01-Usual Physically Dressing Perform | Alzheimer'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 | ||
ADL0107 | C105291 | ADL01-Use a Telephone | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} use a telephone? | ADCS-ADL - Use a Telephone | ||
ADL0107A | C105292 | ADL01-Highest Telephone Use Performance | Alzheimer'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 | ||
ADL0108 | C105293 | ADL01-Watch Television | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} watch television? | ADCS-ADL - Watch Television | ||
ADL0108A | C105294 | ADL01-Select Television Program | Alzheimer'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 | ||
ADL0108B | C105295 | ADL01-Talk About TV Content While Watch | Alzheimer'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 | ||
ADL0108C | C105296 | ADL01-Talk About TV Content Within a Day | Alzheimer'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 | ||
ADL0109 | C105297 | ADL01-Pay Attention to Conversation | Alzheimer'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 | ||
ADL0109A | C105298 | ADL01-Usual Conversation Participation | Alzheimer'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 | ||
ADL0110 | C105299 | ADL01-Clear Dishes | Alzheimer'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 | ||
ADL0110A | C105300 | ADL01-Clear Dishes Usual Performance | Alzheimer'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 | ||
ADL0111 | C105301 | ADL01-Find Belongings | Alzheimer'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 | ||
ADL0111A | C105302 | ADL01-Find Belongings Usual Performance | Alzheimer'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 | ||
ADL0112 | C105303 | ADL01-Obtain Beverage | Alzheimer'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 | ||
ADL0112A | C105304 | ADL01-Obtain Beverage Highest Perform | Alzheimer'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 | ||
ADL0113 | C105305 | ADL01-Make a Meal | Alzheimer'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 | ||
ADL0113A | C105306 | ADL01-Highest Level of Food Preparation | Alzheimer'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 | ||
ADL0114 | C105307 | ADL01-Dispose of Garbage | Alzheimer'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 | ||
ADL0114A | C105308 | ADL01-Dispose Garbage Usual Performance | Alzheimer'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 | ||
ADL0115 | C105309 | ADL01-Get Around Outside Home | Alzheimer'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 | ||
ADL0115A | C105310 | ADL01-Get Around Optimal Performance | Alzheimer'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 | ||
ADL0116 | C105311 | ADL01-Go Shopping | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever go shopping? | ADCS-ADL - Go Shopping | ||
ADL0116A | C105312 | ADL01-How Usually Selects Items | Alzheimer'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 | ||
ADL0116B | C105313 | ADL01-Pay Without Supervision | Alzheimer'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 | ||
ADL0117 | C105314 | ADL01-Keep Appointments | Alzheimer'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 | ||
ADL0117A | C105315 | ADL01-Aware of Appointment Ahead of Time | Alzheimer'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 | ||
ADL0118 | C105316 | ADL01-Left On His/Her Own | Alzheimer'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 | ||
ADL0118A | C105317 | ADL01-Left Away From Home | Alzheimer'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 | ||
ADL0118B | C105318 | ADL01-Left at Home for 1 Hour or Longer | Alzheimer'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 | ||
ADL0118C | C105319 | ADL01-Left at Home for Less Than 1 Hour | Alzheimer'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 | ||
ADL0119 | C105320 | ADL01-Talk About Current Events | Alzheimer'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 | ||
ADL0119A | C105321 | ADL01-Talk About Events Heard/Read About | Alzheimer'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 | ||
ADL0119B | C105322 | ADL01-Talk About Outside Events | Alzheimer'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 | ||
ADL0119C | C105323 | ADL01-Talk About at Home Events | Alzheimer'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 | ||
ADL0120 | C105324 | ADL01-Read More Than 5 Minutes | Alzheimer'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 | ||
ADL0120A | C105325 | ADL01-Talk Within 1 Hour After Reading | Alzheimer'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 | ||
ADL0120B | C105326 | ADL01-Talk 1 Hour or More After Reading | Alzheimer'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 | ||
ADL0121 | C105327 | ADL01-Write Things Down | Alzheimer'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 | ||
ADL0121A | C105328 | ADL01-Most Complicated Writings | Alzheimer'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 | ||
ADL0122 | C105329 | ADL01-Perform Pastime | Alzheimer'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 | ||
ADL0122A | C105330 | ADL01-Pastime: Card or Board Games | Alzheimer'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 | ||
ADL0122B | C105331 | ADL01-Pastime: Bingo | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: bingo. | ADCS-ADL - Pastime: Bingo | ||
ADL0122C | C105332 | ADL01-Pastime: Crosswords | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: crosswords. | ADCS-ADL - Pastime: Crosswords | ||
ADL0122D | C105333 | ADL01-Pastime: Art | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: art. | ADCS-ADL - Pastime: Art | ||
ADL0122E | C105334 | ADL01-Pastime: Musical Instrument | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: musical instrument. | ADCS-ADL - Pastime: Musical Instrument | ||
ADL0122F | C105335 | ADL01-Pastime: Knitting | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: knitting. | ADCS-ADL - Pastime: Knitting | ||
ADL0122G | C105336 | ADL01-Pastime: Sewing | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: sewing. | ADCS-ADL - Pastime: Sewing | ||
ADL0122H | C105337 | ADL01-Pastime: Reading | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: reading. | ADCS-ADL - Pastime: Reading | ||
ADL0122I | C105338 | ADL01-Pastime: Gardening | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: gardening. | ADCS-ADL - Pastime: Gardening | ||
ADL0122J | C105339 | ADL01-Pastime: Golf | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: golf. | ADCS-ADL - Pastime: Golf | ||
ADL0122K | C105340 | ADL01-Pastime: Tennis | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: tennis. | ADCS-ADL - Pastime: Tennis | ||
ADL0122L | C105341 | ADL01-Pastime: Workshop | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: workshop. | ADCS-ADL - Pastime: Workshop | ||
ADL0122M | C105342 | ADL01-Pastime: Fishing | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: fishing. | ADCS-ADL - Pastime: Fishing | ||
ADL0122N | C105343 | ADL01-Pastime: Other | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other. | ADCS-ADL - Pastime: Other | ||
ADL0122O | C105344 | ADL01-Pastime: Other Specify | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other specify. | ADCS-ADL - Pastime: Other Specify | ||
ADL0122P | C105345 | ADL01-Hobbies Only at Day Care | Alzheimer'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 | ||
ADL0122Q | C105346 | ADL01-Usual Common Pastimes Performance | Alzheimer'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 | ||
ADL0123 | C105347 | ADL01-Use Household Appliance | Alzheimer'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 | ||
ADL0123A | C105348 | ADL01-Appliance: Washer | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: washer. | ADCS-ADL - Appliance: Washer | ||
ADL0123B | C105349 | ADL01-Appliance: Dryer | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dryer. | ADCS-ADL - Appliance: Dryer | ||
ADL0123C | C105350 | ADL01-Appliance: Vacuum | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: vacuum. | ADCS-ADL - Appliance: Vacuum | ||
ADL0123D | C105351 | ADL01-Appliance: Dishwasher | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dishwasher. | ADCS-ADL - Appliance: Dishwasher | ||
ADL0123E | C105352 | ADL01-Appliance: Toaster | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster. | ADCS-ADL - Appliance: Toaster | ||
ADL0123F | C105353 | ADL01-Appliance: Toaster Oven | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster oven. | ADCS-ADL - Appliance: Toaster Oven | ||
ADL0123G | C105354 | ADL01-Appliance: Range | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: range. | ADCS-ADL - Appliance: Range | ||
ADL0123H | C105355 | ADL01-Appliance: Microwave | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: microwave. | ADCS-ADL - Appliance: Microwave | ||
ADL0123I | C105356 | ADL01-Appliance: Food Processor | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: food processor. | ADCS-ADL - Appliance: Food Processor | ||
ADL0123J | C105357 | ADL01-Appliance: Other | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other. | ADCS-ADL - Appliance: Other | ||
ADL0123K | C105358 | ADL01-Appliance: Other Specify | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other specify. | ADCS-ADL - Appliance: Other Specify | ||
ADL0123L | C105359 | ADL01-Use Common Used Appliances | Alzheimer'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 | ||
ADL0124 | C105360 | ADL01-Total ADCS-ADL Score | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Total Score. | ADCS-ADL - Total Score | ||
ADL0125 | C105361 | ADL01-Number Don't Know Responses | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Number of 'Don't Know' Responses. | ADCS-ADL - Number of 'Don't Know' Responses | ||
Back to top | ||||||
CL.C105139.ADCS-ADL TEST | QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Name (ADCS-ADL TEST) | text Extensible: No | C105139 | QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Name | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory test name. | CDISC Questionnaire ADCS-ADL Test Name Terminology |
ADL01-Appliance: Dishwasher | C105351 | ADL01-Appliance: Dishwasher | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dishwasher. | ADCS-ADL - Appliance: Dishwasher | ||
ADL01-Appliance: Dryer | C105349 | ADL01-Appliance: Dryer | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dryer. | ADCS-ADL - Appliance: Dryer | ||
ADL01-Appliance: Food Processor | C105356 | ADL01-Appliance: Food Processor | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: food processor. | ADCS-ADL - Appliance: Food Processor | ||
ADL01-Appliance: Microwave | C105355 | ADL01-Appliance: Microwave | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: microwave. | ADCS-ADL - Appliance: Microwave | ||
ADL01-Appliance: Other | C105357 | ADL01-Appliance: Other | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other. | ADCS-ADL - Appliance: Other | ||
ADL01-Appliance: Other Specify | C105358 | ADL01-Appliance: Other Specify | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other specify. | ADCS-ADL - Appliance: Other Specify | ||
ADL01-Appliance: Range | C105354 | ADL01-Appliance: Range | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: range. | ADCS-ADL - Appliance: Range | ||
ADL01-Appliance: Toaster | C105352 | ADL01-Appliance: Toaster | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster. | ADCS-ADL - Appliance: Toaster | ||
ADL01-Appliance: Toaster Oven | C105353 | ADL01-Appliance: Toaster Oven | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster oven. | ADCS-ADL - Appliance: Toaster Oven | ||
ADL01-Appliance: Vacuum | C105350 | ADL01-Appliance: Vacuum | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: vacuum. | ADCS-ADL - Appliance: Vacuum | ||
ADL01-Appliance: Washer | C105348 | ADL01-Appliance: Washer | Alzheimer'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 Time | C105315 | ADL01-Aware of Appointment Ahead of Time | Alzheimer'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 Dishes | C105299 | ADL01-Clear Dishes | Alzheimer'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 Performance | C105300 | ADL01-Clear Dishes Usual Performance | Alzheimer'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 Performance | C105308 | ADL01-Dispose Garbage Usual Performance | Alzheimer'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 Garbage | C105307 | ADL01-Dispose of Garbage | Alzheimer'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 Belongings | C105301 | ADL01-Find Belongings | Alzheimer'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 Performance | C105302 | ADL01-Find Belongings Usual Performance | Alzheimer'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 Performance | C105310 | ADL01-Get Around Optimal Performance | Alzheimer'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 Home | C105309 | ADL01-Get Around Outside Home | Alzheimer'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 Shopping | C105311 | ADL01-Go Shopping | Alzheimer'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 Preparation | C105306 | ADL01-Highest Level of Food Preparation | Alzheimer'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 Performance | C105292 | ADL01-Highest Telephone Use Performance | Alzheimer'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 Care | C105345 | ADL01-Hobbies Only at Day Care | Alzheimer'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 Items | C105312 | ADL01-How Usually Selects Items | Alzheimer'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 Appointments | C105314 | ADL01-Keep Appointments | Alzheimer'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 Longer | C105318 | ADL01-Left at Home for 1 Hour or Longer | Alzheimer'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 Hour | C105319 | ADL01-Left at Home for Less Than 1 Hour | Alzheimer'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 Home | C105317 | ADL01-Left Away From Home | Alzheimer'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 Own | C105316 | ADL01-Left On His/Her Own | Alzheimer'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 Meal | C105305 | ADL01-Make a Meal | Alzheimer'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 Writings | C105328 | ADL01-Most Complicated Writings | Alzheimer'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 Responses | C105361 | ADL01-Number Don't Know Responses | Alzheimer'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 Beverage | C105303 | ADL01-Obtain Beverage | Alzheimer'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 Perform | C105304 | ADL01-Obtain Beverage Highest Perform | Alzheimer'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 Performance | C105287 | ADL01-Optimal Grooming Performance | Alzheimer'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 Performance | C105284 | ADL01-Optimal Walking Performance | Alzheimer'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: Art | C105333 | ADL01-Pastime: Art | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: art. | ADCS-ADL - Pastime: Art | ||
ADL01-Pastime: Bingo | C105331 | ADL01-Pastime: Bingo | Alzheimer'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 Games | C105330 | ADL01-Pastime: Card or Board Games | Alzheimer'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: Crosswords | C105332 | ADL01-Pastime: Crosswords | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: crosswords. | ADCS-ADL - Pastime: Crosswords | ||
ADL01-Pastime: Fishing | C105342 | ADL01-Pastime: Fishing | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: fishing. | ADCS-ADL - Pastime: Fishing | ||
ADL01-Pastime: Gardening | C105338 | ADL01-Pastime: Gardening | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: gardening. | ADCS-ADL - Pastime: Gardening | ||
ADL01-Pastime: Golf | C105339 | ADL01-Pastime: Golf | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: golf. | ADCS-ADL - Pastime: Golf | ||
ADL01-Pastime: Knitting | C105335 | ADL01-Pastime: Knitting | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: knitting. | ADCS-ADL - Pastime: Knitting | ||
ADL01-Pastime: Musical Instrument | C105334 | ADL01-Pastime: Musical Instrument | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: musical instrument. | ADCS-ADL - Pastime: Musical Instrument | ||
ADL01-Pastime: Other | C105343 | ADL01-Pastime: Other | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other. | ADCS-ADL - Pastime: Other | ||
ADL01-Pastime: Other Specify | C105344 | ADL01-Pastime: Other Specify | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other specify. | ADCS-ADL - Pastime: Other Specify | ||
ADL01-Pastime: Reading | C105337 | ADL01-Pastime: Reading | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: reading. | ADCS-ADL - Pastime: Reading | ||
ADL01-Pastime: Sewing | C105336 | ADL01-Pastime: Sewing | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: sewing. | ADCS-ADL - Pastime: Sewing | ||
ADL01-Pastime: Tennis | C105340 | ADL01-Pastime: Tennis | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: tennis. | ADCS-ADL - Pastime: Tennis | ||
ADL01-Pastime: Workshop | C105341 | ADL01-Pastime: Workshop | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: workshop. | ADCS-ADL - Pastime: Workshop | ||
ADL01-Pay Attention to Conversation | C105297 | ADL01-Pay Attention to Conversation | Alzheimer'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 Supervision | C105313 | ADL01-Pay Without Supervision | Alzheimer'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 Pastime | C105329 | ADL01-Perform Pastime | Alzheimer'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 Minutes | C105324 | ADL01-Read More Than 5 Minutes | Alzheimer'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 Day | C105288 | ADL01-Select First Clothes for the Day | Alzheimer'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 Program | C105294 | ADL01-Select Television Program | Alzheimer'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 Reading | C105326 | ADL01-Talk 1 Hour or More After Reading | Alzheimer'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 Events | C105323 | ADL01-Talk About at Home Events | Alzheimer'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 Events | C105320 | ADL01-Talk About Current Events | Alzheimer'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 About | C105321 | ADL01-Talk About Events Heard/Read About | Alzheimer'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 Events | C105322 | ADL01-Talk About Outside Events | Alzheimer'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 Watch | C105295 | ADL01-Talk About TV Content While Watch | Alzheimer'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 Day | C105296 | ADL01-Talk About TV Content Within a Day | Alzheimer'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 Reading | C105325 | ADL01-Talk Within 1 Hour After Reading | Alzheimer'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 Score | C105360 | ADL01-Total ADCS-ADL Score | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Total Score. | ADCS-ADL - Total Score | ||
ADL01-Use a Telephone | C105291 | ADL01-Use a Telephone | Alzheimer'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 Appliances | C105359 | ADL01-Use Common Used Appliances | Alzheimer'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 Appliance | C105347 | ADL01-Use Household Appliance | Alzheimer'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 Performance | C105286 | ADL01-Usual Bathing Performance | Alzheimer'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 Function | C105285 | ADL01-Usual Bowel/Bladder Function | Alzheimer'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 Performance | C105346 | ADL01-Usual Common Pastimes Performance | Alzheimer'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 Participation | C105298 | ADL01-Usual Conversation Participation | Alzheimer'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 Performance | C105289 | ADL01-Usual Dressing Performance | Alzheimer'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 Performance | C105283 | ADL01-Usual Eating Performance | Alzheimer'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 Perform | C105290 | ADL01-Usual Physically Dressing Perform | Alzheimer'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 Television | C105293 | ADL01-Watch Television | Alzheimer'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 Down | C105327 | ADL01-Write Things Down | Alzheimer'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 | ||
Back to top | ||||||
CL.C106653.ADCS-ADL Severe Dementia TESTCD | QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Code (ADCS-ADL Severe Dementia TESTCD) | text Extensible: No | C106653 | QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Code | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version test code. | CDISC Questionnaire ADCS-ADL Severe Dementia Test Code Terminology |
ADL0201 | C106979 | ADL02-Usual Eating Performance | Alzheimer'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 | ||
ADL0202 | C106980 | ADL02-Optimal Walking Performance | Alzheimer'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 | ||
ADL0203 | C106981 | ADL02-Usual Bowel/Bladder Function | Alzheimer'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 | ||
ADL0204 | C106982 | ADL02-Usual Bathing Performance | Alzheimer'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 | ||
ADL0205 | C106983 | ADL02-Optimal Grooming Performance | Alzheimer'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 | ||
ADL0206 | C106984 | ADL02-Usual Physically Dressing Perform | Alzheimer'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 | ||
ADL0207 | C106985 | ADL02-Use a Telephone | Alzheimer'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 | ||
ADL0207A | C106986 | ADL02-Highest Telephone Use Performance | Alzheimer'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 | ||
ADL0208 | C106987 | ADL02-Watch Television | Alzheimer'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 | ||
ADL0208A | C106988 | ADL02-Select Television Program | Alzheimer'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 | ||
ADL0208B | C106989 | ADL02-Talk About TV Content While Watch | Alzheimer'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 | ||
ADL0208C | C106990 | ADL02-Talk About TV Content Within a Day | Alzheimer'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 | ||
ADL0209 | C106991 | ADL02-Pay Attention to Conversation | Alzheimer'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 | ||
ADL0209A | C106992 | ADL02-Usual Conversation Participation | Alzheimer'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 | ||
ADL0210 | C106993 | ADL02-Clear Dishes | Alzheimer'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 | ||
ADL0210A | C106994 | ADL02-Clear Dishes Usual Performance | Alzheimer'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 | ||
ADL0211 | C106995 | ADL02-Find Belongings | Alzheimer'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 | ||
ADL0211A | C106996 | ADL02-Find Belongings Usual Performance | Alzheimer'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 | ||
ADL0212 | C106997 | ADL02-Obtain Beverage | Alzheimer'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 | ||
ADL0212A | C106998 | ADL02-Obtain Beverage Highest Perform | Alzheimer'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 | ||
ADL0213 | C106999 | ADL02-Dispose of Garbage | Alzheimer'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 | ||
ADL0213A | C107000 | ADL02-Dispose Garbage Usual Performance | Alzheimer'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 | ||
ADL0214 | C107001 | ADL02-Get Around Outside Home | Alzheimer'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 | ||
ADL0214A | C107002 | ADL02-Get Around Optimal Performance | Alzheimer'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 | ||
ADL0215 | C107003 | ADL02-Left On His/Her Own | Alzheimer'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 | ||
ADL0215A | C107004 | ADL02-Left Away From Home | Alzheimer'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 | ||
ADL0215B | C107005 | ADL02-Left at Home for 1 Hour or Longer | Alzheimer'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 | ||
ADL0215C | C107006 | ADL02-Left at Home for Less Than 1 Hour | Alzheimer'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 | ||
ADL0216 | C107007 | ADL02-Run Water Faucet to Wash | Alzheimer'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 | ||
ADL0217 | C107008 | ADL02-Turn Off Faucet | Alzheimer'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 | ||
ADL0218 | C107009 | ADL02-Turn On Light | Alzheimer'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 | ||
ADL0219 | C107010 | ADL02-Turn Off Light | Alzheimer'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 | ||
ADL0220 | C107011 | ADL02-Sum 1 to 5 | Alzheimer'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 | ||
ADL0221 | C107012 | ADL02-Sum 6 to 8 | Alzheimer'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 | ||
ADL0222 | C107013 | ADL02-Sum 9 to 12 | Alzheimer'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 | ||
ADL0223 | C107014 | ADL02-Sum 13 to 15 | Alzheimer'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 | ||
ADL0224 | C107015 | ADL02-Sum 16 to 19 | Alzheimer'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 | ||
ADL0225 | C107016 | ADL02-Total ADCS-ADL Score | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Total Score. | ADCS-ADL Severe Dementia - Total Score | ||
Back to top | ||||||
CL.C106652.ADCS-ADL Severe Dementia TEST | QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Name (ADCS-ADL Severe Dementia TEST) | text Extensible: No | C106652 | QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Name | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version test name. | CDISC Questionnaire ADCS-ADL Severe Dementia Test Name Terminology |
ADL02-Clear Dishes | C106993 | ADL02-Clear Dishes | Alzheimer'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 Performance | C106994 | ADL02-Clear Dishes Usual Performance | Alzheimer'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 Performance | C107000 | ADL02-Dispose Garbage Usual Performance | Alzheimer'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 Garbage | C106999 | ADL02-Dispose of Garbage | Alzheimer'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 Belongings | C106995 | ADL02-Find Belongings | Alzheimer'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 Performance | C106996 | ADL02-Find Belongings Usual Performance | Alzheimer'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 Performance | C107002 | ADL02-Get Around Optimal Performance | Alzheimer'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 Home | C107001 | ADL02-Get Around Outside Home | Alzheimer'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 Performance | C106986 | ADL02-Highest Telephone Use Performance | Alzheimer'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 Longer | C107005 | ADL02-Left at Home for 1 Hour or Longer | Alzheimer'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 Hour | C107006 | ADL02-Left at Home for Less Than 1 Hour | Alzheimer'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 Home | C107004 | ADL02-Left Away From Home | Alzheimer'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 Own | C107003 | ADL02-Left On His/Her Own | Alzheimer'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 Beverage | C106997 | ADL02-Obtain Beverage | Alzheimer'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 Perform | C106998 | ADL02-Obtain Beverage Highest Perform | Alzheimer'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 Performance | C106983 | ADL02-Optimal Grooming Performance | Alzheimer'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 Performance | C106980 | ADL02-Optimal Walking Performance | Alzheimer'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 Conversation | C106991 | ADL02-Pay Attention to Conversation | Alzheimer'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 Wash | C107007 | ADL02-Run Water Faucet to Wash | Alzheimer'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 Program | C106988 | ADL02-Select Television Program | Alzheimer'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 5 | C107011 | ADL02-Sum 1 to 5 | Alzheimer'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 15 | C107014 | ADL02-Sum 13 to 15 | Alzheimer'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 19 | C107015 | ADL02-Sum 16 to 19 | Alzheimer'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 8 | C107012 | ADL02-Sum 6 to 8 | Alzheimer'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 12 | C107013 | ADL02-Sum 9 to 12 | Alzheimer'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 Watch | C106989 | ADL02-Talk About TV Content While Watch | Alzheimer'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 Day | C106990 | ADL02-Talk About TV Content Within a Day | Alzheimer'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 Score | C107016 | ADL02-Total ADCS-ADL Score | Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Total Score. | ADCS-ADL Severe Dementia - Total Score | ||
ADL02-Turn Off Faucet | C107008 | ADL02-Turn Off Faucet | Alzheimer'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 Light | C107010 | ADL02-Turn Off Light | Alzheimer'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 Light | C107009 | ADL02-Turn On Light | Alzheimer'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 Telephone | C106985 | ADL02-Use a Telephone | Alzheimer'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 Performance | C106982 | ADL02-Usual Bathing Performance | Alzheimer'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 Function | C106981 | ADL02-Usual Bowel/Bladder Function | Alzheimer'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 Participation | C106992 | ADL02-Usual Conversation Participation | Alzheimer'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 Performance | C106979 | ADL02-Usual Eating Performance | Alzheimer'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-Usual Physically Dressing Perform | C106984 | ADL02-Usual Physically Dressing Perform | Alzheimer'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-Watch Television | C106987 | ADL02-Watch Television | Alzheimer'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 | ||
Back to top | ||||||
CL.C103459.ADCS-CGIC TESTCD | QS-Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Code (ADCS-CGIC TESTCD) | text Extensible: No | C103459 | QS-Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Code | Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change test code. | CDISC Questionnaire ADCS-CGIC Test Code Terminology |
ACGC0101 | C103531 | ACGC01-Clinical Impression of Change | Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change - Clinical impression of change from baseline. | ADCS-CGIC - Clinical Impression of Change from Baseline | ||
Back to top | ||||||
CL.C103458.ADCS-CGIC TEST | QS-Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Name (ADCS-CGIC TEST) | text Extensible: No | C103458 | QS-Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Name | Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change test name. | CDISC Questionnaire ADCS-CGIC Test Name Terminology |
ACGC01-Clinical Impression of Change | C103531 | ACGC01-Clinical Impression of Change | Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change - Clinical impression of change from baseline. | ADCS-CGIC - Clinical Impression of Change from Baseline | ||
Back to top | ||||||
CL.C101809.BARS TESTCD | QS-Barnes Akathisia Rating Scale Test Code (BARS TESTCD) | text Extensible: No | C101809 | QS-Barnes Akathisia Rating Scale Test Code | Barnes Akathisia Rating Scale test code. | CDISC Questionnaire BARS Test Code Terminology |
BARS0101 | C102046 | BARS01-Objective | Barnes Akathisia Rating Scale - Objective. | BARS - Objective | ||
BARS0102 | C102047 | BARS01-Subjective, Awareness | Barnes Akathisia Rating Scale - Subjective, awareness of restlessness. | BARS - Subjective, Awareness | ||
BARS0103 | C102048 | BARS01-Subjective, Distress | Barnes Akathisia Rating Scale - Subjective, distress related to restlessness. | BARS - Subjective, Distress | ||
BARS0104 | C102049 | BARS01-Global Clinical Assessment | Barnes Akathisia Rating Scale - Global clinical assessment of akathisia. | BARS - Global Clinical Assessment | ||
Back to top | ||||||
CL.C101810.BARS TEST | QS-Barnes Akathisia Rating Scale Test Name (BARS TEST) | text Extensible: No | C101810 | QS-Barnes Akathisia Rating Scale Test Name | Barnes Akathisia Rating Scale test name. | CDISC Questionnaire BARS Test Name Terminology |
BARS01-Global Clinical Assessment | C102049 | BARS01-Global Clinical Assessment | Barnes Akathisia Rating Scale - Global clinical assessment of akathisia. | BARS - Global Clinical Assessment | ||
BARS01-Objective | C102046 | BARS01-Objective | Barnes Akathisia Rating Scale - Objective. | BARS - Objective | ||
BARS01-Subjective, Awareness | C102047 | BARS01-Subjective, Awareness | Barnes Akathisia Rating Scale - Subjective, awareness of restlessness. | BARS - Subjective, Awareness | ||
BARS01-Subjective, Distress | C102048 | BARS01-Subjective, Distress | Barnes Akathisia Rating Scale - Subjective, distress related to restlessness. | BARS - Subjective, Distress | ||
Back to top | ||||||
CL.C106655.BDI TESTCD | QS-Baseline Dyspnea Index Questionnaire Test Code (BDI TESTCD) | text Extensible: No | C106655 | QS-Baseline Dyspnea Index Questionnaire Test Code | Baseline Dyspnea Index test code. | CDISC Questionnaire BDI Test Code Terminology |
BDI0101 | C106701 | BDI01-Functional Impairment | Baseline Dyspnea Index - Functional impairment. | BDI - Functional Impairment | ||
BDI0102 | C106702 | BDI01-Magnitude of Task | Baseline Dyspnea Index - Magnitude of task. | BDI - Magnitude of Task | ||
BDI0103 | C106703 | BDI01-Magnitude of Effort | Baseline Dyspnea Index - Magnitude of effort. | BDI - Magnitude of Effort | ||
Back to top | ||||||
CL.C106654.BDI TEST | QS-Baseline Dyspnea Index Questionnaire Test Name (BDI TEST) | text Extensible: No | C106654 | QS-Baseline Dyspnea Index Questionnaire Test Name | Baseline Dyspnea Index test name. | CDISC Questionnaire BDI Test Name Terminology |
BDI01-Functional Impairment | C106701 | BDI01-Functional Impairment | Baseline Dyspnea Index - Functional impairment. | BDI - Functional Impairment | ||
BDI01-Magnitude of Effort | C106703 | BDI01-Magnitude of Effort | Baseline Dyspnea Index - Magnitude of effort. | BDI - Magnitude of Effort | ||
BDI01-Magnitude of Task | C106702 | BDI01-Magnitude of Task | Baseline Dyspnea Index - Magnitude of task. | BDI - Magnitude of Task | ||
Back to top | ||||||
CL.C113852.BLCS TESTCD | QS-Bladder Control Scale Test Code (BLCS TESTCD) | text Extensible: No | C113852 | QS-Bladder Control Scale Test Code | Bladder Control Scale test code. | CDISC Questionnaire Bladder Control Scale Test Code Terminology |
BLCS0101 | C113953 | BLCS01-Lost Control of Bladder | Bladder 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 | ||
BLCS0102 | C113954 | BLCS01-Almost Lost Control of Bladder | Bladder 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 | ||
BLCS0103 | C113955 | BLCS01-Altered Activity Because Bladder | Bladder Control Scale - During the past 4 weeks, how often have you altered your activities because of bladder problems? | BLCS - Altered Activities Because Bladder Problems | ||
BLCS0104 | C113956 | BLCS01-Bladder Restricted Lifestyle | Bladder Control Scale - During the past 4 weeks, how much have bladder problems restricted your overall lifestyle? | BLCS - Bladder Problems Restrict Overall Lifestyle | ||
Back to top | ||||||
CL.C113851.BLCS TEST | QS-Bladder Control Scale Test Name (BLCS TEST) | text Extensible: No | C113851 | QS-Bladder Control Scale Test Name | Bladder Control Scale test name. | CDISC Questionnaire Bladder Control Scale Test Name Terminology |
BLCS01-Almost Lost Control of Bladder | C113954 | BLCS01-Almost Lost Control of Bladder | Bladder 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 Bladder | C113955 | BLCS01-Altered Activity Because Bladder | Bladder 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 Lifestyle | C113956 | BLCS01-Bladder Restricted Lifestyle | Bladder 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 Bladder | C113953 | BLCS01-Lost Control of Bladder | Bladder 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 | ||
Back to top | ||||||
CL.C113846.Borg CR-10 Scale TESTCD | QS-Borg CR-10 Scale Test Code (Borg CR-10 Scale TESTCD) | text Extensible: No | C113846 | QS-Borg CR-10 Scale Test Code | Borg CR-10 scale test code. | CDISC Questionnaire Borg CR-10 Test Code Terminology |
BCR10101 | C113888 | BCR101-Rating of Breathlessness | Borg CR10 Scale - Rating of breathlessness. | Borg CR10 - Rating of Breathlessness | ||
Back to top | ||||||
CL.C113845.Borg CR-10 Scale TEST | QS-Borg CR-10 Scale Test Name (Borg CR-10 Scale TEST) | text Extensible: No | C113845 | QS-Borg CR-10 Scale Test Name | Borg CR-10 scale test name. | CDISC Questionnaire Borg CR-10 Test Name Terminology |
BCR101-Rating of Breathlessness | C113888 | BCR101-Rating of Breathlessness | Borg CR10 Scale - Rating of breathlessness. | Borg CR10 - Rating of Breathlessness | ||
Back to top | ||||||
CL.C113854.BWCS TESTCD | QS-Bowel Control Scale Test Code (BWCS TESTCD) | text Extensible: No | C113854 | QS-Bowel Control Scale Test Code | Bowel Control Scale test code. | CDISC Questionnaire Bowel Control Scale Test Code Terminology |
BWCS0101 | C113957 | BWCS01-Been Constipated | Bowel Control Scale - During the past 4 weeks, how often have you been constipated? | BWCS - Been Constipated | ||
BWCS0102 | C113958 | BWCS01-Lost Control of Bowels | Bowel 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 | ||
BWCS0103 | C113959 | BWCS01-Almost Lost Control of Bowels | Bowel 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 | ||
BWCS0104 | C113960 | BWCS01-Altered Activity Because Bowels | Bowel 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 | ||
BWCS0105 | C113961 | BWCS01-Bowels Restricted Lifestyle | Bowel Control Scale - During the past 4 weeks, how much have bowel problems restricted your overall lifestyle? | BWCS - Bowel Problems Restrict Overall Lifestyle | ||
Back to top | ||||||
CL.C113853.BWCS TEST | QS-Bowel Control Scale Test Name (BWCS TEST) | text Extensible: No | C113853 | QS-Bowel Control Scale Test Name | Bowel Control Scale test name. | CDISC Questionnaire Bowel Control Scale Test Name Terminology |
BWCS01-Almost Lost Control of Bowels | C113959 | BWCS01-Almost Lost Control of Bowels | Bowel 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 Bowels | C113960 | BWCS01-Altered Activity Because Bowels | Bowel 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 Constipated | C113957 | BWCS01-Been Constipated | Bowel Control Scale - During the past 4 weeks, how often have you been constipated? | BWCS - Been Constipated | ||
BWCS01-Bowels Restricted Lifestyle | C113961 | BWCS01-Bowels Restricted Lifestyle | Bowel 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 Bowels | C113958 | BWCS01-Lost Control of Bowels | Bowel 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 | ||
Back to top | ||||||
CL.C100164.BPI Short Form TESTCD | QS-Brief Pain Inventory Short Form Test Code (BPI Short Form TESTCD) | text Extensible: No | C100164 | QS-Brief Pain Inventory Short Form Test Code | Brief Pain Inventory Short Form test code. | CDISC Questionnaire BPI Short Form Test Code Terminology |
BPI201 | C100356 | BPI2-Pain Other Than Everyday Kinds | Brief Pain Inventory Short Form - Have you had pain other than these everyday kinds of pain today? | BPI Short Form - Pain Other Than Everyday Kinds | ||
BPI202A | C100357 | BPI2-Areas of Pain | Brief Pain Inventory Short Form - On the diagram, shade in the areas where you feel pain. | BPI Short Form - Areas of Pain | ||
BPI202B | C100358 | BPI2-Area Hurts Most | Brief Pain Inventory Short Form - On the diagram, put an X on the area that hurts the most. | BPI Short Form - Area that Hurts Most | ||
BPI203 | C100359 | BPI2-Pain at its Worst in Last 24 Hours | Brief 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 | ||
BPI204 | C100360 | BPI2-Pain at its Least in Last 24 Hours | Brief 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 | ||
BPI205 | C100361 | BPI2-Pain on the Average | Brief 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 | ||
BPI206 | C100362 | BPI2-Pain Right Now | Brief 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 | ||
BPI207 | C100363 | BPI2-Treatments Receiving for Pain | Brief Pain Inventory Short Form - What treatments or medications are you receiving for your pain? | BPI Short Form - Treatments or Medications Receiving for Pain | ||
BPI208 | C100364 | BPI2-Relief Pain Treatments Provided | Brief 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 | ||
BPI209A | C100365 | BPI2-Pain Interfered General Activity | Brief 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 | ||
BPI209B | C100366 | BPI2-Pain Interfered with Mood | Brief 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 | ||
BPI209C | C100367 | BPI2-Pain Interfered Walking Ability | Brief 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 | ||
BPI209D | C100368 | BPI2-Pain Interfered with Normal Work | Brief 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 | ||
BPI209E | C100369 | BPI2-Pain Interfered with Relations | Brief 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 | ||
BPI209F | C100370 | BPI2-Pain Interfered with Sleep | Brief 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 | ||
BPI209G | C100371 | BPI2-Pain Interfered Enjoyment of Life | Brief 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 | ||
Back to top | ||||||
CL.C100163.BPI Short Form TEST | QS-Brief Pain Inventory Short Form Test Name (BPI Short Form TEST) | text Extensible: No | C100163 | QS-Brief Pain Inventory Short Form Test Name | Brief Pain Inventory Short Form test name. | CDISC Questionnaire BPI Short Form Test Name Terminology |
BPI2-Area Hurts Most | C100358 | BPI2-Area Hurts Most | Brief 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 Pain | C100357 | BPI2-Areas of Pain | Brief 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 Hours | C100360 | BPI2-Pain at its Least in Last 24 Hours | Brief 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 Hours | C100359 | BPI2-Pain at its Worst in Last 24 Hours | Brief 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 Life | C100371 | BPI2-Pain Interfered Enjoyment of Life | Brief 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 Activity | C100365 | BPI2-Pain Interfered General Activity | Brief 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 Ability | C100367 | BPI2-Pain Interfered Walking Ability | Brief 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 Mood | C100366 | BPI2-Pain Interfered with Mood | Brief 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 Work | C100368 | BPI2-Pain Interfered with Normal Work | Brief 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 Relations | C100369 | BPI2-Pain Interfered with Relations | Brief 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 Sleep | C100370 | BPI2-Pain Interfered with Sleep | Brief 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 Average | C100361 | BPI2-Pain on the Average | Brief 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 Kinds | C100356 | BPI2-Pain Other Than Everyday Kinds | Brief 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 Now | C100362 | BPI2-Pain Right Now | Brief 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 Provided | C100364 | BPI2-Relief Pain Treatments Provided | Brief 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 Pain | C100363 | BPI2-Treatments Receiving for Pain | Brief Pain Inventory Short Form - What treatments or medications are you receiving for your pain? | BPI Short Form - Treatments or Medications Receiving for Pain | ||
Back to top | ||||||
CL.C100162.BPI TESTCD | QS-Brief Pain Inventory Test Code (BPI TESTCD) | text Extensible: No | C100162 | QS-Brief Pain Inventory Test Code | Brief Pain Inventory test code. | CDISC Questionnaire BPI Test Code Terminology |
BPI101 | C100287 | BPI1-Marital Status | Brief Pain Inventory - Marital status. | BPI - Marital Status | ||
BPI102 | C100288 | BPI1-Education | Brief Pain Inventory - Education. | BPI - Education | ||
BPI102A | C100289 | BPI1-Professional Degree | Brief Pain Inventory - Education. Professional degree. | BPI - Professional Degree | ||
BPI103 | C100290 | BPI1-Current Occupation | Brief Pain Inventory - Current occupation. | BPI - Current Occupation | ||
BPI104 | C100291 | BPI1-Spouse's Occupation | Brief Pain Inventory - Spouse's occupation. | BPI - Spouse's Occupation | ||
BPI105 | C100292 | BPI1-Current Job Status | Brief Pain Inventory - Which of the following best describes your current job status? | BPI - Current Job Status | ||
BPI106 | C100293 | BPI1-How Long Since Diagnosis | Brief Pain Inventory - How long has it been since you first learned your diagnosis? | BPI - How Long Since Diagnosis | ||
BPI107 | C100294 | BPI1-Pain Due to Present Disease | Brief Pain Inventory - Have you ever had pain due to your present disease? | BPI - Pain Due to Present Disease | ||
BPI108 | C100295 | BPI1-Pain One of Your Symptoms | Brief Pain Inventory - When you first received your diagnosis, was pain one of your symptoms? | BPI - Pain as a Symptom | ||
BPI109 | C100296 | BPI1-Surgery in Past Month | Brief Pain Inventory - Have you had surgery in the past month? | BPI - Surgery in Past Month | ||
BPI109A | C100297 | BPI1-Kind of Surgery in Past Month | Brief Pain Inventory - What kind of surgery have you had in the past month? | BPI - Kind of Surgery in Past Month | ||
BPI110 | C100298 | BPI1-Pain Other than Everyday Kinds | Brief Pain Inventory - Have you had pain other than these everyday kinds of pain during the last week? | BPI - Pain Other than Everyday Kinds | ||
BPI110A | C100299 | BPI1-Pain Medications in the Last 7 Days | Brief Pain Inventory - Did you take pain medications in the last 7 days? | BPI - Pain Medications in the Last 7 Days | ||
BPI110B | C100300 | BPI1-Pain Requires Medication Daily | Brief Pain Inventory - I feel I have some form of pain that requires medication each and every day. | BPI - Pain Requires Medication Daily | ||
BPI111A | C100301 | BPI1-Areas of Pain | Brief Pain Inventory - On the diagram, shade in the areas where you feel pain. | BPI - Areas of Pain | ||
BPI111B | C100302 | BPI1-Area Hurts Most | Brief Pain Inventory - On the diagram, put an X on the area that hurts the most. | BPI - Area Hurts Most | ||
BPI112 | C100303 | BPI1-Pain at its Worst in Last Week | Brief 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 | ||
BPI113 | C100304 | BPI1-Pain at its Least in Last Week | Brief 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 | ||
BPI114 | C100305 | BPI1-Pain on the Average | Brief Pain Inventory - Please rate your pain by circling the one number that best describes your pain on the average. | BPI - Pain on the Average | ||
BPI115 | C100306 | BPI1-Pain Right Now | Brief Pain Inventory - Please rate your pain by circling the one number that tells how much pain you have right now. | BPI - Pain Right Now | ||
BPI116 | C100307 | BPI1-Things that Make Pain Feel Better | Brief Pain Inventory - What kinds of things make your pain feel better? | BPI - Things that Make Pain Feel Better | ||
BPI117 | C100308 | BPI1-Things that Make your Pain Worse | Brief Pain Inventory - What kinds of things make your pain feel worse? | BPI - Things that Make your Pain Worse | ||
BPI118 | C100309 | BPI1-Treatments Receiving for Pain | Brief Pain Inventory - What treatments or medications are you receiving for your pain? | BPI - Treatments Receiving for Pain | ||
BPI119 | C100310 | BPI1-Relief Pain Treatments Provided | Brief 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 | ||
BPI120 | C100311 | BPI1-Hours before Pain Returns | Brief Pain Inventory - If you take pain medication, how many hours does it take before the pain returns? | BPI - Hours before Pain Returns | ||
BPI1211 | C100312 | BPI1-Pain Due to Effects of Treatment | Brief Pain Inventory - I believe my pain is due to the effects of treatment. | BPI - Pain Due to Effects of Treatment | ||
BPI1212 | C100313 | BPI1-Pain Due to Primary Disease | Brief Pain Inventory - I believe my pain is due to my primary disease. | BPI - Pain Due to Primary Disease | ||
BPI1213 | C100314 | BPI1-Pain Due to Unrelated Med Condition | Brief Pain Inventory - I believe my pain is due to a medical condition unrelated to my primary disease. | BPI - Pain Due to Unrelated Medical Condition | ||
BPI1213A | C100315 | BPI1-Describe Unrelated Med Condition | Brief 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 | ||
BPI122A | C100316 | BPI1-Aching | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: aching. | BPI - Aching | ||
BPI122B | C100317 | BPI1-Throbbing | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: throbbing. | BPI - Throbbing | ||
BPI122C | C100318 | BPI1-Shooting | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: shooting. | BPI - Shooting | ||
BPI122D | C100319 | BPI1-Stabbing | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: stabbing. | BPI - Stabbing | ||
BPI122E | C100320 | BPI1-Gnawing | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: gnawing. | BPI - Gnawing | ||
BPI122F | C100321 | BPI1-Sharp | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: sharp. | BPI - Sharp | ||
BPI122G | C100322 | BPI1-Tender | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: tender. | BPI - Tender | ||
BPI122H | C100323 | BPI1-Burning | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: burning. | BPI - Burning | ||
BPI122I | C100324 | BPI1-Exhausting | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: exhausting. | BPI - Exhausting | ||
BPI122J | C100325 | BPI1-Tiring | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: tiring. | BPI - Tiring | ||
BPI122K | C100326 | BPI1-Penetrating | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: penetrating. | BPI - Penetrating | ||
BPI122L | C100327 | BPI1-Nagging | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: nagging. | BPI - Nagging | ||
BPI122M | C100328 | BPI1-Numb | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: numb. | BPI - Numb | ||
BPI122N | C100329 | BPI1-Miserable | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: miserable. | BPI - Miserable | ||
BPI122O | C100330 | BPI1-Unbearable | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: unbearable. | BPI - Unbearable | ||
BPI123A | C100331 | BPI1-Pain Interfered General Activity | Brief 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 | ||
BPI123B | C100332 | BPI1-Pain Interfered with Mood | Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your mood. | BPI - Pain Interfered with Mood | ||
BPI123C | C100333 | BPI1-Pain Interfered Walking Ability | Brief 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 | ||
BPI123D | C100334 | BPI1-Pain Interfered with Normal Work | Brief 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 | ||
BPI123E | C100335 | BPI1-Pain Interfered with Relations | Brief 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 | ||
BPI123F | C100336 | BPI1-Pain Interfered with Sleep | Brief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your sleep. | BPI - Pain Interfered with Sleep | ||
BPI123G | C100337 | BPI1-Pain Interfered Enjoyment of Life | Brief 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 | ||
BPI124 | C100338 | BPI1-Prefer to Take Pain Medicine | Brief Pain Inventory - I prefer to take my pain medicine. | BPI - Prefer to Take Pain Medicine | ||
BPI125 | C100339 | BPI1-Take my Pain Medicine | Brief Pain Inventory - I take my pain medicine (in a 24 hour period). | BPI - Take my Pain Medicine | ||
BPI126 | C100340 | BPI1-Need Stronger Type of Pain Med | Brief Pain Inventory - Do you feel you need a stronger type of pain medication? | BPI - Need Stronger Type of Pain Medication | ||
BPI127 | C100341 | BPI1-Need more Pain Med than Prescribed | Brief 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 | ||
BPI128 | C100342 | BPI1-Concerned Use Too Much Pain Med | Brief Pain Inventory - Are you concerned that you use too much pain medication? | BPI - Concerned with Too Much Pain Medication Use | ||
BPI128A | C100343 | BPI1-Why Concerned Use Too Much Pain Med | Brief Pain Inventory - Are you concerned that you use too much pain medication? If Yes, why? | BPI - Why Concerned with Too Much Pain Medication Use | ||
BPI129 | C100344 | BPI1-Problems with Side Effects Pain Med | Brief Pain Inventory - Are you having problems with side effects from your pain medication? | BPI - Problems with Side Effects Pain Medication | ||
BPI129A | C100345 | BPI1-Which Side Effects from Pain Med | Brief Pain Inventory - Are you having problems with side effects from your pain medication? Which side effects? | BPI - What Side Effects from Pain Medication | ||
BPI130 | C100346 | BPI1-Need Further Info about Pain Med | Brief Pain Inventory - Do you feel you need to receive further information about your pain medication? | BPI - Need Further Information about Pain Medication | ||
BPI131A | C100347 | BPI1-Warm Compresses to Relieve Pain | Brief Pain Inventory - Other methods I use to relieve pain include: warm compresses. | BPI - Warm Compresses to Relieve Pain | ||
BPI131B | C100348 | BPI1-Cold Compresses to Relieve Pain | Brief Pain Inventory - Other methods I use to relieve pain include: cold compresses. | BPI - Cold Compresses to Relieve Pain | ||
BPI131C | C100349 | BPI1-Relaxation Techniques Relieve Pain | Brief Pain Inventory - Other methods I use to relieve pain include: relaxation techniques. | BPI - Relaxation Techniques Relieve Pain | ||
BPI131D | C100350 | BPI1-Distraction to Relieve Pain | Brief Pain Inventory - Other methods I use to relieve pain include: distraction. | BPI - Distraction to Relieve Pain | ||
BPI131E | C100351 | BPI1-Biofeedback to Relieve Pain | Brief Pain Inventory - Other methods I use to relieve pain include: biofeedback. | BPI - Biofeedback to Relieve Pain | ||
BPI131F | C100352 | BPI1-Hypnosis to Relieve Pain | Brief Pain Inventory - Other methods I use to relieve pain include: hypnosis. | BPI - Hypnosis to Relieve Pain | ||
BPI131G | C100353 | BPI1-Other to Relieve Pain | Brief Pain Inventory - Other methods I use to relieve pain include: other. | BPI - Other Methods to Relieve Pain | ||
BPI131H | C100354 | BPI1-Other specify to Relieve Pain | Brief Pain Inventory - Other methods I use to relieve pain include: other. Please specify. | BPI - Specified Other Method to Relieve Pain | ||
BPI132 | C100355 | BPI1-Meds not Prescribed Taken for Pain | Brief Pain Inventory - Medications not prescribed by my doctor that I take for pain are. | BPI - Medications not Prescribed Taken for Pain | ||
Back to top | ||||||
CL.C100161.BPI TEST | QS-Brief Pain Inventory Test Name (BPI TEST) | text Extensible: No | C100161 | QS-Brief Pain Inventory Test Name | Brief Pain Inventory test name. | CDISC Questionnaire BPI Test Name Terminology |
BPI1-Aching | C100316 | BPI1-Aching | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: aching. | BPI - Aching | ||
BPI1-Area Hurts Most | C100302 | BPI1-Area Hurts Most | Brief Pain Inventory - On the diagram, put an X on the area that hurts the most. | BPI - Area Hurts Most | ||
BPI1-Areas of Pain | C100301 | BPI1-Areas of Pain | Brief Pain Inventory - On the diagram, shade in the areas where you feel pain. | BPI - Areas of Pain | ||
BPI1-Biofeedback to Relieve Pain | C100351 | BPI1-Biofeedback to Relieve Pain | Brief Pain Inventory - Other methods I use to relieve pain include: biofeedback. | BPI - Biofeedback to Relieve Pain | ||
BPI1-Burning | C100323 | BPI1-Burning | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: burning. | BPI - Burning | ||
BPI1-Cold Compresses to Relieve Pain | C100348 | BPI1-Cold Compresses to Relieve Pain | Brief Pain Inventory - Other methods I use to relieve pain include: cold compresses. | BPI - Cold Compresses to Relieve Pain | ||
BPI1-Concerned Use Too Much Pain Med | C100342 | BPI1-Concerned Use Too Much Pain Med | Brief Pain Inventory - Are you concerned that you use too much pain medication? | BPI - Concerned with Too Much Pain Medication Use | ||
BPI1-Current Job Status | C100292 | BPI1-Current Job Status | Brief Pain Inventory - Which of the following best describes your current job status? | BPI - Current Job Status | ||
BPI1-Current Occupation | C100290 | BPI1-Current Occupation | Brief Pain Inventory - Current occupation. | BPI - Current Occupation | ||
BPI1-Describe Unrelated Med Condition | C100315 | BPI1-Describe Unrelated Med Condition | Brief 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 Pain | C100350 | BPI1-Distraction to Relieve Pain | Brief Pain Inventory - Other methods I use to relieve pain include: distraction. | BPI - Distraction to Relieve Pain | ||
BPI1-Education | C100288 | BPI1-Education | Brief Pain Inventory - Education. | BPI - Education | ||
BPI1-Exhausting | C100324 | BPI1-Exhausting | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: exhausting. | BPI - Exhausting | ||
BPI1-Gnawing | C100320 | BPI1-Gnawing | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: gnawing. | BPI - Gnawing | ||
BPI1-Hours before Pain Returns | C100311 | BPI1-Hours before Pain Returns | Brief 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 Diagnosis | C100293 | BPI1-How Long Since Diagnosis | Brief Pain Inventory - How long has it been since you first learned your diagnosis? | BPI - How Long Since Diagnosis | ||
BPI1-Hypnosis to Relieve Pain | C100352 | BPI1-Hypnosis to Relieve Pain | Brief Pain Inventory - Other methods I use to relieve pain include: hypnosis. | BPI - Hypnosis to Relieve Pain | ||
BPI1-Kind of Surgery in Past Month | C100297 | BPI1-Kind of Surgery in Past Month | Brief Pain Inventory - What kind of surgery have you had in the past month? | BPI - Kind of Surgery in Past Month | ||
BPI1-Marital Status | C100287 | BPI1-Marital Status | Brief Pain Inventory - Marital status. | BPI - Marital Status | ||
BPI1-Meds not Prescribed Taken for Pain | C100355 | BPI1-Meds not Prescribed Taken for Pain | Brief Pain Inventory - Medications not prescribed by my doctor that I take for pain are. | BPI - Medications not Prescribed Taken for Pain | ||
BPI1-Miserable | C100329 | BPI1-Miserable | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: miserable. | BPI - Miserable | ||
BPI1-Nagging | C100327 | BPI1-Nagging | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: nagging. | BPI - Nagging | ||
BPI1-Need Further Info about Pain Med | C100346 | BPI1-Need Further Info about Pain Med | Brief 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 Prescribed | C100341 | BPI1-Need more Pain Med than Prescribed | Brief 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 Med | C100340 | BPI1-Need Stronger Type of Pain Med | Brief Pain Inventory - Do you feel you need a stronger type of pain medication? | BPI - Need Stronger Type of Pain Medication | ||
BPI1-Numb | C100328 | BPI1-Numb | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: numb. | BPI - Numb | ||
BPI1-Other specify to Relieve Pain | C100354 | BPI1-Other specify to Relieve Pain | Brief Pain Inventory - Other methods I use to relieve pain include: other. Please specify. | BPI - Specified Other Method to Relieve Pain | ||
BPI1-Other to Relieve Pain | C100353 | BPI1-Other to Relieve Pain | Brief Pain Inventory - Other methods I use to relieve pain include: other. | BPI - Other Methods to Relieve Pain | ||
BPI1-Pain at its Least in Last Week | C100304 | BPI1-Pain at its Least in Last Week | Brief 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 Week | C100303 | BPI1-Pain at its Worst in Last Week | Brief 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 Treatment | C100312 | BPI1-Pain Due to Effects of Treatment | Brief 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 Disease | C100294 | BPI1-Pain Due to Present Disease | Brief Pain Inventory - Have you ever had pain due to your present disease? | BPI - Pain Due to Present Disease | ||
BPI1-Pain Due to Primary Disease | C100313 | BPI1-Pain Due to Primary Disease | Brief Pain Inventory - I believe my pain is due to my primary disease. | BPI - Pain Due to Primary Disease | ||
BPI1-Pain Due to Unrelated Med Condition | C100314 | BPI1-Pain Due to Unrelated Med Condition | Brief 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 Life | C100337 | BPI1-Pain Interfered Enjoyment of Life | Brief 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 Activity | C100331 | BPI1-Pain Interfered General Activity | Brief 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 Ability | C100333 | BPI1-Pain Interfered Walking Ability | Brief 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 Mood | C100332 | BPI1-Pain Interfered with Mood | Brief 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 Work | C100334 | BPI1-Pain Interfered with Normal Work | Brief 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 Relations | C100335 | BPI1-Pain Interfered with Relations | Brief 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 Sleep | C100336 | BPI1-Pain Interfered with Sleep | Brief 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 Days | C100299 | BPI1-Pain Medications in the Last 7 Days | Brief Pain Inventory - Did you take pain medications in the last 7 days? | BPI - Pain Medications in the Last 7 Days | ||
BPI1-Pain on the Average | C100305 | BPI1-Pain on the Average | Brief 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 Symptoms | C100295 | BPI1-Pain One of Your Symptoms | Brief Pain Inventory - When you first received your diagnosis, was pain one of your symptoms? | BPI - Pain as a Symptom | ||
BPI1-Pain Other than Everyday Kinds | C100298 | BPI1-Pain Other than Everyday Kinds | Brief 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 Daily | C100300 | BPI1-Pain Requires Medication Daily | Brief 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 Now | C100306 | BPI1-Pain Right Now | Brief 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-Penetrating | C100326 | BPI1-Penetrating | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: penetrating. | BPI - Penetrating | ||
BPI1-Prefer to Take Pain Medicine | C100338 | BPI1-Prefer to Take Pain Medicine | Brief Pain Inventory - I prefer to take my pain medicine. | BPI - Prefer to Take Pain Medicine | ||
BPI1-Problems with Side Effects Pain Med | C100344 | BPI1-Problems with Side Effects Pain Med | Brief Pain Inventory - Are you having problems with side effects from your pain medication? | BPI - Problems with Side Effects Pain Medication | ||
BPI1-Professional Degree | C100289 | BPI1-Professional Degree | Brief Pain Inventory - Education. Professional degree. | BPI - Professional Degree | ||
BPI1-Relaxation Techniques Relieve Pain | C100349 | BPI1-Relaxation Techniques Relieve Pain | Brief Pain Inventory - Other methods I use to relieve pain include: relaxation techniques. | BPI - Relaxation Techniques Relieve Pain | ||
BPI1-Relief Pain Treatments Provided | C100310 | BPI1-Relief Pain Treatments Provided | Brief 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-Sharp | C100321 | BPI1-Sharp | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: sharp. | BPI - Sharp | ||
BPI1-Shooting | C100318 | BPI1-Shooting | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: shooting. | BPI - Shooting | ||
BPI1-Spouse's Occupation | C100291 | BPI1-Spouse's Occupation | Brief Pain Inventory - Spouse's occupation. | BPI - Spouse's Occupation | ||
BPI1-Stabbing | C100319 | BPI1-Stabbing | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: stabbing. | BPI - Stabbing | ||
BPI1-Surgery in Past Month | C100296 | BPI1-Surgery in Past Month | Brief Pain Inventory - Have you had surgery in the past month? | BPI - Surgery in Past Month | ||
BPI1-Take my Pain Medicine | C100339 | BPI1-Take my Pain Medicine | Brief Pain Inventory - I take my pain medicine (in a 24 hour period). | BPI - Take my Pain Medicine | ||
BPI1-Tender | C100322 | BPI1-Tender | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: tender. | BPI - Tender | ||
BPI1-Things that Make Pain Feel Better | C100307 | BPI1-Things that Make Pain Feel Better | Brief Pain Inventory - What kinds of things make your pain feel better? | BPI - Things that Make Pain Feel Better | ||
BPI1-Things that Make your Pain Worse | C100308 | BPI1-Things that Make your Pain Worse | Brief Pain Inventory - What kinds of things make your pain feel worse? | BPI - Things that Make your Pain Worse | ||
BPI1-Throbbing | C100317 | BPI1-Throbbing | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: throbbing. | BPI - Throbbing | ||
BPI1-Tiring | C100325 | BPI1-Tiring | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: tiring. | BPI - Tiring | ||
BPI1-Treatments Receiving for Pain | C100309 | BPI1-Treatments Receiving for Pain | Brief Pain Inventory - What treatments or medications are you receiving for your pain? | BPI - Treatments Receiving for Pain | ||
BPI1-Unbearable | C100330 | BPI1-Unbearable | Brief Pain Inventory - Check Yes or No if the adjective applies to your pain: unbearable. | BPI - Unbearable | ||
BPI1-Warm Compresses to Relieve Pain | C100347 | BPI1-Warm Compresses to Relieve Pain | Brief Pain Inventory - Other methods I use to relieve pain include: warm compresses. | BPI - Warm Compresses to Relieve Pain | ||
BPI1-Which Side Effects from Pain Med | C100345 | BPI1-Which Side Effects from Pain Med | Brief 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 Med | C100343 | BPI1-Why Concerned Use Too Much Pain Med | Brief Pain Inventory - Are you concerned that you use too much pain medication? If Yes, why? | BPI - Why Concerned with Too Much Pain Medication Use | ||
Back to top | ||||||
CL.C100134.BPRS-A TESTCD | QS-Brief Psychiatric Rating Scale-A Test Code (BPRS-A TESTCD) | text Extensible: No | C100134 | QS-Brief Psychiatric Rating Scale-A Test Code | The Brief Psychiatric Rating Scale-A test code. | CDISC Questionnaire BPRS-A Test Code Terminology |
BPR0101 | C100372 | BPR01-Somatic Concern | Brief Psychiatric Rating Scale-A - Somatic Concern. | BPRS-A - Somatic Concern | ||
BPR0102 | C100373 | BPR01-Anxiety | Brief Psychiatric Rating Scale-A - Anxiety. | BPRS-A - Anxiety | ||
BPR0103 | C100374 | BPR01-Emotional Withdrawal | Brief Psychiatric Rating Scale-A - Emotional Withdrawal. | BPRS-A - Emotional Withdrawal | ||
BPR0104 | C100375 | BPR01-Conceptual Disorganization | Brief Psychiatric Rating Scale-A - Conceptual Disorganization. | BPRS-A - Conceptual Disorganization | ||
BPR0105 | C100376 | BPR01-Guilt Feelings | Brief Psychiatric Rating Scale-A - Guilt Feelings. | BPRS-A - Guilt Feelings | ||
BPR0106 | C100377 | BPR01-Tension | Brief Psychiatric Rating Scale-A - Tension. | BPRS-A - Tension | ||
BPR0107 | C100378 | BPR01-Mannerisms and Posturing | Brief Psychiatric Rating Scale-A - Mannerisms and Posturing. | BPRS-A - Mannerisms and Posturing | ||
BPR0108 | C100379 | BPR01-Grandiosity | Brief Psychiatric Rating Scale-A - Grandiosity. | BPRS-A - Grandiosity | ||
BPR0109 | C100380 | BPR01-Depressive Mood | Brief Psychiatric Rating Scale-A - Depressive Mood. | BPRS-A - Depressive Mood | ||
BPR0110 | C100381 | BPR01-Hostility | Brief Psychiatric Rating Scale-A - Hostility. | BPRS-A - Hostility | ||
BPR0111 | C100382 | BPR01-Suspiciousness | Brief Psychiatric Rating Scale-A - Suspiciousness. | BPRS-A - Suspiciousness | ||
BPR0112 | C100383 | BPR01-Hallucinatory Behavior | Brief Psychiatric Rating Scale-A - Hallucinatory Behavior. | BPRS-A - Hallucinatory Behavior | ||
BPR0113 | C100384 | BPR01-Motor Retardation | Brief Psychiatric Rating Scale-A - Motor Retardation. | BPRS-A - Motor Retardation | ||
BPR0114 | C100385 | BPR01-Uncooperativeness | Brief Psychiatric Rating Scale-A - Uncooperativeness. | BPRS-A - Uncooperativeness | ||
BPR0115 | C100386 | BPR01-Unusual Thought Content | Brief Psychiatric Rating Scale-A - Unusual Thought Content. | BPRS-A - Unusual Thought Content | ||
BPR0116 | C100387 | BPR01-Blunted Affect | Brief Psychiatric Rating Scale-A - Blunted Affect. | BPRS-A - Blunted Affect | ||
BPR0117 | C100388 | BPR01-Excitement | Brief Psychiatric Rating Scale-A - Excitement. | BPRS-A - Excitement | ||
BPR0118 | C100389 | BPR01-Disorientation | Brief Psychiatric Rating Scale-A - Disorientation. | BPRS-A - Disorientation | ||
Back to top | ||||||
CL.C100133.BPRS-A TEST | QS-Brief Psychiatric Rating Scale-A Test Name (BPRS-A TEST) | text Extensible: No | C100133 | QS-Brief Psychiatric Rating Scale-A Test Name | The Brief Psychiatric Rating Scale-A test name. | CDISC Questionnaire BPRS-A Test Name Terminology |
BPR01-Anxiety | C100373 | BPR01-Anxiety | Brief Psychiatric Rating Scale-A - Anxiety. | BPRS-A - Anxiety | ||
BPR01-Blunted Affect | C100387 | BPR01-Blunted Affect | Brief Psychiatric Rating Scale-A - Blunted Affect. | BPRS-A - Blunted Affect | ||
BPR01-Conceptual Disorganization | C100375 | BPR01-Conceptual Disorganization | Brief Psychiatric Rating Scale-A - Conceptual Disorganization. | BPRS-A - Conceptual Disorganization | ||
BPR01-Depressive Mood | C100380 | BPR01-Depressive Mood | Brief Psychiatric Rating Scale-A - Depressive Mood. | BPRS-A - Depressive Mood | ||
BPR01-Disorientation | C100389 | BPR01-Disorientation | Brief Psychiatric Rating Scale-A - Disorientation. | BPRS-A - Disorientation | ||
BPR01-Emotional Withdrawal | C100374 | BPR01-Emotional Withdrawal | Brief Psychiatric Rating Scale-A - Emotional Withdrawal. | BPRS-A - Emotional Withdrawal | ||
BPR01-Excitement | C100388 | BPR01-Excitement | Brief Psychiatric Rating Scale-A - Excitement. | BPRS-A - Excitement | ||
BPR01-Grandiosity | C100379 | BPR01-Grandiosity | Brief Psychiatric Rating Scale-A - Grandiosity. | BPRS-A - Grandiosity | ||
BPR01-Guilt Feelings | C100376 | BPR01-Guilt Feelings | Brief Psychiatric Rating Scale-A - Guilt Feelings. | BPRS-A - Guilt Feelings | ||
BPR01-Hallucinatory Behavior | C100383 | BPR01-Hallucinatory Behavior | Brief Psychiatric Rating Scale-A - Hallucinatory Behavior. | BPRS-A - Hallucinatory Behavior | ||
BPR01-Hostility | C100381 | BPR01-Hostility | Brief Psychiatric Rating Scale-A - Hostility. | BPRS-A - Hostility | ||
BPR01-Mannerisms and Posturing | C100378 | BPR01-Mannerisms and Posturing | Brief Psychiatric Rating Scale-A - Mannerisms and Posturing. | BPRS-A - Mannerisms and Posturing | ||
BPR01-Motor Retardation | C100384 | BPR01-Motor Retardation | Brief Psychiatric Rating Scale-A - Motor Retardation. | BPRS-A - Motor Retardation | ||
BPR01-Somatic Concern | C100372 | BPR01-Somatic Concern | Brief Psychiatric Rating Scale-A - Somatic Concern. | BPRS-A - Somatic Concern | ||
BPR01-Suspiciousness | C100382 | BPR01-Suspiciousness | Brief Psychiatric Rating Scale-A - Suspiciousness. | BPRS-A - Suspiciousness | ||
BPR01-Tension | C100377 | BPR01-Tension | Brief Psychiatric Rating Scale-A - Tension. | BPRS-A - Tension | ||
BPR01-Uncooperativeness | C100385 | BPR01-Uncooperativeness | Brief Psychiatric Rating Scale-A - Uncooperativeness. | BPRS-A - Uncooperativeness | ||
BPR01-Unusual Thought Content | C100386 | BPR01-Unusual Thought Content | Brief Psychiatric Rating Scale-A - Unusual Thought Content. | BPRS-A - Unusual Thought Content | ||
Back to top | ||||||
CL.C120979.CRQ-SAS FIRST ADMINISTRATION VERSION TESTCD | QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Test Code (CRQ-SAS FIRST ADMINISTRATION VERSION TESTCD) | text Extensible: No | C120979 | QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Test Code | Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version test code. | CDISC Questionnaire CRQ-SAS First Administration Version Test Code Terminology |
CRQ0101 | C121010 | CRQ01-Feeling Emotional | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Feeling emotional such as angry or upset. | CRQ-SAS First Administration Version - Feeling Emotional | ||
CRQ0102 | C121011 | CRQ01-Take Care of Basic Needs | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Taking care of your basic needs. | CRQ-SAS First Administration Version - Take Care of Basic Needs | ||
CRQ0103 | C121012 | CRQ01-Walking | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Walking. | CRQ-SAS First Administration Version - Walking | ||
CRQ0104 | C121013 | CRQ01-Performing Chores | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Performing chores. | CRQ-SAS First Administration Version - Performing Chores | ||
CRQ0105 | C121014 | CRQ01-Participate in Social Activities | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Participating in social activities. | CRQ-SAS First Administration Version - Participate in Social Activities | ||
CRQ0106 | C121015 | CRQ01-Felt Frustrated or Impatient | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how much of the time during the last 2 weeks have you felt frustrated or impatient? | CRQ-SAS First Administration Version - Felt Frustrated or Impatient | ||
CRQ0107 | C121016 | CRQ01-Feeling of Fear or Panic | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you have a feeling of fear or panic when you had difficulty getting your breath? | CRQ-SAS First Administration Version - Feeling of Fear or Panic | ||
CRQ0108 | C121017 | CRQ01-Fatigue | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How about fatigue? How tired have you felt over the last 2 weeks? | CRQ-SAS First Administration Version - Fatigue | ||
CRQ0109 | C121018 | CRQ01-Embarrassed by Coughing | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt embarrassed by your coughing or heavy breathing? | CRQ-SAS First Administration Version - Embarrassed by Coughing | ||
CRQ0110 | C121019 | CRQ01-Confident to Deal With Illness | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In the last 2 weeks, how much of the time did you feel very confident and sure that you could deal with your illness? | CRQ-SAS First Administration Version - Feel Confident to Deal With Illness | ||
CRQ0111 | C121020 | CRQ01-Energy | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How much energy have you had in the last 2 weeks? | CRQ-SAS First Administration Version - Energy | ||
CRQ0112 | C121021 | CRQ01-Feel Upset, Worried or Depressed | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how much of the time did you feel upset, worried, or depressed during the last 2 weeks? | CRQ-SAS First Administration Version - Feel Upset, Worried or Depressed | ||
CRQ0113 | C121022 | CRQ01-Control of Breathing Problems | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you feel you had complete control of your breathing problems? | CRQ-SAS First Administration Version - Had Control of Breathing Problems | ||
CRQ0114 | C121023 | CRQ01-Feel Relaxed and Free of Tension | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How much of the time during the last 2 weeks did you feel relaxed and free of tension? | CRQ-SAS First Administration Version - Feel Relaxed and Free of Tension | ||
CRQ0115 | C121024 | CRQ01-Felt Low in Energy | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt low in energy? | CRQ-SAS First Administration Version - Felt Low in Energy | ||
CRQ0116 | C121025 | CRQ01-Felt Discouraged or Down | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how often during the last 2 weeks have you felt discouraged or down in the dumps? | CRQ-SAS First Administration Version - Felt Discouraged or Down | ||
CRQ0117 | C121026 | CRQ01-Felt Worn Out or Sluggish | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt worn out or sluggish? | CRQ-SAS First Administration Version - Felt Worn Out or Sluggish | ||
CRQ0118 | C121027 | CRQ01-Happy, Satisfied or Pleased | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How happy, satisfied, or pleased have you been with your personal life during the last 2 weeks? | CRQ-SAS First Administration Version - Happy, Satisfied or Pleased With Life | ||
CRQ0119 | C121028 | CRQ01-Feel Upset Diff Getting Breath | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you feel upset or scared when you had difficulty getting your breath? | CRQ-SAS First Administration Version - Feel Upset When Had Difficulty Getting Breath | ||
CRQ0120 | C121029 | CRQ01-Felt Restless, Tense or Uptight | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how often during the last 2 weeks have you felt restless, tense, or uptight? | CRQ-SAS First Administration Version - Felt Restless, Tense or Uptight | ||
Back to top | ||||||
CL.C120978.CRQ-SAS FIRST ADMINISTRATION VERSION TEST | QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Test Name (CRQ-SAS FIRST ADMINISTRATION VERSION TEST) | text Extensible: No | C120978 | QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Test Name | Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version test name. | CDISC Questionnaire CRQ-SAS First Administration Version Test Name Terminology |
CRQ01-Confident to Deal With Illness | C121019 | CRQ01-Confident to Deal With Illness | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In the last 2 weeks, how much of the time did you feel very confident and sure that you could deal with your illness? | CRQ-SAS First Administration Version - Feel Confident to Deal With Illness | ||
CRQ01-Control of Breathing Problems | C121022 | CRQ01-Control of Breathing Problems | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you feel you had complete control of your breathing problems? | CRQ-SAS First Administration Version - Had Control of Breathing Problems | ||
CRQ01-Embarrassed by Coughing | C121018 | CRQ01-Embarrassed by Coughing | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt embarrassed by your coughing or heavy breathing? | CRQ-SAS First Administration Version - Embarrassed by Coughing | ||
CRQ01-Energy | C121020 | CRQ01-Energy | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How much energy have you had in the last 2 weeks? | CRQ-SAS First Administration Version - Energy | ||
CRQ01-Fatigue | C121017 | CRQ01-Fatigue | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How about fatigue? How tired have you felt over the last 2 weeks? | CRQ-SAS First Administration Version - Fatigue | ||
CRQ01-Feel Relaxed and Free of Tension | C121023 | CRQ01-Feel Relaxed and Free of Tension | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How much of the time during the last 2 weeks did you feel relaxed and free of tension? | CRQ-SAS First Administration Version - Feel Relaxed and Free of Tension | ||
CRQ01-Feel Upset Diff Getting Breath | C121028 | CRQ01-Feel Upset Diff Getting Breath | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you feel upset or scared when you had difficulty getting your breath? | CRQ-SAS First Administration Version - Feel Upset When Had Difficulty Getting Breath | ||
CRQ01-Feel Upset, Worried or Depressed | C121021 | CRQ01-Feel Upset, Worried or Depressed | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how much of the time did you feel upset, worried, or depressed during the last 2 weeks? | CRQ-SAS First Administration Version - Feel Upset, Worried or Depressed | ||
CRQ01-Feeling Emotional | C121010 | CRQ01-Feeling Emotional | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Feeling emotional such as angry or upset. | CRQ-SAS First Administration Version - Feeling Emotional | ||
CRQ01-Feeling of Fear or Panic | C121016 | CRQ01-Feeling of Fear or Panic | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks did you have a feeling of fear or panic when you had difficulty getting your breath? | CRQ-SAS First Administration Version - Feeling of Fear or Panic | ||
CRQ01-Felt Discouraged or Down | C121025 | CRQ01-Felt Discouraged or Down | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how often during the last 2 weeks have you felt discouraged or down in the dumps? | CRQ-SAS First Administration Version - Felt Discouraged or Down | ||
CRQ01-Felt Frustrated or Impatient | C121015 | CRQ01-Felt Frustrated or Impatient | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how much of the time during the last 2 weeks have you felt frustrated or impatient? | CRQ-SAS First Administration Version - Felt Frustrated or Impatient | ||
CRQ01-Felt Low in Energy | C121024 | CRQ01-Felt Low in Energy | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt low in energy? | CRQ-SAS First Administration Version - Felt Low in Energy | ||
CRQ01-Felt Restless, Tense or Uptight | C121029 | CRQ01-Felt Restless, Tense or Uptight | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - In general, how often during the last 2 weeks have you felt restless, tense, or uptight? | CRQ-SAS First Administration Version - Felt Restless, Tense or Uptight | ||
CRQ01-Felt Worn Out or Sluggish | C121026 | CRQ01-Felt Worn Out or Sluggish | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How often during the last 2 weeks have you felt worn out or sluggish? | CRQ-SAS First Administration Version - Felt Worn Out or Sluggish | ||
CRQ01-Happy, Satisfied or Pleased | C121027 | CRQ01-Happy, Satisfied or Pleased | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - How happy, satisfied, or pleased have you been with your personal life during the last 2 weeks? | CRQ-SAS First Administration Version - Happy, Satisfied or Pleased With Life | ||
CRQ01-Participate in Social Activities | C121014 | CRQ01-Participate in Social Activities | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Participating in social activities. | CRQ-SAS First Administration Version - Participate in Social Activities | ||
CRQ01-Performing Chores | C121013 | CRQ01-Performing Chores | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Performing chores. | CRQ-SAS First Administration Version - Performing Chores | ||
CRQ01-Take Care of Basic Needs | C121011 | CRQ01-Take Care of Basic Needs | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Taking care of your basic needs. | CRQ-SAS First Administration Version - Take Care of Basic Needs | ||
CRQ01-Walking | C121012 | CRQ01-Walking | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Walking. | CRQ-SAS First Administration Version - Walking | ||
Back to top | ||||||
CL.C120981.CRQ-SAS FOLLOW-UP ADMINISTRATION VERSION TESTCD | QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Test Code (CRQ-SAS FOLLOW-UP ADMINISTRATION VERSION TESTCD) | text Extensible: No | C120981 | QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Test Code | Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version test code. | CDISC Questionnaire CRQ-SAS Follow-Up Administration Version Test Code Terminology |
CRQ0201 | C121030 | CRQ02-Feeling Emotional | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Feeling emotional such as angry or upset. | CRQ-SAS Follow-Up Administration Version - Feeling Emotional | ||
CRQ0202 | C121031 | CRQ02-Take Care of Basic Needs | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Taking care of your basic needs. | CRQ-SAS Follow-Up Administration Version - Take Care of Basic Needs | ||
CRQ0203 | C121032 | CRQ02-Walking | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Walking. | CRQ-SAS Follow-Up Administration Version - Walking | ||
CRQ0204 | C121033 | CRQ02-Performing Chores | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Performing chores. | CRQ-SAS Follow-Up Administration Version - Performing Chores | ||
CRQ0205 | C121034 | CRQ02-Participate in Social Activities | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Participating in social activities. | CRQ-SAS Follow-Up Administration Version - Participate in Social Activities | ||
CRQ0206 | C121035 | CRQ02-Felt Frustrated or Impatient | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how much of the time during the last 2 weeks have you felt frustrated or impatient? | CRQ-SAS Follow-Up Administration Version - Felt Frustrated or Impatient | ||
CRQ0207 | C121036 | CRQ02-Feeling of Fear or Panic | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you have a feeling of fear or panic when you had difficulty getting your breath? | CRQ-SAS Follow-Up Administration Version - Feeling of Fear or Panic | ||
CRQ0208 | C121037 | CRQ02-Fatigue | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How about fatigue? How tired have you felt over the last 2 weeks? | CRQ-SAS Follow-Up Administration Version - Fatigue | ||
CRQ0209 | C121038 | CRQ02-Embarrassed by Coughing | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt embarrassed by your coughing or heavy breathing? | CRQ-SAS Follow-Up Administration Version - Embarrassed by Coughing | ||
CRQ0210 | C121039 | CRQ02-Confident to Deal With Illness | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In the last 2 weeks, how much of the time did you feel very confident and sure that you could deal with your illness? | CRQ-SAS Follow-Up Administration Version - Feel Confident to Deal With Illness | ||
CRQ0211 | C121040 | CRQ02-Energy | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How much energy have you had in the last 2 weeks? | CRQ-SAS Follow-Up Administration Version - Energy | ||
CRQ0212 | C121041 | CRQ02-Feel Upset, Worried or Depressed | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how much of the time did you feel upset, worried, or depressed during the last 2 weeks? | CRQ-SAS Follow-Up Administration Version - Feel Upset, Worried or Depressed | ||
CRQ0213 | C121042 | CRQ02-Control of Breathing Problems | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you feel you had complete control of your breathing problems? | CRQ-SAS Follow-Up Administration Version - Had Control of Breathing Problems | ||
CRQ0214 | C121043 | CRQ02-Feel Relaxed and Free of Tension | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How much of the time during the last 2 weeks did you feel relaxed and free of tension? | CRQ-SAS Follow-Up Administration Version - Feel Relaxed and Free of Tension | ||
CRQ0215 | C121044 | CRQ02-Felt Low in Energy | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt low in energy? | CRQ-SAS Follow-Up Administration Version - Felt Low in Energy | ||
CRQ0216 | C121045 | CRQ02-Felt Discouraged or Down | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how often during the last 2 weeks have you felt discouraged or down in the dumps? | CRQ-SAS Follow-Up Administration Version - Felt Discouraged or Down | ||
CRQ0217 | C121046 | CRQ02-Felt Worn Out or Sluggish | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt worn out or sluggish? | CRQ-SAS Follow-Up Administration Version - Felt Worn Out or Sluggish | ||
CRQ0218 | C121047 | CRQ02-Happy, Satisfied or Pleased | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How happy, satisfied, or pleased have you been with your personal life during the last 2 weeks? | CRQ-SAS Follow-Up Administration Version - Happy, Satisfied or Pleased With Life | ||
CRQ0219 | C121048 | CRQ02-Feel Upset Diff Getting Breath | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you feel upset or scared when you had difficulty getting your breath? | CRQ-SAS Follow-Up Administration Version - Feel Upset When Had Difficulty Getting Breath | ||
CRQ0220 | C121049 | CRQ02-Felt Restless, Tense or Uptight | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how often during the last 2 weeks have you felt restless, tense, or uptight? | CRQ-SAS Follow-Up Administration Version - Felt Restless, Tense or Uptight | ||
Back to top | ||||||
CL.C120980.CRQ-SAS FOLLOW-UP ADMINISTRATION VERSION TEST | QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Test Name (CRQ-SAS FOLLOW-UP ADMINISTRATION VERSION TEST) | text Extensible: No | C120980 | QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Test Name | Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version test name. | CDISC Questionnaire CRQ-SAS Follow-Up Administration Version Test Name Terminology |
CRQ02-Confident to Deal With Illness | C121039 | CRQ02-Confident to Deal With Illness | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In the last 2 weeks, how much of the time did you feel very confident and sure that you could deal with your illness? | CRQ-SAS Follow-Up Administration Version - Feel Confident to Deal With Illness | ||
CRQ02-Control of Breathing Problems | C121042 | CRQ02-Control of Breathing Problems | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you feel you had complete control of your breathing problems? | CRQ-SAS Follow-Up Administration Version - Had Control of Breathing Problems | ||
CRQ02-Embarrassed by Coughing | C121038 | CRQ02-Embarrassed by Coughing | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt embarrassed by your coughing or heavy breathing? | CRQ-SAS Follow-Up Administration Version - Embarrassed by Coughing | ||
CRQ02-Energy | C121040 | CRQ02-Energy | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How much energy have you had in the last 2 weeks? | CRQ-SAS Follow-Up Administration Version - Energy | ||
CRQ02-Fatigue | C121037 | CRQ02-Fatigue | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How about fatigue? How tired have you felt over the last 2 weeks? | CRQ-SAS Follow-Up Administration Version - Fatigue | ||
CRQ02-Feel Relaxed and Free of Tension | C121043 | CRQ02-Feel Relaxed and Free of Tension | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How much of the time during the last 2 weeks did you feel relaxed and free of tension? | CRQ-SAS Follow-Up Administration Version - Feel Relaxed and Free of Tension | ||
CRQ02-Feel Upset Diff Getting Breath | C121048 | CRQ02-Feel Upset Diff Getting Breath | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you feel upset or scared when you had difficulty getting your breath? | CRQ-SAS Follow-Up Administration Version - Feel Upset When Had Difficulty Getting Breath | ||
CRQ02-Feel Upset, Worried or Depressed | C121041 | CRQ02-Feel Upset, Worried or Depressed | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how much of the time did you feel upset, worried, or depressed during the last 2 weeks? | CRQ-SAS Follow-Up Administration Version - Feel Upset, Worried or Depressed | ||
CRQ02-Feeling Emotional | C121030 | CRQ02-Feeling Emotional | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Feeling emotional such as angry or upset. | CRQ-SAS Follow-Up Administration Version - Feeling Emotional | ||
CRQ02-Feeling of Fear or Panic | C121036 | CRQ02-Feeling of Fear or Panic | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks did you have a feeling of fear or panic when you had difficulty getting your breath? | CRQ-SAS Follow-Up Administration Version - Feeling of Fear or Panic | ||
CRQ02-Felt Discouraged or Down | C121045 | CRQ02-Felt Discouraged or Down | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how often during the last 2 weeks have you felt discouraged or down in the dumps? | CRQ-SAS Follow-Up Administration Version - Felt Discouraged or Down | ||
CRQ02-Felt Frustrated or Impatient | C121035 | CRQ02-Felt Frustrated or Impatient | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how much of the time during the last 2 weeks have you felt frustrated or impatient? | CRQ-SAS Follow-Up Administration Version - Felt Frustrated or Impatient | ||
CRQ02-Felt Low in Energy | C121044 | CRQ02-Felt Low in Energy | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt low in energy? | CRQ-SAS Follow-Up Administration Version - Felt Low in Energy | ||
CRQ02-Felt Restless, Tense or Uptight | C121049 | CRQ02-Felt Restless, Tense or Uptight | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - In general, how often during the last 2 weeks have you felt restless, tense, or uptight? | CRQ-SAS Follow-Up Administration Version - Felt Restless, Tense or Uptight | ||
CRQ02-Felt Worn Out or Sluggish | C121046 | CRQ02-Felt Worn Out or Sluggish | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How often during the last 2 weeks have you felt worn out or sluggish? | CRQ-SAS Follow-Up Administration Version - Felt Worn Out or Sluggish | ||
CRQ02-Happy, Satisfied or Pleased | C121047 | CRQ02-Happy, Satisfied or Pleased | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - How happy, satisfied, or pleased have you been with your personal life during the last 2 weeks? | CRQ-SAS Follow-Up Administration Version - Happy, Satisfied or Pleased With Life | ||
CRQ02-Participate in Social Activities | C121034 | CRQ02-Participate in Social Activities | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Participating in social activities. | CRQ-SAS Follow-Up Administration Version - Participate in Social Activities | ||
CRQ02-Performing Chores | C121033 | CRQ02-Performing Chores | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Performing chores. | CRQ-SAS Follow-Up Administration Version - Performing Chores | ||
CRQ02-Take Care of Basic Needs | C121031 | CRQ02-Take Care of Basic Needs | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Taking care of your basic needs. | CRQ-SAS Follow-Up Administration Version - Take Care of Basic Needs | ||
CRQ02-Walking | C121032 | CRQ02-Walking | Chronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Walking. | CRQ-SAS Follow-Up Administration Version - Walking | ||
Back to top | ||||||
CL.C119066.CCQ 1 Week Version TESTCD | QS-Clinical COPD Questionnaire 1 Week Version Test Code (CCQ 1 Week Version TESTCD) | text Extensible: No | C119066 | QS-Clinical COPD Questionnaire 1 Week Version Test Code | Clinical COPD Questionnaire 1 Week Version test code. | CDISC Questionnaire CCQ 1 Week Version Test Code Terminology |
CCQ0201 | C119132 | CCQ02-Short of Breath at Rest | Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Short of breath while at rest? | CCQ 1 Week Version - Short of Breath at Rest | ||
CCQ0202 | C119133 | CCQ02-Short of Breath Physical Activity | Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Short of breath while doing physical activities? | CCQ 1 Week Version - Short of Breath Doing Physical Activity | ||
CCQ0203 | C119134 | CCQ02-Concern About Breathing Get Worse | Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Concerned about getting a cold or your breathing getting worse? | CCQ 1 Week Version - Concern About Breathing Get Worse | ||
CCQ0204 | C119135 | CCQ02-Depressed for Breathing Problem | Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Depressed because of your breathing problems? | CCQ 1 Week Version - Depressed Because of Breathing Problem | ||
CCQ0205 | C119136 | CCQ02-Cough | Clinical COPD Questionnaire 1 Week Version - In general, during the past 7 days, how much of the time: Did you cough? | CCQ 1 Week Version - Did You Cough | ||
CCQ0206 | C119137 | CCQ02-Produce Sputum or Phlegm | Clinical COPD Questionnaire 1 Week Version - In general, during the past 7 days, how much of the time: Did you produce sputum or phlegm? | CCQ 1 Week Version - Produce Sputum or Phlegm | ||
CCQ0207 | C119138 | CCQ02-Breathing Limit Strenuous Activity | Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Strenuous physical activities? | CCQ 1 Week Version - Breathing Problems Limit Strenuous Activity | ||
CCQ0208 | C119139 | CCQ02-Breathing Limit Moderate Activity | Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Moderate physical activities? | CCQ 1 Week Version - Breathing Problems Limit Moderate Activity | ||
CCQ0209 | C119140 | CCQ02-Breathing Limit Daily Activity | Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Daily activities at home? | CCQ 1 Week Version - Breathing Problems Limit Daily Activity | ||
CCQ0210 | C119141 | CCQ02-Breathing Limit Social Activity | Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Social activities? | CCQ 1 Week Version - Breathing Problems Limit Social Activity | ||
Back to top | ||||||
CL.C119065.CCQ 1 Week Version TEST | QS-Clinical COPD Questionnaire 1 Week Version Test Name (CCQ 1 Week Version TEST) | text Extensible: No | C119065 | QS-Clinical COPD Questionnaire 1 Week Version Test Name | Clinical COPD Questionnaire 1 Week Version test name. | CDISC Questionnaire CCQ 1 Week Version Test Name Terminology |
CCQ02-Breathing Limit Daily Activity | C119140 | CCQ02-Breathing Limit Daily Activity | Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Daily activities at home? | CCQ 1 Week Version - Breathing Problems Limit Daily Activity | ||
CCQ02-Breathing Limit Moderate Activity | C119139 | CCQ02-Breathing Limit Moderate Activity | Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Moderate physical activities? | CCQ 1 Week Version - Breathing Problems Limit Moderate Activity | ||
CCQ02-Breathing Limit Social Activity | C119141 | CCQ02-Breathing Limit Social Activity | Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Social activities? | CCQ 1 Week Version - Breathing Problems Limit Social Activity | ||
CCQ02-Breathing Limit Strenuous Activity | C119138 | CCQ02-Breathing Limit Strenuous Activity | Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how limited were you in these activities because of your breathing problems: Strenuous physical activities? | CCQ 1 Week Version - Breathing Problems Limit Strenuous Activity | ||
CCQ02-Concern About Breathing Get Worse | C119134 | CCQ02-Concern About Breathing Get Worse | Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Concerned about getting a cold or your breathing getting worse? | CCQ 1 Week Version - Concern About Breathing Get Worse | ||
CCQ02-Cough | C119136 | CCQ02-Cough | Clinical COPD Questionnaire 1 Week Version - In general, during the past 7 days, how much of the time: Did you cough? | CCQ 1 Week Version - Did You Cough | ||
CCQ02-Depressed for Breathing Problem | C119135 | CCQ02-Depressed for Breathing Problem | Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Depressed because of your breathing problems? | CCQ 1 Week Version - Depressed Because of Breathing Problem | ||
CCQ02-Produce Sputum or Phlegm | C119137 | CCQ02-Produce Sputum or Phlegm | Clinical COPD Questionnaire 1 Week Version - In general, during the past 7 days, how much of the time: Did you produce sputum or phlegm? | CCQ 1 Week Version - Produce Sputum or Phlegm | ||
CCQ02-Short of Breath at Rest | C119132 | CCQ02-Short of Breath at Rest | Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Short of breath while at rest? | CCQ 1 Week Version - Short of Breath at Rest | ||
CCQ02-Short of Breath Physical Activity | C119133 | CCQ02-Short of Breath Physical Activity | Clinical COPD Questionnaire 1 Week Version - On average, during the past 7 days, how often did you feel: Short of breath while doing physical activities? | CCQ 1 Week Version - Short of Breath Doing Physical Activity | ||
Back to top | ||||||
CL.C119064.CCQ 24 Hour Version TESTCD | QS-Clinical COPD Questionnaire 24 Hour Version Test Code (CCQ 24 Hour Version TESTCD) | text Extensible: No | C119064 | QS-Clinical COPD Questionnaire 24 Hour Version Test Code | Clinical COPD Questionnaire 24 Hour Version test code. | CDISC Questionnaire CCQ 24 Hour Version Test Code Terminology |
CCQ0101 | C119122 | CCQ01-Short of Breath at Rest | Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Short of breath while at rest? | CCQ 24 Hour Version - Short of Breath at Rest | ||
CCQ0102 | C119123 | CCQ01-Short of Breath Physical Activity | Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Short of breath while doing physical activities? | CCQ 24 Hour Version - Short of Breath Doing Physical Activity | ||
CCQ0103 | C119124 | CCQ01-Concern About Breathing Get Worse | Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Concerned about getting a cold or your breathing getting worse? | CCQ 24 Hour Version - Concern About Breathing Get Worse | ||
CCQ0104 | C119125 | CCQ01-Depressed for Breathing Problem | Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Depressed because of your breathing problems? | CCQ 24 Hour Version - Depressed Because of Breathing Problem | ||
CCQ0105 | C119126 | CCQ01-Cough | Clinical COPD Questionnaire 24 Hour Version - In general, during the past 24 hours, how much of the time: Did you cough? | CCQ 24 Hour Version - Did You Cough | ||
CCQ0106 | C119127 | CCQ01-Produce Sputum or Phlegm | Clinical COPD Questionnaire 24 Hour Version - In general, during the past 24 hours, how much of the time: Did you produce sputum or phlegm? | CCQ 24 Hour Version - Produce Sputum or Phlegm | ||
CCQ0107 | C119128 | CCQ01-Breathing Limit Strenuous Activity | Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Strenuous physical activities? | CCQ 24 Hour Version - Breathing Problems Limit Strenuous Activity | ||
CCQ0108 | C119129 | CCQ01-Breathing Limit Moderate Activity | Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Moderate physical activities? | CCQ 24 Hour Version - Breathing Problems Limit Moderate Activity | ||
CCQ0109 | C119130 | CCQ01-Breathing Limit Daily Activity | Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Daily activities at home? | CCQ 24 Hour Version - Breathing Problems Limit Daily Activity | ||
CCQ0110 | C119131 | CCQ01-Breathing Limit Social Activity | Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Social activities? | CCQ 24 Hour Version - Breathing Problems Limit Social Activity | ||
Back to top | ||||||
CL.C119063.CCQ 24 Hour Version TEST | QS-Clinical COPD Questionnaire 24 Hour Version Test Name (CCQ 24 Hour Version TEST) | text Extensible: No | C119063 | QS-Clinical COPD Questionnaire 24 Hour Version Test Name | Clinical COPD Questionnaire 24 Hour Version test name. | CDISC Questionnaire CCQ 24 Hour Version Test Name Terminology |
CCQ01-Breathing Limit Daily Activity | C119130 | CCQ01-Breathing Limit Daily Activity | Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Daily activities at home? | CCQ 24 Hour Version - Breathing Problems Limit Daily Activity | ||
CCQ01-Breathing Limit Moderate Activity | C119129 | CCQ01-Breathing Limit Moderate Activity | Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Moderate physical activities? | CCQ 24 Hour Version - Breathing Problems Limit Moderate Activity | ||
CCQ01-Breathing Limit Social Activity | C119131 | CCQ01-Breathing Limit Social Activity | Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Social activities? | CCQ 24 Hour Version - Breathing Problems Limit Social Activity | ||
CCQ01-Breathing Limit Strenuous Activity | C119128 | CCQ01-Breathing Limit Strenuous Activity | Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how limited were you in these activities because of your breathing problems: Strenuous physical activities? | CCQ 24 Hour Version - Breathing Problems Limit Strenuous Activity | ||
CCQ01-Concern About Breathing Get Worse | C119124 | CCQ01-Concern About Breathing Get Worse | Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Concerned about getting a cold or your breathing getting worse? | CCQ 24 Hour Version - Concern About Breathing Get Worse | ||
CCQ01-Cough | C119126 | CCQ01-Cough | Clinical COPD Questionnaire 24 Hour Version - In general, during the past 24 hours, how much of the time: Did you cough? | CCQ 24 Hour Version - Did You Cough | ||
CCQ01-Depressed for Breathing Problem | C119125 | CCQ01-Depressed for Breathing Problem | Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Depressed because of your breathing problems? | CCQ 24 Hour Version - Depressed Because of Breathing Problem | ||
CCQ01-Produce Sputum or Phlegm | C119127 | CCQ01-Produce Sputum or Phlegm | Clinical COPD Questionnaire 24 Hour Version - In general, during the past 24 hours, how much of the time: Did you produce sputum or phlegm? | CCQ 24 Hour Version - Produce Sputum or Phlegm | ||
CCQ01-Short of Breath at Rest | C119122 | CCQ01-Short of Breath at Rest | Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Short of breath while at rest? | CCQ 24 Hour Version - Short of Breath at Rest | ||
CCQ01-Short of Breath Physical Activity | C119123 | CCQ01-Short of Breath Physical Activity | Clinical COPD Questionnaire 24 Hour Version - On average, during the past 24 hours, how often did you feel: Short of breath while doing physical activities? | CCQ 24 Hour Version - Short of Breath Doing Physical Activity | ||
Back to top | ||||||
CL.C101811.CDR TESTCD | QS-Clinical Dementia Rating Test Code (CDR TESTCD) | text Extensible: No | C101811 | QS-Clinical Dementia Rating Test Code | Clinical Dementia Rating test code. | CDISC Questionnaire CDR Test Code Terminology |
CDR0101 | C102050 | CDR01-Memory | Clinical Dementia Rating - Memory. | CDR - Memory | ||
CDR0102 | C102051 | CDR01-Orientation | Clinical Dementia Rating - Orientation. | CDR - Orientation | ||
CDR0103 | C102052 | CDR01-Judgment and Problem Solving | Clinical Dementia Rating - Judgment and problem solving. | CDR - Judgment and Problem Solving | ||
CDR0104 | C102053 | CDR01-Community Affairs | Clinical Dementia Rating - Community affairs. | CDR - Community Affairs | ||
CDR0105 | C102054 | CDR01-Home and Hobbies | Clinical Dementia Rating - Home and hobbies. | CDR - Home and Hobbies | ||
CDR0106 | C102055 | CDR01-Personal Care | Clinical Dementia Rating - Personal care. | CDR - Personal Care | ||
CDR0107 | C113880 | CDR01-Sum of Boxes | Clinical Dementia Rating - Sum of Boxes. | CDR - Sum of Boxes | ||
CDR0108 | C113881 | CDR01-Global CDR | Clinical Dementia Rating - Global CDR. | CDR - Global CDR | ||
Back to top | ||||||
CL.C101812.CDR TEST | QS-Clinical Dementia Rating Test Name (CDR TEST) | text Extensible: No | C101812 | QS-Clinical Dementia Rating Test Name | Clinical Dementia Rating test name. | CDISC Questionnaire CDR Test Name Terminology |
CDR01-Community Affairs | C102053 | CDR01-Community Affairs | Clinical Dementia Rating - Community affairs. | CDR - Community Affairs | ||
CDR01-Global CDR | C113881 | CDR01-Global CDR | Clinical Dementia Rating - Global CDR. | CDR - Global CDR | ||
CDR01-Home and Hobbies | C102054 | CDR01-Home and Hobbies | Clinical Dementia Rating - Home and hobbies. | CDR - Home and Hobbies | ||
CDR01-Judgment and Problem Solving | C102052 | CDR01-Judgment and Problem Solving | Clinical Dementia Rating - Judgment and problem solving. | CDR - Judgment and Problem Solving | ||
CDR01-Memory | C102050 | CDR01-Memory | Clinical Dementia Rating - Memory. | CDR - Memory | ||
CDR01-Orientation | C102051 | CDR01-Orientation | Clinical Dementia Rating - Orientation. | CDR - Orientation | ||
CDR01-Personal Care | C102055 | CDR01-Personal Care | Clinical Dementia Rating - Personal care. | CDR - Personal Care | ||
CDR01-Sum of Boxes | C113880 | CDR01-Sum of Boxes | Clinical Dementia Rating - Sum of Boxes. | CDR - Sum of Boxes | ||
Back to top | ||||||
CL.C100150.CGI TESTCD | QS-Clinical Global Impression Test Code (CGI TESTCD) | text Extensible: No | C100150 | QS-Clinical Global Impression Test Code | Clinical Global Impression test code. | CDISC Questionnaire CGI Test Code Terminology |
CGI0101 | C100955 | CGI01-Severity of Illness | Clinical Global Impression - Considering your total clinical experience with this particular population, how mentally ill is the patient at this time? | CGI - Severity of Illness | ||
CGI0102 | C100956 | CGI01-Global Improvement | Clinical 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 | ||
CGI0103 | C100957 | CGI01-Efficacy Index | Clinical 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 | ||
Back to top | ||||||
CL.C100149.CGI TEST | QS-Clinical Global Impression Test Name (CGI TEST) | text Extensible: No | C100149 | QS-Clinical Global Impression Test Name | Clinical Global Impression test name. | CDISC Questionnaire CGI Test Name Terminology |
CGI01-Efficacy Index | C100957 | CGI01-Efficacy Index | Clinical 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 Improvement | C100956 | CGI01-Global Improvement | Clinical 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 Illness | C100955 | CGI01-Severity of Illness | Clinical Global Impression - Considering your total clinical experience with this particular population, how mentally ill is the patient at this time? | CGI - Severity of Illness | ||
Back to top | ||||||
CL.C101813.COWS TESTCD | QS-Clinical Opiate Withdrawal Scale Test Code (COWS TESTCD) | text Extensible: No | C101813 | QS-Clinical Opiate Withdrawal Scale Test Code | Clinical Opiate Withdrawal Scale test code. | CDISC Questionnaire COWS Test Code Terminology |
COWS101 | C102056 | COWS1-Resting Pulse Rate | Clinical Opiate Withdrawal Scale - Resting pulse rate. | COWS - Resting Pulse Rate | ||
COWS101A | C112467 | COWS1-Resting Pulse Rate Beats/minute | Clinical Opiate Withdrawal Scale - Resting pulse rate: beats/minute. | COWS - Resting Pulse Rate: Beats/Minute | ||
COWS102 | C102057 | COWS1-Sweating | Clinical Opiate Withdrawal Scale - Sweating. | COWS - Sweating | ||
COWS103 | C102058 | COWS1-Restlessness | Clinical Opiate Withdrawal Scale - Restlessness. | COWS - Restlessness | ||
COWS104 | C102059 | COWS1-Pupil Size | Clinical Opiate Withdrawal Scale - Pupil size. | COWS - Pupil Size | ||
COWS105 | C102060 | COWS1-Bone or Joint Aches | Clinical Opiate Withdrawal Scale - Bone or joint aches. | COWS - Bone or Joint Aches | ||
COWS106 | C102061 | COWS1-Runny Nose or Tearing | Clinical Opiate Withdrawal Scale - Runny nose or tearing. | COWS - Runny Nose or Tearing | ||
COWS107 | C102062 | COWS1-GI Upset | Clinical Opiate Withdrawal Scale - GI upset. | COWS - GI Upset | ||
COWS108 | C102063 | COWS1-Tremor | Clinical Opiate Withdrawal Scale - Tremor. | COWS - Tremor | ||
COWS109 | C102064 | COWS1-Yawning | Clinical Opiate Withdrawal Scale - Yawning. | COWS - Yawning | ||
COWS110 | C102065 | COWS1-Anxiety or Irritability | Clinical Opiate Withdrawal Scale - Anxiety or irritability. | COWS - Anxiety or Irritability | ||
COWS111 | C102066 | COWS1-Gooseflesh Skin | Clinical Opiate Withdrawal Scale - Gooseflesh skin. | COWS - Gooseflesh Skin | ||
COWS112 | C112468 | COWS1-Total Score | Clinical Opiate Withdrawal Scale - Total score. | COWS - Total Score | ||
Back to top | ||||||
CL.C101814.COWS TEST | QS-Clinical Opiate Withdrawal Scale Test Name (COWS TEST) | text Extensible: No | C101814 | QS-Clinical Opiate Withdrawal Scale Test Name | Clinical Opiate Withdrawal Scale test name. | CDISC Questionnaire COWS Test Name Terminology |
COWS1-Anxiety or Irritability | C102065 | COWS1-Anxiety or Irritability | Clinical Opiate Withdrawal Scale - Anxiety or irritability. | COWS - Anxiety or Irritability | ||
COWS1-Bone or Joint Aches | C102060 | COWS1-Bone or Joint Aches | Clinical Opiate Withdrawal Scale - Bone or joint aches. | COWS - Bone or Joint Aches | ||
COWS1-GI Upset | C102062 | COWS1-GI Upset | Clinical Opiate Withdrawal Scale - GI upset. | COWS - GI Upset | ||
COWS1-Gooseflesh Skin | C102066 | COWS1-Gooseflesh Skin | Clinical Opiate Withdrawal Scale - Gooseflesh skin. | COWS - Gooseflesh Skin | ||
COWS1-Pupil Size | C102059 | COWS1-Pupil Size | Clinical Opiate Withdrawal Scale - Pupil size. | COWS - Pupil Size | ||
COWS1-Resting Pulse Rate | C102056 | COWS1-Resting Pulse Rate | Clinical Opiate Withdrawal Scale - Resting pulse rate. | COWS - Resting Pulse Rate | ||
COWS1-Resting Pulse Rate Beats/Minute | C112467 | COWS1-Resting Pulse Rate Beats/minute | Clinical Opiate Withdrawal Scale - Resting pulse rate: beats/minute. | COWS - Resting Pulse Rate: Beats/Minute | ||
COWS1-Restlessness | C102058 | COWS1-Restlessness | Clinical Opiate Withdrawal Scale - Restlessness. | COWS - Restlessness | ||
COWS1-Runny Nose or Tearing | C102061 | COWS1-Runny Nose or Tearing | Clinical Opiate Withdrawal Scale - Runny nose or tearing. | COWS - Runny Nose or Tearing | ||
COWS1-Sweating | C102057 | COWS1-Sweating | Clinical Opiate Withdrawal Scale - Sweating. | COWS - Sweating | ||
COWS1-Total Score | C112468 | COWS1-Total Score | Clinical Opiate Withdrawal Scale - Total score. | COWS - Total Score | ||
COWS1-Tremor | C102063 | COWS1-Tremor | Clinical Opiate Withdrawal Scale - Tremor. | COWS - Tremor | ||
COWS1-Yawning | C102064 | COWS1-Yawning | Clinical Opiate Withdrawal Scale - Yawning. | COWS - Yawning | ||
Back to top | ||||||
CL.C106659.C-SSRS Already Enrolled Subjects TESTCD | QS-Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects Questionnaire Test Code (C-SSRS Already Enrolled Subjects TESTCD) | text Extensible: No | C106659 | QS-Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects Questionnaire Test Code | Columbia-Suicidality Severity Rating Scale Already Enrolled Subject test code. | CDISC Questionnaire C-SSRS Already Enrolled Subjects Test Code Terminology |
CSS0501A | C107027 | CSS05-Wish to be Dead-Prior | Columbia-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) | ||
CSS0501B | C107028 | CSS05-Wish to be Dead-Since | Columbia-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) | ||
CSS0501C | C107029 | CSS05-Wish to be Dead, Describe | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of wishing to be dead. | C-SSRS Already Enrolled Subjects - Description of Wish to Be Dead | ||
CSS0502A | C107030 | CSS05-Non-Spec Suicid Thought-Prior | Columbia-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) | ||
CSS0502B | C107031 | CSS05-Non-Spec Suicid Thought-Since | Columbia-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) | ||
CSS0502C | C107032 | CSS05-Non-Spec Suicid Thought, Describe | Columbia-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 | ||
CSS0503A | C107033 | CSS05-Idea, No Intent, No Plan-Prior | Columbia-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) | ||
CSS0503B | C107034 | CSS05-Idea, No Intent, No Plan-Since | Columbia-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) | ||
CSS0503C | C107035 | CSS05-Idea, No Intent, No Plan, Describe | Columbia-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 | ||
CSS0504A | C107036 | CSS05-Idea, Intent, No Plan-Prior | Columbia-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) | ||
CSS0504B | C107037 | CSS05-Idea, Intent, No Plan-Since | Columbia-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) | ||
CSS0504C | C107038 | CSS05-Idea, Intent, No Plan, Describe | Columbia-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 | ||
CSS0505A | C107039 | CSS05-Idea, Plan, Intent-Prior | Columbia-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) | ||
CSS0505B | C107040 | CSS05-Idea, Plan, Intent-Since | Columbia-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) | ||
CSS0505C | C107041 | CSS05-Idea, Plan, Intent, Describe | Columbia-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 | ||
CSS0506A | C107042 | CSS05-Most Severe Idea-Prior | Columbia-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) | ||
CSS0506B | C107043 | CSS05-Most Severe Idea, Desc-Prior | Columbia-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) | ||
CSS0506C | C107044 | CSS05-Most Severe Idea-Since | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most severe ideation. (Since Study Start). | C-SSRS Already Enrolled Subjects - Most Severe Ideation (Since Study Start) | ||
CSS0506D | C107045 | CSS05-Most Severe Idea, Desc-Since | Columbia-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) | ||
CSS0507A | C107046 | CSS05-Most Severe Idea, Frequency-Prior | Columbia-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) | ||
CSS0507B | C107047 | CSS05-Most Severe Idea, Frequency-Since | Columbia-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) | ||
CSS0508A | C107048 | CSS05-Most Severe Idea, Duration-Prior | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - When you have the thoughts how long do they last? (Prior to Study Entry). | C-SSRS Already Enrolled Subjects - Duration of Most Severe Ideation (Prior to Study Entry) | ||
CSS0508B | C107049 | CSS05-Most Severe Idea, Duration-Since | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - When you have the thoughts how long do they last? (Since Study Start). | C-SSRS Already Enrolled Subjects - Duration of Most Severe Ideation (Since Study Start) | ||
CSS0509A | C107050 | CSS05-Most Severe Idea, Control-Prior | Columbia-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) | ||
CSS0509B | C107051 | CSS05-Most Severe Idea, Control-Since | Columbia-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) | ||
CSS0510A | C107052 | CSS05-Most Severe Idea, Deterrents-Prior | Columbia-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) | ||
CSS0510B | C107053 | CSS05-Most Severe Idea, Deterrents-Since | Columbia-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) | ||
CSS0511A | C107054 | CSS05-Most Severe Idea, Reasons-Prior | Columbia-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) | ||
CSS0511B | C107055 | CSS05-Most Severe Idea, Reasons-Since | Columbia-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) | ||
CSS0512A | C107056 | CSS05-Actual Attempt-Prior | Columbia-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) | ||
CSS0512B | C107057 | CSS05-Actual Attempt-Since | Columbia-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) | ||
CSS0513A | C107058 | CSS05-Number of Actual Attempts-Prior | Columbia-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) | ||
CSS0513B | C107059 | CSS05-Number of Actual Attempts-Since | Columbia-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) | ||
CSS0513C | C107060 | CSS05-Actual Attempt, Describe | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of actual attempt. | C-SSRS Already Enrolled Subjects - Description of Actual Suicide Attempt | ||
CSS0514A | C107061 | CSS05-Non-suicid Self-injur Behav-Prior | Columbia-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) | ||
CSS0514B | C107062 | CSS05-Non-suicid Self-injur Behav-Since | Columbia-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) | ||
CSS0515A | C107063 | CSS05-Interrupted Attempt-Prior | Columbia-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) | ||
CSS0515B | C107064 | CSS05-Interrupted Attempt-Since | Columbia-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) | ||
CSS0516A | C107065 | CSS05-Num of Interrupted Attempts-Prior | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of interrupted attempts. (Prior to Study Entry). | C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Prior to Study Entry) | ||
CSS0516B | C107066 | CSS05-Num of Interrupted Attempts-Since | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of interrupted attempts. (Since Study Start). | C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Since Study Start) | ||
CSS0516C | C107067 | CSS05-Interrupted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of interrupted attempt. | C-SSRS Already Enrolled Subjects - Description of Interrupted Suicide Attempt | ||
CSS0517A | C107068 | CSS05-Aborted Attempt-Prior | Columbia-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) | ||
CSS0517B | C107069 | CSS05-Aborted Attempt-Since | Columbia-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) | ||
CSS0518A | C107070 | CSS05-Number of Aborted Attempts-Prior | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of aborted attempts. (Prior to Study Entry). | C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Prior to Study Entry) | ||
CSS0518B | C107071 | CSS05-Number of Aborted Attempts-Since | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of aborted attempts. (Since Study Start). | C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Since Study Start) | ||
CSS0518C | C107072 | CSS05-Aborted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of aborted attempt. | C-SSRS Already Enrolled Subjects - Description of Aborted Suicide Attempt | ||
CSS0519A | C107073 | CSS05-Preparatory Acts/Behavior-Prior | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - 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)? (Prior to Study Entry). | C-SSRS Already Enrolled Subjects - Preparatory Acts or Behaviors Toward Suicide Attempt (Prior to Study Entry) | ||
CSS0519B | C107074 | CSS05-Preparatory Acts/Behavior-Since | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - 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)? (Since Study Start). | C-SSRS Already Enrolled Subjects - Preparatory Acts or Behaviors Toward Suicide Attempt (Since Study Start) | ||
CSS0519C | C107075 | CSS05-Preparatory Acts/Behavior, Descr | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of preparatory acts or behavior. | C-SSRS Already Enrolled Subjects - Description of Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS0520A | C107076 | CSS05-Suicidal Behavior-Prior | Columbia-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) | ||
CSS0520B | C107077 | CSS05-Suicidal Behavior-Since | Columbia-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) | ||
CSS0521A | C107078 | CSS05-Completed Suicide-Prior | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Prior to Study Entry). | C-SSRS Already Enrolled Subjects - Completed Suicide (Prior to Study Entry) | ||
CSS0521B | C107079 | CSS05-Completed Suicide-Since | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Since Study Start). | C-SSRS Already Enrolled Subjects - Completed Suicide (Since Study Start) | ||
CSS0522A | C107080 | CSS05-Most Recent Attempt Date | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most recent attempt date. | C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Date | ||
CSS0522B | C107081 | CSS05-Most Recent Attempt Damage | Columbia-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 | ||
CSS0522C | C107082 | CSS05-Most Recent Attempt Potential | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most recent attempt potential lethality. | C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Potential Lethality | ||
CSS0523A | C107083 | CSS05-Most Lethal Attempt Date | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most lethal attempt date. | C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Date | ||
CSS0523B | C107084 | CSS05-Most Lethal Attempt Damage | Columbia-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 | ||
CSS0523C | C107085 | CSS05-Most Lethal Attempt Potential | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most lethal attempt potential lethality. | C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Potential Lethality | ||
CSS0524A | C107086 | CSS05-First Attempt Date | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Initial/first attempt date. | C-SSRS Already Enrolled Subjects - First Suicide Attempt Date | ||
CSS0524B | C107087 | CSS05-First Attempt Damage | Columbia-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 | ||
CSS0524C | C107088 | CSS05-First Attempt Potential | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Initial/first attempt potential lethality. | C-SSRS Already Enrolled Subjects - First Suicide Attempt Potential Lethality | ||
Back to top | ||||||
CL.C106658.C-SSRS Already Enrolled Subjects TEST | QS-Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects Questionnaire Test Name (C-SSRS Already Enrolled Subjects TEST) | text Extensible: No | C106658 | QS-Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects Questionnaire Test Name | Columbia-Suicidality Severity Rating Scale Already Enrolled Subject test name. | CDISC Questionnaire C-SSRS Already Enrolled Subjects Test Name Terminology |
CSS05-Aborted Attempt, Describe | C107072 | CSS05-Aborted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of aborted attempt. | C-SSRS Already Enrolled Subjects - Description of Aborted Suicide Attempt | ||
CSS05-Aborted Attempt-Prior | C107068 | CSS05-Aborted Attempt-Prior | Columbia-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-Since | C107069 | CSS05-Aborted Attempt-Since | Columbia-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, Describe | C107060 | CSS05-Actual Attempt, Describe | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of actual attempt. | C-SSRS Already Enrolled Subjects - Description of Actual Suicide Attempt | ||
CSS05-Actual Attempt-Prior | C107056 | CSS05-Actual Attempt-Prior | Columbia-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-Since | C107057 | CSS05-Actual Attempt-Since | Columbia-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-Prior | C107078 | CSS05-Completed Suicide-Prior | Columbia-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-Since | C107079 | CSS05-Completed Suicide-Since | Columbia-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 Damage | C107087 | CSS05-First Attempt Damage | Columbia-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 Date | C107086 | CSS05-First Attempt Date | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Initial/first attempt date. | C-SSRS Already Enrolled Subjects - First Suicide Attempt Date | ||
CSS05-First Attempt Potential | C107088 | CSS05-First Attempt Potential | Columbia-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, Describe | C107038 | CSS05-Idea, Intent, No Plan, Describe | Columbia-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-Prior | C107036 | CSS05-Idea, Intent, No Plan-Prior | Columbia-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-Since | C107037 | CSS05-Idea, Intent, No Plan-Since | Columbia-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, Describe | C107035 | CSS05-Idea, No Intent, No Plan, Describe | Columbia-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-Prior | C107033 | CSS05-Idea, No Intent, No Plan-Prior | Columbia-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-Since | C107034 | CSS05-Idea, No Intent, No Plan-Since | Columbia-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, Describe | C107041 | CSS05-Idea, Plan, Intent, Describe | Columbia-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-Prior | C107039 | CSS05-Idea, Plan, Intent-Prior | Columbia-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-Since | C107040 | CSS05-Idea, Plan, Intent-Since | Columbia-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, Describe | C107067 | CSS05-Interrupted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of interrupted attempt. | C-SSRS Already Enrolled Subjects - Description of Interrupted Suicide Attempt | ||
CSS05-Interrupted Attempt-Prior | C107063 | CSS05-Interrupted Attempt-Prior | Columbia-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-Since | C107064 | CSS05-Interrupted Attempt-Since | Columbia-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 Damage | C107084 | CSS05-Most Lethal Attempt Damage | Columbia-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 Date | C107083 | CSS05-Most Lethal Attempt Date | Columbia-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 Potential | C107085 | CSS05-Most Lethal Attempt Potential | Columbia-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 Damage | C107081 | CSS05-Most Recent Attempt Damage | Columbia-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 Date | C107080 | CSS05-Most Recent Attempt Date | Columbia-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 Potential | C107082 | CSS05-Most Recent Attempt Potential | Columbia-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-Prior | C107050 | CSS05-Most Severe Idea, Control-Prior | Columbia-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-Since | C107051 | CSS05-Most Severe Idea, Control-Since | Columbia-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-Prior | C107043 | CSS05-Most Severe Idea, Desc-Prior | Columbia-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-Since | C107045 | CSS05-Most Severe Idea, Desc-Since | Columbia-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-Prior | C107052 | CSS05-Most Severe Idea, Deterrents-Prior | Columbia-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-Since | C107053 | CSS05-Most Severe Idea, Deterrents-Since | Columbia-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-Prior | C107048 | CSS05-Most Severe Idea, Duration-Prior | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - When you have the 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-Since | C107049 | CSS05-Most Severe Idea, Duration-Since | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - When you have the 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-Prior | C107046 | CSS05-Most Severe Idea, Frequency-Prior | Columbia-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-Since | C107047 | CSS05-Most Severe Idea, Frequency-Since | Columbia-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-Prior | C107054 | CSS05-Most Severe Idea, Reasons-Prior | Columbia-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-Since | C107055 | CSS05-Most Severe Idea, Reasons-Since | Columbia-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-Prior | C107042 | CSS05-Most Severe Idea-Prior | Columbia-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-Since | C107044 | CSS05-Most Severe Idea-Since | Columbia-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, Describe | C107032 | CSS05-Non-Spec Suicid Thought, Describe | Columbia-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-Prior | C107030 | CSS05-Non-Spec Suicid Thought-Prior | Columbia-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-Since | C107031 | CSS05-Non-Spec Suicid Thought-Since | Columbia-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-Prior | C107061 | CSS05-Non-suicid Self-injur Behav-Prior | Columbia-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-Since | C107062 | CSS05-Non-suicid Self-injur Behav-Since | Columbia-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-Prior | C107065 | CSS05-Num of Interrupted Attempts-Prior | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of interrupted attempts. (Prior to Study Entry). | C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Prior to Study Entry) | ||
CSS05-Num of Interrupted Attempts-Since | C107066 | CSS05-Num of Interrupted Attempts-Since | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of interrupted attempts. (Since Study Start). | C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Since Study Start) | ||
CSS05-Number of Aborted Attempts-Prior | C107070 | CSS05-Number of Aborted Attempts-Prior | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of aborted attempts. (Prior to Study Entry). | C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Prior to Study Entry) | ||
CSS05-Number of Aborted Attempts-Since | C107071 | CSS05-Number of Aborted Attempts-Since | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of aborted attempts. (Since Study Start). | C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Since Study Start) | ||
CSS05-Number of Actual Attempts-Prior | C107058 | CSS05-Number of Actual Attempts-Prior | Columbia-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-Since | C107059 | CSS05-Number of Actual Attempts-Since | Columbia-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, Descr | C107075 | CSS05-Preparatory Acts/Behavior, Descr | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of preparatory acts or behavior. | C-SSRS Already Enrolled Subjects - Description of Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS05-Preparatory Acts/Behavior-Prior | C107073 | CSS05-Preparatory Acts/Behavior-Prior | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - 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)? (Prior to Study Entry). | C-SSRS Already Enrolled Subjects - Preparatory Acts or Behaviors Toward Suicide Attempt (Prior to Study Entry) | ||
CSS05-Preparatory Acts/Behavior-Since | C107074 | CSS05-Preparatory Acts/Behavior-Since | Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects - 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)? (Since Study Start). | C-SSRS Already Enrolled Subjects - Preparatory Acts or Behaviors Toward Suicide Attempt (Since Study Start) | ||
CSS05-Suicidal Behavior-Prior | C107076 | CSS05-Suicidal Behavior-Prior | Columbia-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-Since | C107077 | CSS05-Suicidal Behavior-Since | Columbia-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, Describe | C107029 | CSS05-Wish to be Dead, Describe | Columbia-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-Prior | C107027 | CSS05-Wish to be Dead-Prior | Columbia-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-Since | C107028 | CSS05-Wish to be Dead-Since | Columbia-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) | ||
Back to top | ||||||
CL.C100168.C-SSRS Baseline TESTCD | QS-Columbia-Suicidality Severity Rating Scale Baseline Test Code (C-SSRS Baseline TESTCD) | text Extensible: No | C100168 | QS-Columbia-Suicidality Severity Rating Scale Baseline Test Code | Columbia-Suicidality Severity Rating Scale Baseline test code. | CDISC Questionnaire C-SSRS Baseline Test Code Terminology |
CSS0101 | C100976 | CSS01-Wish to be Dead | Columbia-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 | ||
CSS0101A | C100977 | CSS01-Wish to be Dead, Describe | Columbia-Suicidality Severity Rating Scale Baseline - Description of wishing to be dead. | C-SSRS Baseline - Description of Wish to be Dead | ||
CSS0102 | C100978 | CSS01-Non-Specific Suicidal Thought | Columbia-Suicidality Severity Rating Scale Baseline - Have you actually had any thoughts of killing yourself? | C-SSRS Baseline - Non-Specific Suicidal Thought | ||
CSS0102A | C100979 | CSS01-Non-Specific Suicid Thought, Descr | Columbia-Suicidality Severity Rating Scale Baseline - Description of non-specific active suicidal thoughts. | C-SSRS Baseline - Description of Non-Specific Suicide Thought | ||
CSS0103 | C100980 | CSS01-Suicidal Ideation-No Intent | Columbia-Suicidality Severity Rating Scale Baseline - Have you been thinking about how you might do this? | C-SSRS Baseline - Suicidal Ideation-No Intent | ||
CSS0103A | C100981 | CSS01-Suicidal Ideation-No Intent, Descr | Columbia-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 | ||
CSS0104 | C101014 | CSS01-Ideation With Intent, No Plan | Columbia-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 | ||
CSS0104A | C101015 | CSS01-Ideation With Intent No Plan Descr | Columbia-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 | ||
CSS0105 | C100982 | CSS01-Ideation With Plan/Intent | Columbia-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 | ||
CSS0105A | C100983 | CSS01-Ideation With Plan/Intent, Descr | Columbia-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 | ||
CSS0106 | C100984 | CSS01-Most Severe Ideation | Columbia-Suicidality Severity Rating Scale Baseline - Most severe ideation. | C-SSRS Baseline - Most Severe Ideation | ||
CSS0106A | C100985 | CSS01-Most Severe Ideation, Description | Columbia-Suicidality Severity Rating Scale Baseline - Description of most severe ideation. | C-SSRS Baseline - Describe Most Severe Ideation | ||
CSS0107 | C100986 | CSS01-Most Severe Ideation, Frequency | Columbia-Suicidality Severity Rating Scale Baseline - How many times have you had these thoughts? | C-SSRS Baseline - Frequency of Most Severe Ideation | ||
CSS0108 | C100987 | CSS01-Most Severe Ideation, Duration | Columbia-Suicidality Severity Rating Scale Baseline - When you have the thoughts, how long do they last? | C-SSRS Baseline - Duration of Most Severe Ideation | ||
CSS0109 | C100988 | CSS01-Most Severe Ideation, Control | Columbia-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 | ||
CSS0110 | C100989 | CSS01-Most Severe Ideation, Deterrents | Columbia-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 | ||
CSS0111 | C100990 | CSS01-Most Severe Ideation, Reasons | Columbia-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 | ||
CSS0112 | C100991 | CSS01-Actual Attempt | Columbia-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 | ||
CSS0113 | C100992 | CSS01-Number of Actual Attempts | Columbia-Suicidality Severity Rating Scale Baseline - Total number of actual attempts. | C-SSRS Baseline - Number of Actual Suicide Attempts | ||
CSS0113A | C100993 | CSS01-Actual Attempt, Describe | Columbia-Suicidality Severity Rating Scale Baseline - Description of actual attempt. | C-SSRS Baseline - Description of Actual Suicide Attempts | ||
CSS0114 | C100994 | CSS01-Non-suicidal Self-injurious Behav | Columbia-Suicidality Severity Rating Scale Baseline - Has the subject engaged in non-suicidal self-injurious behavior. | C-SSRS Baseline - Non-suicidal Self-injurious Behavior | ||
CSS0115 | C100995 | CSS01-Interrupted Attempt | Columbia-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 | ||
CSS0116 | C100996 | CSS01-Number of Interrupted Attempts | Columbia-Suicidality Severity Rating Scale Baseline - Total number of interrupted attempts. | C-SSRS Baseline - Number of Interrupted Suicide Attempts | ||
CSS0116A | C100997 | CSS01-Interrupted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Baseline - Description of interrupted attempt. | C-SSRS Baseline - Description of Interrupted Suicide Attempt | ||
CSS0117 | C100998 | CSS01-Aborted Attempt | Columbia-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 | ||
CSS0118 | C100999 | CSS01-Number of Aborted Attempts | Columbia-Suicidality Severity Rating Scale Baseline - Total number of aborted attempts. | C-SSRS Baseline - Number of Aborted Suicide Attempts | ||
CSS0118A | C101000 | CSS01-Aborted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Baseline - Description of aborted attempt. | C-SSRS Baseline - Description of Aborted Suicide Attempt | ||
CSS0119 | C101001 | CSS01-Preparatory Acts/Behavior | Columbia-Suicidality Severity Rating Scale Baseline - 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 Baseline - Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS0119A | C101002 | CSS01-Preparatory Acts/Behavior, Descr | Columbia-Suicidality Severity Rating Scale Baseline - Description of preparatory acts or behavior. | C-SSRS Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS0120 | C101003 | CSS01-Suicidal Behavior | Columbia-Suicidality Severity Rating Scale Baseline - Suicidal behavior was present during the assessment period? | C-SSRS Baseline - Suicidal Behavior | ||
CSS0121A | C101004 | CSS01-Most Recent Attempt Date | Columbia-Suicidality Severity Rating Scale Baseline - Most recent attempt date. | C-SSRS Baseline - Most Recent Suicide Attempt Date | ||
CSS0121B | C101005 | CSS01-Most Recent Attempt Damage | Columbia-Suicidality Severity Rating Scale Baseline - Most recent attempt actual lethality/medical damage. | C-SSRS Baseline - Most Recent Suicide Attempt Damage | ||
CSS0121C | C101006 | CSS01-Most Recent Attempt Potential | Columbia-Suicidality Severity Rating Scale Baseline - Most recent attempt potential lethality. | C-SSRS Baseline - Most Recent Suicide Attempt Potential | ||
CSS0122A | C101007 | CSS01-Most Lethal Attempt Date | Columbia-Suicidality Severity Rating Scale Baseline - Most lethal attempt date. | C-SSRS Baseline - Most Lethal Suicide Attempt Date | ||
CSS0122B | C101008 | CSS01-Most Lethal Attempt Damage | Columbia-Suicidality Severity Rating Scale Baseline - Most lethal attempt actual lethality/medical damage. | C-SSRS Baseline - Most Lethal Suicide Attempt Damage | ||
CSS0122C | C101009 | CSS01-Most Lethal Attempt Potential | Columbia-Suicidality Severity Rating Scale Baseline - Most lethal attempt potential lethality. | C-SSRS Baseline - Most Lethal Suicide Attempt Potential | ||
CSS0123A | C101010 | CSS01-First Attempt Date | Columbia-Suicidality Severity Rating Scale Baseline - Initial/first attempt date. | C-SSRS Baseline - First Suicide Attempt Date | ||
CSS0123B | C101011 | CSS01-First Attempt Damage | Columbia-Suicidality Severity Rating Scale Baseline - Initial/first attempt actual lethality/medical damage. | C-SSRS Baseline - First Suicide Attempt Damage | ||
CSS0123C | C101012 | CSS01-First Attempt Potential | Columbia-Suicidality Severity Rating Scale Baseline - Initial/first attempt potential lethality. | C-SSRS Baseline - First Suicide Attempt Potential | ||
Back to top | ||||||
CL.C100167.C-SSRS Baseline TEST | QS-Columbia-Suicidality Severity Rating Scale Baseline Test Name (C-SSRS Baseline TEST) | text Extensible: No | C100167 | QS-Columbia-Suicidality Severity Rating Scale Baseline Test Name | Columbia-Suicidality Severity Rating Scale Baseline test name. | CDISC Questionnaire C-SSRS Baseline Test Name Terminology |
CSS01-Aborted Attempt | C100998 | CSS01-Aborted Attempt | Columbia-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, Describe | C101000 | CSS01-Aborted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Baseline - Description of aborted attempt. | C-SSRS Baseline - Description of Aborted Suicide Attempt | ||
CSS01-Actual Attempt | C100991 | CSS01-Actual Attempt | Columbia-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, Describe | C100993 | CSS01-Actual Attempt, Describe | Columbia-Suicidality Severity Rating Scale Baseline - Description of actual attempt. | C-SSRS Baseline - Description of Actual Suicide Attempts | ||
CSS01-First Attempt Damage | C101011 | CSS01-First Attempt Damage | Columbia-Suicidality Severity Rating Scale Baseline - Initial/first attempt actual lethality/medical damage. | C-SSRS Baseline - First Suicide Attempt Damage | ||
CSS01-First Attempt Date | C101010 | CSS01-First Attempt Date | Columbia-Suicidality Severity Rating Scale Baseline - Initial/first attempt date. | C-SSRS Baseline - First Suicide Attempt Date | ||
CSS01-First Attempt Potential | C101012 | CSS01-First Attempt Potential | Columbia-Suicidality Severity Rating Scale Baseline - Initial/first attempt potential lethality. | C-SSRS Baseline - First Suicide Attempt Potential | ||
CSS01-Ideation With Intent No Plan Descr | C101015 | CSS01-Ideation With Intent No Plan Descr | Columbia-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 Plan | C101014 | CSS01-Ideation With Intent, No Plan | Columbia-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/Intent | C100982 | CSS01-Ideation With Plan/Intent | Columbia-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, Descr | C100983 | CSS01-Ideation With Plan/Intent, Descr | Columbia-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 Attempt | C100995 | CSS01-Interrupted Attempt | Columbia-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, Describe | C100997 | CSS01-Interrupted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Baseline - Description of interrupted attempt. | C-SSRS Baseline - Description of Interrupted Suicide Attempt | ||
CSS01-Most Lethal Attempt Damage | C101008 | CSS01-Most Lethal Attempt Damage | Columbia-Suicidality Severity Rating Scale Baseline - Most lethal attempt actual lethality/medical damage. | C-SSRS Baseline - Most Lethal Suicide Attempt Damage | ||
CSS01-Most Lethal Attempt Date | C101007 | CSS01-Most Lethal Attempt Date | Columbia-Suicidality Severity Rating Scale Baseline - Most lethal attempt date. | C-SSRS Baseline - Most Lethal Suicide Attempt Date | ||
CSS01-Most Lethal Attempt Potential | C101009 | CSS01-Most Lethal Attempt Potential | Columbia-Suicidality Severity Rating Scale Baseline - Most lethal attempt potential lethality. | C-SSRS Baseline - Most Lethal Suicide Attempt Potential | ||
CSS01-Most Recent Attempt Damage | C101005 | CSS01-Most Recent Attempt Damage | Columbia-Suicidality Severity Rating Scale Baseline - Most recent attempt actual lethality/medical damage. | C-SSRS Baseline - Most Recent Suicide Attempt Damage | ||
CSS01-Most Recent Attempt Date | C101004 | CSS01-Most Recent Attempt Date | Columbia-Suicidality Severity Rating Scale Baseline - Most recent attempt date. | C-SSRS Baseline - Most Recent Suicide Attempt Date | ||
CSS01-Most Recent Attempt Potential | C101006 | CSS01-Most Recent Attempt Potential | Columbia-Suicidality Severity Rating Scale Baseline - Most recent attempt potential lethality. | C-SSRS Baseline - Most Recent Suicide Attempt Potential | ||
CSS01-Most Severe Ideation | C100984 | CSS01-Most Severe Ideation | Columbia-Suicidality Severity Rating Scale Baseline - Most severe ideation. | C-SSRS Baseline - Most Severe Ideation | ||
CSS01-Most Severe Ideation, Control | C100988 | CSS01-Most Severe Ideation, Control | Columbia-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, Description | C100985 | CSS01-Most Severe Ideation, Description | Columbia-Suicidality Severity Rating Scale Baseline - Description of most severe ideation. | C-SSRS Baseline - Describe Most Severe Ideation | ||
CSS01-Most Severe Ideation, Deterrents | C100989 | CSS01-Most Severe Ideation, Deterrents | Columbia-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, Duration | C100987 | CSS01-Most Severe Ideation, Duration | Columbia-Suicidality Severity Rating Scale Baseline - When you have the thoughts, how long do they last? | C-SSRS Baseline - Duration of Most Severe Ideation | ||
CSS01-Most Severe Ideation, Frequency | C100986 | CSS01-Most Severe Ideation, Frequency | Columbia-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, Reasons | C100990 | CSS01-Most Severe Ideation, Reasons | Columbia-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, Descr | C100979 | CSS01-Non-Specific Suicid Thought, Descr | Columbia-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 Thought | C100978 | CSS01-Non-Specific Suicidal Thought | Columbia-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 Behav | C100994 | CSS01-Non-suicidal Self-injurious Behav | Columbia-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 Attempts | C100999 | CSS01-Number of Aborted Attempts | Columbia-Suicidality Severity Rating Scale Baseline - Total number of aborted attempts. | C-SSRS Baseline - Number of Aborted Suicide Attempts | ||
CSS01-Number of Actual Attempts | C100992 | CSS01-Number of Actual Attempts | Columbia-Suicidality Severity Rating Scale Baseline - Total number of actual attempts. | C-SSRS Baseline - Number of Actual Suicide Attempts | ||
CSS01-Number of Interrupted Attempts | C100996 | CSS01-Number of Interrupted Attempts | Columbia-Suicidality Severity Rating Scale Baseline - Total number of interrupted attempts. | C-SSRS Baseline - Number of Interrupted Suicide Attempts | ||
CSS01-Preparatory Acts/Behavior | C101001 | CSS01-Preparatory Acts/Behavior | Columbia-Suicidality Severity Rating Scale Baseline - 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 Baseline - Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS01-Preparatory Acts/Behavior, Descr | C101002 | CSS01-Preparatory Acts/Behavior, Descr | Columbia-Suicidality Severity Rating Scale Baseline - Description of preparatory acts or behavior. | C-SSRS Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS01-Suicidal Behavior | C101003 | CSS01-Suicidal Behavior | Columbia-Suicidality Severity Rating Scale Baseline - Suicidal behavior was present during the assessment period? | C-SSRS Baseline - Suicidal Behavior | ||
CSS01-Suicidal Ideation-No Intent | C100980 | CSS01-Suicidal Ideation-No Intent | Columbia-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, Descr | C100981 | CSS01-Suicidal Ideation-No Intent, Descr | Columbia-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 Dead | C100976 | CSS01-Wish to be Dead | Columbia-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, Describe | C100977 | CSS01-Wish to be Dead, Describe | Columbia-Suicidality Severity Rating Scale Baseline - Description of wishing to be dead. | C-SSRS Baseline - Description of Wish to be Dead | ||
Back to top | ||||||
CL.C105132.C-SSRS Baseline/Screening Version Phase 1 Study TESTCD | QS-Columbia-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 | C105132 | QS-Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Code | Columbia-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 |
CSS0301A | C105210 | CSS03-Wish to be Dead-Life | Columbia-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) | ||
CSS0301B | C105211 | CSS03-Wish to be Dead-P6M | Columbia-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) | ||
CSS0301C | C105212 | CSS03-Wish to be Dead, Describe | Columbia-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) | ||
CSS0302A | C105213 | CSS03-Non-Spec Suicid Thought-Life | Columbia-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) | ||
CSS0302B | C105214 | CSS03-Non-Spec Suicid Thought-P6M | Columbia-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) | ||
CSS0302C | C105215 | CSS03-Non-Spec Suicid Thought, Describe | Columbia-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) | ||
CSS0303A | C105216 | CSS03-Idea, No Intent, No Plan-Life | Columbia-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) | ||
CSS0303B | C105217 | CSS03-Idea, No Intent, No Plan-P6M | Columbia-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) | ||
CSS0303C | C105218 | CSS03-Idea, No Intent, No Plan, Describe | Columbia-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) | ||
CSS0304A | C105219 | CSS03-Idea, Intent, No Plan-Life | Columbia-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) | ||
CSS0304B | C105220 | CSS03-Idea, Intent, No Plan-P6M | Columbia-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) | ||
CSS0304C | C105221 | CSS03-Idea, Intent, No Plan, Describe | Columbia-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) | ||
CSS0305A | C105222 | CSS03-Idea, Plan, Intent-Life | Columbia-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) | ||
CSS0305B | C105223 | CSS03-Idea, Plan, Intent-P6M | Columbia-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) | ||
CSS0305C | C105224 | CSS03-Idea, Plan, Intent, Describe | Columbia-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) | ||
CSS0306A | C105225 | CSS03-Most Severe Idea-Life | Columbia-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) | ||
CSS0306B | C105226 | CSS03-Most Severe Idea, Desc-Life | Columbia-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) | ||
CSS0306C | C105227 | CSS03-Most Severe Idea-P6M | Columbia-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) | ||
CSS0306D | C105228 | CSS03-Most Severe Idea, Desc-P6M | Columbia-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) | ||
CSS0307A | C105229 | CSS03-Most Severe Idea, Frequency-Life | Columbia-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) | ||
CSS0307B | C105230 | CSS03-Most Severe Idea, Frequency-P6M | Columbia-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) | ||
CSS0308A | C105231 | CSS03-Most Severe Idea, Duration-Life | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have the thoughts how long do they last? (Lifetime). | C-SSRS Baseline/Screening Version Phase 1 Study - Duration of Most Severe Ideation (Lifetime) | ||
CSS0308B | C105232 | CSS03-Most Severe Idea, Duration-P6M | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have the 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) | ||
CSS0309A | C105233 | CSS03-Most Severe Idea, Control-Life | Columbia-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) | ||
CSS0309B | C105234 | CSS03-Most Severe Idea, Control-P6M | Columbia-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) | ||
CSS0310A | C105235 | CSS03-Most Severe Idea, Deterrents-Life | Columbia-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) | ||
CSS0310B | C105236 | CSS03-Most Severe Idea, Deterrents-P6M | Columbia-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) | ||
CSS0311A | C105237 | CSS03-Most Severe Idea, Reasons-Life | Columbia-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) | ||
CSS0311B | C105238 | CSS03-Most Severe Idea, Reasons-P6M | Columbia-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) | ||
CSS0312 | C105239 | CSS03-Actual Attempt | Columbia-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 | ||
CSS0313 | C105240 | CSS03-Number of Actual Attempts | Columbia-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 | ||
CSS0313A | C105241 | CSS03-Actual Attempt, Describe | Columbia-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 | ||
CSS0314 | C105242 | CSS03-Non-suicidal Self-injurious Behav | Columbia-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 | ||
CSS0315 | C105243 | CSS03-Interrupted Attempt | Columbia-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 | ||
CSS0316 | C105244 | CSS03-Number of Interrupted Attempts | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of interrupted attempts. | C-SSRS Baseline/Screening Version Phase 1 Study - Number of Interrupted Suicide Attempts | ||
CSS0316A | C105245 | CSS03-Interrupted Attempt, Describe | Columbia-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 | ||
CSS0317 | C105246 | CSS03-Aborted Attempt | Columbia-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 | ||
CSS0318 | C105247 | CSS03-Number of Aborted Attempts | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of aborted attempts. | C-SSRS Baseline/Screening Version Phase 1 Study - Number of Aborted Suicide Attempts | ||
CSS0318A | C105248 | CSS03-Aborted Attempt, Describe | Columbia-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 | ||
CSS0319 | C105249 | CSS03-Preparatory Acts/Behavior | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - 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 Baseline/Screening Version Phase 1 Study - Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS0319A | C105250 | CSS03-Preparatory Acts/Behavior, Descr | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of preparatory acts or behavior. | C-SSRS Baseline/Screening Version Phase 1 Study - Description of Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS0320 | C105251 | CSS03-Suicidal Behavior | Columbia-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 | ||
CSS0321A | C105252 | CSS03-Most Recent Attempt Date | Columbia-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 | ||
CSS0321B | C105253 | CSS03-Most Recent Attempt Damage | Columbia-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 | ||
CSS0321C | C105254 | CSS03-Most Recent Attempt Potential | Columbia-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 | ||
CSS0322A | C105255 | CSS03-Most Lethal Attempt Date | Columbia-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 | ||
CSS0322B | C105256 | CSS03-Most Lethal Attempt Damage | Columbia-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 | ||
CSS0322C | C105257 | CSS03-Most Lethal Attempt Potential | Columbia-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 | ||
CSS0323A | C105258 | CSS03-First Attempt Date | Columbia-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 | ||
CSS0323B | C105259 | CSS03-First Attempt Damage | Columbia-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 | ||
CSS0323C | C105260 | CSS03-First Attempt Potential | Columbia-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 | ||
Back to top | ||||||
CL.C105131.C-SSRS Baseline/Screening Version Phase 1 Study TEST | QS-Columbia-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 | C105131 | QS-Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Name | Columbia-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 Attempt | C105246 | CSS03-Aborted Attempt | Columbia-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, Describe | C105248 | CSS03-Aborted Attempt, Describe | Columbia-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 Attempt | C105239 | CSS03-Actual Attempt | Columbia-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, Describe | C105241 | CSS03-Actual Attempt, Describe | Columbia-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 Damage | C105259 | CSS03-First Attempt Damage | Columbia-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 Date | C105258 | CSS03-First Attempt Date | Columbia-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 Potential | C105260 | CSS03-First Attempt Potential | Columbia-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, Describe | C105221 | CSS03-Idea, Intent, No Plan, Describe | Columbia-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-Life | C105219 | CSS03-Idea, Intent, No Plan-Life | Columbia-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-P6M | C105220 | CSS03-Idea, Intent, No Plan-P6M | Columbia-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, Describe | C105218 | CSS03-Idea, No Intent, No Plan, Describe | Columbia-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-Life | C105216 | CSS03-Idea, No Intent, No Plan-Life | Columbia-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-P6M | C105217 | CSS03-Idea, No Intent, No Plan-P6M | Columbia-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, Describe | C105224 | CSS03-Idea, Plan, Intent, Describe | Columbia-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-Life | C105222 | CSS03-Idea, Plan, Intent-Life | Columbia-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-P6M | C105223 | CSS03-Idea, Plan, Intent-P6M | Columbia-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 Attempt | C105243 | CSS03-Interrupted Attempt | Columbia-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, Describe | C105245 | CSS03-Interrupted Attempt, Describe | Columbia-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 Damage | C105256 | CSS03-Most Lethal Attempt Damage | Columbia-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 Date | C105255 | CSS03-Most Lethal Attempt Date | Columbia-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 Potential | C105257 | CSS03-Most Lethal Attempt Potential | Columbia-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 Damage | C105253 | CSS03-Most Recent Attempt Damage | Columbia-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 Date | C105252 | CSS03-Most Recent Attempt Date | Columbia-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 Potential | C105254 | CSS03-Most Recent Attempt Potential | Columbia-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-Life | C105233 | CSS03-Most Severe Idea, Control-Life | Columbia-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-P6M | C105234 | CSS03-Most Severe Idea, Control-P6M | Columbia-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-Life | C105226 | CSS03-Most Severe Idea, Desc-Life | Columbia-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-P6M | C105228 | CSS03-Most Severe Idea, Desc-P6M | Columbia-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-Life | C105235 | CSS03-Most Severe Idea, Deterrents-Life | Columbia-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-P6M | C105236 | CSS03-Most Severe Idea, Deterrents-P6M | Columbia-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-Life | C105231 | CSS03-Most Severe Idea, Duration-Life | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have the 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-P6M | C105232 | CSS03-Most Severe Idea, Duration-P6M | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have the 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-Life | C105229 | CSS03-Most Severe Idea, Frequency-Life | Columbia-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-P6M | C105230 | CSS03-Most Severe Idea, Frequency-P6M | Columbia-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-Life | C105237 | CSS03-Most Severe Idea, Reasons-Life | Columbia-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-P6M | C105238 | CSS03-Most Severe Idea, Reasons-P6M | Columbia-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-Life | C105225 | CSS03-Most Severe Idea-Life | Columbia-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-P6M | C105227 | CSS03-Most Severe Idea-P6M | Columbia-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, Describe | C105215 | CSS03-Non-Spec Suicid Thought, Describe | Columbia-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-Life | C105213 | CSS03-Non-Spec Suicid Thought-Life | Columbia-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-P6M | C105214 | CSS03-Non-Spec Suicid Thought-P6M | Columbia-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 Behav | C105242 | CSS03-Non-suicidal Self-injurious Behav | Columbia-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 Attempts | C105247 | CSS03-Number of Aborted Attempts | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of aborted attempts. | C-SSRS Baseline/Screening Version Phase 1 Study - Number of Aborted Suicide Attempts | ||
CSS03-Number of Actual Attempts | C105240 | CSS03-Number of Actual Attempts | Columbia-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 Attempts | C105244 | CSS03-Number of Interrupted Attempts | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of interrupted attempts. | C-SSRS Baseline/Screening Version Phase 1 Study - Number of Interrupted Suicide Attempts | ||
CSS03-Preparatory Acts/Behavior | C105249 | CSS03-Preparatory Acts/Behavior | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - 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 Baseline/Screening Version Phase 1 Study - Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS03-Preparatory Acts/Behavior, Descr | C105250 | CSS03-Preparatory Acts/Behavior, Descr | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of preparatory acts or behavior. | C-SSRS Baseline/Screening Version Phase 1 Study - Description of Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS03-Suicidal Behavior | C105251 | CSS03-Suicidal Behavior | Columbia-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, Describe | C105212 | CSS03-Wish to be Dead, Describe | Columbia-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-Life | C105210 | CSS03-Wish to be Dead-Life | Columbia-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-P6M | C105211 | CSS03-Wish to be Dead-P6M | Columbia-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) | ||
Back to top | ||||||
CL.C106661.C-SSRS Baseline/Screening Version TESTCD | QS-Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Questionnaire Test Code (C-SSRS Baseline/Screening Version TESTCD) | text Extensible: No | C106661 | QS-Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Questionnaire Test Code | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version test code. | CDISC Questionnaire C-SSRS Baseline/Screening Version Test Code Terminology |
CSS0401A | C106707 | CSS04-Wish to be Dead-Life | Columbia-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) | ||
CSS0401B | C106708 | CSS04-Wish to be Dead-P_M | Columbia-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) | ||
CSS0401C | C106709 | CSS04-Wish to be Dead, Describe | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of wishing to be dead. | C-SSRS Baseline/Screening Version - Description of Wish to be Dead | ||
CSS0402A | C106710 | CSS04-Non-Spec Suicid Thought-Life | Columbia-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) | ||
CSS0402B | C106711 | CSS04-Non-Spec Suicid Thought-P_M | Columbia-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) | ||
CSS0402C | C106712 | CSS04-Non-Spec Suicid Thought, Describe | Columbia-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 | ||
CSS0403A | C106713 | CSS04-Idea, No Intent, No Plan-Life | Columbia-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) | ||
CSS0403B | C106714 | CSS04-Idea, No Intent, No Plan-P_M | Columbia-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) | ||
CSS0403C | C106715 | CSS04-Idea, No Intent, No Plan, Describe | Columbia-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 | ||
CSS0404A | C107017 | CSS04-Idea, Intent, No Plan-Life | Columbia-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) | ||
CSS0404B | C107018 | CSS04-Idea, Intent, No Plan-P_M | Columbia-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) | ||
CSS0404C | C107019 | CSS04-Idea, Intent, No Plan, Describe | Columbia-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 | ||
CSS0405A | C106716 | CSS04-Idea, Plan, Intent-Life | Columbia-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) | ||
CSS0405B | C106717 | CSS04-Idea, Plan, Intent-P_M | Columbia-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) | ||
CSS0405C | C106718 | CSS04-Idea, Plan, Intent, Describe | Columbia-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 | ||
CSS0406A | C106719 | CSS04-Most Severe Idea-Life | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Lifetime). | C-SSRS Baseline/Screening Version - Most Severe Ideation (Lifetime) | ||
CSS0406B | C106720 | CSS04-Most Severe Idea, Desc-Life | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of most severe ideation. (Lifetime). | C-SSRS Baseline/Screening Version - Describe Most Severe Ideation (Lifetime) | ||
CSS0406C | C106721 | CSS04-Most Severe Idea-P_M | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Past _ Months). | C-SSRS Baseline/Screening Version - Most Severe Ideation (Past X Months) | ||
CSS0406D | C106722 | CSS04-Most Severe Idea, Desc-P_M | Columbia-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) | ||
CSS0407A | C106723 | CSS04-Most Severe Idea, Frequency-Life | Columbia-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) | ||
CSS0407B | C106724 | CSS04-Most Severe Idea, Frequency-P_M | Columbia-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) | ||
CSS0408A | C106725 | CSS04-Most Severe Idea, Duration-Life | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - When you have the thoughts how long do they last? (Lifetime). | C-SSRS Baseline/Screening Version - Duration of Most Severe Ideation (Lifetime) | ||
CSS0408B | C106726 | CSS04-Most Severe Idea, Duration-P_M | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - When you have the thoughts how long do they last? (Past _ Months). | C-SSRS Baseline/Screening Version - Duration of Most Severe Ideation (Past X Months) | ||
CSS0409A | C106727 | CSS04-Most Severe Idea, Control-Life | Columbia-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) | ||
CSS0409B | C106728 | CSS04-Most Severe Idea, Control-P_M | Columbia-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) | ||
CSS0410A | C106729 | CSS04-Most Severe Idea, Deterrents-Life | Columbia-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) | ||
CSS0410B | C106730 | CSS04-Most Severe Idea, Deterrents-P_M | Columbia-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) | ||
CSS0411A | C106731 | CSS04-Most Severe Idea, Reasons-Life | Columbia-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) | ||
CSS0411B | C106732 | CSS04-Most Severe Idea, Reasons-P_M | Columbia-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) | ||
CSS0412A | C106733 | CSS04-Actual Attempt-Life | Columbia-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) | ||
CSS0412B | C106734 | CSS04-Actual Attempt-P_Y | Columbia-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) | ||
CSS0413A | C106735 | CSS04-Number of Actual Attempts-Life | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of actual attempts. (Lifetime). | C-SSRS Baseline/Screening Version - Number of Actual Suicide Attempts (Lifetime) | ||
CSS0413B | C106736 | CSS04-Number of Actual Attempts-P_Y | Columbia-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) | ||
CSS0413C | C106737 | CSS04-Actual Attempt, Describe | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of actual attempt. | C-SSRS Baseline/Screening Version - Description of Actual Suicide Attempt | ||
CSS0414A | C106738 | CSS04-Non-suicidal Self-injur Behav-Life | Columbia-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) | ||
CSS0414B | C106739 | CSS04-Non-suicidal Self-injur Behav-P_Y | Columbia-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) | ||
CSS0415A | C106740 | CSS04-Interrupted Attempt-Life | Columbia-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) | ||
CSS0415B | C106741 | CSS04-Interrupted Attempt-P_Y | Columbia-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) | ||
CSS0416A | C106742 | CSS04-Number of Interrupt Attempts-Life | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of interrupted attempts. (Lifetime). | C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Lifetime) | ||
CSS0416B | C106743 | CSS04-Number of Interrupt Attempts-P_Y | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of interrupted attempts. (Past _ Years). | C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Past X Years) | ||
CSS0416C | C106744 | CSS04-Interrupted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of interrupted attempt. | C-SSRS Baseline/Screening Version - Description of Interrupted Suicide Attempt | ||
CSS0417A | C106745 | CSS04-Aborted Attempt-Life | Columbia-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) | ||
CSS0417B | C106746 | CSS04-Aborted Attempt-P_Y | Columbia-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) | ||
CSS0418A | C106747 | CSS04-Number of Aborted Attempts-Life | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of aborted attempts. (Lifetime). | C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Lifetime) | ||
CSS0418B | C106748 | CSS04-Number of Aborted Attempts-P_Y | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of aborted attempts. (Past _ Years). | C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Past X Years) | ||
CSS0418C | C106749 | CSS04-Aborted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of aborted attempt. | C-SSRS Baseline/Screening Version - Description of Aborted Suicide Attempt | ||
CSS0419A | C106750 | CSS04-Preparatory Acts/Behavior-Life | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - 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)? (Lifetime). | C-SSRS Baseline/Screening Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime) | ||
CSS0419B | C106751 | CSS04-Preparatory Acts/Behavior-P_Y | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - 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)? (Past _ Years). | C-SSRS Baseline/Screening Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Past X Years) | ||
CSS0419C | C106752 | CSS04-Preparatory Acts/Behav, Descr | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of preparatory acts or behavior. | C-SSRS Baseline/Screening Version - Description of Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS0420A | C106753 | CSS04-Suicidal Behavior-Life | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Suicidal behavior was present during the assessment period? (Lifetime). | C-SSRS Baseline/Screening Version - Suicidal Behavior (Lifetime) | ||
CSS0420B | C106754 | CSS04-Suicidal Behavior-P_Y | Columbia-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) | ||
CSS0421A | C106755 | CSS04-Most Recent Attempt Date | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most recent attempt date. | C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Date | ||
CSS0421B | C106756 | CSS04-Most Recent Attempt Damage | Columbia-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 | ||
CSS0421C | C106757 | CSS04-Most Recent Attempt Potential | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most recent attempt potential lethality. | C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Potential Lethality | ||
CSS0422A | C106758 | CSS04-Most Lethal Attempt Date | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most lethal attempt date. | C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Date | ||
CSS0422B | C106759 | CSS04-Most Lethal Attempt Damage | Columbia-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 | ||
CSS0422C | C106760 | CSS04-Most Lethal Attempt Potential | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most lethal attempt potential lethality. | C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Potential Lethality | ||
CSS0423A | C106761 | CSS04-First Attempt Date | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Initial/first attempt date. | C-SSRS Baseline/Screening Version - First Suicide Attempt Date | ||
CSS0423B | C106762 | CSS04-First Attempt Damage | Columbia-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 | ||
CSS0423C | C106763 | CSS04-First Attempt Potential | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Initial/first attempt potential lethality. | C-SSRS Baseline/Screening Version - First Suicide Attempt Potential Lethality | ||
Back to top | ||||||
CL.C106660.C-SSRS Baseline/Screening Version TEST | QS-Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Questionnaire Test Name (C-SSRS Baseline/Screening Version TEST) | text Extensible: No | C106660 | QS-Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Questionnaire Test Name | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version test name. | CDISC Questionnaire C-SSRS Baseline/Screening Version Test Name Terminology |
CSS04-Aborted Attempt, Describe | C106749 | CSS04-Aborted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of aborted attempt. | C-SSRS Baseline/Screening Version - Description of Aborted Suicide Attempt | ||
CSS04-Aborted Attempt-Life | C106745 | CSS04-Aborted Attempt-Life | Columbia-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_Y | C106746 | CSS04-Aborted Attempt-P_Y | Columbia-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, Describe | C106737 | CSS04-Actual Attempt, Describe | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of actual attempt. | C-SSRS Baseline/Screening Version - Description of Actual Suicide Attempt | ||
CSS04-Actual Attempt-Life | C106733 | CSS04-Actual Attempt-Life | Columbia-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_Y | C106734 | CSS04-Actual Attempt-P_Y | Columbia-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 Damage | C106762 | CSS04-First Attempt Damage | Columbia-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 Date | C106761 | CSS04-First Attempt Date | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Initial/first attempt date. | C-SSRS Baseline/Screening Version - First Suicide Attempt Date | ||
CSS04-First Attempt Potential | C106763 | CSS04-First Attempt Potential | Columbia-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, Describe | C107019 | CSS04-Idea, Intent, No Plan, Describe | Columbia-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-Life | C107017 | CSS04-Idea, Intent, No Plan-Life | Columbia-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_M | C107018 | CSS04-Idea, Intent, No Plan-P_M | Columbia-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, Describe | C106715 | CSS04-Idea, No Intent, No Plan, Describe | Columbia-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-Life | C106713 | CSS04-Idea, No Intent, No Plan-Life | Columbia-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_M | C106714 | CSS04-Idea, No Intent, No Plan-P_M | Columbia-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, Describe | C106718 | CSS04-Idea, Plan, Intent, Describe | Columbia-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-Life | C106716 | CSS04-Idea, Plan, Intent-Life | Columbia-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_M | C106717 | CSS04-Idea, Plan, Intent-P_M | Columbia-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, Describe | C106744 | CSS04-Interrupted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of interrupted attempt. | C-SSRS Baseline/Screening Version - Description of Interrupted Suicide Attempt | ||
CSS04-Interrupted Attempt-Life | C106740 | CSS04-Interrupted Attempt-Life | Columbia-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_Y | C106741 | CSS04-Interrupted Attempt-P_Y | Columbia-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 Damage | C106759 | CSS04-Most Lethal Attempt Damage | Columbia-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 Date | C106758 | CSS04-Most Lethal Attempt Date | Columbia-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 Potential | C106760 | CSS04-Most Lethal Attempt Potential | Columbia-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 Damage | C106756 | CSS04-Most Recent Attempt Damage | Columbia-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 Date | C106755 | CSS04-Most Recent Attempt Date | Columbia-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 Potential | C106757 | CSS04-Most Recent Attempt Potential | Columbia-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-Life | C106727 | CSS04-Most Severe Idea, Control-Life | Columbia-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_M | C106728 | CSS04-Most Severe Idea, Control-P_M | Columbia-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-Life | C106720 | CSS04-Most Severe Idea, Desc-Life | Columbia-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_M | C106722 | CSS04-Most Severe Idea, Desc-P_M | Columbia-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-Life | C106729 | CSS04-Most Severe Idea, Deterrents-Life | Columbia-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_M | C106730 | CSS04-Most Severe Idea, Deterrents-P_M | Columbia-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-Life | C106725 | CSS04-Most Severe Idea, Duration-Life | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - When you have the thoughts how long do they last? (Lifetime). | C-SSRS Baseline/Screening Version - Duration of Most Severe Ideation (Lifetime) | ||
CSS04-Most Severe Idea, Duration-P_M | C106726 | CSS04-Most Severe Idea, Duration-P_M | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - When you have the 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-Life | C106723 | CSS04-Most Severe Idea, Frequency-Life | Columbia-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_M | C106724 | CSS04-Most Severe Idea, Frequency-P_M | Columbia-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-Life | C106731 | CSS04-Most Severe Idea, Reasons-Life | Columbia-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_M | C106732 | CSS04-Most Severe Idea, Reasons-P_M | Columbia-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-Life | C106719 | CSS04-Most Severe Idea-Life | Columbia-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_M | C106721 | CSS04-Most Severe Idea-P_M | Columbia-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, Describe | C106712 | CSS04-Non-Spec Suicid Thought, Describe | Columbia-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-Life | C106710 | CSS04-Non-Spec Suicid Thought-Life | Columbia-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_M | C106711 | CSS04-Non-Spec Suicid Thought-P_M | Columbia-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-Life | C106738 | CSS04-Non-suicidal Self-injur Behav-Life | Columbia-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_Y | C106739 | CSS04-Non-suicidal Self-injur Behav-P_Y | Columbia-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-Life | C106747 | CSS04-Number of Aborted Attempts-Life | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of aborted attempts. (Lifetime). | C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Lifetime) | ||
CSS04-Number of Aborted Attempts-P_Y | C106748 | CSS04-Number of Aborted Attempts-P_Y | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of aborted attempts. (Past _ Years). | C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Past X Years) | ||
CSS04-Number of Actual Attempts-Life | C106735 | CSS04-Number of Actual Attempts-Life | Columbia-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_Y | C106736 | CSS04-Number of Actual Attempts-P_Y | Columbia-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-Life | C106742 | CSS04-Number of Interrupt Attempts-Life | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of interrupted attempts. (Lifetime). | C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Lifetime) | ||
CSS04-Number of Interrupt Attempts-P_Y | C106743 | CSS04-Number of Interrupt Attempts-P_Y | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of interrupted attempts. (Past _ Years). | C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Past X Years) | ||
CSS04-Preparatory Acts/Behav, Descr | C106752 | CSS04-Preparatory Acts/Behav, Descr | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of preparatory acts or behavior. | C-SSRS Baseline/Screening Version - Description of Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS04-Preparatory Acts/Behavior-Life | C106750 | CSS04-Preparatory Acts/Behavior-Life | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - 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)? (Lifetime). | C-SSRS Baseline/Screening Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime) | ||
CSS04-Preparatory Acts/Behavior-P_Y | C106751 | CSS04-Preparatory Acts/Behavior-P_Y | Columbia-Suicidality Severity Rating Scale Baseline/Screening Version - 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)? (Past _ Years). | C-SSRS Baseline/Screening Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Past X Years) | ||
CSS04-Suicidal Behavior-Life | C106753 | CSS04-Suicidal Behavior-Life | Columbia-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_Y | C106754 | CSS04-Suicidal Behavior-P_Y | Columbia-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, Describe | C106709 | CSS04-Wish to be Dead, Describe | Columbia-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-Life | C106707 | CSS04-Wish to be Dead-Life | Columbia-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_M | C106708 | CSS04-Wish to be Dead-P_M | Columbia-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) | ||
Back to top | ||||||
CL.C111336.C-SSRS Children's Baseline TESTCD | QS-Columbia-Suicidality Severity Rating Scale Children's Baseline Questionnaire Test Code (C-SSRS Children's Baseline TESTCD) | text Extensible: No | C111336 | QS-Columbia-Suicidality Severity Rating Scale Children's Baseline Questionnaire Test Code | Columbia-Suicidality Severity Rating Scale Children's Baseline test code. | CDISC Questionnaire C-SSRS Children's Baseline Test Code Terminology |
CSS0601 | C111527 | CSS06-Wish to be Dead | Columbia-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 | ||
CSS0601A | C111528 | CSS06-Wish to be Dead, Describe | Columbia-Suicidality Severity Rating Scale Children's Baseline - Description of wishing to be dead. | C-SSRS Children's Baseline - Description of Wish to be Dead | ||
CSS0602 | C111529 | CSS06-Non-Specific Suicidal Thought | Columbia-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 | ||
CSS0602A | C111530 | CSS06-Non-Specific Suicid Thought, Descr | Columbia-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 | ||
CSS0603 | C111531 | CSS06-Idea, No Intent, No Plan | Columbia-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 | ||
CSS0603A | C111532 | CSS06-Idea, No Intent, No Plan, Describe | Columbia-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 | ||
CSS0604 | C111533 | CSS06-Ideation With Intent, No Plan | Columbia-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 | ||
CSS0604A | C111534 | CSS06-Ideation With Intent No Plan Descr | Columbia-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 | ||
CSS0605 | C111535 | CSS06-Ideation With Plan/Intent | Columbia-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 | ||
CSS0605A | C111536 | CSS06-Ideation With Plan/Intent, Descr | Columbia-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 | ||
CSS0606 | C111537 | CSS06-Most Severe Ideation | Columbia-Suicidality Severity Rating Scale Children's Baseline - Most severe ideation. | C-SSRS Children's Baseline - Most Severe Ideation | ||
CSS0606A | C111538 | CSS06-Most Severe Ideation, Description | Columbia-Suicidality Severity Rating Scale Children's Baseline - Description of most severe ideation. | C-SSRS Children's Baseline - Describe Most Severe Ideation | ||
CSS0607 | C111539 | CSS06-Most Severe Ideation, Frequency | Columbia-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 | ||
CSS0607A | C111540 | CSS06-Frequency, Write Response | Columbia-Suicidality Severity Rating Scale Children's Baseline - Frequency, write response. | C-SSRS Children's Baseline - Frequency, Write Response | ||
CSS0608 | C111541 | CSS06-Actual Attempt | Columbia-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 | ||
CSS0609 | C111542 | CSS06-Number of Actual Attempts | Columbia-Suicidality Severity Rating Scale Children's Baseline - Total number of actual attempts. | C-SSRS Children's Baseline - Number of Actual Suicide Attempts | ||
CSS0609A | C111543 | CSS06-Actual Attempt, Describe | Columbia-Suicidality Severity Rating Scale Children's Baseline - Description of actual attempt. | C-SSRS Children's Baseline - Description of Actual Suicide Attempt | ||
CSS0610 | C111544 | CSS06-Non-suicidal Self-injurious Behav | Columbia-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 | ||
CSS0611 | C111545 | CSS06-Self-injur Behav, Intent Unknown | Columbia-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 | ||
CSS0612 | C111546 | CSS06-Interrupted Attempt | Columbia-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 | ||
CSS0613 | C111547 | CSS06-Number of Interrupt Attempts | Columbia-Suicidality Severity Rating Scale Children's Baseline - Total number of interrupted attempts. | C-SSRS Children's Baseline - Number of Interrupted Suicide Attempts | ||
CSS0613A | C111548 | CSS06-Interrupted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Children's Baseline - Description of interrupted attempt. | C-SSRS Children's Baseline - Description of Interrupted Suicide Attempt | ||
CSS0614 | C111549 | CSS06-Aborted Attempt | Columbia-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 | ||
CSS0615 | C111550 | CSS06-Number of Aborted Attempts | Columbia-Suicidality Severity Rating Scale Children's Baseline - Total number of aborted attempts. | C-SSRS Children's Baseline - Number of Aborted Suicide Attempts | ||
CSS0615A | C111551 | CSS06-Aborted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Children's Baseline - Description of aborted attempt. | C-SSRS Children's Baseline - Description of Aborted Suicide Attempt | ||
CSS0616 | C111552 | CSS06-Preparatory Acts/Behavior | Columbia-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 | ||
CSS0616A | C111553 | CSS06-Preparatory Acts/Behavior, Descr | Columbia-Suicidality Severity Rating Scale Children's Baseline - Description of preparatory acts or behavior. | C-SSRS Children's Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS0617 | C111554 | CSS06-Suicidal Behavior | Columbia-Suicidality Severity Rating Scale Children's Baseline - Suicidal behavior was present during the assessment period? | C-SSRS Children's Baseline - Suicidal Behavior | ||
CSS0618A | C111555 | CSS06-Most Recent Attempt Date | Columbia-Suicidality Severity Rating Scale Children's Baseline - Most recent attempt date. | C-SSRS Children's Baseline - Most Recent Suicide Attempt Date | ||
CSS0618B | C111556 | CSS06-Most Recent Attempt Damage | Columbia-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 | ||
CSS0618C | C111557 | CSS06-Most Recent Attempt Potential | Columbia-Suicidality Severity Rating Scale Children's Baseline - Most recent attempt potential lethality. | C-SSRS Children's Baseline - Most Recent Suicide Attempt Potential Lethality | ||
CSS0619A | C111558 | CSS06-Most Lethal Attempt Date | Columbia-Suicidality Severity Rating Scale Children's Baseline - Most lethal attempt date. | C-SSRS Children's Baseline - Most Lethal Suicide Attempt Date | ||
CSS0619B | C111559 | CSS06-Most Lethal Attempt Damage | Columbia-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 | ||
CSS0619C | C111560 | CSS06-Most Lethal Attempt Potential | Columbia-Suicidality Severity Rating Scale Children's Baseline - Most lethal attempt potential lethality. | C-SSRS Children's Baseline - Most Lethal Suicide Attempt Potential Lethality | ||
CSS0620A | C111561 | CSS06-First Attempt Date | Columbia-Suicidality Severity Rating Scale Children's Baseline - Initial/first attempt date. | C-SSRS Children's Baseline - First Suicide Attempt Date | ||
CSS0620B | C111562 | CSS06-First Attempt Damage | Columbia-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 | ||
CSS0620C | C111563 | CSS06-First Attempt Potential | Columbia-Suicidality Severity Rating Scale Children's Baseline - Initial/first attempt potential lethality. | C-SSRS Children's Baseline - First Suicide Attempt Potential Lethality | ||
Back to top | ||||||
CL.C111335.C-SSRS Children's Baseline TEST | QS-Columbia-Suicidality Severity Rating Scale Children's Baseline Questionnaire Test Name (C-SSRS Children's Baseline TEST) | text Extensible: No | C111335 | QS-Columbia-Suicidality Severity Rating Scale Children's Baseline Questionnaire Test Name | Columbia-Suicidality Severity Rating Scale Children's Baseline test name. | CDISC Questionnaire C-SSRS Children's Baseline Test Name Terminology |
CSS06-Aborted Attempt | C111549 | CSS06-Aborted Attempt | Columbia-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, Describe | C111551 | CSS06-Aborted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Children's Baseline - Description of aborted attempt. | C-SSRS Children's Baseline - Description of Aborted Suicide Attempt | ||
CSS06-Actual Attempt | C111541 | CSS06-Actual Attempt | Columbia-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, Describe | C111543 | CSS06-Actual Attempt, Describe | Columbia-Suicidality Severity Rating Scale Children's Baseline - Description of actual attempt. | C-SSRS Children's Baseline - Description of Actual Suicide Attempt | ||
CSS06-First Attempt Damage | C111562 | CSS06-First Attempt Damage | Columbia-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 Date | C111561 | CSS06-First Attempt Date | Columbia-Suicidality Severity Rating Scale Children's Baseline - Initial/first attempt date. | C-SSRS Children's Baseline - First Suicide Attempt Date | ||
CSS06-First Attempt Potential | C111563 | CSS06-First Attempt Potential | Columbia-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 Response | C111540 | CSS06-Frequency, Write Response | Columbia-Suicidality Severity Rating Scale Children's Baseline - Frequency, write response. | C-SSRS Children's Baseline - Frequency, Write Response | ||
CSS06-Idea, No Intent, No Plan | C111531 | CSS06-Idea, No Intent, No Plan | Columbia-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, Describe | C111532 | CSS06-Idea, No Intent, No Plan, Describe | Columbia-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 Descr | C111534 | CSS06-Ideation With Intent No Plan Descr | Columbia-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 Plan | C111533 | CSS06-Ideation With Intent, No Plan | Columbia-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/Intent | C111535 | CSS06-Ideation With Plan/Intent | Columbia-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, Descr | C111536 | CSS06-Ideation With Plan/Intent, Descr | Columbia-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 Attempt | C111546 | CSS06-Interrupted Attempt | Columbia-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, Describe | C111548 | CSS06-Interrupted Attempt, Describe | Columbia-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 Damage | C111559 | CSS06-Most Lethal Attempt Damage | Columbia-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 Date | C111558 | CSS06-Most Lethal Attempt Date | Columbia-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 Potential | C111560 | CSS06-Most Lethal Attempt Potential | Columbia-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 Damage | C111556 | CSS06-Most Recent Attempt Damage | Columbia-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 Date | C111555 | CSS06-Most Recent Attempt Date | Columbia-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 Potential | C111557 | CSS06-Most Recent Attempt Potential | Columbia-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 Ideation | C111537 | CSS06-Most Severe Ideation | Columbia-Suicidality Severity Rating Scale Children's Baseline - Most severe ideation. | C-SSRS Children's Baseline - Most Severe Ideation | ||
CSS06-Most Severe Ideation, Description | C111538 | CSS06-Most Severe Ideation, Description | Columbia-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, Frequency | C111539 | CSS06-Most Severe Ideation, Frequency | Columbia-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, Descr | C111530 | CSS06-Non-Specific Suicid Thought, Descr | Columbia-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 Thought | C111529 | CSS06-Non-Specific Suicidal Thought | Columbia-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 Behav | C111544 | CSS06-Non-suicidal Self-injurious Behav | Columbia-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 Attempts | C111550 | CSS06-Number of Aborted Attempts | Columbia-Suicidality Severity Rating Scale Children's Baseline - Total number of aborted attempts. | C-SSRS Children's Baseline - Number of Aborted Suicide Attempts | ||
CSS06-Number of Actual Attempts | C111542 | CSS06-Number of Actual Attempts | Columbia-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 Attempts | C111547 | CSS06-Number of Interrupt Attempts | Columbia-Suicidality Severity Rating Scale Children's Baseline - Total number of interrupted attempts. | C-SSRS Children's Baseline - Number of Interrupted Suicide Attempts | ||
CSS06-Preparatory Acts/Behavior | C111552 | CSS06-Preparatory Acts/Behavior | Columbia-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, Descr | C111553 | CSS06-Preparatory Acts/Behavior, Descr | Columbia-Suicidality Severity Rating Scale Children's Baseline - Description of preparatory acts or behavior. | C-SSRS Children's Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS06-Self-injur Behav, Intent Unknown | C111545 | CSS06-Self-injur Behav, Intent Unknown | Columbia-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 Behavior | C111554 | CSS06-Suicidal Behavior | Columbia-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 Dead | C111527 | CSS06-Wish to be Dead | Columbia-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, Describe | C111528 | CSS06-Wish to be Dead, Describe | Columbia-Suicidality Severity Rating Scale Children's Baseline - Description of wishing to be dead. | C-SSRS Children's Baseline - Description of Wish to be Dead | ||
Back to top | ||||||
CL.C111338.C-SSRS Children's Baseline/Screening TESTCD | QS-Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening Questionnaire Test Code (C-SSRS Children's Baseline/Screening TESTCD) | text Extensible: No | C111338 | QS-Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening Questionnaire Test Code | Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening test code. | CDISC Questionnaire C-SSRS Children's Baseline/Screening Test Code Terminology |
CSS0701A | C111385 | CSS07-Wish to be Dead-Life | Columbia-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) | ||
CSS0701B | C111386 | CSS07-Wish to be Dead-P6M | Columbia-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) | ||
CSS0701C | C111387 | CSS07-Wish to be Dead, Describe | Columbia-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 | ||
CSS0702A | C111388 | CSS07-Non-Spec Suicid Thought-Life | Columbia-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) | ||
CSS0702B | C111389 | CSS07-Non-Spec Suicid Thought-P6M | Columbia-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) | ||
CSS0702C | C111390 | CSS07-Non-Spec Suicid Thought, Describe | Columbia-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 | ||
CSS0703A | C111391 | CSS07-Idea, No Intent, No Plan-Life | Columbia-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) | ||
CSS0703B | C111392 | CSS07-Idea, No Intent, No Plan-P6M | Columbia-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) | ||
CSS0703C | C111393 | CSS07-Idea, No Intent, No Plan, Describe | Columbia-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 | ||
CSS0704A | C111394 | CSS07-Idea, Intent, No Plan-Life | Columbia-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) | ||
CSS0704B | C111395 | CSS07-Idea, Intent, No Plan-P6M | Columbia-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) | ||
CSS0704C | C111396 | CSS07-Idea, Intent, No Plan, Describe | Columbia-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 | ||
CSS0705A | C111397 | CSS07-Idea, Plan, Intent-Life | Columbia-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) | ||
CSS0705B | C111398 | CSS07-Idea, Plan, Intent-P6M | Columbia-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) | ||
CSS0705C | C111399 | CSS07-Idea, Plan, Intent, Describe | Columbia-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 | ||
CSS0706A | C111400 | CSS07-Most Severe Idea | Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most severe ideation. | C-SSRS Children's Baseline/Screening - Most Severe Ideation | ||
CSS0706B | C111401 | CSS07-Most Severe Idea, Desc | Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of most severe ideation. | C-SSRS Children's Baseline/Screening - Describe Most Severe Ideation | ||
CSS0707A | C111402 | CSS07-Most Severe Idea, Frequency-Life | Columbia-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) | ||
CSS0707B | C111403 | CSS07-Most Severe Idea, Frequency-P6M | Columbia-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) | ||
CSS0707C | C111404 | CSS07-Frequency, Write Response | Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Frequency, write response. | C-SSRS Children's Baseline/Screening - Frequency, Write Response | ||
CSS0708 | C111405 | CSS07-Actual Attempt | Columbia-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 | ||
CSS0709 | C111406 | CSS07-Number of Actual Attempts | Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Total number of actual attempts. | C-SSRS Children's Baseline/Screening - Number of Actual Suicide Attempts | ||
CSS0709A | C111407 | CSS07-Actual Attempt, Describe | Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of actual attempt. | C-SSRS Children's Baseline/Screening - Description of Actual Suicide Attempt | ||
CSS0710 | C111408 | CSS07-Non-suicidal Self-injur Behav | Columbia-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 | ||
CSS0711 | C111409 | CSS07-Self-injur Behav, Intent Unknown | Columbia-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 | ||
CSS0712 | C111410 | CSS07-Interrupted Attempt | Columbia-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 | ||
CSS0713 | C111411 | CSS07-Number of Interrupt Attempts | Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Total number of interrupted attempts. | C-SSRS Children's Baseline/Screening - Number of Interrupted Suicide Attempts | ||
CSS0713A | C111412 | CSS07-Interrupted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of interrupted attempt. | C-SSRS Children's Baseline/Screening - Description of Interrupted Suicide Attempt | ||
CSS0714 | C111413 | CSS07-Aborted Attempt | Columbia-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 | ||
CSS0715 | C111414 | CSS07-Number of Aborted Attempts | Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Total number of aborted attempts. | C-SSRS Children's Baseline/Screening - Number of Aborted Suicide Attempts | ||
CSS0715A | C111415 | CSS07-Aborted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of aborted attempt. | C-SSRS Children's Baseline/Screening - Description of Aborted Suicide Attempt | ||
CSS0716 | C111416 | CSS07-Preparatory Acts/Behavior | Columbia-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 | ||
CSS0716A | C111417 | CSS07-Preparatory Acts/Behavior, Descr | Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of preparatory acts or behavior. | C-SSRS Children's Baseline/Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS0717 | C111418 | CSS07-Suicidal Behavior | Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Suicidal behavior was present during the assessment period? | C-SSRS Children's Baseline/Screening - Suicidal Behavior | ||
CSS0718A | C111419 | CSS07-Most Recent Attempt Date | Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most recent attempt date. | C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Date | ||
CSS0718B | C111420 | CSS07-Most Recent Attempt Damage | Columbia-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 | ||
CSS0718C | C111421 | CSS07-Most Recent Attempt Potential | Columbia-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 | ||
CSS0719A | C111422 | CSS07-Most Lethal Attempt Date | Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most lethal attempt date. | C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Date | ||
CSS0719B | C111423 | CSS07-Most Lethal Attempt Damage | Columbia-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 | ||
CSS0719C | C111424 | CSS07-Most Lethal Attempt Potential | Columbia-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 | ||
CSS0720A | C111425 | CSS07-First Attempt Date | Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Initial/first attempt date. | C-SSRS Children's Baseline/Screening - First Suicide Attempt Date | ||
CSS0720B | C111426 | CSS07-First Attempt Damage | Columbia-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 | ||
CSS0720C | C111427 | CSS07-First Attempt Potential | Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Initial/first attempt potential lethality. | C-SSRS Children's Baseline/Screening - First Suicide Attempt Potential Lethality | ||
Back to top | ||||||
CL.C111337.C-SSRS Children's Baseline/Screening TEST | QS-Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening Questionnaire Test Name (C-SSRS Children's Baseline/Screening TEST) | text Extensible: No | C111337 | QS-Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening Questionnaire Test Name | Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening test name. | CDISC Questionnaire C-SSRS Children's Baseline/Screening Test Name Terminology |
CSS07-Aborted Attempt | C111413 | CSS07-Aborted Attempt | Columbia-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, Describe | C111415 | CSS07-Aborted Attempt, Describe | Columbia-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 Attempt | C111405 | CSS07-Actual Attempt | Columbia-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, Describe | C111407 | CSS07-Actual Attempt, Describe | Columbia-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 Damage | C111426 | CSS07-First Attempt Damage | Columbia-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 Date | C111425 | CSS07-First Attempt Date | Columbia-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 Potential | C111427 | CSS07-First Attempt Potential | Columbia-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 Response | C111404 | CSS07-Frequency, Write Response | Columbia-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, Describe | C111396 | CSS07-Idea, Intent, No Plan, Describe | Columbia-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-Life | C111394 | CSS07-Idea, Intent, No Plan-Life | Columbia-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-P6M | C111395 | CSS07-Idea, Intent, No Plan-P6M | Columbia-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, Describe | C111393 | CSS07-Idea, No Intent, No Plan, Describe | Columbia-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-Life | C111391 | CSS07-Idea, No Intent, No Plan-Life | Columbia-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-P6M | C111392 | CSS07-Idea, No Intent, No Plan-P6M | Columbia-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, Describe | C111399 | CSS07-Idea, Plan, Intent, Describe | Columbia-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-Life | C111397 | CSS07-Idea, Plan, Intent-Life | Columbia-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-P6M | C111398 | CSS07-Idea, Plan, Intent-P6M | Columbia-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 Attempt | C111410 | CSS07-Interrupted Attempt | Columbia-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, Describe | C111412 | CSS07-Interrupted Attempt, Describe | Columbia-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 Damage | C111423 | CSS07-Most Lethal Attempt Damage | Columbia-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 Date | C111422 | CSS07-Most Lethal Attempt Date | Columbia-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 Potential | C111424 | CSS07-Most Lethal Attempt Potential | Columbia-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 Damage | C111420 | CSS07-Most Recent Attempt Damage | Columbia-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 Date | C111419 | CSS07-Most Recent Attempt Date | Columbia-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 Potential | C111421 | CSS07-Most Recent Attempt Potential | Columbia-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 Idea | C111400 | CSS07-Most Severe Idea | Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most severe ideation. | C-SSRS Children's Baseline/Screening - Most Severe Ideation | ||
CSS07-Most Severe Idea, Desc | C111401 | CSS07-Most Severe Idea, Desc | Columbia-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-Life | C111402 | CSS07-Most Severe Idea, Frequency-Life | Columbia-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-P6M | C111403 | CSS07-Most Severe Idea, Frequency-P6M | Columbia-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, Describe | C111390 | CSS07-Non-Spec Suicid Thought, Describe | Columbia-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-Life | C111388 | CSS07-Non-Spec Suicid Thought-Life | Columbia-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-P6M | C111389 | CSS07-Non-Spec Suicid Thought-P6M | Columbia-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 Behav | C111408 | CSS07-Non-suicidal Self-injur Behav | Columbia-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 Attempts | C111414 | CSS07-Number of Aborted Attempts | Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Total number of aborted attempts. | C-SSRS Children's Baseline/Screening - Number of Aborted Suicide Attempts | ||
CSS07-Number of Actual Attempts | C111406 | CSS07-Number of Actual Attempts | Columbia-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 Attempts | C111411 | CSS07-Number of Interrupt Attempts | Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Total number of interrupted attempts. | C-SSRS Children's Baseline/Screening - Number of Interrupted Suicide Attempts | ||
CSS07-Preparatory Acts/Behavior | C111416 | CSS07-Preparatory Acts/Behavior | Columbia-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, Descr | C111417 | CSS07-Preparatory Acts/Behavior, Descr | Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of preparatory acts or behavior. | C-SSRS Children's Baseline/Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS07-Self-injur Behav, Intent Unknown | C111409 | CSS07-Self-injur Behav, Intent Unknown | Columbia-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 Behavior | C111418 | CSS07-Suicidal Behavior | Columbia-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, Describe | C111387 | CSS07-Wish to be Dead, Describe | Columbia-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-Life | C111385 | CSS07-Wish to be Dead-Life | Columbia-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-P6M | C111386 | CSS07-Wish to be Dead-P6M | Columbia-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) | ||
Back to top | ||||||
CL.C111340.C-SSRS Children's Since Last Visit TESTCD | QS-Columbia-Suicidality Severity Rating Scale Children's Since Last Visit Questionnaire Test Code (C-SSRS Children's Since Last Visit TESTCD) | text Extensible: No | C111340 | QS-Columbia-Suicidality Severity Rating Scale Children's Since Last Visit Questionnaire Test Code | Columbia-Suicidality Severity Rating Scale Children's Since Last Visit test code. | CDISC Questionnaire C-SSRS Children's Since Last Visit Test Code Terminology |
CSS0801 | C111428 | CSS08-Wish to be Dead | Columbia-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 | ||
CSS0801A | C111429 | CSS08-Wish to be Dead, Describe | Columbia-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 | ||
CSS0802 | C111430 | CSS08-Non-Specific Suicidal Thought | Columbia-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 | ||
CSS0802A | C111431 | CSS08-Non-Specific Suicid Thought, Descr | Columbia-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 | ||
CSS0803 | C111432 | CSS08-Idea, No Intent, No Plan | Columbia-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 | ||
CSS0803A | C111433 | CSS08-Idea, No Intent, No Plan, Describe | Columbia-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 | ||
CSS0804 | C111434 | CSS08-Ideation With Intent, No Plan | Columbia-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 | ||
CSS0804A | C111435 | CSS08-Ideation With Intent No Plan Descr | Columbia-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 | ||
CSS0805 | C111436 | CSS08-Ideation With Plan/Intent | Columbia-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 | ||
CSS0805A | C111437 | CSS08-Ideation With Plan/Intent, Descr | Columbia-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 | ||
CSS0806 | C111438 | CSS08-Most Severe Ideation | Columbia-Suicidality Severity Rating Scale Children's Since Last Visit - Most severe ideation. | C-SSRS Children's Since Last Visit - Most Severe Ideation | ||
CSS0806A | C111439 | CSS08-Most Severe Ideation, Description | Columbia-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 | ||
CSS0807 | C111440 | CSS08-Most Severe Ideation, Frequency | Columbia-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 | ||
CSS0807A | C111441 | CSS08-Frequency, Write Response | Columbia-Suicidality Severity Rating Scale Children's Since Last Visit - Frequency, write response. | C-SSRS Children's Since Last Visit - Frequency, Write Response | ||
CSS0808 | C111442 | CSS08-Actual Attempt | Columbia-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 | ||
CSS0809 | C111443 | CSS08-Number of Actual Attempts | Columbia-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 | ||
CSS0809A | C111444 | CSS08-Actual Attempt, Describe | Columbia-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 | ||
CSS0810 | C111445 | CSS08-Non-suicidal Self-injurious Behav | Columbia-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 | ||
CSS0811 | C111446 | CSS08-Self-injur Behav, Intent Unknown | Columbia-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 | ||
CSS0812 | C111447 | CSS08-Interrupted Attempt | Columbia-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 | ||
CSS0813 | C111448 | CSS08-Number of Interrupt Attempts | Columbia-Suicidality Severity Rating Scale Children's Since Last Visit - Total number of interrupted attempts. | C-SSRS Children's Since Last Visit - Number of Interrupted Suicide Attempts | ||
CSS0813A | C111449 | CSS08-Interrupted Attempt, Describe | Columbia-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 | ||
CSS0814 | C111450 | CSS08-Aborted/Self-Interrupted Attempt | Columbia-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 | ||
CSS0815 | C111451 | CSS08-Number of Aborted Attempts | Columbia-Suicidality Severity Rating Scale Children's Since Last Visit - Total number of aborted or self-interrupted attempts. | C-SSRS Children's Since Last Visit - Number of Aborted or Self-interrupted Suicide Attempts | ||
CSS0815A | C111452 | CSS08-Aborted Attempt, Describe | Columbia-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 | ||
CSS0816 | C111453 | CSS08-Preparatory Acts/Behavior | Columbia-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 | ||
CSS0816A | C111454 | CSS08-Preparatory Acts/Behavior, Descr | Columbia-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 | ||
CSS0817 | C111455 | CSS08-Suicidal Behavior | Columbia-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 | ||
CSS0818 | C111456 | CSS08-Suicide | Columbia-Suicidality Severity Rating Scale Children's Since Last Visit - Suicide. | C-SSRS Children's Since Last Visit - Suicide | ||
CSS0819A | C111457 | CSS08-Most Lethal Attempt Date | Columbia-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 | ||
CSS0819B | C111458 | CSS08-Most Lethal Attempt Damage | Columbia-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 | ||
CSS0819C | C111459 | CSS08-Most Lethal Attempt Potential | Columbia-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 | ||
Back to top | ||||||
CL.C111339.C-SSRS Children's Since Last Visit TEST | QS-Columbia-Suicidality Severity Rating Scale Children's Since Last Visit Questionnaire Test Name (C-SSRS Children's Since Last Visit TEST) | text Extensible: No | C111339 | QS-Columbia-Suicidality Severity Rating Scale Children's Since Last Visit Questionnaire Test Name | Columbia-Suicidality 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, Describe | C111452 | CSS08-Aborted Attempt, Describe | Columbia-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 Attempt | C111450 | CSS08-Aborted/Self-Interrupted Attempt | Columbia-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 Attempt | C111442 | CSS08-Actual Attempt | Columbia-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, Describe | C111444 | CSS08-Actual Attempt, Describe | Columbia-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 Response | C111441 | CSS08-Frequency, Write Response | Columbia-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 Plan | C111432 | CSS08-Idea, No Intent, No Plan | Columbia-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, Describe | C111433 | CSS08-Idea, No Intent, No Plan, Describe | Columbia-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 Descr | C111435 | CSS08-Ideation With Intent No Plan Descr | Columbia-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 Plan | C111434 | CSS08-Ideation With Intent, No Plan | Columbia-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/Intent | C111436 | CSS08-Ideation With Plan/Intent | Columbia-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, Descr | C111437 | CSS08-Ideation With Plan/Intent, Descr | Columbia-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 Attempt | C111447 | CSS08-Interrupted Attempt | Columbia-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, Describe | C111449 | CSS08-Interrupted Attempt, Describe | Columbia-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 Damage | C111458 | CSS08-Most Lethal Attempt Damage | Columbia-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 Date | C111457 | CSS08-Most Lethal Attempt Date | Columbia-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 Potential | C111459 | CSS08-Most Lethal Attempt Potential | Columbia-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 Ideation | C111438 | CSS08-Most Severe Ideation | Columbia-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, Description | C111439 | CSS08-Most Severe Ideation, Description | Columbia-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, Frequency | C111440 | CSS08-Most Severe Ideation, Frequency | Columbia-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, Descr | C111431 | CSS08-Non-Specific Suicid Thought, Descr | Columbia-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 Thought | C111430 | CSS08-Non-Specific Suicidal Thought | Columbia-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 Behav | C111445 | CSS08-Non-suicidal Self-injurious Behav | Columbia-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 Attempts | C111451 | CSS08-Number of Aborted Attempts | Columbia-Suicidality Severity Rating Scale Children's Since Last Visit - Total number of aborted or self-interrupted attempts. | C-SSRS Children's Since Last Visit - Number of Aborted or Self-interrupted Suicide Attempts | ||
CSS08-Number of Actual Attempts | C111443 | CSS08-Number of Actual Attempts | Columbia-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 Attempts | C111448 | CSS08-Number of Interrupt Attempts | Columbia-Suicidality Severity Rating Scale Children's Since Last Visit - Total number of interrupted attempts. | C-SSRS Children's Since Last Visit - Number of Interrupted Suicide Attempts | ||
CSS08-Preparatory Acts/Behavior | C111453 | CSS08-Preparatory Acts/Behavior | Columbia-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, Descr | C111454 | CSS08-Preparatory Acts/Behavior, Descr | Columbia-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 Unknown | C111446 | CSS08-Self-injur Behav, Intent Unknown | Columbia-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 Behavior | C111455 | CSS08-Suicidal Behavior | Columbia-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-Suicide | C111456 | CSS08-Suicide | Columbia-Suicidality Severity Rating Scale Children's Since Last Visit - Suicide. | C-SSRS Children's Since Last Visit - Suicide | ||
CSS08-Wish to be Dead | C111428 | CSS08-Wish to be Dead | Columbia-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, Describe | C111429 | CSS08-Wish to be Dead, Describe | Columbia-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 | ||
Back to top | ||||||
CL.C117989.C-SSRS Lifetime/Recent Version TESTCD | QS-Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version Questionnaire Test Code (C-SSRS Lifetime/Recent Version TESTCD) | text Extensible: No | C117989 | QS-Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version Questionnaire Test Code | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version test code. | CDISC Questionnaire C-SSRS Lifetime/Recent Version Test Code Terminology |
CSS1101A | C118019 | CSS11-Wish to be Dead-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime). | C-SSRS Lifetime/Recent Version - Wish to be Dead (Lifetime) | ||
CSS1101B | C118020 | CSS11-Wish to be Dead-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Past 1 Month). | C-SSRS Lifetime/Recent Version - Wish to be Dead (Past 1 Month) | ||
CSS1101C | C118021 | CSS11-Wish to be Dead, Describe | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of wishing to be dead. | C-SSRS Lifetime/Recent Version - Description of Wish to be Dead | ||
CSS1102A | C118022 | CSS11-Non-Spec Suicid Thought-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Have you actually had any thoughts of killing yourself? (Lifetime). | C-SSRS Lifetime/Recent Version - Non-Specific Active Suicidal Thoughts (Lifetime) | ||
CSS1102B | C118023 | CSS11-Non-Spec Suicid Thought-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Have you actually had any thoughts of killing yourself? (Past 1 Month). | C-SSRS Lifetime/Recent Version - Non-Specific Active Suicidal Thoughts (Past 1 Months) | ||
CSS1102C | C118024 | CSS11-Non-Spec Suicid Thought, Describe | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of non-specific active suicidal thoughts. | C-SSRS Lifetime/Recent Version - Description of Non-Specific Active Suicidal Thoughts | ||
CSS1103A | C118025 | CSS11-Idea, No Intent, No Plan-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Have you been thinking about how you might do this? (Lifetime). | C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime) | ||
CSS1103B | C118026 | CSS11-Idea, No Intent, No Plan-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Have you been thinking about how you might do this? (Past 1 Month). | C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 1 Month) | ||
CSS1103C | C118027 | CSS11-Idea, No Intent, No Plan, Describe | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with any methods (not plan) without intent to act. | C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act | ||
CSS1104A | C118028 | CSS11-Idea, Intent, No Plan-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Have you had these thoughts and had some intention of acting on them? (Lifetime). | C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime) | ||
CSS1104B | C118029 | CSS11-Idea, Intent, No Plan-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Have you had these thoughts and had some intention of acting on them? (Past 1 Month). | C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 1 Month) | ||
CSS1104C | C118030 | CSS11-Idea, Intent, No Plan, Describe | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with some intent to act, without specific plan. | C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan | ||
CSS1105A | C118031 | CSS11-Idea, Plan, Intent-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent 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 Lifetime/Recent Version - Active Suicidal Ideation with Specific Plan and Intent (Lifetime) | ||
CSS1105B | C118032 | CSS11-Idea, Plan, Intent-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent 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 1 Month). | C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Specific Plan and Intent (Past 1 Month) | ||
CSS1105C | C118033 | CSS11-Idea, Plan, Intent, Describe | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with specific plan and intent. | C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Specific Plan and Intent | ||
CSS1106A | C118034 | CSS11-Most Severe Idea-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Most severe ideation. (Lifetime). | C-SSRS Lifetime/Recent Version - Most Severe Ideation (Lifetime) | ||
CSS1106B | C118035 | CSS11-Most Severe Idea, Desc-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of most severe ideation. (Lifetime). | C-SSRS Lifetime/Recent Version - Describe Most Severe Ideation (Lifetime) | ||
CSS1106C | C118036 | CSS11-Most Severe Idea-Recent-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Most severe ideation. (Recent - Past 1 Month). | C-SSRS Lifetime/Recent Version - Recent Most Severe Ideation (Past 1 Month) | ||
CSS1106D | C118037 | CSS11-Most Severe Idea, Desc-Recent-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of most severe ideation. (Recent - Past 1 Month). | C-SSRS Lifetime/Recent Version - Describe Recent Most Severe Ideation (Past 1 Month) | ||
CSS1107A | C118038 | CSS11-Most Severe Idea, Frequency-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - How many times have you had these thoughts? (Lifetime). | C-SSRS Lifetime/Recent Version - Frequency of Most Severe Ideation (Lifetime) | ||
CSS1107B | C118039 | CSS11-Most Severe Idea, Frequency-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - How many times have you had these thoughts? (Past 1 Month). | C-SSRS Lifetime/Recent Version - Frequency of Most Severe Ideation (Past 1 Month) | ||
CSS1108A | C118040 | CSS11-Most Severe Idea, Duration-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - When you have the thoughts how long do they last? (Lifetime). | C-SSRS Lifetime/Recent Version - Duration of Most Severe Ideation (Lifetime) | ||
CSS1108B | C118041 | CSS11-Most Severe Idea, Duration-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - When you have the thoughts how long do they last? (Past 1 Month). | C-SSRS Lifetime/Recent Version - Duration of Most Severe Ideation (Past 1 Month) | ||
CSS1109A | C118042 | CSS11-Most Severe Idea, Control-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime). | C-SSRS Lifetime/Recent Version - Controllability of Most Severe Ideation (Lifetime) | ||
CSS1109B | C118043 | CSS11-Most Severe Idea, Control-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past 1 Month). | C-SSRS Lifetime/Recent Version - Controllability of Most Severe Ideation (Past 1 Month) | ||
CSS1110A | C118044 | CSS11-Most Severe Idea, Deterrents-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent 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 Lifetime/Recent Version - Deterrents to Most Severe Ideation (Lifetime) | ||
CSS1110B | C118045 | CSS11-Most Severe Idea, Deterrents-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent 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 1 Month). | C-SSRS Lifetime/Recent Version - Deterrents to Most Severe Ideation (Past 1 Month) | ||
CSS1111A | C118046 | CSS11-Most Severe Idea, Reasons-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent 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 Lifetime/Recent Version - Reasons for Most Severe Ideation (Lifetime) | ||
CSS1111B | C118047 | CSS11-Most Severe Idea, Reasons-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent 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 1 Month). | C-SSRS Lifetime/Recent Version - Reasons for Most Severe Ideation (Past 1 Month) | ||
CSS1112A | C118048 | CSS11-Actual Attempt-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent 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 Lifetime/Recent Version - Actual Suicide Attempt (Lifetime) | ||
CSS1112B | C118049 | CSS11-Actual Attempt-P3M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent 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 3 Months). | C-SSRS Lifetime/Recent Version - Actual Suicide Attempt (Past 3 Months) | ||
CSS1113A | C118050 | CSS11-Number of Actual Attempts-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Total number of actual attempts. (Lifetime). | C-SSRS Lifetime/Recent Version - Number of Actual Suicide Attempts (Lifetime) | ||
CSS1113B | C118051 | CSS11-Number of Actual Attempts-P3M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Total number of actual attempts. (Past 3 Months). | C-SSRS Lifetime/Recent Version - Number of Actual Suicide Attempts (Past 3 Months) | ||
CSS1113C | C118052 | CSS11-Actual Attempt, Describe | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of actual attempt. | C-SSRS Lifetime/Recent Version - Description of Actual Suicide Attempt | ||
CSS1114A | C118053 | CSS11-Non-suicid Self-injur Behav-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Has subject engaged in non-suicidal self-injurious behavior? (Lifetime). | C-SSRS Lifetime/Recent Version - Non-suicidal Self-injurious Behavior (Lifetime) | ||
CSS1114B | C118054 | CSS11-Non-suicid Self-injur Behav-P3M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Has subject engaged in non-suicidal self-injurious behavior? (Past 3 Months). | C-SSRS Lifetime/Recent Version - Non-suicidal Self-injurious Behavior (Past 3 Months) | ||
CSS1115A | C118055 | CSS11-Interrupted Attempt-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - 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? (Lifetime). | C-SSRS Lifetime/Recent Version - Interrupted Suicide Attempt (Lifetime) | ||
CSS1115B | C118056 | CSS11-Interrupted Attempt-P3M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - 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? (Past 3 Months). | C-SSRS Lifetime/Recent Version - Interrupted Suicide Attempt (Past 3 Months) | ||
CSS1116A | C118057 | CSS11-Num of Interrupted Attempts-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Total number of interrupted attempts. (Lifetime). | C-SSRS Lifetime/Recent Version - Number of Interrupted Suicide Attempts (Lifetime) | ||
CSS1116B | C118058 | CSS11-Num of Interrupted Attempts-P3M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Total number of interrupted attempts. (Past 3 Months). | C-SSRS Lifetime/Recent Version - Number of Interrupted Suicide Attempts (Past 3 Months) | ||
CSS1116C | C118059 | CSS11-Interrupted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of interrupted attempt. | C-SSRS Lifetime/Recent Version - Description of Interrupted Suicide Attempt | ||
CSS1117A | C118060 | CSS11-Aborted Attempt-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent 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 Lifetime/Recent Version - Aborted Suicide Attempt (Lifetime) | ||
CSS1117B | C118061 | CSS11-Aborted Attempt-P3M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent 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 3 Months). | C-SSRS Lifetime/Recent Version - Aborted Suicide Attempt (Past 3 Months) | ||
CSS1118A | C118062 | CSS11-Number of Aborted Attempts-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Total number of aborted or self-interrupted attempts. (Lifetime). | C-SSRS Lifetime/Recent Version - Number of Aborted Suicide Attempts (Lifetime) | ||
CSS1118B | C118063 | CSS11-Number of Aborted Attempts-P3M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Total number of aborted or self-interrupted attempts. (Past 3 Months). | C-SSRS Lifetime/Recent Version - Number of Aborted Suicide Attempts (Past 3 Months) | ||
CSS1118C | C118064 | CSS11-Aborted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of aborted or self-interrupted attempt. | C-SSRS Lifetime/Recent Version - Description of Aborted Suicide Attempt | ||
CSS1119A | C118065 | CSS11-Preparatory Acts/Behavior-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - 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)? (Lifetime). | C-SSRS Lifetime/Recent Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime) | ||
CSS1119B | C118066 | CSS11-Preparatory Acts/Behavior-P3M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - 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)? (Past 3 Months). | C-SSRS Lifetime/Recent Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Past 3 Months) | ||
CSS1119C | C118067 | CSS11-Preparatory Acts/Behavior, Descr | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of preparatory acts or behavior. | C-SSRS Lifetime/Recent Version - Description of Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS1120A | C118068 | CSS11-Suicidal Behavior-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Suicidal behavior was present during the assessment period? (Lifetime). | C-SSRS Lifetime/Recent Version - Suicidal Behavior (Lifetime) | ||
CSS1120B | C118069 | CSS11-Suicidal Behavior-P3M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Suicidal behavior was present during the assessment period? (Past 3 Months). | C-SSRS Lifetime/Recent Version - Suicidal Behavior (Past 3 Months) | ||
CSS1121A | C118070 | CSS11-Most Recent Attempt Date | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Most recent attempt date. | C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Date | ||
CSS1121B | C118071 | CSS11-Most Recent Attempt Damage | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Most recent attempt actual lethality/medical damage. | C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Actual Lethality/Medical Damage | ||
CSS1121C | C118072 | CSS11-Most Recent Attempt Potential | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Most recent attempt potential lethality. | C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Potential Lethality | ||
CSS1122A | C118073 | CSS11-Most Lethal Attempt Date | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Most lethal attempt date. | C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Date | ||
CSS1122B | C118074 | CSS11-Most Lethal Attempt Damage | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Most lethal attempt actual lethality/medical damage. | C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Actual Lethality/Medical Damage | ||
CSS1122C | C118075 | CSS11-Most Lethal Attempt Potential | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Most lethal attempt potential lethality. | C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Potential Lethality | ||
CSS1123A | C118076 | CSS11-First Attempt Date | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Initial/first attempt date. | C-SSRS Lifetime/Recent Version - First Suicide Attempt Date | ||
CSS1123B | C118077 | CSS11-First Attempt Damage | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Initial/first attempt actual lethality/medical damage. | C-SSRS Lifetime/Recent Version - First Suicide Attempt Actual Lethality/Medical Damage | ||
CSS1123C | C118078 | CSS11-First Attempt Potential | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Initial/first attempt potential lethality. | C-SSRS Lifetime/Recent Version - First Suicide Attempt Potential Lethality | ||
Back to top | ||||||
CL.C117988.C-SSRS Lifetime/Recent Version TEST | QS-Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version Questionnaire Test Name (C-SSRS Lifetime/Recent Version TEST) | text Extensible: No | C117988 | QS-Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version Questionnaire Test Name | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version test name. | CDISC Questionnaire C-SSRS Lifetime/Recent Version Test Name Terminology |
CSS11-Aborted Attempt, Describe | C118064 | CSS11-Aborted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of aborted or self-interrupted attempt. | C-SSRS Lifetime/Recent Version - Description of Aborted Suicide Attempt | ||
CSS11-Aborted Attempt-Life | C118060 | CSS11-Aborted Attempt-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent 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 Lifetime/Recent Version - Aborted Suicide Attempt (Lifetime) | ||
CSS11-Aborted Attempt-P3M | C118061 | CSS11-Aborted Attempt-P3M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent 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 3 Months). | C-SSRS Lifetime/Recent Version - Aborted Suicide Attempt (Past 3 Months) | ||
CSS11-Actual Attempt, Describe | C118052 | CSS11-Actual Attempt, Describe | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of actual attempt. | C-SSRS Lifetime/Recent Version - Description of Actual Suicide Attempt | ||
CSS11-Actual Attempt-Life | C118048 | CSS11-Actual Attempt-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent 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 Lifetime/Recent Version - Actual Suicide Attempt (Lifetime) | ||
CSS11-Actual Attempt-P3M | C118049 | CSS11-Actual Attempt-P3M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent 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 3 Months). | C-SSRS Lifetime/Recent Version - Actual Suicide Attempt (Past 3 Months) | ||
CSS11-First Attempt Damage | C118077 | CSS11-First Attempt Damage | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Initial/first attempt actual lethality/medical damage. | C-SSRS Lifetime/Recent Version - First Suicide Attempt Actual Lethality/Medical Damage | ||
CSS11-First Attempt Date | C118076 | CSS11-First Attempt Date | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Initial/first attempt date. | C-SSRS Lifetime/Recent Version - First Suicide Attempt Date | ||
CSS11-First Attempt Potential | C118078 | CSS11-First Attempt Potential | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Initial/first attempt potential lethality. | C-SSRS Lifetime/Recent Version - First Suicide Attempt Potential Lethality | ||
CSS11-Idea, Intent, No Plan, Describe | C118030 | CSS11-Idea, Intent, No Plan, Describe | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with some intent to act, without specific plan. | C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan | ||
CSS11-Idea, Intent, No Plan-Life | C118028 | CSS11-Idea, Intent, No Plan-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Have you had these thoughts and had some intention of acting on them? (Lifetime). | C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime) | ||
CSS11-Idea, Intent, No Plan-P1M | C118029 | CSS11-Idea, Intent, No Plan-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Have you had these thoughts and had some intention of acting on them? (Past 1 Month). | C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 1 Month) | ||
CSS11-Idea, No Intent, No Plan, Describe | C118027 | CSS11-Idea, No Intent, No Plan, Describe | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with any methods (not plan) without intent to act. | C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act | ||
CSS11-Idea, No Intent, No Plan-Life | C118025 | CSS11-Idea, No Intent, No Plan-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Have you been thinking about how you might do this? (Lifetime). | C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime) | ||
CSS11-Idea, No Intent, No Plan-P1M | C118026 | CSS11-Idea, No Intent, No Plan-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Have you been thinking about how you might do this? (Past 1 Month). | C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 1 Month) | ||
CSS11-Idea, Plan, Intent, Describe | C118033 | CSS11-Idea, Plan, Intent, Describe | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of active suicidal ideation with specific plan and intent. | C-SSRS Lifetime/Recent Version - Description of Active Suicidal Ideation with Specific Plan and Intent | ||
CSS11-Idea, Plan, Intent-Life | C118031 | CSS11-Idea, Plan, Intent-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent 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 Lifetime/Recent Version - Active Suicidal Ideation with Specific Plan and Intent (Lifetime) | ||
CSS11-Idea, Plan, Intent-P1M | C118032 | CSS11-Idea, Plan, Intent-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent 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 1 Month). | C-SSRS Lifetime/Recent Version - Active Suicidal Ideation with Specific Plan and Intent (Past 1 Month) | ||
CSS11-Interrupted Attempt, Describe | C118059 | CSS11-Interrupted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of interrupted attempt. | C-SSRS Lifetime/Recent Version - Description of Interrupted Suicide Attempt | ||
CSS11-Interrupted Attempt-Life | C118055 | CSS11-Interrupted Attempt-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - 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? (Lifetime). | C-SSRS Lifetime/Recent Version - Interrupted Suicide Attempt (Lifetime) | ||
CSS11-Interrupted Attempt-P3M | C118056 | CSS11-Interrupted Attempt-P3M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - 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? (Past 3 Months). | C-SSRS Lifetime/Recent Version - Interrupted Suicide Attempt (Past 3 Months) | ||
CSS11-Most Lethal Attempt Damage | C118074 | CSS11-Most Lethal Attempt Damage | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Most lethal attempt actual lethality/medical damage. | C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Actual Lethality/Medical Damage | ||
CSS11-Most Lethal Attempt Date | C118073 | CSS11-Most Lethal Attempt Date | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Most lethal attempt date. | C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Date | ||
CSS11-Most Lethal Attempt Potential | C118075 | CSS11-Most Lethal Attempt Potential | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Most lethal attempt potential lethality. | C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Potential Lethality | ||
CSS11-Most Recent Attempt Damage | C118071 | CSS11-Most Recent Attempt Damage | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Most recent attempt actual lethality/medical damage. | C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Actual Lethality/Medical Damage | ||
CSS11-Most Recent Attempt Date | C118070 | CSS11-Most Recent Attempt Date | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Most recent attempt date. | C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Date | ||
CSS11-Most Recent Attempt Potential | C118072 | CSS11-Most Recent Attempt Potential | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Most recent attempt potential lethality. | C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Potential Lethality | ||
CSS11-Most Severe Idea, Control-Life | C118042 | CSS11-Most Severe Idea, Control-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime). | C-SSRS Lifetime/Recent Version - Controllability of Most Severe Ideation (Lifetime) | ||
CSS11-Most Severe Idea, Control-P1M | C118043 | CSS11-Most Severe Idea, Control-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past 1 Month). | C-SSRS Lifetime/Recent Version - Controllability of Most Severe Ideation (Past 1 Month) | ||
CSS11-Most Severe Idea, Desc-Life | C118035 | CSS11-Most Severe Idea, Desc-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of most severe ideation. (Lifetime). | C-SSRS Lifetime/Recent Version - Describe Most Severe Ideation (Lifetime) | ||
CSS11-Most Severe Idea, Desc-Recent-P1M | C118037 | CSS11-Most Severe Idea, Desc-Recent-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of most severe ideation. (Recent - Past 1 Month). | C-SSRS Lifetime/Recent Version - Describe Recent Most Severe Ideation (Past 1 Month) | ||
CSS11-Most Severe Idea, Deterrents-Life | C118044 | CSS11-Most Severe Idea, Deterrents-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent 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 Lifetime/Recent Version - Deterrents to Most Severe Ideation (Lifetime) | ||
CSS11-Most Severe Idea, Deterrents-P1M | C118045 | CSS11-Most Severe Idea, Deterrents-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent 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 1 Month). | C-SSRS Lifetime/Recent Version - Deterrents to Most Severe Ideation (Past 1 Month) | ||
CSS11-Most Severe Idea, Duration-Life | C118040 | CSS11-Most Severe Idea, Duration-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - When you have the thoughts how long do they last? (Lifetime). | C-SSRS Lifetime/Recent Version - Duration of Most Severe Ideation (Lifetime) | ||
CSS11-Most Severe Idea, Duration-P1M | C118041 | CSS11-Most Severe Idea, Duration-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - When you have the thoughts how long do they last? (Past 1 Month). | C-SSRS Lifetime/Recent Version - Duration of Most Severe Ideation (Past 1 Month) | ||
CSS11-Most Severe Idea, Frequency-Life | C118038 | CSS11-Most Severe Idea, Frequency-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - How many times have you had these thoughts? (Lifetime). | C-SSRS Lifetime/Recent Version - Frequency of Most Severe Ideation (Lifetime) | ||
CSS11-Most Severe Idea, Frequency-P1M | C118039 | CSS11-Most Severe Idea, Frequency-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - How many times have you had these thoughts? (Past 1 Month). | C-SSRS Lifetime/Recent Version - Frequency of Most Severe Ideation (Past 1 Month) | ||
CSS11-Most Severe Idea, Reasons-Life | C118046 | CSS11-Most Severe Idea, Reasons-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent 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 Lifetime/Recent Version - Reasons for Most Severe Ideation (Lifetime) | ||
CSS11-Most Severe Idea, Reasons-P1M | C118047 | CSS11-Most Severe Idea, Reasons-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent 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 1 Month). | C-SSRS Lifetime/Recent Version - Reasons for Most Severe Ideation (Past 1 Month) | ||
CSS11-Most Severe Idea-Life | C118034 | CSS11-Most Severe Idea-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Most severe ideation. (Lifetime). | C-SSRS Lifetime/Recent Version - Most Severe Ideation (Lifetime) | ||
CSS11-Most Severe Idea-Recent-P1M | C118036 | CSS11-Most Severe Idea-Recent-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Most severe ideation. (Recent - Past 1 Month). | C-SSRS Lifetime/Recent Version - Recent Most Severe Ideation (Past 1 Month) | ||
CSS11-Non-Spec Suicid Thought, Describe | C118024 | CSS11-Non-Spec Suicid Thought, Describe | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of non-specific active suicidal thoughts. | C-SSRS Lifetime/Recent Version - Description of Non-Specific Active Suicidal Thoughts | ||
CSS11-Non-Spec Suicid Thought-Life | C118022 | CSS11-Non-Spec Suicid Thought-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Have you actually had any thoughts of killing yourself? (Lifetime). | C-SSRS Lifetime/Recent Version - Non-Specific Active Suicidal Thoughts (Lifetime) | ||
CSS11-Non-Spec Suicid Thought-P1M | C118023 | CSS11-Non-Spec Suicid Thought-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Have you actually had any thoughts of killing yourself? (Past 1 Month). | C-SSRS Lifetime/Recent Version - Non-Specific Active Suicidal Thoughts (Past 1 Months) | ||
CSS11-Non-suicid Self-injur Behav-Life | C118053 | CSS11-Non-suicid Self-injur Behav-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Has subject engaged in non-suicidal self-injurious behavior? (Lifetime). | C-SSRS Lifetime/Recent Version - Non-suicidal Self-injurious Behavior (Lifetime) | ||
CSS11-Non-suicid Self-injur Behav-P3M | C118054 | CSS11-Non-suicid Self-injur Behav-P3M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Has subject engaged in non-suicidal self-injurious behavior? (Past 3 Months). | C-SSRS Lifetime/Recent Version - Non-suicidal Self-injurious Behavior (Past 3 Months) | ||
CSS11-Num of Interrupted Attempts-Life | C118057 | CSS11-Num of Interrupted Attempts-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Total number of interrupted attempts. (Lifetime). | C-SSRS Lifetime/Recent Version - Number of Interrupted Suicide Attempts (Lifetime) | ||
CSS11-Num of Interrupted Attempts-P3M | C118058 | CSS11-Num of Interrupted Attempts-P3M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Total number of interrupted attempts. (Past 3 Months). | C-SSRS Lifetime/Recent Version - Number of Interrupted Suicide Attempts (Past 3 Months) | ||
CSS11-Number of Aborted Attempts-Life | C118062 | CSS11-Number of Aborted Attempts-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Total number of aborted or self-interrupted attempts. (Lifetime). | C-SSRS Lifetime/Recent Version - Number of Aborted Suicide Attempts (Lifetime) | ||
CSS11-Number of Aborted Attempts-P3M | C118063 | CSS11-Number of Aborted Attempts-P3M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Total number of aborted or self-interrupted attempts. (Past 3 Months). | C-SSRS Lifetime/Recent Version - Number of Aborted Suicide Attempts (Past 3 Months) | ||
CSS11-Number of Actual Attempts-Life | C118050 | CSS11-Number of Actual Attempts-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Total number of actual attempts. (Lifetime). | C-SSRS Lifetime/Recent Version - Number of Actual Suicide Attempts (Lifetime) | ||
CSS11-Number of Actual Attempts-P3M | C118051 | CSS11-Number of Actual Attempts-P3M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Total number of actual attempts. (Past 3 Months). | C-SSRS Lifetime/Recent Version - Number of Actual Suicide Attempts (Past 3 Months) | ||
CSS11-Preparatory Acts/Behavior, Descr | C118067 | CSS11-Preparatory Acts/Behavior, Descr | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of preparatory acts or behavior. | C-SSRS Lifetime/Recent Version - Description of Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS11-Preparatory Acts/Behavior-Life | C118065 | CSS11-Preparatory Acts/Behavior-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - 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)? (Lifetime). | C-SSRS Lifetime/Recent Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime) | ||
CSS11-Preparatory Acts/Behavior-P3M | C118066 | CSS11-Preparatory Acts/Behavior-P3M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - 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)? (Past 3 Months). | C-SSRS Lifetime/Recent Version - Preparatory Acts or Behaviors Toward Suicide Attempt (Past 3 Months) | ||
CSS11-Suicidal Behavior-Life | C118068 | CSS11-Suicidal Behavior-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Suicidal behavior was present during the assessment period? (Lifetime). | C-SSRS Lifetime/Recent Version - Suicidal Behavior (Lifetime) | ||
CSS11-Suicidal Behavior-P3M | C118069 | CSS11-Suicidal Behavior-P3M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Suicidal behavior was present during the assessment period? (Past 3 Months). | C-SSRS Lifetime/Recent Version - Suicidal Behavior (Past 3 Months) | ||
CSS11-Wish to be Dead, Describe | C118021 | CSS11-Wish to be Dead, Describe | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of wishing to be dead. | C-SSRS Lifetime/Recent Version - Description of Wish to be Dead | ||
CSS11-Wish to be Dead-Life | C118019 | CSS11-Wish to be Dead-Life | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime). | C-SSRS Lifetime/Recent Version - Wish to be Dead (Lifetime) | ||
CSS11-Wish to be Dead-P1M | C118020 | CSS11-Wish to be Dead-P1M | Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Past 1 Month). | C-SSRS Lifetime/Recent Version - Wish to be Dead (Past 1 Month) | ||
Back to top | ||||||
CL.C113848.C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED LIFETIME/RECENT TESTCD | QS-Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test Code (C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED LIFETIME/RECENT TESTCD) | text Extensible: No | C113848 | QS-Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test Code | Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent test code. | CDISC Questionnaire C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent Test Code Terminology |
CSS1001A | C113889 | CSS10-Wish to be Dead-Life | Columbia-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) | ||
CSS1001B | C113890 | CSS10-Wish to be Dead-P1M | Columbia-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) | ||
CSS1001C | C113891 | CSS10-Wish to be Dead, Describe | Columbia-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 | ||
CSS1002A | C113892 | CSS10-Non-Spec Suicid Thought-Life | Columbia-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) | ||
CSS1002B | C113893 | CSS10-Non-Spec Suicid Thought-P1M | Columbia-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) | ||
CSS1002C | C113894 | CSS10-Non-Spec Suicid Thought, Describe | Columbia-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 | ||
CSS1003A | C113895 | CSS10-Idea, No Intent, No Plan-Life | Columbia-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) | ||
CSS1003B | C113896 | CSS10-Idea, No Intent, No Plan-P1M | Columbia-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) | ||
CSS1003C | C113897 | CSS10-Idea, No Intent, No Plan, Describe | Columbia-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 | ||
CSS1004A | C113898 | CSS10-Idea, Intent, No Plan-Life | Columbia-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) | ||
CSS1004B | C113899 | CSS10-Idea, Intent, No Plan-P1M | Columbia-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) | ||
CSS1004C | C113900 | CSS10-Idea, Intent, No Plan, Describe | Columbia-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 | ||
CSS1005A | C113901 | CSS10-Idea, Plan, Intent-Life | Columbia-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) | ||
CSS1005B | C113902 | CSS10-Idea, Plan, Intent-P1M | Columbia-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) | ||
CSS1005C | C113903 | CSS10-Idea, Plan, Intent, Describe | Columbia-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 | ||
CSS1006A | C113904 | CSS10-Most Severe Idea-Life | Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most severe ideation. (Lifetime). | C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Severe Ideation (Lifetime) | ||
CSS1006B | C113905 | CSS10-Most Severe Idea, Desc-Life | Columbia-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) | ||
CSS1006C | C113906 | CSS10-Most Severe Idea-P1M | Columbia-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) | ||
CSS1006D | C113907 | CSS10-Most Severe Idea, Desc-P1M | Columbia-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) | ||
CSS1007A | C113908 | CSS10-Most Severe Idea, Frequency-Life | Columbia-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) | ||
CSS1007B | C113909 | CSS10-Most Severe Idea, Frequency-P1M | Columbia-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) | ||
CSS1007C | C113910 | CSS10-Frequency, Write Response | Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Frequency, write response. | C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency Write Response | ||
CSS1008A | C113911 | CSS10-Actual Attempt-Life | Columbia-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) | ||
CSS1008B | C113912 | CSS10-Actual Attempt-P3M | Columbia-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) | ||
CSS1009A | C113913 | CSS10-Number of Actual Attempts-Life | Columbia-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) | ||
CSS1009B | C113914 | CSS10-Number of Actual Attempts-P3M | Columbia-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) | ||
CSS1009C | C113915 | CSS10-Actual Attempt, Describe | Columbia-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 | ||
CSS1010A | C113916 | CSS10-Non-suicidal Self-injur Behav-Life | Columbia-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) | ||
CSS1010B | C113917 | CSS10-Non-suicidal Self-injur Behav-P3M | Columbia-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) | ||
CSS1011A | C113918 | CSS10-Self-injur Behav, Intent Unk-Life | Columbia-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) | ||
CSS1011B | C113919 | CSS10-Self-injur Behav, Intent Unk-P3M | Columbia-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) | ||
CSS1012A | C113920 | CSS10-Interrupted Attempt-Life | Columbia-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) | ||
CSS1012B | C113921 | CSS10-Interrupted Attempt-P3M | Columbia-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) | ||
CSS1013A | C113922 | CSS10-Number of Interrupt Attempts-Life | Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted attempts. (Lifetime). | C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Lifetime) | ||
CSS1013B | C113923 | CSS10-Number of Interrupt Attempts-P3M | Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted attempts. (Past 3 Months). | C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Past 3 Months) | ||
CSS1013C | C113924 | CSS10-Interrupted Attempt, Describe | Columbia-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 | ||
CSS1014A | C113925 | CSS10-Aborted Attempt-Life | Columbia-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) | ||
CSS1014B | C113926 | CSS10-Aborted Attempt-P3M | Columbia-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) | ||
CSS1015A | C113927 | CSS10-Number of Aborted Attempts-Life | Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted attempts. (Lifetime). | C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Lifetime) | ||
CSS1015B | C113928 | CSS10-Number of Aborted Attempts-P3M | Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted attempts. (Past 3 Months). | C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Past 3 Months) | ||
CSS1015C | C113929 | CSS10-Aborted Attempt, Describe | Columbia-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 | ||
CSS1016A | C113930 | CSS10-Preparatory Acts/Behavior-Life | Columbia-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) | ||
CSS1016B | C113931 | CSS10-Preparatory Acts/Behavior-P3M | Columbia-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) | ||
CSS1016C | C113932 | CSS10-Preparatory Acts/Behavior, Descr | Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of preparatory acts or behavior. | C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS1017A | C113933 | CSS10-Suicidal Behavior-Life | Columbia-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) | ||
CSS1017B | C113934 | CSS10-Suicidal Behavior-P3M | Columbia-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) | ||
CSS1018A | C113935 | CSS10-Most Recent Attempt Date | Columbia-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 | ||
CSS1018B | C113936 | CSS10-Most Recent Attempt Damage | Columbia-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 | ||
CSS1018C | C113937 | CSS10-Most Recent Attempt Potential | Columbia-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 | ||
CSS1019A | C113938 | CSS10-Most Lethal Attempt Date | Columbia-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 | ||
CSS1019B | C113939 | CSS10-Most Lethal Attempt Damage | Columbia-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 | ||
CSS1019C | C113940 | CSS10-Most Lethal Attempt Potential | Columbia-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 | ||
CSS1020A | C113941 | CSS10-First Attempt Date | Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt date. | C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Date | ||
CSS1020B | C113942 | CSS10-First Attempt Damage | Columbia-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 | ||
CSS1020C | C113943 | CSS10-First Attempt Potential | Columbia-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 | ||
Back to top | ||||||
CL.C113847.C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED LIFETIME/RECENT TEST | QS-Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test Name (C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED LIFETIME/RECENT TEST) | text Extensible: No | C113847 | QS-Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test Name | Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent test name. | CDISC Questionnaire C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent Test Name Terminology |
CSS10-Aborted Attempt, Describe | C113929 | CSS10-Aborted Attempt, Describe | Columbia-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-Life | C113925 | CSS10-Aborted Attempt-Life | Columbia-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-P3M | C113926 | CSS10-Aborted Attempt-P3M | Columbia-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, Describe | C113915 | CSS10-Actual Attempt, Describe | Columbia-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-Life | C113911 | CSS10-Actual Attempt-Life | Columbia-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-P3M | C113912 | CSS10-Actual Attempt-P3M | Columbia-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 Damage | C113942 | CSS10-First Attempt Damage | Columbia-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 Date | C113941 | CSS10-First Attempt Date | Columbia-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 Potential | C113943 | CSS10-First Attempt Potential | Columbia-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 Response | C113910 | CSS10-Frequency, Write Response | Columbia-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, Describe | C113900 | CSS10-Idea, Intent, No Plan, Describe | Columbia-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-Life | C113898 | CSS10-Idea, Intent, No Plan-Life | Columbia-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-P1M | C113899 | CSS10-Idea, Intent, No Plan-P1M | Columbia-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, Describe | C113897 | CSS10-Idea, No Intent, No Plan, Describe | Columbia-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-Life | C113895 | CSS10-Idea, No Intent, No Plan-Life | Columbia-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-P1M | C113896 | CSS10-Idea, No Intent, No Plan-P1M | Columbia-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, Describe | C113903 | CSS10-Idea, Plan, Intent, Describe | Columbia-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-Life | C113901 | CSS10-Idea, Plan, Intent-Life | Columbia-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-P1M | C113902 | CSS10-Idea, Plan, Intent-P1M | Columbia-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, Describe | C113924 | CSS10-Interrupted Attempt, Describe | Columbia-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-Life | C113920 | CSS10-Interrupted Attempt-Life | Columbia-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-P3M | C113921 | CSS10-Interrupted Attempt-P3M | Columbia-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 Damage | C113939 | CSS10-Most Lethal Attempt Damage | Columbia-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 Date | C113938 | CSS10-Most Lethal Attempt Date | Columbia-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 Potential | C113940 | CSS10-Most Lethal Attempt Potential | Columbia-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 Damage | C113936 | CSS10-Most Recent Attempt Damage | Columbia-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 Date | C113935 | CSS10-Most Recent Attempt Date | Columbia-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 Potential | C113937 | CSS10-Most Recent Attempt Potential | Columbia-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-Life | C113905 | CSS10-Most Severe Idea, Desc-Life | Columbia-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-P1M | C113907 | CSS10-Most Severe Idea, Desc-P1M | Columbia-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-Life | C113908 | CSS10-Most Severe Idea, Frequency-Life | Columbia-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-P1M | C113909 | CSS10-Most Severe Idea, Frequency-P1M | Columbia-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-Life | C113904 | CSS10-Most Severe Idea-Life | Columbia-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-P1M | C113906 | CSS10-Most Severe Idea-P1M | Columbia-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, Describe | C113894 | CSS10-Non-Spec Suicid Thought, Describe | Columbia-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-Life | C113892 | CSS10-Non-Spec Suicid Thought-Life | Columbia-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-P1M | C113893 | CSS10-Non-Spec Suicid Thought-P1M | Columbia-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-Life | C113916 | CSS10-Non-suicidal Self-injur Behav-Life | Columbia-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-P3M | C113917 | CSS10-Non-suicidal Self-injur Behav-P3M | Columbia-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-Life | C113927 | CSS10-Number of Aborted Attempts-Life | Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted attempts. (Lifetime). | C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Lifetime) | ||
CSS10-Number of Aborted Attempts-P3M | C113928 | CSS10-Number of Aborted Attempts-P3M | Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted attempts. (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-Life | C113913 | CSS10-Number of Actual Attempts-Life | Columbia-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-P3M | C113914 | CSS10-Number of Actual Attempts-P3M | Columbia-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-Life | C113922 | CSS10-Number of Interrupt Attempts-Life | Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted attempts. (Lifetime). | C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Lifetime) | ||
CSS10-Number of Interrupt Attempts-P3M | C113923 | CSS10-Number of Interrupt Attempts-P3M | Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted attempts. (Past 3 Months). | C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Past 3 Months) | ||
CSS10-Preparatory Acts/Behavior, Descr | C113932 | CSS10-Preparatory Acts/Behavior, Descr | Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of preparatory acts or behavior. | C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS10-Preparatory Acts/Behavior-Life | C113930 | CSS10-Preparatory Acts/Behavior-Life | Columbia-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-P3M | C113931 | CSS10-Preparatory Acts/Behavior-P3M | Columbia-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-Life | C113918 | CSS10-Self-injur Behav, Intent Unk-Life | Columbia-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-P3M | C113919 | CSS10-Self-injur Behav, Intent Unk-P3M | Columbia-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-Life | C113933 | CSS10-Suicidal Behavior-Life | Columbia-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-P3M | C113934 | CSS10-Suicidal Behavior-P3M | Columbia-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, Describe | C113891 | CSS10-Wish to be Dead, Describe | Columbia-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-Life | C113889 | CSS10-Wish to be Dead-Life | Columbia-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-P1M | C113890 | CSS10-Wish to be Dead-P1M | Columbia-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) | ||
Back to top | ||||||
CL.C111342.C-SSRS Screening TESTCD | QS-Columbia-Suicidality Severity Rating Scale Screening Questionnaire Test Code (C-SSRS Screening TESTCD) | text Extensible: No | C111342 | QS-Columbia-Suicidality Severity Rating Scale Screening Questionnaire Test Code | Columbia-Suicidality Severity Rating Scale Screening test code. | CDISC Questionnaire C-SSRS Screening Test Code Terminology |
CSS0901 | C111460 | CSS09-Wish to be Dead | Columbia-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 | ||
CSS0901A | C111461 | CSS09-Wish to be Dead, Describe | Columbia-Suicidality Severity Rating Scale Screening - Description of wishing to be dead. | C-SSRS Screening - Description of Wish to be Dead | ||
CSS0902 | C111462 | CSS09-Non-Spec Suicid Thought | Columbia-Suicidality Severity Rating Scale Screening - Have you actually had any thoughts of killing yourself? | C-SSRS Screening - Non-Specific Active Suicidal Thoughts | ||
CSS0902A | C111463 | CSS09-Non-Spec Suicid Thought, Describe | Columbia-Suicidality Severity Rating Scale Screening - Description of non-specific active suicidal thoughts. | C-SSRS Screening - Description of Non-Specific Active Suicidal Thoughts | ||
CSS0903 | C111464 | CSS09-Idea, No Intent, No Plan | Columbia-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 | ||
CSS0903A | C111465 | CSS09-Idea, No Intent, No Plan, Describe | Columbia-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 | ||
CSS0904 | C111466 | CSS09-Idea, Intent, No Plan | Columbia-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 | ||
CSS0904B | C111467 | CSS09-Idea, Intent, No Plan, Describe | Columbia-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 | ||
CSS0905 | C111468 | CSS09-Idea, Plan, Intent | Columbia-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 | ||
CSS0905A | C111469 | CSS09-Idea, Plan, Intent, Describe | Columbia-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 | ||
CSS0906 | C111470 | CSS09-Most Severe Idea | Columbia-Suicidality Severity Rating Scale Screening - Most severe ideation. | C-SSRS Screening - Most Severe Ideation | ||
CSS0906A | C111471 | CSS09-Most Severe Idea, Desc | Columbia-Suicidality Severity Rating Scale Screening - Description of most severe ideation. | C-SSRS Screening - Describe Most Severe Ideation | ||
CSS0907 | C111472 | CSS09-Most Severe Idea, Frequency | Columbia-Suicidality Severity Rating Scale Screening - How many times have you had these thoughts? | C-SSRS Screening - Frequency of Most Severe Ideation | ||
CSS0908 | C111473 | CSS09-Most Severe Idea, Duration | Columbia-Suicidality Severity Rating Scale Screening - When you have the thoughts, how long do they last? | C-SSRS Screening - Duration of Most Severe Ideation | ||
CSS0909 | C111474 | CSS09-Most Severe Idea, Controllability | Columbia-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 | ||
CSS0910 | C111475 | CSS09-Most Severe Idea, Deterrents | Columbia-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 | ||
CSS0911 | C111476 | CSS09-Most Severe Idea, Reasons | Columbia-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 | ||
CSS0912 | C111477 | CSS09-Actual Attempt | Columbia-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 | ||
CSS0913 | C111478 | CSS09-Number of Actual Attempts | Columbia-Suicidality Severity Rating Scale Screening - Total number of actual attempts. | C-SSRS Screening - Number of Actual Suicide Attempts | ||
CSS0913A | C111479 | CSS09-Actual Attempt, Describe | Columbia-Suicidality Severity Rating Scale Screening - Description of actual attempt. | C-SSRS Screening - Description of Actual Suicide Attempt | ||
CSS0914 | C111480 | CSS09-Non-suicidal Self-injur Behav | Columbia-Suicidality Severity Rating Scale Screening - Has subject engaged in non-suicidal self-injurious behavior? | C-SSRS Screening - Non-suicidal Self-injurious Behavior | ||
CSS0915 | C111481 | CSS09-Interrupted Attempt | Columbia-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 | ||
CSS0916 | C111482 | CSS09-Number of Interrupt Attempts | Columbia-Suicidality Severity Rating Scale Screening - Total number of interrupted attempts. | C-SSRS Screening - Number of Interrupted Suicide Attempts | ||
CSS0916A | C111483 | CSS09-Interrupted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Screening - Description of interrupted attempt. | C-SSRS Screening - Description of Interrupted Suicide Attempt | ||
CSS0917 | C111484 | CSS09-Aborted Attempt | Columbia-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 | ||
CSS0918 | C111485 | CSS09-Number of Aborted Attempts | Columbia-Suicidality Severity Rating Scale Screening - Total number of aborted attempts. | C-SSRS Screening - Number of Aborted Suicide Attempts | ||
CSS0918A | C111486 | CSS09-Aborted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Screening - Description of aborted attempt. | C-SSRS Screening - Description of Aborted Suicide Attempt | ||
CSS0919 | C111487 | CSS09-Preparatory Acts/Behavior | Columbia-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 | ||
CSS0919A | C111488 | CSS09-Preparatory Acts/Behavior, Descr | Columbia-Suicidality Severity Rating Scale Screening - Description of preparatory acts or behavior. | C-SSRS Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS0920 | C111489 | CSS09-Suicidal Behavior | Columbia-Suicidality Severity Rating Scale Screening - Suicidal behavior was present during the assessment period? | C-SSRS Screening - Suicidal Behavior | ||
CSS0921A | C111490 | CSS09-Most Recent Attempt Date | Columbia-Suicidality Severity Rating Scale Screening - Most recent attempt date. | C-SSRS Screening - Most Recent Suicide Attempt Date | ||
CSS0921B | C111491 | CSS09-Most Recent Attempt Damage | Columbia-Suicidality Severity Rating Scale Screening - Most recent attempt actual lethality/medical damage. | C-SSRS Screening - Most Recent Suicide Attempt Actual Lethality/Medical Damage | ||
CSS0921C | C111492 | CSS09-Most Recent Attempt Potential | Columbia-Suicidality Severity Rating Scale Screening - Most recent attempt potential lethality. | C-SSRS Screening - Most Recent Suicide Attempt Potential Lethality | ||
CSS0922A | C111493 | CSS09-Most Lethal Attempt Date | Columbia-Suicidality Severity Rating Scale Screening - Most lethal attempt date. | C-SSRS Screening - Most Lethal Suicide Attempt Date | ||
CSS0922B | C111494 | CSS09-Most Lethal Attempt Damage | Columbia-Suicidality Severity Rating Scale Screening - Most lethal attempt actual lethality/medical damage. | C-SSRS Screening - Most Lethal Suicide Attempt Actual Lethality/Medical Damage | ||
CSS0922C | C111495 | CSS09-Most Lethal Attempt Potential | Columbia-Suicidality Severity Rating Scale Screening - Most lethal attempt potential lethality. | C-SSRS Screening - Most Lethal Suicide Attempt Potential Lethality | ||
CSS0923A | C111496 | CSS09-First Attempt Date | Columbia-Suicidality Severity Rating Scale Screening - Initial/first attempt date. | C-SSRS Screening - First Suicide Attempt Date | ||
CSS0923B | C111497 | CSS09-First Attempt Damage | Columbia-Suicidality Severity Rating Scale Screening - Initial/first attempt actual lethality/medical damage. | C-SSRS Screening - First Suicide Attempt Actual Lethality/Medical Damage | ||
CSS0923C | C111498 | CSS09-First Attempt Potential | Columbia-Suicidality Severity Rating Scale Screening - Initial/first attempt potential lethality. | C-SSRS Screening - First Suicide Attempt Potential Lethality | ||
Back to top | ||||||
CL.C111341.C-SSRS Screening TEST | QS-Columbia-Suicidality Severity Rating Scale Screening Questionnaire Test Name (C-SSRS Screening TEST) | text Extensible: No | C111341 | QS-Columbia-Suicidality Severity Rating Scale Screening Questionnaire Test Name | Columbia-Suicidality Severity Rating Scale Screening test name. | CDISC Questionnaire C-SSRS Screening Test Name Terminology |
CSS09-Aborted Attempt | C111484 | CSS09-Aborted Attempt | Columbia-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, Describe | C111486 | CSS09-Aborted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Screening - Description of aborted attempt. | C-SSRS Screening - Description of Aborted Suicide Attempt | ||
CSS09-Actual Attempt | C111477 | CSS09-Actual Attempt | Columbia-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, Describe | C111479 | CSS09-Actual Attempt, Describe | Columbia-Suicidality Severity Rating Scale Screening - Description of actual attempt. | C-SSRS Screening - Description of Actual Suicide Attempt | ||
CSS09-First Attempt Damage | C111497 | CSS09-First Attempt Damage | Columbia-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 Date | C111496 | CSS09-First Attempt Date | Columbia-Suicidality Severity Rating Scale Screening - Initial/first attempt date. | C-SSRS Screening - First Suicide Attempt Date | ||
CSS09-First Attempt Potential | C111498 | CSS09-First Attempt Potential | Columbia-Suicidality Severity Rating Scale Screening - Initial/first attempt potential lethality. | C-SSRS Screening - First Suicide Attempt Potential Lethality | ||
CSS09-Idea, Intent, No Plan | C111466 | CSS09-Idea, Intent, No Plan | Columbia-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, Describe | C111467 | CSS09-Idea, Intent, No Plan, Describe | Columbia-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 Plan | C111464 | CSS09-Idea, No Intent, No Plan | Columbia-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, Describe | C111465 | CSS09-Idea, No Intent, No Plan, Describe | Columbia-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, Intent | C111468 | CSS09-Idea, Plan, Intent | Columbia-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, Describe | C111469 | CSS09-Idea, Plan, Intent, Describe | Columbia-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 Attempt | C111481 | CSS09-Interrupted Attempt | Columbia-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, Describe | C111483 | CSS09-Interrupted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Screening - Description of interrupted attempt. | C-SSRS Screening - Description of Interrupted Suicide Attempt | ||
CSS09-Most Lethal Attempt Damage | C111494 | CSS09-Most Lethal Attempt Damage | Columbia-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 Date | C111493 | CSS09-Most Lethal Attempt Date | Columbia-Suicidality Severity Rating Scale Screening - Most lethal attempt date. | C-SSRS Screening - Most Lethal Suicide Attempt Date | ||
CSS09-Most Lethal Attempt Potential | C111495 | CSS09-Most Lethal Attempt Potential | Columbia-Suicidality Severity Rating Scale Screening - Most lethal attempt potential lethality. | C-SSRS Screening - Most Lethal Suicide Attempt Potential Lethality | ||
CSS09-Most Recent Attempt Damage | C111491 | CSS09-Most Recent Attempt Damage | Columbia-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 Date | C111490 | CSS09-Most Recent Attempt Date | Columbia-Suicidality Severity Rating Scale Screening - Most recent attempt date. | C-SSRS Screening - Most Recent Suicide Attempt Date | ||
CSS09-Most Recent Attempt Potential | C111492 | CSS09-Most Recent Attempt Potential | Columbia-Suicidality Severity Rating Scale Screening - Most recent attempt potential lethality. | C-SSRS Screening - Most Recent Suicide Attempt Potential Lethality | ||
CSS09-Most Severe Idea | C111470 | CSS09-Most Severe Idea | Columbia-Suicidality Severity Rating Scale Screening - Most severe ideation. | C-SSRS Screening - Most Severe Ideation | ||
CSS09-Most Severe Idea, Controllability | C111474 | CSS09-Most Severe Idea, Controllability | Columbia-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, Desc | C111471 | CSS09-Most Severe Idea, Desc | Columbia-Suicidality Severity Rating Scale Screening - Description of most severe ideation. | C-SSRS Screening - Describe Most Severe Ideation | ||
CSS09-Most Severe Idea, Deterrents | C111475 | CSS09-Most Severe Idea, Deterrents | Columbia-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, Duration | C111473 | CSS09-Most Severe Idea, Duration | Columbia-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, Frequency | C111472 | CSS09-Most Severe Idea, Frequency | Columbia-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, Reasons | C111476 | CSS09-Most Severe Idea, Reasons | Columbia-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 Thought | C111462 | CSS09-Non-Spec Suicid Thought | Columbia-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, Describe | C111463 | CSS09-Non-Spec Suicid Thought, Describe | Columbia-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 Behav | C111480 | CSS09-Non-suicidal Self-injur Behav | Columbia-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 Attempts | C111485 | CSS09-Number of Aborted Attempts | Columbia-Suicidality Severity Rating Scale Screening - Total number of aborted attempts. | C-SSRS Screening - Number of Aborted Suicide Attempts | ||
CSS09-Number of Actual Attempts | C111478 | CSS09-Number of Actual Attempts | Columbia-Suicidality Severity Rating Scale Screening - Total number of actual attempts. | C-SSRS Screening - Number of Actual Suicide Attempts | ||
CSS09-Number of Interrupt Attempts | C111482 | CSS09-Number of Interrupt Attempts | Columbia-Suicidality Severity Rating Scale Screening - Total number of interrupted attempts. | C-SSRS Screening - Number of Interrupted Suicide Attempts | ||
CSS09-Preparatory Acts/Behavior | C111487 | CSS09-Preparatory Acts/Behavior | Columbia-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, Descr | C111488 | CSS09-Preparatory Acts/Behavior, Descr | Columbia-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 Behavior | C111489 | CSS09-Suicidal Behavior | Columbia-Suicidality Severity Rating Scale Screening - Suicidal behavior was present during the assessment period? | C-SSRS Screening - Suicidal Behavior | ||
CSS09-Wish to be Dead | C111460 | CSS09-Wish to be Dead | Columbia-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, Describe | C111461 | CSS09-Wish to be Dead, Describe | Columbia-Suicidality Severity Rating Scale Screening - Description of wishing to be dead. | C-SSRS Screening - Description of Wish to be Dead | ||
Back to top | ||||||
CL.C103461.C-SSRS Since Last Visit TESTCD | QS-Columbia-Suicidality Severity Rating Scale Since Last Visit Questionnaire Test Code (C-SSRS Since Last Visit TESTCD) | text Extensible: No | C103461 | QS-Columbia-Suicidality Severity Rating Scale Since Last Visit Questionnaire Test Code | Columbia-Suicidality Severity Rating Scale Since Last Visit test code. | CDISC Questionnaire C-SSRS Since Last Visit Test Code Terminology |
CSS0201 | C103772 | CSS02-Wish to be Dead | Columbia-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 | ||
CSS0201A | C103773 | CSS02-Wish to be Dead, Describe | Columbia-Suicidality Severity Rating Scale Since Last Visit - Description of wishing to be dead. | C-SSRS Since Last Visit - Description of Wish to be Dead | ||
CSS0202 | C103774 | CSS02-Non-Specific Suicidal Thought | Columbia-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 | ||
CSS0202A | C103775 | CSS02-Non-Specific Suicid Thought, Descr | Columbia-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 | ||
CSS0203 | C103776 | CSS02-Suicidal Ideation-No Intent | Columbia-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 | ||
CSS0203A | C103777 | CSS02-Suicidal Ideation-No Intent, Descr | Columbia-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 | ||
CSS0204 | C103799 | CSS02-Ideation With Intent, No Plan | Columbia-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 | ||
CSS0204A | C103800 | CSS02-Ideation With Intent No Plan Descr | Columbia-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 | ||
CSS0205 | C103801 | CSS02-Ideation With Plan/Intent | Columbia-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 | ||
CSS0205A | C103778 | CSS02-Ideation With Plan/Intent, Descr | Columbia-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 | ||
CSS0206 | C103779 | CSS02-Most Severe Ideation | Columbia-Suicidality Severity Rating Scale Since Last Visit - Most severe ideation. | C-SSRS Since Last Visit - Most Severe Ideation | ||
CSS0206A | C103780 | CSS02-Most Severe Ideation, Description | Columbia-Suicidality Severity Rating Scale Since Last Visit - Description of most severe ideation. | C-SSRS Since Last Visit - Describe Most Severe Ideation | ||
CSS0207 | C103781 | CSS02-Most Severe Ideation, Frequency | Columbia-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 | ||
CSS0208 | C103782 | CSS02-Most Severe Ideation, Duration | Columbia-Suicidality Severity Rating Scale Since Last Visit - When you have the thoughts, how long do they last? | C-SSRS Since Last Visit - Duration of Most Severe Ideation | ||
CSS0209 | C103783 | CSS02-Most Severe Ideation, Control | Columbia-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 | ||
CSS0210 | C103784 | CSS02-Most Severe Ideation, Deterrents | Columbia-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 | ||
CSS0211 | C103785 | CSS02-Most Severe Ideation, Reasons | Columbia-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 | ||
CSS0212 | C103786 | CSS02-Actual Attempt | Columbia-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 | ||
CSS0213 | C103787 | CSS02-Number of Actual Attempts | Columbia-Suicidality Severity Rating Scale Since Last Visit - Total number of actual attempts. | C-SSRS Since Last Visit - Number of Actual Suicide Attempts | ||
CSS0213A | C103788 | CSS02-Actual Attempt, Describe | Columbia-Suicidality Severity Rating Scale Since Last Visit - Description of actual attempt. | C-SSRS Since Last Visit - Description of Actual Suicide Attempts | ||
CSS0214 | C103789 | CSS02-Non-suicidal Self-injurious Behav | Columbia-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 | ||
CSS0215 | C103790 | CSS02-Interrupted Attempt | Columbia-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 | ||
CSS0216 | C103791 | CSS02-Number of Interrupted Attempts | Columbia-Suicidality Severity Rating Scale Since Last Visit - Total number of interrupted attempts. | C-SSRS Since Last Visit - Number of Interrupted Suicide Attempts | ||
CSS0216A | C103792 | CSS02-Interrupted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Since Last Visit - Description of interrupted attempt. | C-SSRS Since Last Visit - Description of Interrupted Suicide Attempt | ||
CSS0217 | C103793 | CSS02-Aborted Attempt | Columbia-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 | ||
CSS0218 | C103794 | CSS02-Number of Aborted Attempts | Columbia-Suicidality Severity Rating Scale Since Last Visit - Total number of aborted attempts. | C-SSRS Since Last Visit - Number of Aborted Suicide Attempts | ||
CSS0218A | C103795 | CSS02-Aborted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Since Last Visit - Description of aborted attempt. | C-SSRS Since Last Visit - Description of Aborted Suicide Attempt | ||
CSS0219 | C103796 | CSS02-Preparatory Acts/Behavior | Columbia-Suicidality Severity Rating Scale Since Last Visit - 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 Since Last Visit - Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS0219A | C103797 | CSS02-Preparatory Acts/Behavior, Descr | Columbia-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 | ||
CSS0220 | C103798 | CSS02-Suicidal Behavior | Columbia-Suicidality Severity Rating Scale Since Last Visit - Suicidal behavior was present during the assessment period? | C-SSRS Since Last Visit - Suicidal Behavior | ||
CSS0221 | C103532 | CSS02-Suicide | Columbia-Suicidality Severity Rating Scale Since Last Visit - Suicide. | C-SSRS Since Last Visit - Suicide | ||
CSS0222A | C103533 | CSS02-Most Lethal Attempt Date | Columbia-Suicidality Severity Rating Scale Since Last Visit - Most lethal attempt date. | C-SSRS Since Last Visit - Most Lethal Attempt Date | ||
CSS0222B | C103534 | CSS02-Most Lethal Attempt Damage | Columbia-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 | ||
CSS0222C | C103535 | CSS02-Most Lethal Attempt Potential | Columbia-Suicidality Severity Rating Scale Since Last Visit - Most lethal attempt potential lethality. | C-SSRS Since Last Visit - Most Lethal Actual Attempt Potential Lethality | ||
Back to top | ||||||
CL.C103460.C-SSRS Since Last Visit TEST | QS-Columbia-Suicidality Severity Rating Scale Since Last Visit Questionnaire Test Name (C-SSRS Since Last Visit TEST) | text Extensible: No | C103460 | QS-Columbia-Suicidality Severity Rating Scale Since Last Visit Questionnaire Test Name | Columbia-Suicidality Severity Rating Scale Since Last Visit test name. | CDISC Questionnaire C-SSRS Since Last Visit Test Name Terminology |
CSS02-Aborted Attempt | C103793 | CSS02-Aborted Attempt | Columbia-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, Describe | C103795 | CSS02-Aborted Attempt, Describe | Columbia-Suicidality Severity Rating Scale Since Last Visit - Description of aborted attempt. | C-SSRS Since Last Visit - Description of Aborted Suicide Attempt | ||
CSS02-Actual Attempt | C103786 | CSS02-Actual Attempt | Columbia-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, Describe | C103788 | CSS02-Actual Attempt, Describe | Columbia-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 Descr | C103800 | CSS02-Ideation With Intent No Plan Descr | Columbia-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 Plan | C103799 | CSS02-Ideation With Intent, No Plan | Columbia-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/Intent | C103801 | CSS02-Ideation With Plan/Intent | Columbia-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, Descr | C103778 | CSS02-Ideation With Plan/Intent, Descr | Columbia-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 Attempt | C103790 | CSS02-Interrupted Attempt | Columbia-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, Describe | C103792 | CSS02-Interrupted Attempt, Describe | Columbia-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 Damage | C103534 | CSS02-Most Lethal Attempt Damage | Columbia-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 Date | C103533 | CSS02-Most Lethal Attempt Date | Columbia-Suicidality Severity Rating Scale Since Last Visit - Most lethal attempt date. | C-SSRS Since Last Visit - Most Lethal Attempt Date | ||
CSS02-Most Lethal Attempt Potential | C103535 | CSS02-Most Lethal Attempt Potential | Columbia-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 Ideation | C103779 | CSS02-Most Severe Ideation | Columbia-Suicidality Severity Rating Scale Since Last Visit - Most severe ideation. | C-SSRS Since Last Visit - Most Severe Ideation | ||
CSS02-Most Severe Ideation, Control | C103783 | CSS02-Most Severe Ideation, Control | Columbia-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, Description | C103780 | CSS02-Most Severe Ideation, Description | Columbia-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, Deterrents | C103784 | CSS02-Most Severe Ideation, Deterrents | Columbia-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, Duration | C103782 | CSS02-Most Severe Ideation, Duration | Columbia-Suicidality Severity Rating Scale Since Last Visit - When you have the thoughts, how long do they last? | C-SSRS Since Last Visit - Duration of Most Severe Ideation | ||
CSS02-Most Severe Ideation, Frequency | C103781 | CSS02-Most Severe Ideation, Frequency | Columbia-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, Reasons | C103785 | CSS02-Most Severe Ideation, Reasons | Columbia-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, Descr | C103775 | CSS02-Non-Specific Suicid Thought, Descr | Columbia-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 Thought | C103774 | CSS02-Non-Specific Suicidal Thought | Columbia-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 Behav | C103789 | CSS02-Non-suicidal Self-injurious Behav | Columbia-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 Attempts | C103794 | CSS02-Number of Aborted Attempts | Columbia-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 Attempts | C103787 | CSS02-Number of Actual Attempts | Columbia-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 Attempts | C103791 | CSS02-Number of Interrupted Attempts | Columbia-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/Behavior | C103796 | CSS02-Preparatory Acts/Behavior | Columbia-Suicidality Severity Rating Scale Since Last Visit - 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 Since Last Visit - Preparatory Acts or Behaviors Toward Suicide Attempt | ||
CSS02-Preparatory Acts/Behavior, Descr | C103797 | CSS02-Preparatory Acts/Behavior, Descr | Columbia-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 Behavior | C103798 | CSS02-Suicidal Behavior | Columbia-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 Intent | C103776 | CSS02-Suicidal Ideation-No Intent | Columbia-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, Descr | C103777 | CSS02-Suicidal Ideation-No Intent, Descr | Columbia-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-Suicide | C103532 | CSS02-Suicide | Columbia-Suicidality Severity Rating Scale Since Last Visit - Suicide. | C-SSRS Since Last Visit - Suicide | ||
CSS02-Wish to be Dead | C103772 | CSS02-Wish to be Dead | Columbia-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, Describe | C103773 | CSS02-Wish to be Dead, Describe | Columbia-Suicidality Severity Rating Scale Since Last Visit - Description of wishing to be dead. | C-SSRS Since Last Visit - Description of Wish to be Dead | ||
Back to top | ||||||
CL.C117987.CHART-SF Interview Version TESTCD | QS-Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Code (CHART-SF Interview Version TESTCD) | text Extensible: No | C117987 | QS-Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Code | Craig Handicap Assessment and Reporting Technique - Short Form Interview Version test code. | CDISC Questionnaire CHART-SF Interview Version Test Code Terminology |
CHSF101A | C117998 | CHSF1-Paid Personal Care per Day | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? (hours paid assistance). | CHART-SF Interview Version - Paid Personal Care per Day | ||
CHSF101B | C117999 | CHSF1-Unpaid Personal Care per Day | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? hours unpaid (family, others). | CHART-SF Interview Version - Unpaid Personal Care per Day | ||
CHSF102 | C118000 | CHSF1-Home Cognitive Assistance per Day | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How much time is someone with you in your home to assist you with activities that require remembering, decision making, or judgment? | CHART-SF Interview Version - Cognitive Assistance at Home per Day | ||
CHSF103 | C118001 | CHSF1-Away Cognitive Assistance per Day | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How much of the time is someone with you to help you with remembering, decision making, or judgment when you go away from your home? | CHART-SF Interview Version - Cognitive Assistance Away From Home per Day | ||
CHSF104 | C118002 | CHSF1-Hours Out of Bed per Day | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - On a typical day, how many hours are you out of bed? | CHART-SF Interview Version - Hours Out of Bed per Day | ||
CHSF105 | C118003 | CHSF1-Days Out of the House per Week | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - In a typical week, how many days do you get out of your house and go somewhere? | CHART-SF Interview Version - Days Out of the House per Week | ||
CHSF106 | C118004 | CHSF1-Nights Away From Home Last Year | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - In the last year, how many nights have you spent away from your home? | CHART-SF Interview Version - Nights Away From Home Last Year | ||
CHSF107A | C118005 | CHSF1-Hours of Paid Work per Week | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend working in a job for which you get paid? | CHART-SF Interview Version - Hours of Paid Work per Week | ||
CHSF107B | C118006 | CHSF1-Occupation of Paid Work | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend working in a job for which you get paid? (occupation). | CHART-SF Interview Version - Occupation of Paid Work | ||
CHSF108 | C118007 | CHSF1-Hours of Schoolwork per Week | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in school working toward a degree or in an accredited technical training program? | CHART-SF Interview Version - Hours of Schoolwork per Week | ||
CHSF109 | C118008 | CHSF1-Hours of Homemaking per Week | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in active homemaking including parenting, housekeeping, and food preparation? | CHART-SF Interview Version - Hours of Homemaking per Week | ||
CHSF110 | C118009 | CHSF1-Hours of Home Maintenance per Week | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in home maintenance activities such as gardening, house repairs or home improvement? | CHART-SF Interview Version - Hours of Home Maintenance per Week | ||
CHSF111 | C118010 | CHSF1-Hours of Recreation per Week | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in recreational activities such as sports, exercise, playing cards, or going to movies? | CHART-SF Interview Version - Hours of Recreational Activities per Week | ||
CHSF112 | C118011 | CHSF1-Number of People You Live With | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many people do you live with? | CHART-SF Interview Version - Number of People You Live With | ||
CHSF113 | C118012 | CHSF1-Live With Spouse or Signif Other | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Is one of them your spouse or significant other? | CHART-SF Interview Version - Live With Spouse or Significant Other | ||
CHSF114 | C118013 | CHSF1-Number of Relatives You Live With | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Of the people you live with how many are relatives? | CHART-SF Interview Version - Number of Relatives You Live With | ||
CHSF115 | C118014 | CHSF1-Associates Contacted per Month | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many business or organizational associates do you visit, phone, or write to at least once a month? | CHART-SF Interview Version - Associates Contacted per Month | ||
CHSF116 | C118015 | CHSF1-Friends Contacted per Month | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many friends do you visit, phone, or write to at least once a month? | CHART-SF Interview Version - Friends Contacted per Month | ||
CHSF117 | C118016 | CHSF1-Strangers Spoke with Last Month | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - With how many strangers have you initiated a conversation in the last month? | CHART-SF Interview Version - Initiated Conversation With Strangers Last Month | ||
CHSF118 | C118017 | CHSF1-Combined Household Income Last Yr | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Approximately what was the combined annual income, in the last year, of all family members in your household? | CHART-SF Interview Version - Combined Annual Household Income Last Year | ||
CHSF119 | C118018 | CHSF1-Medical Care Expenses Last Year | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Approximately how much did you pay last year for medical care expenses? | CHART-SF Interview Version - Medical Care Expense Last Year | ||
Back to top | ||||||
CL.C117986.CHART-SF Interview Version TEST | QS-Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Name (CHART-SF Interview Version TEST) | text Extensible: No | C117986 | QS-Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Name | Craig Handicap Assessment and Reporting Technique - Short Form Interview Version test name. | CDISC Questionnaire CHART-SF Interview Version Test Name Terminology |
CHSF1-Associates Contacted per Month | C118014 | CHSF1-Associates Contacted per Month | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many business or organizational associates do you visit, phone, or write to at least once a month? | CHART-SF Interview Version - Associates Contacted per Month | ||
CHSF1-Away Cognitive Assistance per Day | C118001 | CHSF1-Away Cognitive Assistance per Day | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How much of the time is someone with you to help you with remembering, decision making, or judgment when you go away from your home? | CHART-SF Interview Version - Cognitive Assistance Away From Home per Day | ||
CHSF1-Combined Household Income Last Yr | C118017 | CHSF1-Combined Household Income Last Yr | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Approximately what was the combined annual income, in the last year, of all family members in your household? | CHART-SF Interview Version - Combined Annual Household Income Last Year | ||
CHSF1-Days Out of the House per Week | C118003 | CHSF1-Days Out of the House per Week | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - In a typical week, how many days do you get out of your house and go somewhere? | CHART-SF Interview Version - Days Out of the House per Week | ||
CHSF1-Friends Contacted per Month | C118015 | CHSF1-Friends Contacted per Month | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many friends do you visit, phone, or write to at least once a month? | CHART-SF Interview Version - Friends Contacted per Month | ||
CHSF1-Home Cognitive Assistance per Day | C118000 | CHSF1-Home Cognitive Assistance per Day | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How much time is someone with you in your home to assist you with activities that require remembering, decision making, or judgment? | CHART-SF Interview Version - Cognitive Assistance at Home per Day | ||
CHSF1-Hours of Home Maintenance per Week | C118009 | CHSF1-Hours of Home Maintenance per Week | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in home maintenance activities such as gardening, house repairs or home improvement? | CHART-SF Interview Version - Hours of Home Maintenance per Week | ||
CHSF1-Hours of Homemaking per Week | C118008 | CHSF1-Hours of Homemaking per Week | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in active homemaking including parenting, housekeeping, and food preparation? | CHART-SF Interview Version - Hours of Homemaking per Week | ||
CHSF1-Hours of Paid Work per Week | C118005 | CHSF1-Hours of Paid Work per Week | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend working in a job for which you get paid? | CHART-SF Interview Version - Hours of Paid Work per Week | ||
CHSF1-Hours of Recreation per Week | C118010 | CHSF1-Hours of Recreation per Week | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in recreational activities such as sports, exercise, playing cards, or going to movies? | CHART-SF Interview Version - Hours of Recreational Activities per Week | ||
CHSF1-Hours of Schoolwork per Week | C118007 | CHSF1-Hours of Schoolwork per Week | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend in school working toward a degree or in an accredited technical training program? | CHART-SF Interview Version - Hours of Schoolwork per Week | ||
CHSF1-Hours Out of Bed per Day | C118002 | CHSF1-Hours Out of Bed per Day | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - On a typical day, how many hours are you out of bed? | CHART-SF Interview Version - Hours Out of Bed per Day | ||
CHSF1-Live With Spouse or Signif Other | C118012 | CHSF1-Live With Spouse or Signif Other | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Is one of them your spouse or significant other? | CHART-SF Interview Version - Live With Spouse or Significant Other | ||
CHSF1-Medical Care Expenses Last Year | C118018 | CHSF1-Medical Care Expenses Last Year | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Approximately how much did you pay last year for medical care expenses? | CHART-SF Interview Version - Medical Care Expense Last Year | ||
CHSF1-Nights Away From Home Last Year | C118004 | CHSF1-Nights Away From Home Last Year | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - In the last year, how many nights have you spent away from your home? | CHART-SF Interview Version - Nights Away From Home Last Year | ||
CHSF1-Number of People You Live With | C118011 | CHSF1-Number of People You Live With | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many people do you live with? | CHART-SF Interview Version - Number of People You Live With | ||
CHSF1-Number of Relatives You Live With | C118013 | CHSF1-Number of Relatives You Live With | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - Of the people you live with how many are relatives? | CHART-SF Interview Version - Number of Relatives You Live With | ||
CHSF1-Occupation of Paid Work | C118006 | CHSF1-Occupation of Paid Work | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours per week do you spend working in a job for which you get paid? (occupation). | CHART-SF Interview Version - Occupation of Paid Work | ||
CHSF1-Paid Personal Care per Day | C117998 | CHSF1-Paid Personal Care per Day | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? (hours paid assistance). | CHART-SF Interview Version - Paid Personal Care per Day | ||
CHSF1-Strangers Spoke with Last Month | C118016 | CHSF1-Strangers Spoke with Last Month | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - With how many strangers have you initiated a conversation in the last month? | CHART-SF Interview Version - Initiated Conversation With Strangers Last Month | ||
CHSF1-Unpaid Personal Care per Day | C117999 | CHSF1-Unpaid Personal Care per Day | Craig Handicap Assessment and Reporting Technique-Short Form Interview Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? hours unpaid (family, others). | CHART-SF Interview Version - Unpaid Personal Care per Day | ||
Back to top | ||||||
CL.C119068.CHART-SF Paper Version TESTCD | QS-Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Code (CHART-SF Paper Version TESTCD) | text Extensible: No | C119068 | QS-Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Code | Craig Handicap Assessment and Reporting Technique - Short Form Paper Version test code. | CDISC Questionnaire CHART-SF Paper Version Test Code Terminology |
CHSF201A | C119142 | CHSF2-Paid Personal Care per Day | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? (hours paid assistance). | CHART-SF Paper Version - Paid Personal Care per Day | ||
CHSF201B | C119143 | CHSF2-Unpaid Personal Care per Day | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? hours unpaid (family, others). | CHART-SF Paper Version - Unpaid Personal Care per Day | ||
CHSF202 | C119144 | CHSF2-Home Cognitive Assistance per Day | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How much time is someone with you in your home to assist you with activities that require remembering, decision making, or judgment? | CHART-SF Paper Version - Cognitive Assistance at Home per Day | ||
CHSF203 | C119145 | CHSF2-Away Cognitive Assistance per Day | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How much of the time is someone with you to help you with remembering, decision making, or judgment when you go away from your home? | CHART-SF Paper Version - Cognitive Assistance Away From Home per Day | ||
CHSF204 | C119146 | CHSF2-Hours Out of Bed per Day | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - On a typical day, how many hours are you out of bed? | CHART-SF Paper Version - Hours Out of Bed per Day | ||
CHSF205 | C119147 | CHSF2-Days Out of the House per Week | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - In a typical week, how many days do you get out of your house and go somewhere? | CHART-SF Paper Version - Days Out of the House per Week | ||
CHSF206 | C119148 | CHSF2-Nights Away From Home Last Year | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - In the last year, how many nights have you spent away from your home? | CHART-SF Paper Version - Nights Away From Home Last Year | ||
CHSF207A | C119149 | CHSF2-Hours of Paid Work per Week | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend working in a job for which you get paid? | CHART-SF Paper Version - Hours of Paid Work per Week | ||
CHSF207B | C119150 | CHSF2-Occupation of Paid Work | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend working in a job for which you get paid? (occupation). | CHART-SF Paper Version - Occupation of Paid Work | ||
CHSF208 | C119151 | CHSF2-Hours of Schoolwork per Week | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in school working toward a degree or in an accredited technical training program? | CHART-SF Paper Version - Hours of Schoolwork per Week | ||
CHSF209 | C119152 | CHSF2-Hours of Homemaking per Week | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in active homemaking including parenting, housekeeping, and food preparation? | CHART-SF Paper Version - Hours of Homemaking per Week | ||
CHSF210 | C119153 | CHSF2-Hours of Home Maintenance per Week | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in home maintenance activities such as gardening, house repairs or home improvement? | CHART-SF Paper Version - Hours of Home Maintenance per Week | ||
CHSF211 | C119154 | CHSF2-Hours of Recreation per Week | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in recreational activities such as sports, exercise, playing cards, or going to movies? | CHART-SF Paper Version - Hours of Recreational Activities per Week | ||
CHSF212 | C119155 | CHSF2-Number of People You Live With | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many people do you live with? | CHART-SF Paper Version - Number of People You Live With | ||
CHSF213 | C119156 | CHSF2-Live With Spouse or Signif Other | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Is one of them your spouse or significant other? | CHART-SF Paper Version - Live With Spouse or Significant Other | ||
CHSF214 | C119157 | CHSF2-Number of Relatives You Live With | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Of the people you live with how many are relatives? | CHART-SF Paper Version - Number of Relatives You Live With | ||
CHSF215 | C119158 | CHSF2-Associates Contacted per Month | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many business or organizational associates do you visit, phone, or write to at least once a month? | CHART-SF Paper Version - Associates Contacted per Month | ||
CHSF216 | C119159 | CHSF2-Friends Contacted per Month | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many friends do you visit, phone, or write to at least once a month? | CHART-SF Paper Version - Friends Contacted per Month | ||
CHSF217 | C119160 | CHSF2-Strangers Spoke with Last Month | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - With how many strangers have you initiated a conversation in the last month? | CHART-SF Paper Version - Initiated Conversation With Strangers Last Month | ||
CHSF218 | C119161 | CHSF2-Combined Household Income Last Yr | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Approximately what was the combined annual income, in the last year, of all family members in your household? | CHART-SF Paper Version - Combined Annual Household Income Last Year | ||
CHSF219 | C119162 | CHSF2-Medical Care Expenses Last Year | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Approximately how much did you pay last year for medical care expenses? | CHART-SF Paper Version - Medical Care Expense Last Year | ||
Back to top | ||||||
CL.C119067.CHART-SF Paper Version TEST | QS-Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Name (CHART-SF Paper Version TEST) | text Extensible: No | C119067 | QS-Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Name | Craig Handicap Assessment and Reporting Technique - Short Form Paper Version test name. | CDISC Questionnaire CHART-SF Paper Version Test Name Terminology |
CHSF2-Associates Contacted per Month | C119158 | CHSF2-Associates Contacted per Month | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many business or organizational associates do you visit, phone, or write to at least once a month? | CHART-SF Paper Version - Associates Contacted per Month | ||
CHSF2-Away Cognitive Assistance per Day | C119145 | CHSF2-Away Cognitive Assistance per Day | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How much of the time is someone with you to help you with remembering, decision making, or judgment when you go away from your home? | CHART-SF Paper Version - Cognitive Assistance Away From Home per Day | ||
CHSF2-Combined Household Income Last Yr | C119161 | CHSF2-Combined Household Income Last Yr | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Approximately what was the combined annual income, in the last year, of all family members in your household? | CHART-SF Paper Version - Combined Annual Household Income Last Year | ||
CHSF2-Days Out of the House per Week | C119147 | CHSF2-Days Out of the House per Week | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - In a typical week, how many days do you get out of your house and go somewhere? | CHART-SF Paper Version - Days Out of the House per Week | ||
CHSF2-Friends Contacted per Month | C119159 | CHSF2-Friends Contacted per Month | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many friends do you visit, phone, or write to at least once a month? | CHART-SF Paper Version - Friends Contacted per Month | ||
CHSF2-Home Cognitive Assistance per Day | C119144 | CHSF2-Home Cognitive Assistance per Day | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How much time is someone with you in your home to assist you with activities that require remembering, decision making, or judgment? | CHART-SF Paper Version - Cognitive Assistance at Home per Day | ||
CHSF2-Hours of Home Maintenance per Week | C119153 | CHSF2-Hours of Home Maintenance per Week | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in home maintenance activities such as gardening, house repairs or home improvement? | CHART-SF Paper Version - Hours of Home Maintenance per Week | ||
CHSF2-Hours of Homemaking per Week | C119152 | CHSF2-Hours of Homemaking per Week | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in active homemaking including parenting, housekeeping, and food preparation? | CHART-SF Paper Version - Hours of Homemaking per Week | ||
CHSF2-Hours of Paid Work per Week | C119149 | CHSF2-Hours of Paid Work per Week | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend working in a job for which you get paid? | CHART-SF Paper Version - Hours of Paid Work per Week | ||
CHSF2-Hours of Recreation per Week | C119154 | CHSF2-Hours of Recreation per Week | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in recreational activities such as sports, exercise, playing cards, or going to movies? | CHART-SF Paper Version - Hours of Recreational Activities per Week | ||
CHSF2-Hours of Schoolwork per Week | C119151 | CHSF2-Hours of Schoolwork per Week | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend in school working toward a degree or in an accredited technical training program? | CHART-SF Paper Version - Hours of Schoolwork per Week | ||
CHSF2-Hours Out of Bed per Day | C119146 | CHSF2-Hours Out of Bed per Day | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - On a typical day, how many hours are you out of bed? | CHART-SF Paper Version - Hours Out of Bed per Day | ||
CHSF2-Live With Spouse or Signif Other | C119156 | CHSF2-Live With Spouse or Signif Other | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Is one of them your spouse or significant other? | CHART-SF Paper Version - Live With Spouse or Significant Other | ||
CHSF2-Medical Care Expenses Last Year | C119162 | CHSF2-Medical Care Expenses Last Year | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Approximately how much did you pay last year for medical care expenses? | CHART-SF Paper Version - Medical Care Expense Last Year | ||
CHSF2-Nights Away From Home Last Year | C119148 | CHSF2-Nights Away From Home Last Year | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - In the last year, how many nights have you spent away from your home? | CHART-SF Paper Version - Nights Away From Home Last Year | ||
CHSF2-Number of People You Live With | C119155 | CHSF2-Number of People You Live With | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many people do you live with? | CHART-SF Paper Version - Number of People You Live With | ||
CHSF2-Number of Relatives You Live With | C119157 | CHSF2-Number of Relatives You Live With | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - Of the people you live with how many are relatives? | CHART-SF Paper Version - Number of Relatives You Live With | ||
CHSF2-Occupation of Paid Work | C119150 | CHSF2-Occupation of Paid Work | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours per week do you spend working in a job for which you get paid? (occupation). | CHART-SF Paper Version - Occupation of Paid Work | ||
CHSF2-Paid Personal Care per Day | C119142 | CHSF2-Paid Personal Care per Day | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? (hours paid assistance). | CHART-SF Paper Version - Paid Personal Care per Day | ||
CHSF2-Strangers Spoke with Last Month | C119160 | CHSF2-Strangers Spoke with Last Month | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - With how many strangers have you initiated a conversation in the last month? | CHART-SF Paper Version - Initiated Conversation With Strangers Last Month | ||
CHSF2-Unpaid Personal Care per Day | C119143 | CHSF2-Unpaid Personal Care per Day | Craig Handicap Assessment and Reporting Technique-Short Form Paper Version - How many hours in a typical 24-hour day do you have someone with you to provide physical assistance for personal care activities such as eating, bathing, dressing, toileting and mobility? hours unpaid (family, others). | CHART-SF Paper Version - Unpaid Personal Care per Day | ||
Back to top | ||||||
CL.C100158.COMM TESTCD | QS-Current Opioid Misuse Measure Test Code (COMM TESTCD) | text Extensible: No | C100158 | QS-Current Opioid Misuse Measure Test Code | Current Opioid Misuse Measure test code. | CDISC Questionnaire COMM Test Code Terminology |
COMM101 | C100958 | COMM1-Trouble Thinking Clearly/Memory | Current 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 | ||
COMM102 | C100959 | COMM1-Complaints Not Completing Tasks | Current 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 | ||
COMM103 | C100960 | COMM1-Other Sources For Pain Medication | Current 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 | ||
COMM104 | C100961 | COMM1-Taken Meds Other Than Prescribed | Current 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 | ||
COMM105 | C100962 | COMM1-Seriously Thought of Hurting Self | Current Opioid Misuse Measure - In the past 30 days, how often have you seriously thought about hurting yourself? | COMM - Seriously Thought of Hurting Self | ||
COMM106 | C100963 | COMM1-Time Spent Thinking About Opioids | Current 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 | ||
COMM107 | C100964 | COMM1-Been in an Argument | Current Opioid Misuse Measure - In the past 30 days, how often have you been in an argument? | COMM - Been in an Argument | ||
COMM108 | C100965 | COMM1-Trouble Controlling Anger | Current 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 | ||
COMM109 | C100966 | COMM1-Take Meds Belonging to Others | Current 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 | ||
COMM110 | C100967 | COMM1-Worry About Handling Meds | Current 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 | ||
COMM111 | C100968 | COMM1-Others Worry About Your Meds | Current 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 | ||
COMM112 | C100969 | COMM1-Emergency Phone Call/Clinic Visit | Current 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 | ||
COMM113 | C100970 | COMM1-Gotten Angry With People | Current Opioid Misuse Measure - In the past 30 days, how often have you gotten angry with people? | COMM - Gotten Angry With People | ||
COMM114 | C100971 | COMM1-Take More Meds Than Prescribed | Current 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 | ||
COMM115 | C100972 | COMM1-Borrowed Meds From Others | Current Opioid Misuse Measure - In the past 30 days, how often have you borrowed pain medication from someone else? | COMM - Borrowed Medication From Others | ||
COMM116 | C100973 | COMM1-Used Pain Meds For Other Symptoms | Current 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 | ||
COMM117 | C100974 | COMM1-Visit Emergency Room | Current Opioid Misuse Measure - In the past 30 days, how often have you had to visit the Emergency Room? | COMM - Visit Emergency Room | ||
COMM118 | C100975 | COMM1-Score | Current Opioid Misuse Measure - Score. | COMM - Score | ||
Back to top | ||||||
CL.C100157.COMM TEST | QS-Current Opioid Misuse Measure Test Name (COMM TEST) | text Extensible: No | C100157 | QS-Current Opioid Misuse Measure Test Name | Current Opioid Misuse Measure test name. | CDISC Questionnaire COMM Test Name Terminology |
COMM1-Been in an Argument | C100964 | COMM1-Been in an Argument | Current 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 Others | C100972 | COMM1-Borrowed Meds From Others | Current 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 Tasks | C100959 | COMM1-Complaints Not Completing Tasks | Current 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 Visit | C100969 | COMM1-Emergency Phone Call/Clinic Visit | Current 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 People | C100970 | COMM1-Gotten Angry With People | Current 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 Medication | C100960 | COMM1-Other Sources For Pain Medication | Current 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 Meds | C100968 | COMM1-Others Worry About Your Meds | Current 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-Score | C100975 | COMM1-Score | Current Opioid Misuse Measure - Score. | COMM - Score | ||
COMM1-Seriously Thought of Hurting Self | C100962 | COMM1-Seriously Thought of Hurting Self | Current 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 Others | C100966 | COMM1-Take Meds Belonging to Others | Current 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 Prescribed | C100971 | COMM1-Take More Meds Than Prescribed | Current 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 Prescribed | C100961 | COMM1-Taken Meds Other Than Prescribed | Current 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 Opioids | C100963 | COMM1-Time Spent Thinking About Opioids | Current 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 Anger | C100965 | COMM1-Trouble Controlling Anger | Current 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/Memory | C100958 | COMM1-Trouble Thinking Clearly/Memory | Current 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 Symptoms | C100973 | COMM1-Used Pain Meds For Other Symptoms | Current 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 Room | C100974 | COMM1-Visit Emergency Room | Current 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 Meds | C100967 | COMM1-Worry About Handling Meds | Current 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 | ||
Back to top | ||||||
CL.C119070.DLQI TESTCD | QS-Dermatology Life Quality Index Questionnaire Test Code (DLQI TESTCD) | text Extensible: No | C119070 | QS-Dermatology Life Quality Index Questionnaire Test Code | Dermatology Life Quality Index test code. | CDISC Questionnaire DLQI Test Code Terminology |
DLQI101 | C119163 | DLQI1-How Itchy, Sore, Painful, Stinging | Dermatology Life Quality Index - Over the last week, how itchy, sore, painful or stinging has your skin been? | DLQI - Itchy, Sore, Painful or Stinging Skin | ||
DLQI102 | C119164 | DLQI1-How Embarrassed, Self Conscious | Dermatology Life Quality Index - Over the last week, how embarrassed or self conscious have you been because of your skin? | DLQI - Embarrassed Because of Skin | ||
DLQI103 | C119165 | DLQI1-Interfered Shopping, Home, Yard | Dermatology Life Quality Index - Over the last week, how much has your skin interfered with you going shopping or looking after your home or yard? | DLQI - Skin Interfere With Shopping, Looking After Home or Yard | ||
DLQI104 | C119166 | DLQI1-Influenced Clothes You Wear | Dermatology Life Quality Index - Over the last week, how much has your skin influenced the clothes you wear? | DLQI - Skin Influence Clothes You Wear | ||
DLQI105 | C119167 | DLQI1-Affected Social, Leisure Activity | Dermatology Life Quality Index - Over the last week, how much has your skin affected any social or leisure activities? | DLQI - Skin Affect Social or Leisure Activities | ||
DLQI106 | C119168 | DLQI1-Made It Difficult to Do Any Sports | Dermatology Life Quality Index - Over the last week, how much has your skin made it difficult for you to do any sport? | DLQI - Skin Made Difficult to Do Sport | ||
DLQI107 | C119169 | DLQI1-Prevented Working or Studying | Dermatology Life Quality Index - Over the last week, has your skin prevented you from working or studying? | DLQI - Skin Prevent Work or Study | ||
DLQI107A | C119170 | DLQI1-Problem at Work or Studying | Dermatology Life Quality Index - If 'No', over the last week how much has your skin been a problem at work or studying? | DLQI - Skin Has Been a Problem at Work or Study | ||
DLQI108 | C119171 | DLQI1-Problem Partner, Friends, Relative | Dermatology Life Quality Index - Over the last week, how much has your skin created problems with your partner or any of your close friends or relatives? | DLQI - Skin Create Problem With Partner, Friends or Relatives | ||
DLQI109 | C119172 | DLQI1-Caused Any Sexual Difficulties | Dermatology Life Quality Index - Over the last week, how much has your skin caused any sexual difficulties? | DLQI - Skin Cause Sexual Difficulties | ||
DLQI110 | C119173 | DLQI1-How Much a Problem is Treatment | Dermatology Life Quality Index - Over the last week, how much of a problem has the treatment for your skin been, for example by making your home messy, or by taking up time? | DLQI - Treatment for Skin Make Home Messy | ||
DLQI111 | C119174 | DLQI-Score | Dermatology Life Quality Index - Score. | DLQI - Score | ||
Back to top | ||||||
CL.C119069.DLQI TEST | QS-Dermatology Life Quality Index Questionnaire Test Name (DLQI TEST) | text Extensible: No | C119069 | QS-Dermatology Life Quality Index Questionnaire Test Name | Dermatology Life Quality Index test name. | CDISC Questionnaire DLQI Test Name Terminology |
DLQI-Score | C119174 | DLQI-Score | Dermatology Life Quality Index - Score. | DLQI - Score | ||
DLQI1-Affected Social, Leisure Activity | C119167 | DLQI1-Affected Social, Leisure Activity | Dermatology Life Quality Index - Over the last week, how much has your skin affected any social or leisure activities? | DLQI - Skin Affect Social or Leisure Activities | ||
DLQI1-Caused Any Sexual Difficulties | C119172 | DLQI1-Caused Any Sexual Difficulties | Dermatology Life Quality Index - Over the last week, how much has your skin caused any sexual difficulties? | DLQI - Skin Cause Sexual Difficulties | ||
DLQI1-How Embarrassed, Self Conscious | C119164 | DLQI1-How Embarrassed, Self Conscious | Dermatology Life Quality Index - Over the last week, how embarrassed or self conscious have you been because of your skin? | DLQI - Embarrassed Because of Skin | ||
DLQI1-How Itchy, Sore, Painful, Stinging | C119163 | DLQI1-How Itchy, Sore, Painful, Stinging | Dermatology Life Quality Index - Over the last week, how itchy, sore, painful or stinging has your skin been? | DLQI - Itchy, Sore, Painful or Stinging Skin | ||
DLQI1-How Much a Problem is Treatment | C119173 | DLQI1-How Much a Problem is Treatment | Dermatology Life Quality Index - Over the last week, how much of a problem has the treatment for your skin been, for example by making your home messy, or by taking up time? | DLQI - Treatment for Skin Make Home Messy | ||
DLQI1-Influenced Clothes You Wear | C119166 | DLQI1-Influenced Clothes You Wear | Dermatology Life Quality Index - Over the last week, how much has your skin influenced the clothes you wear? | DLQI - Skin Influence Clothes You Wear | ||
DLQI1-Interfered Shopping, Home, Yard | C119165 | DLQI1-Interfered Shopping, Home, Yard | Dermatology Life Quality Index - Over the last week, how much has your skin interfered with you going shopping or looking after your home or yard? | DLQI - Skin Interfere With Shopping, Looking After Home or Yard | ||
DLQI1-Made It Difficult to Do Any Sports | C119168 | DLQI1-Made It Difficult to Do Any Sports | Dermatology Life Quality Index - Over the last week, how much has your skin made it difficult for you to do any sport? | DLQI - Skin Made Difficult to Do Sport | ||
DLQI1-Prevented Working or Studying | C119169 | DLQI1-Prevented Working or Studying | Dermatology Life Quality Index - Over the last week, has your skin prevented you from working or studying? | DLQI - Skin Prevent Work or Study | ||
DLQI1-Problem at Work or Studying | C119170 | DLQI1-Problem at Work or Studying | Dermatology Life Quality Index - If 'No', over the last week how much has your skin been a problem at work or studying? | DLQI - Skin Has Been a Problem at Work or Study | ||
DLQI1-Problem Partner, Friends, Relative | C119171 | DLQI1-Problem Partner, Friends, Relative | Dermatology Life Quality Index - Over the last week, how much has your skin created problems with your partner or any of your close friends or relatives? | DLQI - Skin Create Problem With Partner, Friends or Relatives | ||
Back to top | ||||||
CL.C105130.DAD TESTCD | QS-Disability Assessment for Dementia Questionnaire Test Code (DAD TESTCD) | text Extensible: No | C105130 | QS-Disability Assessment for Dementia Questionnaire Test Code | Disability Assessment for Dementia test code. | CDISC Questionnaire DAD Test Code Terminology |
DAD0101 | C105170 | DAD01-Decide to Wash | Disability 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 | ||
DAD0102 | C105171 | DAD01-Decide to Brush Teeth Dentures | Disability Assessment for Dementia - Decide to brush his/her teeth or care for his/her dentures? | DAD - Decide to Brush Teeth or Care for Dentures | ||
DAD0103 | C105172 | DAD01-Decide to Care For Hair | Disability Assessment for Dementia - Decide to care for his/her hair (wash and comb)? | DAD - Decide to Care for His/Her Hair | ||
DAD0104 | C105173 | DAD01-Prepare For Washing Bath Shower | Disability 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 | ||
DAD0105 | C105174 | DAD01-Wash and Dry Body Safely | Disability 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 | ||
DAD0106 | C105175 | DAD01-Brush Teeth Take Care of Dentures | Disability Assessment for Dementia - Brush his/her teeth or take care of his/her dentures appropriately? | DAD - Brush Teeth or Take Care of Dentures Appropriately | ||
DAD0107 | C105176 | DAD01-Take Care of Hair | Disability Assessment for Dementia - Take care of his/her hair (wash and comb)? | DAD - Take Care of His/Her Hair | ||
DAD0108 | C105177 | DAD01-Decide to Dress | Disability Assessment for Dementia - Decide to dress himself/herself? | DAD - Decide to Dress Himself/Herself | ||
DAD0109 | C105178 | DAD01-Choose Appropriate Clothing | Disability Assessment for Dementia - Choose appropriate clothing (with regard to the occasion, neatness, the weather and color combination)? | DAD - Choose Appropriate Clothing | ||
DAD0110 | C105179 | DAD01-Dress in Appropriate Order | Disability Assessment for Dementia - Dress himself/herself in the appropriate order (undergarments, pant/dress, shoes)? | DAD - Dress in the Appropriate Order | ||
DAD0111 | C105180 | DAD01-Dress Completely | Disability Assessment for Dementia - Dress himself/herself completely? | DAD - Dress Himself/Herself Completely | ||
DAD0112 | C105181 | DAD01-Undress Completely | Disability Assessment for Dementia - Undress himself/herself completely? | DAD - Undress Himself/Herself Completely | ||
DAD0113 | C105182 | DAD01-Use Toilet at Appropriate Times | Disability Assessment for Dementia - Decide to use the toilet at appropriate times? | DAD - Decide to Use the Toilet at Appropriate Times | ||
DAD0114 | C105183 | DAD01-Use Toilet Without Accidents | Disability Assessment for Dementia - Use the toilet without 'accidents'? | DAD - Use the Toilet Without Accidents | ||
DAD0115 | C105184 | DAD01-Decide That He/She Needs to Eat | Disability Assessment for Dementia - Decide that he/she needs to eat? | DAD - Decide That He/She Needs to Eat | ||
DAD0116 | C105185 | DAD01-Choose Appropriate Utensils | Disability Assessment for Dementia - Choose appropriate utensils and seasonings when eating? | DAD - Choose Appropriate Utensils and Seasonings When Eating | ||
DAD0117 | C105186 | DAD01-Eat at Normal Pace With Manners | Disability 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 | ||
DAD0118 | C105187 | DAD01-Decide to Prepare Meal Snack | Disability 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 | ||
DAD0119 | C105188 | DAD01-Adequately Plan Light Meal Snack | Disability Assessment for Dementia - Adequately plan a light meal or snack (ingredients, cookware)? | DAD - Adequately Plan a Light Meal or Snack | ||
DAD0120 | C105189 | DAD01-Prepare or Cook Light Meal Snack | Disability Assessment for Dementia - Prepare or cook a light meal or a snack safely? | DAD - Safely Prepare or Cook a Light Meal or Snack | ||
DAD0121 | C105190 | DAD01-Telephone Someone at Suitable Time | Disability Assessment for Dementia - Attempt to telephone someone at a suitable time? | DAD - Attempt to Telephone Someone at a Suitable Time | ||
DAD0122 | C105191 | DAD01-Find and Dial Telephone Number | Disability Assessment for Dementia - Find and dial a telephone number correctly? | DAD - Find and Dial a Telephone Number Correctly | ||
DAD0123 | C105192 | DAD01-Carry Out Telephone Conversation | Disability Assessment for Dementia - Carry out an appropriate telephone conversation? | DAD - Carry Out an Appropriate Telephone Conversation | ||
DAD0124 | C105193 | DAD01-Write Convey Telephone Message | Disability Assessment for Dementia - Write and convey a telephone message adequately? | DAD - Write and Convey a Telephone Message Adequately | ||
DAD0125 | C105194 | DAD01-Decide to Go Out | Disability Assessment for Dementia - Decide to go out (walk, visit, shop) at an appropriate time? | DAD - Decide to Go Out at an Appropriate Time | ||
DAD0126 | C105195 | DAD01-Adequately Organize an Outing | Disability 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 | ||
DAD0127 | C105196 | DAD01-Go Out Without Getting Lost | Disability Assessment for Dementia - Go out and reach a familiar destination without getting lost? | DAD - Go Out and Reach a Familiar Destination Without Getting Lost | ||
DAD0128 | C105197 | DAD01-Safely Take Transportation | Disability Assessment for Dementia - Safely take the adequate mode of transportation (car, bus, taxi)? | DAD - Safely Take the Adequate Mode of Transportation | ||
DAD0129 | C105198 | DAD01-Return From Store With Items | Disability Assessment for Dementia - Return from the store with the appropriate items? | DAD - Return From the Store with Appropriate Items | ||
DAD0130 | C105199 | DAD01-Show Interest in Personal Affairs | Disability 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 | ||
DAD0131 | C105200 | DAD01-Oragnize Finances to Pay Bills | Disability Assessment for Dementia - Organize his/her finances to pay his/her bills (checks, bank statement, bills)? | DAD - Organize Finances to Pay Bills | ||
DAD0132 | C105201 | DAD01-Adequately Organize Correspondence | Disability Assessment for Dementia - Adequately organize his/her correspondence with respect to stationery, address, stamps? | DAD - Adequately Organize Correspondence | ||
DAD0133 | C105202 | DAD01-Handle Money Adequately | Disability Assessment for Dementia - Handle his/her money adequately (deal with cash)? | DAD - Handle Money Adequately | ||
DAD0134 | C105203 | DAD01-Take Medications at Correct Time | Disability Assessment for Dementia - Decide to take his/her medications at the correct time? | DAD - Decide to Take Medications at the Correct Time | ||
DAD0135 | C105204 | DAD01-Take Medications as Prescribed | Disability Assessment for Dementia - Take his/her medications as prescribed (according to the right dosage)? | DAD - Take Medications as Prescribed | ||
DAD0136 | C105205 | DAD01-Show Interest in Leisure Activity | Disability Assessment for Dementia - Show an interest in leisure activity(ies)? | DAD - Show an Interest in Leisure Activities | ||
DAD0137 | C105206 | DAD01-Take Interest in Household Chores | Disability 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 | ||
DAD0138 | C105207 | DAD01-Plan Organize Household Chores | Disability 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 | ||
DAD0139 | C105208 | DAD01-Complete Household Chores | Disability 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 | ||
DAD0140 | C105209 | DAD01-Stay Safely at Home When Needed | Disability Assessment for Dementia - Stay safely at home by himself/herself when needed? | DAD - Stay Safely at Home When Needed | ||
DAD0141 | C111577 | DAD01-Sub-Total Initiation | Disability Assessment for Dementia - Sub-Total Initiation. | DAD - Sub-Total Initiation | ||
DAD0142 | C111578 | DAD01-Initiation Num Applic Items | Disability Assessment for Dementia - Sub-Total Initiation Number of Applicable Items. | DAD - Total Initiation Number of Applicable Items | ||
DAD0143 | C111579 | DAD01-Sub-Total Planning & Organization | Disability Assessment for Dementia - Sub-Total Planning & Organization. | DAD - Sub-Total Planning and Organization | ||
DAD0144 | C111617 | DAD01-Plan & Org Num Applic Items | Disability Assessment for Dementia - Sub-Total Planning & Organization Number of Applicable Items. | DAD - Plan and Organize Number of Applicable Items | ||
DAD0145 | C111580 | DAD01-Sub-Total Effective Performance | Disability Assessment for Dementia - Sub-Total Effective Performance. | DAD - Sub-Total Effective Performance | ||
DAD0146 | C111581 | DAD01-Effective Perf Num Applic Items | Disability Assessment for Dementia - Sub-Total Effective Performance Number of Applicable Items. | DAD - Sub-Total Effective Performance Number of Applicable Items | ||
DAD0147 | C111582 | DAD01-Total Score | Disability Assessment for Dementia - Total Score. | DAD - Total Score | ||
DAD0148 | C111583 | DAD01-Total Num of Applic Items | Disability Assessment for Dementia - Total Number of Applicable Items. | DAD - Total Number of Applicable Items | ||
DAD0149 | C111584 | DAD01-Total % | Disability Assessment for Dementia - Total %. | DAD - Total Percent | ||
Back to top | ||||||
CL.C105129.DAD TEST | QS-Disability Assessment for Dementia Questionnaire Test Name (DAD TEST) | text Extensible: No | C105129 | QS-Disability Assessment for Dementia Questionnaire Test Name | Disability Assessment for Dementia test name. | CDISC Questionnaire DAD Test Name Terminology |
DAD01-Adequately Organize an Outing | C105195 | DAD01-Adequately Organize an Outing | Disability 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 Correspondence | C105201 | DAD01-Adequately Organize Correspondence | Disability Assessment for Dementia - Adequately organize his/her correspondence with respect to stationery, address, stamps? | DAD - Adequately Organize Correspondence | ||
DAD01-Adequately Plan Light Meal Snack | C105188 | DAD01-Adequately Plan Light Meal Snack | Disability 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 Dentures | C105175 | DAD01-Brush Teeth Take Care of Dentures | Disability 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 Conversation | C105192 | DAD01-Carry Out Telephone Conversation | Disability Assessment for Dementia - Carry out an appropriate telephone conversation? | DAD - Carry Out an Appropriate Telephone Conversation | ||
DAD01-Choose Appropriate Clothing | C105178 | DAD01-Choose Appropriate Clothing | Disability Assessment for Dementia - Choose appropriate clothing (with regard to the occasion, neatness, the weather and color combination)? | DAD - Choose Appropriate Clothing | ||
DAD01-Choose Appropriate Utensils | C105185 | DAD01-Choose Appropriate Utensils | Disability Assessment for Dementia - Choose appropriate utensils and seasonings when eating? | DAD - Choose Appropriate Utensils and Seasonings When Eating | ||
DAD01-Complete Household Chores | C105208 | DAD01-Complete Household Chores | Disability 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 Eat | C105184 | DAD01-Decide That He/She Needs to Eat | Disability Assessment for Dementia - Decide that he/she needs to eat? | DAD - Decide That He/She Needs to Eat | ||
DAD01-Decide to Brush Teeth Dentures | C105171 | DAD01-Decide to Brush Teeth Dentures | Disability 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 Hair | C105172 | DAD01-Decide to Care For Hair | Disability Assessment for Dementia - Decide to care for his/her hair (wash and comb)? | DAD - Decide to Care for His/Her Hair | ||
DAD01-Decide to Dress | C105177 | DAD01-Decide to Dress | Disability Assessment for Dementia - Decide to dress himself/herself? | DAD - Decide to Dress Himself/Herself | ||
DAD01-Decide to Go Out | C105194 | DAD01-Decide to Go Out | Disability 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 Snack | C105187 | DAD01-Decide to Prepare Meal Snack | Disability 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 Wash | C105170 | DAD01-Decide to Wash | Disability 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 Completely | C105180 | DAD01-Dress Completely | Disability Assessment for Dementia - Dress himself/herself completely? | DAD - Dress Himself/Herself Completely | ||
DAD01-Dress in Appropriate Order | C105179 | DAD01-Dress in Appropriate Order | Disability 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 Manners | C105186 | DAD01-Eat at Normal Pace With Manners | Disability 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 Items | C111581 | DAD01-Effective Perf Num Applic Items | Disability 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 Number | C105191 | DAD01-Find and Dial Telephone Number | Disability Assessment for Dementia - Find and dial a telephone number correctly? | DAD - Find and Dial a Telephone Number Correctly | ||
DAD01-Go Out Without Getting Lost | C105196 | DAD01-Go Out Without Getting Lost | Disability 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 Adequately | C105202 | DAD01-Handle Money Adequately | Disability Assessment for Dementia - Handle his/her money adequately (deal with cash)? | DAD - Handle Money Adequately | ||
DAD01-Initiation Num Applic Items | C111578 | DAD01-Initiation Num Applic Items | Disability Assessment for Dementia - Sub-Total Initiation Number of Applicable Items. | DAD - Total Initiation Number of Applicable Items | ||
DAD01-Oragnize Finances to Pay Bills | C105200 | DAD01-Oragnize Finances to Pay Bills | Disability 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 Items | C111617 | DAD01-Plan & Org Num Applic Items | Disability Assessment for Dementia - Sub-Total Planning & Organization Number of Applicable Items. | DAD - Plan and Organize Number of Applicable Items | ||
DAD01-Plan Organize Household Chores | C105207 | DAD01-Plan Organize Household Chores | Disability 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 Shower | C105173 | DAD01-Prepare For Washing Bath Shower | Disability 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 Snack | C105189 | DAD01-Prepare or Cook Light Meal Snack | Disability 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 Items | C105198 | DAD01-Return From Store With Items | Disability Assessment for Dementia - Return from the store with the appropriate items? | DAD - Return From the Store with Appropriate Items | ||
DAD01-Safely Take Transportation | C105197 | DAD01-Safely Take Transportation | Disability 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 Activity | C105205 | DAD01-Show Interest in Leisure Activity | Disability Assessment for Dementia - Show an interest in leisure activity(ies)? | DAD - Show an Interest in Leisure Activities | ||
DAD01-Show Interest in Personal Affairs | C105199 | DAD01-Show Interest in Personal Affairs | Disability 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 Needed | C105209 | DAD01-Stay Safely at Home When Needed | Disability Assessment for Dementia - Stay safely at home by himself/herself when needed? | DAD - Stay Safely at Home When Needed | ||
DAD01-Sub-Total Effective Performance | C111580 | DAD01-Sub-Total Effective Performance | Disability Assessment for Dementia - Sub-Total Effective Performance. | DAD - Sub-Total Effective Performance | ||
DAD01-Sub-Total Initiation | C111577 | DAD01-Sub-Total Initiation | Disability Assessment for Dementia - Sub-Total Initiation. | DAD - Sub-Total Initiation | ||
DAD01-Sub-Total Planning & Organization | C111579 | DAD01-Sub-Total Planning & Organization | Disability Assessment for Dementia - Sub-Total Planning & Organization. | DAD - Sub-Total Planning and Organization | ||
DAD01-Take Care of Hair | C105176 | DAD01-Take Care of Hair | Disability Assessment for Dementia - Take care of his/her hair (wash and comb)? | DAD - Take Care of His/Her Hair | ||
DAD01-Take Interest in Household Chores | C105206 | DAD01-Take Interest in Household Chores | Disability 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 Prescribed | C105204 | DAD01-Take Medications as Prescribed | Disability Assessment for Dementia - Take his/her medications as prescribed (according to the right dosage)? | DAD - Take Medications as Prescribed | ||
DAD01-Take Medications at Correct Time | C105203 | DAD01-Take Medications at Correct Time | Disability 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 Time | C105190 | DAD01-Telephone Someone at Suitable Time | Disability Assessment for Dementia - Attempt to telephone someone at a suitable time? | DAD - Attempt to Telephone Someone at a Suitable Time | ||
DAD01-Total % | C111584 | DAD01-Total % | Disability Assessment for Dementia - Total %. | DAD - Total Percent | ||
DAD01-Total Num of Applic Items | C111583 | DAD01-Total Num of Applic Items | Disability Assessment for Dementia - Total Number of Applicable Items. | DAD - Total Number of Applicable Items | ||
DAD01-Total Score | C111582 | DAD01-Total Score | Disability Assessment for Dementia - Total Score. | DAD - Total Score | ||
DAD01-Undress Completely | C105181 | DAD01-Undress Completely | Disability Assessment for Dementia - Undress himself/herself completely? | DAD - Undress Himself/Herself Completely | ||
DAD01-Use Toilet at Appropriate Times | C105182 | DAD01-Use Toilet at Appropriate Times | Disability Assessment for Dementia - Decide to use the toilet at appropriate times? | DAD - Decide to Use the Toilet at Appropriate Times | ||
DAD01-Use Toilet Without Accidents | C105183 | DAD01-Use Toilet Without Accidents | Disability Assessment for Dementia - Use the toilet without 'accidents'? | DAD - Use the Toilet Without Accidents | ||
DAD01-Wash and Dry Body Safely | C105174 | DAD01-Wash and Dry Body Safely | Disability 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 Message | C105193 | DAD01-Write Convey Telephone Message | Disability Assessment for Dementia - Write and convey a telephone message adequately? | DAD - Write and Convey a Telephone Message Adequately | ||
Back to top | ||||||
CL.C115402.DRS TESTCD | QS-Disability Rating Scale Questionnaire Test Code (DRS TESTCD) | text Extensible: No | C115402 | QS-Disability Rating Scale Questionnaire Test Code | Disability Rating Scale test code. | CDISC Questionnaire DRS Test Code Terminology |
DRS0101 | C115820 | DRS01-Eye Opening | Disability Rating Scale - Eye opening. | DRS - Eye Opening | ||
DRS0102 | C115821 | DRS01-Communication Ability | Disability Rating Scale - Communication ability. | DRS - Communication Ability | ||
DRS0103 | C115822 | DRS01-Motor Response | Disability Rating Scale - Motor response. | DRS - Motor Response | ||
DRS0104 | C115823 | DRS01-Feeding | Disability Rating Scale - Feeding (cognitive ability only). | DRS - Feeding | ||
DRS0105 | C115824 | DRS01-Toileting | Disability Rating Scale - Toileting (cognitive ability only). | DRS - Toileting | ||
DRS0106 | C115825 | DRS01-Grooming | Disability Rating Scale - Grooming (cognitive ability only). | DRS - Grooming | ||
DRS0107 | C115826 | DRS01-Level of Functioning | Disability Rating Scale - Level of functioning (physical, mental, emotional or social function). | DRS - Level of Functioning | ||
DRS0108 | C115827 | DRS01-Employability | Disability Rating Scale - Employability (as a full time worker, homemaker, or student). | DRS - Employability | ||
Back to top | ||||||
CL.C115401.DRS TEST | QS-Disability Rating Scale Questionnaire Test Name (DRS TEST) | text Extensible: No | C115401 | QS-Disability Rating Scale Questionnaire Test Name | Disability Rating Scale test name. | CDISC Questionnaire DRS Test Name Terminology |
DRS01-Communication Ability | C115821 | DRS01-Communication Ability | Disability Rating Scale - Communication ability. | DRS - Communication Ability | ||
DRS01-Employability | C115827 | DRS01-Employability | Disability Rating Scale - Employability (as a full time worker, homemaker, or student). | DRS - Employability | ||
DRS01-Eye Opening | C115820 | DRS01-Eye Opening | Disability Rating Scale - Eye opening. | DRS - Eye Opening | ||
DRS01-Feeding | C115823 | DRS01-Feeding | Disability Rating Scale - Feeding (cognitive ability only). | DRS - Feeding | ||
DRS01-Grooming | C115825 | DRS01-Grooming | Disability Rating Scale - Grooming (cognitive ability only). | DRS - Grooming | ||
DRS01-Level of Functioning | C115826 | DRS01-Level of Functioning | Disability Rating Scale - Level of functioning (physical, mental, emotional or social function). | DRS - Level of Functioning | ||
DRS01-Motor Response | C115822 | DRS01-Motor Response | Disability Rating Scale - Motor response. | DRS - Motor Response | ||
DRS01-Toileting | C115824 | DRS01-Toileting | Disability Rating Scale - Toileting (cognitive ability only). | DRS - Toileting | ||
Back to top | ||||||
CL.C112437.Disease Steps TESTCD | QS-Disease Steps Questionnaire Test Code (Disease Steps TESTCD) | text Extensible: No | C112437 | QS-Disease Steps Questionnaire Test Code | Disease Steps test code. | CDISC Questionnaire DS Test Code Terminology |
DS0101 | C112549 | DS01-Disease Steps Classification | Disease 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 | ||
Back to top | ||||||
CL.C112436.Disease Steps TEST | QS-Disease Steps Questionnaire Test Name (Disease Steps TEST) | text Extensible: No | C112436 | QS-Disease Steps Questionnaire Test Name | Disease Steps test name. | CDISC Questionnaire DS Test Name Terminology |
DS01-Disease Steps Classification | C112549 | DS01-Disease Steps Classification | Disease 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 | ||
Back to top | ||||||
CL.C101815.ECOG TESTCD | QS-Eastern Cooperative Oncology Group Performance Status Test Code (ECOG TESTCD) | text Extensible: No | C101815 | QS-Eastern Cooperative Oncology Group Performance Status Test Code | Eastern Cooperative Oncology Group Performance Status test code. | CDISC Questionnaire ECOG Test Code Terminology |
ECOG101 | C102408 | ECOG1-Performance Status | ECOG Performance Status - Performance Status. | ECOG - Performance Status | ||
Back to top | ||||||
CL.C101816.ECOG TEST | QS-Eastern Cooperative Oncology Group Performance Status Test Name (ECOG TEST) | text Extensible: No | C101816 | QS-Eastern Cooperative Oncology Group Performance Status Test Name | Eastern Cooperative Oncology Group Performance Status test name. | CDISC Questionnaire ECOG Test Name Terminology |
ECOG1-Performance Status | C102408 | ECOG1-Performance Status | ECOG Performance Status - Performance Status. | ECOG - Performance Status | ||
Back to top | ||||||
CL.C103463.ESS TESTCD | QS-Epworth Sleepiness Scale Questionnaire Test Code (ESS TESTCD) | text Extensible: No | C103463 | QS-Epworth Sleepiness Scale Questionnaire Test Code | Epworth Sleepiness Scale test code. | CDISC Questionnaire ESS Test Code Terminology |
ESS0101 | C103536 | ESS01-Sitting and Reading | Epworth Sleepiness Scale - Sitting and reading. | ESS - Sitting and Reading | ||
ESS0102 | C103537 | ESS01-Watching TV | Epworth Sleepiness Scale - Watching TV. | ESS - Watching TV | ||
ESS0103 | C103538 | ESS01-Sitting Inactive in a Public Place | Epworth Sleepiness Scale - Sitting, inactive in a public place (e.g. a theatre or a meeting). | ESS - Sitting, Inactive in a Public Place | ||
ESS0104 | C103539 | ESS01-Passenger for Hour Without Break | Epworth 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 | ||
ESS0105 | C103540 | ESS01-Lying Down to Rest In Afternoon | Epworth Sleepiness Scale - Lying down to rest in the afternoon when circumstances permit. | ESS - Lying Down to Rest in the Afternoon When Circumstances Permit | ||
ESS0106 | C103541 | ESS01-Sitting and Talking to Someone | Epworth Sleepiness Scale - Sitting and talking to someone. | ESS - Sitting and Talking to Someone | ||
ESS0107 | C103542 | ESS01-Sitting Quietly After Lunch | Epworth Sleepiness Scale - Sitting quietly after a lunch without alcohol. | ESS - Sitting Quietly After a Lunch without Alcohol | ||
ESS0108 | C103543 | ESS01-In Car Stopped Few Minutes Traffic | Epworth 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 | ||
Back to top | ||||||
CL.C103462.ESS TEST | QS-Epworth Sleepiness Scale Questionnaire Test Name (ESS TEST) | text Extensible: No | C103462 | QS-Epworth Sleepiness Scale Questionnaire Test Name | Epworth Sleepiness Scale test name. | CDISC Questionnaire ESS Test Name Terminology |
ESS01-In Car Stopped Few Minutes Traffic | C103543 | ESS01-In Car Stopped Few Minutes Traffic | Epworth 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 Afternoon | C103540 | ESS01-Lying Down to Rest In Afternoon | Epworth 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 Break | C103539 | ESS01-Passenger for Hour Without Break | Epworth 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 Reading | C103536 | ESS01-Sitting and Reading | Epworth Sleepiness Scale - Sitting and reading. | ESS - Sitting and Reading | ||
ESS01-Sitting and Talking to Someone | C103541 | ESS01-Sitting and Talking to Someone | Epworth Sleepiness Scale - Sitting and talking to someone. | ESS - Sitting and Talking to Someone | ||
ESS01-Sitting Inactive in a Public Place | C103538 | ESS01-Sitting Inactive in a Public Place | Epworth 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 Lunch | C103542 | ESS01-Sitting Quietly After Lunch | Epworth Sleepiness Scale - Sitting quietly after a lunch without alcohol. | ESS - Sitting Quietly After a Lunch without Alcohol | ||
ESS01-Watching TV | C103537 | ESS01-Watching TV | Epworth Sleepiness Scale - Watching TV. | ESS - Watching TV | ||
Back to top | ||||||
CL.C101817.EQ-5D-5L TESTCD | QS-European Quality of Life Five Dimension Five Level Scale Test Code (EQ-5D-5L TESTCD) | text Extensible: No | C101817 | QS-European Quality of Life Five Dimension Five Level Scale Test Code | European Quality of Life Five Dimension Three Level Scale test code. | CDISC Questionnaire EQ-5D-5L Test Code Terminology |
EQ5D0201 | C102067 | EQ5D02-Mobility | European Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Mobility. | EQ-5D-5L - Mobility | ||
EQ5D0202 | C102068 | EQ5D02-Self-Care | European 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 | ||
EQ5D0203 | C102069 | EQ5D02-Usual Activities | European 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 | ||
EQ5D0204 | C102070 | EQ5D02-Pain/Discomfort | European 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 | ||
EQ5D0205 | C102071 | EQ5D02-Anxiety/Depression | European 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 | ||
EQ5D0206 | C102072 | EQ5D02-EQ VAS Score | European Quality of Life Five Dimension Five Level Scale - Indicate how your health is today. | EQ-5D-5L - EQ VAS Score | ||
Back to top | ||||||
CL.C101818.EQ-5D-5L TEST | QS-European Quality of Life Five Dimension Five Level Scale Test Name (EQ-5D-5L TEST) | text Extensible: No | C101818 | QS-European Quality of Life Five Dimension Five Level Scale Test Name | European Quality of Life Five Dimension Five Level Scale test name. | CDISC Questionnaire EQ-5D-5L Test Name Terminology |
EQ5D02-Anxiety/Depression | C102071 | EQ5D02-Anxiety/Depression | European 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 Score | C102072 | EQ5D02-EQ VAS Score | European Quality of Life Five Dimension Five Level Scale - Indicate how your health is today. | EQ-5D-5L - EQ VAS Score | ||
EQ5D02-Mobility | C102067 | EQ5D02-Mobility | European 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/Discomfort | C102070 | EQ5D02-Pain/Discomfort | European 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-Care | C102068 | EQ5D02-Self-Care | European 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 Activities | C102069 | EQ5D02-Usual Activities | European 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 | ||
Back to top | ||||||
CL.C100136.EQ-5D-3L TESTCD | QS-European Quality of Life Five Dimension Three Level Scale Test Code (EQ-5D-3L TESTCD) | text Extensible: No | C100136 | QS-European Quality of Life Five Dimension Three Level Scale Test Code | European Quality of Life Five Dimension Five Level Scale test code. | CDISC Questionnaire EQ-5D-3L Test Code Terminology |
EQ5D0101 | C100392 | EQ5D01-Mobility | European Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Mobility. | EQ-5D-3L - Mobility | ||
EQ5D0102 | C100393 | EQ5D01-Self-Care | European 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 | ||
EQ5D0103 | C100394 | EQ5D01-Usual Activities | European 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 | ||
EQ5D0104 | C100395 | EQ5D01-Pain/Discomfort | European 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 | ||
EQ5D0105 | C100396 | EQ5D01-Anxiety/Depression | European 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 | ||
EQ5D0106 | C100397 | EQ5D01-EQ VAS Score | European 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 | ||
Back to top | ||||||
CL.C100135.EQ-5D-3L TEST | QS-European Quality of Life Five Dimension Three Level Scale Test Name (EQ-5D-3L TEST) | text Extensible: No | C100135 | QS-European Quality of Life Five Dimension Three Level Scale Test Name | European Quality of Life Five Dimension Three Level Scale test name. | CDISC Questionnaire EQ-5D-3L Test Name Terminology |
EQ5D01-Anxiety/Depression | C100396 | EQ5D01-Anxiety/Depression | European 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 Score | C100397 | EQ5D01-EQ VAS Score | European 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-Mobility | C100392 | EQ5D01-Mobility | European 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/Discomfort | C100395 | EQ5D01-Pain/Discomfort | European 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-Care | C100393 | EQ5D01-Self-Care | European 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 Activities | C100394 | EQ5D01-Usual Activities | European 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 | ||
Back to top | ||||||
CL.C115404.GOSE TESTCD | QS-Extended Glasgow Outcome Scale Questionnaire Test Code (GOSE TESTCD) | text Extensible: No | C115404 | QS-Extended Glasgow Outcome Scale Questionnaire Test Code | Extended Glasgow Outcome Scale test code. | CDISC Questionnaire GOSE Test Code Terminology |
GOSE101 | C115828 | GOSE1-Obey Simple Commands or Say Words | Extended Glasgow Outcome Scale - Is the head injured person able to obey simple commands, or say any words? | GOSE - Consciousness: Obey Simple Commands | ||
GOSE102A | C115829 | GOSE1-Daily Assistance at Home Essential | Extended Glasgow Outcome Scale - Is the assistance of another person at home essential every day for some activities of daily living? | GOSE - Independence in the Home: Assistance Essential for Daily Living | ||
GOSE102B | C115830 | GOSE1-Need Frequent Help at Home | Extended Glasgow Outcome Scale - Do they need frequent help or someone to be around at home most of the time? | GOSE - Independence in the Home: Need Frequent Help at Home | ||
GOSE102C | C115831 | GOSE1-Assistance at Home Before Injury | Extended Glasgow Outcome Scale - Was assistance at home essential before the injury? | GOSE - Independence in the Home: Assistance at Home Before Injury | ||
GOSE103A | C115832 | GOSE1-Shop Without Assistance | Extended Glasgow Outcome Scale - Are they able to shop without assistance? | GOSE - Independence Outside the Home: Able to Shop Without Assistance | ||
GOSE103B | C115833 | GOSE1-Shop Without Assist Before Injury | Extended Glasgow Outcome Scale - Were they able to shop without assistance before the injury? | GOSE - Independence Outside the Home: Able to Shop Without Assistance Before Injury | ||
GOSE104A | C115834 | GOSE1-Travel Locally Without Assistance | Extended Glasgow Outcome Scale - Are they able to travel locally without assistance? | GOSE - Independence Outside the Home: Travel Locally Without Assistance | ||
GOSE104B | C115835 | GOSE1-Travel Without Assist Before Inj | Extended Glasgow Outcome Scale - Were they able to travel without assistance before the injury? | GOSE - Independence Outside the Home: Travel Locally Without Assistance Before Injury | ||
GOSE105A | C115836 | GOSE1-Able to Work to Previous Capacity | Extended Glasgow Outcome Scale - Are they currently able to work to their previous capacity? | GOSE - Work: Able to Work to Previous Capacity | ||
GOSE105B | C115837 | GOSE1-How Restricted Are They | Extended Glasgow Outcome Scale - How restricted are they? | GOSE - Work: How Restricted Are They | ||
GOSE105C | C115838 | GOSE1-Working Before Injury | Extended Glasgow Outcome Scale - Were they either working or seeking employment before the injury (answer 'yes') or were they doing neither (answer 'no')? | GOSE - Work: Working or Seeking Employment Before the Injury | ||
GOSE106A | C115839 | GOSE1-Resume Social/Leisure Outside Home | Extended Glasgow Outcome Scale - Are they able to resume regular social and leisure activities outside home? | GOSE - Social and Leisure Activities: Resume Regular Social and Leisure Activities | ||
GOSE106B | C115840 | GOSE1-Extent Social/Leisure Restriction | Extended Glasgow Outcome Scale - What is the extent of restriction on their social and leisure activities? | GOSE - Social and Leisure Activities: Extent of Restriction on Social and Leisure Activities | ||
GOSE106C | C115841 | GOSE1-Engage Social/Leisure Before Inj | Extended Glasgow Outcome Scale - Did they engage in regular social and leisure activities outside home before the injury? | GOSE - Social and Leisure Activities: Engage Regular Social and Leisure Activities Before Injury | ||
GOSE107A | C115842 | GOSE1-Disruptive Psychological Problems | Extended Glasgow Outcome Scale - Have there been psychological problems which have resulted in ongoing family disruption or disruption to friendships? | GOSE - Family and Friendships: Disruptive Psychological Problems | ||
GOSE107B | C115843 | GOSE1-Extent of Disruption | Extended Glasgow Outcome Scale - What has been the extent of disruption or strain? | GOSE - Family and Friendships: Extent of Disruption or Strain | ||
GOSE107C | C115844 | GOSE1-Family/Friends Probs Before Injury | Extended Glasgow Outcome Scale - Were there problems with family or friends before the injury? | GOSE - Family and Friendships: Problems with Family or Friends Before Injury | ||
GOSE108A | C115845 | GOSE1-Other Problems Related to Injury | Extended Glasgow Outcome Scale - Are there any other current problems relating to the injury which affect daily life? | GOSE - Return to Normal Life: Other Current Problems Relating to Injury | ||
GOSE108B | C115846 | GOSE1-Similar Problems Before Injury | Extended Glasgow Outcome Scale - Were similar problems present before the injury? | GOSE - Return to Normal Life: Similar Problems Before Injury | ||
GOSE109 | C115847 | GOSE1-Since Injury Any Epileptic Fits | Extended Glasgow Outcome Scale - Since the injury has the head injured person had any epileptic fits? | GOSE - Epilepsy: Since Injury Any Epileptic Fits | ||
GOSE110 | C115848 | GOSE1-At Risk of Developing Epilepsy | Extended Glasgow Outcome Scale - Have they been told that they are currently at risk of developing epilepsy? | GOSE - Epilepsy: At Risk of Developing Epilepsy | ||
GOSE111 | C115849 | GOSE1-Most Important Factor in Outcome | Extended Glasgow Outcome Scale - What is the most important factor in outcome? | GOSE - Epilepsy: Most Important Factor in Outcome | ||
GOSE112 | C115850 | GOSE1-GOSE Overall Score | Extended Glasgow Outcome Scale - Scoring: The patient's overall rating is based on the lowest outcome category indicated on the scale. | GOSE - GOSE Overall Score | ||
Back to top | ||||||
CL.C115403.GOSE TEST | QS-Extended Glasgow Outcome Scale Questionnaire Test Name (GOSE TEST) | text Extensible: No | C115403 | QS-Extended Glasgow Outcome Scale Questionnaire Test Name | Extended Glasgow Outcome Scale test name. | CDISC Questionnaire GOSE Test Name Terminology |
GOSE1-Able to Work to Previous Capacity | C115836 | GOSE1-Able to Work to Previous Capacity | Extended Glasgow Outcome Scale - Are they currently able to work to their previous capacity? | GOSE - Work: Able to Work to Previous Capacity | ||
GOSE1-Assistance at Home Before Injury | C115831 | GOSE1-Assistance at Home Before Injury | Extended Glasgow Outcome Scale - Was assistance at home essential before the injury? | GOSE - Independence in the Home: Assistance at Home Before Injury | ||
GOSE1-At Risk of Developing Epilepsy | C115848 | GOSE1-At Risk of Developing Epilepsy | Extended Glasgow Outcome Scale - Have they been told that they are currently at risk of developing epilepsy? | GOSE - Epilepsy: At Risk of Developing Epilepsy | ||
GOSE1-Daily Assistance at Home Essential | C115829 | GOSE1-Daily Assistance at Home Essential | Extended Glasgow Outcome Scale - Is the assistance of another person at home essential every day for some activities of daily living? | GOSE - Independence in the Home: Assistance Essential for Daily Living | ||
GOSE1-Disruptive Psychological Problems | C115842 | GOSE1-Disruptive Psychological Problems | Extended Glasgow Outcome Scale - Have there been psychological problems which have resulted in ongoing family disruption or disruption to friendships? | GOSE - Family and Friendships: Disruptive Psychological Problems | ||
GOSE1-Engage Social/Leisure Before Inj | C115841 | GOSE1-Engage Social/Leisure Before Inj | Extended Glasgow Outcome Scale - Did they engage in regular social and leisure activities outside home before the injury? | GOSE - Social and Leisure Activities: Engage Regular Social and Leisure Activities Before Injury | ||
GOSE1-Extent of Disruption | C115843 | GOSE1-Extent of Disruption | Extended Glasgow Outcome Scale - What has been the extent of disruption or strain? | GOSE - Family and Friendships: Extent of Disruption or Strain | ||
GOSE1-Extent Social/Leisure Restriction | C115840 | GOSE1-Extent Social/Leisure Restriction | Extended Glasgow Outcome Scale - What is the extent of restriction on their social and leisure activities? | GOSE - Social and Leisure Activities: Extent of Restriction on Social and Leisure Activities | ||
GOSE1-Family/Friends Probs Before Injury | C115844 | GOSE1-Family/Friends Probs Before Injury | Extended Glasgow Outcome Scale - Were there problems with family or friends before the injury? | GOSE - Family and Friendships: Problems with Family or Friends Before Injury | ||
GOSE1-GOSE Overall Score | C115850 | GOSE1-GOSE Overall Score | Extended Glasgow Outcome Scale - Scoring: The patient's overall rating is based on the lowest outcome category indicated on the scale. | GOSE - GOSE Overall Score | ||
GOSE1-How Restricted Are They | C115837 | GOSE1-How Restricted Are They | Extended Glasgow Outcome Scale - How restricted are they? | GOSE - Work: How Restricted Are They | ||
GOSE1-Most Important Factor in Outcome | C115849 | GOSE1-Most Important Factor in Outcome | Extended Glasgow Outcome Scale - What is the most important factor in outcome? | GOSE - Epilepsy: Most Important Factor in Outcome | ||
GOSE1-Need Frequent Help at Home | C115830 | GOSE1-Need Frequent Help at Home | Extended Glasgow Outcome Scale - Do they need frequent help or someone to be around at home most of the time? | GOSE - Independence in the Home: Need Frequent Help at Home | ||
GOSE1-Obey Simple Commands or Say Words | C115828 | GOSE1-Obey Simple Commands or Say Words | Extended Glasgow Outcome Scale - Is the head injured person able to obey simple commands, or say any words? | GOSE - Consciousness: Obey Simple Commands | ||
GOSE1-Other Problems Related to Injury | C115845 | GOSE1-Other Problems Related to Injury | Extended Glasgow Outcome Scale - Are there any other current problems relating to the injury which affect daily life? | GOSE - Return to Normal Life: Other Current Problems Relating to Injury | ||
GOSE1-Resume Social/Leisure Outside Home | C115839 | GOSE1-Resume Social/Leisure Outside Home | Extended Glasgow Outcome Scale - Are they able to resume regular social and leisure activities outside home? | GOSE - Social and Leisure Activities: Resume Regular Social and Leisure Activities | ||
GOSE1-Shop Without Assist Before Injury | C115833 | GOSE1-Shop Without Assist Before Injury | Extended Glasgow Outcome Scale - Were they able to shop without assistance before the injury? | GOSE - Independence Outside the Home: Able to Shop Without Assistance Before Injury | ||
GOSE1-Shop Without Assistance | C115832 | GOSE1-Shop Without Assistance | Extended Glasgow Outcome Scale - Are they able to shop without assistance? | GOSE - Independence Outside the Home: Able to Shop Without Assistance | ||
GOSE1-Similar Problems Before Injury | C115846 | GOSE1-Similar Problems Before Injury | Extended Glasgow Outcome Scale - Were similar problems present before the injury? | GOSE - Return to Normal Life: Similar Problems Before Injury | ||
GOSE1-Since Injury Any Epileptic Fits | C115847 | GOSE1-Since Injury Any Epileptic Fits | Extended Glasgow Outcome Scale - Since the injury has the head injured person had any epileptic fits? | GOSE - Epilepsy: Since Injury Any Epileptic Fits | ||
GOSE1-Travel Locally Without Assistance | C115834 | GOSE1-Travel Locally Without Assistance | Extended Glasgow Outcome Scale - Are they able to travel locally without assistance? | GOSE - Independence Outside the Home: Travel Locally Without Assistance | ||
GOSE1-Travel Without Assist Before Inj | C115835 | GOSE1-Travel Without Assist Before Inj | Extended Glasgow Outcome Scale - Were they able to travel without assistance before the injury? | GOSE - Independence Outside the Home: Travel Locally Without Assistance Before Injury | ||
GOSE1-Working Before Injury | C115838 | GOSE1-Working Before Injury | Extended Glasgow Outcome Scale - Were they either working or seeking employment before the injury (answer 'yes') or were they doing neither (answer 'no')? | GOSE - Work: Working or Seeking Employment Before the Injury | ||
Back to top | ||||||
CL.C117991.ESRSA TESTCD | QS-Extrapyramidal Symptom Rating Scale-Abbreviated Questionnaire Test Code (ESRSA TESTCD) | text Extensible: No | C117991 | QS-Extrapyramidal Symptom Rating Scale-Abbreviated Questionnaire Test Code | Extrapyramidal Symptom Rating Scale-Abbreviated test code. | CDISC Questionnaire ESRS-A Test Code Terminology |
ESRSA101 | C118079 | ESRSA1-Rigidity: Upper Limbs | Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Upper limbs. | ESRS-A - Rigidity: Upper Limbs | ||
ESRSA102 | C118080 | ESRSA1-Rigidity: Lower Limbs | Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Lower limbs. | ESRS-A - Rigidity: Lower Limbs | ||
ESRSA103 | C118081 | ESRSA1-Rigidity: Neck | Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Neck. | ESRS-A - Rigidity: Neck | ||
ESRSA104 | C118082 | ESRSA1-Tremor: Face/Jaw/Chin/Lips/Head | Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Face, jaw/chin, lips, head. | ESRS-A - Tremor: Face/Jaw/Chin/Lips/Head | ||
ESRSA105 | C118083 | ESRSA1-Tremor: Upper Limbs/Hands | Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Upper limbs/hands. | ESRS-A - Tremor: Upper Limbs/Hands | ||
ESRSA106 | C118084 | ESRSA1-Tremor: Lower Limbs/Feet | Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Lower limbs/feet. | ESRS-A - Tremor: Lower Limbs/Feet | ||
ESRSA107 | C118085 | ESRSA1-Reduced Facial Expression/Speech | Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Reduced facial expression/speech. | ESRS-A - Reduced Facial Expression/Speech | ||
ESRSA108 | C118086 | ESRSA1-Impaired Gait/Posture | Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Impaired gait/posture. | ESRS-A - Impaired Gait/Posture | ||
ESRSA109 | C118087 | ESRSA1-Postural Instability | Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Postural instability. | ESRS-A - Postural Instability | ||
ESRSA110 | C118088 | ESRSA1-Bradykinesia/Hypokinesia | Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Bradykinesia/hypokinesia. | ESRS-A - Bradykinesia/Hypokinesia | ||
ESRSA111 | C118089 | ESRSA1-Dystonia: Tongue | Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Tongue. | ESRS-A - Dystonia: Tongue | ||
ESRSA112 | C118090 | ESRSA1-Dystonia: Jaw | Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Jaw. | ESRS-A - Dystonia: Jaw | ||
ESRSA113 | C118091 | ESRSA1-Dystonia: Eyes/Face/Larynx | Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Eyes, upper face, lower face, larynx. | ESRS-A - Dystonia: Eyes/Upper and Lower Face/Larynx | ||
ESRSA114 | C118092 | ESRSA1-Dystonia: Shoulder/Up Limb/Hand | Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Shoulders, upper limbs, hands. | ESRS-A - Dystonia: Shoulder/Upper Limbs/Hands | ||
ESRSA115 | C118093 | ESRSA1-Dystonia: Hips/Lower Limbs/Feet | Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Hips, lower limbs, feet. | ESRS-A - Dystonia: Hips/Lower Limbs/Feet | ||
ESRSA116 | C118094 | ESRSA1-Dystonia: Trunk/Neck | Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Trunk, neck. | ESRS-A - Dystonia: Trunk/Neck | ||
ESRSA117 | C118095 | ESRSA1-Dyskinesia: Tongue | Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Tongue. | ESRS-A - Dyskinesia: Tongue | ||
ESRSA118 | C118096 | ESRSA1-Dyskinesia: Jaw | Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Jaw. | ESRS-A - Dyskinesia: Jaw | ||
ESRSA119 | C118097 | ESRSA1-Dyskinesia: Eyes/Up Face/Low Face | Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Eyes, upper face, lower face. | ESRS-A - Dyskinesia: Eyes/Upper Face/Lower Face | ||
ESRSA120 | C118098 | ESRSA1-Dyskinesia: Shoulder/Up Limb/Hand | Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Shoulders, upper limbs, hands. | ESRS-A - Dyskinesia: Shoulder/Upper Limbs/Hands | ||
ESRSA121 | C118099 | ESRSA1-Dyskinesia: Hips/Lower Limbs/Feet | Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Hips, lower limbs, feet. | ESRS-A - Dyskinesia: Hips/Lower Limbs/Feet | ||
ESRSA122 | C118100 | ESRSA1-Dyskinesia: Trunk/Neck | Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Trunk, neck. | ESRS-A - Dyskinesia: Trunk/Neck | ||
ESRSA123 | C118101 | ESRSA1-Akathisia: Subjective | Extrapyramidal Symptom Rating Scale-Abbreviated - Akathisia: Subjective. | ESRS-A - Akathisia: Subjective | ||
ESRSA124 | C118102 | ESRSA1-Akathisia: Objective | Extrapyramidal Symptom Rating Scale-Abbreviated - Akathisia: Objective. | ESRS-A - Akathisia: Objective | ||
ESRSA125 | C118103 | ESRSA1-CGI-S Parkinsonism | Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Parkinsonism. | ESRS-A - CGI-S Parkinsonism | ||
ESRSA126 | C118104 | ESRSA1-CGI-S Dystonia | Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Dystonia. | ESRS-A - CGI-S Dystonia | ||
ESRSA127 | C118105 | ESRSA1-CGI-S Dyskinesia | Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Dyskinesia. | ESRS-A - CGI-S Dyskinesia | ||
ESRSA128 | C118106 | ESRSA1-CGI-S Akathisia | Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Akathisia. | ESRS-A - CGI-S Akathisia | ||
Back to top | ||||||
CL.C117990.ESRSA TEST | QS-Extrapyramidal Symptom Rating Scale-Abbreviated Questionnaire Test Name (ESRSA TEST) | text Extensible: No | C117990 | QS-Extrapyramidal Symptom Rating Scale-Abbreviated Questionnaire Test Name | Extrapyramidal Symptom Rating Scale-Abbreviated test name. | CDISC Questionnaire ESRS-A Test Name Terminology |
ESRSA1-Akathisia: Objective | C118102 | ESRSA1-Akathisia: Objective | Extrapyramidal Symptom Rating Scale-Abbreviated - Akathisia: Objective. | ESRS-A - Akathisia: Objective | ||
ESRSA1-Akathisia: Subjective | C118101 | ESRSA1-Akathisia: Subjective | Extrapyramidal Symptom Rating Scale-Abbreviated - Akathisia: Subjective. | ESRS-A - Akathisia: Subjective | ||
ESRSA1-Bradykinesia/Hypokinesia | C118088 | ESRSA1-Bradykinesia/Hypokinesia | Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Bradykinesia/hypokinesia. | ESRS-A - Bradykinesia/Hypokinesia | ||
ESRSA1-CGI-S Akathisia | C118106 | ESRSA1-CGI-S Akathisia | Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Akathisia. | ESRS-A - CGI-S Akathisia | ||
ESRSA1-CGI-S Dyskinesia | C118105 | ESRSA1-CGI-S Dyskinesia | Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Dyskinesia. | ESRS-A - CGI-S Dyskinesia | ||
ESRSA1-CGI-S Dystonia | C118104 | ESRSA1-CGI-S Dystonia | Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Dystonia. | ESRS-A - CGI-S Dystonia | ||
ESRSA1-CGI-S Parkinsonism | C118103 | ESRSA1-CGI-S Parkinsonism | Extrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Parkinsonism. | ESRS-A - CGI-S Parkinsonism | ||
ESRSA1-Dyskinesia: Eyes/Up Face/Low Face | C118097 | ESRSA1-Dyskinesia: Eyes/Up Face/Low Face | Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Eyes, upper face, lower face. | ESRS-A - Dyskinesia: Eyes/Upper Face/Lower Face | ||
ESRSA1-Dyskinesia: Hips/Lower Limbs/Feet | C118099 | ESRSA1-Dyskinesia: Hips/Lower Limbs/Feet | Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Hips, lower limbs, feet. | ESRS-A - Dyskinesia: Hips/Lower Limbs/Feet | ||
ESRSA1-Dyskinesia: Jaw | C118096 | ESRSA1-Dyskinesia: Jaw | Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Jaw. | ESRS-A - Dyskinesia: Jaw | ||
ESRSA1-Dyskinesia: Shoulder/Up Limb/Hand | C118098 | ESRSA1-Dyskinesia: Shoulder/Up Limb/Hand | Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Shoulders, upper limbs, hands. | ESRS-A - Dyskinesia: Shoulder/Upper Limbs/Hands | ||
ESRSA1-Dyskinesia: Tongue | C118095 | ESRSA1-Dyskinesia: Tongue | Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Tongue. | ESRS-A - Dyskinesia: Tongue | ||
ESRSA1-Dyskinesia: Trunk/Neck | C118100 | ESRSA1-Dyskinesia: Trunk/Neck | Extrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Trunk, neck. | ESRS-A - Dyskinesia: Trunk/Neck | ||
ESRSA1-Dystonia: Eyes/Face/Larynx | C118091 | ESRSA1-Dystonia: Eyes/Face/Larynx | Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Eyes, upper face, lower face, larynx. | ESRS-A - Dystonia: Eyes/Upper and Lower Face/Larynx | ||
ESRSA1-Dystonia: Hips/Lower Limbs/Feet | C118093 | ESRSA1-Dystonia: Hips/Lower Limbs/Feet | Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Hips, lower limbs, feet. | ESRS-A - Dystonia: Hips/Lower Limbs/Feet | ||
ESRSA1-Dystonia: Jaw | C118090 | ESRSA1-Dystonia: Jaw | Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Jaw. | ESRS-A - Dystonia: Jaw | ||
ESRSA1-Dystonia: Shoulder/Up Limb/Hand | C118092 | ESRSA1-Dystonia: Shoulder/Up Limb/Hand | Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Shoulders, upper limbs, hands. | ESRS-A - Dystonia: Shoulder/Upper Limbs/Hands | ||
ESRSA1-Dystonia: Tongue | C118089 | ESRSA1-Dystonia: Tongue | Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Tongue. | ESRS-A - Dystonia: Tongue | ||
ESRSA1-Dystonia: Trunk/Neck | C118094 | ESRSA1-Dystonia: Trunk/Neck | Extrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Trunk, neck. | ESRS-A - Dystonia: Trunk/Neck | ||
ESRSA1-Impaired Gait/Posture | C118086 | ESRSA1-Impaired Gait/Posture | Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Impaired gait/posture. | ESRS-A - Impaired Gait/Posture | ||
ESRSA1-Postural Instability | C118087 | ESRSA1-Postural Instability | Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Postural instability. | ESRS-A - Postural Instability | ||
ESRSA1-Reduced Facial Expression/Speech | C118085 | ESRSA1-Reduced Facial Expression/Speech | Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Reduced facial expression/speech. | ESRS-A - Reduced Facial Expression/Speech | ||
ESRSA1-Rigidity: Lower Limbs | C118080 | ESRSA1-Rigidity: Lower Limbs | Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Lower limbs. | ESRS-A - Rigidity: Lower Limbs | ||
ESRSA1-Rigidity: Neck | C118081 | ESRSA1-Rigidity: Neck | Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Neck. | ESRS-A - Rigidity: Neck | ||
ESRSA1-Rigidity: Upper Limbs | C118079 | ESRSA1-Rigidity: Upper Limbs | Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Upper limbs. | ESRS-A - Rigidity: Upper Limbs | ||
ESRSA1-Tremor: Face/Jaw/Chin/Lips/Head | C118082 | ESRSA1-Tremor: Face/Jaw/Chin/Lips/Head | Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Face, jaw/chin, lips, head. | ESRS-A - Tremor: Face/Jaw/Chin/Lips/Head | ||
ESRSA1-Tremor: Lower Limbs/Feet | C118084 | ESRSA1-Tremor: Lower Limbs/Feet | Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Lower limbs/feet. | ESRS-A - Tremor: Lower Limbs/Feet | ||
ESRSA1-Tremor: Upper Limbs/Hands | C118083 | ESRSA1-Tremor: Upper Limbs/Hands | Extrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Upper limbs/hands. | ESRS-A - Tremor: Upper Limbs/Hands | ||
Back to top | ||||||
CL.C100154.FPSR TESTCD | QS-Faces Pain Scale - Revised Test Code (FPSR TESTCD) | text Extensible: No | C100154 | QS-Faces Pain Scale - Revised Test Code | Faces Pain Scale - Revised test code. | CDISC Questionnaire FPSR Test Code Terminology |
FPSR101 | C101013 | FPSR1-How Much do you Hurt | Faces Pain Scale - Revised - Point to the face that shows how much you hurt [right now]. | FPSR - How Much do You Hurt | ||
Back to top | ||||||
CL.C100153.FPSR TEST | QS-Faces Pain Scale - Revised Test Name (FPSR TEST) | text Extensible: No | C100153 | QS-Faces Pain Scale - Revised Test Name | Faces Pain Scale - Revised test name. | CDISC Questionnaire FPSR Test Name Terminology |
FPSR1-How Much do you Hurt | C101013 | FPSR1-How Much do you Hurt | Faces Pain Scale - Revised - Point to the face that shows how much you hurt [right now]. | FPSR - How Much do You Hurt | ||
Back to top | ||||||
CL.C113850.FSS TESTCD | QS-Fatigue Severity Scale Test Code (FSS TESTCD) | text Extensible: No | C113850 | QS-Fatigue Severity Scale Test Code | Fatigue Severity Scale test code. | CDISC Questionnaire Fatigue Severity Scale Test Code Terminology |
FSS0101 | C113944 | FSS01-Motivation Is Lower When Fatigued | Fatigue Severity Scale - My motivation is lower when I am fatigued. | FSS - Motivation is Lower When Fatigued | ||
FSS0102 | C113945 | FSS01-Exercise Brings on My Fatigue | Fatigue Severity Scale - Exercise brings on my fatigue. | FSS - Exercise Brings on My Fatigue | ||
FSS0103 | C113946 | FSS01-I Am Easily Fatigued | Fatigue Severity Scale - I am easily fatigued. | FSS - I Am Easily Fatigued | ||
FSS0104 | C113947 | FSS01-Interferes With Phys Function | Fatigue Severity Scale - Fatigue interferes with my physical functioning. | FSS - Fatigue Interferes With Physical Functioning | ||
FSS0105 | C113948 | FSS01-Fatigue Causes Frequent Problems | Fatigue Severity Scale - Fatigue causes frequent problems for me. | FSS - Fatigue Causes Frequent Problems | ||
FSS0106 | C113949 | FSS01-Prevents Sustained Phys Function | Fatigue Severity Scale - My fatigue prevents sustained physical functioning. | FSS - Fatigue Prevents Sustained Physical Functioning | ||
FSS0107 | C113950 | FSS01-Fatigue Interferes With Duties | Fatigue Severity Scale - Fatigue interferes with carrying out certain duties and responsibilities. | FSS - Fatigue Interferes With Carrying Out Duties | ||
FSS0108 | C113951 | FSS01-Among My 3 Most Disabling Symptoms | Fatigue Severity Scale - Fatigue is among my three most disabling symptoms. | FSS - Fatigue is Among Most Disabling Symptoms | ||
FSS0109 | C113952 | FSS01-Fatigue Interferes With My Life | Fatigue Severity Scale - Fatigue interferes with my work, family, or social life. | FSS - Fatigue Interferes With Work | ||
Back to top | ||||||
CL.C113849.FSS TEST | QS-Fatigue Severity Scale Test Name (FSS TEST) | text Extensible: No | C113849 | QS-Fatigue Severity Scale Test Name | Fatigue Severity Scale test name. | CDISC Questionnaire Fatigue Severity Scale Test Name Terminology |
FSS01-Among My 3 Most Disabling Symptoms | C113951 | FSS01-Among My 3 Most Disabling Symptoms | Fatigue Severity Scale - Fatigue is among my three most disabling symptoms. | FSS - Fatigue is Among Most Disabling Symptoms | ||
FSS01-Exercise Brings on My Fatigue | C113945 | FSS01-Exercise Brings on My Fatigue | Fatigue Severity Scale - Exercise brings on my fatigue. | FSS - Exercise Brings on My Fatigue | ||
FSS01-Fatigue Causes Frequent Problems | C113948 | FSS01-Fatigue Causes Frequent Problems | Fatigue Severity Scale - Fatigue causes frequent problems for me. | FSS - Fatigue Causes Frequent Problems | ||
FSS01-Fatigue Interferes With Duties | C113950 | FSS01-Fatigue Interferes With Duties | Fatigue Severity Scale - Fatigue interferes with carrying out certain duties and responsibilities. | FSS - Fatigue Interferes With Carrying Out Duties | ||
FSS01-Fatigue Interferes With My Life | C113952 | FSS01-Fatigue Interferes With My Life | Fatigue Severity Scale - Fatigue interferes with my work, family, or social life. | FSS - Fatigue Interferes With Work | ||
FSS01-I Am Easily Fatigued | C113946 | FSS01-I Am Easily Fatigued | Fatigue Severity Scale - I am easily fatigued. | FSS - I Am Easily Fatigued | ||
FSS01-Interferes With Phys Function | C113947 | FSS01-Interferes With Phys Function | Fatigue Severity Scale - Fatigue interferes with my physical functioning. | FSS - Fatigue Interferes With Physical Functioning | ||
FSS01-Motivation Is Lower When Fatigued | C113944 | FSS01-Motivation Is Lower When Fatigued | Fatigue Severity Scale - My motivation is lower when I am fatigued. | FSS - Motivation is Lower When Fatigued | ||
FSS01-Prevents Sustained Phys Function | C113949 | FSS01-Prevents Sustained Phys Function | Fatigue Severity Scale - My fatigue prevents sustained physical functioning. | FSS - Fatigue Prevents Sustained Physical Functioning | ||
Back to top | ||||||
CL.C111344.FAQ TESTCD | QS-Functional Activities Questionnaire Test Code (FAQ TESTCD) | text Extensible: No | C111344 | QS-Functional Activities Questionnaire Test Code | Functional Activities Questionnaire test code. | CDISC Questionnaire FAQ Test Code Terminology |
FAQ0101 | C111499 | FAQ01-Write Checks/Pay Bills/Checkbook | Functional Activities Questionnaire - Writing checks, paying bills, balancing checkbook. | FAQ - Write checks, Pay bills, Balance checkbook | ||
FAQ0102 | C111500 | FAQ01-Assembling | Functional Activities Questionnaire - Assembling tax records, business affairs, or papers. | FAQ - Assemble | ||
FAQ0103 | C111501 | FAQ01-Shopping Alone | Functional Activities Questionnaire - Shopping alone for clothes, household necessities, or groceries. | FAQ - Shop Alone | ||
FAQ0104 | C111502 | FAQ01-Playing a Game of Skill | Functional Activities Questionnaire - Playing a game of skill, working on a hobby. | FAQ - Play Game of Skill, Work on Hobby | ||
FAQ0105 | C111503 | FAQ01-Heat Water/Make Coffee/Stove Off | Functional Activities Questionnaire - Heating water, making a cup of coffee, turning off stove after use. | FAQ - Heat water, Make Coffee, Turn Off Stove | ||
FAQ0106 | C111504 | FAQ01-Preparing a Balanced Meal | Functional Activities Questionnaire - Preparing a balanced meal. | FAQ - Prepare a Meal | ||
FAQ0107 | C111505 | FAQ01-Keeping Track of Current Events | Functional Activities Questionnaire - Keeping track of current events. | FAQ - Keep Track of Current Events | ||
FAQ0108 | C111506 | FAQ01-Paying Attention | Functional Activities Questionnaire - Paying attention to, understanding, discussing TV, book, magazine. | FAQ - Pay Attention, Understand, Discuss | ||
FAQ0109 | C111507 | FAQ01-Remembering | Functional Activities Questionnaire - Remembering appointments, family occasions, holidays, medications. | FAQ - Remember | ||
FAQ0110 | C111508 | FAQ01-Traveling | Functional Activities Questionnaire - Traveling out of neighborhood, driving, arranging to take buses. | FAQ - Travel | ||
FAQ0111 | C111509 | FAQ01-Total Score | Functional Activities Questionnaire - Total Score. | FAQ - Total Score | ||
Back to top | ||||||
CL.C111343.FAQ TEST | QS-Functional Activities Questionnaire Test Name (FAQ TEST) | text Extensible: No | C111343 | QS-Functional Activities Questionnaire Test Name | Functional Activities Questionnaire test name. | CDISC Questionnaire FAQ Test Name Terminology |
FAQ01-Assembling | C111500 | FAQ01-Assembling | Functional Activities Questionnaire - Assembling tax records, business affairs, or papers. | FAQ - Assemble | ||
FAQ01-Heat Water/Make Coffee/Stove Off | C111503 | FAQ01-Heat Water/Make Coffee/Stove Off | Functional 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 Events | C111505 | FAQ01-Keeping Track of Current Events | Functional Activities Questionnaire - Keeping track of current events. | FAQ - Keep Track of Current Events | ||
FAQ01-Paying Attention | C111506 | FAQ01-Paying Attention | Functional Activities Questionnaire - Paying attention to, understanding, discussing TV, book, magazine. | FAQ - Pay Attention, Understand, Discuss | ||
FAQ01-Playing a Game of Skill | C111502 | FAQ01-Playing a Game of Skill | Functional Activities Questionnaire - Playing a game of skill, working on a hobby. | FAQ - Play Game of Skill, Work on Hobby | ||
FAQ01-Preparing a Balanced Meal | C111504 | FAQ01-Preparing a Balanced Meal | Functional Activities Questionnaire - Preparing a balanced meal. | FAQ - Prepare a Meal | ||
FAQ01-Remembering | C111507 | FAQ01-Remembering | Functional Activities Questionnaire - Remembering appointments, family occasions, holidays, medications. | FAQ - Remember | ||
FAQ01-Shopping Alone | C111501 | FAQ01-Shopping Alone | Functional Activities Questionnaire - Shopping alone for clothes, household necessities, or groceries. | FAQ - Shop Alone | ||
FAQ01-Total Score | C111509 | FAQ01-Total Score | Functional Activities Questionnaire - Total Score. | FAQ - Total Score | ||
FAQ01-Traveling | C111508 | FAQ01-Traveling | Functional Activities Questionnaire - Traveling out of neighborhood, driving, arranging to take buses. | FAQ - Travel | ||
FAQ01-Write Checks/Pay Bills/Checkbook | C111499 | FAQ01-Write Checks/Pay Bills/Checkbook | Functional Activities Questionnaire - Writing checks, paying bills, balancing checkbook. | FAQ - Write checks, Pay bills, Balance checkbook | ||
Back to top | ||||||
CL.C111346.FAQ-NACC Version TESTCD | QS-Functional Activities Questionnaire-NACC Version Test Code (FAQ-NACC Version TESTCD) | text Extensible: No | C111346 | QS-Functional Activities Questionnaire-NACC Version Test Code | Functional Activities Questionnaire-NACC Version test code. | CDISC Questionnaire FAQ-NACC Version Test Code Terminology |
FAQ0201 | C111510 | FAQ02-Write Checks/Pay Bills/Checkbook | Functional Activities Questionnaire-NACC - Writing checks, paying bills, or balancing a checkbook. | FAQ-NACC Version - Write checks, Pay bills, Balance checkbook | ||
FAQ0202 | C111511 | FAQ02-Assembling | Functional Activities Questionnaire-NACC - Assembling tax records, business affairs, or other papers. | FAQ-NACC Version - Assemble | ||
FAQ0203 | C111512 | FAQ02-Shopping Alone | Functional Activities Questionnaire-NACC - Shopping alone for clothes, household necessities, or groceries. | FAQ-NACC Version - Shop Alone | ||
FAQ0204 | C111513 | FAQ02-Playing a Game of Skill | Functional 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 | ||
FAQ0205 | C111514 | FAQ02-Heat Water/Make Coffee/Stove Off | Functional Activities Questionnaire-NACC - Heating water, making a cup of coffee, turning off the stove. | FAQ-NACC Version - Heat water, Make Coffee, Turn Off Stove | ||
FAQ0206 | C111515 | FAQ02-Preparing a Balanced Meal | Functional Activities Questionnaire-NACC - Preparing a balanced meal. | FAQ-NACC Version - Prepare a Meal | ||
FAQ0207 | C111516 | FAQ02-Keeping Track of Current Events | Functional Activities Questionnaire-NACC - Keeping track of current events. | FAQ-NACC Version - Keep Track of Current Events | ||
FAQ0208 | C111517 | FAQ02-Paying Attention | Functional Activities Questionnaire-NACC - Paying attention to and understanding a TV program, book, or magazine. | FAQ-NACC Version - Pay Attention, Understand, Discuss | ||
FAQ0209 | C111518 | FAQ02-Remembering | Functional Activities Questionnaire-NACC - Remembering appointments, family occasions, holidays, medications. | FAQ-NACC Version - Remember | ||
FAQ0210 | C111519 | FAQ02-Traveling | Functional Activities Questionnaire-NACC - Traveling out of the neighborhood, driving, or arranging to take public transportation. | FAQ-NACC Version - Travel | ||
Back to top | ||||||
CL.C111345.FAQ-NACC Version TEST | QS-Functional Activities Questionnaire-NACC Version Test Name (FAQ-NACC Version TEST) | text Extensible: No | C111345 | QS-Functional Activities Questionnaire-NACC Version Test Name | Functional Activities Questionnaire-NACC Version test name. | CDISC Questionnaire FAQ-NACC Version Test Name Terminology |
FAQ02-Assembling | C111511 | FAQ02-Assembling | Functional Activities Questionnaire-NACC - Assembling tax records, business affairs, or other papers. | FAQ-NACC Version - Assemble | ||
FAQ02-Heat Water/Make Coffee/Stove Off | C111514 | FAQ02-Heat Water/Make Coffee/Stove Off | Functional 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 Events | C111516 | FAQ02-Keeping Track of Current Events | Functional Activities Questionnaire-NACC - Keeping track of current events. | FAQ-NACC Version - Keep Track of Current Events | ||
FAQ02-Paying Attention | C111517 | FAQ02-Paying Attention | Functional 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 Skill | C111513 | FAQ02-Playing a Game of Skill | Functional 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 Meal | C111515 | FAQ02-Preparing a Balanced Meal | Functional Activities Questionnaire-NACC - Preparing a balanced meal. | FAQ-NACC Version - Prepare a Meal | ||
FAQ02-Remembering | C111518 | FAQ02-Remembering | Functional Activities Questionnaire-NACC - Remembering appointments, family occasions, holidays, medications. | FAQ-NACC Version - Remember | ||
FAQ02-Shopping Alone | C111512 | FAQ02-Shopping Alone | Functional Activities Questionnaire-NACC - Shopping alone for clothes, household necessities, or groceries. | FAQ-NACC Version - Shop Alone | ||
FAQ02-Traveling | C111519 | FAQ02-Traveling | Functional Activities Questionnaire-NACC - Traveling out of the neighborhood, driving, or arranging to take public transportation. | FAQ-NACC Version - Travel | ||
FAQ02-Write Checks/Pay Bills/Checkbook | C111510 | FAQ02-Write Checks/Pay Bills/Checkbook | Functional Activities Questionnaire-NACC - Writing checks, paying bills, or balancing a checkbook. | FAQ-NACC Version - Write checks, Pay bills, Balance checkbook | ||
Back to top | ||||||
CL.C112441.FAMS TESTCD | QS-Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Code (FAMS TESTCD) | text Extensible: No | C112441 | QS-Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Code | Functional Assessment of Multiple Sclerosis Version 4 test code. | CDISC Questionnaire FAMS Test Code Terminology |
FAMS0101 | C112551 | FAMS01-Trouble Meeting Needs of Family | Functional 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 | ||
FAMS0102 | C112552 | FAMS01-I Am Able to Work | Functional Assessment of Multiple Sclerosis - Mobility: I am able to work (include work at home). | FAMS - I Am Able to Work | ||
FAMS0103 | C112553 | FAMS01-I Have Trouble Walking | Functional Assessment of Multiple Sclerosis - Mobility: I have trouble walking. | FAMS - I Have Trouble Walking | ||
FAMS0104 | C112554 | FAMS01-Limit My Social Activity | Functional Assessment of Multiple Sclerosis - Mobility: I have to limit my social activity because of my condition. | FAMS - Limit Social Activity Because of Condition | ||
FAMS0105 | C112555 | FAMS01-I Have Strength in My Legs | Functional Assessment of Multiple Sclerosis - Mobility: I have strength in my legs. | FAMS - I Have Strength in My Legs | ||
FAMS0106 | C112556 | FAMS01-Trouble Getting Around in Public | Functional Assessment of Multiple Sclerosis - Mobility: I have trouble getting around in public places. | FAMS - Trouble Getting Around in Public Places | ||
FAMS0107 | C112557 | FAMS01-Take My Condition Into Account | Functional 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 | ||
FAMS0108 | C112558 | FAMS01-I Have Nausea | Functional Assessment of Multiple Sclerosis - Symptoms: I have nausea. | FAMS - I Have Nausea | ||
FAMS0109 | C112559 | FAMS01-I Have Pain | Functional Assessment of Multiple Sclerosis - Symptoms: I have pain. | FAMS - I Have Pain | ||
FAMS0110 | C112560 | FAMS01-I Feel Ill | Functional Assessment of Multiple Sclerosis - Symptoms: I feel ill. | FAMS - I Feel Ill | ||
FAMS0111 | C112561 | FAMS01-I Feel Weak All Over | Functional Assessment of Multiple Sclerosis - Symptoms: I feel weak all over. | FAMS - I Feel Weak All Over | ||
FAMS0112 | C112562 | FAMS01-I Have Pain in My Joints | Functional Assessment of Multiple Sclerosis - Symptoms: I have pain in my joints. | FAMS - I Have Pain in My Joints | ||
FAMS0113 | C112563 | FAMS01-I Am Bothered by Headaches | Functional Assessment of Multiple Sclerosis - Symptoms: I am bothered by headaches. | FAMS - Bothered by Headaches | ||
FAMS0114 | C112564 | FAMS01-I Am Bothered by Muscle Pains | Functional Assessment of Multiple Sclerosis - Symptoms: I am bothered by muscle pains. | FAMS - Bothered by Muscle Pains | ||
FAMS0115 | C112565 | FAMS01-I Feel Sad | Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel sad. | FAMS - I Feel Sad | ||
FAMS0116 | C112566 | FAMS01-Losing Hope Against Illness | Functional 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 | ||
FAMS0117 | C112567 | FAMS01-I Am Able to Enjoy Life | Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I am able to enjoy life. | FAMS - I Am Able to Enjoy Life | ||
FAMS0118 | C112568 | FAMS01-I Feel Trapped by My Condition | Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel trapped by my condition. | FAMS - Feel Trapped by My Condition | ||
FAMS0119 | C112569 | FAMS01-I Am Depressed About My Condition | Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I am depressed about my condition. | FAMS - Depressed About My Condition | ||
FAMS0120 | C112570 | FAMS01-I Feel Useless | Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel useless. | FAMS - I Feel Useless | ||
FAMS0121 | C112571 | FAMS01-Feel Overwhelmed by My Condition | Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel overwhelmed by my condition. | FAMS - Feel Overwhelmed by My Condition | ||
FAMS0122 | C112572 | FAMS01-My Work Is Fulfilling | Functional Assessment of Multiple Sclerosis - General Contentment: My work (include work at home) is fulfilling. | FAMS - My Work is Fulfilling | ||
FAMS0123 | C112573 | FAMS01-I Have Accepted My Illness | Functional Assessment of Multiple Sclerosis - General Contentment: I have accepted my illness. | FAMS - I Have Accepted My Illness | ||
FAMS0124 | C112574 | FAMS01-Enjoy Things I Usually Do for Fun | Functional Assessment of Multiple Sclerosis - General Contentment: I am enjoying the things I usually do for fun. | FAMS - Enjoying Things I Usually Do for Fun | ||
FAMS0125 | C112575 | FAMS01-Content With Quality of My Life | Functional 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 | ||
FAMS0126 | C112576 | FAMS01-I Am Frustrated by My Condition | Functional Assessment of Multiple Sclerosis - General Contentment: I am frustrated by my condition. | FAMS - I Am Frustrated by My Condition | ||
FAMS0127 | C112577 | FAMS01-Feel Sense of Purpose in My Life | Functional Assessment of Multiple Sclerosis - General Contentment: I feel a sense of purpose in my life. | FAMS - Feel Sense of Purpose in My Life | ||
FAMS0128 | C112578 | FAMS01-I Feel Motivated to Do Things | Functional Assessment of Multiple Sclerosis - General Contentment: I feel motivated to do things. | FAMS - Feel Motivated to Do Things | ||
FAMS0129 | C112579 | FAMS01-I Have a Lack of Energy | Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have a lack of energy. | FAMS - Have a Lack of Energy | ||
FAMS0130 | C112580 | FAMS01-I Feel Tired | Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I feel tired. | FAMS - I Feel Tired | ||
FAMS0131 | C112581 | FAMS01-Trouble Starting Things | Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble starting things because I am tired. | FAMS - Trouble Starting Things Because I Am Tired | ||
FAMS0132 | C112582 | FAMS01-Trouble Finishing Things | Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble finishing things because I am tired. | FAMS - Trouble Finishing Things Because I Am Tired | ||
FAMS0133 | C112583 | FAMS01-I Need to Rest During the Day | Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I need to rest during the day. | FAMS - Need to Rest During the Day | ||
FAMS0134 | C112584 | FAMS01-I Have Trouble Remembering Things | Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble remembering things. | FAMS - Trouble Remembering Things | ||
FAMS0135 | C112585 | FAMS01-I Have Trouble Concentrating | Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble concentrating. | FAMS - Trouble Concentrating | ||
FAMS0136 | C112586 | FAMS01-My Thinking Is Slower Than Before | Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: My thinking is slower than before. | FAMS - My Thinking is Slower Than Before | ||
FAMS0137 | C112587 | FAMS01-I Have Trouble Learning New Tasks | Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble learning new tasks or directions. | FAMS - Trouble Learning New Tasks or Directions | ||
FAMS0138 | C112588 | FAMS01-I Feel Close to My Friends | Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel close to my friends. | FAMS - Feel Close to My Friends | ||
FAMS0139 | C112589 | FAMS01-Get Emotional Support From Family | Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get emotional support from my family. | FAMS - Get Emotional Support From Family | ||
FAMS0140 | C112590 | FAMS01-I Get Support From My Friends | Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get support from my friends. | FAMS - Get Support From Friends | ||
FAMS0141 | C112591 | FAMS01-My Family Has Accepted My Illness | Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: My family has accepted my illness. | FAMS - Family Has Accepted My Illness | ||
FAMS0142 | C112592 | FAMS01-Satisfied Communication Illness | Functional 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 | ||
FAMS0143 | C112593 | FAMS01-Trouble Understanding Worsening | Functional 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 | ||
FAMS0144 | C112594 | FAMS01-I Feel Left Out of Things | Functional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel 'left out' of things. | FAMS - Feel Left Out of Things | ||
FAMS0145 | C112595 | FAMS01-Bothered by Treatment Side Effect | Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by side effects of treatment. | FAMS - Bothered by Side Effects of Treatment | ||
FAMS0146 | C112596 | FAMS01-I Am Forced to Spend Time in Bed | Functional Assessment of Multiple Sclerosis - Additional Concerns: I am forced to spend time in bed. | FAMS - Forced to Spend Time in Bed | ||
FAMS0147 | C112597 | FAMS01-I Feel Close to My Partner | Functional 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 | ||
FAMS0148 | C112598 | FAMS01-I Am Satisfied With My Sex Life | Functional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with my sex life. | FAMS - Satisfied With My Sex Life | ||
FAMS0149 | C112599 | FAMS01-Satisfied With How I Am Coping | Functional 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 | ||
FAMS0150 | C112600 | FAMS01-I Feel Nervous | Functional Assessment of Multiple Sclerosis - Additional Concerns: I feel nervous. | FAMS - I Feel Nervous | ||
FAMS0151 | C112601 | FAMS01-Worry My Condition Will Get Worse | Functional Assessment of Multiple Sclerosis - Additional Concerns: I worry that my condition will get worse. | FAMS - Worry My Condition Will Get Worse | ||
FAMS0152 | C112602 | FAMS01-I Am Sleeping Well | Functional Assessment of Multiple Sclerosis - Additional Concerns: I am sleeping well. | FAMS - I Am Sleeping Well | ||
FAMS0153 | C112603 | FAMS01-Heat Worsens My Symptoms | Functional Assessment of Multiple Sclerosis - Additional Concerns: Heat worsens my symptoms. | FAMS - Heat Worsens My Symptoms | ||
FAMS0154 | C112604 | FAMS01-Have Trouble Controlling My Urine | Functional Assessment of Multiple Sclerosis - Additional Concerns: I have trouble controlling my urine. | FAMS - Trouble Controlling My Urine | ||
FAMS0155 | C112605 | FAMS01-I Urinate More Frequently | Functional Assessment of Multiple Sclerosis - Additional Concerns: I urinate more frequently than usual. | FAMS - Urinate More Frequently Than Usual | ||
FAMS0156 | C112606 | FAMS01-I Am Bothered by the Chills | Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by the chills. | FAMS - Bothered by Chills | ||
FAMS0157 | C112607 | FAMS01-I Am Bothered by Fevers | Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by fevers (episodes of high body temperature). | FAMS - Bothered by Fevers | ||
FAMS0158 | C112608 | FAMS01-I Am Bothered by Muscle Spasms | Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by muscle spasms. | FAMS - Bothered by Muscle Spasms | ||
Back to top | ||||||
CL.C112440.FAMS TEST | QS-Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Name (FAMS TEST) | text Extensible: No | C112440 | QS-Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Name | Functional Assessment of Multiple Sclerosis Version 4 test name. | CDISC Questionnaire FAMS Test Name Terminology |
FAMS01-Bothered by Treatment Side Effect | C112595 | FAMS01-Bothered by Treatment Side Effect | Functional 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 Life | C112575 | FAMS01-Content With Quality of My Life | Functional 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 Fun | C112574 | FAMS01-Enjoy Things I Usually Do for Fun | Functional 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 Condition | C112571 | FAMS01-Feel Overwhelmed by My Condition | Functional 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 Life | C112577 | FAMS01-Feel Sense of Purpose in My Life | Functional 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 Family | C112589 | FAMS01-Get Emotional Support From Family | Functional 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 Urine | C112604 | FAMS01-Have Trouble Controlling My Urine | Functional Assessment of Multiple Sclerosis - Additional Concerns: I have trouble controlling my urine. | FAMS - Trouble Controlling My Urine | ||
FAMS01-Heat Worsens My Symptoms | C112603 | FAMS01-Heat Worsens My Symptoms | Functional Assessment of Multiple Sclerosis - Additional Concerns: Heat worsens my symptoms. | FAMS - Heat Worsens My Symptoms | ||
FAMS01-I Am Able to Enjoy Life | C112567 | FAMS01-I Am Able to Enjoy Life | Functional 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 Work | C112552 | FAMS01-I Am Able to Work | Functional 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 Fevers | C112607 | FAMS01-I Am Bothered by Fevers | Functional 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 Headaches | C112563 | FAMS01-I Am Bothered by Headaches | Functional Assessment of Multiple Sclerosis - Symptoms: I am bothered by headaches. | FAMS - Bothered by Headaches | ||
FAMS01-I Am Bothered by Muscle Pains | C112564 | FAMS01-I Am Bothered by Muscle Pains | Functional Assessment of Multiple Sclerosis - Symptoms: I am bothered by muscle pains. | FAMS - Bothered by Muscle Pains | ||
FAMS01-I Am Bothered by Muscle Spasms | C112608 | FAMS01-I Am Bothered by Muscle Spasms | Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by muscle spasms. | FAMS - Bothered by Muscle Spasms | ||
FAMS01-I Am Bothered by the Chills | C112606 | FAMS01-I Am Bothered by the Chills | Functional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by the chills. | FAMS - Bothered by Chills | ||
FAMS01-I Am Depressed About My Condition | C112569 | FAMS01-I Am Depressed About My Condition | Functional 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 Bed | C112596 | FAMS01-I Am Forced to Spend Time in Bed | Functional 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 Condition | C112576 | FAMS01-I Am Frustrated by My Condition | Functional 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 Life | C112598 | FAMS01-I Am Satisfied With My Sex Life | Functional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with my sex life. | FAMS - Satisfied With My Sex Life | ||
FAMS01-I Am Sleeping Well | C112602 | FAMS01-I Am Sleeping Well | Functional Assessment of Multiple Sclerosis - Additional Concerns: I am sleeping well. | FAMS - I Am Sleeping Well | ||
FAMS01-I Feel Close to My Friends | C112588 | FAMS01-I Feel Close to My Friends | Functional 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 Partner | C112597 | FAMS01-I Feel Close to My Partner | Functional 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 Ill | C112560 | FAMS01-I Feel Ill | Functional Assessment of Multiple Sclerosis - Symptoms: I feel ill. | FAMS - I Feel Ill | ||
FAMS01-I Feel Left Out of Things | C112594 | FAMS01-I Feel Left Out of Things | Functional 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 Things | C112578 | FAMS01-I Feel Motivated to Do Things | Functional Assessment of Multiple Sclerosis - General Contentment: I feel motivated to do things. | FAMS - Feel Motivated to Do Things | ||
FAMS01-I Feel Nervous | C112600 | FAMS01-I Feel Nervous | Functional Assessment of Multiple Sclerosis - Additional Concerns: I feel nervous. | FAMS - I Feel Nervous | ||
FAMS01-I Feel Sad | C112565 | FAMS01-I Feel Sad | Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel sad. | FAMS - I Feel Sad | ||
FAMS01-I Feel Tired | C112580 | FAMS01-I Feel Tired | Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I feel tired. | FAMS - I Feel Tired | ||
FAMS01-I Feel Trapped by My Condition | C112568 | FAMS01-I Feel Trapped by My Condition | Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel trapped by my condition. | FAMS - Feel Trapped by My Condition | ||
FAMS01-I Feel Useless | C112570 | FAMS01-I Feel Useless | Functional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel useless. | FAMS - I Feel Useless | ||
FAMS01-I Feel Weak All Over | C112561 | FAMS01-I Feel Weak All Over | Functional Assessment of Multiple Sclerosis - Symptoms: I feel weak all over. | FAMS - I Feel Weak All Over | ||
FAMS01-I Get Support From My Friends | C112590 | FAMS01-I Get Support From My Friends | Functional 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 Energy | C112579 | FAMS01-I Have a Lack of Energy | Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have a lack of energy. | FAMS - Have a Lack of Energy | ||
FAMS01-I Have Accepted My Illness | C112573 | FAMS01-I Have Accepted My Illness | Functional Assessment of Multiple Sclerosis - General Contentment: I have accepted my illness. | FAMS - I Have Accepted My Illness | ||
FAMS01-I Have Nausea | C112558 | FAMS01-I Have Nausea | Functional Assessment of Multiple Sclerosis - Symptoms: I have nausea. | FAMS - I Have Nausea | ||
FAMS01-I Have Pain | C112559 | FAMS01-I Have Pain | Functional Assessment of Multiple Sclerosis - Symptoms: I have pain. | FAMS - I Have Pain | ||
FAMS01-I Have Pain in My Joints | C112562 | FAMS01-I Have Pain in My Joints | Functional Assessment of Multiple Sclerosis - Symptoms: I have pain in my joints. | FAMS - I Have Pain in My Joints | ||
FAMS01-I Have Strength in My Legs | C112555 | FAMS01-I Have Strength in My Legs | Functional Assessment of Multiple Sclerosis - Mobility: I have strength in my legs. | FAMS - I Have Strength in My Legs | ||
FAMS01-I Have Trouble Concentrating | C112585 | FAMS01-I Have Trouble Concentrating | Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble concentrating. | FAMS - Trouble Concentrating | ||
FAMS01-I Have Trouble Learning New Tasks | C112587 | FAMS01-I Have Trouble Learning New Tasks | Functional 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 Things | C112584 | FAMS01-I Have Trouble Remembering Things | Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble remembering things. | FAMS - Trouble Remembering Things | ||
FAMS01-I Have Trouble Walking | C112553 | FAMS01-I Have Trouble Walking | Functional Assessment of Multiple Sclerosis - Mobility: I have trouble walking. | FAMS - I Have Trouble Walking | ||
FAMS01-I Need to Rest During the Day | C112583 | FAMS01-I Need to Rest During the Day | Functional 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 Frequently | C112605 | FAMS01-I Urinate More Frequently | Functional Assessment of Multiple Sclerosis - Additional Concerns: I urinate more frequently than usual. | FAMS - Urinate More Frequently Than Usual | ||
FAMS01-Limit My Social Activity | C112554 | FAMS01-Limit My Social Activity | Functional 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 Illness | C112566 | FAMS01-Losing Hope Against Illness | Functional 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 Illness | C112591 | FAMS01-My Family Has Accepted My Illness | Functional 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 Before | C112586 | FAMS01-My Thinking Is Slower Than Before | Functional Assessment of Multiple Sclerosis - Thinking and Fatigue: My thinking is slower than before. | FAMS - My Thinking is Slower Than Before | ||
FAMS01-My Work Is Fulfilling | C112572 | FAMS01-My Work Is Fulfilling | Functional Assessment of Multiple Sclerosis - General Contentment: My work (include work at home) is fulfilling. | FAMS - My Work is Fulfilling | ||
FAMS01-Satisfied Communication Illness | C112592 | FAMS01-Satisfied Communication Illness | Functional 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 Coping | C112599 | FAMS01-Satisfied With How I Am Coping | Functional 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 Account | C112557 | FAMS01-Take My Condition Into Account | Functional 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 Things | C112582 | FAMS01-Trouble Finishing Things | Functional 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 Public | C112556 | FAMS01-Trouble Getting Around in Public | Functional 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 Family | C112551 | FAMS01-Trouble Meeting Needs of Family | Functional 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 Things | C112581 | FAMS01-Trouble Starting Things | Functional 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 Worsening | C112593 | FAMS01-Trouble Understanding Worsening | Functional 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 Worse | C112601 | FAMS01-Worry My Condition Will Get Worse | Functional Assessment of Multiple Sclerosis - Additional Concerns: I worry that my condition will get worse. | FAMS - Worry My Condition Will Get Worse | ||
Back to top | ||||||
CL.C105138.GCGI TESTCD | QS-General Clinical Global Impressions Questionnaire Test Code (GCGI TESTCD) | text Extensible: No | C105138 | QS-General Clinical Global Impressions Questionnaire Test Code | General Clinical Global Impressions test code. | CDISC Questionnaire GCGI v1 Test Code Terminology |
GCGI0101 | C105278 | GCGI01-Global Severity of Pain | General Clinical Global Impressions - Global severity of pain. | GCGI - Global Severity of Pain | ||
GCGI0102 | C105279 | GCGI01-Global Improvement of Pain | General Clinical Global Impressions - Global improvement of pain. | GCGI - Global Improvement of Pain | ||
GCGI0103 | C105280 | GCGI01-Global Disease Status of Pain | General Clinical Global Impressions - Global disease status of pain. | GCGI - Global Disease Status of Pain | ||
GCGI0104 | C105281 | GCGI01-Pain Treatment Preference | General Clinical Global Impressions - Pain treatment preference. | GCGI - Pain Treatment Preference | ||
GCGI0105 | C105282 | GCGI01-Global Rating of Pain Mediation | General Clinical Global Impressions - Global rating of pain medication. | GCGI - Global Rating of Pain Medication | ||
Back to top | ||||||
CL.C105137.GCGI TEST | QS-General Clinical Global Impressions Questionnaire Test Name (GCGI TEST) | text Extensible: No | C105137 | QS-General Clinical Global Impressions Questionnaire Test Name | General Clinical Global Impressions test name. | CDISC Questionnaire GCGI v1 Test Name Terminology |
GCGI01-Global Disease Status of Pain | C105280 | GCGI01-Global Disease Status of Pain | General Clinical Global Impressions - Global disease status of pain. | GCGI - Global Disease Status of Pain | ||
GCGI01-Global Improvement of Pain | C105279 | GCGI01-Global Improvement of Pain | General Clinical Global Impressions - Global improvement of pain. | GCGI - Global Improvement of Pain | ||
GCGI01-Global Rating of Pain Mediation | C105282 | GCGI01-Global Rating of Pain Mediation | General Clinical Global Impressions - Global rating of pain medication. | GCGI - Global Rating of Pain Medication | ||
GCGI01-Global Severity of Pain | C105278 | GCGI01-Global Severity of Pain | General Clinical Global Impressions - Global severity of pain. | GCGI - Global Severity of Pain | ||
GCGI01-Pain Treatment Preference | C105281 | GCGI01-Pain Treatment Preference | General Clinical Global Impressions - Pain treatment preference. | GCGI - Pain Treatment Preference | ||
Back to top | ||||||
CL.C103467.GAD-7 TESTCD | QS-Generalized Anxiety Disorder - 7 Questionnaire Test Code (GAD-7 TESTCD) | text Extensible: No | C103467 | QS-Generalized Anxiety Disorder - 7 Questionnaire Test Code | Generalized Anxiety Disorder - 7 test code. | CDISC Questionnaire GAD-7 Test Code Terminology |
GAD0101 | C103565 | GAD01-Feeling Nervous Anxious or On Edge | Generalized Anxiety Disorder - 7 - Feeling nervous, anxious or on edge. | GAD-7 - Feeling Nervous Anxious or On Edge | ||
GAD0102 | C103566 | GAD01-Not Able to Stop/Control Worrying | Generalized Anxiety Disorder - 7 - Not being able to stop or control worrying. | GAD-7 - Not Being Able to Stop or Control Worrying | ||
GAD0103 | C103567 | GAD01-Worrying Too Much About Things | Generalized Anxiety Disorder - 7 - Worrying too much about different things. | GAD-7 - Worrying Too Much About Different Things | ||
GAD0104 | C103568 | GAD01-Trouble Relaxing | Generalized Anxiety Disorder - 7 - Trouble relaxing. | GAD-7 - Trouble Relaxing | ||
GAD0105 | C103569 | GAD01-Being Restless Hard to Sit Still | Generalized 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 | ||
GAD0106 | C103570 | GAD01-Becoming Easily Annoyed/Irritable | Generalized Anxiety Disorder - 7 - Becoming easily annoyed or irritable. | GAD-7 - Becoming Easily Annoyed or Irritable | ||
GAD0107 | C103571 | GAD01-Feel Afraid/Something Awful Happen | Generalized Anxiety Disorder - 7 - Feeling afraid as if something awful might happen. | GAD-7 - Feel Afraid as if Something Awful Might Happen | ||
GAD0108 | C103572 | GAD01-Difficult to Work/Take Care Things | Generalized 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 | ||
GAD0109 | C113886 | GAD01-Total Score | Generalized Anxiety Disorder - 7 - Total score. | GAD-7 - Total Score | ||
Back to top | ||||||
CL.C103466.GAD-7 TEST | QS-Generalized Anxiety Disorder - 7 Questionnaire Test Name (GAD-7 TEST) | text Extensible: No | C103466 | QS-Generalized Anxiety Disorder - 7 Questionnaire Test Name | Generalized Anxiety Disorder - 7 test name. | CDISC Questionnaire GAD-7 Test Name Terminology |
GAD01-Becoming Easily Annoyed/Irritable | C103570 | GAD01-Becoming Easily Annoyed/Irritable | Generalized Anxiety Disorder - 7 - Becoming easily annoyed or irritable. | GAD-7 - Becoming Easily Annoyed or Irritable | ||
GAD01-Being Restless Hard to Sit Still | C103569 | GAD01-Being Restless Hard to Sit Still | Generalized 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 Things | C103572 | GAD01-Difficult to Work/Take Care Things | Generalized 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 Happen | C103571 | GAD01-Feel Afraid/Something Awful Happen | Generalized 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 Edge | C103565 | GAD01-Feeling Nervous Anxious or On Edge | Generalized Anxiety Disorder - 7 - Feeling nervous, anxious or on edge. | GAD-7 - Feeling Nervous Anxious or On Edge | ||
GAD01-Not Able to Stop/Control Worrying | C103566 | GAD01-Not Able to Stop/Control Worrying | Generalized Anxiety Disorder - 7 - Not being able to stop or control worrying. | GAD-7 - Not Being Able to Stop or Control Worrying | ||
GAD01-Total Score | C113886 | GAD01-Total Score | Generalized Anxiety Disorder - 7 - Total score. | GAD-7 - Total Score | ||
GAD01-Trouble Relaxing | C103568 | GAD01-Trouble Relaxing | Generalized Anxiety Disorder - 7 - Trouble relaxing. | GAD-7 - Trouble Relaxing | ||
GAD01-Worrying Too Much About Things | C103567 | GAD01-Worrying Too Much About Things | Generalized Anxiety Disorder - 7 - Worrying too much about different things. | GAD-7 - Worrying Too Much About Different Things | ||
Back to top | ||||||
CL.C106663.GDS TESTCD | QS-Geriatric Depression Scale Questionnaire Test Code (GDS TESTCD) | text Extensible: No | C106663 | QS-Geriatric Depression Scale Questionnaire Test Code | Geriatric Depression Scale test code. | CDISC Questionnaire GDS Test Code Terminology |
GDS0101 | C106764 | GDS01-Satisfied With Life | Geriatric Depression Scale - Are you basically satisfied with your life? | GDS - Basically Satisfied With Life | ||
GDS0102 | C106765 | GDS01-Dropped Activities and Interests | Geriatric Depression Scale - Have you dropped many of your activities and interests? | GDS - Dropped Activities and Interests | ||
GDS0103 | C106766 | GDS01-Life Is Empty | Geriatric Depression Scale - Do you feel that your life is empty? | GDS - Feel Life Is Empty | ||
GDS0104 | C106767 | GDS01-Bored Often | Geriatric Depression Scale - Do you often get bored? | GDS - Often Get Bored | ||
GDS0105 | C106768 | GDS01-Hopeful About Future | Geriatric Depression Scale - Are you hopeful about the future? | GDS - Hopeful About Future | ||
GDS0106 | C106769 | GDS01-Bothered by Thoughts | Geriatric Depression Scale - Are you bothered by thoughts you can't get out of your head? | GDS - Bothered by Thoughts | ||
GDS0107 | C106770 | GDS01-Good Spirits Most of Time | Geriatric Depression Scale - Are you in good spirits most of the time? | GDS - Good Spirits Most of Time | ||
GDS0108 | C106771 | GDS01-Afraid of Something Bad Happening | Geriatric Depression Scale - Are you afraid that something bad is going to happen to you? | GDS - Afraid of Something Bad Happening | ||
GDS0109 | C106772 | GDS01-Feel Happy Most of Time | Geriatric Depression Scale - Do you feel happy most of the time? | GDS - Feel Happy Most of Time | ||
GDS0110 | C106773 | GDS01-Often Feel Helpless | Geriatric Depression Scale - Do you often feel helpless? | GDS - Often Feel Helpless | ||
GDS0111 | C106774 | GDS01-Get Restless and Fidgety | Geriatric Depression Scale - Do you often get restless and fidgety? | GDS - Get Restless and Fidgety | ||
GDS0112 | C106775 | GDS01-Prefer to Stay Home | Geriatric Depression Scale - Do you prefer to stay at home, rather than going out and doing new things? | GDS - Prefer to Stay Home | ||
GDS0113 | C106776 | GDS01-Worry About Future | Geriatric Depression Scale - Do you frequently worry about the future? | GDS - Frequently Worry About Future | ||
GDS0114 | C106777 | GDS01-Memory Problems | Geriatric Depression Scale - Do you feel you have more problems with memory than most? | GDS - More Memory Problems Than Most | ||
GDS0115 | C106778 | GDS01-Wonderful to Be Alive | Geriatric Depression Scale - Do you think it is wonderful to be alive now? | GDS - Think Wonderful to Be Alive | ||
GDS0116 | C106779 | GDS01-Feel Downhearted and Blue | Geriatric Depression Scale - Do you often feel downhearted and blue? | GDS - Feel Downhearted and Blue | ||
GDS0117 | C106780 | GDS01-Feel Worthless | Geriatric Depression Scale - Do you feel pretty worthless the way you are now? | GDS - Feel Worthless | ||
GDS0118 | C106781 | GDS01-Worry About the Past | Geriatric Depression Scale - Do you worry a lot about the past? | GDS - Worry About the Past | ||
GDS0119 | C106782 | GDS01-Find Life Exciting | Geriatric Depression Scale - Do you find life very exciting? | GDS - Find Life Exciting | ||
GDS0120 | C106783 | GDS01-Hard to Start New Projects | Geriatric Depression Scale - Is it hard for you to get started on new projects? | GDS - Hard to Start New Projects | ||
GDS0121 | C106784 | GDS01-Feel Full of Energy | Geriatric Depression Scale - Do you feel full of energy? | GDS - Feel Full of Energy | ||
GDS0122 | C106785 | GDS01-Feel Hopeless | Geriatric Depression Scale - Do you feel that your situation is hopeless? | GDS - Feel Situation Is Hopeless | ||
GDS0123 | C106786 | GDS01-Most People Better Off Than You | Geriatric Depression Scale - Do you think that most people are better off than you are? | GDS - Think Most People Better Off Than You | ||
GDS0124 | C106787 | GDS01-Often Upset Over Little Things | Geriatric Depression Scale -Do you frequently get upset over little things? | GDS - Often Upset Over Little Things | ||
GDS0125 | C106788 | GDS01-Frequently Feel Like Crying | Geriatric Depression Scale - Do you frequently feel like crying? | GDS - Frequently Feel Like Crying | ||
GDS0126 | C106789 | GDS01-Trouble Concentrating | Geriatric Depression Scale - Do you have trouble concentrating? | GDS - Have Trouble Concentrating | ||
GDS0127 | C106790 | GDS01-Enjoy Getting Up in the Morning | Geriatric Depression Scale - Do you enjoy getting up in the morning? | GDS - Enjoy Getting Up in the Morning | ||
GDS0128 | C106791 | GDS01-Avoid Social Gatherings | Geriatric Depression Scale - Do you prefer to avoid social gatherings? | GDS - Prefer to Avoid Social Gatherings | ||
GDS0129 | C106792 | GDS01-Easy to Make Decisions | Geriatric Depression Scale - Is it easy for you to make decisions? | GDS - Easy to Make Decisions | ||
GDS0130 | C106793 | GDS01-Mind as Clear as It Used to Be | Geriatric Depression Scale - Is your mind as clear as it used to be? | GDS - Mind as Clear as It Used to Be | ||
Back to top | ||||||
CL.C106662.GDS TEST | QS-Geriatric Depression Scale Questionnaire Test Name (GDS TEST) | text Extensible: No | C106662 | QS-Geriatric Depression Scale Questionnaire Test Name | Geriatric Depression Scale test name. | CDISC Questionnaire GDS Test Name Terminology |
GDS01-Afraid of Something Bad Happening | C106771 | GDS01-Afraid of Something Bad Happening | Geriatric Depression Scale - Are you afraid that something bad is going to happen to you? | GDS - Afraid of Something Bad Happening | ||
GDS01-Avoid Social Gatherings | C106791 | GDS01-Avoid Social Gatherings | Geriatric Depression Scale - Do you prefer to avoid social gatherings? | GDS - Prefer to Avoid Social Gatherings | ||
GDS01-Bored Often | C106767 | GDS01-Bored Often | Geriatric Depression Scale - Do you often get bored? | GDS - Often Get Bored | ||
GDS01-Bothered by Thoughts | C106769 | GDS01-Bothered by Thoughts | Geriatric Depression Scale - Are you bothered by thoughts you can't get out of your head? | GDS - Bothered by Thoughts | ||
GDS01-Dropped Activities and Interests | C106765 | GDS01-Dropped Activities and Interests | Geriatric Depression Scale - Have you dropped many of your activities and interests? | GDS - Dropped Activities and Interests | ||
GDS01-Easy to Make Decisions | C106792 | GDS01-Easy to Make Decisions | Geriatric Depression Scale - Is it easy for you to make decisions? | GDS - Easy to Make Decisions | ||
GDS01-Enjoy Getting Up in the Morning | C106790 | GDS01-Enjoy Getting Up in the Morning | Geriatric Depression Scale - Do you enjoy getting up in the morning? | GDS - Enjoy Getting Up in the Morning | ||
GDS01-Feel Downhearted and Blue | C106779 | GDS01-Feel Downhearted and Blue | Geriatric Depression Scale - Do you often feel downhearted and blue? | GDS - Feel Downhearted and Blue | ||
GDS01-Feel Full of Energy | C106784 | GDS01-Feel Full of Energy | Geriatric Depression Scale - Do you feel full of energy? | GDS - Feel Full of Energy | ||
GDS01-Feel Happy Most of Time | C106772 | GDS01-Feel Happy Most of Time | Geriatric Depression Scale - Do you feel happy most of the time? | GDS - Feel Happy Most of Time | ||
GDS01-Feel Hopeless | C106785 | GDS01-Feel Hopeless | Geriatric Depression Scale - Do you feel that your situation is hopeless? | GDS - Feel Situation Is Hopeless | ||
GDS01-Feel Worthless | C106780 | GDS01-Feel Worthless | Geriatric Depression Scale - Do you feel pretty worthless the way you are now? | GDS - Feel Worthless | ||
GDS01-Find Life Exciting | C106782 | GDS01-Find Life Exciting | Geriatric Depression Scale - Do you find life very exciting? | GDS - Find Life Exciting | ||
GDS01-Frequently Feel Like Crying | C106788 | GDS01-Frequently Feel Like Crying | Geriatric Depression Scale - Do you frequently feel like crying? | GDS - Frequently Feel Like Crying | ||
GDS01-Get Restless and Fidgety | C106774 | GDS01-Get Restless and Fidgety | Geriatric Depression Scale - Do you often get restless and fidgety? | GDS - Get Restless and Fidgety | ||
GDS01-Good Spirits Most of Time | C106770 | GDS01-Good Spirits Most of Time | Geriatric Depression Scale - Are you in good spirits most of the time? | GDS - Good Spirits Most of Time | ||
GDS01-Hard to Start New Projects | C106783 | GDS01-Hard to Start New Projects | Geriatric Depression Scale - Is it hard for you to get started on new projects? | GDS - Hard to Start New Projects | ||
GDS01-Hopeful About Future | C106768 | GDS01-Hopeful About Future | Geriatric Depression Scale - Are you hopeful about the future? | GDS - Hopeful About Future | ||
GDS01-Life Is Empty | C106766 | GDS01-Life Is Empty | Geriatric Depression Scale - Do you feel that your life is empty? | GDS - Feel Life Is Empty | ||
GDS01-Memory Problems | C106777 | GDS01-Memory Problems | Geriatric Depression Scale - Do you feel you have more problems with memory than most? | GDS - More Memory Problems Than Most | ||
GDS01-Mind as Clear as It Used to Be | C106793 | GDS01-Mind as Clear as It Used to Be | Geriatric Depression Scale - Is your mind as clear as it used to be? | GDS - Mind as Clear as It Used to Be | ||
GDS01-Most People Better Off Than You | C106786 | GDS01-Most People Better Off Than You | Geriatric Depression Scale - Do you think that most people are better off than you are? | GDS - Think Most People Better Off Than You | ||
GDS01-Often Feel Helpless | C106773 | GDS01-Often Feel Helpless | Geriatric Depression Scale - Do you often feel helpless? | GDS - Often Feel Helpless | ||
GDS01-Often Upset Over Little Things | C106787 | GDS01-Often Upset Over Little Things | Geriatric Depression Scale -Do you frequently get upset over little things? | GDS - Often Upset Over Little Things | ||
GDS01-Prefer to Stay Home | C106775 | GDS01-Prefer to Stay Home | Geriatric Depression Scale - Do you prefer to stay at home, rather than going out and doing new things? | GDS - Prefer to Stay Home | ||
GDS01-Satisfied With Life | C106764 | GDS01-Satisfied With Life | Geriatric Depression Scale - Are you basically satisfied with your life? | GDS - Basically Satisfied With Life | ||
GDS01-Trouble Concentrating | C106789 | GDS01-Trouble Concentrating | Geriatric Depression Scale - Do you have trouble concentrating? | GDS - Have Trouble Concentrating | ||
GDS01-Wonderful to Be Alive | C106778 | GDS01-Wonderful to Be Alive | Geriatric Depression Scale - Do you think it is wonderful to be alive now? | GDS - Think Wonderful to Be Alive | ||
GDS01-Worry About Future | C106776 | GDS01-Worry About Future | Geriatric Depression Scale - Do you frequently worry about the future? | GDS - Frequently Worry About Future | ||
GDS01-Worry About the Past | C106781 | GDS01-Worry About the Past | Geriatric Depression Scale - Do you worry a lot about the past? | GDS - Worry About the Past | ||
Back to top | ||||||
CL.C106665.GDS SHORT FORM TESTCD | QS-Geriatric Depression Scale Short Form Questionnaire Test Code (GDS SHORT FORM TESTCD) | text Extensible: No | C106665 | QS-Geriatric Depression Scale Short Form Questionnaire Test Code | Geriatric Depression Scale Short Form test code. | CDISC Questionnaire GDS-SF Test Code Terminology |
GDS0201 | C106794 | GDS02-Satisfied With Life | Geriatric Depression Scale Short Form - Are you basically satisfied with your life? | GDS-SF - Basically Satisfied With Life | ||
GDS0202 | C106795 | GDS02-Dropped Activities and Interests | Geriatric Depression Scale Short Form - Have you dropped many of your activities and interests? | GDS-SF - Dropped Activities and Interests | ||
GDS0203 | C106796 | GDS02-Life Is Empty | Geriatric Depression Scale Short Form - Do you feel that your life is empty? | GDS-SF - Feel Life Is Empty | ||
GDS0204 | C106797 | GDS02-Bored Often | Geriatric Depression Scale Short Form - Do you often get bored? | GDS-SF - Often Get Bored | ||
GDS0205 | C106798 | GDS02-Good Spirits Most of Time | Geriatric Depression Scale Short Form - Are you in good spirits most of the time? | GDS-SF - Good Spirits Most of Time | ||
GDS0206 | C106799 | GDS02-Afraid of Something Bad Happening | Geriatric Depression Scale Short Form - Are you afraid that something bad is going to happen to you? | GDS-SF - Afraid of Something Bad Happening | ||
GDS0207 | C106800 | GDS02-Feel Happy Most of Time | Geriatric Depression Scale Short Form - Do you feel happy most of the time? | GDS-SF - Feel Happy Most of Time | ||
GDS0208 | C106801 | GDS02-Often Feel Helpless | Geriatric Depression Scale Short Form - Do you often feel helpless? | GDS-SF - Often Feel Helpless | ||
GDS0209 | C106802 | GDS02-Prefer to Stay Home | Geriatric Depression Scale Short Form - Do you prefer to stay at home rather than going out and doing new things? | GDS-SF - Prefer to Stay Home | ||
GDS0210 | C106803 | GDS02-Memory Problems | Geriatric Depression Scale Short Form - Do you feel you have more problems with memory than most? | GDS-SF - More Memory Problems Than Most | ||
GDS0211 | C106804 | GDS02-Wonderful to Be Alive | Geriatric Depression Scale Short Form - Do you think it is wonderful to be alive now? | GDS-SF - Think Wonderful to Be Alive | ||
GDS0212 | C106805 | GDS02-Feel Worthless | Geriatric Depression Scale Short Form - Do you feel pretty worthless the way you are now? | GDS-SF - Feel Worthless | ||
GDS0213 | C106806 | GDS02-Feel Full of Energy | Geriatric Depression Scale Short Form - Do you feel full of energy? | GDS-SF - Feel Full of Energy | ||
GDS0214 | C106807 | GDS02-Feel Hopeless | Geriatric Depression Scale Short Form - Do you feel that your situation is hopeless? | GDS-SF - Feel Situation is Hopeless | ||
GDS0215 | C106808 | GDS02-Most People Better Off Than You | Geriatric Depression Scale Short Form - Do you think that most people are better off than you are? | GDS-SF - Think Most People Better Off Than You | ||
Back to top | ||||||
CL.C106664.GDS SHORT FORM TEST | QS-Geriatric Depression Scale Short Form Questionnaire Test Name (GDS SHORT FORM TEST) | text Extensible: No | C106664 | QS-Geriatric Depression Scale Short Form Questionnaire Test Name | Geriatric Depression Scale Short Form test name. | CDISC Questionnaire GDS-SF Test Name Terminology |
GDS02-Afraid of Something Bad Happening | C106799 | GDS02-Afraid of Something Bad Happening | Geriatric Depression Scale Short Form - Are you afraid that something bad is going to happen to you? | GDS-SF - Afraid of Something Bad Happening | ||
GDS02-Bored Often | C106797 | GDS02-Bored Often | Geriatric Depression Scale Short Form - Do you often get bored? | GDS-SF - Often Get Bored | ||
GDS02-Dropped Activities and Interests | C106795 | GDS02-Dropped Activities and Interests | Geriatric Depression Scale Short Form - Have you dropped many of your activities and interests? | GDS-SF - Dropped Activities and Interests | ||
GDS02-Feel Full of Energy | C106806 | GDS02-Feel Full of Energy | Geriatric Depression Scale Short Form - Do you feel full of energy? | GDS-SF - Feel Full of Energy | ||
GDS02-Feel Happy Most of Time | C106800 | GDS02-Feel Happy Most of Time | Geriatric Depression Scale Short Form - Do you feel happy most of the time? | GDS-SF - Feel Happy Most of Time | ||
GDS02-Feel Hopeless | C106807 | GDS02-Feel Hopeless | Geriatric Depression Scale Short Form - Do you feel that your situation is hopeless? | GDS-SF - Feel Situation is Hopeless | ||
GDS02-Feel Worthless | C106805 | GDS02-Feel Worthless | Geriatric Depression Scale Short Form - Do you feel pretty worthless the way you are now? | GDS-SF - Feel Worthless | ||
GDS02-Good Spirits Most of Time | C106798 | GDS02-Good Spirits Most of Time | Geriatric Depression Scale Short Form - Are you in good spirits most of the time? | GDS-SF - Good Spirits Most of Time | ||
GDS02-Life Is Empty | C106796 | GDS02-Life Is Empty | Geriatric Depression Scale Short Form - Do you feel that your life is empty? | GDS-SF - Feel Life Is Empty | ||
GDS02-Memory Problems | C106803 | GDS02-Memory Problems | Geriatric Depression Scale Short Form - Do you feel you have more problems with memory than most? | GDS-SF - More Memory Problems Than Most | ||
GDS02-Most People Better Off Than You | C106808 | GDS02-Most People Better Off Than You | Geriatric Depression Scale Short Form - Do you think that most people are better off than you are? | GDS-SF - Think Most People Better Off Than You | ||
GDS02-Often Feel Helpless | C106801 | GDS02-Often Feel Helpless | Geriatric Depression Scale Short Form - Do you often feel helpless? | GDS-SF - Often Feel Helpless | ||
GDS02-Prefer to Stay Home | C106802 | GDS02-Prefer to Stay Home | Geriatric Depression Scale Short Form - Do you prefer to stay at home rather than going out and doing new things? | GDS-SF - Prefer to Stay Home | ||
GDS02-Satisfied With Life | C106794 | GDS02-Satisfied With Life | Geriatric Depression Scale Short Form - Are you basically satisfied with your life? | GDS-SF - Basically Satisfied With Life | ||
GDS02-Wonderful to Be Alive | C106804 | GDS02-Wonderful to Be Alive | Geriatric Depression Scale Short Form - Do you think it is wonderful to be alive now? | GDS-SF - Think Wonderful to Be Alive | ||
Back to top | ||||||
CL.C101819.HAMA TESTCD | QS-Hamilton Anxiety Rating Scale Questionnaire Test Code (HAMA TESTCD) | text Extensible: No | C101819 | QS-Hamilton Anxiety Rating Scale Questionnaire Test Code | Hamilton Anxiety Rating Scale test code. | CDISC Questionnaire HAMA Test Code Terminology |
HAMA101 | C102073 | HAMA1-Anxious Mood | Hamilton Anxiety Rating Scale - Anxious mood: worries, anticipation of the worst, fearful anticipation, irritability. | HAMA - Anxious Mood | ||
HAMA102 | C102074 | HAMA1-Tension | Hamilton Anxiety Rating Scale - Tension: feelings of tension, fatigability, startle response, moved to tears easily, trembling, feelings of restlessness, inability to relax. | HAMA - Tension | ||
HAMA103 | C102075 | HAMA1-Fears | Hamilton Anxiety Rating Scale - Fears: of dark, of strangers, of being left alone, of animals, of traffic, of crowds. | HAMA - Fears | ||
HAMA104 | C102076 | HAMA1-Insomnia | Hamilton Anxiety Rating Scale - Insomnia: difficulty falling asleep, broken sleep, unsatisfying sleep and fatigue on waking, dreams, nightmares, night terrors. | HAMA - Insomnia | ||
HAMA105 | C102077 | HAMA1-Intellectual | Hamilton Anxiety Rating Scale - Intellectual: difficulty in concentration, poor memory. | HAMA - Intellectual | ||
HAMA106 | C102078 | HAMA1-Depressed Mood | Hamilton Anxiety Rating Scale - Depressed mood: loss of interest, lack of pleasure in hobbies, depression, early waking, diurnal swing. | HAMA - Depressed Mood | ||
HAMA107 | C102079 | HAMA1-Somatic (Muscular) | Hamilton Anxiety Rating Scale - Somatic (muscular): pains and aches, twitching, stiffness, myoclonic jerks, grinding of teeth, unsteady voice, increased muscular tone. | HAMA - Somatic (Muscular) | ||
HAMA108 | C102080 | HAMA1-Somatic (Sensory) | Hamilton Anxiety Rating Scale - Somatic (sensory): tinnitus, blurring of vision, hot and cold flushes, feelings of weakness, pricking sensation. | HAMA - Somatic (Sensory) | ||
HAMA109 | C102081 | HAMA1-Cardiovascular Symptoms | Hamilton Anxiety Rating Scale - Cardiovascular symptoms: tachycardia, palpitations, pain in chest, throbbing of vessels, fainting feelings, missing beat. | HAMA - Cardiovascular Symptoms | ||
HAMA110 | C102082 | HAMA1-Respiratory Symptoms | Hamilton Anxiety Rating Scale - Respiratory symptoms: pressure or constriction in chest, choking feelings, sighing, dyspnea. | HAMA - Respiratory Symptoms | ||
HAMA111 | C102083 | HAMA1-Gastrointestinal Symptoms | Hamilton Anxiety Rating Scale - Gastrointestinal symptoms: difficulty swallowing, wind abdominal pain, burning sensations, abdominal fullness, nausea, vomiting, borborygmi, looseness of bowels, loss of weight, constipation. | HAMA - Gastrointestinal Symptoms | ||
HAMA112 | C102084 | HAMA1-Genitourinary Symptoms | Hamilton Anxiety Rating Scale - Genitourinary symptoms: frequency of micturition, urgency of micturition, amenorrhea, menorrhagia, development of frigidity, premature ejaculation, loss of libido, impotence. | HAMA - Genitourinary Symptoms | ||
HAMA113 | C102085 | HAMA1-Autonomic Symptoms | Hamilton Anxiety Rating Scale - Autonomic symptoms: dry mouth, flushing, pallor, tendency to sweat, giddiness, tension, headache, raising of hair. | HAMA - Autonomic Symptoms | ||
HAMA114 | C102086 | HAMA1-Behavior at Interview | Hamilton Anxiety Rating Scale - Behavior at interview: fidgeting, restlessness or pacing, tremor of hands, furrowed brow, strained face, sighing or rapid respiration, facial pallor, swallowing, etc. | HAMA - Behavior at Interview | ||
Back to top | ||||||
CL.C101820.HAMA TEST | QS-Hamilton Anxiety Rating Scale Questionnaire Test Name (HAMA TEST) | text Extensible: No | C101820 | QS-Hamilton Anxiety Rating Scale Questionnaire Test Name | Hamilton Anxiety Rating Scale test name. | CDISC Questionnaire HAMA Test Name Terminology |
HAMA1-Anxious Mood | C102073 | HAMA1-Anxious Mood | Hamilton Anxiety Rating Scale - Anxious mood: worries, anticipation of the worst, fearful anticipation, irritability. | HAMA - Anxious Mood | ||
HAMA1-Autonomic Symptoms | C102085 | HAMA1-Autonomic Symptoms | Hamilton Anxiety Rating Scale - Autonomic symptoms: dry mouth, flushing, pallor, tendency to sweat, giddiness, tension, headache, raising of hair. | HAMA - Autonomic Symptoms | ||
HAMA1-Behavior at Interview | C102086 | HAMA1-Behavior at Interview | Hamilton Anxiety Rating Scale - Behavior at interview: fidgeting, restlessness or pacing, tremor of hands, furrowed brow, strained face, sighing or rapid respiration, facial pallor, swallowing, etc. | HAMA - Behavior at Interview | ||
HAMA1-Cardiovascular Symptoms | C102081 | HAMA1-Cardiovascular Symptoms | Hamilton Anxiety Rating Scale - Cardiovascular symptoms: tachycardia, palpitations, pain in chest, throbbing of vessels, fainting feelings, missing beat. | HAMA - Cardiovascular Symptoms | ||
HAMA1-Depressed Mood | C102078 | HAMA1-Depressed Mood | Hamilton Anxiety Rating Scale - Depressed mood: loss of interest, lack of pleasure in hobbies, depression, early waking, diurnal swing. | HAMA - Depressed Mood | ||
HAMA1-Fears | C102075 | HAMA1-Fears | Hamilton Anxiety Rating Scale - Fears: of dark, of strangers, of being left alone, of animals, of traffic, of crowds. | HAMA - Fears | ||
HAMA1-Gastrointestinal Symptoms | C102083 | HAMA1-Gastrointestinal Symptoms | Hamilton Anxiety Rating Scale - Gastrointestinal symptoms: difficulty swallowing, wind abdominal pain, burning sensations, abdominal fullness, nausea, vomiting, borborygmi, looseness of bowels, loss of weight, constipation. | HAMA - Gastrointestinal Symptoms | ||
HAMA1-Genitourinary Symptoms | C102084 | HAMA1-Genitourinary Symptoms | Hamilton Anxiety Rating Scale - Genitourinary symptoms: frequency of micturition, urgency of micturition, amenorrhea, menorrhagia, development of frigidity, premature ejaculation, loss of libido, impotence. | HAMA - Genitourinary Symptoms | ||
HAMA1-Insomnia | C102076 | HAMA1-Insomnia | Hamilton Anxiety Rating Scale - Insomnia: difficulty falling asleep, broken sleep, unsatisfying sleep and fatigue on waking, dreams, nightmares, night terrors. | HAMA - Insomnia | ||
HAMA1-Intellectual | C102077 | HAMA1-Intellectual | Hamilton Anxiety Rating Scale - Intellectual: difficulty in concentration, poor memory. | HAMA - Intellectual | ||
HAMA1-Respiratory Symptoms | C102082 | HAMA1-Respiratory Symptoms | Hamilton Anxiety Rating Scale - Respiratory symptoms: pressure or constriction in chest, choking feelings, sighing, dyspnea. | HAMA - Respiratory Symptoms | ||
HAMA1-Somatic (Muscular) | C102079 | HAMA1-Somatic (Muscular) | Hamilton Anxiety Rating Scale - Somatic (muscular): pains and aches, twitching, stiffness, myoclonic jerks, grinding of teeth, unsteady voice, increased muscular tone. | HAMA - Somatic (Muscular) | ||
HAMA1-Somatic (Sensory) | C102080 | HAMA1-Somatic (Sensory) | Hamilton Anxiety Rating Scale - Somatic (sensory): tinnitus, blurring of vision, hot and cold flushes, feelings of weakness, pricking sensation. | HAMA - Somatic (Sensory) | ||
HAMA1-Tension | C102074 | HAMA1-Tension | Hamilton Anxiety Rating Scale - Tension: feelings of tension, fatigability, startle response, moved to tears easily, trembling, feelings of restlessness, inability to relax. | HAMA - Tension | ||
Back to top | ||||||
CL.C100138.HAMD 17 TESTCD | QS-Hamilton Depression Rating Scale - 17 Item Test Code (HAMD 17 TESTCD) | text Extensible: No | C100138 | QS-Hamilton Depression Rating Scale - 17 Item Test Code | The Hamilton Depression Rating Scale - 17 Item test code. | CDISC Questionnaire HAMD 17 Test Code Terminology |
HAMD101 | C100398 | HAMD1-Depressed Mood | Hamilton Depression Rating Scale 17 Item - Depressed mood: sadness, hopeless, helpless, worthless. | HAMD-17 - Depressed Mood | ||
HAMD102 | C100399 | HAMD1-Feelings of Guilt | Hamilton Depression Rating Scale 17 Item - Feelings of guilt. | HAMD-17 - Feelings of Guilt | ||
HAMD103 | C100400 | HAMD1-Suicide | Hamilton Depression Rating Scale 17 Item - Suicide. | HAMD-17 - Suicide | ||
HAMD104 | C100401 | HAMD1-Insomnia Early - Early Night | Hamilton Depression Rating Scale 17 Item - Insomnia: early in the night. | HAMD-17 - Insomnia - Early Night | ||
HAMD105 | C100402 | HAMD1-Insomnia Middle - Middle Night | Hamilton Depression Rating Scale 17 Item - Insomnia: middle of the night. | HAMD-17 - Insomnia - Middle Night | ||
HAMD106 | C100403 | HAMD1-Insomnia Early Hours - Morning | Hamilton Depression Rating Scale 17 Item - Insomnia: early hours of the morning. | HAMD-17 - Insomnia - Early Morning | ||
HAMD107 | C100404 | HAMD1-Work and Activities | Hamilton Depression Rating Scale 17 Item - Work and activities. | HAMD-17 - Work and Activities | ||
HAMD108 | C100405 | HAMD1-Retardation | Hamilton Depression Rating Scale 17 Item - Retardation. | HAMD-17 - Retardation | ||
HAMD109 | C100406 | HAMD1-Agitation | Hamilton Depression Rating Scale 17 Item - Agitation. | HAMD-17 - Agitation | ||
HAMD110 | C100407 | HAMD1-Anxiety Psychic | Hamilton Depression Rating Scale 17 Item - Anxiety psychic. | HAMD-17 - Psychic Anxiety | ||
HAMD111 | C100408 | HAMD1-Anxiety Somatic | Hamilton Depression Rating Scale 17 Item - Anxiety somatic: physiological concomitants of anxiety such as gastro-intestinal (dry mouth, wind, indigestion, diarrhea, cramps, belching), cardiovascular (palpitations, headaches), respiratory (hyperventilation, sighing), urinary frequency, sweating. | HAMD-17 - Somatic Anxiety | ||
HAMD112 | C100409 | HAMD1-Somatic Symptoms GI | Hamilton Depression Rating Scale 17 Item - Somatic symptoms gastro-intestinal. | HAMD-17 - Gastrointestinal Somatic Symptoms | ||
HAMD113 | C100410 | HAMD1-General Somatic Symptoms | Hamilton Depression Rating Scale 17 Item - General somatic symptoms. | HAMD-17 - General Somatic Symptoms | ||
HAMD114 | C100411 | HAMD1-Genital Symptoms | Hamilton Depression Rating Scale 17 Item - Genital symptoms: symptoms such as loss of libido, menstrual disturbances. | HAMD-17 - Genital Symptoms | ||
HAMD115 | C100412 | HAMD1-Hypochondriasis | Hamilton Depression Rating Scale 17 Item - Hypochondriasis. | HAMD-17 - Hypochondriasis | ||
HAMD116A | C100413 | HAMD1-Loss of WT According to Patient | Hamilton Depression Rating Scale 17 Item - Loss of weight according to the patient. | HAMD-17 - Loss of Weight According to Patient | ||
HAMD116B | C100414 | HAMD1-Loss of WT According to WK Meas | Hamilton Depression Rating Scale 17 Item - Loss of weight according to weekly measurements. | HAMD-17 - Loss of Weight According to Weekly Measurements | ||
HAMD117 | C100415 | HAMD1-Insight | Hamilton Depression Rating Scale 17 Item - Insight. | HAMD-17 - Insight | ||
HAMD118 | C100416 | HAMD1-Total Score | Hamilton Depression Rating Scale 17 Item - Total Score. | HAMD-17 - Total Score | ||
Back to top | ||||||
CL.C100137.HAMD 17 TEST | QS-Hamilton Depression Rating Scale - 17 Item Test Name (HAMD 17 TEST) | text Extensible: No | C100137 | QS-Hamilton Depression Rating Scale - 17 Item Test Name | The Hamilton Depression Rating Scale - 17 Item test name. | CDISC Questionnaire HAMD 17 Test Name Terminology |
HAMD1-Agitation | C100406 | HAMD1-Agitation | Hamilton Depression Rating Scale 17 Item - Agitation. | HAMD-17 - Agitation | ||
HAMD1-Anxiety Psychic | C100407 | HAMD1-Anxiety Psychic | Hamilton Depression Rating Scale 17 Item - Anxiety psychic. | HAMD-17 - Psychic Anxiety | ||
HAMD1-Anxiety Somatic | C100408 | HAMD1-Anxiety Somatic | Hamilton Depression Rating Scale 17 Item - Anxiety somatic: physiological concomitants of anxiety such as gastro-intestinal (dry mouth, wind, indigestion, diarrhea, cramps, belching), cardiovascular (palpitations, headaches), respiratory (hyperventilation, sighing), urinary frequency, sweating. | HAMD-17 - Somatic Anxiety | ||
HAMD1-Depressed Mood | C100398 | HAMD1-Depressed Mood | Hamilton Depression Rating Scale 17 Item - Depressed mood: sadness, hopeless, helpless, worthless. | HAMD-17 - Depressed Mood | ||
HAMD1-Feelings of Guilt | C100399 | HAMD1-Feelings of Guilt | Hamilton Depression Rating Scale 17 Item - Feelings of guilt. | HAMD-17 - Feelings of Guilt | ||
HAMD1-General Somatic Symptoms | C100410 | HAMD1-General Somatic Symptoms | Hamilton Depression Rating Scale 17 Item - General somatic symptoms. | HAMD-17 - General Somatic Symptoms | ||
HAMD1-Genital Symptoms | C100411 | HAMD1-Genital Symptoms | Hamilton Depression Rating Scale 17 Item - Genital symptoms: symptoms such as loss of libido, menstrual disturbances. | HAMD-17 - Genital Symptoms | ||
HAMD1-Hypochondriasis | C100412 | HAMD1-Hypochondriasis | Hamilton Depression Rating Scale 17 Item - Hypochondriasis. | HAMD-17 - Hypochondriasis | ||
HAMD1-Insight | C100415 | HAMD1-Insight | Hamilton Depression Rating Scale 17 Item - Insight. | HAMD-17 - Insight | ||
HAMD1-Insomnia Early - Early Night | C100401 | HAMD1-Insomnia Early - Early Night | Hamilton Depression Rating Scale 17 Item - Insomnia: early in the night. | HAMD-17 - Insomnia - Early Night | ||
HAMD1-Insomnia Early Hours - Morning | C100403 | HAMD1-Insomnia Early Hours - Morning | Hamilton Depression Rating Scale 17 Item - Insomnia: early hours of the morning. | HAMD-17 - Insomnia - Early Morning | ||
HAMD1-Insomnia Middle - Middle Night | C100402 | HAMD1-Insomnia Middle - Middle Night | Hamilton Depression Rating Scale 17 Item - Insomnia: middle of the night. | HAMD-17 - Insomnia - Middle Night | ||
HAMD1-Loss of WT According to Patient | C100413 | HAMD1-Loss of WT According to Patient | Hamilton Depression Rating Scale 17 Item - Loss of weight according to the patient. | HAMD-17 - Loss of Weight According to Patient | ||
HAMD1-Loss of WT According to WK Meas | C100414 | HAMD1-Loss of WT According to WK Meas | Hamilton Depression Rating Scale 17 Item - Loss of weight according to weekly measurements. | HAMD-17 - Loss of Weight According to Weekly Measurements | ||
HAMD1-Retardation | C100405 | HAMD1-Retardation | Hamilton Depression Rating Scale 17 Item - Retardation. | HAMD-17 - Retardation | ||
HAMD1-Somatic Symptoms GI | C100409 | HAMD1-Somatic Symptoms GI | Hamilton Depression Rating Scale 17 Item - Somatic symptoms gastro-intestinal. | HAMD-17 - Gastrointestinal Somatic Symptoms | ||
HAMD1-Suicide | C100400 | HAMD1-Suicide | Hamilton Depression Rating Scale 17 Item - Suicide. | HAMD-17 - Suicide | ||
HAMD1-Total Score | C100416 | HAMD1-Total Score | Hamilton Depression Rating Scale 17 Item - Total Score. | HAMD-17 - Total Score | ||
HAMD1-Work and Activities | C100404 | HAMD1-Work and Activities | Hamilton Depression Rating Scale 17 Item - Work and activities. | HAMD-17 - Work and Activities | ||
Back to top | ||||||
CL.C101821.HAMD 21 TESTCD | QS-Hamilton Depression Rating Scale 21-Item Questionnaire Test Code (HAMD 21 TESTCD) | text Extensible: No | C101821 | QS-Hamilton Depression Rating Scale 21-Item Questionnaire Test Code | Hamilton Depression Rating Scale 21-Item test code. | CDISC Questionnaire HAMD 21 Test Code Terminology |
HAMD201 | C102087 | HAMD2-Depressed Mood | Hamilton Depression Rating Scale 21 Item - Depressed mood: sadness, hopeless, helpless, worthless. | HAMD-21 - Depressed Mood | ||
HAMD202 | C102088 | HAMD2-Feelings of Guilt | Hamilton Depression Rating Scale 21 Item - Feelings of guilt. | HAMD-21 - Feelings of Guilt | ||
HAMD203 | C102089 | HAMD2-Suicide | Hamilton Depression Rating Scale 21 Item - Suicide. | HAMD-21 - Suicide | ||
HAMD204 | C102090 | HAMD2-Insomnia Early | Hamilton Depression Rating Scale 21 Item - Insomnia early. | HAMD-21 - Insomnia Early | ||
HAMD205 | C102091 | HAMD2-Insomnia Middle | Hamilton Depression Rating Scale 21 Item - Insomnia middle. | HAMD-21 - Insomnia Middle | ||
HAMD206 | C102092 | HAMD2-Insomnia Late | Hamilton Depression Rating Scale 21 Item - Insomnia late. | HAMD-21 - Insomnia Late | ||
HAMD207 | C102093 | HAMD2-Work and Activities | Hamilton Depression Rating Scale 21 Item - Work and activities. | HAMD-21 - Work and Activities | ||
HAMD208 | C102094 | HAMD2-Retardation | Hamilton Depression Rating Scale 21 Item - Retardation: psychomotor (slowness of thought and speech; impaired ability to concentrate; decreased motor activity). | HAMD-21 - Retardation | ||
HAMD209 | C102095 | HAMD2-Agitation | Hamilton Depression Rating Scale 21 Item - Agitation. | HAMD-21 - Agitation | ||
HAMD210 | C102096 | HAMD2-Anxiety Psychological | Hamilton Depression Rating Scale 21 Item - Anxiety Psychological. | HAMD-21 - Anxiety Psychological | ||
HAMD211 | C102097 | HAMD2-Anxiety Somatic | Hamilton Depression Rating Scale 21 Item - Anxiety somatic: physiological concomitants of anxiety, (i.e., effects of autonomic overactivity, 'butterflies,' indigestion, stomach cramps, belching, diarrhea, palpitations, hyperventilation, paresthesia, sweating, flushing, tremor, headache, urinary frequency). | HAMD-21 - Anxiety Somatic | ||
HAMD212 | C102098 | HAMD2-Somatic Symptoms Gastro-intestinal | Hamilton Depression Rating Scale 21 Item - Somatic symptoms gastro-intestinal. | HAMD-21 - Somatic Symptoms Gastro-intestinal | ||
HAMD213 | C102099 | HAMD2-Somatic Symptoms General | Hamilton Depression Rating Scale 21 Item - Somatic symptoms general. | HAMD-21 - Somatic Symptoms General | ||
HAMD214 | C102100 | HAMD2-Genital Symptoms | Hamilton Depression Rating Scale 21 Item - Genital symptoms: symptoms such as: loss of libido; impaired sexual performance; menstrual disturbances. | HAMD-21 - Genital Symptoms | ||
HAMD215 | C102101 | HAMD2-Hypochondriasis | Hamilton Depression Rating Scale 21 Item - Hypochondriasis. | HAMD-21 - Hypochondriasis | ||
HAMD216A | C102102 | HAMD2-Loss of Weight by History | Hamilton Depression Rating Scale 21 Item - Loss of weight when rating by history. | HAMD-21 - Loss of Weight by History | ||
HAMD216B | C102103 | HAMD2-Loss of Weight Measured | Hamilton Depression Rating Scale 21 Item - Loss of weight on weekly ratings by war psychiatrist, when actual weight changes are measured. | HAMD-21 - Loss of Weight Measured | ||
HAMD217 | C102104 | HAMD2-Insight | Hamilton Depression Rating Scale 21 Item - Insight. | HAMD-21 - Insight | ||
HAMD218A | C102105 | HAMD2-Diurnal Variation | Hamilton Depression Rating Scale 21 Item - Diurnal variation. | HAMD-21 - Diurnal Variation | ||
HAMD218B | C102106 | HAMD2-Diurnal Variation Severity | Hamilton Depression Rating Scale 21 Item - Diurnal variation severity. | HAMD-21 - Diurnal Variation Severity | ||
HAMD219 | C102107 | HAMD2-Depersonalization/Derealization | Hamilton Depression Rating Scale 21 Item - Depersonalization and derealization: such as feelings of unreality; nihilistic ideas. | HAMD-21 - Depersonalization and Derealization | ||
HAMD220 | C102108 | HAMD2-Paranoid Symptoms | Hamilton Depression Rating Scale 21 Item - Paranoid symptoms. | HAMD-21 - Paranoid Symptoms | ||
HAMD221 | C102109 | HAMD2-Obsessional/Compulsive Symptoms | Hamilton Depression Rating Scale 21 Item - Obsessional and compulsive symptoms. | HAMD-21 - Obsessional and Compulsive Symptoms | ||
HAMD222 | C102110 | HAMD2-Total Score | Hamilton Depression Rating Scale 21 Item - Total score. | HAMD-21 - Total Score | ||
Back to top | ||||||
CL.C101822.HAMD 21 TEST | QS-Hamilton Depression Rating Scale 21-Item Questionnaire Test Name (HAMD 21 TEST) | text Extensible: No | C101822 | QS-Hamilton Depression Rating Scale 21-Item Questionnaire Test Name | Hamilton Depression Rating Scale 21-Item test name. | CDISC Questionnaire HAMD 21 Test Name Terminology |
HAMD2-Agitation | C102095 | HAMD2-Agitation | Hamilton Depression Rating Scale 21 Item - Agitation. | HAMD-21 - Agitation | ||
HAMD2-Anxiety Psychological | C102096 | HAMD2-Anxiety Psychological | Hamilton Depression Rating Scale 21 Item - Anxiety Psychological. | HAMD-21 - Anxiety Psychological | ||
HAMD2-Anxiety Somatic | C102097 | HAMD2-Anxiety Somatic | Hamilton Depression Rating Scale 21 Item - Anxiety somatic: physiological concomitants of anxiety, (i.e., effects of autonomic overactivity, 'butterflies,' indigestion, stomach cramps, belching, diarrhea, palpitations, hyperventilation, paresthesia, sweating, flushing, tremor, headache, urinary frequency). | HAMD-21 - Anxiety Somatic | ||
HAMD2-Depersonalization/Derealization | C102107 | HAMD2-Depersonalization/Derealization | Hamilton Depression Rating Scale 21 Item - Depersonalization and derealization: such as feelings of unreality; nihilistic ideas. | HAMD-21 - Depersonalization and Derealization | ||
HAMD2-Depressed Mood | C102087 | HAMD2-Depressed Mood | Hamilton Depression Rating Scale 21 Item - Depressed mood: sadness, hopeless, helpless, worthless. | HAMD-21 - Depressed Mood | ||
HAMD2-Diurnal Variation | C102105 | HAMD2-Diurnal Variation | Hamilton Depression Rating Scale 21 Item - Diurnal variation. | HAMD-21 - Diurnal Variation | ||
HAMD2-Diurnal Variation Severity | C102106 | HAMD2-Diurnal Variation Severity | Hamilton Depression Rating Scale 21 Item - Diurnal variation severity. | HAMD-21 - Diurnal Variation Severity | ||
HAMD2-Feelings of Guilt | C102088 | HAMD2-Feelings of Guilt | Hamilton Depression Rating Scale 21 Item - Feelings of guilt. | HAMD-21 - Feelings of Guilt | ||
HAMD2-Genital Symptoms | C102100 | HAMD2-Genital Symptoms | Hamilton Depression Rating Scale 21 Item - Genital symptoms: symptoms such as: loss of libido; impaired sexual performance; menstrual disturbances. | HAMD-21 - Genital Symptoms | ||
HAMD2-Hypochondriasis | C102101 | HAMD2-Hypochondriasis | Hamilton Depression Rating Scale 21 Item - Hypochondriasis. | HAMD-21 - Hypochondriasis | ||
HAMD2-Insight | C102104 | HAMD2-Insight | Hamilton Depression Rating Scale 21 Item - Insight. | HAMD-21 - Insight | ||
HAMD2-Insomnia Early | C102090 | HAMD2-Insomnia Early | Hamilton Depression Rating Scale 21 Item - Insomnia early. | HAMD-21 - Insomnia Early | ||
HAMD2-Insomnia Late | C102092 | HAMD2-Insomnia Late | Hamilton Depression Rating Scale 21 Item - Insomnia late. | HAMD-21 - Insomnia Late | ||
HAMD2-Insomnia Middle | C102091 | HAMD2-Insomnia Middle | Hamilton Depression Rating Scale 21 Item - Insomnia middle. | HAMD-21 - Insomnia Middle | ||
HAMD2-Loss of Weight by History | C102102 | HAMD2-Loss of Weight by History | Hamilton Depression Rating Scale 21 Item - Loss of weight when rating by history. | HAMD-21 - Loss of Weight by History | ||
HAMD2-Loss of Weight Measured | C102103 | HAMD2-Loss of Weight Measured | Hamilton Depression Rating Scale 21 Item - Loss of weight on weekly ratings by war psychiatrist, when actual weight changes are measured. | HAMD-21 - Loss of Weight Measured | ||
HAMD2-Obsessional/Compulsive Symptoms | C102109 | HAMD2-Obsessional/Compulsive Symptoms | Hamilton Depression Rating Scale 21 Item - Obsessional and compulsive symptoms. | HAMD-21 - Obsessional and Compulsive Symptoms | ||
HAMD2-Paranoid Symptoms | C102108 | HAMD2-Paranoid Symptoms | Hamilton Depression Rating Scale 21 Item - Paranoid symptoms. | HAMD-21 - Paranoid Symptoms | ||
HAMD2-Retardation | C102094 | HAMD2-Retardation | Hamilton Depression Rating Scale 21 Item - Retardation: psychomotor (slowness of thought and speech; impaired ability to concentrate; decreased motor activity). | HAMD-21 - Retardation | ||
HAMD2-Somatic Symptoms Gastro-intestinal | C102098 | HAMD2-Somatic Symptoms Gastro-intestinal | Hamilton Depression Rating Scale 21 Item - Somatic symptoms gastro-intestinal. | HAMD-21 - Somatic Symptoms Gastro-intestinal | ||
HAMD2-Somatic Symptoms General | C102099 | HAMD2-Somatic Symptoms General | Hamilton Depression Rating Scale 21 Item - Somatic symptoms general. | HAMD-21 - Somatic Symptoms General | ||
HAMD2-Suicide | C102089 | HAMD2-Suicide | Hamilton Depression Rating Scale 21 Item - Suicide. | HAMD-21 - Suicide | ||
HAMD2-Total Score | C102110 | HAMD2-Total Score | Hamilton Depression Rating Scale 21 Item - Total score. | HAMD-21 - Total Score | ||
HAMD2-Work and Activities | C102093 | HAMD2-Work and Activities | Hamilton Depression Rating Scale 21 Item - Work and activities. | HAMD-21 - Work and Activities | ||
Back to top | ||||||
CL.C106667.HAQ-DI TESTCD | QS-Health Assessment Questionnaire Disability Index Test Code (HAQ-DI TESTCD) | text Extensible: No | C106667 | QS-Health Assessment Questionnaire Disability Index Test Code | Health Assessment Questionnaire Disability Index test code. | CDISC Questionnaire HAQ-DI Test Code Terminology |
HAQ0101 | C106809 | HAQ01-Dress Yourself | Health Assessment Questionnaire Disability Index - Dressing & Grooming: Are you able to dress yourself, including tying shoelaces and doing buttons? | HAQ-DI - Able to Dress Yourself | ||
HAQ0102 | C106810 | HAQ01-Shampoo Your Hair | Health Assessment Questionnaire Disability Index - Dressing & Grooming: Are you able to shampoo your hair? | HAQ-DI - Able to Shampoo Hair | ||
HAQ0103 | C106811 | HAQ01-Stand Up From a Straight Chair | Health Assessment Questionnaire Disability Index - Arising: Are you able to stand up from a straight chair? | HAQ-DI - Able to Stand Up From Chair | ||
HAQ0104 | C106812 | HAQ01-Get In and Out of Bed | Health Assessment Questionnaire Disability Index - Arising: Are you able to get in and out of bed? | HAQ-DI - Able to Get In and Out of Bed | ||
HAQ0105 | C106813 | HAQ01-Cut Your Meat | Health Assessment Questionnaire Disability Index - Eating: Are you able to cut your meat? | HAQ-DI - Able to Cut Meat | ||
HAQ0106 | C106814 | HAQ01-Lift a Full Cup or Glass to Mouth | Health Assessment Questionnaire Disability Index - Eating: Are you able to lift a full cup or glass to your mouth? | HAQ-DI - Able to Lift Cup or Glass to Mouth | ||
HAQ0107 | C106815 | HAQ01-Open a New Milk Carton | Health Assessment Questionnaire Disability Index - Eating: Are you able to open a new milk carton? | HAQ-DI - Able to Open Milk Carton | ||
HAQ0108 | C106816 | HAQ01-Walk Outdoors on Flat Ground | Health Assessment Questionnaire Disability Index - Walking: Are you able to walk outdoors on flat ground? | HAQ-DI - Able to Walk Outdoors On Flat Ground | ||
HAQ0109 | C106817 | HAQ01-Climb Up Five Steps | Health Assessment Questionnaire Disability Index - Walking: Are you able to climb up five steps? | HAQ-DI - Able to Climb Up Steps | ||
HAQ0110 | C106818 | HAQ01-Aid: Cane | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Cane. | HAQ-DI - Aids or Devices - Cane | ||
HAQ0111 | C106819 | HAQ01-Aid: Walker | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Walker. | HAQ-DI - Aids or Devices - Walker | ||
HAQ0112 | C106820 | HAQ01-Aid: Crutches | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Crutches. | HAQ-DI - Aids or Devices - Crutches | ||
HAQ0113 | C106821 | HAQ01-Aid: Wheelchair | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Wheelchair. | HAQ-DI - Aids or Devices - Wheelchair | ||
HAQ0114 | C106822 | HAQ01-Aid: Devices Used for Dressing | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Devices used for Dressing (button hook, zipper pull, long-handled shoe horn, etc.). | HAQ-DI - Aids or Devices - Used For Dressing | ||
HAQ0115 | C106823 | HAQ01-Aid: Built Up or Special Utensils | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Built up or special utensils. | HAQ-DI - Aids or Devices - Built Up or Special Utensils | ||
HAQ0116 | C106824 | HAQ01-Aid: Special or Built Up Chair | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Special or built up chair. | HAQ-DI - Aids or Devices - Special or Built Up Chair | ||
HAQ0117 | C106825 | HAQ01-Othr Aid (Dress/Arising/Eat/Walk) | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Other. | HAQ-DI - Aids or Devices For Dress/Arising/Eat/Walk-Other | ||
HAQ0118 | C106826 | HAQ01-Spec Aid (Dress/Arising/Eat/Walk) | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Other (Specify). | HAQ-DI - Aids or Devices For Dress/Arising/Eat/Walk-Specify | ||
HAQ0119 | C106827 | HAQ01-Help: Dressing and Grooming | Health Assessment Questionnaire Disability Index - Usually need help from another person: Dressing and Grooming. | HAQ-DI - Help From Another Person - Dressing and Grooming | ||
HAQ0120 | C106828 | HAQ01-Help: Arising | Health Assessment Questionnaire Disability Index - Usually need help from another person: Arising. | HAQ-DI - Help From Another Person - Arising | ||
HAQ0121 | C106829 | HAQ01-Help: Eating | Health Assessment Questionnaire Disability Index - Usually need help from another person: Eating. | HAQ-DI - Help From Another Person - Eating | ||
HAQ0122 | C106830 | HAQ01-Help: Walking | Health Assessment Questionnaire Disability Index - Usually need help from another person: Walking. | HAQ-DI - Help From Another Person - Walking | ||
HAQ0123 | C106831 | HAQ01-Wash and Dry Your Body | Health Assessment Questionnaire Disability Index - Hygiene: Are you able to wash and dry your body? | HAQ-DI - Able to Wash and Dry Body | ||
HAQ0124 | C106832 | HAQ01-Take a Tub Bath | Health Assessment Questionnaire Disability Index - Hygiene: Are you able to take a tub bath? | HAQ-DI - Able to Take Tub Bath | ||
HAQ0125 | C106833 | HAQ01-Get On and Off The Toilet | Health Assessment Questionnaire Disability Index - Hygiene: Are you able to get on and off the toilet? | HAQ-DI - Able to Get On and Off Toilet | ||
HAQ0126 | C106834 | HAQ01-Reach-Get Down 5 Lb Obj Above Head | Health Assessment Questionnaire Disability Index - Reach: Are you able to reach and get down a 5 pound object (such as a bag of sugar) from just above your head? | HAQ-DI - Able to Reach and Get Down Object From Above Head | ||
HAQ0127 | C106835 | HAQ01-Bend Down Pick Up Clothing - Floor | Health Assessment Questionnaire Disability Index - Reach: Are you able to bend down to pick up clothing from the floor? | HAQ-DI - Able to Bend Down and Pick Up Clothing From Floor | ||
HAQ0128 | C106836 | HAQ01-Open Car Doors | Health Assessment Questionnaire Disability Index - Grip: Are you able to open car doors? | HAQ-DI - Able to Open Car Doors | ||
HAQ0129 | C106837 | HAQ01-Open Jars Previously Opened | Health Assessment Questionnaire Disability Index - Grip: Are you able to open jars which have been previously opened? | HAQ-DI - Able to Open Previously Opened Jars | ||
HAQ0130 | C106838 | HAQ01-Turn Faucets On And Off | Health Assessment Questionnaire Disability Index - Grip: Are you able to turn faucets on and off? | HAQ-DI - Able to Turn Faucets On and Off | ||
HAQ0131 | C106839 | HAQ01-Run Errands and Shop | Health Assessment Questionnaire Disability Index - Activities: Are you able to run errands and shop? | HAQ-DI - Able to Run Errands and Shop | ||
HAQ0132 | C106840 | HAQ01-Get In and Out of a Car | Health Assessment Questionnaire Disability Index - Activities: Are you able to get in and out of a car? | HAQ-DI - Able to Get In and Out of Car | ||
HAQ0133 | C106841 | HAQ01-Able to Do Chores | Health Assessment Questionnaire Disability Index - Activities: Are you able to do chores such as vacuuming or yardwork? | HAQ-DI - Able to Do Chores - Vacuuming or Yardwork | ||
HAQ0134 | C106842 | HAQ01-Aid: Raised Toilet Seat | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Raised toilet seat. | HAQ-DI - Aids or Devices - Raised Toilet Seat | ||
HAQ0135 | C106843 | HAQ01-Aid: Bathtub Seat | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Bathtub seat. | HAQ-DI - Aids or Devices - Bathtub Seat | ||
HAQ0136 | C107020 | HAQ01-Aid: Jar Opener (Previously Open) | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Jar opener (for jars previously opened). | HAQ-DI - Aids or Devices - Jar Opener (Jars Previously Opened) | ||
HAQ0137 | C106844 | HAQ01-Aid: Bathtub Bar | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Bathtub bar. | HAQ-DI - Aids or Devices - Bathtub Bar | ||
HAQ0138 | C106845 | HAQ01-Aid: Long-Handled Appl Reach | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Long-handled appliances for reach. | HAQ-DI - Aids or Devices - Long-Handled Appliances for Reach | ||
HAQ0139 | C106846 | HAQ01-Aid: Long-Handled Appl Bathroom | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Long-handled appliances in bathroom. | HAQ-DI - Aids or Devices - Long-Handled Appliances in Bathroom | ||
HAQ0140 | C107093 | HAQ01-Othr Aid (Hygiene/Reach/Grip/Act) | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Other. | HAQ-DI - Aids or Devices For Hygiene/Reach/Grip/Act-Other | ||
HAQ0141 | C107094 | HAQ01-Spec Aid (Hygiene/Reach/Grip/Act) | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Other (Specify). | HAQ-DI - Aids or Devices For Hygiene/Reach/Grip/Act-Specify | ||
HAQ0142 | C106847 | HAQ01-Help: Hygiene | Health Assessment Questionnaire Disability Index - Usually need help from another person: Hygiene. | HAQ-DI - Help From Another Person - Hygiene | ||
HAQ0143 | C106848 | HAQ01-Help: Reach | Health Assessment Questionnaire Disability Index - Usually need help from another person: Reach. | HAQ-DI - Help From Another Person - Reach | ||
HAQ0144 | C106849 | HAQ01-Help: Gripping and Opening Things | Health Assessment Questionnaire Disability Index - Usually need help from another person: Gripping and opening things. | HAQ-DI - Help From Another Person - Gripping and Opening Things | ||
HAQ0145 | C106850 | HAQ01-Help: Errands and Chores | Health Assessment Questionnaire Disability Index - Usually need help from another person: Errands and chores. | HAQ-DI - Help From Another Person - Errands and Chores | ||
HAQ0146 | C106851 | HAQ01-Severity of Pain | Health Assessment Questionnaire Disability Index - How much pain have you had because of your illness in the past week? | HAQ-DI - Severity of Pain in the Past Week | ||
Back to top | ||||||
CL.C106666.HAQ-DI TEST | QS-Health Assessment Questionnaire Disability Index Test Name (HAQ-DI TEST) | text Extensible: No | C106666 | QS-Health Assessment Questionnaire Disability Index Test Name | Health Assessment Questionnaire Disability Index test name. | CDISC Questionnaire HAQ-DI Test Name Terminology |
HAQ01-Able to Do Chores | C106841 | HAQ01-Able to Do Chores | Health Assessment Questionnaire Disability Index - Activities: Are you able to do chores such as vacuuming or yardwork? | HAQ-DI - Able to Do Chores - Vacuuming or Yardwork | ||
HAQ01-Aid: Bathtub Bar | C106844 | HAQ01-Aid: Bathtub Bar | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Bathtub bar. | HAQ-DI - Aids or Devices - Bathtub Bar | ||
HAQ01-Aid: Bathtub Seat | C106843 | HAQ01-Aid: Bathtub Seat | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Bathtub seat. | HAQ-DI - Aids or Devices - Bathtub Seat | ||
HAQ01-Aid: Built Up or Special Utensils | C106823 | HAQ01-Aid: Built Up or Special Utensils | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Built up or special utensils. | HAQ-DI - Aids or Devices - Built Up or Special Utensils | ||
HAQ01-Aid: Cane | C106818 | HAQ01-Aid: Cane | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Cane. | HAQ-DI - Aids or Devices - Cane | ||
HAQ01-Aid: Crutches | C106820 | HAQ01-Aid: Crutches | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Crutches. | HAQ-DI - Aids or Devices - Crutches | ||
HAQ01-Aid: Devices Used for Dressing | C106822 | HAQ01-Aid: Devices Used for Dressing | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Devices used for Dressing (button hook, zipper pull, long-handled shoe horn, etc.). | HAQ-DI - Aids or Devices - Used For Dressing | ||
HAQ01-Aid: Jar Opener (Previously Open) | C107020 | HAQ01-Aid: Jar Opener (Previously Open) | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Jar opener (for jars previously opened). | HAQ-DI - Aids or Devices - Jar Opener (Jars Previously Opened) | ||
HAQ01-Aid: Long-Handled Appl Bathroom | C106846 | HAQ01-Aid: Long-Handled Appl Bathroom | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Long-handled appliances in bathroom. | HAQ-DI - Aids or Devices - Long-Handled Appliances in Bathroom | ||
HAQ01-Aid: Long-Handled Appl Reach | C106845 | HAQ01-Aid: Long-Handled Appl Reach | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Long-handled appliances for reach. | HAQ-DI - Aids or Devices - Long-Handled Appliances for Reach | ||
HAQ01-Aid: Raised Toilet Seat | C106842 | HAQ01-Aid: Raised Toilet Seat | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Raised toilet seat. | HAQ-DI - Aids or Devices - Raised Toilet Seat | ||
HAQ01-Aid: Special or Built Up Chair | C106824 | HAQ01-Aid: Special or Built Up Chair | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Special or built up chair. | HAQ-DI - Aids or Devices - Special or Built Up Chair | ||
HAQ01-Aid: Walker | C106819 | HAQ01-Aid: Walker | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Walker. | HAQ-DI - Aids or Devices - Walker | ||
HAQ01-Aid: Wheelchair | C106821 | HAQ01-Aid: Wheelchair | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Wheelchair. | HAQ-DI - Aids or Devices - Wheelchair | ||
HAQ01-Bend Down Pick Up Clothing - Floor | C106835 | HAQ01-Bend Down Pick Up Clothing - Floor | Health Assessment Questionnaire Disability Index - Reach: Are you able to bend down to pick up clothing from the floor? | HAQ-DI - Able to Bend Down and Pick Up Clothing From Floor | ||
HAQ01-Climb Up Five Steps | C106817 | HAQ01-Climb Up Five Steps | Health Assessment Questionnaire Disability Index - Walking: Are you able to climb up five steps? | HAQ-DI - Able to Climb Up Steps | ||
HAQ01-Cut Your Meat | C106813 | HAQ01-Cut Your Meat | Health Assessment Questionnaire Disability Index - Eating: Are you able to cut your meat? | HAQ-DI - Able to Cut Meat | ||
HAQ01-Dress Yourself | C106809 | HAQ01-Dress Yourself | Health Assessment Questionnaire Disability Index - Dressing & Grooming: Are you able to dress yourself, including tying shoelaces and doing buttons? | HAQ-DI - Able to Dress Yourself | ||
HAQ01-Get In and Out of a Car | C106840 | HAQ01-Get In and Out of a Car | Health Assessment Questionnaire Disability Index - Activities: Are you able to get in and out of a car? | HAQ-DI - Able to Get In and Out of Car | ||
HAQ01-Get In and Out of Bed | C106812 | HAQ01-Get In and Out of Bed | Health Assessment Questionnaire Disability Index - Arising: Are you able to get in and out of bed? | HAQ-DI - Able to Get In and Out of Bed | ||
HAQ01-Get On and Off The Toilet | C106833 | HAQ01-Get On and Off The Toilet | Health Assessment Questionnaire Disability Index - Hygiene: Are you able to get on and off the toilet? | HAQ-DI - Able to Get On and Off Toilet | ||
HAQ01-Help: Arising | C106828 | HAQ01-Help: Arising | Health Assessment Questionnaire Disability Index - Usually need help from another person: Arising. | HAQ-DI - Help From Another Person - Arising | ||
HAQ01-Help: Dressing and Grooming | C106827 | HAQ01-Help: Dressing and Grooming | Health Assessment Questionnaire Disability Index - Usually need help from another person: Dressing and Grooming. | HAQ-DI - Help From Another Person - Dressing and Grooming | ||
HAQ01-Help: Eating | C106829 | HAQ01-Help: Eating | Health Assessment Questionnaire Disability Index - Usually need help from another person: Eating. | HAQ-DI - Help From Another Person - Eating | ||
HAQ01-Help: Errands and Chores | C106850 | HAQ01-Help: Errands and Chores | Health Assessment Questionnaire Disability Index - Usually need help from another person: Errands and chores. | HAQ-DI - Help From Another Person - Errands and Chores | ||
HAQ01-Help: Gripping and Opening Things | C106849 | HAQ01-Help: Gripping and Opening Things | Health Assessment Questionnaire Disability Index - Usually need help from another person: Gripping and opening things. | HAQ-DI - Help From Another Person - Gripping and Opening Things | ||
HAQ01-Help: Hygiene | C106847 | HAQ01-Help: Hygiene | Health Assessment Questionnaire Disability Index - Usually need help from another person: Hygiene. | HAQ-DI - Help From Another Person - Hygiene | ||
HAQ01-Help: Reach | C106848 | HAQ01-Help: Reach | Health Assessment Questionnaire Disability Index - Usually need help from another person: Reach. | HAQ-DI - Help From Another Person - Reach | ||
HAQ01-Help: Walking | C106830 | HAQ01-Help: Walking | Health Assessment Questionnaire Disability Index - Usually need help from another person: Walking. | HAQ-DI - Help From Another Person - Walking | ||
HAQ01-Lift a Full Cup or Glass to Mouth | C106814 | HAQ01-Lift a Full Cup or Glass to Mouth | Health Assessment Questionnaire Disability Index - Eating: Are you able to lift a full cup or glass to your mouth? | HAQ-DI - Able to Lift Cup or Glass to Mouth | ||
HAQ01-Open a New Milk Carton | C106815 | HAQ01-Open a New Milk Carton | Health Assessment Questionnaire Disability Index - Eating: Are you able to open a new milk carton? | HAQ-DI - Able to Open Milk Carton | ||
HAQ01-Open Car Doors | C106836 | HAQ01-Open Car Doors | Health Assessment Questionnaire Disability Index - Grip: Are you able to open car doors? | HAQ-DI - Able to Open Car Doors | ||
HAQ01-Open Jars Previously Opened | C106837 | HAQ01-Open Jars Previously Opened | Health Assessment Questionnaire Disability Index - Grip: Are you able to open jars which have been previously opened? | HAQ-DI - Able to Open Previously Opened Jars | ||
HAQ01-Othr Aid (Dress/Arising/Eat/Walk) | C106825 | HAQ01-Othr Aid (Dress/Arising/Eat/Walk) | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Other. | HAQ-DI - Aids or Devices For Dress/Arising/Eat/Walk-Other | ||
HAQ01-Othr Aid (Hygiene/Reach/Grip/Act) | C107093 | HAQ01-Othr Aid (Hygiene/Reach/Grip/Act) | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Other. | HAQ-DI - Aids or Devices For Hygiene/Reach/Grip/Act-Other | ||
HAQ01-Reach-Get Down 5 Lb Obj Above Head | C106834 | HAQ01-Reach-Get Down 5 Lb Obj Above Head | Health Assessment Questionnaire Disability Index - Reach: Are you able to reach and get down a 5 pound object (such as a bag of sugar) from just above your head? | HAQ-DI - Able to Reach and Get Down Object From Above Head | ||
HAQ01-Run Errands and Shop | C106839 | HAQ01-Run Errands and Shop | Health Assessment Questionnaire Disability Index - Activities: Are you able to run errands and shop? | HAQ-DI - Able to Run Errands and Shop | ||
HAQ01-Severity of Pain | C106851 | HAQ01-Severity of Pain | Health Assessment Questionnaire Disability Index - How much pain have you had because of your illness in the past week? | HAQ-DI - Severity of Pain in the Past Week | ||
HAQ01-Shampoo Your Hair | C106810 | HAQ01-Shampoo Your Hair | Health Assessment Questionnaire Disability Index - Dressing & Grooming: Are you able to shampoo your hair? | HAQ-DI - Able to Shampoo Hair | ||
HAQ01-Spec Aid (Dress/Arising/Eat/Walk) | C106826 | HAQ01-Spec Aid (Dress/Arising/Eat/Walk) | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Other (Specify). | HAQ-DI - Aids or Devices For Dress/Arising/Eat/Walk-Specify | ||
HAQ01-Spec Aid (Hygiene/Reach/Grip/Act) | C107094 | HAQ01-Spec Aid (Hygiene/Reach/Grip/Act) | Health Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Other (Specify). | HAQ-DI - Aids or Devices For Hygiene/Reach/Grip/Act-Specify | ||
HAQ01-Stand Up From a Straight Chair | C106811 | HAQ01-Stand Up From a Straight Chair | Health Assessment Questionnaire Disability Index - Arising: Are you able to stand up from a straight chair? | HAQ-DI - Able to Stand Up From Chair | ||
HAQ01-Take a Tub Bath | C106832 | HAQ01-Take a Tub Bath | Health Assessment Questionnaire Disability Index - Hygiene: Are you able to take a tub bath? | HAQ-DI - Able to Take Tub Bath | ||
HAQ01-Turn Faucets On And Off | C106838 | HAQ01-Turn Faucets On And Off | Health Assessment Questionnaire Disability Index - Grip: Are you able to turn faucets on and off? | HAQ-DI - Able to Turn Faucets On and Off | ||
HAQ01-Walk Outdoors on Flat Ground | C106816 | HAQ01-Walk Outdoors on Flat Ground | Health Assessment Questionnaire Disability Index - Walking: Are you able to walk outdoors on flat ground? | HAQ-DI - Able to Walk Outdoors On Flat Ground | ||
HAQ01-Wash and Dry Your Body | C106831 | HAQ01-Wash and Dry Your Body | Health Assessment Questionnaire Disability Index - Hygiene: Are you able to wash and dry your body? | HAQ-DI - Able to Wash and Dry Body | ||
Back to top | ||||||
CL.C103469.HADS TESTCD | QS-Hospital Anxiety and Depression Scale Questionnaire Test Code (HADS TESTCD) | text Extensible: No | C103469 | QS-Hospital Anxiety and Depression Scale Questionnaire Test Code | Hospital Anxiety and Depression Scale test code. | CDISC Questionnaire HADS Test Code Terminology |
HADS0101 | C103573 | HADS01-I Feel Tense or Wound Up | Hospital Anxiety and Depression Scale - I feel tense or 'wound up.' | HADS - I Feel Tense or Wound Up | ||
HADS0102 | C103574 | HADS01-Enjoy the Things I Used to Enjoy | Hospital Anxiety and Depression Scale - I still enjoy the things I used to enjoy. | HADS - I Still Enjoy the Things I Used to Enjoy | ||
HADS0103 | C103575 | HADS01-Something Awful About to Happen | Hospital Anxiety and Depression Scale - I get a sort of frightened feeling as if something awful is about to happen. | HADS - I Get a Frightened Feeling Something Awful is About to Happen | ||
HADS0104 | C103576 | HADS01-I Can Laugh and See Funny Side | Hospital Anxiety and Depression Scale - I can laugh and see the funny side of things. | HADS - I Can Laugh and See Funny Side of Things | ||
HADS0105 | C103577 | HADS01-Worrying Thoughts Go Through Mind | Hospital Anxiety and Depression Scale - Worrying thoughts go through my mind. | HADS - Worrying Thoughts Go Through My Mind | ||
HADS0106 | C103578 | HADS01-I Feel Cheerful | Hospital Anxiety and Depression Scale - I feel cheerful. | HADS - I Feel Cheerful | ||
HADS0107 | C103579 | HADS01-Sit at Ease and Feel Relaxed | Hospital Anxiety and Depression Scale - I can sit at ease and feel relaxed. | HADS - I Can Sit at Ease and Feel Relaxed | ||
HADS0108 | C103580 | HADS01-I Feel as if I am Slowed Down | Hospital Anxiety and Depression Scale - I feel as if I am slowed down. | HADS - I Feel as if I am Slowed Down | ||
HADS0109 | C103581 | HADS01-Butterflies in the Stomach | Hospital Anxiety and Depression Scale - I get a sort of frightened feeling like 'butterflies' in the stomach. | HADS - I Get Frightened Feeling Like Butterflies in the Stomach | ||
HADS0110 | C103582 | HADS01-Lost Interest in My Appearance | Hospital Anxiety and Depression Scale - I have lost interest in my appearance. | HADS - I Have Lost Interest in My Appearance | ||
HADS0111 | C103583 | HADS01-Feel Restless be on the Move | Hospital Anxiety and Depression Scale - I feel restless as if I have to be on the move. | HADS - I Feel Restless as if I Have to be on the Move | ||
HADS0112 | C103584 | HADS01-Look Forward with Enjoyment | Hospital Anxiety and Depression Scale - I look forward with enjoyment to things. | HADS - I Look Forward with Enjoyment to Things | ||
HADS0113 | C103585 | HADS01-I Get Sudden Feelings of Panic | Hospital Anxiety and Depression Scale - I get sudden feelings of panic. | HADS - I Get Sudden Feelings of Panic | ||
HADS0114 | C103586 | HADS01-Enjoy Good Book/Radio/Television | Hospital Anxiety and Depression Scale - I can enjoy a good book or radio or television programme. | HADS - I Can Enjoy a Good Book or Radio or Television Programme | ||
HADS0115 | C118111 | HADS01-Total Score Anxiety | Hospital Anxiety and Depression Scale - Total score anxiety. | HADS - Total Score Anxiety | ||
HADS0116 | C118112 | HADS01-Total Score Depression | Hospital Anxiety and Depression Scale - Total score depression. | HADS - Total Score Depression | ||
Back to top | ||||||
CL.C103468.HADS TEST | QS-Hospital Anxiety and Depression Scale Questionnaire Test Name (HADS TEST) | text Extensible: No | C103468 | QS-Hospital Anxiety and Depression Scale Questionnaire Test Name | Hospital Anxiety and Depression Scale test name. | CDISC Questionnaire HADS Test Name Terminology |
HADS01-Butterflies in the Stomach | C103581 | HADS01-Butterflies in the Stomach | Hospital Anxiety and Depression Scale - I get a sort of frightened feeling like 'butterflies' in the stomach. | HADS - I Get Frightened Feeling Like Butterflies in the Stomach | ||
HADS01-Enjoy Good Book/Radio/Television | C103586 | HADS01-Enjoy Good Book/Radio/Television | Hospital Anxiety and Depression Scale - I can enjoy a good book or radio or television programme. | HADS - I Can Enjoy a Good Book or Radio or Television Programme | ||
HADS01-Enjoy the Things I Used to Enjoy | C103574 | HADS01-Enjoy the Things I Used to Enjoy | Hospital Anxiety and Depression Scale - I still enjoy the things I used to enjoy. | HADS - I Still Enjoy the Things I Used to Enjoy | ||
HADS01-Feel Restless be on the Move | C103583 | HADS01-Feel Restless be on the Move | Hospital Anxiety and Depression Scale - I feel restless as if I have to be on the move. | HADS - I Feel Restless as if I Have to be on the Move | ||
HADS01-I Can Laugh and See Funny Side | C103576 | HADS01-I Can Laugh and See Funny Side | Hospital Anxiety and Depression Scale - I can laugh and see the funny side of things. | HADS - I Can Laugh and See Funny Side of Things | ||
HADS01-I Feel as if I am Slowed Down | C103580 | HADS01-I Feel as if I am Slowed Down | Hospital Anxiety and Depression Scale - I feel as if I am slowed down. | HADS - I Feel as if I am Slowed Down | ||
HADS01-I Feel Cheerful | C103578 | HADS01-I Feel Cheerful | Hospital Anxiety and Depression Scale - I feel cheerful. | HADS - I Feel Cheerful | ||
HADS01-I Feel Tense or Wound Up | C103573 | HADS01-I Feel Tense or Wound Up | Hospital Anxiety and Depression Scale - I feel tense or 'wound up.' | HADS - I Feel Tense or Wound Up | ||
HADS01-I Get Sudden Feelings of Panic | C103585 | HADS01-I Get Sudden Feelings of Panic | Hospital Anxiety and Depression Scale - I get sudden feelings of panic. | HADS - I Get Sudden Feelings of Panic | ||
HADS01-Look Forward with Enjoyment | C103584 | HADS01-Look Forward with Enjoyment | Hospital Anxiety and Depression Scale - I look forward with enjoyment to things. | HADS - I Look Forward with Enjoyment to Things | ||
HADS01-Lost Interest in My Appearance | C103582 | HADS01-Lost Interest in My Appearance | Hospital Anxiety and Depression Scale - I have lost interest in my appearance. | HADS - I Have Lost Interest in My Appearance | ||
HADS01-Sit at Ease and Feel Relaxed | C103579 | HADS01-Sit at Ease and Feel Relaxed | Hospital Anxiety and Depression Scale - I can sit at ease and feel relaxed. | HADS - I Can Sit at Ease and Feel Relaxed | ||
HADS01-Something Awful About to Happen | C103575 | HADS01-Something Awful About to Happen | Hospital Anxiety and Depression Scale - I get a sort of frightened feeling as if something awful is about to happen. | HADS - I Get a Frightened Feeling Something Awful is About to Happen | ||
HADS01-Total Score Anxiety | C118111 | HADS01-Total Score Anxiety | Hospital Anxiety and Depression Scale - Total score anxiety. | HADS - Total Score Anxiety | ||
HADS01-Total Score Depression | C118112 | HADS01-Total Score Depression | Hospital Anxiety and Depression Scale - Total score depression. | HADS - Total Score Depression | ||
HADS01-Worrying Thoughts Go Through Mind | C103577 | HADS01-Worrying Thoughts Go Through Mind | Hospital Anxiety and Depression Scale - Worrying thoughts go through my mind. | HADS - Worrying Thoughts Go Through My Mind | ||
Back to top | ||||||
CL.C113856.IVIS TESTCD | QS-Impact of Visual Impairment Scale Test Code (IVIS TESTCD) | text Extensible: No | C113856 | QS-Impact of Visual Impairment Scale Test Code | Impact of Visual Impairment Scale test code. | CDISC Questionnaire Impact of Visual Impairment Scale Test Code Terminology |
IVIS0101 | C113962 | IVIS01-Read or Access Personal Letters | Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access personal letters or notes? | IVIS - Read or Access Personal Letters | ||
IVIS0102 | C113963 | IVIS01-Read or Access Printed Materials | Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access printed materials, such as books, magazines, newspaper, etc.? | IVIS - Read or Access Printed Materials | ||
IVIS0103 | C113964 | IVIS01-Read or Access Dials | Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access dials, such as on stoves, thermostats, etc.? | IVIS - Read or Access Dials | ||
IVIS0104 | C113965 | IVIS01-Watch TV/ID Faces From Distance | Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to watch television or identify faces from a distance? | IVIS - Watch TV or Identify Faces From Distance | ||
IVIS0105 | C113966 | IVIS01-Identify House Number/Street Sign | Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to identify house numbers, street signs, etc.? | IVIS - Identify House Numbers or Street Signs | ||
Back to top | ||||||
CL.C113855.IVIS TEST | QS-Impact of Visual Impairment Scale Test Name (IVIS TEST) | text Extensible: No | C113855 | QS-Impact of Visual Impairment Scale Test Name | Impact of Visual Impairment Scale test name. | CDISC Questionnaire Impact of Visual Impairment Scale Test Name Terminology |
IVIS01-Identify House Number/Street Sign | C113966 | IVIS01-Identify House Number/Street Sign | Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to identify house numbers, street signs, etc.? | IVIS - Identify House Numbers or Street Signs | ||
IVIS01-Read or Access Dials | C113964 | IVIS01-Read or Access Dials | Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access dials, such as on stoves, thermostats, etc.? | IVIS - Read or Access Dials | ||
IVIS01-Read or Access Personal Letters | C113962 | IVIS01-Read or Access Personal Letters | Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access personal letters or notes? | IVIS - Read or Access Personal Letters | ||
IVIS01-Read or Access Printed Materials | C113963 | IVIS01-Read or Access Printed Materials | Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to read or access printed materials, such as books, magazines, newspaper, etc.? | IVIS - Read or Access Printed Materials | ||
IVIS01-Watch TV/ID Faces From Distance | C113965 | IVIS01-Watch TV/ID Faces From Distance | Impact of Visual Impairment Scale - During the past 4 weeks, how difficult did you find it to watch television or identify faces from a distance? | IVIS - Watch TV or Identify Faces From Distance | ||
Back to top | ||||||
CL.C103471.IIEF TESTCD | QS-International Index of Erectile Function Questionnaire Test Code (IIEF TESTCD) | text Extensible: No | C103471 | QS-International Index of Erectile Function Questionnaire Test Code | International Index of Erectile Function test code. | CDISC Questionnaire IIEF Test Code Terminology |
IIEF0101 | C103587 | IIEF01-Erection During Sexual Activity;IIEF01-Erection Frequency | International Index of Erectile Function - Over the past four weeks how often were you able to get an erection during sexual activity? | IIEF - Able to Get an Erection During Sexual Activity | ||
IIEF0102 | C103588 | IIEF01-Erection Firmness;IIEF01-Erection Hard Enough to Penetrate | International Index of Erectile Function - Over the past four weeks when you had erections with sexual stimulation, how often were your erections hard enough for penetration? | IIEF - Erections Hard Enough for Penetration | ||
IIEF0103 | C103589 | IIEF01-Able to Penetrate Your Partner;IIEF01-Penetration Ability | International Index of Erectile Function - Over the past four weeks when you attempted sexual intercourse, how often were you able to penetrate (enter) your partner? | IIEF - Able to Penetrate Your Partner | ||
IIEF0104 | C103590 | IIEF01-Maintain Erection After Penetrate;IIEF01-Maintenance Frequency | International Index of Erectile Function - Over the past four weeks during sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner? | IIEF - Able to Maintain Your Erection After You Had Penetrated Your Partner | ||
IIEF0105 | C103591 | IIEF01-Maintain Erection to Completion;IIEF01-Maintenance Ability | International Index of Erectile Function - Over the past four weeks during sexual intercourse, how difficult was it to maintain your erection to completion of intercourse? | IIEF - Maintain Your Erection to Completion of Intercourse | ||
IIEF0106 | C103592 | IIEF01-Intercourse Frequency;IIEF01-Times Attempted Sexual Intercours | International Index of Erectile Function - Over the past four weeks how many times have you attempted sexual intercourse? | IIEF - How Many Times Have You Attempted Sexual Intercourse | ||
IIEF0107 | C103593 | IIEF01-How Often was it Satisfactory;IIEF01-Intercourse Satisfaction | International Index of Erectile Function - Over the past four weeks when you attempted sexual intercourse, how often was it satisfactory for you? | IIEF - How Often was it Satisfactory for You | ||
IIEF0108 | C103594 | IIEF01-Enjoyed Sexual Intercourse;IIEF01-Intercourse Enjoyment | International Index of Erectile Function - Over the past four weeks how much have you enjoyed sexual intercourse? | IIEF - How Much Have You Enjoyed Sexual Intercourse | ||
IIEF0109 | C103595 | IIEF01-Ejaculation Frequency;IIEF01-How Often Did You Ejaculate | International Index of Erectile Function - Over the past four weeks when you had sexual stimulation or intercourse, how often did you ejaculate? | IIEF - How Often Did You Ejaculate | ||
IIEF0110 | C103596 | IIEF01-Did You Have Feeling of Orgasm;IIEF01-Orgasm Frequency | International Index of Erectile Function - Over the past four weeks when you had sexual stimulation or intercourse, how often did you have the feeling of orgasm with our without ejaculation? | IIEF - Did You Have Feeling of Orgasm With or Without Ejaculation | ||
IIEF0111 | C103597 | IIEF01-Desire Frequency;IIEF01-Have You Felt Sexual Desire | International Index of Erectile Function - Over the past four weeks how often have you felt sexual desire? | IIEF - How Often Have You Felt Sexual Desire | ||
IIEF0112 | C103598 | IIEF01-Desire Level;IIEF01-Rate Your Level of Sexual Desire | International Index of Erectile Function - Over the past four weeks how would you rate your level of sexual desire? | IIEF - Rate Your Level of Sexual Desire | ||
IIEF0113 | C103599 | IIEF01-Overall Satisfaction;IIEF01-Satisfied with Overall Sex Life | International Index of Erectile Function - Over the past four weeks how satisfied have you been with your overall sex life? | IIEF - Satisfied with Overall Sex Life | ||
IIEF0114 | C103600 | IIEF01-Relationship Satisfaction;IIEF01-Satisfy with Sexual Relationship | International Index of Erectile Function - Over the past four weeks how satisfied have you been with your sexual relationship with your partner? | IIEF - Satisfied with Your Sexual Relationship with Your Partner | ||
IIEF0115 | C103601 | IIEF01-Confidence to Get/Keep Erection;IIEF01-Erection Confidence | International Index of Erectile Function - Over the past four weeks how do you rate your confidence that you could get and keep an erection? | IIEF - Your Confidence to Get and Keep an Erection | ||
Back to top | ||||||
CL.C103470.IIEF TEST | QS-International Index of Erectile Function Questionnaire Test Name (IIEF TEST) | text Extensible: No | C103470 | QS-International Index of Erectile Function Questionnaire Test Name | International Index of Erectile Function test name. | CDISC Questionnaire IIEF Test Name Terminology |
IIEF01-Able to Penetrate Your Partner | C103589 | IIEF01-Able to Penetrate Your Partner;IIEF01-Penetration Ability | International Index of Erectile Function - Over the past four weeks when you attempted sexual intercourse, how often were you able to penetrate (enter) your partner? | IIEF - Able to Penetrate Your Partner | ||
IIEF01-Confidence to Get/Keep Erection | C103601 | IIEF01-Confidence to Get/Keep Erection;IIEF01-Erection Confidence | International Index of Erectile Function - Over the past four weeks how do you rate your confidence that you could get and keep an erection? | IIEF - Your Confidence to Get and Keep an Erection | ||
IIEF01-Did You Have Feeling of Orgasm | C103596 | IIEF01-Did You Have Feeling of Orgasm;IIEF01-Orgasm Frequency | International Index of Erectile Function - Over the past four weeks when you had sexual stimulation or intercourse, how often did you have the feeling of orgasm with our without ejaculation? | IIEF - Did You Have Feeling of Orgasm With or Without Ejaculation | ||
IIEF01-Enjoyed Sexual Intercourse | C103594 | IIEF01-Enjoyed Sexual Intercourse;IIEF01-Intercourse Enjoyment | International Index of Erectile Function - Over the past four weeks how much have you enjoyed sexual intercourse? | IIEF - How Much Have You Enjoyed Sexual Intercourse | ||
IIEF01-Erection During Sexual Activity | C103587 | IIEF01-Erection During Sexual Activity;IIEF01-Erection Frequency | International Index of Erectile Function - Over the past four weeks how often were you able to get an erection during sexual activity? | IIEF - Able to Get an Erection During Sexual Activity | ||
IIEF01-Erection Hard Enough to Penetrate | C103588 | IIEF01-Erection Firmness;IIEF01-Erection Hard Enough to Penetrate | International Index of Erectile Function - Over the past four weeks when you had erections with sexual stimulation, how often were your erections hard enough for penetration? | IIEF - Erections Hard Enough for Penetration | ||
IIEF01-Have You Felt Sexual Desire | C103597 | IIEF01-Desire Frequency;IIEF01-Have You Felt Sexual Desire | International Index of Erectile Function - Over the past four weeks how often have you felt sexual desire? | IIEF - How Often Have You Felt Sexual Desire | ||
IIEF01-How Often Did You Ejaculate | C103595 | IIEF01-Ejaculation Frequency;IIEF01-How Often Did You Ejaculate | International Index of Erectile Function - Over the past four weeks when you had sexual stimulation or intercourse, how often did you ejaculate? | IIEF - How Often Did You Ejaculate | ||
IIEF01-How Often was it Satisfactory | C103593 | IIEF01-How Often was it Satisfactory;IIEF01-Intercourse Satisfaction | International Index of Erectile Function - Over the past four weeks when you attempted sexual intercourse, how often was it satisfactory for you? | IIEF - How Often was it Satisfactory for You | ||
IIEF01-Maintain Erection After Penetrate | C103590 | IIEF01-Maintain Erection After Penetrate;IIEF01-Maintenance Frequency | International Index of Erectile Function - Over the past four weeks during sexual intercourse, how often were you able to maintain your erection after you had penetrated (entered) your partner? | IIEF - Able to Maintain Your Erection After You Had Penetrated Your Partner | ||
IIEF01-Maintain Erection to Completion | C103591 | IIEF01-Maintain Erection to Completion;IIEF01-Maintenance Ability | International Index of Erectile Function - Over the past four weeks during sexual intercourse, how difficult was it to maintain your erection to completion of intercourse? | IIEF - Maintain Your Erection to Completion of Intercourse | ||
IIEF01-Rate Your Level of Sexual Desire | C103598 | IIEF01-Desire Level;IIEF01-Rate Your Level of Sexual Desire | International Index of Erectile Function - Over the past four weeks how would you rate your level of sexual desire? | IIEF - Rate Your Level of Sexual Desire | ||
IIEF01-Satisfied with Overall Sex Life | C103599 | IIEF01-Overall Satisfaction;IIEF01-Satisfied with Overall Sex Life | International Index of Erectile Function - Over the past four weeks how satisfied have you been with your overall sex life? | IIEF - Satisfied with Overall Sex Life | ||
IIEF01-Satisfy with Sexual Relationship | C103600 | IIEF01-Relationship Satisfaction;IIEF01-Satisfy with Sexual Relationship | International Index of Erectile Function - Over the past four weeks how satisfied have you been with your sexual relationship with your partner? | IIEF - Satisfied with Your Sexual Relationship with Your Partner | ||
IIEF01-Times Attempted Sexual Intercours | C103592 | IIEF01-Intercourse Frequency;IIEF01-Times Attempted Sexual Intercours | International Index of Erectile Function - Over the past four weeks how many times have you attempted sexual intercourse? | IIEF - How Many Times Have You Attempted Sexual Intercourse | ||
Back to top | ||||||
CL.C100170.KPS Scale TESTCD | QS-Karnofsky Performance Status Scale Test Code (KPS Scale TESTCD) | text Extensible: No | C100170 | QS-Karnofsky Performance Status Scale Test Code | Karnofsky Performance Status Scale test code. | CDISC Questionnaire KPS Scale Test Code Terminology |
KPSS01 | C100417 | KPSS-Karnofsky Performance Status | Karnofsky Performance Status Scale - Karnofsky Performance Status. | KPS Scale - Karnofsky Performance Status | ||
Back to top | ||||||
CL.C100169.KPS Scale TEST | QS-Karnofsky Performance Status Scale Test Name (KPS Scale TEST) | text Extensible: No | C100169 | QS-Karnofsky Performance Status Scale Test Name | Karnofsky Performance Status Scale test name. | CDISC Questionnaire KPS Scale Test Name Terminology |
KPSS-Karnofsky Performance Status | C100417 | KPSS-Karnofsky Performance Status | Karnofsky Performance Status Scale - Karnofsky Performance Status. | KPS Scale - Karnofsky Performance Status | ||
Back to top | ||||||
CL.C112439.EDSS TESTCD | QS-Kurtzke Expanded Disability Status Scale Questionnaire Test Code (EDSS TESTCD) | text Extensible: No | C112439 | QS-Kurtzke Expanded Disability Status Scale Questionnaire Test Code | Kurtzke Expanded Disability Status Scale test code. | CDISC Questionnaire EDSS Test Code Terminology |
EDSS0101 | C112550 | EDSS01-Expanded Disability Score | Kurtzke Expanded Disability Status Scale - Expanded disability score. | EDSS - Expanded Disability Score | ||
Back to top | ||||||
CL.C112438.EDSS TEST | QS-Kurtzke Expanded Disability Status Scale Questionnaire Test Name (EDSS TEST) | text Extensible: No | C112438 | QS-Kurtzke Expanded Disability Status Scale Questionnaire Test Name | Kurtzke Expanded Disability Status Scale test name. | CDISC Questionnaire EDSS Test Name Terminology |
EDSS01-Expanded Disability Score | C112550 | EDSS01-Expanded Disability Score | Kurtzke Expanded Disability Status Scale - Expanded disability score. | EDSS - Expanded Disability Score | ||
Back to top | ||||||
CL.C112443.KFSS TESTCD | QS-Kurtzke Functional Systems Scores Questionnaire Test Code (KFSS TESTCD) | text Extensible: No | C112443 | QS-Kurtzke Functional Systems Scores Questionnaire Test Code | Kurtzke Functional Systems Scores test code. | CDISC Questionnaire KFSS Test Code Terminology |
KFSS101 | C112609 | KFSS1-Pyramidal Functions | Kurtzke Functional Systems Scores - Pyramidal functions. | KFSS - Pyramidal Functions | ||
KFSS102 | C112610 | KFSS1-Cerebellar Functions | Kurtzke Functional Systems Scores - Cerebellar functions. | KFSS - Cerebellar Functions | ||
KFSS102A | C112611 | KFSS1-Weakness Interferes With Testing | Kurtzke Functional Systems Scores - Check here when weakness (grade 3 or more on pyramidal) interferes with testing. | KFSS - Weakness Interferes With Testing | ||
KFSS103 | C112612 | KFSS1-Brain Stem Functions | Kurtzke Functional Systems Scores - Brain stem functions. | KFSS - Brain Stem Functions | ||
KFSS104 | C112613 | KFSS1-Sensory Functions | Kurtzke Functional Systems Scores - Sensory functions. | KFSS - Sensory Functions | ||
KFSS105 | C112614 | KFSS1-Bowel and Bladder Functions | Kurtzke Functional Systems Scores - Bowel and bladder functions. | KFSS - Bowel and Bladder Functions | ||
KFSS106 | C112615 | KFSS1-Visual or Optic Functions | Kurtzke Functional Systems Scores - Visual (or optic) functions. | KFSS - Visual (or Optic) Functions | ||
KFSS106A | C112616 | KFSS1-Presence of Temporal Pallor | Kurtzke Functional Systems Scores - Check here for presence of temporal pallor. | KFSS - Presence of Temporal Pallor | ||
KFSS107 | C112617 | KFSS1-Cerebral or Mental Functions | Kurtzke Functional Systems Scores - Cerebral (or mental) functions. | KFSS - Cerebral (or Mental) Functions | ||
KFSS108 | C113884 | KFSS1-Other Functions | Kurtzke Functional Systems Scores - Other functions. | KFSS - Other Functions | ||
KFSS108A | C113885 | KFSS1-Other Functions Specify | Kurtzke Functional Systems Scores - Any other neurologic findings attributed to MS (specify). | KFSS - Other Functions Specify | ||
Back to top | ||||||
CL.C112442.KFSS TEST | QS-Kurtzke Functional Systems Scores Questionnaire Test Name (KFSS TEST) | text Extensible: No | C112442 | QS-Kurtzke Functional Systems Scores Questionnaire Test Name | Kurtzke Functional Systems Scores test name. | CDISC Questionnaire KFSS Test Name Terminology |
KFSS1-Bowel and Bladder Functions | C112614 | KFSS1-Bowel and Bladder Functions | Kurtzke Functional Systems Scores - Bowel and bladder functions. | KFSS - Bowel and Bladder Functions | ||
KFSS1-Brain Stem Functions | C112612 | KFSS1-Brain Stem Functions | Kurtzke Functional Systems Scores - Brain stem functions. | KFSS - Brain Stem Functions | ||
KFSS1-Cerebellar Functions | C112610 | KFSS1-Cerebellar Functions | Kurtzke Functional Systems Scores - Cerebellar functions. | KFSS - Cerebellar Functions | ||
KFSS1-Cerebral or Mental Functions | C112617 | KFSS1-Cerebral or Mental Functions | Kurtzke Functional Systems Scores - Cerebral (or mental) functions. | KFSS - Cerebral (or Mental) Functions | ||
KFSS1-Other Functions | C113884 | KFSS1-Other Functions | Kurtzke Functional Systems Scores - Other functions. | KFSS - Other Functions | ||
KFSS1-Other Functions Specify | C113885 | KFSS1-Other Functions Specify | Kurtzke Functional Systems Scores - Any other neurologic findings attributed to MS (specify). | KFSS - Other Functions Specify | ||
KFSS1-Presence of Temporal Pallor | C112616 | KFSS1-Presence of Temporal Pallor | Kurtzke Functional Systems Scores - Check here for presence of temporal pallor. | KFSS - Presence of Temporal Pallor | ||
KFSS1-Pyramidal Functions | C112609 | KFSS1-Pyramidal Functions | Kurtzke Functional Systems Scores - Pyramidal functions. | KFSS - Pyramidal Functions | ||
KFSS1-Sensory Functions | C112613 | KFSS1-Sensory Functions | Kurtzke Functional Systems Scores - Sensory functions. | KFSS - Sensory Functions | ||
KFSS1-Visual or Optic Functions | C112615 | KFSS1-Visual or Optic Functions | Kurtzke Functional Systems Scores - Visual (or optic) functions. | KFSS - Visual (or Optic) Functions | ||
KFSS1-Weakness Interferes With Testing | C112611 | KFSS1-Weakness Interferes With Testing | Kurtzke Functional Systems Scores - Check here when weakness (grade 3 or more on pyramidal) interferes with testing. | KFSS - Weakness Interferes With Testing | ||
Back to top | ||||||
CL.C115406.MPAI-4 TESTCD | QS-Mayo-Portland Adaptability Inventory-4 Questionnaire Test Code (MPAI-4 TESTCD) | text Extensible: No | C115406 | QS-Mayo-Portland Adaptability Inventory-4 Questionnaire Test Code | Mayo-Portland Adaptability Inventory-4 test code. | CDISC Questionnaire MPAI-4 Test Code Terminology |
MPAI101 | C115851 | MPAI1-Mobility | Mayo-Portland Adaptability Inventory-4 - Problems walking or moving; balance problems that interfere with moving about. | MPAI-4 - Abilities: Mobility | ||
MPAI102 | C115852 | MPAI1-Use of Hands | Mayo-Portland Adaptability Inventory-4 - Impaired strength or coordination in one or both hands. | MPAI-4 - Abilities: Use of Hands | ||
MPAI103 | C115853 | MPAI1-Vision | Mayo-Portland Adaptability Inventory-4 - Problems seeing; double vision; eye, brain, or nerve injuries that interfere with seeing. | MPAI-4 - Abilities: Vision | ||
MPAI104 | C115854 | MPAI1-Audition | Mayo-Portland Adaptability Inventory-4 - Problems hearing; ringing in the ears. | MPAI-4 - Abilities: Audition | ||
MPAI105 | C115855 | MPAI1-Dizziness | Mayo-Portland Adaptability Inventory-4 - Feeling unsteady, dizzy, light-headed. | MPAI-4 - Abilities: Dizziness | ||
MPAI106 | C115856 | MPAI1-Motor Speech | Mayo-Portland Adaptability Inventory-4 - Abnormal clearness or rate of speech; stuttering. | MPAI-4 - Abilities: Motor Speech | ||
MPAI107A | C115857 | MPAI1-Verbal Communication | Mayo-Portland Adaptability Inventory-4 - Problems expressing or understanding language. | MPAI-4 - Abilities: Verbal Communication | ||
MPAI107B | C115858 | MPAI1-Nonverbal Communication | Mayo-Portland Adaptability Inventory-4 - Restricted or unusual gestures or facial expressions; talking too much or not enough; missing nonverbal cues from others. | MPAI-4 - Abilities: Nonverbal Communication | ||
MPAI108 | C115859 | MPAI1-Attention/Concentration | Mayo-Portland Adaptability Inventory-4 - Problems ignoring distractions, shifting attention, keeping more than one thing in mind at a time. | MPAI-4 - Abilities: Attention or Concentration | ||
MPAI109 | C115860 | MPAI1-Memory | Mayo-Portland Adaptability Inventory-4 - Problems learning and recalling new information. | MPAI-4 - Abilities: Memory | ||
MPAI110 | C115861 | MPAI1-Fund of Information | Mayo-Portland Adaptability Inventory-4 - Problems remembering information learned in school or on the job; difficulty remembering information about self and family from years ago. | MPAI-4 - Abilities: Fund of Information | ||
MPAI111 | C115862 | MPAI1-Novel Problem-Solving | Mayo-Portland Adaptability Inventory-4 - Problems thinking up solutions or picking the best solution to new problems. | MPAI-4 - Abilities: Novel Problem-Solving | ||
MPAI112 | C115863 | MPAI1-Visuospatial Abilities | Mayo-Portland Adaptability Inventory-4 - Problems drawing, assembling things, route-finding, being visually aware on both the left and right sides. | MPAI-4 - Abilities: Visuospatial Abilities | ||
MPAI113 | C115864 | MPAI1-Anxiety | Mayo-Portland Adaptability Inventory-4 - Tense, nervous, fearful, phobias, nightmares, flashbacks of stressful events. | MPAI-4 - Adjustment: Anxiety | ||
MPAI114 | C115865 | MPAI1-Depression | Mayo-Portland Adaptability Inventory-4 - Sad, blue, hopeless, poor appetite, poor sleep, worry, self-criticism. | MPAI-4 - Adjustment: Depression | ||
MPAI115 | C115866 | MPAI1-Irritablity, Anger, Aggression | Mayo-Portland Adaptability Inventory-4 - Verbal or physical expressions of anger. | MPAI-4 - Adjustment: Irritability, Anger, Aggression | ||
MPAI116 | C115867 | MPAI1-Pain and Headache | Mayo-Portland Adaptability Inventory-4 - Verbal and nonverbal expressions of pain; activities limited by pain. | MPAI-4 - Adjustment: Pain and Headache | ||
MPAI117 | C115868 | MPAI1-Fatigue | Mayo-Portland Adaptability Inventory-4 - Feeling tired; lack of energy; tiring easily. | MPAI-4 - Adjustment: Fatigue | ||
MPAI118 | C115869 | MPAI1-Sensitivity to Mild Symptoms | Mayo-Portland Adaptability Inventory-4 - Focusing on thinking, physical or emotional problems attributed to brain injury; rate only how concern or worry about these symptoms affects current functioning over and above the effects of the symptoms themselves. | MPAI-4 - Adjustment: Sensitivity to Mild Symptoms | ||
MPAI119 | C115870 | MPAI1-Inappropriate Social Interaction | Mayo-Portland Adaptability Inventory-4 - Acting childish, silly, rude, behavior not fitting for time and place. | MPAI-4 - Adjustment: Inappropriate Social Interaction | ||
MPAI120 | C115871 | MPAI1-Impaired Self-Awareness | Mayo-Portland Adaptability Inventory-4 - Lack of recognition of personal limitations and disabilities and how they interfere with everyday activities and work or school. | MPAI-4 - Adjustment: Impaired Self-Awareness | ||
MPAI121 | C115872 | MPAI1-Family/Significant Relationships | Mayo-Portland Adaptability Inventory-4 - Interactions with close others; describe stress within the family or those closest to the person with brain injury; 'family functioning' means cooperating to accomplish those tasks that need to be done to keep the household running. | MPAI-4 - Adjustment: Family or Significant Relationships | ||
MPAI122 | C115873 | MPAI1-Initiation | Mayo-Portland Adaptability Inventory-4 - Problems getting started on activities without prompting. | MPAI-4 - Participation: Initiation | ||
MPAI123 | C115874 | MPAI1-Social Contact-Friends/Coworkers | Mayo-Portland Adaptability Inventory-4 - Social contact with friends, work associates, and other people who are not family, significant others, or professionals. | MPAI-4 - Participation: Social Contact with Fiends, Work Associates and Others | ||
MPAI124 | C115875 | MPAI1-Leisure and Recreation Activities | Mayo-Portland Adaptability Inventory-4 - Leisure and recreational activities. | MPAI-4 - Participation: Leisure and Recreational Activities | ||
MPAI125 | C115876 | MPAI1-Self-Care | Mayo-Portland Adaptability Inventory-4 - Eating, dressing, bathing, hygiene. | MPAI-4 - Participation: Self-Care | ||
MPAI126 | C115877 | MPAI1-Residence | Mayo-Portland Adaptability Inventory-4 - Responsibilities of independent living and homemaking (such as meal preparation, home repairs and maintenance, personal health maintenance beyond basic hygiene including medication management) but not including managing money. | MPAI-4 - Participation: Residence | ||
MPAI127 | C115878 | MPAI1-Transportation | Mayo-Portland Adaptability Inventory-4 - Transportation. | MPAI-4 - Participation: Transportation | ||
MPAI128A | C115879 | MPAI1-Paid Employment | Mayo-Portland Adaptability Inventory-4 - Hours per week at paid employment when primary desired social role is paid employment. 'Support' means special help from another person with responsibilities (such as, a job coach or shadow, tutor, helper) or reduced responsibilities. Modifications to the physical environment that facilitate employment are not considered as support. | MPAI-4 - Participation: Paid Employment | ||
MPAI128B | C115880 | MPAI1-Other Employment | Mayo-Portland Adaptability Inventory-4 - Hours per week involved in constructive, role-appropriate activity other than paid employment when primary desired social role is not paid employment. 'Support' means special help from another person with responsibilities (such as, a job coach or shadow, tutor, helper) or reduced responsibilities. Modifications to the physical environment that facilitate employment are not considered as support. | MPAI-4 - Participation: Other Employment | ||
MPAI128C | C115881 | MPAI1-Other Employment-Social Role | Mayo-Portland Adaptability Inventory-4 - Primary social role when paid employment is not primary desired social role. | MPAI-4 - Participation: Other Employment-Social Role | ||
MPAI129 | C115882 | MPAI1-Managing Money and Finances | Mayo-Portland Adaptability Inventory-4 - Shopping, keeping a check book or other bank account, managing personal income and investments. | MPAI-4 - Participation: Managing Money and Finances | ||
MPAI130A | C115883 | MPAI1-Alcohol Use-Pre-Injury | Mayo-Portland Adaptability Inventory-4 - Pre-injury use of alcoholic beverages. | MPAI-4 - Alcohol Use Pre-Injury | ||
MPAI130B | C115884 | MPAI1-Alcohol Use-Post-Injury | Mayo-Portland Adaptability Inventory-4 - Post-injury use of alcoholic beverages. | MPAI-4 - Alcohol Use Post-Injury | ||
MPAI131A | C115885 | MPAI1-Drug Use-Pre-Injury | Mayo-Portland Adaptability Inventory-4 - Pre-injury use of illegal drugs or abuse of prescription drugs. | MPAI-4 - Drug Use Pre-Injury | ||
MPAI131B | C115886 | MPAI1-Drug Use-Post-Injury | Mayo-Portland Adaptability Inventory-4 - Post-injury use of illegal drugs or abuse of prescription drugs. | MPAI-4 - Drug Use Post-Injury | ||
MPAI132A | C115887 | MPAI1-Psychotic Symptoms-Pre-Injury | Mayo-Portland Adaptability Inventory-4 - Pre-injury hallucinations, delusions, other persistent severely distorted perceptions of reality. | MPAI-4 - Psychotic Symptoms Pre-Injury | ||
MPAI132B | C115888 | MPAI1-Psychotic Symptoms-Post-Injury | Mayo-Portland Adaptability Inventory-4 - Post-injury hallucinations, delusions, other persistent severely distorted perceptions of reality. | MPAI-4 - Psychotic Symptoms Post-Injury | ||
MPAI133A | C115889 | MPAI1-Law Violations-Pre-Injury | Mayo-Portland Adaptability Inventory-4 - Pre-injury history before and after injury. | MPAI-4 - Law Violations Pre-Injury | ||
MPAI133B | C115890 | MPAI1-Law Violations-Post-Injury | Mayo-Portland Adaptability Inventory-4 - Post-injury history before and after injury. | MPAI-4 - Law Violations Post-Injury | ||
MPAI134A | C115891 | MPAI1-Other Physical Cond-Pre-Injury | Mayo-Portland Adaptability Inventory-4 - Pre-injury physical disability due to medical conditions other than brain injury, such as, spinal cord injury, amputation. | MPAI-4 - Other Condition Causing Physical Impairment Pre-Injury | ||
MPAI134B | C115892 | MPAI1-Other Physical Cond-Post-Injury | Mayo-Portland Adaptability Inventory-4 - Post-injury physical disability due to medical conditions other than brain injury, such as, spinal cord injury, amputation. | MPAI-4 - Other Condition Causing Physical Impairment Post-Injury | ||
MPAI135A | C115893 | MPAI1-Other Cognitive Cond-Pre-Injury | Mayo-Portland Adaptability Inventory-4 - Pre-injury cognitive disability due to nonpsychiatric medical conditions other than brain injury, such as, dementia, stroke, developmental disability. | MPAI-4 - Other Condition Causing Cognitive Impairment Pre-Injury | ||
MPAI135B | C115894 | MPAI1-Other Cognitive Cond-Post-Injury | Mayo-Portland Adaptability Inventory-4 - Post-injury cognitive disability due to nonpsychiatric medical conditions other than brain injury, such as, dementia, stroke, developmental disability. | MPAI-4 - Other Condition Causing Cognitive Impairment Post-Injury | ||
Back to top | ||||||
CL.C115405.MPAI-4 TEST | QS-Mayo-Portland Adaptability Inventory-4 Questionnaire Test Name (MPAI-4 TEST) | text Extensible: No | C115405 | QS-Mayo-Portland Adaptability Inventory-4 Questionnaire Test Name | Mayo-Portland Adaptability Inventory-4 test name. | CDISC Questionnaire MPAI-4 Test Name Terminology |
MPAI1-Alcohol Use-Post-Injury | C115884 | MPAI1-Alcohol Use-Post-Injury | Mayo-Portland Adaptability Inventory-4 - Post-injury use of alcoholic beverages. | MPAI-4 - Alcohol Use Post-Injury | ||
MPAI1-Alcohol Use-Pre-Injury | C115883 | MPAI1-Alcohol Use-Pre-Injury | Mayo-Portland Adaptability Inventory-4 - Pre-injury use of alcoholic beverages. | MPAI-4 - Alcohol Use Pre-Injury | ||
MPAI1-Anxiety | C115864 | MPAI1-Anxiety | Mayo-Portland Adaptability Inventory-4 - Tense, nervous, fearful, phobias, nightmares, flashbacks of stressful events. | MPAI-4 - Adjustment: Anxiety | ||
MPAI1-Attention/Concentration | C115859 | MPAI1-Attention/Concentration | Mayo-Portland Adaptability Inventory-4 - Problems ignoring distractions, shifting attention, keeping more than one thing in mind at a time. | MPAI-4 - Abilities: Attention or Concentration | ||
MPAI1-Audition | C115854 | MPAI1-Audition | Mayo-Portland Adaptability Inventory-4 - Problems hearing; ringing in the ears. | MPAI-4 - Abilities: Audition | ||
MPAI1-Depression | C115865 | MPAI1-Depression | Mayo-Portland Adaptability Inventory-4 - Sad, blue, hopeless, poor appetite, poor sleep, worry, self-criticism. | MPAI-4 - Adjustment: Depression | ||
MPAI1-Dizziness | C115855 | MPAI1-Dizziness | Mayo-Portland Adaptability Inventory-4 - Feeling unsteady, dizzy, light-headed. | MPAI-4 - Abilities: Dizziness | ||
MPAI1-Drug Use-Post-Injury | C115886 | MPAI1-Drug Use-Post-Injury | Mayo-Portland Adaptability Inventory-4 - Post-injury use of illegal drugs or abuse of prescription drugs. | MPAI-4 - Drug Use Post-Injury | ||
MPAI1-Drug Use-Pre-Injury | C115885 | MPAI1-Drug Use-Pre-Injury | Mayo-Portland Adaptability Inventory-4 - Pre-injury use of illegal drugs or abuse of prescription drugs. | MPAI-4 - Drug Use Pre-Injury | ||
MPAI1-Family/Significant Relationships | C115872 | MPAI1-Family/Significant Relationships | Mayo-Portland Adaptability Inventory-4 - Interactions with close others; describe stress within the family or those closest to the person with brain injury; 'family functioning' means cooperating to accomplish those tasks that need to be done to keep the household running. | MPAI-4 - Adjustment: Family or Significant Relationships | ||
MPAI1-Fatigue | C115868 | MPAI1-Fatigue | Mayo-Portland Adaptability Inventory-4 - Feeling tired; lack of energy; tiring easily. | MPAI-4 - Adjustment: Fatigue | ||
MPAI1-Fund of Information | C115861 | MPAI1-Fund of Information | Mayo-Portland Adaptability Inventory-4 - Problems remembering information learned in school or on the job; difficulty remembering information about self and family from years ago. | MPAI-4 - Abilities: Fund of Information | ||
MPAI1-Impaired Self-Awareness | C115871 | MPAI1-Impaired Self-Awareness | Mayo-Portland Adaptability Inventory-4 - Lack of recognition of personal limitations and disabilities and how they interfere with everyday activities and work or school. | MPAI-4 - Adjustment: Impaired Self-Awareness | ||
MPAI1-Inappropriate Social Interaction | C115870 | MPAI1-Inappropriate Social Interaction | Mayo-Portland Adaptability Inventory-4 - Acting childish, silly, rude, behavior not fitting for time and place. | MPAI-4 - Adjustment: Inappropriate Social Interaction | ||
MPAI1-Initiation | C115873 | MPAI1-Initiation | Mayo-Portland Adaptability Inventory-4 - Problems getting started on activities without prompting. | MPAI-4 - Participation: Initiation | ||
MPAI1-Irritablity, Anger, Aggression | C115866 | MPAI1-Irritablity, Anger, Aggression | Mayo-Portland Adaptability Inventory-4 - Verbal or physical expressions of anger. | MPAI-4 - Adjustment: Irritability, Anger, Aggression | ||
MPAI1-Law Violations-Post-Injury | C115890 | MPAI1-Law Violations-Post-Injury | Mayo-Portland Adaptability Inventory-4 - Post-injury history before and after injury. | MPAI-4 - Law Violations Post-Injury | ||
MPAI1-Law Violations-Pre-Injury | C115889 | MPAI1-Law Violations-Pre-Injury | Mayo-Portland Adaptability Inventory-4 - Pre-injury history before and after injury. | MPAI-4 - Law Violations Pre-Injury | ||
MPAI1-Leisure and Recreation Activities | C115875 | MPAI1-Leisure and Recreation Activities | Mayo-Portland Adaptability Inventory-4 - Leisure and recreational activities. | MPAI-4 - Participation: Leisure and Recreational Activities | ||
MPAI1-Managing Money and Finances | C115882 | MPAI1-Managing Money and Finances | Mayo-Portland Adaptability Inventory-4 - Shopping, keeping a check book or other bank account, managing personal income and investments. | MPAI-4 - Participation: Managing Money and Finances | ||
MPAI1-Memory | C115860 | MPAI1-Memory | Mayo-Portland Adaptability Inventory-4 - Problems learning and recalling new information. | MPAI-4 - Abilities: Memory | ||
MPAI1-Mobility | C115851 | MPAI1-Mobility | Mayo-Portland Adaptability Inventory-4 - Problems walking or moving; balance problems that interfere with moving about. | MPAI-4 - Abilities: Mobility | ||
MPAI1-Motor Speech | C115856 | MPAI1-Motor Speech | Mayo-Portland Adaptability Inventory-4 - Abnormal clearness or rate of speech; stuttering. | MPAI-4 - Abilities: Motor Speech | ||
MPAI1-Nonverbal Communication | C115858 | MPAI1-Nonverbal Communication | Mayo-Portland Adaptability Inventory-4 - Restricted or unusual gestures or facial expressions; talking too much or not enough; missing nonverbal cues from others. | MPAI-4 - Abilities: Nonverbal Communication | ||
MPAI1-Novel Problem-Solving | C115862 | MPAI1-Novel Problem-Solving | Mayo-Portland Adaptability Inventory-4 - Problems thinking up solutions or picking the best solution to new problems. | MPAI-4 - Abilities: Novel Problem-Solving | ||
MPAI1-Other Cognitive Cond-Post-Injury | C115894 | MPAI1-Other Cognitive Cond-Post-Injury | Mayo-Portland Adaptability Inventory-4 - Post-injury cognitive disability due to nonpsychiatric medical conditions other than brain injury, such as, dementia, stroke, developmental disability. | MPAI-4 - Other Condition Causing Cognitive Impairment Post-Injury | ||
MPAI1-Other Cognitive Cond-Pre-Injury | C115893 | MPAI1-Other Cognitive Cond-Pre-Injury | Mayo-Portland Adaptability Inventory-4 - Pre-injury cognitive disability due to nonpsychiatric medical conditions other than brain injury, such as, dementia, stroke, developmental disability. | MPAI-4 - Other Condition Causing Cognitive Impairment Pre-Injury | ||
MPAI1-Other Employment | C115880 | MPAI1-Other Employment | Mayo-Portland Adaptability Inventory-4 - Hours per week involved in constructive, role-appropriate activity other than paid employment when primary desired social role is not paid employment. 'Support' means special help from another person with responsibilities (such as, a job coach or shadow, tutor, helper) or reduced responsibilities. Modifications to the physical environment that facilitate employment are not considered as support. | MPAI-4 - Participation: Other Employment | ||
MPAI1-Other Employment-Social Role | C115881 | MPAI1-Other Employment-Social Role | Mayo-Portland Adaptability Inventory-4 - Primary social role when paid employment is not primary desired social role. | MPAI-4 - Participation: Other Employment-Social Role | ||
MPAI1-Other Physical Cond-Post-Injury | C115892 | MPAI1-Other Physical Cond-Post-Injury | Mayo-Portland Adaptability Inventory-4 - Post-injury physical disability due to medical conditions other than brain injury, such as, spinal cord injury, amputation. | MPAI-4 - Other Condition Causing Physical Impairment Post-Injury | ||
MPAI1-Other Physical Cond-Pre-Injury | C115891 | MPAI1-Other Physical Cond-Pre-Injury | Mayo-Portland Adaptability Inventory-4 - Pre-injury physical disability due to medical conditions other than brain injury, such as, spinal cord injury, amputation. | MPAI-4 - Other Condition Causing Physical Impairment Pre-Injury | ||
MPAI1-Paid Employment | C115879 | MPAI1-Paid Employment | Mayo-Portland Adaptability Inventory-4 - Hours per week at paid employment when primary desired social role is paid employment. 'Support' means special help from another person with responsibilities (such as, a job coach or shadow, tutor, helper) or reduced responsibilities. Modifications to the physical environment that facilitate employment are not considered as support. | MPAI-4 - Participation: Paid Employment | ||
MPAI1-Pain and Headache | C115867 | MPAI1-Pain and Headache | Mayo-Portland Adaptability Inventory-4 - Verbal and nonverbal expressions of pain; activities limited by pain. | MPAI-4 - Adjustment: Pain and Headache | ||
MPAI1-Psychotic Symptoms-Post-Injury | C115888 | MPAI1-Psychotic Symptoms-Post-Injury | Mayo-Portland Adaptability Inventory-4 - Post-injury hallucinations, delusions, other persistent severely distorted perceptions of reality. | MPAI-4 - Psychotic Symptoms Post-Injury | ||
MPAI1-Psychotic Symptoms-Pre-Injury | C115887 | MPAI1-Psychotic Symptoms-Pre-Injury | Mayo-Portland Adaptability Inventory-4 - Pre-injury hallucinations, delusions, other persistent severely distorted perceptions of reality. | MPAI-4 - Psychotic Symptoms Pre-Injury | ||
MPAI1-Residence | C115877 | MPAI1-Residence | Mayo-Portland Adaptability Inventory-4 - Responsibilities of independent living and homemaking (such as meal preparation, home repairs and maintenance, personal health maintenance beyond basic hygiene including medication management) but not including managing money. | MPAI-4 - Participation: Residence | ||
MPAI1-Self-Care | C115876 | MPAI1-Self-Care | Mayo-Portland Adaptability Inventory-4 - Eating, dressing, bathing, hygiene. | MPAI-4 - Participation: Self-Care | ||
MPAI1-Sensitivity to Mild Symptoms | C115869 | MPAI1-Sensitivity to Mild Symptoms | Mayo-Portland Adaptability Inventory-4 - Focusing on thinking, physical or emotional problems attributed to brain injury; rate only how concern or worry about these symptoms affects current functioning over and above the effects of the symptoms themselves. | MPAI-4 - Adjustment: Sensitivity to Mild Symptoms | ||
MPAI1-Social Contact-Friends/Coworkers | C115874 | MPAI1-Social Contact-Friends/Coworkers | Mayo-Portland Adaptability Inventory-4 - Social contact with friends, work associates, and other people who are not family, significant others, or professionals. | MPAI-4 - Participation: Social Contact with Fiends, Work Associates and Others | ||
MPAI1-Transportation | C115878 | MPAI1-Transportation | Mayo-Portland Adaptability Inventory-4 - Transportation. | MPAI-4 - Participation: Transportation | ||
MPAI1-Use of Hands | C115852 | MPAI1-Use of Hands | Mayo-Portland Adaptability Inventory-4 - Impaired strength or coordination in one or both hands. | MPAI-4 - Abilities: Use of Hands | ||
MPAI1-Verbal Communication | C115857 | MPAI1-Verbal Communication | Mayo-Portland Adaptability Inventory-4 - Problems expressing or understanding language. | MPAI-4 - Abilities: Verbal Communication | ||
MPAI1-Vision | C115853 | MPAI1-Vision | Mayo-Portland Adaptability Inventory-4 - Problems seeing; double vision; eye, brain, or nerve injuries that interfere with seeing. | MPAI-4 - Abilities: Vision | ||
MPAI1-Visuospatial Abilities | C115863 | MPAI1-Visuospatial Abilities | Mayo-Portland Adaptability Inventory-4 - Problems drawing, assembling things, route-finding, being visually aware on both the left and right sides. | MPAI-4 - Abilities: Visuospatial Abilities | ||
Back to top | ||||||
CL.C100152.MNSI TESTCD | QS-Michigan Neuropathy Screening Instrument Test Code (MNSI TESTCD) | text Extensible: No | C100152 | QS-Michigan Neuropathy Screening Instrument Test Code | Michigan Neuropathy Screening Instrument test code. | CDISC Questionnaire MNSI Test Code Terminology |
MNSI101 | C100587 | MNSI1-Are Your Legs and/or Feet Numb | Michigan Neuropathy Screening Instrument - History: Are your legs and/or feet numb? | MNSI - Legs and/or Feet Numb | ||
MNSI102 | C100588 | MNSI1-Ever Have Burning Pain Legs/Feet | Michigan Neuropathy Screening Instrument - History: Do you ever have any burning pain in your legs and/or feet? | MNSI - Burning Pain Legs/Feet | ||
MNSI103 | C100589 | MNSI1-Are Feet Too Sensitive to Touch | Michigan Neuropathy Screening Instrument - History: Are your feet too sensitive to touch? | MNSI - Feet Too Sensitive to Touch | ||
MNSI104 | C100590 | MNSI1-Get Muscle Cramps Legs/Feet | Michigan Neuropathy Screening Instrument - History: Do you get muscle cramps in your legs and/or feet? | MNSI - Muscle Cramps Legs/Feet | ||
MNSI105 | C100591 | MNSI1-Ever Prickling Feelings Legs/Feet | Michigan Neuropathy Screening Instrument - History: Do you ever have any prickling feelings in your legs or feet? | MNSI - Prickling Feelings Legs/Feet | ||
MNSI106 | C100592 | MNSI1-Hurt When Bed Covers Touch Skin | Michigan Neuropathy Screening Instrument - History: Does it hurt when the bed covers touch your skin? | MNSI - Hurt When Bed Covers Touch Skin | ||
MNSI107 | C100593 | MNSI1-Able to Tell Hot from Cold Water | Michigan Neuropathy Screening Instrument - History: When you get into the tub or shower, are you able to tell the hot water from the cold water? | MNSI - Able to Tell Hot from Cold Water | ||
MNSI108 | C100594 | MNSI1-Ever Had Open Sore on Foot | Michigan Neuropathy Screening Instrument - History: Have you ever had an open sore on your foot? | MNSI - Open Sore on Foot | ||
MNSI109 | C100595 | MNSI1-Doctor Says Diabetic Neuropathy | Michigan Neuropathy Screening Instrument - History: Has your doctor ever told you that you have diabetic neuropathy? | MNSI - Doctor Says Diabetic Neuropathy | ||
MNSI110 | C100596 | MNSI1-Feel Weak All Over Most Times | Michigan Neuropathy Screening Instrument - History: Do you feel weak all over most of the time? | MNSI - Feel Weak All Over Most Times | ||
MNSI111 | C100597 | MNSI1-Symptoms Worse at Night | Michigan Neuropathy Screening Instrument - History: Are your symptoms worse at night? | MNSI - Symptoms Worse at Night | ||
MNSI112 | C100598 | MNSI1-Legs Hurt When Walking | Michigan Neuropathy Screening Instrument - History: Do your legs hurt when you walk? | MNSI - Legs Hurt When Walking | ||
MNSI113 | C100599 | MNSI1-Able to Sense Feet When Walking | Michigan Neuropathy Screening Instrument - History: Are you able to sense your feet when you walk? | MNSI - Able to Sense Feet When Walking | ||
MNSI114 | C100600 | MNSI1-Skin So Dry That Feet Crack Open | Michigan Neuropathy Screening Instrument - History: Is the skin on your feet so dry that it cracks open? | MNSI - Skin So Dry That Feet Crack Open | ||
MNSI115 | C100601 | MNSI1-Ever Had Amputation | Michigan Neuropathy Screening Instrument - History: Have you ever had an amputation? | MNSI - Ever Had Amputation | ||
MNSI116 | C100602 | MNSI1-Total | Michigan Neuropathy Screening Instrument - History: Total. | MNSI - History Total | ||
MNSI117 | C100603 | MNSI1-Right Foot Appears Normal | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - normal. | MNSI - Right Foot Appears Normal | ||
MNSI118 | C100604 | MNSI1-Right Foot Deformities | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - deformities. | MNSI - Right Foot Deformities | ||
MNSI119 | C101019 | MNSI1-Right Foot Dry Skin, Callus | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - dry skin, callus. | MNSI - Right Foot Dry Skin, Callus | ||
MNSI120 | C100605 | MNSI1-Right Foot Infection | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - infection. | MNSI - Right Foot Infection | ||
MNSI121 | C100606 | MNSI1-Right Foot Fissure | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - fissure. | MNSI - Right Foot Fissure | ||
MNSI122 | C100607 | MNSI1-Right Foot Other Abnormal Specify | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - other, specify. | MNSI - Right Foot Other Abnormal Specify | ||
MNSI123 | C100608 | MNSI1-Left Foot Appears Normal | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - normal. | MNSI - Left Foot Appears Normal | ||
MNSI124 | C100609 | MNSI1-Left Foot Deformities | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - deformities. | MNSI - Left Foot Deformities | ||
MNSI125 | C101020 | MNSI1-Left Dry Skin, Callus | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - dry skin, callus. | MNSI - Left Foot Dry Skin, Callus | ||
MNSI126 | C100610 | MNSI1-Left Foot Infection | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - infection. | MNSI - Left Foot Infection | ||
MNSI127 | C100611 | MNSI1-Left Foot Fissure | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - fissure. | MNSI - Left Foot Fissure | ||
MNSI128 | C100612 | MNSI1-Left Foot Other Abnormal Specify | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - other, specify. | MNSI - Left Foot Other Abnormal Specify | ||
MNSI129 | C100613 | MNSI1-Right Foot Ulceration | Michigan Neuropathy Screening Instrument - Physical Assessment: Right foot - ulceration. | MNSI - Right Foot Ulceration | ||
MNSI130 | C100614 | MNSI1-Left Foot Ulceration | Michigan Neuropathy Screening Instrument - Physical Assessment: Left foot - ulceration. | MNSI - Left Foot Ulceration | ||
MNSI131 | C100615 | MNSI1-Right Ankle Reflexes | Michigan Neuropathy Screening Instrument - Physical Assessment: Right ankle reflexes. | MNSI - Right Ankle Reflexes | ||
MNSI132 | C100616 | MNSI1-Left Ankle Reflexes | Michigan Neuropathy Screening Instrument - Physical Assessment: Left ankle reflexes. | MNSI - Left Ankle Reflexes | ||
MNSI133 | C100617 | MNSI1-Right Foot Vibration Great Toe | Michigan Neuropathy Screening Instrument - Physical Assessment: Right foot - vibration perception at great toe. | MNSI - Right Foot Vibration Great Toe | ||
MNSI134 | C100618 | MNSI1-Left Foot Vibration Great Toe | Michigan Neuropathy Screening Instrument - Physical Assessment: Left foot - vibration perception at great toe. | MNSI - Left Foot Vibration Great Toe | ||
MNSI135 | C100619 | MNSI1-Right Foot Monofilament | Michigan Neuropathy Screening Instrument - Physical Assessment: Right foot - monofilament. | MNSI - Right Foot Monofilament | ||
MNSI136 | C100620 | MNSI1-Left Foot Monofilament | Michigan Neuropathy Screening Instrument - Physical Assessment: Left foot - monofilament. | MNSI - Left Foot Monofilament | ||
MNSI137 | C100621 | MNSI1-Total Score | Michigan Neuropathy Screening Instrument - Physical Assessment: Total Score. | MNSI - Physical Assessment Total Score | ||
Back to top | ||||||
CL.C100151.MNSI TEST | QS-Michigan Neuropathy Screening Instrument Test Name (MNSI TEST) | text Extensible: No | C100151 | QS-Michigan Neuropathy Screening Instrument Test Name | Michigan Neuropathy Screening Instrument test name. | CDISC Questionnaire MNSI Test Name Terminology |
MNSI1-Able to Sense Feet When Walking | C100599 | MNSI1-Able to Sense Feet When Walking | Michigan Neuropathy Screening Instrument - History: Are you able to sense your feet when you walk? | MNSI - Able to Sense Feet When Walking | ||
MNSI1-Able to Tell Hot from Cold Water | C100593 | MNSI1-Able to Tell Hot from Cold Water | Michigan Neuropathy Screening Instrument - History: When you get into the tub or shower, are you able to tell the hot water from the cold water? | MNSI - Able to Tell Hot from Cold Water | ||
MNSI1-Are Feet Too Sensitive to Touch | C100589 | MNSI1-Are Feet Too Sensitive to Touch | Michigan Neuropathy Screening Instrument - History: Are your feet too sensitive to touch? | MNSI - Feet Too Sensitive to Touch | ||
MNSI1-Are Your Legs and/or Feet Numb | C100587 | MNSI1-Are Your Legs and/or Feet Numb | Michigan Neuropathy Screening Instrument - History: Are your legs and/or feet numb? | MNSI - Legs and/or Feet Numb | ||
MNSI1-Doctor Says Diabetic Neuropathy | C100595 | MNSI1-Doctor Says Diabetic Neuropathy | Michigan Neuropathy Screening Instrument - History: Has your doctor ever told you that you have diabetic neuropathy? | MNSI - Doctor Says Diabetic Neuropathy | ||
MNSI1-Ever Had Amputation | C100601 | MNSI1-Ever Had Amputation | Michigan Neuropathy Screening Instrument - History: Have you ever had an amputation? | MNSI - Ever Had Amputation | ||
MNSI1-Ever Had Open Sore on Foot | C100594 | MNSI1-Ever Had Open Sore on Foot | Michigan Neuropathy Screening Instrument - History: Have you ever had an open sore on your foot? | MNSI - Open Sore on Foot | ||
MNSI1-Ever Have Burning Pain Legs/Feet | C100588 | MNSI1-Ever Have Burning Pain Legs/Feet | Michigan Neuropathy Screening Instrument - History: Do you ever have any burning pain in your legs and/or feet? | MNSI - Burning Pain Legs/Feet | ||
MNSI1-Ever Prickling Feelings Legs/Feet | C100591 | MNSI1-Ever Prickling Feelings Legs/Feet | Michigan Neuropathy Screening Instrument - History: Do you ever have any prickling feelings in your legs or feet? | MNSI - Prickling Feelings Legs/Feet | ||
MNSI1-Feel Weak All Over Most Times | C100596 | MNSI1-Feel Weak All Over Most Times | Michigan Neuropathy Screening Instrument - History: Do you feel weak all over most of the time? | MNSI - Feel Weak All Over Most Times | ||
MNSI1-Get Muscle Cramps Legs/Feet | C100590 | MNSI1-Get Muscle Cramps Legs/Feet | Michigan Neuropathy Screening Instrument - History: Do you get muscle cramps in your legs and/or feet? | MNSI - Muscle Cramps Legs/Feet | ||
MNSI1-Hurt When Bed Covers Touch Skin | C100592 | MNSI1-Hurt When Bed Covers Touch Skin | Michigan Neuropathy Screening Instrument - History: Does it hurt when the bed covers touch your skin? | MNSI - Hurt When Bed Covers Touch Skin | ||
MNSI1-Left Ankle Reflexes | C100616 | MNSI1-Left Ankle Reflexes | Michigan Neuropathy Screening Instrument - Physical Assessment: Left ankle reflexes. | MNSI - Left Ankle Reflexes | ||
MNSI1-Left Foot Appears Normal | C100608 | MNSI1-Left Foot Appears Normal | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - normal. | MNSI - Left Foot Appears Normal | ||
MNSI1-Left Foot Deformities | C100609 | MNSI1-Left Foot Deformities | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - deformities. | MNSI - Left Foot Deformities | ||
MNSI1-Left Foot Dry Skin, Callus | C101020 | MNSI1-Left Dry Skin, Callus | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - dry skin, callus. | MNSI - Left Foot Dry Skin, Callus | ||
MNSI1-Left Foot Fissure | C100611 | MNSI1-Left Foot Fissure | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - fissure. | MNSI - Left Foot Fissure | ||
MNSI1-Left Foot Infection | C100610 | MNSI1-Left Foot Infection | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - infection. | MNSI - Left Foot Infection | ||
MNSI1-Left Foot Monofilament | C100620 | MNSI1-Left Foot Monofilament | Michigan Neuropathy Screening Instrument - Physical Assessment: Left foot - monofilament. | MNSI - Left Foot Monofilament | ||
MNSI1-Left Foot Other Abnormal Specify | C100612 | MNSI1-Left Foot Other Abnormal Specify | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - other, specify. | MNSI - Left Foot Other Abnormal Specify | ||
MNSI1-Left Foot Ulceration | C100614 | MNSI1-Left Foot Ulceration | Michigan Neuropathy Screening Instrument - Physical Assessment: Left foot - ulceration. | MNSI - Left Foot Ulceration | ||
MNSI1-Left Foot Vibration Great Toe | C100618 | MNSI1-Left Foot Vibration Great Toe | Michigan Neuropathy Screening Instrument - Physical Assessment: Left foot - vibration perception at great toe. | MNSI - Left Foot Vibration Great Toe | ||
MNSI1-Legs Hurt When Walking | C100598 | MNSI1-Legs Hurt When Walking | Michigan Neuropathy Screening Instrument - History: Do your legs hurt when you walk? | MNSI - Legs Hurt When Walking | ||
MNSI1-Right Ankle Reflexes | C100615 | MNSI1-Right Ankle Reflexes | Michigan Neuropathy Screening Instrument - Physical Assessment: Right ankle reflexes. | MNSI - Right Ankle Reflexes | ||
MNSI1-Right Foot Appears Normal | C100603 | MNSI1-Right Foot Appears Normal | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - normal. | MNSI - Right Foot Appears Normal | ||
MNSI1-Right Foot Deformities | C100604 | MNSI1-Right Foot Deformities | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - deformities. | MNSI - Right Foot Deformities | ||
MNSI1-Right Foot Dry Skin, Callus | C101019 | MNSI1-Right Foot Dry Skin, Callus | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - dry skin, callus. | MNSI - Right Foot Dry Skin, Callus | ||
MNSI1-Right Foot Fissure | C100606 | MNSI1-Right Foot Fissure | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - fissure. | MNSI - Right Foot Fissure | ||
MNSI1-Right Foot Infection | C100605 | MNSI1-Right Foot Infection | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - infection. | MNSI - Right Foot Infection | ||
MNSI1-Right Foot Monofilament | C100619 | MNSI1-Right Foot Monofilament | Michigan Neuropathy Screening Instrument - Physical Assessment: Right foot - monofilament. | MNSI - Right Foot Monofilament | ||
MNSI1-Right Foot Other Abnormal Specify | C100607 | MNSI1-Right Foot Other Abnormal Specify | Michigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - other, specify. | MNSI - Right Foot Other Abnormal Specify | ||
MNSI1-Right Foot Ulceration | C100613 | MNSI1-Right Foot Ulceration | Michigan Neuropathy Screening Instrument - Physical Assessment: Right foot - ulceration. | MNSI - Right Foot Ulceration | ||
MNSI1-Right Foot Vibration Great Toe | C100617 | MNSI1-Right Foot Vibration Great Toe | Michigan Neuropathy Screening Instrument - Physical Assessment: Right foot - vibration perception at great toe. | MNSI - Right Foot Vibration Great Toe | ||
MNSI1-Skin So Dry That Feet Crack Open | C100600 | MNSI1-Skin So Dry That Feet Crack Open | Michigan Neuropathy Screening Instrument - History: Is the skin on your feet so dry that it cracks open? | MNSI - Skin So Dry That Feet Crack Open | ||
MNSI1-Symptoms Worse at Night | C100597 | MNSI1-Symptoms Worse at Night | Michigan Neuropathy Screening Instrument - History: Are your symptoms worse at night? | MNSI - Symptoms Worse at Night | ||
MNSI1-Total | C100602 | MNSI1-Total | Michigan Neuropathy Screening Instrument - History: Total. | MNSI - History Total | ||
MNSI1-Total Score | C100621 | MNSI1-Total Score | Michigan Neuropathy Screening Instrument - Physical Assessment: Total Score. | MNSI - Physical Assessment Total Score | ||
Back to top | ||||||
CL.C113858.MFIS TESTCD | QS-Modified Fatigue Impact Scale Test Code (MFIS TESTCD) | text Extensible: No | C113858 | QS-Modified Fatigue Impact Scale Test Code | Modified Fatigue Impact Scale test code. | CDISC Questionnaire Modified Fatigue Impact Scale Test Code Terminology |
MFIS0101 | C113967 | MFIS01-I Have Been Less Alert | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less alert. | MFIS - Have Been Less Alert | ||
MFIS0102 | C113968 | MFIS01-Have Difficulty Paying Attention | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty paying attention for long periods of time. | MFIS - Have Difficulty Paying Attention for Long Time | ||
MFIS0103 | C113969 | MFIS01-Have Been Unable to Think Clearly | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been unable to think clearly. | MFIS - Unable to Think Clearly | ||
MFIS0104 | C113970 | MFIS01-Been Clumsy and Uncoordinated | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been clumsy and uncoordinated. | MFIS - Have Been Clumsy and Uncoordinated | ||
MFIS0105 | C113971 | MFIS01-I Have Been Forgetful | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been forgetful. | MFIS - Have Been Forgetful | ||
MFIS0106 | C113972 | MFIS01-Pace Myself in Physical Activity | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had to pace myself in my physical activities. | MFIS - Pace Myself in Physical Activities | ||
MFIS0107 | C113973 | MFIS01-Less Motivated, Physical Effort | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to do anything that requires physical effort. | MFIS - Less Motivated to Do Anything That Requires Physical Effort | ||
MFIS0108 | C113974 | MFIS01-Less Motivated, Social Activity | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to participate in social activities. | MFIS - Less Motivated to Participate in Social Activities | ||
MFIS0109 | C113975 | MFIS01-Limited in Ability Away From Home | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been limited in my ability to do things away from home. | MFIS - Limited in My Abilities to Do Things Away From Home | ||
MFIS0110 | C113976 | MFIS01-Trouble Maintain Physical Effort | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble maintaining physical effort for long periods. | MFIS - Have Trouble Maintain Physical Effort | ||
MFIS0111 | C113977 | MFIS01-Have Difficulty Making Decisions | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty making decisions. | MFIS - Have Difficulty Making Decisions | ||
MFIS0112 | C113978 | MFIS01-Less Motivated, Thinking | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to do anything that requires thinking. | MFIS - Less Motivated to Do Anything That Requires Thinking | ||
MFIS0113 | C113979 | MFIS01-My Muscles Have Felt Weak | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks my muscles have felt weak. | MFIS - Muscles Have Felt Weak | ||
MFIS0114 | C113980 | MFIS01-Been Physically Uncomfortable | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been physically uncomfortable. | MFIS - Been Physically Uncomfortable | ||
MFIS0115 | C113981 | MFIS01-Trouble Finishing Thinking Tasks | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble finishing tasks that require thinking. | MFIS - Have Trouble Finishing Tasks That Require Thinking | ||
MFIS0116 | C113982 | MFIS01-Difficulty Organizing My Thoughts | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty organizing my thoughts when doing things at home or at work. | MFIS - Difficulty Organizing My Thoughts | ||
MFIS0117 | C113983 | MFIS01-Less Able Complete Physical Tasks | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less able to complete tasks that require physical effort. | MFIS - Less Able to Complete Tasks That Require Physical Effort | ||
MFIS0118 | C113984 | MFIS01-My Thinking Has Been Slowed Down | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks my thinking has been slowed down. | MFIS - My Thinking Has Been Slowed Down | ||
MFIS0119 | C113985 | MFIS01-I Have Had Trouble Concentrating | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble concentrating. | MFIS - Have Trouble Concentrating | ||
MFIS0120 | C113986 | MFIS01-Have Limited My Physical Activity | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have limited my physical activities. | MFIS - Have Limited My Physical Activities | ||
MFIS0121 | C113987 | MFIS01-Need to Rest More Often or Longer | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have needed to rest more often or for longer periods. | MFIS - Need to Rest More Often or Longer | ||
Back to top | ||||||
CL.C113857.MFIS TEST | QS-Modified Fatigue Impact Scale Test Name (MFIS TEST) | text Extensible: No | C113857 | QS-Modified Fatigue Impact Scale Test Name | Modified Fatigue Impact Scale test name. | CDISC Questionnaire Modified Fatigue Impact Scale Test Name Terminology |
MFIS01-Been Clumsy and Uncoordinated | C113970 | MFIS01-Been Clumsy and Uncoordinated | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been clumsy and uncoordinated. | MFIS - Have Been Clumsy and Uncoordinated | ||
MFIS01-Been Physically Uncomfortable | C113980 | MFIS01-Been Physically Uncomfortable | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been physically uncomfortable. | MFIS - Been Physically Uncomfortable | ||
MFIS01-Difficulty Organizing My Thoughts | C113982 | MFIS01-Difficulty Organizing My Thoughts | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty organizing my thoughts when doing things at home or at work. | MFIS - Difficulty Organizing My Thoughts | ||
MFIS01-Have Been Unable to Think Clearly | C113969 | MFIS01-Have Been Unable to Think Clearly | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been unable to think clearly. | MFIS - Unable to Think Clearly | ||
MFIS01-Have Difficulty Making Decisions | C113977 | MFIS01-Have Difficulty Making Decisions | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty making decisions. | MFIS - Have Difficulty Making Decisions | ||
MFIS01-Have Difficulty Paying Attention | C113968 | MFIS01-Have Difficulty Paying Attention | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty paying attention for long periods of time. | MFIS - Have Difficulty Paying Attention for Long Time | ||
MFIS01-Have Limited My Physical Activity | C113986 | MFIS01-Have Limited My Physical Activity | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have limited my physical activities. | MFIS - Have Limited My Physical Activities | ||
MFIS01-I Have Been Forgetful | C113971 | MFIS01-I Have Been Forgetful | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been forgetful. | MFIS - Have Been Forgetful | ||
MFIS01-I Have Been Less Alert | C113967 | MFIS01-I Have Been Less Alert | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less alert. | MFIS - Have Been Less Alert | ||
MFIS01-I Have Had Trouble Concentrating | C113985 | MFIS01-I Have Had Trouble Concentrating | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble concentrating. | MFIS - Have Trouble Concentrating | ||
MFIS01-Less Able Complete Physical Tasks | C113983 | MFIS01-Less Able Complete Physical Tasks | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less able to complete tasks that require physical effort. | MFIS - Less Able to Complete Tasks That Require Physical Effort | ||
MFIS01-Less Motivated, Physical Effort | C113973 | MFIS01-Less Motivated, Physical Effort | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to do anything that requires physical effort. | MFIS - Less Motivated to Do Anything That Requires Physical Effort | ||
MFIS01-Less Motivated, Social Activity | C113974 | MFIS01-Less Motivated, Social Activity | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to participate in social activities. | MFIS - Less Motivated to Participate in Social Activities | ||
MFIS01-Less Motivated, Thinking | C113978 | MFIS01-Less Motivated, Thinking | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less motivated to do anything that requires thinking. | MFIS - Less Motivated to Do Anything That Requires Thinking | ||
MFIS01-Limited in Ability Away From Home | C113975 | MFIS01-Limited in Ability Away From Home | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been limited in my ability to do things away from home. | MFIS - Limited in My Abilities to Do Things Away From Home | ||
MFIS01-My Muscles Have Felt Weak | C113979 | MFIS01-My Muscles Have Felt Weak | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks my muscles have felt weak. | MFIS - Muscles Have Felt Weak | ||
MFIS01-My Thinking Has Been Slowed Down | C113984 | MFIS01-My Thinking Has Been Slowed Down | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks my thinking has been slowed down. | MFIS - My Thinking Has Been Slowed Down | ||
MFIS01-Need to Rest More Often or Longer | C113987 | MFIS01-Need to Rest More Often or Longer | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have needed to rest more often or for longer periods. | MFIS - Need to Rest More Often or Longer | ||
MFIS01-Pace Myself in Physical Activity | C113972 | MFIS01-Pace Myself in Physical Activity | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had to pace myself in my physical activities. | MFIS - Pace Myself in Physical Activities | ||
MFIS01-Trouble Finishing Thinking Tasks | C113981 | MFIS01-Trouble Finishing Thinking Tasks | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble finishing tasks that require thinking. | MFIS - Have Trouble Finishing Tasks That Require Thinking | ||
MFIS01-Trouble Maintain Physical Effort | C113976 | MFIS01-Trouble Maintain Physical Effort | Modified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble maintaining physical effort for long periods. | MFIS - Have Trouble Maintain Physical Effort | ||
Back to top | ||||||
CL.C112445.MHIS-NACC TESTCD | QS-Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Code (MHIS-NACC TESTCD) | text Extensible: No | C112445 | QS-Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Code | Modified Hachinski Ischemic Scale-NACC Version test code. | CDISC Questionnaire MHIS-NACC Test Code Terminology |
MHIS0101 | C112618 | MHIS01-Abrupt Onset | Modified Hachinski Ischemic Scale-NACC Version - Abrupt onset (re: cognitive status). | MHIS-NACC - Abrupt Onset | ||
MHIS0102 | C112619 | MHIS01-Stepwise Deterioration | Modified Hachinski Ischemic Scale-NACC Version - Stepwise deterioration (re: cognitive status). | MHIS-NACC - Stepwise Deterioration | ||
MHIS0103 | C112813 | MHIS01- Somatic Complaints | Modified Hachinski Ischemic Scale-NACC Version - Somatic complaints. | MHIS-NACC - Somatic Complaints | ||
MHIS0104 | C112620 | MHIS01-Emotional Incontinence | Modified Hachinski Ischemic Scale-NACC Version - Emotional incontinence. | MHIS-NACC - Emotional Incontinence | ||
MHIS0105 | C112621 | MHIS01-History or Presence Hypertension | Modified Hachinski Ischemic Scale-NACC Version - History or presence of hypertension. | MHIS-NACC - History or Presence of Hypertension | ||
MHIS0106 | C112622 | MHIS01-History of Stroke | Modified Hachinski Ischemic Scale-NACC Version - History of stroke. | MHIS-NACC - History of Stroke | ||
MHIS0107 | C112623 | MHIS01-Focal Neurological Symptoms | Modified Hachinski Ischemic Scale-NACC Version - Focal neurological symptoms. | MHIS-NACC - Focal Neurological Symptoms | ||
MHIS0108 | C112624 | MHIS01-Focal Neurological Signs | Modified Hachinski Ischemic Scale-NACC Version - Focal neurological signs. | MHIS-NACC - Focal Neurological Signs | ||
MHIS0109 | C112625 | MHIS01-Total Score | Modified Hachinski Ischemic Scale-NACC Version - Sum all circled answers for a total score. | MHIS-NACC - Total Score | ||
Back to top | ||||||
CL.C112444.MHIS-NACC TEST | QS-Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Name (MHIS-NACC TEST) | text Extensible: No | C112444 | QS-Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Name | Modified Hachinski Ischemic Scale-NACC Version test name. | CDISC Questionnaire MHIS-NACC Test Name Terminology |
MHIS01- Somatic Complaints | C112813 | MHIS01- Somatic Complaints | Modified Hachinski Ischemic Scale-NACC Version - Somatic complaints. | MHIS-NACC - Somatic Complaints | ||
MHIS01-Abrupt Onset | C112618 | MHIS01-Abrupt Onset | Modified Hachinski Ischemic Scale-NACC Version - Abrupt onset (re: cognitive status). | MHIS-NACC - Abrupt Onset | ||
MHIS01-Emotional Incontinence | C112620 | MHIS01-Emotional Incontinence | Modified Hachinski Ischemic Scale-NACC Version - Emotional incontinence. | MHIS-NACC - Emotional Incontinence | ||
MHIS01-Focal Neurological Signs | C112624 | MHIS01-Focal Neurological Signs | Modified Hachinski Ischemic Scale-NACC Version - Focal neurological signs. | MHIS-NACC - Focal Neurological Signs | ||
MHIS01-Focal Neurological Symptoms | C112623 | MHIS01-Focal Neurological Symptoms | Modified Hachinski Ischemic Scale-NACC Version - Focal neurological symptoms. | MHIS-NACC - Focal Neurological Symptoms | ||
MHIS01-History of Stroke | C112622 | MHIS01-History of Stroke | Modified Hachinski Ischemic Scale-NACC Version - History of stroke. | MHIS-NACC - History of Stroke | ||
MHIS01-History or Presence Hypertension | C112621 | MHIS01-History or Presence Hypertension | Modified Hachinski Ischemic Scale-NACC Version - History or presence of hypertension. | MHIS-NACC - History or Presence of Hypertension | ||
MHIS01-Stepwise Deterioration | C112619 | MHIS01-Stepwise Deterioration | Modified Hachinski Ischemic Scale-NACC Version - Stepwise deterioration (re: cognitive status). | MHIS-NACC - Stepwise Deterioration | ||
MHIS01-Total Score | C112625 | MHIS01-Total Score | Modified Hachinski Ischemic Scale-NACC Version - Sum all circled answers for a total score. | MHIS-NACC - Total Score | ||
Back to top | ||||||
CL.C106669.MMRC TESTCD | QS-Modified Medical Research Council Dyspnea Scale Questionnaire Test Code (MMRC TESTCD) | text Extensible: No | C106669 | QS-Modified Medical Research Council Dyspnea Scale Questionnaire Test Code | Modified Medical Research Council Dyspnea Scale test code. | CDISC Questionnaire MMRC Test Code Terminology |
MMRC0101 | C106852 | MMRC01-Description of Breathlessness | Modified Medical Research Council Dyspnea Scale - Description of breathlessness. | MMRC - Description of Level of Breathlessness | ||
Back to top | ||||||
CL.C106668.MMRC TEST | QS-Modified Medical Research Council Dyspnea Scale Questionnaire Test Name (MMRC TEST) | text Extensible: No | C106668 | QS-Modified Medical Research Council Dyspnea Scale Questionnaire Test Name | Modified Medical Research Council Dyspnea Scale test name. | CDISC Questionnaire MMRC Test Name Terminology |
MMRC01-Description of Breathlessness | C106852 | MMRC01-Description of Breathlessness | Modified Medical Research Council Dyspnea Scale - Description of breathlessness. | MMRC - Description of Level of Breathlessness | ||
Back to top | ||||||
CL.C111348.MRS TESTCD | QS-Modified Rankin Scale Questionnaire Test Code (MRS TESTCD) | text Extensible: No | C111348 | QS-Modified Rankin Scale Questionnaire Test Code | Modified Rankin Scale test code. | CDISC Questionnaire MRS Test Code Terminology |
MRS0101 | C111520 | MRS01-Modified Rankin Scale Score | Modified Rankin Scale - Modified Rankin Scale Score. | MRS - Modified Rankin Scale Score | ||
Back to top | ||||||
CL.C111347.MRS TEST | QS-Modified Rankin Scale Questionnaire Test Name (MRS TEST) | text Extensible: No | C111347 | QS-Modified Rankin Scale Questionnaire Test Name | Modified Rankin Scale test name. | CDISC Questionnaire MRS Test Name Terminology |
MRS01-Modified Rankin Scale Score | C111520 | MRS01-Modified Rankin Scale Score | Modified Rankin Scale - Modified Rankin Scale Score. | MRS - Modified Rankin Scale Score | ||
Back to top | ||||||
CL.C100140.MDS-UPDRS TESTCD | QS-Movement Disorder Society UPDRS Test Code (MDS-UPDRS TESTCD) | text Extensible: No | C100140 | QS-Movement Disorder Society UPDRS Test Code | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale test code. | CDISC Questionnaire MDS-UPDRS Test Code Terminology |
UPD2101 | C100473 | UPD2-Cognitive Impairment | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you had problems remembering things, following conversations, paying attention, thinking clearly, or finding your way around the house or in town? | MDS-UPDRS - Cognitive Impairment | ||
UPD2102 | C100474 | UPD2-Hallucinations and Psychosis | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you seen, heard, smelled or felt things that were not really there? | MDS-UPDRS - Hallucinations and Psychosis | ||
UPD2103 | C100475 | UPD2-Depressed Mood | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you felt low, sad, hopeless or unable to enjoy things? If yes, was this feeling for longer than one day at a time? Did it make it difficult for you carry out your usual activities or to be with people? | MDS-UPDRS - Depressed Mood | ||
UPD2104 | C100476 | UPD2-Anxious Mood | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you felt nervous, worried or tense? If yes, was this feeling for longer than one day at a time? Did it make it difficult for you to follow your usual activities or to be with other people? | MDS-UPDRS - Anxious Mood | ||
UPD2105 | C100477 | UPD2-Apathy | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you felt indifferent to doing activities or being with people? | MDS-UPDRS - Apathy | ||
UPD2106 | C100478 | UPD2-Ftrs Dopa Dysregulation Synd | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had unusually strong urges that are hard to control? Do you feel driven to do or think about something and find it hard to stop? | MDS-UPDRS - Features of Dopamine Dysregulation Syndrome | ||
UPD2107 | C100479 | UPD2-Sleep Problems | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble going to sleep at night or staying asleep through the night? | MDS-UPDRS - Sleep Problems | ||
UPD2108 | C100480 | UPD2-Daytime Sleepiness | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble staying awake during the daytime? | MDS-UPDRS - Daytime Sleepiness | ||
UPD2109 | C100481 | UPD2-Pain and other Sensations | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had uncomfortable feelings in your body like pain, aches tingling or cramps? | MDS-UPDRS - Pain and Other Sensations | ||
UPD2110 | C100482 | UPD2-Urinary Problems | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble with urine control? | MDS-UPDRS - Urinary Problems | ||
UPD2111 | C100483 | UPD2-Constipation Problems | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you had constipation troubles that cause you difficulty moving your bowels? | MDS-UPDRS - Constipation Problems | ||
UPD2112 | C100484 | UPD2-Lightheadedness on Standing | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you felt faint, dizzy or foggy when you stand up after sitting or lying down? | MDS-UPDRS - Lightheadedness on Standing | ||
UPD2113 | C100485 | UPD2-Fatigue | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually felt fatigued? | MDS-UPDRS - Fatigue | ||
UPD2201 | C100486 | UPD2-Speech | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had problems with your speech? | MDS-UPDRS - Speech | ||
UPD2202 | C100487 | UPD2-Saliva and Drooling | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had too much saliva during when you are awake or when you sleep? | MDS-UPDRS - Saliva and Drooling | ||
UPD2203 | C100488 | UPD2-Chewing and Swallowing | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems swallowing pills or eating meals? | MDS-UPDRS - Chewing and Swallowing | ||
UPD2204 | C100489 | UPD2-Eating Tasks | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had troubles handling your food and using eating utensils? | MDS-UPDRS - Eating Tasks | ||
UPD2205 | C100490 | UPD2-Dressing | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems dressing? | MDS-UPDRS - Dressing | ||
UPD2206 | C100491 | UPD2-Hygiene | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually been slow or do you need help with washing, bathing, shaving, brushing teeth, combing your hair or with other personal hygiene? | MDS-UPDRS - Hygiene | ||
UPD2207 | C100492 | UPD2-Handwriting | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have people usually had trouble reading your handwriting? | MDS-UPDRS - Handwriting | ||
UPD2208 | C100493 | UPD2-Doing Hobbies/Other Activities | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had trouble doing your hobbies or other things that you like to do? | MDS-UPDRS - Doing Hobbies and Other Activities | ||
UPD2209 | C100494 | UPD2-Turning in Bed | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, do you usually have trouble turning over in bed? | MDS-UPDRS - Turning in Bed | ||
UPD2210 | C100495 | UPD2-Tremor | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had shaking or tremor? | MDS-UPDRS - Tremor | ||
UPD2211 | C101018 | UPD2-Get Out of Bed/Car/Deep Chair | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had trouble getting out of bed, a car seat, or a deep chair? | MDS-UPDRS - Get Out of Bed, Car, or Deep Chair | ||
UPD2212 | C100496 | UPD2-Walking and Balance | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems with balance and walking? | MDS-UPDRS - Walking and Balance | ||
UPD2213 | C100497 | UPD2-Freezing | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, on your usual day when walking, do you suddenly stop or freeze as if your feet are stuck to the floor? | MDS-UPDRS - Freezing | ||
UPD2301 | C100502 | UPD2-Speech Problems | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Speech Problems. | MDS-UPDRS - Speech Problems | ||
UPD2302 | C100503 | UPD2-Facial Expression | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Facial Expression. | MDS-UPDRS - Facial Expression | ||
UPD2303A | C100504 | UPD2-Rigidity Neck | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Neck. | MDS-UPDRS - Rigidity Neck | ||
UPD2303B | C100505 | UPD2-Rigidity RT Upper Extremity | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Right Upper Extremity. | MDS-UPDRS - Rigidity Right Upper Extremity | ||
UPD2303C | C100506 | UPD2-Rigidity Left Upper Extremity | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Left Upper Extremity. | MDS-UPDRS - Rigidity Left Upper Extremity | ||
UPD2303D | C100507 | UPD2-Rigidity RT Lower Extremity | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Right Lower Extremity. | MDS-UPDRS - Rigidity Right Lower Extremity | ||
UPD2303E | C100508 | UPD2-Rigidity Left Lower Extremity | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Left Lower Extremity. | MDS-UPDRS - Rigidity Left Lower Extremity | ||
UPD2304A | C100509 | UPD2-Right Finger Tapping | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Finger Tapping. | MDS-UPDRS - Right Finger Tapping | ||
UPD2304B | C100510 | UPD2-Left Finger Tapping | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Finger Tapping. | MDS-UPDRS - Left Finger Tapping | ||
UPD2305A | C100511 | UPD2-Right Hand Movements | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Hand Movements. | MDS-UPDRS - Right Hand Movements | ||
UPD2305B | C100512 | UPD2-Left Hand Movements | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Hand Movements. | MDS-UPDRS - Left Hand Movements | ||
UPD2306A | C100513 | UPD2-Pron/Sup Movement of RT Hand | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Pronation-Supination Movements of Right Hand. | MDS-UPDRS - Pronanation-Supination Movement of Right Hand | ||
UPD2306B | C100514 | UPD2-Pron/Sup Movement of Left Hand | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Pronation-Supination Movements of Left Hand. | MDS-UPDRS - Pronanation-Supination Movement of Left Hand | ||
UPD2307A | C100515 | UPD2-Right Toe Tapping | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Toe Tapping. | MDS-UPDRS - Right Toe Tapping | ||
UPD2307B | C100516 | UPD2-Left Toe Tapping | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Toe Tapping. | MDS-UPDRS - Left Toe Tapping | ||
UPD2308A | C100517 | UPD2-Right Leg Agility | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Leg Agility. | MDS-UPDRS - Right Leg Agility | ||
UPD2308B | C100518 | UPD2-Left Leg Agility | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Leg Agility. | MDS-UPDRS - Left Leg Agility | ||
UPD2309 | C100519 | UPD2-Arising from Chair | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Arising from Chair. | MDS-UPDRS - Arising from Chair | ||
UPD2310 | C100520 | UPD2-Gait | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Gait. | MDS-UPDRS - Gait | ||
UPD2311 | C100521 | UPD2-Freezing of Gait | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Freezing of Gait. | MDS-UPDRS - Freezing of Gait | ||
UPD2312 | C100522 | UPD2-Postural Stability | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Stability. | MDS-UPDRS - Postural Stability | ||
UPD2313 | C100523 | UPD2-Posture | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Posture. | MDS-UPDRS - Posture | ||
UPD2314 | C100524 | UPD2-Body Bradykinesia | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Global Spontaneity of Movement (Body Bradykinesia). | MDS-UPDRS - Body Bradykinesia | ||
UPD2315A | C100525 | UPD2-Postural Tremor of Right Hand | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Tremor of the Right Hand. | MDS-UPDRS - Postural Tremor of Right Hand | ||
UPD2315B | C113882 | UPD2-Postural Tremor of Left Hand | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Tremor of the Left Hand. | MDS-UPDRS - Postural Tremor of Left Hand | ||
UPD2316A | C113883 | UPD2-Kinetic Tremor of Right Hand | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Kinetic Tremor of the Right Hand. | MDS-UPDRS - Kinetic Tremor of Right Hand | ||
UPD2316B | C100526 | UPD2-Kinetic Tremor of Left Hand | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Kinetic Tremor of the Left Hand. | MDS-UPDRS - Kinetic Tremor of Left Hand | ||
UPD2317A | C100527 | UPD2-Rest Tremor Amplitude RUE | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Right Upper Extremity. | MDS-UPDRS - Rest Tremor Amplitude Right Upper Extremity | ||
UPD2317B | C100528 | UPD2-Rest Tremor Amplitude LUE | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Left Upper Extremity. | MDS-UPDRS - Rest Tremor Amplitude Left Upper Extremity | ||
UPD2317C | C100529 | UPD2-Rest Tremor Amplitude RLE | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Right Lower Extremity. | MDS-UPDRS - Rest Tremor Amplitude Right Lower Extremity | ||
UPD2317D | C100530 | UPD2-Rest Tremor Amplitude LLE | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Left Lower Extremity. | MDS-UPDRS - Rest Tremor Amplitude Left Lower Extremity | ||
UPD2317E | C100531 | UPD2-Rest Tremor Amplitude Lip/Jaw | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Lip/Jaw. | MDS-UPDRS - Rest Tremor Amplitude Lip or Jaw | ||
UPD2318 | C100532 | UPD2-Consistency of Rest Tremor | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Consistency of Rest Tremor. | MDS-UPDRS - Consistency of Rest Tremor | ||
UPD23A | C100498 | UPD2-Medication for PD | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Is the patient on medication for treating the symptoms of Parkinson's Disease? | MDS-UPDRS - Medication for Parkinson's Disease | ||
UPD23B | C100499 | UPD2-Clinical State on Meds | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - If the patient is receiving medication for treating the symptoms of Parkinson's Disease, mark the patient's clinical state. | MDS-UPDRS - Clinical State on Medication | ||
UPD23C | C100500 | UPD2-Taking Levodopa | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Is the patient on Levodopa? | MDS-UPDRS - Taking Levodopa | ||
UPD23C1 | C100501 | UPD2-Minutes Since Levodopa Dose | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Minutes since last Levodopa dose. | MDS-UPDRS - Minutes Since Levodopa Dose | ||
UPD2401 | C100536 | UPD2-Time Spent with Dyskinesias | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Time Spent with Dyskinesias. | MDS-UPDRS - Time Spent with Dyskinesias | ||
UPD2402 | C100537 | UPD2-Functional Impact Dyskinesias | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Functional Impact of Dyskinesias. | MDS-UPDRS - Functional Impact of Dyskinesias | ||
UPD2403 | C100538 | UPD2-Time Spent in the Off State | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Time Spent in the Off State. | MDS-UPDRS - Time Spent in the Off State | ||
UPD2404 | C100539 | UPD2-Functional Impact Fluctuations | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Functional Impact of Fluctuations. | MDS-UPDRS - Functional Impact of Fluctuations | ||
UPD2405 | C100540 | UPD2-Complexity Motor Fluctuations | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Complexity of Motor Fluctuations. | MDS-UPDRS - Complexity of Motor Fluctuations | ||
UPD2406 | C100541 | UPD2-Painful Off-state Dystonia | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Painful Off-state Dystonia. | MDS-UPDRS - Painful Off-state Dystonia | ||
UPD2DA | C100533 | UPD2-Dyskinesias During Exam | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Were dyskinesias (chorea or dystonia) present during examination? | MDS-UPDRS - Dyskinesias During Exam | ||
UPD2DB | C100534 | UPD2-Movements Interfere Ratings | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - If yes, did these movements interfere with your ratings? | MDS-UPDRS - Movements Interfere with Ratings | ||
UPD2HY | C100535 | UPD2-Hoehn and Yahr Stage | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Hoehn and Yahr Stage. | MDS-UPDRS - Hoehn and Yahr Stage | ||
Back to top | ||||||
CL.C100139.MDS-UPDRS TEST | QS-Movement Disorder Society UPDRS Test Name (MDS-UPDRS TEST) | text Extensible: No | C100139 | QS-Movement Disorder Society UPDRS Test Name | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale test name. | CDISC Questionnaire MDS-UPDRS Test Name Terminology |
UPD2-Anxious Mood | C100476 | UPD2-Anxious Mood | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you felt nervous, worried or tense? If yes, was this feeling for longer than one day at a time? Did it make it difficult for you to follow your usual activities or to be with other people? | MDS-UPDRS - Anxious Mood | ||
UPD2-Apathy | C100477 | UPD2-Apathy | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you felt indifferent to doing activities or being with people? | MDS-UPDRS - Apathy | ||
UPD2-Arising from Chair | C100519 | UPD2-Arising from Chair | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Arising from Chair. | MDS-UPDRS - Arising from Chair | ||
UPD2-Body Bradykinesia | C100524 | UPD2-Body Bradykinesia | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Global Spontaneity of Movement (Body Bradykinesia). | MDS-UPDRS - Body Bradykinesia | ||
UPD2-Chewing and Swallowing | C100488 | UPD2-Chewing and Swallowing | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems swallowing pills or eating meals? | MDS-UPDRS - Chewing and Swallowing | ||
UPD2-Clinical State on Meds | C100499 | UPD2-Clinical State on Meds | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - If the patient is receiving medication for treating the symptoms of Parkinson's Disease, mark the patient's clinical state. | MDS-UPDRS - Clinical State on Medication | ||
UPD2-Cognitive Impairment | C100473 | UPD2-Cognitive Impairment | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you had problems remembering things, following conversations, paying attention, thinking clearly, or finding your way around the house or in town? | MDS-UPDRS - Cognitive Impairment | ||
UPD2-Complexity Motor Fluctuations | C100540 | UPD2-Complexity Motor Fluctuations | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Complexity of Motor Fluctuations. | MDS-UPDRS - Complexity of Motor Fluctuations | ||
UPD2-Consistency of Rest Tremor | C100532 | UPD2-Consistency of Rest Tremor | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Consistency of Rest Tremor. | MDS-UPDRS - Consistency of Rest Tremor | ||
UPD2-Constipation Problems | C100483 | UPD2-Constipation Problems | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you had constipation troubles that cause you difficulty moving your bowels? | MDS-UPDRS - Constipation Problems | ||
UPD2-Daytime Sleepiness | C100480 | UPD2-Daytime Sleepiness | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble staying awake during the daytime? | MDS-UPDRS - Daytime Sleepiness | ||
UPD2-Depressed Mood | C100475 | UPD2-Depressed Mood | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you felt low, sad, hopeless or unable to enjoy things? If yes, was this feeling for longer than one day at a time? Did it make it difficult for you carry out your usual activities or to be with people? | MDS-UPDRS - Depressed Mood | ||
UPD2-Doing Hobbies/Other Activities | C100493 | UPD2-Doing Hobbies/Other Activities | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had trouble doing your hobbies or other things that you like to do? | MDS-UPDRS - Doing Hobbies and Other Activities | ||
UPD2-Dressing | C100490 | UPD2-Dressing | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems dressing? | MDS-UPDRS - Dressing | ||
UPD2-Dyskinesias During Exam | C100533 | UPD2-Dyskinesias During Exam | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Were dyskinesias (chorea or dystonia) present during examination? | MDS-UPDRS - Dyskinesias During Exam | ||
UPD2-Eating Tasks | C100489 | UPD2-Eating Tasks | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had troubles handling your food and using eating utensils? | MDS-UPDRS - Eating Tasks | ||
UPD2-Facial Expression | C100503 | UPD2-Facial Expression | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Facial Expression. | MDS-UPDRS - Facial Expression | ||
UPD2-Fatigue | C100485 | UPD2-Fatigue | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually felt fatigued? | MDS-UPDRS - Fatigue | ||
UPD2-Freezing | C100497 | UPD2-Freezing | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, on your usual day when walking, do you suddenly stop or freeze as if your feet are stuck to the floor? | MDS-UPDRS - Freezing | ||
UPD2-Freezing of Gait | C100521 | UPD2-Freezing of Gait | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Freezing of Gait. | MDS-UPDRS - Freezing of Gait | ||
UPD2-Ftrs Dopa Dysregulation Synd | C100478 | UPD2-Ftrs Dopa Dysregulation Synd | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had unusually strong urges that are hard to control? Do you feel driven to do or think about something and find it hard to stop? | MDS-UPDRS - Features of Dopamine Dysregulation Syndrome | ||
UPD2-Functional Impact Dyskinesias | C100537 | UPD2-Functional Impact Dyskinesias | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Functional Impact of Dyskinesias. | MDS-UPDRS - Functional Impact of Dyskinesias | ||
UPD2-Functional Impact Fluctuations | C100539 | UPD2-Functional Impact Fluctuations | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Functional Impact of Fluctuations. | MDS-UPDRS - Functional Impact of Fluctuations | ||
UPD2-Gait | C100520 | UPD2-Gait | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Gait. | MDS-UPDRS - Gait | ||
UPD2-Get Out of Bed/Car/Deep Chair | C101018 | UPD2-Get Out of Bed/Car/Deep Chair | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had trouble getting out of bed, a car seat, or a deep chair? | MDS-UPDRS - Get Out of Bed, Car, or Deep Chair | ||
UPD2-Hallucinations and Psychosis | C100474 | UPD2-Hallucinations and Psychosis | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week have you seen, heard, smelled or felt things that were not really there? | MDS-UPDRS - Hallucinations and Psychosis | ||
UPD2-Handwriting | C100492 | UPD2-Handwriting | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have people usually had trouble reading your handwriting? | MDS-UPDRS - Handwriting | ||
UPD2-Hoehn and Yahr Stage | C100535 | UPD2-Hoehn and Yahr Stage | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Hoehn and Yahr Stage. | MDS-UPDRS - Hoehn and Yahr Stage | ||
UPD2-Hygiene | C100491 | UPD2-Hygiene | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually been slow or do you need help with washing, bathing, shaving, brushing teeth, combing your hair or with other personal hygiene? | MDS-UPDRS - Hygiene | ||
UPD2-Kinetic Tremor of Left Hand | C100526 | UPD2-Kinetic Tremor of Left Hand | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Kinetic Tremor of the Left Hand. | MDS-UPDRS - Kinetic Tremor of Left Hand | ||
UPD2-Kinetic Tremor of Right Hand | C113883 | UPD2-Kinetic Tremor of Right Hand | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Kinetic Tremor of the Right Hand. | MDS-UPDRS - Kinetic Tremor of Right Hand | ||
UPD2-Left Finger Tapping | C100510 | UPD2-Left Finger Tapping | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Finger Tapping. | MDS-UPDRS - Left Finger Tapping | ||
UPD2-Left Hand Movements | C100512 | UPD2-Left Hand Movements | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Hand Movements. | MDS-UPDRS - Left Hand Movements | ||
UPD2-Left Leg Agility | C100518 | UPD2-Left Leg Agility | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Leg Agility. | MDS-UPDRS - Left Leg Agility | ||
UPD2-Left Toe Tapping | C100516 | UPD2-Left Toe Tapping | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Toe Tapping. | MDS-UPDRS - Left Toe Tapping | ||
UPD2-Lightheadedness on Standing | C100484 | UPD2-Lightheadedness on Standing | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you felt faint, dizzy or foggy when you stand up after sitting or lying down? | MDS-UPDRS - Lightheadedness on Standing | ||
UPD2-Medication for PD | C100498 | UPD2-Medication for PD | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Is the patient on medication for treating the symptoms of Parkinson's Disease? | MDS-UPDRS - Medication for Parkinson's Disease | ||
UPD2-Minutes Since Levodopa Dose | C100501 | UPD2-Minutes Since Levodopa Dose | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Minutes since last Levodopa dose. | MDS-UPDRS - Minutes Since Levodopa Dose | ||
UPD2-Movements Interfere Ratings | C100534 | UPD2-Movements Interfere Ratings | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - If yes, did these movements interfere with your ratings? | MDS-UPDRS - Movements Interfere with Ratings | ||
UPD2-Pain and other Sensations | C100481 | UPD2-Pain and other Sensations | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had uncomfortable feelings in your body like pain, aches tingling or cramps? | MDS-UPDRS - Pain and Other Sensations | ||
UPD2-Painful Off-state Dystonia | C100541 | UPD2-Painful Off-state Dystonia | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Painful Off-state Dystonia. | MDS-UPDRS - Painful Off-state Dystonia | ||
UPD2-Postural Stability | C100522 | UPD2-Postural Stability | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Stability. | MDS-UPDRS - Postural Stability | ||
UPD2-Postural Tremor of Left Hand | C113882 | UPD2-Postural Tremor of Left Hand | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Tremor of the Left Hand. | MDS-UPDRS - Postural Tremor of Left Hand | ||
UPD2-Postural Tremor of Right Hand | C100525 | UPD2-Postural Tremor of Right Hand | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Tremor of the Right Hand. | MDS-UPDRS - Postural Tremor of Right Hand | ||
UPD2-Posture | C100523 | UPD2-Posture | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Posture. | MDS-UPDRS - Posture | ||
UPD2-Pron/Sup Movement of Left Hand | C100514 | UPD2-Pron/Sup Movement of Left Hand | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Pronation-Supination Movements of Left Hand. | MDS-UPDRS - Pronanation-Supination Movement of Left Hand | ||
UPD2-Pron/Sup Movement of RT Hand | C100513 | UPD2-Pron/Sup Movement of RT Hand | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Pronation-Supination Movements of Right Hand. | MDS-UPDRS - Pronanation-Supination Movement of Right Hand | ||
UPD2-Rest Tremor Amplitude Lip/Jaw | C100531 | UPD2-Rest Tremor Amplitude Lip/Jaw | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Lip/Jaw. | MDS-UPDRS - Rest Tremor Amplitude Lip or Jaw | ||
UPD2-Rest Tremor Amplitude LLE | C100530 | UPD2-Rest Tremor Amplitude LLE | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Left Lower Extremity. | MDS-UPDRS - Rest Tremor Amplitude Left Lower Extremity | ||
UPD2-Rest Tremor Amplitude LUE | C100528 | UPD2-Rest Tremor Amplitude LUE | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Left Upper Extremity. | MDS-UPDRS - Rest Tremor Amplitude Left Upper Extremity | ||
UPD2-Rest Tremor Amplitude RLE | C100529 | UPD2-Rest Tremor Amplitude RLE | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Right Lower Extremity. | MDS-UPDRS - Rest Tremor Amplitude Right Lower Extremity | ||
UPD2-Rest Tremor Amplitude RUE | C100527 | UPD2-Rest Tremor Amplitude RUE | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rest Tremor Amplitude Right Upper Extremity. | MDS-UPDRS - Rest Tremor Amplitude Right Upper Extremity | ||
UPD2-Right Finger Tapping | C100509 | UPD2-Right Finger Tapping | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Finger Tapping. | MDS-UPDRS - Right Finger Tapping | ||
UPD2-Right Hand Movements | C100511 | UPD2-Right Hand Movements | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Hand Movements. | MDS-UPDRS - Right Hand Movements | ||
UPD2-Right Leg Agility | C100517 | UPD2-Right Leg Agility | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Leg Agility. | MDS-UPDRS - Right Leg Agility | ||
UPD2-Right Toe Tapping | C100515 | UPD2-Right Toe Tapping | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Toe Tapping. | MDS-UPDRS - Right Toe Tapping | ||
UPD2-Rigidity Left Lower Extremity | C100508 | UPD2-Rigidity Left Lower Extremity | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Left Lower Extremity. | MDS-UPDRS - Rigidity Left Lower Extremity | ||
UPD2-Rigidity Left Upper Extremity | C100506 | UPD2-Rigidity Left Upper Extremity | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Left Upper Extremity. | MDS-UPDRS - Rigidity Left Upper Extremity | ||
UPD2-Rigidity Neck | C100504 | UPD2-Rigidity Neck | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Neck. | MDS-UPDRS - Rigidity Neck | ||
UPD2-Rigidity RT Lower Extremity | C100507 | UPD2-Rigidity RT Lower Extremity | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Right Lower Extremity. | MDS-UPDRS - Rigidity Right Lower Extremity | ||
UPD2-Rigidity RT Upper Extremity | C100505 | UPD2-Rigidity RT Upper Extremity | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Right Upper Extremity. | MDS-UPDRS - Rigidity Right Upper Extremity | ||
UPD2-Saliva and Drooling | C100487 | UPD2-Saliva and Drooling | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had too much saliva during when you are awake or when you sleep? | MDS-UPDRS - Saliva and Drooling | ||
UPD2-Sleep Problems | C100479 | UPD2-Sleep Problems | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble going to sleep at night or staying asleep through the night? | MDS-UPDRS - Sleep Problems | ||
UPD2-Speech | C100486 | UPD2-Speech | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had problems with your speech? | MDS-UPDRS - Speech | ||
UPD2-Speech Problems | C100502 | UPD2-Speech Problems | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Speech Problems. | MDS-UPDRS - Speech Problems | ||
UPD2-Taking Levodopa | C100500 | UPD2-Taking Levodopa | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Is the patient on Levodopa? | MDS-UPDRS - Taking Levodopa | ||
UPD2-Time Spent in the Off State | C100538 | UPD2-Time Spent in the Off State | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Time Spent in the Off State. | MDS-UPDRS - Time Spent in the Off State | ||
UPD2-Time Spent with Dyskinesias | C100536 | UPD2-Time Spent with Dyskinesias | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Time Spent with Dyskinesias. | MDS-UPDRS - Time Spent with Dyskinesias | ||
UPD2-Tremor | C100495 | UPD2-Tremor | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had shaking or tremor? | MDS-UPDRS - Tremor | ||
UPD2-Turning in Bed | C100494 | UPD2-Turning in Bed | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, do you usually have trouble turning over in bed? | MDS-UPDRS - Turning in Bed | ||
UPD2-Urinary Problems | C100482 | UPD2-Urinary Problems | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you had trouble with urine control? | MDS-UPDRS - Urinary Problems | ||
UPD2-Walking and Balance | C100496 | UPD2-Walking and Balance | The Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually had problems with balance and walking? | MDS-UPDRS - Walking and Balance | ||
Back to top | ||||||
CL.C113860.MSQOL-54 TESTCD | QS-Multiple Sclerosis Quality of Life-54 Instrument Test Code (MSQOL-54 TESTCD) | text Extensible: No | C113860 | QS-Multiple Sclerosis Quality of Life-54 Instrument Test Code | Multiple Sclerosis Quality of Life-54 Instrument test code. | CDISC Questionnaire Multiple Sclerosis Quality of Life-54 Instrument Test Code Terminology |
MSQL101 | C113988 | MSQL1-Would You Say Your Health Is | Multiple Sclerosis Quality of Life-54 Instrument - In general, would you say your health is: | MSQOL-54 - Would You Say Your Health Is | ||
MSQL102 | C113989 | MSQL1-Health Now Compared to 1 Year Ago | Multiple Sclerosis Quality of Life-54 Instrument - Compared to one year ago, how would you rate your health in general now? | MSQOL-54 - Health Now Compared to One Year Ago | ||
MSQL103 | C113990 | MSQL1-Health Limit Vigorous Activities | Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports. | MSQOL-54 - Health Limit Vigorous Activities | ||
MSQL104 | C113991 | MSQL1-Health Limit Moderate Activities | Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. | MSQOL-54 - Health Limit Moderate Activities | ||
MSQL105 | C113992 | MSQL1-Health Limit Carrying Groceries | Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Lifting or carrying groceries. | MSQOL-54 - Health Limit Lifting or Carrying Groceries | ||
MSQL106 | C113993 | MSQL1-Health Limit Climb Several Flights | Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Climbing several flights of stairs. | MSQOL-54 - Health Limit Climbing Several Stairs | ||
MSQL107 | C113994 | MSQL1-Health Limit Climb One Flight | Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Climbing one flight of stairs. | MSQOL-54 - Health Limit Climbing One Stair | ||
MSQL108 | C113995 | MSQL1-Health Limit Bending or Kneeling | Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Bending, kneeling, or stooping. | MSQOL-54 - Health Limit Bending, Kneeling or Stooping | ||
MSQL109 | C113996 | MSQL1-Health Limit Walk More Than Mile | Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking more than a mile. | MSQOL-54 - Health Limit Walking More than A Mile | ||
MSQL110 | C113997 | MSQL1-Health Limit Walk Several Blocks | Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking several blocks. | MSQOL-54 - Health Limit Walking Several Blocks | ||
MSQL111 | C113998 | MSQL1-Health Limit Walk One Block | Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking one block. | MSQOL-54 - Health Limit Walking One Block | ||
MSQL112 | C113999 | MSQL1-Health Limit Bathing/Dressing Self | Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Bathing and dressing yourself. | MSQOL-54 - Health Limit Bathing and Dressing Yourself | ||
MSQL113 | C114000 | MSQL1-Phys Health: Cut Work Time | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Cut down on the amount of time you could spend on work or other activities. | MSQOL-54 - Physical Health Cut Down Time on Work | ||
MSQL114 | C114001 | MSQL1-Phys Health: Accomplish Less | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Accomplished less than you would like. | MSQOL-54 - Physical Health Accomplish Less | ||
MSQL115 | C114002 | MSQL1-Phys Health: Limit Kind of Work | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Were limited in the kind of work or other activities. | MSQOL-54 - Physical Health Limited in the Kind of Work | ||
MSQL116 | C114003 | MSQL1-Phys Health: Difficulty Performing | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Had difficulty performing the work or other activities. | MSQOL-54 - Physical Health Difficulty Perform Work | ||
MSQL117 | C114004 | MSQL1-Emotional Problem: Cut Work Time | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Cut down on the amount of time you could spend on work or other activities. | MSQOL-54 - Emotional Problem Cut Down Time on Work | ||
MSQL118 | C114005 | MSQL1-Emotional Problem: Accomplish Less | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Accomplished less than you would like. | MSQOL-54 - Emotional Problem Accomplish Less | ||
MSQL119 | C114006 | MSQL1-Emotional Problem: Less Careful | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Didn't do work or other activities as carefully as usual. | MSQOL-54 - Emotional Problem Did Not Do Work Carefully | ||
MSQL120 | C114007 | MSQL1-Extent Interfered Social Activity | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups? | MSQOL-54 - Extend Physical Health or Emotional Problem Interfere With Social Activities | ||
MSQL121 | C114008 | MSQL1-How Much Bodily Pain Have You Had | Multiple Sclerosis Quality of Life-54 Instrument - How much bodily pain have you had during the past 4 weeks? | MSQOL-54 - Bodily Pain | ||
MSQL122 | C114009 | MSQL1-Did Pain Interfere With Your Work | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much did pain interfere with your normal work? | MSQOL-54 - Pain Interfere With Normal Work | ||
MSQL123 | C114010 | MSQL1-Did You Feel Full of Pep | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel full of pep? | MSQOL-54 - Feel Full of Pep | ||
MSQL124 | C114011 | MSQL1-Have Been a Very Nervous Person | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you been a very nervous person? | MSQOL-54 - Been a Nervous Person | ||
MSQL125 | C114012 | MSQL1-Have Felt So Down in the Dumps | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt so down in the dumps that nothing could cheer you up? | MSQOL-54 - Felt So Down Nothing Could Cheer You Up | ||
MSQL126 | C114013 | MSQL1-Have You Felt Calm and Peaceful | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt calm and peaceful? | MSQOL-54 - Felt Calm and Peaceful | ||
MSQL127 | C114014 | MSQL1-Did You Have a Lot of Energy | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you have a lot of energy? | MSQOL-54 - Have a Lot of Energy | ||
MSQL128 | C114015 | MSQL1-Have Felt Downhearted and Blue | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt downhearted and blue? | MSQOL-54 - Felt Downhearted and Blue | ||
MSQL129 | C114016 | MSQL1-Did You Feel Worn Out | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel worn out? | MSQOL-54 - Feel Worn Out | ||
MSQL130 | C114017 | MSQL1-Have You Been a Happy Person | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you been a happy person? | MSQOL-54 - Been a Happy Person | ||
MSQL131 | C114018 | MSQL1-Did You Feel Tired | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel tired? | MSQOL-54 - Feel Tired | ||
MSQL132 | C114019 | MSQL1-Did You Feel Rested on Waking | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel rested on waking in the morning? | MSQOL-54 - Feel Rested Waking in the Morning | ||
MSQL133 | C114020 | MSQL1-Amt Time Interfere Social Activity | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities? | MSQOL-54 - Time Physical Health or Emotional Problem Interfere With Social Activities | ||
MSQL134 | C114021 | MSQL1-Get Sick Easier Than Other People | Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I seem to get sick a little easier than other people. | MSQOL-54 - Get Sick Easier Than Other | ||
MSQL135 | C114022 | MSQL1-I Am as Healthy as Anybody I Know | Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I am as healthy as anybody I know. | MSQOL-54 - As Healthy as Anybody | ||
MSQL136 | C114023 | MSQL1-I Expect My Health to Get Worse | Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I expect my health to get worse. | MSQOL-54 - Expect Health to Get Worse | ||
MSQL137 | C114024 | MSQL1-My Health Is Excellent | Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: My health is excellent. | MSQOL-54 - Health is Excellent | ||
MSQL138 | C114025 | MSQL1-Discouraged by Health Problems | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Were you discouraged by your health problems? | MSQOL-54 - Discouraged by Health Problem | ||
MSQL139 | C114026 | MSQL1-Were Frustrated About Your Health | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Were you frustrated about your health? | MSQOL-54 - Frustrated With Health | ||
MSQL140 | C114027 | MSQL1-Was Health a Worry in Your Life | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Was your health a worry in your life? | MSQOL-54 - Health a Worry in Life | ||
MSQL141 | C114028 | MSQL1-Weighed Down by Health Problems | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel weighed down by your health problems? | MSQOL-54 - Feel Weighed Down by Health Problem | ||
MSQL142 | C114029 | MSQL1-Difficulty Concentrating/Thinking | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you had difficulty concentrating and thinking? | MSQOL-54 - Difficulty Concentrating and Thinking | ||
MSQL143 | C114030 | MSQL1-Trouble Keep Attention for Long | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you have trouble keeping your attention on an activity for long? | MSQOL-54 - Trouble Keep Attention for Long | ||
MSQL144 | C114031 | MSQL1-Have Had Trouble With Your Memory | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you had trouble with your memory? | MSQOL-54 - Trouble With Memory | ||
MSQL145 | C114032 | MSQL1-Others Notice Your Memory Trouble | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have others, such as family members or friends, noticed that you have trouble with your memory or problems with your concentration? | MSQOL-54 - Others Notice Your Problems With Memory or Concentration | ||
MSQL146 | C114033 | MSQL1-Lack of Sexual Interest | Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Lack of sexual interest. | MSQOL-54 - Lack of Sexual Interest | ||
MSQL147M | C114034 | MSQL1-Difficult Getting/Keeping Erection | Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Difficulty getting or keeping an erection. | MSQOL-54 - Difficulty Keeping an Erection | ||
MSQL147W | C114035 | MSQL1-Inadequate Lubrication | Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Inadequate lubrication. | MSQOL-54 - Inadequate Lubrication | ||
MSQL148 | C114036 | MSQL1-Difficulty Having Orgasm | Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Difficulty having orgasm. | MSQOL-54 - Difficulty Having Orgasm | ||
MSQL149 | C114037 | MSQL1-Ability to Satisfy Sexual Partner | Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Ability to satisfy sexual partner. | MSQOL-54 - Ability to Satisfy Sexual Partner | ||
MSQL150 | C114038 | MSQL1-Satisfied With Sexual Function | Multiple Sclerosis Quality of Life-54 Instrument - Overall, how satisfied were you with your sexual function during the past 4 weeks? | MSQOL-54 - Satisfied With Sexual Function | ||
MSQL151 | C114039 | MSQL1-Bowel/Bladder Interfered Activity | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, to what extent have problems with your bowel or bladder function interfered with your normal social activities with family, friends, neighbors, or groups? | MSQOL-54 - Bowel or Bladder Function Interfere With Social Activities | ||
MSQL152 | C114040 | MSQL1-Pain Interfere Enjoyment of Life | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much did pain interfere with your enjoyment of life? | MSQOL-54 - Pain Interfere Enjoyment of Life | ||
MSQL153 | C114041 | MSQL1-Rate Your Own Quality-of-Life | Multiple Sclerosis Quality of Life-54 Instrument - Overall, how would you rate your own quality-of-life? | MSQOL-54 - Rate Your Own Quality of Life | ||
MSQL154 | C114042 | MSQL1-Describe How Feel About Your Life | Multiple Sclerosis Quality of Life-54 Instrument - Which best describes how you feel about your life as a whole? | MSQOL-54 - Describe How You Feel About Your Life | ||
Back to top | ||||||
CL.C113859.MSQOL-54 TEST | QS-Multiple Sclerosis Quality of Life-54 Instrument Test Name (MSQOL-54 TEST) | text Extensible: No | C113859 | QS-Multiple Sclerosis Quality of Life-54 Instrument Test Name | Multiple Sclerosis Quality of Life-54 Instrument test name. | CDISC Questionnaire Multiple Sclerosis Quality of Life-54 Instrument Test Name Terminology |
MSQL1-Ability to Satisfy Sexual Partner | C114037 | MSQL1-Ability to Satisfy Sexual Partner | Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Ability to satisfy sexual partner. | MSQOL-54 - Ability to Satisfy Sexual Partner | ||
MSQL1-Amt Time Interfere Social Activity | C114020 | MSQL1-Amt Time Interfere Social Activity | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities? | MSQOL-54 - Time Physical Health or Emotional Problem Interfere With Social Activities | ||
MSQL1-Bowel/Bladder Interfered Activity | C114039 | MSQL1-Bowel/Bladder Interfered Activity | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, to what extent have problems with your bowel or bladder function interfered with your normal social activities with family, friends, neighbors, or groups? | MSQOL-54 - Bowel or Bladder Function Interfere With Social Activities | ||
MSQL1-Describe How Feel About Your Life | C114042 | MSQL1-Describe How Feel About Your Life | Multiple Sclerosis Quality of Life-54 Instrument - Which best describes how you feel about your life as a whole? | MSQOL-54 - Describe How You Feel About Your Life | ||
MSQL1-Did Pain Interfere With Your Work | C114009 | MSQL1-Did Pain Interfere With Your Work | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much did pain interfere with your normal work? | MSQOL-54 - Pain Interfere With Normal Work | ||
MSQL1-Did You Feel Full of Pep | C114010 | MSQL1-Did You Feel Full of Pep | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel full of pep? | MSQOL-54 - Feel Full of Pep | ||
MSQL1-Did You Feel Rested on Waking | C114019 | MSQL1-Did You Feel Rested on Waking | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel rested on waking in the morning? | MSQOL-54 - Feel Rested Waking in the Morning | ||
MSQL1-Did You Feel Tired | C114018 | MSQL1-Did You Feel Tired | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel tired? | MSQOL-54 - Feel Tired | ||
MSQL1-Did You Feel Worn Out | C114016 | MSQL1-Did You Feel Worn Out | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel worn out? | MSQOL-54 - Feel Worn Out | ||
MSQL1-Did You Have a Lot of Energy | C114014 | MSQL1-Did You Have a Lot of Energy | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you have a lot of energy? | MSQOL-54 - Have a Lot of Energy | ||
MSQL1-Difficult Getting/Keeping Erection | C114034 | MSQL1-Difficult Getting/Keeping Erection | Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Difficulty getting or keeping an erection. | MSQOL-54 - Difficulty Keeping an Erection | ||
MSQL1-Difficulty Concentrating/Thinking | C114029 | MSQL1-Difficulty Concentrating/Thinking | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you had difficulty concentrating and thinking? | MSQOL-54 - Difficulty Concentrating and Thinking | ||
MSQL1-Difficulty Having Orgasm | C114036 | MSQL1-Difficulty Having Orgasm | Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Difficulty having orgasm. | MSQOL-54 - Difficulty Having Orgasm | ||
MSQL1-Discouraged by Health Problems | C114025 | MSQL1-Discouraged by Health Problems | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Were you discouraged by your health problems? | MSQOL-54 - Discouraged by Health Problem | ||
MSQL1-Emotional Problem: Accomplish Less | C114005 | MSQL1-Emotional Problem: Accomplish Less | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Accomplished less than you would like. | MSQOL-54 - Emotional Problem Accomplish Less | ||
MSQL1-Emotional Problem: Cut Work Time | C114004 | MSQL1-Emotional Problem: Cut Work Time | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Cut down on the amount of time you could spend on work or other activities. | MSQOL-54 - Emotional Problem Cut Down Time on Work | ||
MSQL1-Emotional Problem: Less Careful | C114006 | MSQL1-Emotional Problem: Less Careful | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Didn't do work or other activities as carefully as usual. | MSQOL-54 - Emotional Problem Did Not Do Work Carefully | ||
MSQL1-Extent Interfered Social Activity | C114007 | MSQL1-Extent Interfered Social Activity | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups? | MSQOL-54 - Extend Physical Health or Emotional Problem Interfere With Social Activities | ||
MSQL1-Get Sick Easier Than Other People | C114021 | MSQL1-Get Sick Easier Than Other People | Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I seem to get sick a little easier than other people. | MSQOL-54 - Get Sick Easier Than Other | ||
MSQL1-Have Been a Very Nervous Person | C114011 | MSQL1-Have Been a Very Nervous Person | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you been a very nervous person? | MSQOL-54 - Been a Nervous Person | ||
MSQL1-Have Felt Downhearted and Blue | C114015 | MSQL1-Have Felt Downhearted and Blue | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt downhearted and blue? | MSQOL-54 - Felt Downhearted and Blue | ||
MSQL1-Have Felt So Down in the Dumps | C114012 | MSQL1-Have Felt So Down in the Dumps | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt so down in the dumps that nothing could cheer you up? | MSQOL-54 - Felt So Down Nothing Could Cheer You Up | ||
MSQL1-Have Had Trouble With Your Memory | C114031 | MSQL1-Have Had Trouble With Your Memory | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you had trouble with your memory? | MSQOL-54 - Trouble With Memory | ||
MSQL1-Have You Been a Happy Person | C114017 | MSQL1-Have You Been a Happy Person | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you been a happy person? | MSQOL-54 - Been a Happy Person | ||
MSQL1-Have You Felt Calm and Peaceful | C114013 | MSQL1-Have You Felt Calm and Peaceful | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have you felt calm and peaceful? | MSQOL-54 - Felt Calm and Peaceful | ||
MSQL1-Health Limit Bathing/Dressing Self | C113999 | MSQL1-Health Limit Bathing/Dressing Self | Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Bathing and dressing yourself. | MSQOL-54 - Health Limit Bathing and Dressing Yourself | ||
MSQL1-Health Limit Bending or Kneeling | C113995 | MSQL1-Health Limit Bending or Kneeling | Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Bending, kneeling, or stooping. | MSQOL-54 - Health Limit Bending, Kneeling or Stooping | ||
MSQL1-Health Limit Carrying Groceries | C113992 | MSQL1-Health Limit Carrying Groceries | Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Lifting or carrying groceries. | MSQOL-54 - Health Limit Lifting or Carrying Groceries | ||
MSQL1-Health Limit Climb One Flight | C113994 | MSQL1-Health Limit Climb One Flight | Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Climbing one flight of stairs. | MSQOL-54 - Health Limit Climbing One Stair | ||
MSQL1-Health Limit Climb Several Flights | C113993 | MSQL1-Health Limit Climb Several Flights | Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Climbing several flights of stairs. | MSQOL-54 - Health Limit Climbing Several Stairs | ||
MSQL1-Health Limit Moderate Activities | C113991 | MSQL1-Health Limit Moderate Activities | Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. | MSQOL-54 - Health Limit Moderate Activities | ||
MSQL1-Health Limit Vigorous Activities | C113990 | MSQL1-Health Limit Vigorous Activities | Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports. | MSQOL-54 - Health Limit Vigorous Activities | ||
MSQL1-Health Limit Walk More Than Mile | C113996 | MSQL1-Health Limit Walk More Than Mile | Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking more than a mile. | MSQOL-54 - Health Limit Walking More than A Mile | ||
MSQL1-Health Limit Walk One Block | C113998 | MSQL1-Health Limit Walk One Block | Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking one block. | MSQOL-54 - Health Limit Walking One Block | ||
MSQL1-Health Limit Walk Several Blocks | C113997 | MSQL1-Health Limit Walk Several Blocks | Multiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking several blocks. | MSQOL-54 - Health Limit Walking Several Blocks | ||
MSQL1-Health Now Compared to 1 Year Ago | C113989 | MSQL1-Health Now Compared to 1 Year Ago | Multiple Sclerosis Quality of Life-54 Instrument - Compared to one year ago, how would you rate your health in general now? | MSQOL-54 - Health Now Compared to One Year Ago | ||
MSQL1-How Much Bodily Pain Have You Had | C114008 | MSQL1-How Much Bodily Pain Have You Had | Multiple Sclerosis Quality of Life-54 Instrument - How much bodily pain have you had during the past 4 weeks? | MSQOL-54 - Bodily Pain | ||
MSQL1-I Am as Healthy as Anybody I Know | C114022 | MSQL1-I Am as Healthy as Anybody I Know | Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I am as healthy as anybody I know. | MSQOL-54 - As Healthy as Anybody | ||
MSQL1-I Expect My Health to Get Worse | C114023 | MSQL1-I Expect My Health to Get Worse | Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: I expect my health to get worse. | MSQOL-54 - Expect Health to Get Worse | ||
MSQL1-Inadequate Lubrication | C114035 | MSQL1-Inadequate Lubrication | Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Inadequate lubrication. | MSQOL-54 - Inadequate Lubrication | ||
MSQL1-Lack of Sexual Interest | C114033 | MSQL1-Lack of Sexual Interest | Multiple Sclerosis Quality of Life-54 Instrument - How much of a problem was each of the following for you during the past 4 weeks: Lack of sexual interest. | MSQOL-54 - Lack of Sexual Interest | ||
MSQL1-My Health Is Excellent | C114024 | MSQL1-My Health Is Excellent | Multiple Sclerosis Quality of Life-54 Instrument - How TRUE or FALSE is each of the following statements for you: My health is excellent. | MSQOL-54 - Health is Excellent | ||
MSQL1-Others Notice Your Memory Trouble | C114032 | MSQL1-Others Notice Your Memory Trouble | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Have others, such as family members or friends, noticed that you have trouble with your memory or problems with your concentration? | MSQOL-54 - Others Notice Your Problems With Memory or Concentration | ||
MSQL1-Pain Interfere Enjoyment of Life | C114040 | MSQL1-Pain Interfere Enjoyment of Life | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, how much did pain interfere with your enjoyment of life? | MSQOL-54 - Pain Interfere Enjoyment of Life | ||
MSQL1-Phys Health: Accomplish Less | C114001 | MSQL1-Phys Health: Accomplish Less | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Accomplished less than you would like. | MSQOL-54 - Physical Health Accomplish Less | ||
MSQL1-Phys Health: Cut Work Time | C114000 | MSQL1-Phys Health: Cut Work Time | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Cut down on the amount of time you could spend on work or other activities. | MSQOL-54 - Physical Health Cut Down Time on Work | ||
MSQL1-Phys Health: Difficulty Performing | C114003 | MSQL1-Phys Health: Difficulty Performing | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Had difficulty performing the work or other activities. | MSQOL-54 - Physical Health Difficulty Perform Work | ||
MSQL1-Phys Health: Limit Kind of Work | C114002 | MSQL1-Phys Health: Limit Kind of Work | Multiple Sclerosis Quality of Life-54 Instrument - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Were limited in the kind of work or other activities. | MSQOL-54 - Physical Health Limited in the Kind of Work | ||
MSQL1-Rate Your Own Quality-of-Life | C114041 | MSQL1-Rate Your Own Quality-of-Life | Multiple Sclerosis Quality of Life-54 Instrument - Overall, how would you rate your own quality-of-life? | MSQOL-54 - Rate Your Own Quality of Life | ||
MSQL1-Satisfied With Sexual Function | C114038 | MSQL1-Satisfied With Sexual Function | Multiple Sclerosis Quality of Life-54 Instrument - Overall, how satisfied were you with your sexual function during the past 4 weeks? | MSQOL-54 - Satisfied With Sexual Function | ||
MSQL1-Trouble Keep Attention for Long | C114030 | MSQL1-Trouble Keep Attention for Long | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you have trouble keeping your attention on an activity for long? | MSQOL-54 - Trouble Keep Attention for Long | ||
MSQL1-Was Health a Worry in Your Life | C114027 | MSQL1-Was Health a Worry in Your Life | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Was your health a worry in your life? | MSQOL-54 - Health a Worry in Life | ||
MSQL1-Weighed Down by Health Problems | C114028 | MSQL1-Weighed Down by Health Problems | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel weighed down by your health problems? | MSQOL-54 - Feel Weighed Down by Health Problem | ||
MSQL1-Were Frustrated About Your Health | C114026 | MSQL1-Were Frustrated About Your Health | Multiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Were you frustrated about your health? | MSQOL-54 - Frustrated With Health | ||
MSQL1-Would You Say Your Health Is | C113988 | MSQL1-Would You Say Your Health Is | Multiple Sclerosis Quality of Life-54 Instrument - In general, would you say your health is: | MSQOL-54 - Would You Say Your Health Is | ||
Back to top | ||||||
CL.C112453.VFQ25-Interviewer Administered TESTCD | QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Test Code (VFQ25-Interviewer Administered TESTCD) | text Extensible: No | C112453 | QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Test Code | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format test code. | CDISC Questionnaire VFQ25-Interviewer Administered Format Test Code Terminology |
VFQ101 | C112729 | VFQ1-Your Overall Health Is | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: In general, would you say your overall health is: | VFQ25-Interviewer Administered Format - Overall Health | ||
VFQ102 | C112730 | VFQ1-Eyesight Using Both Eyes Is | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: At the present time, would you say your eyesight using both eyes (with glasses or contact lenses, if you wear them) is excellent, good, fair, poor, or very poor or are you completely blind? | VFQ25-Interviewer Administered Format - Eyesight Using Both Eyes | ||
VFQ103 | C112731 | VFQ1-How Often You Worry About Eyesight | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: How much of the time do you worry about your eyesight? | VFQ25-Interviewer Administered Format - Time Spent Worry About Eyesight | ||
VFQ104 | C112732 | VFQ1-How Much Pain in and Around Eyes | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: How much pain or discomfort have you had in and around your eyes (for example, burning, itching, or aching)? Would you say it is: | VFQ25-Interviewer Administered Format - Pain or Discomfort You Had in and Around Eyes | ||
VFQ105 | C112733 | VFQ1-Difficulty Reading Newspapers | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have reading ordinary print in newspapers? Would you say you have: | VFQ25-Interviewer Administered Format - Difficulty Reading Ordinary Print in Newspapers | ||
VFQ106 | C112734 | VFQ1-Difficulty Doing Work/Hobbies | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, sewing, fixing things around the house, or using hand tools? Would you say: | VFQ25-Interviewer Administered Format - Difficulty Doing Work or Hobbies | ||
VFQ107 | C112735 | VFQ1-Difficulty Finding on Crowded Shelf | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have finding something on a crowded shelf? | VFQ25-Interviewer Administered Format - Difficulty Finding Something On a Shelf | ||
VFQ108 | C112736 | VFQ1-Difficulty Reading Street Signs | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have reading street signs or the names of stores? | VFQ25-Interviewer Administered Format - Difficulty Reading Street Signs | ||
VFQ109 | C112737 | VFQ1-Difficulty Going Down Step at Night | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going down steps, stairs, or curbs in dim light or at night? | VFQ25-Interviewer Administered Format - Difficulty Going Down Steps at Night | ||
VFQ110 | C112738 | VFQ1-Difficulty Noticing Objects to Side | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have noticing objects off to the side while you are walking along? | VFQ25-Interviewer Administered Format - Difficulty Noticing Objects Off to the Side While Walking | ||
VFQ111 | C112739 | VFQ1-Difficulty Seeing How People React | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have seeing how people react to things you say? | VFQ25-Interviewer Administered Format - Difficulty Seeing How People React | ||
VFQ112 | C112740 | VFQ1-Difficulty Picking Out Own Clothes | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have picking out and matching your own clothes? | VFQ25-Interviewer Administered Format - Difficulty Picking Out and Matching Own Clothes | ||
VFQ113 | C112741 | VFQ1-Difficulty Visiting With People | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have visiting with people in their homes, at parties, or in restaurants? | VFQ25-Interviewer Administered Format - Difficulty Visiting People | ||
VFQ114 | C112742 | VFQ1-Difficulty Going Out to See Movies | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going out to see movies, plays, or sports events? | VFQ25-Interviewer Administered Format - Difficulty Going Out to See Movies | ||
VFQ115 | C112743 | VFQ1-Are You Currently Driving | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Are you currently driving, at least once in a while? | VFQ25-Interviewer Administered Format - Are You Currently Driving | ||
VFQ115A | C112744 | VFQ1-Never Driven or Given Up Driving | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If no, Have you never driven a car or have you given up driving? | VFQ25-Interviewer Administered Format - Never Driven or Given Up Driving | ||
VFQ115B | C112745 | VFQ1-Main Reason You Gave Up Driving | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If gave up driving: Was that mainly because of your eyesight, mainly for some other reason, or because of both your eyesight and other reasons? | VFQ25-Interviewer Administered Format - Main Reason You Gave Up Driving | ||
VFQ115C | C112746 | VFQ1-Difficulty Driving During Daytime | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If currently driving: How much difficulty do you have driving during the daytime in familiar places? Would you say you have: | VFQ25-Interviewer Administered Format - Difficulty Driving During Daytime | ||
VFQ116 | C112747 | VFQ1-Difficulty Driving at Night | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have driving at night? Would you say you have: | VFQ25-Interviewer Administered Format - Difficulty Driving at Night | ||
VFQ116A | C112748 | VFQ1-Driving in Difficult Conditions | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have driving in difficult conditions, such as in bad weather, during rush hour, on the freeway, or in city traffic? Would you say you have: | VFQ25-Interviewer Administered Format - Driving in Difficult Condition | ||
VFQ117 | C112749 | VFQ1-Accomplish Less Than You Would Like | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Do you accomplish less than you would like because of your vision? | VFQ25-Interviewer Administered Format - Accomplish Less Because of Vision | ||
VFQ118 | C112750 | VFQ1-Limited in How Long You Can Work | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Are you limited in how long you can work or do other activities because of your vision? | VFQ25-Interviewer Administered Format - Limited in How Long You Can Work Because of Vision | ||
VFQ119 | C112751 | VFQ1-Eye Pain Keep From Doing What Like | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: How much does pain or discomfort in or around your eyes, for example, burning, itching, or aching, keep you from doing what you'd like to be doing? Would you say: | VFQ25-Interviewer Administered Format - Pain in Eyes Keep You From Doing What You Like | ||
VFQ120 | C112752 | VFQ1-I Stay Home Most of the Time | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I stay home most of the time because of my eyesight. | VFQ25-Interviewer Administered Format - Stay Home Because of Eyesight | ||
VFQ121 | C112753 | VFQ1-I Feel Frustrated a Lot of the Time | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I feel frustrated a lot of the time because of my eyesight. | VFQ25-Interviewer Administered Format - Feel Frustrated Because of Eyesight | ||
VFQ122 | C112754 | VFQ1-Much Less Control Over What I Do | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I have much less control over what I do, because of my eyesight. | VFQ25-Interviewer Administered Format - Have Less Control Because of Eyesight | ||
VFQ123 | C112755 | VFQ1-Rely Too Much on What Others Tell | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Because of my eyesight, I have to rely too much on what other people tell me. | VFQ25-Interviewer Administered Format - Have to Rely On Other People Because of Eyesight | ||
VFQ124 | C112756 | VFQ1-I Need a Lot of Help From Others | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I need a lot of help from others because of my eyesight. | VFQ25-Interviewer Administered Format - Need Help From Others Because of Eyesight | ||
VFQ125 | C112757 | VFQ1-Worry I'll Do Embarrassing Things | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I worry about doing things that will embarrass myself or others, because of my eyesight. | VFQ25-Interviewer Administered Format - Worry About Embarrass Myself or Others Because of Eyesight | ||
VFQ1A01 | C112758 | VFQ1-Rate Your Overall Health | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health: How would you rate your overall health, on a scale where zero is as bad as death and 10 is best possible health? | VFQ25-Interviewer Administered Format - Rate Your Overall Health | ||
VFQ1A02 | C112759 | VFQ1-Rate Your Eyesight Now | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Vision: How would you rate your eyesight now (with glasses or contact lens on, if you wear them), on a scale of from 0 to 10, where zero means the worst possible eyesight, as bad or worse than being blind, and 10 means the best possible eyesight? | VFQ25-Interviewer Administered Format - Rate Your Eyesight Now | ||
VFQ1A03 | C112760 | VFQ1-Difficulty Reading Small Print | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Wearing glasses, how much difficulty do you have reading the small print in a telephone book, on a medicine bottle, or on legal forms? Would you say: | VFQ25-Interviewer Administered Format - Difficulty Reading Small Print | ||
VFQ1A04 | C112761 | VFQ1-Difficulty Figure Out Bill Accuracy | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have figuring out whether bills you receive are accurate? | VFQ25-Interviewer Administered Format - Difficulty Figure Out Bill Accuracy | ||
VFQ1A05 | C112762 | VFQ1-Difficulty Shaving or Styling Hair | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have doing things like shaving, styling your hair, or putting on makeup? | VFQ25-Interviewer Administered Format - Difficulty Shaving or Styling Hair or Putting On Makeup | ||
VFQ1A06 | C112763 | VFQ1-Difficulty Recognizing People | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have recognizing people you know from across a room? | VFQ25-Interviewer Administered Format - Difficulty Recognizing People You Know | ||
VFQ1A07 | C112764 | VFQ1-Difficulty Taking Part in Sports | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like golf, bowling, jogging, or walking)? | VFQ25-Interviewer Administered Format - Difficulty Taking Part in Sports or Outdoor Activities | ||
VFQ1A08 | C112765 | VFQ1-Difficulty Seeing Programs on TV | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have seeing and enjoying programs on TV? | VFQ25-Interviewer Administered Format - Difficulty Seeing and Enjoying Programs on TV | ||
VFQ1A09 | C112766 | VFQ1-Difficulty Entertaining Friends | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Social Function: Because of your eyesight, how much difficulty do you have entertaining friends and family in your home? | VFQ25-Interviewer Administered Format - Difficulty Entertaining Friends and Family in Home | ||
VFQ1A11A | C112767 | VFQ1-Do You Have More Help From Others | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Role Limitations: Do you have more help from others because of your vision? | VFQ25-Interviewer Administered Format - Do You Have More Help From Others | ||
VFQ1A11B | C112768 | VFQ1-Limited in Kinds of Things Can Do | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Role Limitations: Are you limited in the kinds of things you can do because of your vision? | VFQ25-Interviewer Administered Format - Limited in Kinds of Things Can Do | ||
VFQ1A12 | C112769 | VFQ1-Often Irritable Because Eyesight | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Well-Being/Distress: I am often irritable because of my eyesight. | VFQ25-Interviewer Administered Format - Often Irritable Because of Eyesight | ||
VFQ1A13 | C112770 | VFQ1-I Don't Go Out of My Home Alone | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Dependency: I don't go out of my home alone, because of my eyesight. | VFQ25-Interviewer Administered Format - Don't Go Out of Home Alone Because of Eyesight | ||
Back to top | ||||||
CL.C112452.VFQ25-Interviewer Administered TEST | QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Test Name (VFQ25-Interviewer Administered TEST) | text Extensible: No | C112452 | QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Test Name | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format test name. | CDISC Questionnaire VFQ25-Interviewer Administered Format Test Name Terminology |
VFQ1-Accomplish Less Than You Would Like | C112749 | VFQ1-Accomplish Less Than You Would Like | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Do you accomplish less than you would like because of your vision? | VFQ25-Interviewer Administered Format - Accomplish Less Because of Vision | ||
VFQ1-Are You Currently Driving | C112743 | VFQ1-Are You Currently Driving | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Are you currently driving, at least once in a while? | VFQ25-Interviewer Administered Format - Are You Currently Driving | ||
VFQ1-Difficulty Doing Work/Hobbies | C112734 | VFQ1-Difficulty Doing Work/Hobbies | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, sewing, fixing things around the house, or using hand tools? Would you say: | VFQ25-Interviewer Administered Format - Difficulty Doing Work or Hobbies | ||
VFQ1-Difficulty Driving at Night | C112747 | VFQ1-Difficulty Driving at Night | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have driving at night? Would you say you have: | VFQ25-Interviewer Administered Format - Difficulty Driving at Night | ||
VFQ1-Difficulty Driving During Daytime | C112746 | VFQ1-Difficulty Driving During Daytime | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If currently driving: How much difficulty do you have driving during the daytime in familiar places? Would you say you have: | VFQ25-Interviewer Administered Format - Difficulty Driving During Daytime | ||
VFQ1-Difficulty Entertaining Friends | C112766 | VFQ1-Difficulty Entertaining Friends | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Social Function: Because of your eyesight, how much difficulty do you have entertaining friends and family in your home? | VFQ25-Interviewer Administered Format - Difficulty Entertaining Friends and Family in Home | ||
VFQ1-Difficulty Figure Out Bill Accuracy | C112761 | VFQ1-Difficulty Figure Out Bill Accuracy | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have figuring out whether bills you receive are accurate? | VFQ25-Interviewer Administered Format - Difficulty Figure Out Bill Accuracy | ||
VFQ1-Difficulty Finding on Crowded Shelf | C112735 | VFQ1-Difficulty Finding on Crowded Shelf | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have finding something on a crowded shelf? | VFQ25-Interviewer Administered Format - Difficulty Finding Something On a Shelf | ||
VFQ1-Difficulty Going Down Step at Night | C112737 | VFQ1-Difficulty Going Down Step at Night | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going down steps, stairs, or curbs in dim light or at night? | VFQ25-Interviewer Administered Format - Difficulty Going Down Steps at Night | ||
VFQ1-Difficulty Going Out to See Movies | C112742 | VFQ1-Difficulty Going Out to See Movies | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going out to see movies, plays, or sports events? | VFQ25-Interviewer Administered Format - Difficulty Going Out to See Movies | ||
VFQ1-Difficulty Noticing Objects to Side | C112738 | VFQ1-Difficulty Noticing Objects to Side | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have noticing objects off to the side while you are walking along? | VFQ25-Interviewer Administered Format - Difficulty Noticing Objects Off to the Side While Walking | ||
VFQ1-Difficulty Picking Out Own Clothes | C112740 | VFQ1-Difficulty Picking Out Own Clothes | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have picking out and matching your own clothes? | VFQ25-Interviewer Administered Format - Difficulty Picking Out and Matching Own Clothes | ||
VFQ1-Difficulty Reading Newspapers | C112733 | VFQ1-Difficulty Reading Newspapers | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have reading ordinary print in newspapers? Would you say you have: | VFQ25-Interviewer Administered Format - Difficulty Reading Ordinary Print in Newspapers | ||
VFQ1-Difficulty Reading Small Print | C112760 | VFQ1-Difficulty Reading Small Print | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Wearing glasses, how much difficulty do you have reading the small print in a telephone book, on a medicine bottle, or on legal forms? Would you say: | VFQ25-Interviewer Administered Format - Difficulty Reading Small Print | ||
VFQ1-Difficulty Reading Street Signs | C112736 | VFQ1-Difficulty Reading Street Signs | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have reading street signs or the names of stores? | VFQ25-Interviewer Administered Format - Difficulty Reading Street Signs | ||
VFQ1-Difficulty Recognizing People | C112763 | VFQ1-Difficulty Recognizing People | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have recognizing people you know from across a room? | VFQ25-Interviewer Administered Format - Difficulty Recognizing People You Know | ||
VFQ1-Difficulty Seeing How People React | C112739 | VFQ1-Difficulty Seeing How People React | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have seeing how people react to things you say? | VFQ25-Interviewer Administered Format - Difficulty Seeing How People React | ||
VFQ1-Difficulty Seeing Programs on TV | C112765 | VFQ1-Difficulty Seeing Programs on TV | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have seeing and enjoying programs on TV? | VFQ25-Interviewer Administered Format - Difficulty Seeing and Enjoying Programs on TV | ||
VFQ1-Difficulty Shaving or Styling Hair | C112762 | VFQ1-Difficulty Shaving or Styling Hair | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have doing things like shaving, styling your hair, or putting on makeup? | VFQ25-Interviewer Administered Format - Difficulty Shaving or Styling Hair or Putting On Makeup | ||
VFQ1-Difficulty Taking Part in Sports | C112764 | VFQ1-Difficulty Taking Part in Sports | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like golf, bowling, jogging, or walking)? | VFQ25-Interviewer Administered Format - Difficulty Taking Part in Sports or Outdoor Activities | ||
VFQ1-Difficulty Visiting With People | C112741 | VFQ1-Difficulty Visiting With People | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have visiting with people in their homes, at parties, or in restaurants? | VFQ25-Interviewer Administered Format - Difficulty Visiting People | ||
VFQ1-Do You Have More Help From Others | C112767 | VFQ1-Do You Have More Help From Others | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Role Limitations: Do you have more help from others because of your vision? | VFQ25-Interviewer Administered Format - Do You Have More Help From Others | ||
VFQ1-Driving in Difficult Conditions | C112748 | VFQ1-Driving in Difficult Conditions | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: How much difficulty do you have driving in difficult conditions, such as in bad weather, during rush hour, on the freeway, or in city traffic? Would you say you have: | VFQ25-Interviewer Administered Format - Driving in Difficult Condition | ||
VFQ1-Eye Pain Keep From Doing What Like | C112751 | VFQ1-Eye Pain Keep From Doing What Like | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: How much does pain or discomfort in or around your eyes, for example, burning, itching, or aching, keep you from doing what you'd like to be doing? Would you say: | VFQ25-Interviewer Administered Format - Pain in Eyes Keep You From Doing What You Like | ||
VFQ1-Eyesight Using Both Eyes Is | C112730 | VFQ1-Eyesight Using Both Eyes Is | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: At the present time, would you say your eyesight using both eyes (with glasses or contact lenses, if you wear them) is excellent, good, fair, poor, or very poor or are you completely blind? | VFQ25-Interviewer Administered Format - Eyesight Using Both Eyes | ||
VFQ1-How Much Pain in and Around Eyes | C112732 | VFQ1-How Much Pain in and Around Eyes | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: How much pain or discomfort have you had in and around your eyes (for example, burning, itching, or aching)? Would you say it is: | VFQ25-Interviewer Administered Format - Pain or Discomfort You Had in and Around Eyes | ||
VFQ1-How Often You Worry About Eyesight | C112731 | VFQ1-How Often You Worry About Eyesight | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: How much of the time do you worry about your eyesight? | VFQ25-Interviewer Administered Format - Time Spent Worry About Eyesight | ||
VFQ1-I Don't Go Out of My Home Alone | C112770 | VFQ1-I Don't Go Out of My Home Alone | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Dependency: I don't go out of my home alone, because of my eyesight. | VFQ25-Interviewer Administered Format - Don't Go Out of Home Alone Because of Eyesight | ||
VFQ1-I Feel Frustrated a Lot of the Time | C112753 | VFQ1-I Feel Frustrated a Lot of the Time | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I feel frustrated a lot of the time because of my eyesight. | VFQ25-Interviewer Administered Format - Feel Frustrated Because of Eyesight | ||
VFQ1-I Need a Lot of Help From Others | C112756 | VFQ1-I Need a Lot of Help From Others | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I need a lot of help from others because of my eyesight. | VFQ25-Interviewer Administered Format - Need Help From Others Because of Eyesight | ||
VFQ1-I Stay Home Most of the Time | C112752 | VFQ1-I Stay Home Most of the Time | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I stay home most of the time because of my eyesight. | VFQ25-Interviewer Administered Format - Stay Home Because of Eyesight | ||
VFQ1-Limited in How Long You Can Work | C112750 | VFQ1-Limited in How Long You Can Work | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Are you limited in how long you can work or do other activities because of your vision? | VFQ25-Interviewer Administered Format - Limited in How Long You Can Work Because of Vision | ||
VFQ1-Limited in Kinds of Things Can Do | C112768 | VFQ1-Limited in Kinds of Things Can Do | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Role Limitations: Are you limited in the kinds of things you can do because of your vision? | VFQ25-Interviewer Administered Format - Limited in Kinds of Things Can Do | ||
VFQ1-Main Reason You Gave Up Driving | C112745 | VFQ1-Main Reason You Gave Up Driving | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If gave up driving: Was that mainly because of your eyesight, mainly for some other reason, or because of both your eyesight and other reasons? | VFQ25-Interviewer Administered Format - Main Reason You Gave Up Driving | ||
VFQ1-Much Less Control Over What I Do | C112754 | VFQ1-Much Less Control Over What I Do | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I have much less control over what I do, because of my eyesight. | VFQ25-Interviewer Administered Format - Have Less Control Because of Eyesight | ||
VFQ1-Never Driven or Given Up Driving | C112744 | VFQ1-Never Driven or Given Up Driving | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Difficulty With Activities: If no, Have you never driven a car or have you given up driving? | VFQ25-Interviewer Administered Format - Never Driven or Given Up Driving | ||
VFQ1-Often Irritable Because Eyesight | C112769 | VFQ1-Often Irritable Because Eyesight | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Well-Being/Distress: I am often irritable because of my eyesight. | VFQ25-Interviewer Administered Format - Often Irritable Because of Eyesight | ||
VFQ1-Rate Your Eyesight Now | C112759 | VFQ1-Rate Your Eyesight Now | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Vision: How would you rate your eyesight now (with glasses or contact lens on, if you wear them), on a scale of from 0 to 10, where zero means the worst possible eyesight, as bad or worse than being blind, and 10 means the best possible eyesight? | VFQ25-Interviewer Administered Format - Rate Your Eyesight Now | ||
VFQ1-Rate Your Overall Health | C112758 | VFQ1-Rate Your Overall Health | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health: How would you rate your overall health, on a scale where zero is as bad as death and 10 is best possible health? | VFQ25-Interviewer Administered Format - Rate Your Overall Health | ||
VFQ1-Rely Too Much on What Others Tell | C112755 | VFQ1-Rely Too Much on What Others Tell | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: Because of my eyesight, I have to rely too much on what other people tell me. | VFQ25-Interviewer Administered Format - Have to Rely On Other People Because of Eyesight | ||
VFQ1-Worry I'll Do Embarrassing Things | C112757 | VFQ1-Worry I'll Do Embarrassing Things | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - Responses to Vision Problems: I worry about doing things that will embarrass myself or others, because of my eyesight. | VFQ25-Interviewer Administered Format - Worry About Embarrass Myself or Others Because of Eyesight | ||
VFQ1-Your Overall Health Is | C112729 | VFQ1-Your Overall Health Is | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format - General Health and Vision: In general, would you say your overall health is: | VFQ25-Interviewer Administered Format - Overall Health | ||
Back to top | ||||||
CL.C112455.VFQ25-Self Administered TESTCD | QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Test Code (VFQ25-Self Administered TESTCD) | text Extensible: No | C112455 | QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Test Code | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format test code. | CDISC Questionnaire VFQ25-Self Administered Format Test Code Terminology |
VFQ201 | C112771 | VFQ2-Your Overall Health Is | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: In general, would you say your overall health is: | VFQ25-Self Administered Format - Overall Health | ||
VFQ202 | C112772 | VFQ2-Eyesight Using Both Eyes Is | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: At the present time, would you say your eyesight using both eyes (with glasses or contact lenses, if you wear them) is excellent, good, fair, poor, or very poor or are you completely blind? | VFQ25-Self Administered Format - Eyesight Using Both Eyes | ||
VFQ203 | C112773 | VFQ2-How Often You Worry About Eyesight | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: How much of the time do you worry about your eyesight? | VFQ25-Self Administered Format - Time Spent Worry About Eyesight | ||
VFQ204 | C112774 | VFQ2-How Much Pain in and Around Eyes | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: How much pain or discomfort have you had in and around your eyes (for example, burning, itching, or aching)? Would you say it is: | VFQ25-Self Administered Format - Pain or Discomfort You Had in and Around Eyes | ||
VFQ205 | C112775 | VFQ2-Difficulty Reading Newspapers | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have reading ordinary print in newspapers? Would you say you have: | VFQ25-Self Administered Format - Difficulty Reading Ordinary Print in Newspapers | ||
VFQ206 | C112776 | VFQ2-Difficulty Doing Work/Hobbies | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, sewing, fixing things around the house, or using hand tools? Would you say: | VFQ25-Self Administered Format - Difficulty Doing Work or Hobbies | ||
VFQ207 | C112777 | VFQ2-Difficulty Finding on Crowded Shelf | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have finding something on a crowded shelf? | VFQ25-Self Administered Format - Difficulty Finding Something On a Shelf | ||
VFQ208 | C112778 | VFQ2-Difficulty Reading Street Signs | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have reading street signs or the names of stores? | VFQ25-Self Administered Format - Difficulty Reading Street Signs | ||
VFQ209 | C112779 | VFQ2-Difficulty Going Down Step at Night | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going down steps, stairs, or curbs in dim light or at night? | VFQ25-Self Administered Format - Difficulty Going Down Steps at Night | ||
VFQ210 | C112780 | VFQ2-Difficulty Noticing Objects to Side | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have noticing objects off to the side while you are walking along? | VFQ25-Self Administered Format - Difficulty Noticing Objects Off to the Side While Walking | ||
VFQ211 | C112781 | VFQ2-Difficulty Seeing How People React | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have seeing how people react to things you say? | VFQ25-Self Administered Format - Difficulty Seeing How People React | ||
VFQ212 | C112782 | VFQ2-Difficulty Picking Out Own Clothes | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have picking out and matching your own clothes? | VFQ25-Self Administered Format - Difficulty Picking Out and Matching Own Clothes | ||
VFQ213 | C112783 | VFQ2-Difficulty Visiting With People | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have visiting with people in their homes, at parties, or in restaurants? | VFQ25-Self Administered Format - Difficulty Visiting People | ||
VFQ214 | C112784 | VFQ2-Difficulty Going Out to See Movies | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going out to see movies, plays, or sports events? | VFQ25-Self Administered Format - Difficulty Going Out to See Movies | ||
VFQ215 | C112785 | VFQ2-Are You Currently Driving | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Are you currently driving, at least once in a while? | VFQ25-Self Administered Format - Are You Currently Driving | ||
VFQ215A | C112786 | VFQ2-Never Driven or Given Up Driving | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If no: Have you never driven a car or have you given up driving? | VFQ25-Self Administered Format - Never Driven or Given Up Driving | ||
VFQ215B | C112787 | VFQ2-Main Reason You Gave Up Driving | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If you gave up driving: Was that mainly because of your eyesight, mainly for some other reason, or because of both your eyesight and other reasons? | VFQ25-Self Administered Format - Main Reason You Gave Up Driving | ||
VFQ215C | C112788 | VFQ2-Difficulty Driving During Daytime | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If currently driving: How much difficulty do you have driving during the daytime in familiar places? Would you say you have: | VFQ25-Self Administered Format - Difficulty Driving During Daytime | ||
VFQ216 | C112789 | VFQ2-Difficulty Driving at Night | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have driving at night? Would you say you have: | VFQ25-Self Administered Format - Difficulty Driving at Night | ||
VFQ216A | C112790 | VFQ2-Driving in Difficult Conditions | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have driving in difficult conditions, such as in bad weather, during rush hour, on the freeway, or in city traffic? Would you say you have: | VFQ25-Self Administered Format - Driving in Difficult Condition | ||
VFQ217 | C112791 | VFQ2-Accomplish Less Than You Would Like | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Do you accomplish less than you would like because of your vision? | VFQ25-Self Administered Format - Accomplish Less Because of Vision | ||
VFQ218 | C112792 | VFQ2-Limited in How Long You Can Work | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Are you limited in how long you can work or do other activities because of your vision? | VFQ25-Self Administered Format - Limited in How Long You Can Work Because of Vision | ||
VFQ219 | C112793 | VFQ2-Eye Pain Keep From Doing What Like | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: How much does pain or discomfort in or around your eyes, for example, burning, itching, or aching, keep you from doing what you'd like to be doing? Would you say: | VFQ25-Self Administered Format - Pain in Eyes Keep You From Doing What You Like | ||
VFQ220 | C112794 | VFQ2-I Stay Home Most of the Time | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I stay home most of the time because of my eyesight. | VFQ25-Self Administered Format - Stay Home Because of Eyesight | ||
VFQ221 | C112795 | VFQ2-I Feel Frustrated a Lot of the Time | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I feel frustrated a lot of the time because of my eyesight. | VFQ25-Self Administered Format - Feel Frustrated Because of Eyesight | ||
VFQ222 | C112796 | VFQ2-Much Less Control Over What I Do | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I have much less control over what I do, because of my eyesight. | VFQ25-Self Administered Format - Have Less Control Because of Eyesight | ||
VFQ223 | C112797 | VFQ2-Rely Too Much on What Others Tell | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Because of my eyesight, I have to rely too much on what other people tell me. | VFQ25-Self Administered Format - Have to Rely On Other People Because of Eyesight | ||
VFQ224 | C112798 | VFQ2-I Need a Lot of Help From Others | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I need a lot of help from others because of my eyesight. | VFQ25-Self Administered Format - Need Help From Others Because of Eyesight | ||
VFQ225 | C112799 | VFQ2-Worry I'll Do Embarrassing Things | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I worry about doing things that will embarrass myself or others, because of my eyesight. | VFQ25-Self Administered Format - Worry About Embarrass Myself or Others Because of Eyesight | ||
VFQ2A01 | C112800 | VFQ2-Rate Your Overall Health | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health: How would you rate your overall health, on a scale where zero is as bad as death and 10 is best possible health? | VFQ25-Self Administered Format - Rate Your Overall Health | ||
VFQ2A02 | C112801 | VFQ2-Rate Your Eyesight Now | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Vision: How would you rate your eyesight now (with glasses or contact lens on, if you wear them), on a scale of from 0 to 10, where zero means the worst possible eyesight, as bad or worse than being blind, and 10 means the best possible eyesight? | VFQ25-Self Administered Format - Rate Your Eyesight Now | ||
VFQ2A03 | C112802 | VFQ2-Difficulty Reading Small Print | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Wearing glasses, how much difficulty do you have reading the small print in a telephone book, on a medicine bottle, or on legal forms? Would you say: | VFQ25-Self Administered Format - Difficulty Reading Small Print | ||
VFQ2A04 | C112803 | VFQ2-Difficulty Figure Out Bill Accuracy | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have figuring out whether bills you receive are accurate? | VFQ25-Self Administered Format - Difficulty Figure Out Bill Accuracy | ||
VFQ2A05 | C112804 | VFQ2-Difficulty Shaving or Styling Hair | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have doing things like shaving, styling your hair, or putting on makeup? | VFQ25-Self Administered Format - Difficulty Shaving or Styling Hair or Putting On Makeup | ||
VFQ2A06 | C112805 | VFQ2-Difficulty Recognizing People | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have recognizing people you know from across a room? | VFQ25-Self Administered Format - Difficulty Recognizing People You Know | ||
VFQ2A07 | C112806 | VFQ2-Difficulty Taking Part in Sports | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like golf, bowling, jogging, or walking)? | VFQ25-Self Administered Format - Difficulty Taking Part in Sports or Outdoor Activities | ||
VFQ2A08 | C112807 | VFQ2-Difficulty Seeing Programs on TV | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have seeing and enjoying programs on TV? | VFQ25-Self Administered Format - Difficulty Seeing and Enjoying Programs on TV | ||
VFQ2A09 | C112808 | VFQ2-Difficulty Entertaining Friends | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Social Function: Because of your eyesight, how much difficulty do you have entertaining friends and family in your home? | VFQ25-Self Administered Format - Difficulty Entertaining Friends and Family in Home | ||
VFQ2A11A | C112809 | VFQ2-Do You Have More Help From Others | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Role Limitations: Do you have more help from others because of your vision? | VFQ25-Self Administered Format - Do You Have More Help From Others | ||
VFQ2A11B | C112810 | VFQ2-Limited in Kinds of Things Can Do | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Role Limitations: Are you limited in the kinds of things you can do because of your vision? | VFQ25-Self Administered Format - Limited in Kinds of Things Can Do | ||
VFQ2A12 | C112811 | VFQ2-Often Irritable Because Eyesight | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Well-Being/Distress: I am often irritable because of my eyesight. | VFQ25-Self Administered Format - Often Irritable Because of Eyesight | ||
VFQ2A13 | C112812 | VFQ2-I Don't Go Out of My Home Alone | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Dependency: I don't go out of my home alone, because of my eyesight. | VFQ25-Self Administered Format - Don't Go Out of Home Alone Because of Eyesight | ||
Back to top | ||||||
CL.C112454.VFQ25-Self Administered TEST | QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Test Name (VFQ25-Self Administered TEST) | text Extensible: No | C112454 | QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Test Name | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format test name. | CDISC Questionnaire VFQ25-Self Administered Format Test Name Terminology |
VFQ2-Accomplish Less Than You Would Like | C112791 | VFQ2-Accomplish Less Than You Would Like | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Do you accomplish less than you would like because of your vision? | VFQ25-Self Administered Format - Accomplish Less Because of Vision | ||
VFQ2-Are You Currently Driving | C112785 | VFQ2-Are You Currently Driving | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Are you currently driving, at least once in a while? | VFQ25-Self Administered Format - Are You Currently Driving | ||
VFQ2-Difficulty Doing Work/Hobbies | C112776 | VFQ2-Difficulty Doing Work/Hobbies | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, sewing, fixing things around the house, or using hand tools? Would you say: | VFQ25-Self Administered Format - Difficulty Doing Work or Hobbies | ||
VFQ2-Difficulty Driving at Night | C112789 | VFQ2-Difficulty Driving at Night | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have driving at night? Would you say you have: | VFQ25-Self Administered Format - Difficulty Driving at Night | ||
VFQ2-Difficulty Driving During Daytime | C112788 | VFQ2-Difficulty Driving During Daytime | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If currently driving: How much difficulty do you have driving during the daytime in familiar places? Would you say you have: | VFQ25-Self Administered Format - Difficulty Driving During Daytime | ||
VFQ2-Difficulty Entertaining Friends | C112808 | VFQ2-Difficulty Entertaining Friends | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Social Function: Because of your eyesight, how much difficulty do you have entertaining friends and family in your home? | VFQ25-Self Administered Format - Difficulty Entertaining Friends and Family in Home | ||
VFQ2-Difficulty Figure Out Bill Accuracy | C112803 | VFQ2-Difficulty Figure Out Bill Accuracy | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have figuring out whether bills you receive are accurate? | VFQ25-Self Administered Format - Difficulty Figure Out Bill Accuracy | ||
VFQ2-Difficulty Finding on Crowded Shelf | C112777 | VFQ2-Difficulty Finding on Crowded Shelf | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have finding something on a crowded shelf? | VFQ25-Self Administered Format - Difficulty Finding Something On a Shelf | ||
VFQ2-Difficulty Going Down Step at Night | C112779 | VFQ2-Difficulty Going Down Step at Night | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going down steps, stairs, or curbs in dim light or at night? | VFQ25-Self Administered Format - Difficulty Going Down Steps at Night | ||
VFQ2-Difficulty Going Out to See Movies | C112784 | VFQ2-Difficulty Going Out to See Movies | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have going out to see movies, plays, or sports events? | VFQ25-Self Administered Format - Difficulty Going Out to See Movies | ||
VFQ2-Difficulty Noticing Objects to Side | C112780 | VFQ2-Difficulty Noticing Objects to Side | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have noticing objects off to the side while you are walking along? | VFQ25-Self Administered Format - Difficulty Noticing Objects Off to the Side While Walking | ||
VFQ2-Difficulty Picking Out Own Clothes | C112782 | VFQ2-Difficulty Picking Out Own Clothes | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have picking out and matching your own clothes? | VFQ25-Self Administered Format - Difficulty Picking Out and Matching Own Clothes | ||
VFQ2-Difficulty Reading Newspapers | C112775 | VFQ2-Difficulty Reading Newspapers | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have reading ordinary print in newspapers? Would you say you have: | VFQ25-Self Administered Format - Difficulty Reading Ordinary Print in Newspapers | ||
VFQ2-Difficulty Reading Small Print | C112802 | VFQ2-Difficulty Reading Small Print | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Wearing glasses, how much difficulty do you have reading the small print in a telephone book, on a medicine bottle, or on legal forms? Would you say: | VFQ25-Self Administered Format - Difficulty Reading Small Print | ||
VFQ2-Difficulty Reading Street Signs | C112778 | VFQ2-Difficulty Reading Street Signs | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have reading street signs or the names of stores? | VFQ25-Self Administered Format - Difficulty Reading Street Signs | ||
VFQ2-Difficulty Recognizing People | C112805 | VFQ2-Difficulty Recognizing People | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have recognizing people you know from across a room? | VFQ25-Self Administered Format - Difficulty Recognizing People You Know | ||
VFQ2-Difficulty Seeing How People React | C112781 | VFQ2-Difficulty Seeing How People React | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have seeing how people react to things you say? | VFQ25-Self Administered Format - Difficulty Seeing How People React | ||
VFQ2-Difficulty Seeing Programs on TV | C112807 | VFQ2-Difficulty Seeing Programs on TV | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have seeing and enjoying programs on TV? | VFQ25-Self Administered Format - Difficulty Seeing and Enjoying Programs on TV | ||
VFQ2-Difficulty Shaving or Styling Hair | C112804 | VFQ2-Difficulty Shaving or Styling Hair | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Near Vision: Because of your eyesight, how much difficulty do you have doing things like shaving, styling your hair, or putting on makeup? | VFQ25-Self Administered Format - Difficulty Shaving or Styling Hair or Putting On Makeup | ||
VFQ2-Difficulty Taking Part in Sports | C112806 | VFQ2-Difficulty Taking Part in Sports | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Distance Vision: Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like golf, bowling, jogging, or walking)? | VFQ25-Self Administered Format - Difficulty Taking Part in Sports or Outdoor Activities | ||
VFQ2-Difficulty Visiting With People | C112783 | VFQ2-Difficulty Visiting With People | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: Because of your eyesight, how much difficulty do you have visiting with people in their homes, at parties, or in restaurants? | VFQ25-Self Administered Format - Difficulty Visiting People | ||
VFQ2-Do You Have More Help From Others | C112809 | VFQ2-Do You Have More Help From Others | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Role Limitations: Do you have more help from others because of your vision? | VFQ25-Self Administered Format - Do You Have More Help From Others | ||
VFQ2-Driving in Difficult Conditions | C112790 | VFQ2-Driving in Difficult Conditions | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: How much difficulty do you have driving in difficult conditions, such as in bad weather, during rush hour, on the freeway, or in city traffic? Would you say you have: | VFQ25-Self Administered Format - Driving in Difficult Condition | ||
VFQ2-Eye Pain Keep From Doing What Like | C112793 | VFQ2-Eye Pain Keep From Doing What Like | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: How much does pain or discomfort in or around your eyes, for example, burning, itching, or aching, keep you from doing what you'd like to be doing? Would you say: | VFQ25-Self Administered Format - Pain in Eyes Keep You From Doing What You Like | ||
VFQ2-Eyesight Using Both Eyes Is | C112772 | VFQ2-Eyesight Using Both Eyes Is | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: At the present time, would you say your eyesight using both eyes (with glasses or contact lenses, if you wear them) is excellent, good, fair, poor, or very poor or are you completely blind? | VFQ25-Self Administered Format - Eyesight Using Both Eyes | ||
VFQ2-How Much Pain in and Around Eyes | C112774 | VFQ2-How Much Pain in and Around Eyes | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: How much pain or discomfort have you had in and around your eyes (for example, burning, itching, or aching)? Would you say it is: | VFQ25-Self Administered Format - Pain or Discomfort You Had in and Around Eyes | ||
VFQ2-How Often You Worry About Eyesight | C112773 | VFQ2-How Often You Worry About Eyesight | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: How much of the time do you worry about your eyesight? | VFQ25-Self Administered Format - Time Spent Worry About Eyesight | ||
VFQ2-I Don't Go Out of My Home Alone | C112812 | VFQ2-I Don't Go Out of My Home Alone | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Dependency: I don't go out of my home alone, because of my eyesight. | VFQ25-Self Administered Format - Don't Go Out of Home Alone Because of Eyesight | ||
VFQ2-I Feel Frustrated a Lot of the Time | C112795 | VFQ2-I Feel Frustrated a Lot of the Time | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I feel frustrated a lot of the time because of my eyesight. | VFQ25-Self Administered Format - Feel Frustrated Because of Eyesight | ||
VFQ2-I Need a Lot of Help From Others | C112798 | VFQ2-I Need a Lot of Help From Others | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I need a lot of help from others because of my eyesight. | VFQ25-Self Administered Format - Need Help From Others Because of Eyesight | ||
VFQ2-I Stay Home Most of the Time | C112794 | VFQ2-I Stay Home Most of the Time | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I stay home most of the time because of my eyesight. | VFQ25-Self Administered Format - Stay Home Because of Eyesight | ||
VFQ2-Limited in How Long You Can Work | C112792 | VFQ2-Limited in How Long You Can Work | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Are you limited in how long you can work or do other activities because of your vision? | VFQ25-Self Administered Format - Limited in How Long You Can Work Because of Vision | ||
VFQ2-Limited in Kinds of Things Can Do | C112810 | VFQ2-Limited in Kinds of Things Can Do | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Role Limitations: Are you limited in the kinds of things you can do because of your vision? | VFQ25-Self Administered Format - Limited in Kinds of Things Can Do | ||
VFQ2-Main Reason You Gave Up Driving | C112787 | VFQ2-Main Reason You Gave Up Driving | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If you gave up driving: Was that mainly because of your eyesight, mainly for some other reason, or because of both your eyesight and other reasons? | VFQ25-Self Administered Format - Main Reason You Gave Up Driving | ||
VFQ2-Much Less Control Over What I Do | C112796 | VFQ2-Much Less Control Over What I Do | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I have much less control over what I do, because of my eyesight. | VFQ25-Self Administered Format - Have Less Control Because of Eyesight | ||
VFQ2-Never Driven or Given Up Driving | C112786 | VFQ2-Never Driven or Given Up Driving | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Difficulty With Activities: If no: Have you never driven a car or have you given up driving? | VFQ25-Self Administered Format - Never Driven or Given Up Driving | ||
VFQ2-Often Irritable Because Eyesight | C112811 | VFQ2-Often Irritable Because Eyesight | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Well-Being/Distress: I am often irritable because of my eyesight. | VFQ25-Self Administered Format - Often Irritable Because of Eyesight | ||
VFQ2-Rate Your Eyesight Now | C112801 | VFQ2-Rate Your Eyesight Now | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Vision: How would you rate your eyesight now (with glasses or contact lens on, if you wear them), on a scale of from 0 to 10, where zero means the worst possible eyesight, as bad or worse than being blind, and 10 means the best possible eyesight? | VFQ25-Self Administered Format - Rate Your Eyesight Now | ||
VFQ2-Rate Your Overall Health | C112800 | VFQ2-Rate Your Overall Health | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health: How would you rate your overall health, on a scale where zero is as bad as death and 10 is best possible health? | VFQ25-Self Administered Format - Rate Your Overall Health | ||
VFQ2-Rely Too Much on What Others Tell | C112797 | VFQ2-Rely Too Much on What Others Tell | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: Because of my eyesight, I have to rely too much on what other people tell me. | VFQ25-Self Administered Format - Have to Rely On Other People Because of Eyesight | ||
VFQ2-Worry I'll Do Embarrassing Things | C112799 | VFQ2-Worry I'll Do Embarrassing Things | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - Responses to Vision Problems: I worry about doing things that will embarrass myself or others, because of my eyesight. | VFQ25-Self Administered Format - Worry About Embarrass Myself or Others Because of Eyesight | ||
VFQ2-Your Overall Health Is | C112771 | VFQ2-Your Overall Health Is | National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format - General Health and Vision: In general, would you say your overall health is: | VFQ25-Self Administered Format - Overall Health | ||
Back to top | ||||||
CL.C103473.NPS TESTCD | QS-Neuropathic Pain Scale Questionnaire Test Code (NPS TESTCD) | text Extensible: No | C103473 | QS-Neuropathic Pain Scale Questionnaire Test Code | Neuropathic Pain Scale test code. | CDISC Questionnaire NPS Test Code Terminology |
NPS0101 | C103638 | NPS01-Tell Us How Intense Your Pain Is | Neuropathic Pain Scale - Please use the scale below to tell us how intense your pain is. | NPS - Tell Us How Intense Your Pain Is | ||
NPS0102 | C103639 | NPS01-Tell Us How Sharp Your Pain Feels | Neuropathic Pain Scale - Please use the scale below to tell us how sharp your pain feels. Words used to describe 'sharp' feelings include 'like a knife,' 'like a spike,' 'jabbing,' or 'like jolts.' | NPS - Tell Us How Sharp Your Pain Feels | ||
NPS0103 | C103640 | NPS01-Tell Us How Hot Your Pain Feels | Neuropathic Pain Scale - Please use the scale below to tell us how hot your pain feels. Words used to describe very hot pain include 'burning' and 'on fire.' | NPS - Tell Us How Hot Your Pain Feels | ||
NPS0104 | C103641 | NPS01-Tell Us How Dull Your Pain Feels | Neuropathic Pain Scale - Please use the scale below to tell us how dull your pain feels. Words used to describe very dull pain include 'like a dull toothache,' 'dull pain,' and 'like a bruise.' | NPS - Tell Us How Dull Your Pain Feels | ||
NPS0105 | C103642 | NPS01-Tell Us How Cold Your Pain Feels | Neuropathic Pain Scale - Please use the scale below to tell us how cold your pain feels. Words used to describe very cold pain included 'like ice' and 'freezing.' | NPS - Tell Us How Cold Your Pain Feels | ||
NPS0106 | C103643 | NPS01-Sensitiv Skin to Light Touch/Cloth | Neuropathic Pain Scale - Please use the scale below to tell us how sensitive your skin is to light touch or clothing. Words used to describe sensitive skin include 'like sunburned skin,' and 'raw skin.' | NPS - Tell Us How Sensitive Your Skin is to Light Touch or Clothing | ||
NPS0107 | C103644 | NPS01-Tell Us How Itchy Your Pain Feels | Neuropathic Pain Scale - Please use the scale below to tell us how itchy your pain feels. Words used to describe itchy pain include 'like poison oak' and 'like a mosquito bite.' | NPS - Tell Us How Itchy Your Pain Feels | ||
NPS0108 | C103645 | NPS01-Describe Time Quality Of Your Pain | Neuropathic Pain Scale - Which of the following best describes the time quality of your pain? Please check only one answer. | NPS - Describe the Time Quality Of Your Pain | ||
NPS0108A | C103646 | NPS01-Describe the Background Pain | Neuropathic Pain Scale - I feel a background pain all of the time and occasional flare-ups (break-through pain) some of the time. Describe the background pain. | NPS - Describe the Background Pain | ||
NPS0108B | C103647 | NPS01-Describe the Flare-up Pain | Neuropathic Pain Scale - I feel a background pain all of the time and occasional flare-ups (break-through pain) some of the time. Describe the flare-up (break-through) pain. | NPS - Describe the Flare-up Pain | ||
NPS0108C | C103648 | NPS01-Describe Single Type Pain All Time | Neuropathic Pain Scale - I feel a single type of pain all the time. Describe this pain. | NPS - Describe the Single Type of Pain All Time | ||
NPS0108D | C103649 | NPS01-Describe the Occasional Pain | Neuropathic Pain Scale - I fee a single type of pain only sometimes. Other times, I am pain free. Describe the occasional pain. | NPS - Describe the Occasional Pain | ||
NPS0109 | C103650 | NPS01-Tell How Unpleasant Your Pain Feel | Neuropathic Pain Scale - Now that you have told us the different physical aspects of your pain, the different types of sensations, we want you to tell us overall how unpleasant your pain is to you. Words used to describe very unpleasant pain include 'miserable' and intolerable.' Remember, pain can have a low intensity, buy still feel extremely unpleasant, and some kinds of pain can have a high intensity but be very tolerable. With this scale, please tell us how unpleasant your pain feels. | NPS - Tell Us Overall How Unpleasant Your Pain is to You | ||
NPS0110A | C103651 | NPS01-How Intense is Your Deep Pain | Neuropathic Pain Scale - Lastly, we want you to give us an estimate of the severity of your deep versus surface pain. We want your to rate each location of pain separately. We realize that it can be difficult to make these estimates, and most likely it will be a 'best guess,' but please give us your best estimate. How intense is your deep pain? | NPS - How Intense is Your Deep Pain | ||
NPS0110B | C103652 | NPS01-How Intense is Your Surface Pain | Neuropathic Pain Scale - Lastly, we want you to give us an estimate of the severity of your deep versus surface pain. We want your to rate each location of pain separately. We realize that it can be difficult to make these estimates, and most likely it will be a 'best guess,' but please give us your best estimate. How intense is your surface pain? | NPS - How Intense is Your Surface Pain | ||
Back to top | ||||||
CL.C103472.NPS TEST | QS-Neuropathic Pain Scale Questionnaire Test Name (NPS TEST) | text Extensible: No | C103472 | QS-Neuropathic Pain Scale Questionnaire Test Name | Neuropathic Pain Scale test name. | CDISC Questionnaire NPS Test Name Terminology |
NPS01-Describe Single Type Pain All Time | C103648 | NPS01-Describe Single Type Pain All Time | Neuropathic Pain Scale - I feel a single type of pain all the time. Describe this pain. | NPS - Describe the Single Type of Pain All Time | ||
NPS01-Describe the Background Pain | C103646 | NPS01-Describe the Background Pain | Neuropathic Pain Scale - I feel a background pain all of the time and occasional flare-ups (break-through pain) some of the time. Describe the background pain. | NPS - Describe the Background Pain | ||
NPS01-Describe the Flare-up Pain | C103647 | NPS01-Describe the Flare-up Pain | Neuropathic Pain Scale - I feel a background pain all of the time and occasional flare-ups (break-through pain) some of the time. Describe the flare-up (break-through) pain. | NPS - Describe the Flare-up Pain | ||
NPS01-Describe the Occasional Pain | C103649 | NPS01-Describe the Occasional Pain | Neuropathic Pain Scale - I fee a single type of pain only sometimes. Other times, I am pain free. Describe the occasional pain. | NPS - Describe the Occasional Pain | ||
NPS01-Describe Time Quality Of Your Pain | C103645 | NPS01-Describe Time Quality Of Your Pain | Neuropathic Pain Scale - Which of the following best describes the time quality of your pain? Please check only one answer. | NPS - Describe the Time Quality Of Your Pain | ||
NPS01-How Intense is Your Deep Pain | C103651 | NPS01-How Intense is Your Deep Pain | Neuropathic Pain Scale - Lastly, we want you to give us an estimate of the severity of your deep versus surface pain. We want your to rate each location of pain separately. We realize that it can be difficult to make these estimates, and most likely it will be a 'best guess,' but please give us your best estimate. How intense is your deep pain? | NPS - How Intense is Your Deep Pain | ||
NPS01-How Intense is Your Surface Pain | C103652 | NPS01-How Intense is Your Surface Pain | Neuropathic Pain Scale - Lastly, we want you to give us an estimate of the severity of your deep versus surface pain. We want your to rate each location of pain separately. We realize that it can be difficult to make these estimates, and most likely it will be a 'best guess,' but please give us your best estimate. How intense is your surface pain? | NPS - How Intense is Your Surface Pain | ||
NPS01-Sensitiv Skin to Light Touch/Cloth | C103643 | NPS01-Sensitiv Skin to Light Touch/Cloth | Neuropathic Pain Scale - Please use the scale below to tell us how sensitive your skin is to light touch or clothing. Words used to describe sensitive skin include 'like sunburned skin,' and 'raw skin.' | NPS - Tell Us How Sensitive Your Skin is to Light Touch or Clothing | ||
NPS01-Tell How Unpleasant Your Pain Feel | C103650 | NPS01-Tell How Unpleasant Your Pain Feel | Neuropathic Pain Scale - Now that you have told us the different physical aspects of your pain, the different types of sensations, we want you to tell us overall how unpleasant your pain is to you. Words used to describe very unpleasant pain include 'miserable' and intolerable.' Remember, pain can have a low intensity, buy still feel extremely unpleasant, and some kinds of pain can have a high intensity but be very tolerable. With this scale, please tell us how unpleasant your pain feels. | NPS - Tell Us Overall How Unpleasant Your Pain is to You | ||
NPS01-Tell Us How Cold Your Pain Feels | C103642 | NPS01-Tell Us How Cold Your Pain Feels | Neuropathic Pain Scale - Please use the scale below to tell us how cold your pain feels. Words used to describe very cold pain included 'like ice' and 'freezing.' | NPS - Tell Us How Cold Your Pain Feels | ||
NPS01-Tell Us How Dull Your Pain Feels | C103641 | NPS01-Tell Us How Dull Your Pain Feels | Neuropathic Pain Scale - Please use the scale below to tell us how dull your pain feels. Words used to describe very dull pain include 'like a dull toothache,' 'dull pain,' and 'like a bruise.' | NPS - Tell Us How Dull Your Pain Feels | ||
NPS01-Tell Us How Hot Your Pain Feels | C103640 | NPS01-Tell Us How Hot Your Pain Feels | Neuropathic Pain Scale - Please use the scale below to tell us how hot your pain feels. Words used to describe very hot pain include 'burning' and 'on fire.' | NPS - Tell Us How Hot Your Pain Feels | ||
NPS01-Tell Us How Intense Your Pain Is | C103638 | NPS01-Tell Us How Intense Your Pain Is | Neuropathic Pain Scale - Please use the scale below to tell us how intense your pain is. | NPS - Tell Us How Intense Your Pain Is | ||
NPS01-Tell Us How Itchy Your Pain Feels | C103644 | NPS01-Tell Us How Itchy Your Pain Feels | Neuropathic Pain Scale - Please use the scale below to tell us how itchy your pain feels. Words used to describe itchy pain include 'like poison oak' and 'like a mosquito bite.' | NPS - Tell Us How Itchy Your Pain Feels | ||
NPS01-Tell Us How Sharp Your Pain Feels | C103639 | NPS01-Tell Us How Sharp Your Pain Feels | Neuropathic Pain Scale - Please use the scale below to tell us how sharp your pain feels. Words used to describe 'sharp' feelings include 'like a knife,' 'like a spike,' 'jabbing,' or 'like jolts.' | NPS - Tell Us How Sharp Your Pain Feels | ||
Back to top | ||||||
CL.C100144.NPI TESTCD | QS-Neuropsychiatric Inventory Test Code (NPI TESTCD) | text Extensible: No | C100144 | QS-Neuropsychiatric Inventory Test Code | The Neuropsychiatric Inventory test code. | CDISC Questionnaire NPI Test Code Terminology |
NPI1A | C100622 | NPI1-Beliefs Untrue | Neuropsychiatric Inventory - Does the patient have beliefs that you know are not true? (for example, insisting that people are trying to harm him/her or steal from him/her)? Has he/she said that family members are not who they say they are or that the house is not their home? I'm not asking about mere suspiciousness; I am interested if the patient is convinced that these things are happening to him/her. | NPI - Have Beliefs That You Know are Not True | ||
NPI1A01 | C100623 | NPI1-In Danger | Neuropsychiatric Inventory - Does the patient believe that he/she is in danger - that others are planning to hurt him/her? | NPI - He/She is in Danger | ||
NPI1A02 | C100624 | NPI1-Others Are Stealing | Neuropsychiatric Inventory - Does the patient believe that others are stealing from him/her? | NPI - Others are Stealing From Him/Her | ||
NPI1A03 | C100625 | NPI1-Spouse Having Affair | Neuropsychiatric Inventory - Does the patient believe that his/her spouse is having an affair? | NPI - His/Her Spouse is Having an Affair | ||
NPI1A04 | C100626 | NPI1-Unwelcome Guests in House | Neuropsychiatric Inventory - Does the patient believe that unwelcome guests are living in his/her house? | NPI - Unwelcome Guests are Living in His/Her House | ||
NPI1A05 | C100627 | NPI1-People Not Who They Claim | Neuropsychiatric Inventory - Does the patient believe that his/her spouse or others are not who they claim to be? | NPI - His/Her Spouse or Others Are Not Who They Claim To Be | ||
NPI1A06 | C100628 | NPI1-House Not Their Home | Neuropsychiatric Inventory - Does the patient believe that his/her house is not his/her home? | NPI - His/Her House Is Not His/Her Home | ||
NPI1A07 | C100629 | NPI1-Family Plans to Abandon | Neuropsychiatric Inventory - Does the patient believe that family members plan to abandon him/her? | NPI - Family Members Plan to Abandon Him/Her | ||
NPI1A08 | C100630 | NPI1-TV/Magazine Figures Present | Neuropsychiatric Inventory - Does the patient believe that television or magazine figures are actually present in the home? (Does he/she try to talk or interact with them?) | NPI - Television or Magazine Figures Are Actually Present In the Home | ||
NPI1A09 | C100631 | NPI1-Other Unusual Beliefs | Neuropsychiatric Inventory - Does the patient believe any other unusual things that I haven't asked about? | NPI - Any Other Unusual Things That I Haven't Asked About | ||
NPI1A10 | C103602 | NPI1-Delusions Frequency | Neuropsychiatric Inventory - Frequency of the delusions. | NPI - Delusions Frequency | ||
NPI1A11 | C103603 | NPI1-Delusions Severity | Neuropsychiatric Inventory - Severity of the delusions. | NPI - Delusions Severity | ||
NPI1A12 | C103604 | NPI1-Delusions Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Delusions Distress | ||
NPI1AFS | C112469 | NPI1-Delusions FxS Score | Neuropsychiatric Inventory - Delusions: (frequency score x severity score). | NPI - Delusions FxS Score | ||
NPI1B | C100632 | NPI1-False Visions or Voices | Neuropsychiatric Inventory - Does the patient have hallucinations such as seeing false visions or hearing false voices? Does he/she seem to see, hear or experience things that are not present? By this question we do not mean just mistaken beliefs such as stating that someone who has died is still alive; rather we are asking if the patient actually has abnormal experiences of sounds or visions. | NPI - Hallucinations Such as Seeing False Visions or Hearing False Voices | ||
NPI1B01 | C100633 | NPI1-Hearing Voices | Neuropsychiatric Inventory - Does the patient describe hearing voices or act as if he/she hears voices? | NPI - Describe Hearing Voices or Act as if He/She Hears Voices | ||
NPI1B02 | C100634 | NPI1-Talk to People Not There | Neuropsychiatric Inventory - Does the patient talk to people who are not there? | NPI - Talk to People Who Are Not There | ||
NPI1B03 | C100635 | NPI1-See Things Not Seen by Others | Neuropsychiatric Inventory - Does the patient describe seeing things not seen by others or behave as if he/she is seeing things not seen by others (people, animals, lights, etc.)? | NPI - Describe Seeing Things Not Seen by Others | ||
NPI1B04 | C100636 | NPI1-Smell Odors Others Do Not Smell | Neuropsychiatric Inventory - Does the patient report smelling odors not smelled by others? | NPI - Report Smelling Odors Not Smelled by Others | ||
NPI1B05 | C100637 | NPI1-Feel Things on Skin | Neuropsychiatric Inventory - Does the patient describe feeling things on his/her skin or otherwise appear to be feeling things crawling or touching him/her? | NPI - Describe Feeling Things on His/Her Skin | ||
NPI1B06 | C100638 | NPI1-Taste without Known Cause | Neuropsychiatric Inventory - Does the patient describe tastes that are without any known cause? | NPI - Describe Tastes That Are Without Any Known Cause | ||
NPI1B07 | C100639 | NPI1-Other Unusual Sensory Experience | Neuropsychiatric Inventory - Does the patient describe any other unusual sensory experiences? | NPI - Describe Any Other Unusual Sensory Experiences | ||
NPI1B08 | C103605 | NPI1-Hallucinations Frequency | Neuropsychiatric Inventory - Frequency of the hallucinations. | NPI - Hallucinations Frequency | ||
NPI1B09 | C103606 | NPI1-Hallucinations Severity | Neuropsychiatric Inventory - Severity of the hallucinations. | NPI - Hallucinations Severity | ||
NPI1B10 | C103607 | NPI1-Hallucinations Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Hallucinations Distress | ||
NPI1BFS | C112470 | NPI1-Hallucinations FxS Score | Neuropsychiatric Inventory - Hallucinations: (frequency score x severity score). | NPI - Hallucinations FxS Score | ||
NPI1C | C100640 | NPI1-Refuse to Cooperate | Neuropsychiatric Inventory - Does the patient have periods when he/she refuses to cooperate or won't let people help him/her? Is he/she hard to handle? | NPI - Periods When He/She Refuses to Cooperate | ||
NPI1C01 | C100641 | NPI1-Get Upset with Caregiver | Neuropsychiatric Inventory - Does the patient get upset with those trying to care for him/her or resist activities such as bathing or changing clothes? | NPI - Get Upset with Those Trying to Care for Him/Her | ||
NPI1C02 | C100642 | NPI1-Stubborn | Neuropsychiatric Inventory - Is the patient stubborn, having to have things his/her way? | NPI - Stubborn | ||
NPI1C03 | C100643 | NPI1-Uncooperative | Neuropsychiatric Inventory - Is the patient uncooperative, resistive to help from others? | NPI - Uncooperative | ||
NPI1C04 | C100644 | NPI1-Other Behaviors Hard to Handle | Neuropsychiatric Inventory - Does the patient have any other behaviors that make him/her hard to handle? | NPI - Any Other Behaviors That Make Him/Her Hard to Handle | ||
NPI1C05 | C100645 | NPI1-Shout or Curse Angrily | Neuropsychiatric Inventory - Does the patient shout or curse angrily? | NPI - Shout or Curse Angrily | ||
NPI1C06 | C100646 | NPI1-Slam, Kick or Throw Things | Neuropsychiatric Inventory - Does the patient slam doors, kick furniture, throw things? | NPI - Slam doors, Kick Furniture, Throw Things | ||
NPI1C07 | C100647 | NPI1-Hurt or Hit Others | Neuropsychiatric Inventory - Does the patient attempt to hurt or hit others? | NPI - Attempt to Hurt or Hit Others | ||
NPI1C08 | C100648 | NPI1-Other Aggressive Behavior | Neuropsychiatric Inventory - Does the patient have any other aggressive or agitated behaviors? | NPI - Any Other Aggressive or Agitated Behaviors | ||
NPI1C09 | C103608 | NPI1-Agitation/Aggression Frequency | Neuropsychiatric Inventory - Frequency of the agitation/aggression. | NPI - Agitation/Aggression Frequency | ||
NPI1C10 | C103609 | NPI1-Agitation/Aggression Severity | Neuropsychiatric Inventory - Severity of the agitation/aggression. | NPI - Agitation/Aggression Severity | ||
NPI1C11 | C103610 | NPI1-Agitation/Aggression Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Agitation/Aggression Distress | ||
NPI1CFS | C112471 | NPI1-Agitation/Aggression FxS Score | Neuropsychiatric Inventory - Agitation/Aggression: (frequency score x severity score). | NPI - Agitation/Aggression FxS Score | ||
NPI1D | C100649 | NPI1-Sad or Depressed | Neuropsychiatric Inventory - Does the patient seem sad or depressed? Does he/she say that he/she feels sad or depressed? | NPI - Seem Sad or Depressed | ||
NPI1D01 | C100650 | NPI1-Tearfulness or Sobbing | Neuropsychiatric Inventory - Does the patient have periods of tearfulness or sobbing that seem to indicate sadness? | NPI - Periods of Tearfulness or Sobbing | ||
NPI1D02 | C100651 | NPI1-Say or Act in Low Spirits | Neuropsychiatric Inventory - Does the patient say, or act as if he/she is sad or in low spirits? | NPI - Say, or Act as if He/She is Sad or in Low Spirits | ||
NPI1D03 | C100652 | NPI1-Feel Like a Failure | Neuropsychiatric Inventory - Does the patient put him/herself down or say that he/she feels like a failure? | NPI - Put Him/Herself Down or Say That He/She Feels Like a Failure | ||
NPI1D04 | C100653 | NPI1-Bad Person | Neuropsychiatric Inventory - Does the patient say that he/she is a bad person or deserves to be punished? | NPI - Say That He/She is a Bad Person | ||
NPI1D05 | C100654 | NPI1-Discouraged | Neuropsychiatric Inventory - Does the patient seem very discouraged or say that he/she has no future? | NPI - Seem Very Discouraged | ||
NPI1D06 | C100655 | NPI1-Burden to Family | Neuropsychiatric Inventory - Does the patient say he/she is a burden to the family or that the family would be better off without him/her? | NPI - Say He/She is a Burden to the Family | ||
NPI1D07 | C100656 | NPI1-Wish for Death | Neuropsychiatric Inventory - Does the patient express a wish for death or talk about killing himself/herself? | NPI - Express a Wish for Death | ||
NPI1D08 | C100657 | NPI1-Other Signs of Depression | Neuropsychiatric Inventory - Does the patient show any other signs of depression or sadness? | NPI - Show Any Other Signs of Depression or Sadness | ||
NPI1D09 | C103611 | NPI1-Depression/Dysphoria Frequency | Neuropsychiatric Inventory - Frequency of the depression/dysphoria. | NPI - Depression/Dysphoria Frequency | ||
NPI1D10 | C103612 | NPI1-Depression/Dysphoria Severity | Neuropsychiatric Inventory - Severity of the depression/dysphoria. | NPI - Depression/Dysphoria Severity | ||
NPI1D11 | C103613 | NPI1-Depression/Dysphoria Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Depression/Dysphoria Distress | ||
NPI1DFS | C112472 | NPI1-Depression/Dysphoria FxS Score | Neuropsychiatric Inventory - Depression/Dysphoria: (frequency score x severity score). | NPI - Depression/Dysphoria FxS Score | ||
NPI1DIST | C112482 | NPI1-NPI Total Distress Score | Neuropsychiatric Inventory - Sub-total of distress score. | NPI - NPI Total Distress Score | ||
NPI1E | C100658 | NPI1-Nervous or Worried | Neuropsychiatric Inventory - Is the patient very nervous, worried, or frightened for no apparent reason? Does he/she seem very tense or fidgety? Is the patient afraid to be apart from you? | NPI - Very Nervous, Worried, or Frightened for No Apparent Reason | ||
NPI1E01 | C100659 | NPI1-Worried about Planned Event | Neuropsychiatric Inventory - Does the patient say that he/she is worried about planned events? | NPI - Say That He/She is Worried About Planned Events | ||
NPI1E02 | C100660 | NPI1-Shaky or Unable to Relax | Neuropsychiatric Inventory - Does the patient have periods of feeling shaky, unable to relax, or feeling excessively tense? | NPI - Periods of Feeling Shaky, Unable to Relax, or Feeling Excessively Tense | ||
NPI1E03 | C100661 | NPI1-Short of Breath, Gasp, Sigh | Neuropsychiatric Inventory - Does the patient have periods of (or complain of) shortness of breath, gasping, or sighing for no apparent reason other than nervousness? | NPI - Periods of Shortness of Breath, Gasping, or Sighing for No Apparent Reason | ||
NPI1E04 | C100662 | NPI1-Butterflies or Racing Heart | Neuropsychiatric Inventory - Does the patient complain of butterflies in his/her stomach, or of racing or pounding of the heart in association with nervousness? (Symptoms not explained by ill health). | NPI - Complain of Butterflies, Racing or Pounding Heart | ||
NPI1E05 | C100663 | NPI1-Avoid Places or Situations | Neuropsychiatric Inventory - Does the patient avoid certain places or situations that make him/her more nervous such as riding in the car, meeting with friends, or being in crowds? | NPI - Avoid Certain Places or Situations That Make Him/Her More Nervous | ||
NPI1E06 | C100664 | NPI1-Nervous when Separated | Neuropsychiatric Inventory - Does the patient become nervous and upset when separated from you (or his/her caregiver)? (Does he/she cling to you to keep from being separated?). | NPI - Become Nervous and Upset When Separated From You | ||
NPI1E07 | C100665 | NPI1-Other Signs of Anxiety | Neuropsychiatric Inventory - Does the patient show any other signs of anxiety? | NPI - Show Any Other Signs of Anxiety | ||
NPI1E08 | C103614 | NPI1-Anxiety Frequency | Neuropsychiatric Inventory - Frequency of the anxiety. | NPI - Anxiety Frequency | ||
NPI1E09 | C103615 | NPI1-Anxiety Severity | Neuropsychiatric Inventory - Severity of the anxiety. | NPI - Anxiety Severity | ||
NPI1E10 | C103616 | NPI1-Anxiety Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Anxiety Distress | ||
NPI1EFS | C112473 | NPI1-Anxiety FxS Score | Neuropsychiatric Inventory - Anxiety: (frequency score x severity score). | NPI - Anxiety FxS Score | ||
NPI1F | C100666 | NPI1-Too Cheerful or Happy | Neuropsychiatric Inventory - Does the patient seem too cheerful or too happy for no reason? I don't mean the normal happiness that comes from seeing friends, receiving presents, or spending time with family members. I am asking if the patient has a persistent and abnormally good mood or finds humor where others do not. | NPI - Seem Too Cheerful or Too Happy for No Reason | ||
NPI1F01 | C100667 | NPI1-Feel Good or Too Happy | Neuropsychiatric Inventory - Does the patient appear to feel good or to be too happy, different from his/her usual self? | NPI - Appear to Feel Good or to Be Too Happy | ||
NPI1F02 | C100668 | NPI1-Humor Others Do Not Find Funny | Neuropsychiatric Inventory - Does the patient find humor and laugh at things that others do not find funny? | NPI - Fine Humor and Laugh at Things That Others Do Not Find Funny | ||
NPI1F03 | C100669 | NPI1-Childish Sense of Humor | Neuropsychiatric Inventory - Does the patient seem to have a childish sense of humor with a tendency to giggle or laugh inappropriately (such as when something unfortunate happens to others)? | NPI - Seem to Have a Childish Sense of Humor | ||
NPI1F04 | C100670 | NPI1-Jokes Others Do Not Find Funny | Neuropsychiatric Inventory - Does the patient tell jokes or make remarks that are not funny to others but seem funny to him/her? | NPI - Tell Jokes or Make Remarks That are Not Funny to Others | ||
NPI1F05 | C100671 | NPI1-Childish Pranks | Neuropsychiatric Inventory - Does he/she play childish pranks such as pinching or playing "keep away" for the fun of it? | NPI - Play Childish Pranks | ||
NPI1F06 | C100672 | NPI1-Talk Big | Neuropsychiatric Inventory - Does the patient "talk big" or claim to have more abilities or wealth than is true? | NPI - Talk Big or Claim to Have More Abilities or Wealth Than is True | ||
NPI1F07 | C100673 | NPI1-Other Signs of Feeling Too Happy | Neuropsychiatric Inventory - Does the patient show any other signs of feeling too good or being too happy? | NPI - Show Any Other Signs of Feeling Too Good or Being Too Happy | ||
NPI1F08 | C103617 | NPI1-Elation/Euphoria Frequency | Neuropsychiatric Inventory - Frequency of the elation/euphoria. | NPI - Elation/Euphoria Frequency | ||
NPI1F09 | C103618 | NPI1-Elation/Euphoria Severity | Neuropsychiatric Inventory - Severity of the elation/euphoria. | NPI - Elation/Euphoria Severity | ||
NPI1F10 | C103619 | NPI1-Elation/Euphoria Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Elation/Euphoria Distress | ||
NPI1FFS | C112474 | NPI1-Elation/Euphoria FxS Score | Neuropsychiatric Inventory - Elation/Euphoria: (frequency score x severity score). | NPI - Elation/Euphoria FxS Score | ||
NPI1G | C100674 | NPI1-Lost Interest in World | Neuropsychiatric Inventory - Has the patient lost interest in the world around him/her? Has he/she lost interest in doing things or does he/she lack motivation for starting new activities? Is he/she more difficult to engage in conversation or in doing chores? Is the patient apathetic or indifferent? | NPI - Lost Interest in the World Around Him/Her | ||
NPI1G01 | C100675 | NPI1-Less Spontaneous or Active | Neuropsychiatric Inventory - Does the patient seem less spontaneous and less active than usual? | NPI - Seem Less Spontaneous and Less Active Than Usual | ||
NPI1G02 | C100676 | NPI1-Less Likely Initiate Conversation | Neuropsychiatric Inventory - Is the patient less likely to initiate a conversation? | NPI - Less Likely Initiate to Initiate a Conversation | ||
NPI1G03 | C100677 | NPI1-Less Affectionate | Neuropsychiatric Inventory - Is the patient less affectionate or lacking in emotions when compared to his/her usual self? | NPI - Less Affectionate or Lacking in Emotions | ||
NPI1G04 | C100678 | NPI1-Contribute Less to Chores | Neuropsychiatric Inventory - Does the patient contribute less to household chores? | NPI - Contribute Less to Household Chores | ||
NPI1G05 | C100679 | NPI1-Less Interest in Activities | Neuropsychiatric Inventory - Does the patient seem less interested in the activities and plans of others? | NPI - Less Interested in the Activities and Plans of Others | ||
NPI1G06 | C100680 | NPI1-Lost Interest in Friends | Neuropsychiatric Inventory - Has the patient lost interest in friends and family members? | NPI - Lost Interest in Friends and Family Members | ||
NPI1G07 | C100681 | NPI1-Less Enthusiastic | Neuropsychiatric Inventory - Is the patient less enthusiastic about his/her usual interests? | NPI - Less Enthusiastic About His/Her Usual Interests | ||
NPI1G08 | C100682 | NPI1-Other Signs of Not Caring | Neuropsychiatric Inventory - Does the patient show any other signs that he/she doesn't care about doing new things? | NPI - Show Any Other Signs That He/She Doesn't Care About Doing New Things | ||
NPI1G09 | C103620 | NPI1-Apathy/Indifference Frequency | Neuropsychiatric Inventory - Frequency of the apathy/indifference. | NPI - Apathy/Indifference Frequency | ||
NPI1G10 | C103621 | NPI1-Apathy/Indifference Severity | Neuropsychiatric Inventory - Severity of the apathy/indifference. | NPI - Apathy/Indifference Severity | ||
NPI1G11 | C103622 | NPI1-Apathy/Indifference Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Apathy/Indifference Distress | ||
NPI1GFS | C112475 | NPI1-Apathy/Indifference FxS Score | Neuropsychiatric Inventory - Apathy/Indifference: (frequency score x severity score). | NPI - Apathy/Indifference FxS Score | ||
NPI1H | C100683 | NPI1-Act Impulsively | Neuropsychiatric Inventory - Does the patient seem to act impulsively without thinking? Does he/she do or say things that are not usually done or said in public? Does he/she do things that are embarrassing to you or others? | NPI - Seem to Act Impulsively Without Thinking | ||
NPI1H01 | C100684 | NPI1-Act Impulsively without Care | Neuropsychiatric Inventory - Does the patient act impulsively without appearing to consider the consequences? | NPI - Act Impulsively without Appearing to Consider the Consequences | ||
NPI1H02 | C100685 | NPI1-Talk to Strangers | Neuropsychiatric Inventory - Does the patient talk to total strangers as if he/she knew them? | NPI - Talk to Total Strangers as if He/She Knew Them | ||
NPI1H03 | C100686 | NPI1-Say Insensitive Things | Neuropsychiatric Inventory - Does the patient say things to people that are insensitive or hurt their feelings? | NPI - Say Things to People that are Insensitive | ||
NPI1H04 | C100687 | NPI1-Make Crude Remarks | Neuropsychiatric Inventory - Does the patient say crude things or make sexual remarks that he/she would not usually have said? | NPI - Say Crude Things or Make Sexual Remarks | ||
NPI1H05 | C100688 | NPI1-Talk Openly about Private Matters | Neuropsychiatric Inventory - Does the patient talk openly about very personal or private matters not usually discussed in public? | NPI - Talk Openly About Very Personal or Private Matters | ||
NPI1H06 | C100689 | NPI1-Take Liberties or Touch Others | Neuropsychiatric Inventory - Does the patient take liberties or touch or hug others in a way that is out of character for him/her? | NPI - Take Liberties or Touch or Hug Others | ||
NPI1H07 | C100690 | NPI1-Other Signs of Impulses | Neuropsychiatric Inventory - Does the patient show any other signs of loss of control of his/her impulses? | NPI - Show Any Other Signs of Loss of Control of His/Her Impulses | ||
NPI1H08 | C103623 | NPI1-Disinhibition Frequency | Neuropsychiatric Inventory - Frequency of the disinhibition. | NPI - Disinhibition Frequency | ||
NPI1H09 | C103624 | NPI1-Disinhibition Severity | Neuropsychiatric Inventory - Severity of the disinhibition. | NPI - Disinhibition Severity | ||
NPI1H10 | C103625 | NPI1-Disinhibition Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Disinhibition Distress | ||
NPI1HFS | C112476 | NPI1-Disinhibition FxS Score | Neuropsychiatric Inventory - Disinhibition: (frequency score x severity score). | NPI - Disinhibition FxS Score | ||
NPI1I | C100691 | NPI1-Irritated and Easily Disturbed | Neuropsychiatric Inventory - Does the patient get irritated and easily disturbed? Are his/her moods very changeable? Is he/she abnormally impatient? We do not mean frustration over memory loss or inability to perform usual tasks; we are interested to know if the patient has abnormal irritability, impatience, or rapid emotional changes different from his/her usual self. | NPI - Get Irritated and Easily Disturbed | ||
NPI1I01 | C100692 | NPI1-Bad Temper | Neuropsychiatric Inventory - Does the patient have a bad temper, flying "off the handle" easily over little things? | NPI - Bad Temper, Flying 'Off the Handle' Easily Over Little Things | ||
NPI1I02 | C100693 | NPI1-Rapidly Change Moods | Neuropsychiatric Inventory - Does the patient rapidly change moods from one to another, being fine one minute and angry the next? | NPI - Rapidly Change Moods From One to Another | ||
NPI1I03 | C100694 | NPI1-Sudden Anger | Neuropsychiatric Inventory - Does the patient have sudden flashes of anger? | NPI - Sudden Flares of Anger | ||
NPI1I04 | C100695 | NPI1-Impatient | Neuropsychiatric Inventory - Is the patient impatient, having trouble coping with delays or waiting for planned activities? | NPI - Impatient, Having Trouble Coping with Delays | ||
NPI1I05 | C100696 | NPI1-Cranky and Irritable | Neuropsychiatric Inventory - Is the patient cranky and irritable? | NPI - Cranky and Irritable | ||
NPI1I06 | C100697 | NPI1-Argumentative | Neuropsychiatric Inventory - Is the patient argumentative and difficult to get along with? | NPI - Argumentative and Difficult to Get Along With | ||
NPI1I07 | C100698 | NPI1-Other Signs of Irritability | Neuropsychiatric Inventory - Does the patient show any other signs of irritability? | NPI - Show Any Other Signs of Irritability | ||
NPI1I08 | C103626 | NPI1-Irritability/Lability Frequency | Neuropsychiatric Inventory - Frequency of the irritability/lability. | NPI - Irritability/Lability Frequency | ||
NPI1I09 | C103627 | NPI1-Irritability/Lability Severity | Neuropsychiatric Inventory - Severity of the irritability/lability. | NPI - Irritability/Lability Severity | ||
NPI1I10 | C103628 | NPI1-Irritability/Lability Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Irritability/Lability Distress | ||
NPI1IFS | C112477 | NPI1-Irritability/Lability FxS Score | Neuropsychiatric Inventory - Irritability/Lability: (frequency score x severity score). | NPI - Irritability/Lability FxS Score | ||
NPI1J | C100699 | NPI1-Do Things Repeatedly | Neuropsychiatric Inventory - Does the patient pace, do things over and over such as opening closets or drawers, or repeatedly pick at things or wind string or threads? | NPI - Pace, Do Things Over and Over, Repeatedly Pick at Things | ||
NPI1J01 | C100700 | NPI1-Pace | Neuropsychiatric Inventory - Does the patient pace around the house without apparent purpose? | NPI - Pace Around the House Without Apparent Purpose | ||
NPI1J02 | C100701 | NPI1-Rummage Around and Unpack | Neuropsychiatric Inventory - Does the patient rummage around opening and unpacking drawers or closets? | NPI - Rummage Around Opening and Unpacking Drawers or Closets | ||
NPI1J03 | C100702 | NPI1-Repeatedly Change Clothing | Neuropsychiatric Inventory - Does the patient repeatedly put on and take off clothing? | NPI - Repeatedly Put On and Take Off Clothing | ||
NPI1J04 | C100703 | NPI1-Repetitive Activities or Habits | Neuropsychiatric Inventory - Does the patient have repetitive activities or "habits" that he/she performs over and over? | NPI - Repetitive Activities or 'Habits' | ||
NPI1J05 | C100704 | NPI1-Repetitive Activities | Neuropsychiatric Inventory - Does the patient engage in repetitive activities such as handling buttons, picking, wrapping string, etc.? | NPI - Engage in Repetitive Activities | ||
NPI1J06 | C100705 | NPI1-Fidget Excessively | Neuropsychiatric Inventory - Does the patient fidget excessively, seem unable to sit still, or bounce his/her feet or tap his/her fingers a lot? | NPI - Fidget Excessively, Seem Unable to Sit Still | ||
NPI1J07 | C100706 | NPI1-Other Repetitive Activities | Neuropsychiatric Inventory - Does the patient do any other activities over and over? | NPI - Do Any Other Activities Over and Over | ||
NPI1J08 | C103629 | NPI1-Aberrant Motor Behavior Frequency | Neuropsychiatric Inventory - Frequency of the aberrant motor behavior. | NPI - Aberrant Motor Behavior Frequency | ||
NPI1J09 | C103630 | NPI1-Aberrant Motor Behavior Severity | Neuropsychiatric Inventory - Severity of the aberrant motor behavior. | NPI - Aberrant Motor Behavior Severity | ||
NPI1J10 | C103631 | NPI1-Aberrant Motor Behavior Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Aberrant Motor Behavior Distress | ||
NPI1JFS | C112478 | NPI1-Aberrant Motor Behavior FxS Score | Neuropsychiatric Inventory - Aberrant Motor Behavior: (frequency score x severity score). | NPI - Aberrant Motor Behavior FxS Score | ||
NPI1K | C100707 | NPI1-Difficulty Sleeping | Neuropsychiatric Inventory - Does the patient have difficulty sleeping (do not count as present if the patient simply gets up once or twice per night to go the bathroom and falls back asleep immediately)? Is he/she up at night? Does he/she wander at night, get dressed, or disturb your sleep? | NPI - Difficulty Sleeping | ||
NPI1K01 | C100708 | NPI1-Difficulty Falling Asleep | Neuropsychiatric Inventory - Does the patient have difficulty falling asleep? | NPI - Difficulty Falling Asleep | ||
NPI1K02 | C100709 | NPI1-Get Up during Night | Neuropsychiatric Inventory - Does the patient get up during the night (do not count if the patient gets up once or twice per night only to go to the bathroom and falls back asleep immediately)? | NPI - Get Up During the Night | ||
NPI1K03 | C100710 | NPI1-Wander or Pace at Night | Neuropsychiatric Inventory - Does the patient wander, pace or get involved in inappropriate activities at night? | NPI - Wander, Pace or Get Involved in Inappropriate Activities at Night | ||
NPI1K04 | C100711 | NPI1-Awaken Caregiver during Night | Neuropsychiatric Inventory - Does the patient awaken you during the night? | NPI - Awaken You During the Night | ||
NPI1K05 | C100712 | NPI1-Wake at Night and Think Morning | Neuropsychiatric Inventory - Does the patient wake up at night, dress, and plan to go out thinking that it is morning and time to start the day? | NPI - Wake Up at Night, Dress, and Plan to Go Out | ||
NPI1K06 | C100713 | NPI1-Awaken Too Early in Morning | Neuropsychiatric Inventory - Does the patient awaken too early in the morning (earlier than was his/her habit)? | NPI - Awaken Too Early in Morning | ||
NPI1K07 | C100714 | NPI1-Excessive Sleep during Day | Neuropsychiatric Inventory - Does the patient sleep excessively during the day? | NPI - Sleep Excessively During the Day | ||
NPI1K08 | C100715 | NPI1-Other Nighttime Behaviors | Neuropsychiatric Inventory - Does the patient have any other nighttime behaviors that bother you that we haven't talked about? | NPI - Any Other Nighttime Behaviors That Bother You | ||
NPI1K09 | C103632 | NPI1-Sleep/Nighttime Behavior Frequency | Neuropsychiatric Inventory - Frequency of the nighttime behavior. | NPI - Sleep and Nighttime Behavior Disorders Frequency | ||
NPI1K10 | C103633 | NPI1-Sleep/Nighttime Behavior Severity | Neuropsychiatric Inventory - Severity of the nighttime behavior. | NPI - Sleep and Nighttime Behavior Disorders Severity | ||
NPI1K11 | C103634 | NPI1-Sleep/Nighttime Behavior Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Sleep and Nighttime Behavior Disorders Distress | ||
NPI1KFS | C112479 | NPI1-Sleep/Night Behav Disord FxS Score | Neuropsychiatric Inventory - Sleep and Nighttime Behavior Disorders: (frequency score x severity score). | NPI - Sleep/Night Behavior Disorder FxS Score | ||
NPI1L | C100716 | NPI1-Change in Appetite or Weight | Neuropsychiatric Inventory - Has he/she had any change in appetite, weight, or eating habits (count as NA if the patient is incapacitated and has to be fed)? Has there been any change in the type of food he/she prefers? | NPI - Change in Appetite, Weight, or Eating Habits | ||
NPI1L01 | C100717 | NPI1-Loss of Appetite | Neuropsychiatric Inventory - Has he/she had a loss of appetite? | NPI - Loss of Appetite | ||
NPI1L02 | C100718 | NPI1-Increase in Appetite | Neuropsychiatric Inventory - Has he/she had an increase in appetite? | NPI - Increase in Appetite | ||
NPI1L03 | C100719 | NPI1-Weight Loss | Neuropsychiatric Inventory - Has he/she had a loss of weight? | NPI - Loss of Weight | ||
NPI1L04 | C100720 | NPI1-Weight Gain | Neuropsychiatric Inventory - Has he/she gained weight? | NPI - Gained Weight | ||
NPI1L05 | C100721 | NPI1-Change in Eating Behavior | Neuropsychiatric Inventory - Has he/she had a change in eating behavior such as putting too much food in his/her mouth at once? | NPI - Change in Eating Behavior | ||
NPI1L06 | C100722 | NPI1-Change in Kind of Food | Neuropsychiatric Inventory - Has he/she had a change in the kind of food he/she likes such as eating too many sweets or other specific types of food? | NPI - Change in Kind of Food He/She Likes | ||
NPI1L07 | C100723 | NPI1-Develop Eating Behaviors | Neuropsychiatric Inventory - Has he/she developed eating behaviors such as eating exactly the same types of food each day or eating the food in exactly the same order? | NPI - Developed Eating Behaviors Such as Eating Exactly the Same Types of Food | ||
NPI1L08 | C100724 | NPI1-Other Changes in Eating | Neuropsychiatric Inventory - Have there been any other changes in appetite or eating that I haven't asked about? | NPI - Any Other Changes in Appetite or Eating | ||
NPI1L09 | C103635 | NPI1-Appetite/Eating Disorder Frequency | Neuropsychiatric Inventory - Frequency of the changes in eating habits or appetite. | NPI - Appetite and Eating Disorders Frequency | ||
NPI1L10 | C103636 | NPI1-Appetite/Eating Disorder Severity | Neuropsychiatric Inventory - Severity of the changes in eating habits or appetite. | NPI - Appetite and Eating Disorders Severity | ||
NPI1L11 | C103637 | NPI1-Appetite/Eating Disorder Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Appetite and Eating Disorders Distress | ||
NPI1LFS | C112480 | NPI1-Appetite/Eating Disorders FxS Score | Neuropsychiatric Inventory - Appetite and Eating Disorders: (frequency score x severity score). | NPI - Appetite/Eating Disorders FxS Score | ||
NPI1TOT | C112481 | NPI1-NPI Total Score | Neuropsychiatric Inventory - Total of (Frequency Sub-total) x (Severity Sub-total). | NPI - NPI Total Score | ||
Back to top | ||||||
CL.C100143.NPI TEST | QS-Neuropsychiatric Inventory Test Name (NPI TEST) | text Extensible: No | C100143 | QS-Neuropsychiatric Inventory Test Name | The Neuropsychiatric Inventory test name. | CDISC Questionnaire NPI Test Name Terminology |
NPI1-Aberrant Motor Behavior Distress | C103631 | NPI1-Aberrant Motor Behavior Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Aberrant Motor Behavior Distress | ||
NPI1-Aberrant Motor Behavior Frequency | C103629 | NPI1-Aberrant Motor Behavior Frequency | Neuropsychiatric Inventory - Frequency of the aberrant motor behavior. | NPI - Aberrant Motor Behavior Frequency | ||
NPI1-Aberrant Motor Behavior FxS Score | C112478 | NPI1-Aberrant Motor Behavior FxS Score | Neuropsychiatric Inventory - Aberrant Motor Behavior: (frequency score x severity score). | NPI - Aberrant Motor Behavior FxS Score | ||
NPI1-Aberrant Motor Behavior Severity | C103630 | NPI1-Aberrant Motor Behavior Severity | Neuropsychiatric Inventory - Severity of the aberrant motor behavior. | NPI - Aberrant Motor Behavior Severity | ||
NPI1-Act Impulsively | C100683 | NPI1-Act Impulsively | Neuropsychiatric Inventory - Does the patient seem to act impulsively without thinking? Does he/she do or say things that are not usually done or said in public? Does he/she do things that are embarrassing to you or others? | NPI - Seem to Act Impulsively Without Thinking | ||
NPI1-Act Impulsively without Care | C100684 | NPI1-Act Impulsively without Care | Neuropsychiatric Inventory - Does the patient act impulsively without appearing to consider the consequences? | NPI - Act Impulsively without Appearing to Consider the Consequences | ||
NPI1-Agitation/Aggression Distress | C103610 | NPI1-Agitation/Aggression Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Agitation/Aggression Distress | ||
NPI1-Agitation/Aggression Frequency | C103608 | NPI1-Agitation/Aggression Frequency | Neuropsychiatric Inventory - Frequency of the agitation/aggression. | NPI - Agitation/Aggression Frequency | ||
NPI1-Agitation/Aggression FxS Score | C112471 | NPI1-Agitation/Aggression FxS Score | Neuropsychiatric Inventory - Agitation/Aggression: (frequency score x severity score). | NPI - Agitation/Aggression FxS Score | ||
NPI1-Agitation/Aggression Severity | C103609 | NPI1-Agitation/Aggression Severity | Neuropsychiatric Inventory - Severity of the agitation/aggression. | NPI - Agitation/Aggression Severity | ||
NPI1-Anxiety Distress | C103616 | NPI1-Anxiety Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Anxiety Distress | ||
NPI1-Anxiety Frequency | C103614 | NPI1-Anxiety Frequency | Neuropsychiatric Inventory - Frequency of the anxiety. | NPI - Anxiety Frequency | ||
NPI1-Anxiety FxS Score | C112473 | NPI1-Anxiety FxS Score | Neuropsychiatric Inventory - Anxiety: (frequency score x severity score). | NPI - Anxiety FxS Score | ||
NPI1-Anxiety Severity | C103615 | NPI1-Anxiety Severity | Neuropsychiatric Inventory - Severity of the anxiety. | NPI - Anxiety Severity | ||
NPI1-Apathy/Indifference Distress | C103622 | NPI1-Apathy/Indifference Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Apathy/Indifference Distress | ||
NPI1-Apathy/Indifference Frequency | C103620 | NPI1-Apathy/Indifference Frequency | Neuropsychiatric Inventory - Frequency of the apathy/indifference. | NPI - Apathy/Indifference Frequency | ||
NPI1-Apathy/Indifference FxS Score | C112475 | NPI1-Apathy/Indifference FxS Score | Neuropsychiatric Inventory - Apathy/Indifference: (frequency score x severity score). | NPI - Apathy/Indifference FxS Score | ||
NPI1-Apathy/Indifference Severity | C103621 | NPI1-Apathy/Indifference Severity | Neuropsychiatric Inventory - Severity of the apathy/indifference. | NPI - Apathy/Indifference Severity | ||
NPI1-Appetite/Eating Disorder Distress | C103637 | NPI1-Appetite/Eating Disorder Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Appetite and Eating Disorders Distress | ||
NPI1-Appetite/Eating Disorder Frequency | C103635 | NPI1-Appetite/Eating Disorder Frequency | Neuropsychiatric Inventory - Frequency of the changes in eating habits or appetite. | NPI - Appetite and Eating Disorders Frequency | ||
NPI1-Appetite/Eating Disorder Severity | C103636 | NPI1-Appetite/Eating Disorder Severity | Neuropsychiatric Inventory - Severity of the changes in eating habits or appetite. | NPI - Appetite and Eating Disorders Severity | ||
NPI1-Appetite/Eating Disorders FxS Score | C112480 | NPI1-Appetite/Eating Disorders FxS Score | Neuropsychiatric Inventory - Appetite and Eating Disorders: (frequency score x severity score). | NPI - Appetite/Eating Disorders FxS Score | ||
NPI1-Argumentative | C100697 | NPI1-Argumentative | Neuropsychiatric Inventory - Is the patient argumentative and difficult to get along with? | NPI - Argumentative and Difficult to Get Along With | ||
NPI1-Avoid Places or Situations | C100663 | NPI1-Avoid Places or Situations | Neuropsychiatric Inventory - Does the patient avoid certain places or situations that make him/her more nervous such as riding in the car, meeting with friends, or being in crowds? | NPI - Avoid Certain Places or Situations That Make Him/Her More Nervous | ||
NPI1-Awaken Caregiver during Night | C100711 | NPI1-Awaken Caregiver during Night | Neuropsychiatric Inventory - Does the patient awaken you during the night? | NPI - Awaken You During the Night | ||
NPI1-Awaken Too Early in Morning | C100713 | NPI1-Awaken Too Early in Morning | Neuropsychiatric Inventory - Does the patient awaken too early in the morning (earlier than was his/her habit)? | NPI - Awaken Too Early in Morning | ||
NPI1-Bad Person | C100653 | NPI1-Bad Person | Neuropsychiatric Inventory - Does the patient say that he/she is a bad person or deserves to be punished? | NPI - Say That He/She is a Bad Person | ||
NPI1-Bad Temper | C100692 | NPI1-Bad Temper | Neuropsychiatric Inventory - Does the patient have a bad temper, flying "off the handle" easily over little things? | NPI - Bad Temper, Flying 'Off the Handle' Easily Over Little Things | ||
NPI1-Beliefs Untrue | C100622 | NPI1-Beliefs Untrue | Neuropsychiatric Inventory - Does the patient have beliefs that you know are not true? (for example, insisting that people are trying to harm him/her or steal from him/her)? Has he/she said that family members are not who they say they are or that the house is not their home? I'm not asking about mere suspiciousness; I am interested if the patient is convinced that these things are happening to him/her. | NPI - Have Beliefs That You Know are Not True | ||
NPI1-Burden to Family | C100655 | NPI1-Burden to Family | Neuropsychiatric Inventory - Does the patient say he/she is a burden to the family or that the family would be better off without him/her? | NPI - Say He/She is a Burden to the Family | ||
NPI1-Butterflies or Racing Heart | C100662 | NPI1-Butterflies or Racing Heart | Neuropsychiatric Inventory - Does the patient complain of butterflies in his/her stomach, or of racing or pounding of the heart in association with nervousness? (Symptoms not explained by ill health). | NPI - Complain of Butterflies, Racing or Pounding Heart | ||
NPI1-Change in Appetite or Weight | C100716 | NPI1-Change in Appetite or Weight | Neuropsychiatric Inventory - Has he/she had any change in appetite, weight, or eating habits (count as NA if the patient is incapacitated and has to be fed)? Has there been any change in the type of food he/she prefers? | NPI - Change in Appetite, Weight, or Eating Habits | ||
NPI1-Change in Eating Behavior | C100721 | NPI1-Change in Eating Behavior | Neuropsychiatric Inventory - Has he/she had a change in eating behavior such as putting too much food in his/her mouth at once? | NPI - Change in Eating Behavior | ||
NPI1-Change in Kind of Food | C100722 | NPI1-Change in Kind of Food | Neuropsychiatric Inventory - Has he/she had a change in the kind of food he/she likes such as eating too many sweets or other specific types of food? | NPI - Change in Kind of Food He/She Likes | ||
NPI1-Childish Pranks | C100671 | NPI1-Childish Pranks | Neuropsychiatric Inventory - Does he/she play childish pranks such as pinching or playing "keep away" for the fun of it? | NPI - Play Childish Pranks | ||
NPI1-Childish Sense of Humor | C100669 | NPI1-Childish Sense of Humor | Neuropsychiatric Inventory - Does the patient seem to have a childish sense of humor with a tendency to giggle or laugh inappropriately (such as when something unfortunate happens to others)? | NPI - Seem to Have a Childish Sense of Humor | ||
NPI1-Contribute Less to Chores | C100678 | NPI1-Contribute Less to Chores | Neuropsychiatric Inventory - Does the patient contribute less to household chores? | NPI - Contribute Less to Household Chores | ||
NPI1-Cranky and Irritable | C100696 | NPI1-Cranky and Irritable | Neuropsychiatric Inventory - Is the patient cranky and irritable? | NPI - Cranky and Irritable | ||
NPI1-Delusions Distress | C103604 | NPI1-Delusions Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Delusions Distress | ||
NPI1-Delusions Frequency | C103602 | NPI1-Delusions Frequency | Neuropsychiatric Inventory - Frequency of the delusions. | NPI - Delusions Frequency | ||
NPI1-Delusions FxS Score | C112469 | NPI1-Delusions FxS Score | Neuropsychiatric Inventory - Delusions: (frequency score x severity score). | NPI - Delusions FxS Score | ||
NPI1-Delusions Severity | C103603 | NPI1-Delusions Severity | Neuropsychiatric Inventory - Severity of the delusions. | NPI - Delusions Severity | ||
NPI1-Depression/Dysphoria Distress | C103613 | NPI1-Depression/Dysphoria Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Depression/Dysphoria Distress | ||
NPI1-Depression/Dysphoria Frequency | C103611 | NPI1-Depression/Dysphoria Frequency | Neuropsychiatric Inventory - Frequency of the depression/dysphoria. | NPI - Depression/Dysphoria Frequency | ||
NPI1-Depression/Dysphoria FxS Score | C112472 | NPI1-Depression/Dysphoria FxS Score | Neuropsychiatric Inventory - Depression/Dysphoria: (frequency score x severity score). | NPI - Depression/Dysphoria FxS Score | ||
NPI1-Depression/Dysphoria Severity | C103612 | NPI1-Depression/Dysphoria Severity | Neuropsychiatric Inventory - Severity of the depression/dysphoria. | NPI - Depression/Dysphoria Severity | ||
NPI1-Develop Eating Behaviors | C100723 | NPI1-Develop Eating Behaviors | Neuropsychiatric Inventory - Has he/she developed eating behaviors such as eating exactly the same types of food each day or eating the food in exactly the same order? | NPI - Developed Eating Behaviors Such as Eating Exactly the Same Types of Food | ||
NPI1-Difficulty Falling Asleep | C100708 | NPI1-Difficulty Falling Asleep | Neuropsychiatric Inventory - Does the patient have difficulty falling asleep? | NPI - Difficulty Falling Asleep | ||
NPI1-Difficulty Sleeping | C100707 | NPI1-Difficulty Sleeping | Neuropsychiatric Inventory - Does the patient have difficulty sleeping (do not count as present if the patient simply gets up once or twice per night to go the bathroom and falls back asleep immediately)? Is he/she up at night? Does he/she wander at night, get dressed, or disturb your sleep? | NPI - Difficulty Sleeping | ||
NPI1-Discouraged | C100654 | NPI1-Discouraged | Neuropsychiatric Inventory - Does the patient seem very discouraged or say that he/she has no future? | NPI - Seem Very Discouraged | ||
NPI1-Disinhibition Distress | C103625 | NPI1-Disinhibition Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Disinhibition Distress | ||
NPI1-Disinhibition Frequency | C103623 | NPI1-Disinhibition Frequency | Neuropsychiatric Inventory - Frequency of the disinhibition. | NPI - Disinhibition Frequency | ||
NPI1-Disinhibition FxS Score | C112476 | NPI1-Disinhibition FxS Score | Neuropsychiatric Inventory - Disinhibition: (frequency score x severity score). | NPI - Disinhibition FxS Score | ||
NPI1-Disinhibition Severity | C103624 | NPI1-Disinhibition Severity | Neuropsychiatric Inventory - Severity of the disinhibition. | NPI - Disinhibition Severity | ||
NPI1-Do Things Repeatedly | C100699 | NPI1-Do Things Repeatedly | Neuropsychiatric Inventory - Does the patient pace, do things over and over such as opening closets or drawers, or repeatedly pick at things or wind string or threads? | NPI - Pace, Do Things Over and Over, Repeatedly Pick at Things | ||
NPI1-Elation/Euphoria Distress | C103619 | NPI1-Elation/Euphoria Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Elation/Euphoria Distress | ||
NPI1-Elation/Euphoria Frequency | C103617 | NPI1-Elation/Euphoria Frequency | Neuropsychiatric Inventory - Frequency of the elation/euphoria. | NPI - Elation/Euphoria Frequency | ||
NPI1-Elation/Euphoria FxS Score | C112474 | NPI1-Elation/Euphoria FxS Score | Neuropsychiatric Inventory - Elation/Euphoria: (frequency score x severity score). | NPI - Elation/Euphoria FxS Score | ||
NPI1-Elation/Euphoria Severity | C103618 | NPI1-Elation/Euphoria Severity | Neuropsychiatric Inventory - Severity of the elation/euphoria. | NPI - Elation/Euphoria Severity | ||
NPI1-Excessive Sleep during Day | C100714 | NPI1-Excessive Sleep during Day | Neuropsychiatric Inventory - Does the patient sleep excessively during the day? | NPI - Sleep Excessively During the Day | ||
NPI1-False Visions or Voices | C100632 | NPI1-False Visions or Voices | Neuropsychiatric Inventory - Does the patient have hallucinations such as seeing false visions or hearing false voices? Does he/she seem to see, hear or experience things that are not present? By this question we do not mean just mistaken beliefs such as stating that someone who has died is still alive; rather we are asking if the patient actually has abnormal experiences of sounds or visions. | NPI - Hallucinations Such as Seeing False Visions or Hearing False Voices | ||
NPI1-Family Plans to Abandon | C100629 | NPI1-Family Plans to Abandon | Neuropsychiatric Inventory - Does the patient believe that family members plan to abandon him/her? | NPI - Family Members Plan to Abandon Him/Her | ||
NPI1-Feel Good or Too Happy | C100667 | NPI1-Feel Good or Too Happy | Neuropsychiatric Inventory - Does the patient appear to feel good or to be too happy, different from his/her usual self? | NPI - Appear to Feel Good or to Be Too Happy | ||
NPI1-Feel Like a Failure | C100652 | NPI1-Feel Like a Failure | Neuropsychiatric Inventory - Does the patient put him/herself down or say that he/she feels like a failure? | NPI - Put Him/Herself Down or Say That He/She Feels Like a Failure | ||
NPI1-Feel Things on Skin | C100637 | NPI1-Feel Things on Skin | Neuropsychiatric Inventory - Does the patient describe feeling things on his/her skin or otherwise appear to be feeling things crawling or touching him/her? | NPI - Describe Feeling Things on His/Her Skin | ||
NPI1-Fidget Excessively | C100705 | NPI1-Fidget Excessively | Neuropsychiatric Inventory - Does the patient fidget excessively, seem unable to sit still, or bounce his/her feet or tap his/her fingers a lot? | NPI - Fidget Excessively, Seem Unable to Sit Still | ||
NPI1-Get Up during Night | C100709 | NPI1-Get Up during Night | Neuropsychiatric Inventory - Does the patient get up during the night (do not count if the patient gets up once or twice per night only to go to the bathroom and falls back asleep immediately)? | NPI - Get Up During the Night | ||
NPI1-Get Upset with Caregiver | C100641 | NPI1-Get Upset with Caregiver | Neuropsychiatric Inventory - Does the patient get upset with those trying to care for him/her or resist activities such as bathing or changing clothes? | NPI - Get Upset with Those Trying to Care for Him/Her | ||
NPI1-Hallucinations Distress | C103607 | NPI1-Hallucinations Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Hallucinations Distress | ||
NPI1-Hallucinations Frequency | C103605 | NPI1-Hallucinations Frequency | Neuropsychiatric Inventory - Frequency of the hallucinations. | NPI - Hallucinations Frequency | ||
NPI1-Hallucinations FxS Score | C112470 | NPI1-Hallucinations FxS Score | Neuropsychiatric Inventory - Hallucinations: (frequency score x severity score). | NPI - Hallucinations FxS Score | ||
NPI1-Hallucinations Severity | C103606 | NPI1-Hallucinations Severity | Neuropsychiatric Inventory - Severity of the hallucinations. | NPI - Hallucinations Severity | ||
NPI1-Hearing Voices | C100633 | NPI1-Hearing Voices | Neuropsychiatric Inventory - Does the patient describe hearing voices or act as if he/she hears voices? | NPI - Describe Hearing Voices or Act as if He/She Hears Voices | ||
NPI1-House Not Their Home | C100628 | NPI1-House Not Their Home | Neuropsychiatric Inventory - Does the patient believe that his/her house is not his/her home? | NPI - His/Her House Is Not His/Her Home | ||
NPI1-Humor Others Do Not Find Funny | C100668 | NPI1-Humor Others Do Not Find Funny | Neuropsychiatric Inventory - Does the patient find humor and laugh at things that others do not find funny? | NPI - Fine Humor and Laugh at Things That Others Do Not Find Funny | ||
NPI1-Hurt or Hit Others | C100647 | NPI1-Hurt or Hit Others | Neuropsychiatric Inventory - Does the patient attempt to hurt or hit others? | NPI - Attempt to Hurt or Hit Others | ||
NPI1-Impatient | C100695 | NPI1-Impatient | Neuropsychiatric Inventory - Is the patient impatient, having trouble coping with delays or waiting for planned activities? | NPI - Impatient, Having Trouble Coping with Delays | ||
NPI1-In Danger | C100623 | NPI1-In Danger | Neuropsychiatric Inventory - Does the patient believe that he/she is in danger - that others are planning to hurt him/her? | NPI - He/She is in Danger | ||
NPI1-Increase in Appetite | C100718 | NPI1-Increase in Appetite | Neuropsychiatric Inventory - Has he/she had an increase in appetite? | NPI - Increase in Appetite | ||
NPI1-Irritability/Lability Distress | C103628 | NPI1-Irritability/Lability Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Irritability/Lability Distress | ||
NPI1-Irritability/Lability Frequency | C103626 | NPI1-Irritability/Lability Frequency | Neuropsychiatric Inventory - Frequency of the irritability/lability. | NPI - Irritability/Lability Frequency | ||
NPI1-Irritability/Lability FxS Score | C112477 | NPI1-Irritability/Lability FxS Score | Neuropsychiatric Inventory - Irritability/Lability: (frequency score x severity score). | NPI - Irritability/Lability FxS Score | ||
NPI1-Irritability/Lability Severity | C103627 | NPI1-Irritability/Lability Severity | Neuropsychiatric Inventory - Severity of the irritability/lability. | NPI - Irritability/Lability Severity | ||
NPI1-Irritated and Easily Disturbed | C100691 | NPI1-Irritated and Easily Disturbed | Neuropsychiatric Inventory - Does the patient get irritated and easily disturbed? Are his/her moods very changeable? Is he/she abnormally impatient? We do not mean frustration over memory loss or inability to perform usual tasks; we are interested to know if the patient has abnormal irritability, impatience, or rapid emotional changes different from his/her usual self. | NPI - Get Irritated and Easily Disturbed | ||
NPI1-Jokes Others Do Not Find Funny | C100670 | NPI1-Jokes Others Do Not Find Funny | Neuropsychiatric Inventory - Does the patient tell jokes or make remarks that are not funny to others but seem funny to him/her? | NPI - Tell Jokes or Make Remarks That are Not Funny to Others | ||
NPI1-Less Affectionate | C100677 | NPI1-Less Affectionate | Neuropsychiatric Inventory - Is the patient less affectionate or lacking in emotions when compared to his/her usual self? | NPI - Less Affectionate or Lacking in Emotions | ||
NPI1-Less Enthusiastic | C100681 | NPI1-Less Enthusiastic | Neuropsychiatric Inventory - Is the patient less enthusiastic about his/her usual interests? | NPI - Less Enthusiastic About His/Her Usual Interests | ||
NPI1-Less Interest in Activities | C100679 | NPI1-Less Interest in Activities | Neuropsychiatric Inventory - Does the patient seem less interested in the activities and plans of others? | NPI - Less Interested in the Activities and Plans of Others | ||
NPI1-Less Likely Initiate Conversation | C100676 | NPI1-Less Likely Initiate Conversation | Neuropsychiatric Inventory - Is the patient less likely to initiate a conversation? | NPI - Less Likely Initiate to Initiate a Conversation | ||
NPI1-Less Spontaneous or Active | C100675 | NPI1-Less Spontaneous or Active | Neuropsychiatric Inventory - Does the patient seem less spontaneous and less active than usual? | NPI - Seem Less Spontaneous and Less Active Than Usual | ||
NPI1-Loss of Appetite | C100717 | NPI1-Loss of Appetite | Neuropsychiatric Inventory - Has he/she had a loss of appetite? | NPI - Loss of Appetite | ||
NPI1-Lost Interest in Friends | C100680 | NPI1-Lost Interest in Friends | Neuropsychiatric Inventory - Has the patient lost interest in friends and family members? | NPI - Lost Interest in Friends and Family Members | ||
NPI1-Lost Interest in World | C100674 | NPI1-Lost Interest in World | Neuropsychiatric Inventory - Has the patient lost interest in the world around him/her? Has he/she lost interest in doing things or does he/she lack motivation for starting new activities? Is he/she more difficult to engage in conversation or in doing chores? Is the patient apathetic or indifferent? | NPI - Lost Interest in the World Around Him/Her | ||
NPI1-Make Crude Remarks | C100687 | NPI1-Make Crude Remarks | Neuropsychiatric Inventory - Does the patient say crude things or make sexual remarks that he/she would not usually have said? | NPI - Say Crude Things or Make Sexual Remarks | ||
NPI1-Nervous or Worried | C100658 | NPI1-Nervous or Worried | Neuropsychiatric Inventory - Is the patient very nervous, worried, or frightened for no apparent reason? Does he/she seem very tense or fidgety? Is the patient afraid to be apart from you? | NPI - Very Nervous, Worried, or Frightened for No Apparent Reason | ||
NPI1-Nervous when Separated | C100664 | NPI1-Nervous when Separated | Neuropsychiatric Inventory - Does the patient become nervous and upset when separated from you (or his/her caregiver)? (Does he/she cling to you to keep from being separated?). | NPI - Become Nervous and Upset When Separated From You | ||
NPI1-NPI Total Distress Score | C112482 | NPI1-NPI Total Distress Score | Neuropsychiatric Inventory - Sub-total of distress score. | NPI - NPI Total Distress Score | ||
NPI1-NPI Total Score | C112481 | NPI1-NPI Total Score | Neuropsychiatric Inventory - Total of (Frequency Sub-total) x (Severity Sub-total). | NPI - NPI Total Score | ||
NPI1-Other Aggressive Behavior | C100648 | NPI1-Other Aggressive Behavior | Neuropsychiatric Inventory - Does the patient have any other aggressive or agitated behaviors? | NPI - Any Other Aggressive or Agitated Behaviors | ||
NPI1-Other Behaviors Hard to Handle | C100644 | NPI1-Other Behaviors Hard to Handle | Neuropsychiatric Inventory - Does the patient have any other behaviors that make him/her hard to handle? | NPI - Any Other Behaviors That Make Him/Her Hard to Handle | ||
NPI1-Other Changes in Eating | C100724 | NPI1-Other Changes in Eating | Neuropsychiatric Inventory - Have there been any other changes in appetite or eating that I haven't asked about? | NPI - Any Other Changes in Appetite or Eating | ||
NPI1-Other Nighttime Behaviors | C100715 | NPI1-Other Nighttime Behaviors | Neuropsychiatric Inventory - Does the patient have any other nighttime behaviors that bother you that we haven't talked about? | NPI - Any Other Nighttime Behaviors That Bother You | ||
NPI1-Other Repetitive Activities | C100706 | NPI1-Other Repetitive Activities | Neuropsychiatric Inventory - Does the patient do any other activities over and over? | NPI - Do Any Other Activities Over and Over | ||
NPI1-Other Signs of Anxiety | C100665 | NPI1-Other Signs of Anxiety | Neuropsychiatric Inventory - Does the patient show any other signs of anxiety? | NPI - Show Any Other Signs of Anxiety | ||
NPI1-Other Signs of Depression | C100657 | NPI1-Other Signs of Depression | Neuropsychiatric Inventory - Does the patient show any other signs of depression or sadness? | NPI - Show Any Other Signs of Depression or Sadness | ||
NPI1-Other Signs of Feeling Too Happy | C100673 | NPI1-Other Signs of Feeling Too Happy | Neuropsychiatric Inventory - Does the patient show any other signs of feeling too good or being too happy? | NPI - Show Any Other Signs of Feeling Too Good or Being Too Happy | ||
NPI1-Other Signs of Impulses | C100690 | NPI1-Other Signs of Impulses | Neuropsychiatric Inventory - Does the patient show any other signs of loss of control of his/her impulses? | NPI - Show Any Other Signs of Loss of Control of His/Her Impulses | ||
NPI1-Other Signs of Irritability | C100698 | NPI1-Other Signs of Irritability | Neuropsychiatric Inventory - Does the patient show any other signs of irritability? | NPI - Show Any Other Signs of Irritability | ||
NPI1-Other Signs of Not Caring | C100682 | NPI1-Other Signs of Not Caring | Neuropsychiatric Inventory - Does the patient show any other signs that he/she doesn't care about doing new things? | NPI - Show Any Other Signs That He/She Doesn't Care About Doing New Things | ||
NPI1-Other Unusual Beliefs | C100631 | NPI1-Other Unusual Beliefs | Neuropsychiatric Inventory - Does the patient believe any other unusual things that I haven't asked about? | NPI - Any Other Unusual Things That I Haven't Asked About | ||
NPI1-Other Unusual Sensory Experience | C100639 | NPI1-Other Unusual Sensory Experience | Neuropsychiatric Inventory - Does the patient describe any other unusual sensory experiences? | NPI - Describe Any Other Unusual Sensory Experiences | ||
NPI1-Others Are Stealing | C100624 | NPI1-Others Are Stealing | Neuropsychiatric Inventory - Does the patient believe that others are stealing from him/her? | NPI - Others are Stealing From Him/Her | ||
NPI1-Pace | C100700 | NPI1-Pace | Neuropsychiatric Inventory - Does the patient pace around the house without apparent purpose? | NPI - Pace Around the House Without Apparent Purpose | ||
NPI1-People Not Who They Claim | C100627 | NPI1-People Not Who They Claim | Neuropsychiatric Inventory - Does the patient believe that his/her spouse or others are not who they claim to be? | NPI - His/Her Spouse or Others Are Not Who They Claim To Be | ||
NPI1-Rapidly Change Moods | C100693 | NPI1-Rapidly Change Moods | Neuropsychiatric Inventory - Does the patient rapidly change moods from one to another, being fine one minute and angry the next? | NPI - Rapidly Change Moods From One to Another | ||
NPI1-Refuse to Cooperate | C100640 | NPI1-Refuse to Cooperate | Neuropsychiatric Inventory - Does the patient have periods when he/she refuses to cooperate or won't let people help him/her? Is he/she hard to handle? | NPI - Periods When He/She Refuses to Cooperate | ||
NPI1-Repeatedly Change Clothing | C100702 | NPI1-Repeatedly Change Clothing | Neuropsychiatric Inventory - Does the patient repeatedly put on and take off clothing? | NPI - Repeatedly Put On and Take Off Clothing | ||
NPI1-Repetitive Activities | C100704 | NPI1-Repetitive Activities | Neuropsychiatric Inventory - Does the patient engage in repetitive activities such as handling buttons, picking, wrapping string, etc.? | NPI - Engage in Repetitive Activities | ||
NPI1-Repetitive Activities or Habits | C100703 | NPI1-Repetitive Activities or Habits | Neuropsychiatric Inventory - Does the patient have repetitive activities or "habits" that he/she performs over and over? | NPI - Repetitive Activities or 'Habits' | ||
NPI1-Rummage Around and Unpack | C100701 | NPI1-Rummage Around and Unpack | Neuropsychiatric Inventory - Does the patient rummage around opening and unpacking drawers or closets? | NPI - Rummage Around Opening and Unpacking Drawers or Closets | ||
NPI1-Sad or Depressed | C100649 | NPI1-Sad or Depressed | Neuropsychiatric Inventory - Does the patient seem sad or depressed? Does he/she say that he/she feels sad or depressed? | NPI - Seem Sad or Depressed | ||
NPI1-Say Insensitive Things | C100686 | NPI1-Say Insensitive Things | Neuropsychiatric Inventory - Does the patient say things to people that are insensitive or hurt their feelings? | NPI - Say Things to People that are Insensitive | ||
NPI1-Say or Act in Low Spirits | C100651 | NPI1-Say or Act in Low Spirits | Neuropsychiatric Inventory - Does the patient say, or act as if he/she is sad or in low spirits? | NPI - Say, or Act as if He/She is Sad or in Low Spirits | ||
NPI1-See Things Not Seen by Others | C100635 | NPI1-See Things Not Seen by Others | Neuropsychiatric Inventory - Does the patient describe seeing things not seen by others or behave as if he/she is seeing things not seen by others (people, animals, lights, etc.)? | NPI - Describe Seeing Things Not Seen by Others | ||
NPI1-Shaky or Unable to Relax | C100660 | NPI1-Shaky or Unable to Relax | Neuropsychiatric Inventory - Does the patient have periods of feeling shaky, unable to relax, or feeling excessively tense? | NPI - Periods of Feeling Shaky, Unable to Relax, or Feeling Excessively Tense | ||
NPI1-Short of Breath, Gasp, Sigh | C100661 | NPI1-Short of Breath, Gasp, Sigh | Neuropsychiatric Inventory - Does the patient have periods of (or complain of) shortness of breath, gasping, or sighing for no apparent reason other than nervousness? | NPI - Periods of Shortness of Breath, Gasping, or Sighing for No Apparent Reason | ||
NPI1-Shout or Curse Angrily | C100645 | NPI1-Shout or Curse Angrily | Neuropsychiatric Inventory - Does the patient shout or curse angrily? | NPI - Shout or Curse Angrily | ||
NPI1-Slam, Kick or Throw Things | C100646 | NPI1-Slam, Kick or Throw Things | Neuropsychiatric Inventory - Does the patient slam doors, kick furniture, throw things? | NPI - Slam doors, Kick Furniture, Throw Things | ||
NPI1-Sleep/Night Behav Disord FxS Score | C112479 | NPI1-Sleep/Night Behav Disord FxS Score | Neuropsychiatric Inventory - Sleep and Nighttime Behavior Disorders: (frequency score x severity score). | NPI - Sleep/Night Behavior Disorder FxS Score | ||
NPI1-Sleep/Nighttime Behavior Distress | C103634 | NPI1-Sleep/Nighttime Behavior Distress | Neuropsychiatric Inventory - How emotionally distressing do you find this behavior? | NPI - Sleep and Nighttime Behavior Disorders Distress | ||
NPI1-Sleep/Nighttime Behavior Frequency | C103632 | NPI1-Sleep/Nighttime Behavior Frequency | Neuropsychiatric Inventory - Frequency of the nighttime behavior. | NPI - Sleep and Nighttime Behavior Disorders Frequency | ||
NPI1-Sleep/Nighttime Behavior Severity | C103633 | NPI1-Sleep/Nighttime Behavior Severity | Neuropsychiatric Inventory - Severity of the nighttime behavior. | NPI - Sleep and Nighttime Behavior Disorders Severity | ||
NPI1-Smell Odors Others Do Not Smell | C100636 | NPI1-Smell Odors Others Do Not Smell | Neuropsychiatric Inventory - Does the patient report smelling odors not smelled by others? | NPI - Report Smelling Odors Not Smelled by Others | ||
NPI1-Spouse Having Affair | C100625 | NPI1-Spouse Having Affair | Neuropsychiatric Inventory - Does the patient believe that his/her spouse is having an affair? | NPI - His/Her Spouse is Having an Affair | ||
NPI1-Stubborn | C100642 | NPI1-Stubborn | Neuropsychiatric Inventory - Is the patient stubborn, having to have things his/her way? | NPI - Stubborn | ||
NPI1-Sudden Anger | C100694 | NPI1-Sudden Anger | Neuropsychiatric Inventory - Does the patient have sudden flashes of anger? | NPI - Sudden Flares of Anger | ||
NPI1-Take Liberties or Touch Others | C100689 | NPI1-Take Liberties or Touch Others | Neuropsychiatric Inventory - Does the patient take liberties or touch or hug others in a way that is out of character for him/her? | NPI - Take Liberties or Touch or Hug Others | ||
NPI1-Talk Big | C100672 | NPI1-Talk Big | Neuropsychiatric Inventory - Does the patient "talk big" or claim to have more abilities or wealth than is true? | NPI - Talk Big or Claim to Have More Abilities or Wealth Than is True | ||
NPI1-Talk Openly about Private Matters | C100688 | NPI1-Talk Openly about Private Matters | Neuropsychiatric Inventory - Does the patient talk openly about very personal or private matters not usually discussed in public? | NPI - Talk Openly About Very Personal or Private Matters | ||
NPI1-Talk to People Not There | C100634 | NPI1-Talk to People Not There | Neuropsychiatric Inventory - Does the patient talk to people who are not there? | NPI - Talk to People Who Are Not There | ||
NPI1-Talk to Strangers | C100685 | NPI1-Talk to Strangers | Neuropsychiatric Inventory - Does the patient talk to total strangers as if he/she knew them? | NPI - Talk to Total Strangers as if He/She Knew Them | ||
NPI1-Taste without Known Cause | C100638 | NPI1-Taste without Known Cause | Neuropsychiatric Inventory - Does the patient describe tastes that are without any known cause? | NPI - Describe Tastes That Are Without Any Known Cause | ||
NPI1-Tearfulness or Sobbing | C100650 | NPI1-Tearfulness or Sobbing | Neuropsychiatric Inventory - Does the patient have periods of tearfulness or sobbing that seem to indicate sadness? | NPI - Periods of Tearfulness or Sobbing | ||
NPI1-Too Cheerful or Happy | C100666 | NPI1-Too Cheerful or Happy | Neuropsychiatric Inventory - Does the patient seem too cheerful or too happy for no reason? I don't mean the normal happiness that comes from seeing friends, receiving presents, or spending time with family members. I am asking if the patient has a persistent and abnormally good mood or finds humor where others do not. | NPI - Seem Too Cheerful or Too Happy for No Reason | ||
NPI1-TV/Magazine Figures Present | C100630 | NPI1-TV/Magazine Figures Present | Neuropsychiatric Inventory - Does the patient believe that television or magazine figures are actually present in the home? (Does he/she try to talk or interact with them?) | NPI - Television or Magazine Figures Are Actually Present In the Home | ||
NPI1-Uncooperative | C100643 | NPI1-Uncooperative | Neuropsychiatric Inventory - Is the patient uncooperative, resistive to help from others? | NPI - Uncooperative | ||
NPI1-Unwelcome Guests in House | C100626 | NPI1-Unwelcome Guests in House | Neuropsychiatric Inventory - Does the patient believe that unwelcome guests are living in his/her house? | NPI - Unwelcome Guests are Living in His/Her House | ||
NPI1-Wake at Night and Think Morning | C100712 | NPI1-Wake at Night and Think Morning | Neuropsychiatric Inventory - Does the patient wake up at night, dress, and plan to go out thinking that it is morning and time to start the day? | NPI - Wake Up at Night, Dress, and Plan to Go Out | ||
NPI1-Wander or Pace at Night | C100710 | NPI1-Wander or Pace at Night | Neuropsychiatric Inventory - Does the patient wander, pace or get involved in inappropriate activities at night? | NPI - Wander, Pace or Get Involved in Inappropriate Activities at Night | ||
NPI1-Weight Gain | C100720 | NPI1-Weight Gain | Neuropsychiatric Inventory - Has he/she gained weight? | NPI - Gained Weight | ||
NPI1-Weight Loss | C100719 | NPI1-Weight Loss | Neuropsychiatric Inventory - Has he/she had a loss of weight? | NPI - Loss of Weight | ||
NPI1-Wish for Death | C100656 | NPI1-Wish for Death | Neuropsychiatric Inventory - Does the patient express a wish for death or talk about killing himself/herself? | NPI - Express a Wish for Death | ||
NPI1-Worried about Planned Event | C100659 | NPI1-Worried about Planned Event | Neuropsychiatric Inventory - Does the patient say that he/she is worried about planned events? | NPI - Say That He/She is Worried About Planned Events | ||
Back to top | ||||||
CL.C105134.PI TESTCD | QS-Pain Intensity Questionnaire Test Code (PI TESTCD) | text Extensible: No | C105134 | QS-Pain Intensity Questionnaire Test Code | Pain Intensity test code. | CDISC Questionnaire PI v1 Test Code Terminology |
PI0101 | C105261 | PI01-Pain Intensity | Pain Intensity - Pain intensity for various time periods of evaluation. | PI - Pain Intensity For Various Time Periods of Evaluation | ||
PI0102 | C105262 | PI01-Average Pain Intensity | Pain Intensity - Average pain intensity for various time periods of evaluation. | PI - Average Pain Intensity For Various Time Periods of Evaluation | ||
PI0103 | C105263 | PI01-Minimum Pain Intensity | Pain Intensity - Minimum pain intensity for various time periods of evaluation. | PI - Minimum Pain Intensity For Various Time Periods of Evaluation | ||
PI0104 | C105264 | PI01-Maximum Pain Intensity | Pain Intensity - Maximum pain intensity for various time periods of evaluation. | PI - Maximum Pain Intensity For Various Time Periods of Evaluation | ||
PI0105 | C105265 | PI01-Least Pain Intensity | Pain Intensity - Least pain intensity for various time periods of evaluation. | PI - Least Pain Intensity For Various Time Periods of Evaluation | ||
PI0106 | C105266 | PI01-Worst Pain Intensity | Pain Intensity - Worst pain intensity for various time periods of evaluation. | PI - Worst Pain Intensity For Various Time Periods of Evaluation | ||
Back to top | ||||||
CL.C105133.PI TEST | QS-Pain Intensity Questionnaire Test Name (PI TEST) | text Extensible: No | C105133 | QS-Pain Intensity Questionnaire Test Name | Pain Intensity test name. | CDISC Questionnaire PI v1 Test Name Terminology |
PI01-Average Pain Intensity | C105262 | PI01-Average Pain Intensity | Pain Intensity - Average pain intensity for various time periods of evaluation. | PI - Average Pain Intensity For Various Time Periods of Evaluation | ||
PI01-Least Pain Intensity | C105265 | PI01-Least Pain Intensity | Pain Intensity - Least pain intensity for various time periods of evaluation. | PI - Least Pain Intensity For Various Time Periods of Evaluation | ||
PI01-Maximum Pain Intensity | C105264 | PI01-Maximum Pain Intensity | Pain Intensity - Maximum pain intensity for various time periods of evaluation. | PI - Maximum Pain Intensity For Various Time Periods of Evaluation | ||
PI01-Minimum Pain Intensity | C105263 | PI01-Minimum Pain Intensity | Pain Intensity - Minimum pain intensity for various time periods of evaluation. | PI - Minimum Pain Intensity For Various Time Periods of Evaluation | ||
PI01-Pain Intensity | C105261 | PI01-Pain Intensity | Pain Intensity - Pain intensity for various time periods of evaluation. | PI - Pain Intensity For Various Time Periods of Evaluation | ||
PI01-Worst Pain Intensity | C105266 | PI01-Worst Pain Intensity | Pain Intensity - Worst pain intensity for various time periods of evaluation. | PI - Worst Pain Intensity For Various Time Periods of Evaluation | ||
Back to top | ||||||
CL.C105136.PR TESTCD | QS-Pain Relief Questionnaire Test Code (PR TESTCD) | text Extensible: No | C105136 | QS-Pain Relief Questionnaire Test Code | Pain Relief test code. | CDISC Questionnaire PR v1 Test Code Terminology |
PR0101 | C105267 | PR01-Pain Relief | Pain Relief - Pain relief for various time periods of evaluation. | PR - Pain Relief For Various Time Periods of Evaluation | ||
PR0102 | C105268 | PR01-Average Pain Relief | Pain Relief - Average pain relief for various time periods of evaluation. | PR - Average Pain Relief For Various Time Periods of Evaluation | ||
PR0103 | C105269 | PR01-Minimum Pain Relief | Pain Relief - Minimum pain relief for various time periods of evaluation. | PR - Minimum Pain Relief For Various Time Periods of Evaluation | ||
PR0104 | C105270 | PR01-Maximum Pain Relief | Pain Relief - Maximum pain relief for various time periods of evaluation. | PR - Maximum Pain Relief For Various Time Periods of Evaluation | ||
PR0105 | C105271 | PR01-Least Pain Relief | Pain Relief - Least pain relief for various time periods of evaluation. | PR - Least Pain Relief For Various Time Periods of Evaluation | ||
PR0106 | C105272 | PR01-Worst Pain Relief | Pain Relief - Worst pain relief for various time periods of evaluation. | PR - Worst Pain Relief For Various Time Periods of Evaluation | ||
PR0107 | C105273 | PR01-Starting Pain at Least 1/2 Gone | Pain Relief - Starting pain at least 1/2 Gone? | PR - Starting Pain Half Gone | ||
PR0108 | C105274 | PR01-Was there Perceptible Pain Relief | Pain Relief - Was there perceptible pain relief? | PR - Was There Perceptible Pain Relief | ||
PR0109 | C105275 | PR01-Time to Perceptible Pain Relief | Pain Relief - Time to perceptible pain relief. | PR - Time to Perceptible Pain Relief | ||
PR0110 | C105276 | PR01-Was there Meaningful Pain Relief | Pain Relief - Was there meaningful pain relief? | PR - Was There Meaningful Pain Relief | ||
PR0111 | C105277 | PR01-Time to Meaningful Pain Relief | Pain Relief - Time to meaningful pain relief. | PR - Time to Meaningful Pain Relief | ||
Back to top | ||||||
CL.C105135.PR TEST | QS-Pain Relief Questionnaire Test Name (PR TEST) | text Extensible: No | C105135 | QS-Pain Relief Questionnaire Test Name | Pain Relief test name. | CDISC Questionnaire PR v1 Test Name Terminology |
PR01-Average Pain Relief | C105268 | PR01-Average Pain Relief | Pain Relief - Average pain relief for various time periods of evaluation. | PR - Average Pain Relief For Various Time Periods of Evaluation | ||
PR01-Least Pain Relief | C105271 | PR01-Least Pain Relief | Pain Relief - Least pain relief for various time periods of evaluation. | PR - Least Pain Relief For Various Time Periods of Evaluation | ||
PR01-Maximum Pain Relief | C105270 | PR01-Maximum Pain Relief | Pain Relief - Maximum pain relief for various time periods of evaluation. | PR - Maximum Pain Relief For Various Time Periods of Evaluation | ||
PR01-Minimum Pain Relief | C105269 | PR01-Minimum Pain Relief | Pain Relief - Minimum pain relief for various time periods of evaluation. | PR - Minimum Pain Relief For Various Time Periods of Evaluation | ||
PR01-Pain Relief | C105267 | PR01-Pain Relief | Pain Relief - Pain relief for various time periods of evaluation. | PR - Pain Relief For Various Time Periods of Evaluation | ||
PR01-Starting Pain at Least 1/2 Gone | C105273 | PR01-Starting Pain at Least 1/2 Gone | Pain Relief - Starting pain at least 1/2 Gone? | PR - Starting Pain Half Gone | ||
PR01-Time to Meaningful Pain Relief | C105277 | PR01-Time to Meaningful Pain Relief | Pain Relief - Time to meaningful pain relief. | PR - Time to Meaningful Pain Relief | ||
PR01-Time to Perceptible Pain Relief | C105275 | PR01-Time to Perceptible Pain Relief | Pain Relief - Time to perceptible pain relief. | PR - Time to Perceptible Pain Relief | ||
PR01-Was there Meaningful Pain Relief | C105276 | PR01-Was there Meaningful Pain Relief | Pain Relief - Was there meaningful pain relief? | PR - Was There Meaningful Pain Relief | ||
PR01-Was there Perceptible Pain Relief | C105274 | PR01-Was there Perceptible Pain Relief | Pain Relief - Was there perceptible pain relief? | PR - Was There Perceptible Pain Relief | ||
PR01-Worst Pain Relief | C105272 | PR01-Worst Pain Relief | Pain Relief - Worst pain relief for various time periods of evaluation. | PR - Worst Pain Relief For Various Time Periods of Evaluation | ||
Back to top | ||||||
CL.C112447.PDDS TESTCD | QS-Patient Determined Disease Steps Questionnaire Test Code (PDDS TESTCD) | text Extensible: No | C112447 | QS-Patient Determined Disease Steps Questionnaire Test Code | Patient Determined Disease Steps test code. | CDISC Questionnaire PDDS Test Code Terminology |
PDDS0101 | C112626 | PDDS01-Category Describing Situation | Patient Determined Disease Steps - This scale focuses mainly on how well you walk. You might not find a description that reflects your condition exactly, but please mark the one category that describes your situation the closest. | PDDS - Category Describing Situation | ||
Back to top | ||||||
CL.C112446.PDDS TEST | QS-Patient Determined Disease Steps Questionnaire Test Name (PDDS TEST) | text Extensible: No | C112446 | QS-Patient Determined Disease Steps Questionnaire Test Name | Patient Determined Disease Steps test name. | CDISC Questionnaire PDDS Test Name Terminology |
PDDS01-Category Describing Situation | C112626 | PDDS01-Category Describing Situation | Patient Determined Disease Steps - This scale focuses mainly on how well you walk. You might not find a description that reflects your condition exactly, but please mark the one category that describes your situation the closest. | PDDS - Category Describing Situation | ||
Back to top | ||||||
CL.C103483.PHQ-15 TESTCD | QS-Patient Health Questionnaire - 15 Item Test Code (PHQ-15 TESTCD) | text Extensible: No | C103483 | QS-Patient Health Questionnaire - 15 Item Test Code | Patient Health Questionnaire - 15 test code. | CDISC Questionnaire PHQ-15 Test Code Terminology |
PHQ0201 | C103715 | PHQ02-Stomach Pain | Patient Health Questionnaire - 15 - Stomach pain. | PHQ-15 - Stomach Pain | ||
PHQ0202 | C103716 | PHQ02-Back Pain | Patient Health Questionnaire - 15 - Back pain. | PHQ-15 - Back Pain | ||
PHQ0203 | C103717 | PHQ02-Pain In Your Arms, Legs, or Joints | Patient Health Questionnaire - 15 - Pain in your arms, legs, or joints (knees, hips, etc.). | PHQ-15 - Pain In Your Arms, Legs, or Joints | ||
PHQ0204 | C103718 | PHQ02-Menstrual Cramp/Problem Periods | Patient Health Questionnaire - 15 - Menstrual cramps or other problems with your periods [Women only]. | PHQ-15 - Menstrual Cramp or Other Problems with Your Periods | ||
PHQ0205 | C103719 | PHQ02-Headaches | Patient Health Questionnaire - 15 - Headaches. | PHQ-15 - Headaches | ||
PHQ0206 | C103720 | PHQ02-Chest Pain | Patient Health Questionnaire - 15 - Chest pain. | PHQ-15 - Chest Pain | ||
PHQ0207 | C103721 | PHQ02-Dizziness | Patient Health Questionnaire - 15 - Dizziness. | PHQ-15 - Dizziness | ||
PHQ0208 | C103722 | PHQ02-Fainting Spells | Patient Health Questionnaire - 15 - Fainting spells. | PHQ-15 - Fainting Spells | ||
PHQ0209 | C103723 | PHQ02-Feeling Your Heart Pound or Race | Patient Health Questionnaire - 15 - Feeling your heart pound or race. | PHQ-15 - Feeling Your Heart Pound or Race | ||
PHQ0210 | C103724 | PHQ02-Shortness of Breath | Patient Health Questionnaire - 15 - Shortness of breath. | PHQ-15 - Shortness of Breath | ||
PHQ0211 | C103725 | PHQ02-Pain/Problems During Intercourse | Patient Health Questionnaire - 15 - Pain or problems during sexual intercourse. | PHQ-15 - Pain or Problems During Sexual Intercourse | ||
PHQ0212 | C103726 | PHQ02-Constipation/Loose Bowels/Diarrhea | Patient Health Questionnaire - 15 - Constipation, loose bowels, or diarrhea. | PHQ-15 - Constipation, Loose Bowels, or Diarrhea | ||
PHQ0213 | C103727 | PHQ02-Nausea, Gas, or Indigestion | Patient Health Questionnaire - 15 - Nausea, gas, or indigestion. | PHQ-15 - Nausea, Gas, or Indigestion | ||
PHQ0214 | C103728 | PHQ02-Feeling Tired or Having Low Energy | Patient Health Questionnaire - 15 - Feeling tired or having low energy. | PHQ-15 - Feeling Tired or Having Low Energy | ||
PHQ0215 | C103729 | PHQ02-Trouble Sleeping | Patient Health Questionnaire - 15 - Trouble sleeping. | PHQ-15 - Trouble Sleeping | ||
Back to top | ||||||
CL.C103482.PHQ-15 TEST | QS-Patient Health Questionnaire - 15 Item Test Name (PHQ-15 TEST) | text Extensible: No | C103482 | QS-Patient Health Questionnaire - 15 Item Test Name | Patient Health Questionnaire - 15 test name. | CDISC Questionnaire PHQ-15 Test Name Terminology |
PHQ02-Back Pain | C103716 | PHQ02-Back Pain | Patient Health Questionnaire - 15 - Back pain. | PHQ-15 - Back Pain | ||
PHQ02-Chest Pain | C103720 | PHQ02-Chest Pain | Patient Health Questionnaire - 15 - Chest pain. | PHQ-15 - Chest Pain | ||
PHQ02-Constipation/Loose Bowels/Diarrhea | C103726 | PHQ02-Constipation/Loose Bowels/Diarrhea | Patient Health Questionnaire - 15 - Constipation, loose bowels, or diarrhea. | PHQ-15 - Constipation, Loose Bowels, or Diarrhea | ||
PHQ02-Dizziness | C103721 | PHQ02-Dizziness | Patient Health Questionnaire - 15 - Dizziness. | PHQ-15 - Dizziness | ||
PHQ02-Fainting Spells | C103722 | PHQ02-Fainting Spells | Patient Health Questionnaire - 15 - Fainting spells. | PHQ-15 - Fainting Spells | ||
PHQ02-Feeling Tired or Having Low Energy | C103728 | PHQ02-Feeling Tired or Having Low Energy | Patient Health Questionnaire - 15 - Feeling tired or having low energy. | PHQ-15 - Feeling Tired or Having Low Energy | ||
PHQ02-Feeling Your Heart Pound or Race | C103723 | PHQ02-Feeling Your Heart Pound or Race | Patient Health Questionnaire - 15 - Feeling your heart pound or race. | PHQ-15 - Feeling Your Heart Pound or Race | ||
PHQ02-Headaches | C103719 | PHQ02-Headaches | Patient Health Questionnaire - 15 - Headaches. | PHQ-15 - Headaches | ||
PHQ02-Menstrual Cramp/Problem Periods | C103718 | PHQ02-Menstrual Cramp/Problem Periods | Patient Health Questionnaire - 15 - Menstrual cramps or other problems with your periods [Women only]. | PHQ-15 - Menstrual Cramp or Other Problems with Your Periods | ||
PHQ02-Nausea, Gas, or Indigestion | C103727 | PHQ02-Nausea, Gas, or Indigestion | Patient Health Questionnaire - 15 - Nausea, gas, or indigestion. | PHQ-15 - Nausea, Gas, or Indigestion | ||
PHQ02-Pain In Your Arms, Legs, or Joints | C103717 | PHQ02-Pain In Your Arms, Legs, or Joints | Patient Health Questionnaire - 15 - Pain in your arms, legs, or joints (knees, hips, etc.). | PHQ-15 - Pain In Your Arms, Legs, or Joints | ||
PHQ02-Pain/Problems During Intercourse | C103725 | PHQ02-Pain/Problems During Intercourse | Patient Health Questionnaire - 15 - Pain or problems during sexual intercourse. | PHQ-15 - Pain or Problems During Sexual Intercourse | ||
PHQ02-Shortness of Breath | C103724 | PHQ02-Shortness of Breath | Patient Health Questionnaire - 15 - Shortness of breath. | PHQ-15 - Shortness of Breath | ||
PHQ02-Stomach Pain | C103715 | PHQ02-Stomach Pain | Patient Health Questionnaire - 15 - Stomach pain. | PHQ-15 - Stomach Pain | ||
PHQ02-Trouble Sleeping | C103729 | PHQ02-Trouble Sleeping | Patient Health Questionnaire - 15 - Trouble sleeping. | PHQ-15 - Trouble Sleeping | ||
Back to top | ||||||
CL.C103481.PHQ-9 TESTCD | QS-Patient Health Questionnaire - 9 Item Test Code (PHQ-9 TESTCD) | text Extensible: No | C103481 | QS-Patient Health Questionnaire - 9 Item Test Code | Patient Health Questionnaire - 9 test code. | CDISC Questionnaire PHQ-9 Test Code Terminology |
PHQ0101 | C103705 | PHQ01-Little Interest/Pleasure in Things | Patient Health Questionnaire - 9 - Little interest or pleasure in doing things. | PHQ-9 - Little Interest or Pleasure in Doing Things | ||
PHQ0102 | C103706 | PHQ01-Feeling Down Depressed or Hopeless | Patient Health Questionnaire - 9 - Feeling down, depressed, or hopeless. | PHQ-9 - Feeling Down, Depressed, or Hopeless | ||
PHQ0103 | C103707 | PHQ01-Trouble Falling or Staying Asleep | Patient Health Questionnaire - 9 - Trouble falling or staying asleep, or sleeping too much. | PHQ-9 - Trouble Falling or Staying Asleep, or Sleeping Too Much | ||
PHQ0104 | C103708 | PHQ01-Feeling Tired or Little Energy | Patient Health Questionnaire - 9 - Feeling tired or having little energy. | PHQ-9 - Feeling Tired or Having Little Energy | ||
PHQ0105 | C103709 | PHQ01-Poor Appetite or Overeating | Patient Health Questionnaire - 9 - Poor appetite or overeating. | PHQ-9 - Poor Appetite or Overeating | ||
PHQ0106 | C103710 | PHQ01-Feeling Bad About Yourself | Patient Health Questionnaire - 9 - Feeling bad about yourself - or that you are a failure or have let yourself or your family down. | PHQ-9 - Feeling Bad About Yourself | ||
PHQ0107 | C103711 | PHQ01-Trouble Concentrating on Things | Patient Health Questionnaire - 9 - Trouble concentrating on things, such as reading the newspaper or watching television. | PHQ-9 - Trouble Concentrating on Things | ||
PHQ0108 | C103712 | PHQ01-Moving Slowly or Fidgety/Restless | Patient Health Questionnaire - 9 - Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual. | PHQ-9 - Moving or Speaking Slowly or the Opposite being Fidgety or Restless | ||
PHQ0109 | C103713 | PHQ01-Thoughts You Be Better Off Dead | Patient Health Questionnaire - 9 - Thoughts that you would be better off dead or of hurting yourself in some way. | PHQ-9 - Thoughts That You Would be Better Off Dead | ||
PHQ0110 | C103714 | PHQ01-Difficult to Work/Take Care Things | Patient Health Questionnaire - 9 - 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? | PHQ-9 - How Difficult have Problems Made it for You to Work, Take Care of Things, or Get Along with Other People | ||
PHQ0111 | C113887 | PHQ01-Total Score | Patient Health Questionnaire - 9 - Total score. | PHQ-9 - Total Score | ||
Back to top | ||||||
CL.C103480.PHQ-9 TEST | QS-Patient Health Questionnaire - 9 Item Test Name (PHQ-9 TEST) | text Extensible: No | C103480 | QS-Patient Health Questionnaire - 9 Item Test Name | Patient Health Questionnaire - 9 test name. | CDISC Questionnaire PHQ-9 Test Name Terminology |
PHQ01-Difficult to Work/Take Care Things | C103714 | PHQ01-Difficult to Work/Take Care Things | Patient Health Questionnaire - 9 - 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? | PHQ-9 - How Difficult have Problems Made it for You to Work, Take Care of Things, or Get Along with Other People | ||
PHQ01-Feeling Bad About Yourself | C103710 | PHQ01-Feeling Bad About Yourself | Patient Health Questionnaire - 9 - Feeling bad about yourself - or that you are a failure or have let yourself or your family down. | PHQ-9 - Feeling Bad About Yourself | ||
PHQ01-Feeling Down Depressed or Hopeless | C103706 | PHQ01-Feeling Down Depressed or Hopeless | Patient Health Questionnaire - 9 - Feeling down, depressed, or hopeless. | PHQ-9 - Feeling Down, Depressed, or Hopeless | ||
PHQ01-Feeling Tired or Little Energy | C103708 | PHQ01-Feeling Tired or Little Energy | Patient Health Questionnaire - 9 - Feeling tired or having little energy. | PHQ-9 - Feeling Tired or Having Little Energy | ||
PHQ01-Little Interest/Pleasure in Things | C103705 | PHQ01-Little Interest/Pleasure in Things | Patient Health Questionnaire - 9 - Little interest or pleasure in doing things. | PHQ-9 - Little Interest or Pleasure in Doing Things | ||
PHQ01-Moving Slowly or Fidgety/Restless | C103712 | PHQ01-Moving Slowly or Fidgety/Restless | Patient Health Questionnaire - 9 - Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual. | PHQ-9 - Moving or Speaking Slowly or the Opposite being Fidgety or Restless | ||
PHQ01-Poor Appetite or Overeating | C103709 | PHQ01-Poor Appetite or Overeating | Patient Health Questionnaire - 9 - Poor appetite or overeating. | PHQ-9 - Poor Appetite or Overeating | ||
PHQ01-Thoughts You Be Better Off Dead | C103713 | PHQ01-Thoughts You Be Better Off Dead | Patient Health Questionnaire - 9 - Thoughts that you would be better off dead or of hurting yourself in some way. | PHQ-9 - Thoughts That You Would be Better Off Dead | ||
PHQ01-Total Score | C113887 | PHQ01-Total Score | Patient Health Questionnaire - 9 - Total score. | PHQ-9 - Total Score | ||
PHQ01-Trouble Concentrating on Things | C103711 | PHQ01-Trouble Concentrating on Things | Patient Health Questionnaire - 9 - Trouble concentrating on things, such as reading the newspaper or watching television. | PHQ-9 - Trouble Concentrating on Things | ||
PHQ01-Trouble Falling or Staying Asleep | C103707 | PHQ01-Trouble Falling or Staying Asleep | Patient Health Questionnaire - 9 - Trouble falling or staying asleep, or sleeping too much. | PHQ-9 - Trouble Falling or Staying Asleep, or Sleeping Too Much | ||
Back to top | ||||||
CL.C113862.RAND-36 V1.0 TESTCD | QS-RAND 36-Item Health Survey 1.0 Test Code (RAND-36 V1.0 TESTCD) | text Extensible: No | C113862 | QS-RAND 36-Item Health Survey 1.0 Test Code | RAND 36-Item Health Survey 1.0 test code. | CDISC Questionnaire RAND 36-Item Health Survey 1.0 Test Code Terminology |
R360101 | C114043 | R3601-Would You Say Your Health Is | RAND 36-Item Health Survey 1.0 - In general, would you say your health is: | RAND-36 - Rate Your Health | ||
R360102 | C114044 | R3601-Health Now Compared to 1 Year Ago | RAND 36-Item Health Survey 1.0 - Compared to one year ago, how would you rate your health in general now? | RAND-36 - Rate Your Health Compared to One Year Ago | ||
R360103 | C114045 | R3601-Health Limit Vigorous Activities | RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports. | RAND-36 - Health Limit Vigorous Activities | ||
R360104 | C114046 | R3601-Health Limit Moderate Activities | RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. | RAND-36 - Health Limit Moderate Activities | ||
R360105 | C114047 | R3601-Health Limit Carrying Groceries | RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Lifting or carrying groceries. | RAND-36 - Health Limit Lifting Groceries | ||
R360106 | C114048 | R3601-Health Limit Climb Several Flights | RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Climbing several flights of stairs. | RAND-36 - Health Limit Climbing Several Flights | ||
R360107 | C114049 | R3601-Health Limit Climb One Flight | RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Climbing one flight of stairs. | RAND-36 - Health Limit Climbing One Flight | ||
R360108 | C114050 | R3601-Health Limit Bending or Kneeling | RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Bending, kneeling, or stooping. | RAND-36 - Health Limit Bending or Stooping | ||
R360109 | C114051 | R3601-Health Limit Walk More Than Mile | RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking more than a mile. | RAND-36 - Health Limit Walking More Than A Mile | ||
R360110 | C114052 | R3601-Health Limit Walk Several Blocks | RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking several blocks. | RAND-36 - Health Limit Walking Several Blocks | ||
R360111 | C114053 | R3601-Health Limit Walk One Block | RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking one block. | RAND-36 - Health Limit Walking One Block | ||
R360112 | C114054 | R3601-Health Limit Bathing/Dressing Self | RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Bathing or dressing yourself. | RAND-36 - Health Limit Bathing or Dressing | ||
R360113 | C114055 | R3601-Phys Health: Cut Work Time | RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Cut down the amount of time you spent on work or other activities. | RAND-36 - Physical Health Cut Down Time Spent on Work | ||
R360114 | C114056 | R3601-Phys Health: Accomplish Less | RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Accomplished less than you would like. | RAND-36 - Physical Health Accomplished Less | ||
R360115 | C114057 | R3601-Phys Health: Limit Kind of Work | RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Were limited in the kind of work or other activities. | RAND-36 - Physical Health Limited in the Kind of Work | ||
R360116 | C114058 | R3601-Phys Health: Difficulty Performing | RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Had difficulty performing the work or other activities. | RAND-36 - Physical Health Difficulty Performing Work | ||
R360117 | C114059 | R3601-Emotional Problem: Cut Work Time | RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Cut down the amount of time you spent on work or other activities. | RAND-36 - Emotional Problem Cut Down Time Spent on Work | ||
R360118 | C114060 | R3601-Emotional Problem: Accomplish Less | RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Accomplished less than you would like. | RAND-36 - Emotional Problem Accomplished Less | ||
R360119 | C114061 | R3601-Emotional Problem: Less Careful | RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Didn't do work or other activities as carefully as usual. | RAND-36 - Emotional Problem Did Not Do Work as Carefully | ||
R360120 | C114062 | R3601-Extent Interfered Social Activity | RAND 36-Item Health Survey 1.0 - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups? | RAND-36 - Extend Physical Health or Emotional Problems Interfere With Social Activities | ||
R360121 | C114063 | R3601-How Much Bodily Pain Have You Had | RAND 36-Item Health Survey 1.0 - How much bodily pain have you had during the past 4 weeks? | RAND-36 - Bodily Pain | ||
R360122 | C114064 | R3601-Did Pain Interfere With Your Work | RAND 36-Item Health Survey 1.0 - During the past 4 weeks, how much did pain interfere with your normal work? | RAND-36 - Pain Interfere With Normal Work | ||
R360123 | C114065 | R3601-Did You Feel Full of Pep | RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel full of pep? | RAND-36 - Feel Full of Pep | ||
R360124 | C114066 | R3601-Have Been a Very Nervous Person | RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you been a very nervous person? | RAND-36 - Been a Nervous Person | ||
R360125 | C114067 | R3601-Have Felt So Down in the Dumps | RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt so down in the dumps that nothing could cheer you up? | RAND-36 - Felt Nothing Could Cheer You Up | ||
R360126 | C114068 | R3601-Have You Felt Calm and Peaceful | RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt calm and peaceful? | RAND-36 - Felt Calm and Peaceful | ||
R360127 | C114069 | R3601-Did You Have a Lot of Energy | RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you have a lot of energy? | RAND-36 - Have a Lot of Energy | ||
R360128 | C114070 | R3601-Have Felt Downhearted and Blue | RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt downhearted and blue? | RAND-36 - Felt Downhearted and Blue | ||
R360129 | C114071 | R3601-Did You Feel Worn Out | RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel worn out? | RAND-36 - Feel Worn Out | ||
R360130 | C114072 | R3601-Have You Been a Happy Person | RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you been a happy person? | RAND-36 - Been a Happy Person | ||
R360131 | C114073 | R3601-Did You Feel Tired | RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel tired? | RAND-36 - Feel Tired | ||
R360132 | C114074 | R3601-Amt Time Interfere Social Activity | RAND 36-Item Health Survey 1.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities? | RAND-36 - Time Physical Health or Emotional Problems Interfere With Social Activities | ||
R360133 | C114075 | R3601-Get Sick Easier Than Other People | RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I seem to get sick a little easier than other people. | RAND-36 - Get Sick Easier Than Other | ||
R360134 | C114076 | R3601-I Am as Healthy as Anybody I Know | RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I am as healthy as anybody I know. | RAND-36 - As Healthy as Anybody | ||
R360135 | C114077 | R3601-I Expect My Health to Get Worse | RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I expect my health to get worse. | RAND-36 - Expect Health to Get Worse | ||
R360136 | C114078 | R3601-My Health Is Excellent | RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: My health is excellent. | RAND-36 - My Health is Excellent | ||
Back to top | ||||||
CL.C113861.RAND-36 V1.0 TEST | QS-RAND 36-Item Health Survey 1.0 Test Name (RAND-36 V1.0 TEST) | text Extensible: No | C113861 | QS-RAND 36-Item Health Survey 1.0 Test Name | RAND 36-Item Health Survey 1.0 test name. | CDISC Questionnaire RAND 36-Item Health Survey 1.0 Test Name Terminology |
R3601-Amt Time Interfere Social Activity | C114074 | R3601-Amt Time Interfere Social Activity | RAND 36-Item Health Survey 1.0 - During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities? | RAND-36 - Time Physical Health or Emotional Problems Interfere With Social Activities | ||
R3601-Did Pain Interfere With Your Work | C114064 | R3601-Did Pain Interfere With Your Work | RAND 36-Item Health Survey 1.0 - During the past 4 weeks, how much did pain interfere with your normal work? | RAND-36 - Pain Interfere With Normal Work | ||
R3601-Did You Feel Full of Pep | C114065 | R3601-Did You Feel Full of Pep | RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel full of pep? | RAND-36 - Feel Full of Pep | ||
R3601-Did You Feel Tired | C114073 | R3601-Did You Feel Tired | RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel tired? | RAND-36 - Feel Tired | ||
R3601-Did You Feel Worn Out | C114071 | R3601-Did You Feel Worn Out | RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel worn out? | RAND-36 - Feel Worn Out | ||
R3601-Did You Have a Lot of Energy | C114069 | R3601-Did You Have a Lot of Energy | RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you have a lot of energy? | RAND-36 - Have a Lot of Energy | ||
R3601-Emotional Problem: Accomplish Less | C114060 | R3601-Emotional Problem: Accomplish Less | RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Accomplished less than you would like. | RAND-36 - Emotional Problem Accomplished Less | ||
R3601-Emotional Problem: Cut Work Time | C114059 | R3601-Emotional Problem: Cut Work Time | RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Cut down the amount of time you spent on work or other activities. | RAND-36 - Emotional Problem Cut Down Time Spent on Work | ||
R3601-Emotional Problem: Less Careful | C114061 | R3601-Emotional Problem: Less Careful | RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems: Didn't do work or other activities as carefully as usual. | RAND-36 - Emotional Problem Did Not Do Work as Carefully | ||
R3601-Extent Interfered Social Activity | C114062 | R3601-Extent Interfered Social Activity | RAND 36-Item Health Survey 1.0 - During the past 4 weeks, to what extent has your physical health or emotional problems interfered with your normal social activities with family, friends, neighbors, or groups? | RAND-36 - Extend Physical Health or Emotional Problems Interfere With Social Activities | ||
R3601-Get Sick Easier Than Other People | C114075 | R3601-Get Sick Easier Than Other People | RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I seem to get sick a little easier than other people. | RAND-36 - Get Sick Easier Than Other | ||
R3601-Have Been a Very Nervous Person | C114066 | R3601-Have Been a Very Nervous Person | RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you been a very nervous person? | RAND-36 - Been a Nervous Person | ||
R3601-Have Felt Downhearted and Blue | C114070 | R3601-Have Felt Downhearted and Blue | RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt downhearted and blue? | RAND-36 - Felt Downhearted and Blue | ||
R3601-Have Felt So Down in the Dumps | C114067 | R3601-Have Felt So Down in the Dumps | RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt so down in the dumps that nothing could cheer you up? | RAND-36 - Felt Nothing Could Cheer You Up | ||
R3601-Have You Been a Happy Person | C114072 | R3601-Have You Been a Happy Person | RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you been a happy person? | RAND-36 - Been a Happy Person | ||
R3601-Have You Felt Calm and Peaceful | C114068 | R3601-Have You Felt Calm and Peaceful | RAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Have you felt calm and peaceful? | RAND-36 - Felt Calm and Peaceful | ||
R3601-Health Limit Bathing/Dressing Self | C114054 | R3601-Health Limit Bathing/Dressing Self | RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Bathing or dressing yourself. | RAND-36 - Health Limit Bathing or Dressing | ||
R3601-Health Limit Bending or Kneeling | C114050 | R3601-Health Limit Bending or Kneeling | RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Bending, kneeling, or stooping. | RAND-36 - Health Limit Bending or Stooping | ||
R3601-Health Limit Carrying Groceries | C114047 | R3601-Health Limit Carrying Groceries | RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Lifting or carrying groceries. | RAND-36 - Health Limit Lifting Groceries | ||
R3601-Health Limit Climb One Flight | C114049 | R3601-Health Limit Climb One Flight | RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Climbing one flight of stairs. | RAND-36 - Health Limit Climbing One Flight | ||
R3601-Health Limit Climb Several Flights | C114048 | R3601-Health Limit Climb Several Flights | RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Climbing several flights of stairs. | RAND-36 - Health Limit Climbing Several Flights | ||
R3601-Health Limit Moderate Activities | C114046 | R3601-Health Limit Moderate Activities | RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling, or playing golf. | RAND-36 - Health Limit Moderate Activities | ||
R3601-Health Limit Vigorous Activities | C114045 | R3601-Health Limit Vigorous Activities | RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Vigorous activities, such as running, lifting heavy objects, participating in strenuous sports. | RAND-36 - Health Limit Vigorous Activities | ||
R3601-Health Limit Walk More Than Mile | C114051 | R3601-Health Limit Walk More Than Mile | RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking more than a mile. | RAND-36 - Health Limit Walking More Than A Mile | ||
R3601-Health Limit Walk One Block | C114053 | R3601-Health Limit Walk One Block | RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking one block. | RAND-36 - Health Limit Walking One Block | ||
R3601-Health Limit Walk Several Blocks | C114052 | R3601-Health Limit Walk Several Blocks | RAND 36-Item Health Survey 1.0 - Does your health now limit you in these activities: Walking several blocks. | RAND-36 - Health Limit Walking Several Blocks | ||
R3601-Health Now Compared to 1 Year Ago | C114044 | R3601-Health Now Compared to 1 Year Ago | RAND 36-Item Health Survey 1.0 - Compared to one year ago, how would you rate your health in general now? | RAND-36 - Rate Your Health Compared to One Year Ago | ||
R3601-How Much Bodily Pain Have You Had | C114063 | R3601-How Much Bodily Pain Have You Had | RAND 36-Item Health Survey 1.0 - How much bodily pain have you had during the past 4 weeks? | RAND-36 - Bodily Pain | ||
R3601-I Am as Healthy as Anybody I Know | C114076 | R3601-I Am as Healthy as Anybody I Know | RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I am as healthy as anybody I know. | RAND-36 - As Healthy as Anybody | ||
R3601-I Expect My Health to Get Worse | C114077 | R3601-I Expect My Health to Get Worse | RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: I expect my health to get worse. | RAND-36 - Expect Health to Get Worse | ||
R3601-My Health Is Excellent | C114078 | R3601-My Health Is Excellent | RAND 36-Item Health Survey 1.0 - How TRUE or FALSE is each of the following statements for you: My health is excellent. | RAND-36 - My Health is Excellent | ||
R3601-Phys Health: Accomplish Less | C114056 | R3601-Phys Health: Accomplish Less | RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Accomplished less than you would like. | RAND-36 - Physical Health Accomplished Less | ||
R3601-Phys Health: Cut Work Time | C114055 | R3601-Phys Health: Cut Work Time | RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Cut down the amount of time you spent on work or other activities. | RAND-36 - Physical Health Cut Down Time Spent on Work | ||
R3601-Phys Health: Difficulty Performing | C114058 | R3601-Phys Health: Difficulty Performing | RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Had difficulty performing the work or other activities. | RAND-36 - Physical Health Difficulty Performing Work | ||
R3601-Phys Health: Limit Kind of Work | C114057 | R3601-Phys Health: Limit Kind of Work | RAND 36-Item Health Survey 1.0 - During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health: Were limited in the kind of work or other activities. | RAND-36 - Physical Health Limited in the Kind of Work | ||
R3601-Would You Say Your Health Is | C114043 | R3601-Would You Say Your Health Is | RAND 36-Item Health Survey 1.0 - In general, would you say your health is: | RAND-36 - Rate Your Health | ||
Back to top | ||||||
CL.C103465.FIQR TESTCD | QS-Revised Fibromyalgia Impact Questionnaire Test Code (FIQR TESTCD) | text Extensible: No | C103465 | QS-Revised Fibromyalgia Impact Questionnaire Test Code | Revised Fibromyalgia Impact Questionnaire test code. | CDISC Questionnaire FIQR Test Code Terminology |
FIQR0101 | C103544 | FIQR01-Brush or Comb Your Hair | Revised Fibromyalgia Impact Questionnaire - Brush or comb your hair. | FIQR - Brush or Comb Your Hair | ||
FIQR0102 | C103545 | FIQR01-Walk Continuously for 20 Minutes | Revised Fibromyalgia Impact Questionnaire - Walk continuously for 20 minutes. | FIQR - Walk Continuously for 20 Minutes | ||
FIQR0103 | C103546 | FIQR01-Prepare a Homemade Meal | Revised Fibromyalgia Impact Questionnaire - Prepare a homemade meal. | FIQR - Prepare a Homemade Meal | ||
FIQR0104 | C103547 | FIQR01-Vacuum Scrub or Sweep Floors | Revised Fibromyalgia Impact Questionnaire - Vacuum, scrub or sweep floors. | FIQR - Vacuum Scrub or Sweep Floors | ||
FIQR0105 | C103548 | FIQR01-Lift/Carry Bag Full of Groceries | Revised Fibromyalgia Impact Questionnaire - Lift and carry a bag full of groceries. | FIQR - Lift and Carry a Bag Full of Groceries | ||
FIQR0106 | C103549 | FIQR01-Climb One Flight of Stairs | Revised Fibromyalgia Impact Questionnaire - Climb one flight of stairs. | FIQR - Climb One Flight of Stairs | ||
FIQR0107 | C103550 | FIQR01-Change Bed Sheets | Revised Fibromyalgia Impact Questionnaire - Change bed sheets. | FIQR - Change Bed Sheets | ||
FIQR0108 | C103551 | FIQR01-Sit in a Chair for 45 Minutes | Revised Fibromyalgia Impact Questionnaire - Sit in a chair for 45 minutes. | FIQR - Sit in a Chair for 45 Minutes | ||
FIQR0109 | C103552 | FIQR01-Go Shopping for Groceries | Revised Fibromyalgia Impact Questionnaire - Go shopping for groceries. | FIQR - Go Shopping for Groceries | ||
FIQR0110 | C103553 | FIQR01-Fibromyalgia Prevented Goals | Revised Fibromyalgia Impact Questionnaire - Fibromyalgia prevented me from accomplishing goals for the week. | FIQR - Fibromyalgia Prevented Me from Accomplishing Goals for the Week | ||
FIQR0111 | C103554 | FIQR01-Overwhelmed by Fibromyalgia | Revised Fibromyalgia Impact Questionnaire - I was completely overwhelmed by my fibromyalgia symptoms. | FIQR - I was Completely Overwhelmed by My Fibromyalgia Symptoms | ||
FIQR0112 | C103555 | FIQR01-Pain | Revised Fibromyalgia Impact Questionnaire - Please rate your level of pain. | FIQR - Pain | ||
FIQR0113 | C103556 | FIQR01-Energy | Revised Fibromyalgia Impact Questionnaire - Please rate your level of energy. | FIQR - Energy | ||
FIQR0114 | C103557 | FIQR01-Stiffness | Revised Fibromyalgia Impact Questionnaire - Please rate your level of stiffness. | FIQR - Stiffness | ||
FIQR0115 | C103558 | FIQR01-Your Sleep | Revised Fibromyalgia Impact Questionnaire - Please rate the quality of your sleep. | FIQR - Your Sleep | ||
FIQR0116 | C103559 | FIQR01-Depression | Revised Fibromyalgia Impact Questionnaire - Please rate your level of depression. | FIQR - Depression | ||
FIQR0117 | C103560 | FIQR01-Memory Problems | Revised Fibromyalgia Impact Questionnaire - Please rate your level of memory problems. | FIQR - Memory Problems | ||
FIQR0118 | C103561 | FIQR01-Anxiety | Revised Fibromyalgia Impact Questionnaire - Please rate your level of anxiety. | FIQR - Anxiety | ||
FIQR0119 | C103562 | FIQR01-Tenderness to Touch | Revised Fibromyalgia Impact Questionnaire - Please rate your level of tenderness to touch. | FIQR - Tenderness to Touch | ||
FIQR0120 | C103563 | FIQR01-Balance Problems | Revised Fibromyalgia Impact Questionnaire - Please rate your level of balance problems. | FIQR - Balance Problems | ||
FIQR0121 | C103564 | FIQR01-Sensitivity Noise/Light/Odor/Cold | Revised Fibromyalgia Impact Questionnaire - Please rate your level of sensitivity to loud noises, bright lights, odors and cold. | FIQR - Sensitivity to Loud Noises, Bright Lights, Odors and Cold | ||
FIQR0122 | C118107 | FIQR01-Activities Sub-Total | Revised Fibromyalgia Impact Questionnaire - Sub-total for activities subcategory. | FIQR - Activities Sub-Total | ||
FIQR0123 | C118108 | FIQR01-Overall Impact Sub-Total | Revised Fibromyalgia Impact Questionnaire - Sub-total for overall impact subcategory. | FIQR - Overall Impact Sub-Total | ||
FIQR0124 | C118109 | FIQR01-Symptoms Sub-Total | Revised Fibromyalgia Impact Questionnaire - Sub-total for symptoms subcategory. | FIQR - Symptoms Sub-Total | ||
FIQR0125 | C118110 | FIQR01-FIQR Total | Revised Fibromyalgia Impact Questionnaire - FIQR total. | FIQR - FIQR Total | ||
Back to top | ||||||
CL.C103464.FIQR TEST | QS-Revised Fibromyalgia Impact Questionnaire Test Name (FIQR TEST) | text Extensible: No | C103464 | QS-Revised Fibromyalgia Impact Questionnaire Test Name | Revised Fibromyalgia Impact Questionnaire test name. | CDISC Questionnaire FIQR Test Name Terminology |
FIQR01-Activities Sub-Total | C118107 | FIQR01-Activities Sub-Total | Revised Fibromyalgia Impact Questionnaire - Sub-total for activities subcategory. | FIQR - Activities Sub-Total | ||
FIQR01-Anxiety | C103561 | FIQR01-Anxiety | Revised Fibromyalgia Impact Questionnaire - Please rate your level of anxiety. | FIQR - Anxiety | ||
FIQR01-Balance Problems | C103563 | FIQR01-Balance Problems | Revised Fibromyalgia Impact Questionnaire - Please rate your level of balance problems. | FIQR - Balance Problems | ||
FIQR01-Brush or Comb Your Hair | C103544 | FIQR01-Brush or Comb Your Hair | Revised Fibromyalgia Impact Questionnaire - Brush or comb your hair. | FIQR - Brush or Comb Your Hair | ||
FIQR01-Change Bed Sheets | C103550 | FIQR01-Change Bed Sheets | Revised Fibromyalgia Impact Questionnaire - Change bed sheets. | FIQR - Change Bed Sheets | ||
FIQR01-Climb One Flight of Stairs | C103549 | FIQR01-Climb One Flight of Stairs | Revised Fibromyalgia Impact Questionnaire - Climb one flight of stairs. | FIQR - Climb One Flight of Stairs | ||
FIQR01-Depression | C103559 | FIQR01-Depression | Revised Fibromyalgia Impact Questionnaire - Please rate your level of depression. | FIQR - Depression | ||
FIQR01-Energy | C103556 | FIQR01-Energy | Revised Fibromyalgia Impact Questionnaire - Please rate your level of energy. | FIQR - Energy | ||
FIQR01-Fibromyalgia Prevented Goals | C103553 | FIQR01-Fibromyalgia Prevented Goals | Revised Fibromyalgia Impact Questionnaire - Fibromyalgia prevented me from accomplishing goals for the week. | FIQR - Fibromyalgia Prevented Me from Accomplishing Goals for the Week | ||
FIQR01-FIQR Total | C118110 | FIQR01-FIQR Total | Revised Fibromyalgia Impact Questionnaire - FIQR total. | FIQR - FIQR Total | ||
FIQR01-Go Shopping for Groceries | C103552 | FIQR01-Go Shopping for Groceries | Revised Fibromyalgia Impact Questionnaire - Go shopping for groceries. | FIQR - Go Shopping for Groceries | ||
FIQR01-Lift/Carry Bag Full of Groceries | C103548 | FIQR01-Lift/Carry Bag Full of Groceries | Revised Fibromyalgia Impact Questionnaire - Lift and carry a bag full of groceries. | FIQR - Lift and Carry a Bag Full of Groceries | ||
FIQR01-Memory Problems | C103560 | FIQR01-Memory Problems | Revised Fibromyalgia Impact Questionnaire - Please rate your level of memory problems. | FIQR - Memory Problems | ||
FIQR01-Overall Impact Sub-Total | C118108 | FIQR01-Overall Impact Sub-Total | Revised Fibromyalgia Impact Questionnaire - Sub-total for overall impact subcategory. | FIQR - Overall Impact Sub-Total | ||
FIQR01-Overwhelmed by Fibromyalgia | C103554 | FIQR01-Overwhelmed by Fibromyalgia | Revised Fibromyalgia Impact Questionnaire - I was completely overwhelmed by my fibromyalgia symptoms. | FIQR - I was Completely Overwhelmed by My Fibromyalgia Symptoms | ||
FIQR01-Pain | C103555 | FIQR01-Pain | Revised Fibromyalgia Impact Questionnaire - Please rate your level of pain. | FIQR - Pain | ||
FIQR01-Prepare a Homemade Meal | C103546 | FIQR01-Prepare a Homemade Meal | Revised Fibromyalgia Impact Questionnaire - Prepare a homemade meal. | FIQR - Prepare a Homemade Meal | ||
FIQR01-Sensitivity Noise/Light/Odor/Cold | C103564 | FIQR01-Sensitivity Noise/Light/Odor/Cold | Revised Fibromyalgia Impact Questionnaire - Please rate your level of sensitivity to loud noises, bright lights, odors and cold. | FIQR - Sensitivity to Loud Noises, Bright Lights, Odors and Cold | ||
FIQR01-Sit in a Chair for 45 Minutes | C103551 | FIQR01-Sit in a Chair for 45 Minutes | Revised Fibromyalgia Impact Questionnaire - Sit in a chair for 45 minutes. | FIQR - Sit in a Chair for 45 Minutes | ||
FIQR01-Stiffness | C103557 | FIQR01-Stiffness | Revised Fibromyalgia Impact Questionnaire - Please rate your level of stiffness. | FIQR - Stiffness | ||
FIQR01-Symptoms Sub-Total | C118109 | FIQR01-Symptoms Sub-Total | Revised Fibromyalgia Impact Questionnaire - Sub-total for symptoms subcategory. | FIQR - Symptoms Sub-Total | ||
FIQR01-Tenderness to Touch | C103562 | FIQR01-Tenderness to Touch | Revised Fibromyalgia Impact Questionnaire - Please rate your level of tenderness to touch. | FIQR - Tenderness to Touch | ||
FIQR01-Vacuum Scrub or Sweep Floors | C103547 | FIQR01-Vacuum Scrub or Sweep Floors | Revised Fibromyalgia Impact Questionnaire - Vacuum, scrub or sweep floors. | FIQR - Vacuum Scrub or Sweep Floors | ||
FIQR01-Walk Continuously for 20 Minutes | C103545 | FIQR01-Walk Continuously for 20 Minutes | Revised Fibromyalgia Impact Questionnaire - Walk continuously for 20 minutes. | FIQR - Walk Continuously for 20 Minutes | ||
FIQR01-Your Sleep | C103558 | FIQR01-Your Sleep | Revised Fibromyalgia Impact Questionnaire - Please rate the quality of your sleep. | FIQR - Your Sleep | ||
Back to top | ||||||
CL.C119072.RPQ TESTCD | QS-Rivermead Post Concussion Symptoms Questionnaire Test Code (RPQ TESTCD) | text Extensible: No | C119072 | QS-Rivermead Post Concussion Symptoms Questionnaire Test Code | Rivermead Post Concussion Symptoms Questionnaire test code. | CDISC Questionnaire RPQ Test Code Terminology |
RPQ0101 | C119175 | RPQ01-Headaches | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Headaches. | RPQ - Headaches | ||
RPQ0102 | C119176 | RPQ01-Feelings of Dizziness | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feelings of dizziness. | RPQ - Feelings of Dizziness | ||
RPQ0103 | C119177 | RPQ01-Nausea and/or Vomiting | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Nausea and/or vomiting. | RPQ - Nausea and/or Vomiting | ||
RPQ0104 | C119178 | RPQ01-Noise Sensitivity/Loud Noise | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Noise sensitivity, easily upset by loud noise. | RPQ - Noise Sensitivity | ||
RPQ0105 | C119179 | RPQ01-Sleep Disturbance | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Sleep disturbance. | RPQ - Sleep Disturbance | ||
RPQ0106 | C119180 | RPQ01-Fatigue, Tiring More Easily | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Fatigue, tiring more easily. | RPQ - Fatigue, Tiring More Easily | ||
RPQ0107 | C119181 | RPQ01-Being Irritable, Easily Angered | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Being irritable, easily angered. | RPQ - Being Irritable, Easily Angered | ||
RPQ0108 | C119182 | RPQ01-Feeling Depressed or Tearful | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feeling depressed or tearful. | RPQ - Feeling Depressed or Tearful | ||
RPQ0109 | C119183 | RPQ01-Feeling Frustrated or Impatient | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feeling frustrated or impatient. | RPQ - Feeling Frustrated or Impatient | ||
RPQ0110 | C119184 | RPQ01-Forgetfulness, Poor Memory | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Forgetfulness, poor memory. | RPQ - Forgetfulness, Poor Memory | ||
RPQ0111 | C119185 | RPQ01-Poor Concentration | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Poor concentration. | RPQ - Poor Concentration | ||
RPQ0112 | C119186 | RPQ01-Taking Longer to Think | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Taking longer to think. | RPQ - Taking Longer to Think | ||
RPQ0113 | C119187 | RPQ01-Blurred Vision | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Blurred vision. | RPQ - Blurred Vision | ||
RPQ0114 | C119188 | RPQ01-Light Sensitivity/Bright Light | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Light sensitivity, easily upset by bright light. | RPQ - Light Sensitivity | ||
RPQ0115 | C119189 | RPQ01-Double Vision | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Double vision. | RPQ - Double Vision | ||
RPQ0116 | C119190 | RPQ01-Restlessness | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Restlessness. | RPQ - Restlessness | ||
RPQ0117A | C119191 | RPQ01-Any Other Difficulties 1 (Text) | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 1? (Text). | RPQ - Any Other Difficulties 1 (Text) | ||
RPQ0117B | C119192 | RPQ01-Any Other Difficulties 1 | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 1? | RPQ - Any Other Difficulties 1 (number) | ||
RPQ0118A | C119193 | RPQ01-Any Other Difficulties 2 (Text) | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 2? (Text). | RPQ - Any Other Difficulties 2 (Text) | ||
RPQ0118B | C119194 | RPQ01-Any Other Difficulties 2 | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 2? | RPQ - Any Other Difficulties 2 (Number) | ||
Back to top | ||||||
CL.C119071.RPQ TEST | QS-Rivermead Post Concussion Symptoms Questionnaire Test Name (RPQ TEST) | text Extensible: No | C119071 | QS-Rivermead Post Concussion Symptoms Questionnaire Test Name | Rivermead Post Concussion Symptoms Questionnaire test name. | CDISC Questionnaire RPQ Test Name Terminology |
RPQ01-Any Other Difficulties 1 | C119192 | RPQ01-Any Other Difficulties 1 | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 1? | RPQ - Any Other Difficulties 1 (number) | ||
RPQ01-Any Other Difficulties 1 (Text) | C119191 | RPQ01-Any Other Difficulties 1 (Text) | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 1? (Text). | RPQ - Any Other Difficulties 1 (Text) | ||
RPQ01-Any Other Difficulties 2 | C119194 | RPQ01-Any Other Difficulties 2 | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 2? | RPQ - Any Other Difficulties 2 (Number) | ||
RPQ01-Any Other Difficulties 2 (Text) | C119193 | RPQ01-Any Other Difficulties 2 (Text) | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 2? (Text). | RPQ - Any Other Difficulties 2 (Text) | ||
RPQ01-Being Irritable, Easily Angered | C119181 | RPQ01-Being Irritable, Easily Angered | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Being irritable, easily angered. | RPQ - Being Irritable, Easily Angered | ||
RPQ01-Blurred Vision | C119187 | RPQ01-Blurred Vision | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Blurred vision. | RPQ - Blurred Vision | ||
RPQ01-Double Vision | C119189 | RPQ01-Double Vision | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Double vision. | RPQ - Double Vision | ||
RPQ01-Fatigue, Tiring More Easily | C119180 | RPQ01-Fatigue, Tiring More Easily | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Fatigue, tiring more easily. | RPQ - Fatigue, Tiring More Easily | ||
RPQ01-Feeling Depressed or Tearful | C119182 | RPQ01-Feeling Depressed or Tearful | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feeling depressed or tearful. | RPQ - Feeling Depressed or Tearful | ||
RPQ01-Feeling Frustrated or Impatient | C119183 | RPQ01-Feeling Frustrated or Impatient | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feeling frustrated or impatient. | RPQ - Feeling Frustrated or Impatient | ||
RPQ01-Feelings of Dizziness | C119176 | RPQ01-Feelings of Dizziness | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feelings of dizziness. | RPQ - Feelings of Dizziness | ||
RPQ01-Forgetfulness, Poor Memory | C119184 | RPQ01-Forgetfulness, Poor Memory | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Forgetfulness, poor memory. | RPQ - Forgetfulness, Poor Memory | ||
RPQ01-Headaches | C119175 | RPQ01-Headaches | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Headaches. | RPQ - Headaches | ||
RPQ01-Light Sensitivity/Bright Light | C119188 | RPQ01-Light Sensitivity/Bright Light | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Light sensitivity, easily upset by bright light. | RPQ - Light Sensitivity | ||
RPQ01-Nausea and/or Vomiting | C119177 | RPQ01-Nausea and/or Vomiting | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Nausea and/or vomiting. | RPQ - Nausea and/or Vomiting | ||
RPQ01-Noise Sensitivity/Loud Noise | C119178 | RPQ01-Noise Sensitivity/Loud Noise | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Noise sensitivity, easily upset by loud noise. | RPQ - Noise Sensitivity | ||
RPQ01-Poor Concentration | C119185 | RPQ01-Poor Concentration | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Poor concentration. | RPQ - Poor Concentration | ||
RPQ01-Restlessness | C119190 | RPQ01-Restlessness | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Restlessness. | RPQ - Restlessness | ||
RPQ01-Sleep Disturbance | C119179 | RPQ01-Sleep Disturbance | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Sleep disturbance. | RPQ - Sleep Disturbance | ||
RPQ01-Taking Longer to Think | C119186 | RPQ01-Taking Longer to Think | Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Taking longer to think. | RPQ - Taking Longer to Think | ||
Back to top | ||||||
CL.C100166.RDQ TESTCD | QS-Roland Morris Disability Questionnaire Test Code (RDQ TESTCD) | text Extensible: No | C100166 | QS-Roland Morris Disability Questionnaire Test Code | Roland Morris Disability Questionnaire test code. | CDISC Questionnaire RDQ Test Code Terminology |
RDQ0101 | C100780 | RDQ01-Stay at Home | Roland Morris Disability Questionnaire - I stay at home most of the time because of my back. | RDQ - Stay at Home | ||
RDQ0102 | C100781 | RDQ01-Change Position Frequently | Roland Morris Disability Questionnaire - I change position frequently to try and get my back comfortable. | RDQ - Change Position Frequently | ||
RDQ0103 | C100782 | RDQ01-Walk More Slowly | Roland Morris Disability Questionnaire - I walk more slowly than usual because of my back. | RDQ - Walk More Slowly | ||
RDQ0104 | C100783 | RDQ01-Not Do Any Usual Jobs | Roland Morris Disability Questionnaire - Because of my back, I am not doing any of the jobs that I usually do around the house. | RDQ - Not Do Any Usual House Jobs | ||
RDQ0105 | C100784 | RDQ01-Use Handrail to Get Upstairs | Roland Morris Disability Questionnaire - Because of my back, I use a handrail to get upstairs. | RDQ - Use Handrail to Get Upstairs | ||
RDQ0106 | C100785 | RDQ01-Lie Down to Rest More Often | Roland Morris Disability Questionnaire - Because of my back, I lie down to rest more often. | RDQ - Lie Down to Rest More Often | ||
RDQ0107 | C100786 | RDQ01-Hold on to Get Out of a Chair | Roland Morris Disability Questionnaire - Because of my back, I have to hold on to something to get out of an easy chair. | RDQ - Hold on to Get Out of a Chair | ||
RDQ0108 | C100787 | RDQ01-Get Other People to Do Things | Roland Morris Disability Questionnaire - Because of my back, I try to get other people to do things for me. | RDQ - Get Other People to Do Things | ||
RDQ0109 | C100788 | RDQ01-Get Dressed More Slowly | Roland Morris Disability Questionnaire - I get dressed more slowly then usual because of my back. | RDQ - Get Dressed More Slowly | ||
RDQ0110 | C100789 | RDQ01-Only Stand for Short Periods | Roland Morris Disability Questionnaire - I only stand for short periods of time because of my back. | RDQ - Only Stand for Short Periods | ||
RDQ0111 | C100790 | RDQ01-Try Not to Bend or Kneel | Roland Morris Disability Questionnaire - Because of my back, I try not to bend or kneel down. | RDQ - Try Not to Bend or Kneel | ||
RDQ0112 | C100791 | RDQ01-Difficult to Get Out of a Chair | Roland Morris Disability Questionnaire - I find it difficult to get out of a chair because of my back. | RDQ - Difficult to Get Out of a Chair | ||
RDQ0113 | C100792 | RDQ01-Painful Almost All the Time | Roland Morris Disability Questionnaire - My back is painful almost all the time. | RDQ - Painful Almost All the Time | ||
RDQ0114 | C100793 | RDQ01-Difficult to Turn Over in Bed | Roland Morris Disability Questionnaire - I find it difficult to turn over in bed because of my back. | RDQ - Difficult to Turn Over in Bed | ||
RDQ0115 | C100794 | RDQ01-Appetite is Not Very Good | Roland Morris Disability Questionnaire - My appetite is not very good because of my back pain. | RDQ - Appetite is Not Very Good | ||
RDQ0116 | C100795 | RDQ01-Trouble Putting on Socks/Stockings | Roland Morris Disability Questionnaire - I have trouble putting on my socks (or stockings) because of the pain in my back. | RDQ - Trouble Putting on Socks or Stockings | ||
RDQ0117 | C100796 | RDQ01-Only Walk Short Distances | Roland Morris Disability Questionnaire - I only walk short distances because of my back. | RDQ - Only Walk Short Distances | ||
RDQ0118 | C100797 | RDQ01-Sleep Less Well | Roland Morris Disability Questionnaire - I sleep less well because of my back. | RDQ - Sleep Less Well | ||
RDQ0119 | C100798 | RDQ01-Get Dressed With Help | Roland Morris Disability Questionnaire - Because of my back pain, I get dressed with help from someone else. | RDQ - Get Dressed With Help | ||
RDQ0120 | C100799 | RDQ01-Sit Down Most of the Day | Roland Morris Disability Questionnaire - I sit down for most of the day because of my back. | RDQ - Sit Down Most of the Day | ||
RDQ0121 | C100800 | RDQ01-Avoid Heavy Jobs | Roland Morris Disability Questionnaire - I avoid heavy jobs around the house because of my back. | RDQ - Avoid Heavy Jobs | ||
RDQ0122 | C100801 | RDQ01-More Irritable With People | Roland Morris Disability Questionnaire - Because of my back pain, I am more irritable and bad tempered with people than usual. | RDQ - More Irritable With People | ||
RDQ0123 | C100802 | RDQ01-Go Upstairs More Slowly | Roland Morris Disability Questionnaire - Because of my back, I go upstairs more slowly than usual. | RDQ - Go Upstairs More Slowly | ||
RDQ0124 | C100803 | RDQ01-Stay in Bed | Roland Morris Disability Questionnaire - I stay in bed most of the time because of my back. | RDQ - Stay in Bed | ||
RDQ0125 | C100804 | RDQ01-RDQ Total Score | Roland Morris Disability Questionnaire - RDQ total derived score. | RDQ - Total Derived Score | ||
Back to top | ||||||
CL.C100165.RDQ TEST | QS-Roland Morris Disability Questionnaire Test Name (RDQ TEST) | text Extensible: No | C100165 | QS-Roland Morris Disability Questionnaire Test Name | Roland Morris Disability Questionnaire test name. | CDISC Questionnaire RDQ Test Name Terminology |
RDQ01-Appetite is Not Very Good | C100794 | RDQ01-Appetite is Not Very Good | Roland Morris Disability Questionnaire - My appetite is not very good because of my back pain. | RDQ - Appetite is Not Very Good | ||
RDQ01-Avoid Heavy Jobs | C100800 | RDQ01-Avoid Heavy Jobs | Roland Morris Disability Questionnaire - I avoid heavy jobs around the house because of my back. | RDQ - Avoid Heavy Jobs | ||
RDQ01-Change Position Frequently | C100781 | RDQ01-Change Position Frequently | Roland Morris Disability Questionnaire - I change position frequently to try and get my back comfortable. | RDQ - Change Position Frequently | ||
RDQ01-Difficult to Get Out of a Chair | C100791 | RDQ01-Difficult to Get Out of a Chair | Roland Morris Disability Questionnaire - I find it difficult to get out of a chair because of my back. | RDQ - Difficult to Get Out of a Chair | ||
RDQ01-Difficult to Turn Over in Bed | C100793 | RDQ01-Difficult to Turn Over in Bed | Roland Morris Disability Questionnaire - I find it difficult to turn over in bed because of my back. | RDQ - Difficult to Turn Over in Bed | ||
RDQ01-Get Dressed More Slowly | C100788 | RDQ01-Get Dressed More Slowly | Roland Morris Disability Questionnaire - I get dressed more slowly then usual because of my back. | RDQ - Get Dressed More Slowly | ||
RDQ01-Get Dressed With Help | C100798 | RDQ01-Get Dressed With Help | Roland Morris Disability Questionnaire - Because of my back pain, I get dressed with help from someone else. | RDQ - Get Dressed With Help | ||
RDQ01-Get Other People to Do Things | C100787 | RDQ01-Get Other People to Do Things | Roland Morris Disability Questionnaire - Because of my back, I try to get other people to do things for me. | RDQ - Get Other People to Do Things | ||
RDQ01-Go Upstairs More Slowly | C100802 | RDQ01-Go Upstairs More Slowly | Roland Morris Disability Questionnaire - Because of my back, I go upstairs more slowly than usual. | RDQ - Go Upstairs More Slowly | ||
RDQ01-Hold on to Get Out of a Chair | C100786 | RDQ01-Hold on to Get Out of a Chair | Roland Morris Disability Questionnaire - Because of my back, I have to hold on to something to get out of an easy chair. | RDQ - Hold on to Get Out of a Chair | ||
RDQ01-Lie Down to Rest More Often | C100785 | RDQ01-Lie Down to Rest More Often | Roland Morris Disability Questionnaire - Because of my back, I lie down to rest more often. | RDQ - Lie Down to Rest More Often | ||
RDQ01-More Irritable With People | C100801 | RDQ01-More Irritable With People | Roland Morris Disability Questionnaire - Because of my back pain, I am more irritable and bad tempered with people than usual. | RDQ - More Irritable With People | ||
RDQ01-Not Do Any Usual Jobs | C100783 | RDQ01-Not Do Any Usual Jobs | Roland Morris Disability Questionnaire - Because of my back, I am not doing any of the jobs that I usually do around the house. | RDQ - Not Do Any Usual House Jobs | ||
RDQ01-Only Stand for Short Periods | C100789 | RDQ01-Only Stand for Short Periods | Roland Morris Disability Questionnaire - I only stand for short periods of time because of my back. | RDQ - Only Stand for Short Periods | ||
RDQ01-Only Walk Short Distances | C100796 | RDQ01-Only Walk Short Distances | Roland Morris Disability Questionnaire - I only walk short distances because of my back. | RDQ - Only Walk Short Distances | ||
RDQ01-Painful Almost All the Time | C100792 | RDQ01-Painful Almost All the Time | Roland Morris Disability Questionnaire - My back is painful almost all the time. | RDQ - Painful Almost All the Time | ||
RDQ01-RDQ Total Score | C100804 | RDQ01-RDQ Total Score | Roland Morris Disability Questionnaire - RDQ total derived score. | RDQ - Total Derived Score | ||
RDQ01-Sit Down Most of the Day | C100799 | RDQ01-Sit Down Most of the Day | Roland Morris Disability Questionnaire - I sit down for most of the day because of my back. | RDQ - Sit Down Most of the Day | ||
RDQ01-Sleep Less Well | C100797 | RDQ01-Sleep Less Well | Roland Morris Disability Questionnaire - I sleep less well because of my back. | RDQ - Sleep Less Well | ||
RDQ01-Stay at Home | C100780 | RDQ01-Stay at Home | Roland Morris Disability Questionnaire - I stay at home most of the time because of my back. | RDQ - Stay at Home | ||
RDQ01-Stay in Bed | C100803 | RDQ01-Stay in Bed | Roland Morris Disability Questionnaire - I stay in bed most of the time because of my back. | RDQ - Stay in Bed | ||
RDQ01-Trouble Putting on Socks/Stockings | C100795 | RDQ01-Trouble Putting on Socks/Stockings | Roland Morris Disability Questionnaire - I have trouble putting on my socks (or stockings) because of the pain in my back. | RDQ - Trouble Putting on Socks or Stockings | ||
RDQ01-Try Not to Bend or Kneel | C100790 | RDQ01-Try Not to Bend or Kneel | Roland Morris Disability Questionnaire - Because of my back, I try not to bend or kneel down. | RDQ - Try Not to Bend or Kneel | ||
RDQ01-Use Handrail to Get Upstairs | C100784 | RDQ01-Use Handrail to Get Upstairs | Roland Morris Disability Questionnaire - Because of my back, I use a handrail to get upstairs. | RDQ - Use Handrail to Get Upstairs | ||
RDQ01-Walk More Slowly | C100782 | RDQ01-Walk More Slowly | Roland Morris Disability Questionnaire - I walk more slowly than usual because of my back. | RDQ - Walk More Slowly | ||
Back to top | ||||||
CL.C115408.SWLS TESTCD | QS-Satisfaction With Life Scale Questionnaire Test Code (SWLS TESTCD) | text Extensible: No | C115408 | QS-Satisfaction With Life Scale Questionnaire Test Code | Satisfaction With Life Scale test code. | CDISC Questionnaire SWLS Test Code Terminology |
SWLS0101 | C115895 | SWLS01-My Life is Close to Ideal | Satisfaction With Life Scale - In most ways my life is close to ideal. | SWLS - My Life is Close to Ideal | ||
SWLS0102 | C115896 | SWLS01-My Life Conditions are Excellent | Satisfaction With Life Scale - The conditions of my life are excellent. | SWLS - Life Conditions are Excellent | ||
SWLS0103 | C115897 | SWLS01-I Am Satisfied with My Life | Satisfaction With Life Scale - I am satisfied with my life. | SWLS - Satisfied with My Life | ||
SWLS0104 | C115898 | SWLS01-Have Gotten Important Things | Satisfaction With Life Scale - So far I have gotten the important things I want in life. | SWLS - Have Gotten Important Things | ||
SWLS0105 | C115899 | SWLS01-Live Life Over Change Nothing | Satisfaction With Life Scale - If I could live my life over, I would change almost nothing. | SWLS - Live Life Over Change Nothing | ||
Back to top | ||||||
CL.C115407.SWLS TEST | QS-Satisfaction With Life Scale Questionnaire Test Name (SWLS TEST) | text Extensible: No | C115407 | QS-Satisfaction With Life Scale Questionnaire Test Name | Satisfaction With Life Scale test name. | CDISC Questionnaire SWLS Test Name Terminology |
SWLS01-Have Gotten Important Things | C115898 | SWLS01-Have Gotten Important Things | Satisfaction With Life Scale - So far I have gotten the important things I want in life. | SWLS - Have Gotten Important Things | ||
SWLS01-I Am Satisfied with My Life | C115897 | SWLS01-I Am Satisfied with My Life | Satisfaction With Life Scale - I am satisfied with my life. | SWLS - Satisfied with My Life | ||
SWLS01-Live Life Over Change Nothing | C115899 | SWLS01-Live Life Over Change Nothing | Satisfaction With Life Scale - If I could live my life over, I would change almost nothing. | SWLS - Live Life Over Change Nothing | ||
SWLS01-My Life Conditions are Excellent | C115896 | SWLS01-My Life Conditions are Excellent | Satisfaction With Life Scale - The conditions of my life are excellent. | SWLS - Life Conditions are Excellent | ||
SWLS01-My Life is Close to Ideal | C115895 | SWLS01-My Life is Close to Ideal | Satisfaction With Life Scale - In most ways my life is close to ideal. | SWLS - My Life is Close to Ideal | ||
Back to top | ||||||
CL.C100160.SOAPP-R TESTCD | QS-Screener and Opioid Assessment for Patients with Pain - Revised Test Code (SOAPP-R TESTCD) | text Extensible: No | C100160 | QS-Screener and Opioid Assessment for Patients with Pain - Revised Test Code | Screener and Opioid Assessment for Patients with Pain - Revised test code. | CDISC Questionnaire SOAPP-R Test Code Terminology |
SOAPR101 | C100870 | SOAPR1-How Often Mood Swings | Screener and Opioid Assessment for Patients with Pain - Revised - How often do you have mood swings? | SOAPP-R - How Often Mood Swings | ||
SOAPR102 | C100871 | SOAPR1-Need Higher Doses of Medication | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt a need for higher doses of medication to treat your pain? | SOAPP-R - Need Higher Doses of Medication | ||
SOAPR103 | C100872 | SOAPR1-Felt Impatient With Doctors | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt impatient with your doctors? | SOAPP-R - Felt Impatient With Doctors | ||
SOAPR104 | C100873 | SOAPR1-Felt That Things Are Overwhelming | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt that things are just too overwhelming that you can't handle them? | SOAPP-R - Felt That Things Are Overwhelming | ||
SOAPR105 | C100874 | SOAPR1-How Often Tension at Home | Screener and Opioid Assessment for Patients with Pain - Revised - How often is there tension in the home? | SOAPP-R - How Often Tension at Home | ||
SOAPR106 | C100875 | SOAPR1-How Often Counted Pain Pills | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you counted pain pills to see how many are remaining? | SOAPP-R - How Often Counted Pain Pills | ||
SOAPR107 | C100876 | SOAPR1-Concerned People Will Judge You | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been concerned that people will judge you for taking pain medication? | SOAPP-R - Concerned People Will Judge You | ||
SOAPR108 | C100877 | SOAPR1-How Often Feel Bored | Screener and Opioid Assessment for Patients with Pain - Revised - How often do you feel bored? | SOAPP-R - How Often Feel Bored | ||
SOAPR109 | C100878 | SOAPR1-How Often Taken More Pain Med | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you taken more pain medication than you were supposed to? | SOAPP-R - How Often Taken More Pain Medication | ||
SOAPR110 | C100879 | SOAPR1-Worried About Being Left Alone | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you worried about being left alone? | SOAPP-R - Worried About Being Left Alone | ||
SOAPR111 | C100880 | SOAPR1-Felt Craving for Medication | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt a craving for medication? | SOAPP-R - Felt Craving for Medication | ||
SOAPR112 | C100881 | SOAPR1-Expressed Concern Over Med Use | Screener and Opioid Assessment for Patients with Pain - Revised - How often have others expressed concern over your use of medication? | SOAPP-R - Others Expressed Concern Over Medication Use | ||
SOAPR113 | C100882 | SOAPR1-How Often Friends Had Problem | Screener and Opioid Assessment for Patients with Pain - Revised - How often have any of your close friends had a problem with alcohol or drugs? | SOAPP-R - How Often Friends Had Problem | ||
SOAPR114 | C100883 | SOAPR1-Others Told You Bad Temper | Screener and Opioid Assessment for Patients with Pain - Revised - How often have others told you that you had a bad temper? | SOAPP-R - Others Told You Bad Temper | ||
SOAPR115 | C100884 | SOAPR1-Felt Consumed to Get Pain Med | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt consumed by the need to get pain medication? | SOAPP-R - Felt Consumed to Get Pain Medication | ||
SOAPR116 | C100885 | SOAPR1-Run Out of Pain Med Early | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you run out of pain medication early? | SOAPP-R - Run Out of Pain Medication Early | ||
SOAPR117 | C100886 | SOAPR1-Kept From What You Deserve | Screener and Opioid Assessment for Patients with Pain - Revised - How often have others kept you from getting what you deserve? | SOAPP-R - Others Kept You From what You Deserve | ||
SOAPR118 | C100887 | SOAPR1-Legal Problems or Arrested | Screener and Opioid Assessment for Patients with Pain - Revised - How often, in your lifetime, have you had legal problems or been arrested? | SOAPP-R - Legal Problems or Arrested | ||
SOAPR119 | C100888 | SOAPR1-Attended AA or NA Meeting | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you attended an AA or NA meeting? | SOAPP-R - Attended AA or NA Meeting | ||
SOAPR120 | C100889 | SOAPR1-Argument Someone Got Hurt | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been in an argument that was so out of control that someone got hurt? | SOAPP-R - Argument Where Someone Got Hurt | ||
SOAPR121 | C100890 | SOAPR1-How Often Sexually Abused | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been sexually abused? | SOAPP-R - How Often Sexually Abused | ||
SOAPR122 | C100891 | SOAPR1-Suggested Drug or Alcohol Problem | Screener and Opioid Assessment for Patients with Pain - Revised - How often have others suggested that you have a drug or alcohol problem? | SOAPP-R - Others Suggested Drug or Alcohol Problem | ||
SOAPR123 | C100892 | SOAPR1-How Often Borrowed Pain Meds | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you had to borrow pain medications from your family or friends? | SOAPP-R - How Often Borrowed Pain Medication | ||
SOAPR124 | C100893 | SOAPR1-Treated for Alcohol or Drug Prob | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been treated for an alcohol or drug problem? | SOAPP-R - Treated for Alcohol or Drug Problem | ||
SOAPR125 | C100894 | SOAPR1-Any Additional Information | Screener and Opioid Assessment for Patients with Pain - Revised - Please include any additional information you wish about the above answers. | SOAPP-R - Any Additional Information | ||
SOAPR126 | C100895 | SOAPR1-Score | Screener and Opioid Assessment for Patients with Pain - Revised - Score. | SOAPP-R - Score | ||
Back to top | ||||||
CL.C100159.SOAPP-R TEST | QS-Screener and Opioid Assessment for Patients with Pain - Revised Test Name (SOAPP-R TEST) | text Extensible: No | C100159 | QS-Screener and Opioid Assessment for Patients with Pain - Revised Test Name | Screener and Opioid Assessment for Patients with Pain - Revised test name. | CDISC Questionnaire SOAPP-R Test Name Terminology |
SOAPR1-Any Additional Information | C100894 | SOAPR1-Any Additional Information | Screener and Opioid Assessment for Patients with Pain - Revised - Please include any additional information you wish about the above answers. | SOAPP-R - Any Additional Information | ||
SOAPR1-Argument Someone Got Hurt | C100889 | SOAPR1-Argument Someone Got Hurt | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been in an argument that was so out of control that someone got hurt? | SOAPP-R - Argument Where Someone Got Hurt | ||
SOAPR1-Attended AA or NA Meeting | C100888 | SOAPR1-Attended AA or NA Meeting | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you attended an AA or NA meeting? | SOAPP-R - Attended AA or NA Meeting | ||
SOAPR1-Concerned People Will Judge You | C100876 | SOAPR1-Concerned People Will Judge You | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been concerned that people will judge you for taking pain medication? | SOAPP-R - Concerned People Will Judge You | ||
SOAPR1-Expressed Concern Over Med Use | C100881 | SOAPR1-Expressed Concern Over Med Use | Screener and Opioid Assessment for Patients with Pain - Revised - How often have others expressed concern over your use of medication? | SOAPP-R - Others Expressed Concern Over Medication Use | ||
SOAPR1-Felt Consumed to Get Pain Med | C100884 | SOAPR1-Felt Consumed to Get Pain Med | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt consumed by the need to get pain medication? | SOAPP-R - Felt Consumed to Get Pain Medication | ||
SOAPR1-Felt Craving for Medication | C100880 | SOAPR1-Felt Craving for Medication | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt a craving for medication? | SOAPP-R - Felt Craving for Medication | ||
SOAPR1-Felt Impatient With Doctors | C100872 | SOAPR1-Felt Impatient With Doctors | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt impatient with your doctors? | SOAPP-R - Felt Impatient With Doctors | ||
SOAPR1-Felt That Things Are Overwhelming | C100873 | SOAPR1-Felt That Things Are Overwhelming | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt that things are just too overwhelming that you can't handle them? | SOAPP-R - Felt That Things Are Overwhelming | ||
SOAPR1-How Often Borrowed Pain Meds | C100892 | SOAPR1-How Often Borrowed Pain Meds | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you had to borrow pain medications from your family or friends? | SOAPP-R - How Often Borrowed Pain Medication | ||
SOAPR1-How Often Counted Pain Pills | C100875 | SOAPR1-How Often Counted Pain Pills | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you counted pain pills to see how many are remaining? | SOAPP-R - How Often Counted Pain Pills | ||
SOAPR1-How Often Feel Bored | C100877 | SOAPR1-How Often Feel Bored | Screener and Opioid Assessment for Patients with Pain - Revised - How often do you feel bored? | SOAPP-R - How Often Feel Bored | ||
SOAPR1-How Often Friends Had Problem | C100882 | SOAPR1-How Often Friends Had Problem | Screener and Opioid Assessment for Patients with Pain - Revised - How often have any of your close friends had a problem with alcohol or drugs? | SOAPP-R - How Often Friends Had Problem | ||
SOAPR1-How Often Mood Swings | C100870 | SOAPR1-How Often Mood Swings | Screener and Opioid Assessment for Patients with Pain - Revised - How often do you have mood swings? | SOAPP-R - How Often Mood Swings | ||
SOAPR1-How Often Sexually Abused | C100890 | SOAPR1-How Often Sexually Abused | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been sexually abused? | SOAPP-R - How Often Sexually Abused | ||
SOAPR1-How Often Taken More Pain Med | C100878 | SOAPR1-How Often Taken More Pain Med | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you taken more pain medication than you were supposed to? | SOAPP-R - How Often Taken More Pain Medication | ||
SOAPR1-How Often Tension at Home | C100874 | SOAPR1-How Often Tension at Home | Screener and Opioid Assessment for Patients with Pain - Revised - How often is there tension in the home? | SOAPP-R - How Often Tension at Home | ||
SOAPR1-Kept From What You Deserve | C100886 | SOAPR1-Kept From What You Deserve | Screener and Opioid Assessment for Patients with Pain - Revised - How often have others kept you from getting what you deserve? | SOAPP-R - Others Kept You From what You Deserve | ||
SOAPR1-Legal Problems or Arrested | C100887 | SOAPR1-Legal Problems or Arrested | Screener and Opioid Assessment for Patients with Pain - Revised - How often, in your lifetime, have you had legal problems or been arrested? | SOAPP-R - Legal Problems or Arrested | ||
SOAPR1-Need Higher Doses of Medication | C100871 | SOAPR1-Need Higher Doses of Medication | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you felt a need for higher doses of medication to treat your pain? | SOAPP-R - Need Higher Doses of Medication | ||
SOAPR1-Others Told You Bad Temper | C100883 | SOAPR1-Others Told You Bad Temper | Screener and Opioid Assessment for Patients with Pain - Revised - How often have others told you that you had a bad temper? | SOAPP-R - Others Told You Bad Temper | ||
SOAPR1-Run Out of Pain Med Early | C100885 | SOAPR1-Run Out of Pain Med Early | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you run out of pain medication early? | SOAPP-R - Run Out of Pain Medication Early | ||
SOAPR1-Score | C100895 | SOAPR1-Score | Screener and Opioid Assessment for Patients with Pain - Revised - Score. | SOAPP-R - Score | ||
SOAPR1-Suggested Drug or Alcohol Problem | C100891 | SOAPR1-Suggested Drug or Alcohol Problem | Screener and Opioid Assessment for Patients with Pain - Revised - How often have others suggested that you have a drug or alcohol problem? | SOAPP-R - Others Suggested Drug or Alcohol Problem | ||
SOAPR1-Treated for Alcohol or Drug Prob | C100893 | SOAPR1-Treated for Alcohol or Drug Prob | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you been treated for an alcohol or drug problem? | SOAPP-R - Treated for Alcohol or Drug Problem | ||
SOAPR1-Worried About Being Left Alone | C100879 | SOAPR1-Worried About Being Left Alone | Screener and Opioid Assessment for Patients with Pain - Revised - How often have you worried about being left alone? | SOAPP-R - Worried About Being Left Alone | ||
Back to top | ||||||
CL.C111350.SDS TESTCD | QS-Sheehan Disability Scale Questionnaire Test Code (SDS TESTCD) | text Extensible: No | C111350 | QS-Sheehan Disability Scale Questionnaire Test Code | Sheehan Disability Scale test code. | CDISC Questionnaire SDS Test Code Terminology |
SDS0101 | C111521 | SDS01-Work/School | Sheehan Disability Scale - The symptoms have disrupted your work/school work. | SDS - Symptoms Disrupted Work/School Work | ||
SDS0101A | C111522 | SDS01-No Work/Study - Unrelated Disorder | Sheehan Disability Scale - I have not worked/studied at all during the past week for reasons unrelated to the disorder. | SDS - Not Worked/Studied in Past Week for Reason Unrelated to Disorder | ||
SDS0102 | C111523 | SDS01-Social Life | Sheehan Disability Scale - The symptoms have disrupted your social life/leisure activities. | SDS - Symptoms Disrupted Social Life/Leisure Activities | ||
SDS0103 | C111524 | SDS01-Family Life/Home Responsibilities | Sheehan Disability Scale - The symptoms have disrupted your family life/home responsibilities. | SDS - Symptoms Disrupted Family Life/Home Responsibilities | ||
SDS0104 | C111525 | SDS01-Days Lost | Sheehan Disability Scale - On how many days in the last week did your symptoms cause you to miss school or work or leave you unable to carry out your normal daily responsibilities? | SDS - Days Lost | ||
SDS0105 | C111526 | SDS01-Days Unproductive | Sheehan Disability Scale - On how many days in the last week did you feel so impaired by your symptoms, that even though you went to school or work or had other daily responsibilities, your productivity was reduced? | SDS - Days Unproductive | ||
Back to top | ||||||
CL.C111349.SDS TEST | QS-Sheehan Disability Scale Questionnaire Test Name (SDS TEST) | text Extensible: No | C111349 | QS-Sheehan Disability Scale Questionnaire Test Name | Sheehan Disability Scale test name. | CDISC Questionnaire SDS Test Name Terminology |
SDS01-Days Lost | C111525 | SDS01-Days Lost | Sheehan Disability Scale - On how many days in the last week did your symptoms cause you to miss school or work or leave you unable to carry out your normal daily responsibilities? | SDS - Days Lost | ||
SDS01-Days Unproductive | C111526 | SDS01-Days Unproductive | Sheehan Disability Scale - On how many days in the last week did you feel so impaired by your symptoms, that even though you went to school or work or had other daily responsibilities, your productivity was reduced? | SDS - Days Unproductive | ||
SDS01-Family Life/Home Responsibilities | C111524 | SDS01-Family Life/Home Responsibilities | Sheehan Disability Scale - The symptoms have disrupted your family life/home responsibilities. | SDS - Symptoms Disrupted Family Life/Home Responsibilities | ||
SDS01-No Work/Study - Unrelated Disorder | C111522 | SDS01-No Work/Study - Unrelated Disorder | Sheehan Disability Scale - I have not worked/studied at all during the past week for reasons unrelated to the disorder. | SDS - Not Worked/Studied in Past Week for Reason Unrelated to Disorder | ||
SDS01-Social Life | C111523 | SDS01-Social Life | Sheehan Disability Scale - The symptoms have disrupted your social life/leisure activities. | SDS - Symptoms Disrupted Social Life/Leisure Activities | ||
SDS01-Work/School | C111521 | SDS01-Work/School | Sheehan Disability Scale - The symptoms have disrupted your work/school work. | SDS - Symptoms Disrupted Work/School Work | ||
Back to top | ||||||
CL.C100156.Short-Form MPQ-2 TESTCD | QS-Short-Form McGill Pain Questionnaire-2 Test Code (Short-Form MPQ-2 TESTCD) | text Extensible: No | C100156 | QS-Short-Form McGill Pain Questionnaire-2 Test Code | Short-Form McGill Pain Questionnaire-2 test code. | CDISC Questionnaire Short-Form MPQ-2 Test Code Terminology |
SFMP201 | C100849 | SFMP2-Throbbing Pain | Short-Form McGill Pain Questionnaire-2 - Throbbing pain. | SF-MPQ-2 - Throbbing Pain | ||
SFMP202 | C100850 | SFMP2-Shooting Pain | Short-Form McGill Pain Questionnaire-2 - Shooting pain. | SF-MPQ-2 - Shooting Pain | ||
SFMP203 | C100851 | SFMP2-Stabbing Pain | Short-Form McGill Pain Questionnaire-2 - Stabbing pain. | SF-MPQ-2 - Stabbing Pain | ||
SFMP204 | C100852 | SFMP2-Sharp Pain | Short-Form McGill Pain Questionnaire-2 - Sharp pain. | SF-MPQ-2 - Sharp Pain | ||
SFMP205 | C100853 | SFMP2-Cramping Pain | Short-Form McGill Pain Questionnaire-2 - Cramping pain. | SF-MPQ-2 - Cramping Pain | ||
SFMP206 | C100854 | SFMP2-Gnawing Pain | Short-Form McGill Pain Questionnaire-2 - Gnawing pain. | SF-MPQ-2 - Gnawing Pain | ||
SFMP207 | C100855 | SFMP2-Hot-burning Pain | Short-Form McGill Pain Questionnaire-2 - Hot-burning pain. | SF-MPQ-2 - Hot-burning Pain | ||
SFMP208 | C100856 | SFMP2-Aching Pain | Short-Form McGill Pain Questionnaire-2 - Aching pain. | SF-MPQ-2 - Aching Pain | ||
SFMP209 | C100857 | SFMP2-Heavy Pain | Short-Form McGill Pain Questionnaire-2 - Heavy pain. | SF-MPQ-2 - Heavy Pain | ||
SFMP210 | C100858 | SFMP2-Tender | Short-Form McGill Pain Questionnaire-2 - Tender. | SF-MPQ-2 - Tender | ||
SFMP211 | C100859 | SFMP2-Splitting Pain | Short-Form McGill Pain Questionnaire-2 - Splitting pain. | SF-MPQ-2 - Splitting Pain | ||
SFMP212 | C100860 | SFMP2-Tiring-Exhausting | Short-Form McGill Pain Questionnaire-2 - Tiring-exhausting. | SF-MPQ-2 - Tiring-Exhausting | ||
SFMP213 | C100861 | SFMP2-Sickening | Short-Form McGill Pain Questionnaire-2 - Sickening. | SF-MPQ-2 - Sickening | ||
SFMP214 | C100862 | SFMP2-Fearful | Short-Form McGill Pain Questionnaire-2 - Fearful. | SF-MPQ-2 - Fearful | ||
SFMP215 | C100863 | SFMP2-Punishing-Cruel | Short-Form McGill Pain Questionnaire-2 - Punishing-cruel. | SF-MPQ-2 - Punishing-Cruel | ||
SFMP216 | C100864 | SFMP2-Electric-Shock Pain | Short-Form McGill Pain Questionnaire-2 - Electric-shock pain. | SF-MPQ-2 - Electric-Shock Pain | ||
SFMP217 | C100865 | SFMP2-Cold-Freezing Pain | Short-Form McGill Pain Questionnaire-2 - Cold-freezing pain. | SF-MPQ-2 - Cold-Freezing Pain | ||
SFMP218 | C100866 | SFMP2-Piercing | Short-Form McGill Pain Questionnaire-2 - Piercing. | SF-MPQ-2 - Piercing | ||
SFMP219 | C100867 | SFMP2-Pain Caused by Light Touch | Short-Form McGill Pain Questionnaire-2 - Pain caused by light touch. | SF-MPQ-2 - Pain Caused by Light Touch | ||
SFMP220 | C100868 | SFMP2-Itching | Short-Form McGill Pain Questionnaire-2 - Itching. | SF-MPQ-2 - Itching | ||
SFMP221 | C101021 | SFMP2-Tingling or 'Pins and Needles' | Short-Form McGill Pain Questionnaire-2 - Tingling or 'pins and needles'. | SF-MPQ-2 - Tingling or 'Pins and Needles' | ||
SFMP222 | C100869 | SFMP2-Numbness | Short-Form McGill Pain Questionnaire-2 - Numbness. | SF-MPQ-2 - Numbness | ||
Back to top | ||||||
CL.C100155.Short-Form MPQ-2 TEST | QS-Short-Form McGill Pain Questionnaire-2 Test Name (Short-Form MPQ-2 TEST) | text Extensible: No | C100155 | QS-Short-Form McGill Pain Questionnaire-2 Test Name | Short-Form McGill Pain Questionnaire-2 test name. | CDISC Questionnaire Short-Form MPQ-2 Test Name Terminology |
SFMP2-Aching Pain | C100856 | SFMP2-Aching Pain | Short-Form McGill Pain Questionnaire-2 - Aching pain. | SF-MPQ-2 - Aching Pain | ||
SFMP2-Cold-Freezing Pain | C100865 | SFMP2-Cold-Freezing Pain | Short-Form McGill Pain Questionnaire-2 - Cold-freezing pain. | SF-MPQ-2 - Cold-Freezing Pain | ||
SFMP2-Cramping Pain | C100853 | SFMP2-Cramping Pain | Short-Form McGill Pain Questionnaire-2 - Cramping pain. | SF-MPQ-2 - Cramping Pain | ||
SFMP2-Electric-Shock Pain | C100864 | SFMP2-Electric-Shock Pain | Short-Form McGill Pain Questionnaire-2 - Electric-shock pain. | SF-MPQ-2 - Electric-Shock Pain | ||
SFMP2-Fearful | C100862 | SFMP2-Fearful | Short-Form McGill Pain Questionnaire-2 - Fearful. | SF-MPQ-2 - Fearful | ||
SFMP2-Gnawing Pain | C100854 | SFMP2-Gnawing Pain | Short-Form McGill Pain Questionnaire-2 - Gnawing pain. | SF-MPQ-2 - Gnawing Pain | ||
SFMP2-Heavy Pain | C100857 | SFMP2-Heavy Pain | Short-Form McGill Pain Questionnaire-2 - Heavy pain. | SF-MPQ-2 - Heavy Pain | ||
SFMP2-Hot-burning Pain | C100855 | SFMP2-Hot-burning Pain | Short-Form McGill Pain Questionnaire-2 - Hot-burning pain. | SF-MPQ-2 - Hot-burning Pain | ||
SFMP2-Itching | C100868 | SFMP2-Itching | Short-Form McGill Pain Questionnaire-2 - Itching. | SF-MPQ-2 - Itching | ||
SFMP2-Numbness | C100869 | SFMP2-Numbness | Short-Form McGill Pain Questionnaire-2 - Numbness. | SF-MPQ-2 - Numbness | ||
SFMP2-Pain Caused by Light Touch | C100867 | SFMP2-Pain Caused by Light Touch | Short-Form McGill Pain Questionnaire-2 - Pain caused by light touch. | SF-MPQ-2 - Pain Caused by Light Touch | ||
SFMP2-Piercing | C100866 | SFMP2-Piercing | Short-Form McGill Pain Questionnaire-2 - Piercing. | SF-MPQ-2 - Piercing | ||
SFMP2-Punishing-Cruel | C100863 | SFMP2-Punishing-Cruel | Short-Form McGill Pain Questionnaire-2 - Punishing-cruel. | SF-MPQ-2 - Punishing-Cruel | ||
SFMP2-Sharp Pain | C100852 | SFMP2-Sharp Pain | Short-Form McGill Pain Questionnaire-2 - Sharp pain. | SF-MPQ-2 - Sharp Pain | ||
SFMP2-Shooting Pain | C100850 | SFMP2-Shooting Pain | Short-Form McGill Pain Questionnaire-2 - Shooting pain. | SF-MPQ-2 - Shooting Pain | ||
SFMP2-Sickening | C100861 | SFMP2-Sickening | Short-Form McGill Pain Questionnaire-2 - Sickening. | SF-MPQ-2 - Sickening | ||
SFMP2-Splitting Pain | C100859 | SFMP2-Splitting Pain | Short-Form McGill Pain Questionnaire-2 - Splitting pain. | SF-MPQ-2 - Splitting Pain | ||
SFMP2-Stabbing Pain | C100851 | SFMP2-Stabbing Pain | Short-Form McGill Pain Questionnaire-2 - Stabbing pain. | SF-MPQ-2 - Stabbing Pain | ||
SFMP2-Tender | C100858 | SFMP2-Tender | Short-Form McGill Pain Questionnaire-2 - Tender. | SF-MPQ-2 - Tender | ||
SFMP2-Throbbing Pain | C100849 | SFMP2-Throbbing Pain | Short-Form McGill Pain Questionnaire-2 - Throbbing pain. | SF-MPQ-2 - Throbbing Pain | ||
SFMP2-Tingling or 'Pins and Needles' | C101021 | SFMP2-Tingling or 'Pins and Needles' | Short-Form McGill Pain Questionnaire-2 - Tingling or 'pins and needles'. | SF-MPQ-2 - Tingling or 'Pins and Needles' | ||
SFMP2-Tiring-Exhausting | C100860 | SFMP2-Tiring-Exhausting | Short-Form McGill Pain Questionnaire-2 - Tiring-exhausting. | SF-MPQ-2 - Tiring-Exhausting | ||
Back to top | ||||||
CL.C106671.SGRQ-C TESTCD | QS-St. George's Respiratory Questionnaire for COPD Patients Test Code (SGRQ-C TESTCD) | text Extensible: No | C106671 | QS-St. George's Respiratory Questionnaire for COPD Patients Test Code | St. George's Respiratory Questionnaire for COPD Patients test code. | CDISC Questionnaire SGRQ-C Test Code Terminology |
SGRQC101 | C106853 | SGRQC1-Describe Your Current Health | St. George's Respiratory Questionnaire - Please check one box to show how you describe your current health. | SGRQ-C - Description of Your Current Health | ||
SGRQC102 | C106854 | SGRQC1-I Cough | St. George's Respiratory Questionnaire - I cough. | SGRQ-C - Cough | ||
SGRQC103 | C106855 | SGRQC1-I Bring Up Phlegm | St. George's Respiratory Questionnaire - I bring up phlegm (sputum). | SGRQ-C - Bring Up Phlegm | ||
SGRQC104 | C106856 | SGRQC1-I Have Shortness of Breath | St. George's Respiratory Questionnaire - I have shortness of breath. | SGRQ-C - Have Shortness of Breath | ||
SGRQC105 | C106857 | SGRQC1-I Have Attacks of Wheezing | St. George's Respiratory Questionnaire - I have attacks of wheezing. | SGRQ-C - Have Attacks of Wheezing | ||
SGRQC106 | C106858 | SGRQC1-How Many Respiratory Attacks | St. George's Respiratory Questionnaire - How many respiratory attacks did you have during the last year? | SGRQ-C - Number of Respiratory Attacks Last Year | ||
SGRQC107 | C106859 | SGRQC1-How Often Do You Have Good Days | St. George's Respiratory Questionnaire - How often do you have good days (with few respiratory problems)? | SGRQ-C - Good Days with Few Respiratory Problems | ||
SGRQC108 | C106860 | SGRQC1-Wheeze Worse in the Morning | St. George's Respiratory Questionnaire - If you wheeze, is it worse when you get up in the morning? | SGRQ-C - Wheezing Worse In the Morning | ||
SGRQC109 | C106861 | SGRQC1-Describe Your Resp Problems | St. George's Respiratory Questionnaire - How would you describe your respiratory problems? | SGRQ-C - Description of Your Respiratory Problems | ||
SGRQC110 | C106862 | SGRQC1-Washing or Dressing Yourself | St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Washing or dressing yourself. | SGRQ-C - Feel Breathless Washing or Dressing Yourself | ||
SGRQC111 | C106863 | SGRQC1-Walking Around the House | St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking around the house. | SGRQ-C - Feel Breathless Walking Around the House | ||
SGRQC112 | C106864 | SGRQC1-Walking Outside on Level Ground | St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking outside on level ground. | SGRQ-C - Feel Breathless Walking Outside on Level Ground | ||
SGRQC113 | C106865 | SGRQC1-Walking Up a Flight of Stairs | St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking up a flight of stairs. | SGRQ-C - Feel Breathless Walking Up a Flight of Stairs | ||
SGRQC114 | C106866 | SGRQC1-Walking Up Hills | St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking up hills. | SGRQ-C - Feel Breathless Walking Up Hills | ||
SGRQC115 | C106867 | SGRQC1-Coughing Hurts | St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: Coughing hurts. | SGRQ-C - Coughing Hurts | ||
SGRQC116 | C106868 | SGRQC1-Coughing Makes Me Tired | St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: Coughing makes me tired. | SGRQ-C - Coughing Makes Me Tired | ||
SGRQC117 | C106869 | SGRQC1-Short of Breath When Talk | St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I am short of breath when I talk. | SGRQ-C - Short of Breath When Talk | ||
SGRQC118 | C106870 | SGRQC1-Short of Breath When Bend Over | St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I am short of breath when I bend over. | SGRQ-C - Short of Breath When Bend Over | ||
SGRQC119 | C106871 | SGRQC1-Coughing Disturbs My Sleep | St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: My coughing or breathing disturbs my sleep. | SGRQ-C - Coughing Disturbs My Sleep | ||
SGRQC120 | C106872 | SGRQC1-Get Exhausted Easily | St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I get exhausted easily. | SGRQ-C - Get Exhausted Easily | ||
SGRQC121 | C106873 | SGRQC1-Cough Is Embarrassing in Public | St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: My cough or breathing is embarrassing in public. | SGRQ-C - Cough Is Embarrassing in Public | ||
SGRQC122 | C107021 | SGRQC1-Respiratory Problems a Nuisance | St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: My respiratory problems are a nuisance to my family, friends or neighbours. | SGRQ-C - Respiratory Problems a Nuisance to Family, Friends or Neighbours | ||
SGRQC123 | C106874 | SGRQC1-Afraid When Cannot Catch Breath | St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I get afraid or panic when I cannot catch my breath. | SGRQ-C - Afraid or Panic When Cannot Catch Breath | ||
SGRQC124 | C106875 | SGRQC1-Not in Control of Resp Problems | St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I feel that I am not in control of my respiratory problems. | SGRQ-C - Not in Control of Respiratory Problems | ||
SGRQC125 | C106876 | SGRQC1-Frail Because of Resp Problems | St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I have become frail or an invalid because of my respiratory problems. | SGRQ-C - Become Frail Because of Respiratory Problems | ||
SGRQC126 | C106877 | SGRQC1-Exercise Is Not Safe for Me | St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: Exercise is not safe for me. | SGRQ-C - Exercise Is Not Safe for Me | ||
SGRQC127 | C106878 | SGRQC1-Everything Too Much Effort | St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: Everything seems too much of an effort. | SGRQ-C - Everything Seems Too Much Effort | ||
SGRQC128 | C106879 | SGRQC1-Take a Long Time to Get Washed | St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed. | SGRQ-C - Take a Long Time to Get Washed or Dressed | ||
SGRQC129 | C106880 | SGRQC1-Cannot Take a Bath or Shower | St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it. | SGRQ-C - Cannot Take a Bath or Shower | ||
SGRQC130 | C106881 | SGRQC1-Walk Slow Than Others My Age | St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest. | SGRQ-C - Walk Slower Than Other People My Age | ||
SGRQC131 | C106882 | SGRQC1-Jobs Take a Long Time | St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest. | SGRQ-C - Jobs Take a Long Time | ||
SGRQC132 | C106883 | SGRQC1-Walk Up Flight of Stairs Slowly | St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop. | SGRQ-C - Walk Up Flight of Stairs Slowly | ||
SGRQC133 | C106884 | SGRQC1-If I Hurry, I Have to Stop | St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down. | SGRQ-C - If Walk Fast Have to Stop | ||
SGRQC134 | C106885 | SGRQC1-Difficult to Walk Up Hills | St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf. | SGRQ-C - Difficult to Walk Up Hills | ||
SGRQC135 | C106886 | SGRQC1-Difficult to Carry Heavy Loads | St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim. | SGRQ-C - Difficult to Carry Heavy Loads | ||
SGRQC136 | C107022 | SGRQC1-Cannot Play Sports | St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities. | SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Play Sports | ||
SGRQC137 | C107023 | SGRQC1-Cannot Go Out for Entertainment | St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation. | SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Go Out for Entertainment | ||
SGRQC138 | C107024 | SGRQC1-Cannot Go Out to Do Shopping | St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping. | SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Go Out to Do Shopping | ||
SGRQC139 | C107025 | SGRQC1-Cannot Do Household Chores | St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores. | SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Do Household Chores | ||
SGRQC140 | C107026 | SGRQC1-Cannot Move Far From My Bed | St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair. | SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Move Far From Bed | ||
SGRQC141 | C106887 | SGRQC1-How Resp Problems Affect You | St. George's Respiratory Questionnaire - How do your respiratory problems affect you? | SGRQ-C - How Respiratory Problems Affect You | ||
Back to top | ||||||
CL.C106670.SGRQ-C TEST | QS-St. George's Respiratory Questionnaire for COPD Patients Test Name (SGRQ-C TEST) | text Extensible: No | C106670 | QS-St. George's Respiratory Questionnaire for COPD Patients Test Name | St. George's Respiratory Questionnaire for COPD Patients test name. | CDISC Questionnaire SGRQ-C Test Name Terminology |
SGRQC1-Afraid When Cannot Catch Breath | C106874 | SGRQC1-Afraid When Cannot Catch Breath | St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I get afraid or panic when I cannot catch my breath. | SGRQ-C - Afraid or Panic When Cannot Catch Breath | ||
SGRQC1-Cannot Do Household Chores | C107025 | SGRQC1-Cannot Do Household Chores | St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores. | SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Do Household Chores | ||
SGRQC1-Cannot Go Out for Entertainment | C107023 | SGRQC1-Cannot Go Out for Entertainment | St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation. | SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Go Out for Entertainment | ||
SGRQC1-Cannot Go Out to Do Shopping | C107024 | SGRQC1-Cannot Go Out to Do Shopping | St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping. | SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Go Out to Do Shopping | ||
SGRQC1-Cannot Move Far From My Bed | C107026 | SGRQC1-Cannot Move Far From My Bed | St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair. | SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Move Far From Bed | ||
SGRQC1-Cannot Play Sports | C107022 | SGRQC1-Cannot Play Sports | St. George's Respiratory Questionnaire - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities. | SGRQ-C - Respiratory Problems Affect Daily Life: Cannot Play Sports | ||
SGRQC1-Cannot Take a Bath or Shower | C106880 | SGRQC1-Cannot Take a Bath or Shower | St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it. | SGRQ-C - Cannot Take a Bath or Shower | ||
SGRQC1-Cough Is Embarrassing in Public | C106873 | SGRQC1-Cough Is Embarrassing in Public | St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: My cough or breathing is embarrassing in public. | SGRQ-C - Cough Is Embarrassing in Public | ||
SGRQC1-Coughing Disturbs My Sleep | C106871 | SGRQC1-Coughing Disturbs My Sleep | St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: My coughing or breathing disturbs my sleep. | SGRQ-C - Coughing Disturbs My Sleep | ||
SGRQC1-Coughing Hurts | C106867 | SGRQC1-Coughing Hurts | St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: Coughing hurts. | SGRQ-C - Coughing Hurts | ||
SGRQC1-Coughing Makes Me Tired | C106868 | SGRQC1-Coughing Makes Me Tired | St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: Coughing makes me tired. | SGRQ-C - Coughing Makes Me Tired | ||
SGRQC1-Describe Your Current Health | C106853 | SGRQC1-Describe Your Current Health | St. George's Respiratory Questionnaire - Please check one box to show how you describe your current health. | SGRQ-C - Description of Your Current Health | ||
SGRQC1-Describe Your Resp Problems | C106861 | SGRQC1-Describe Your Resp Problems | St. George's Respiratory Questionnaire - How would you describe your respiratory problems? | SGRQ-C - Description of Your Respiratory Problems | ||
SGRQC1-Difficult to Carry Heavy Loads | C106886 | SGRQC1-Difficult to Carry Heavy Loads | St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim. | SGRQ-C - Difficult to Carry Heavy Loads | ||
SGRQC1-Difficult to Walk Up Hills | C106885 | SGRQC1-Difficult to Walk Up Hills | St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf. | SGRQ-C - Difficult to Walk Up Hills | ||
SGRQC1-Everything Too Much Effort | C106878 | SGRQC1-Everything Too Much Effort | St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: Everything seems too much of an effort. | SGRQ-C - Everything Seems Too Much Effort | ||
SGRQC1-Exercise Is Not Safe for Me | C106877 | SGRQC1-Exercise Is Not Safe for Me | St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: Exercise is not safe for me. | SGRQ-C - Exercise Is Not Safe for Me | ||
SGRQC1-Frail Because of Resp Problems | C106876 | SGRQC1-Frail Because of Resp Problems | St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I have become frail or an invalid because of my respiratory problems. | SGRQ-C - Become Frail Because of Respiratory Problems | ||
SGRQC1-Get Exhausted Easily | C106872 | SGRQC1-Get Exhausted Easily | St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I get exhausted easily. | SGRQ-C - Get Exhausted Easily | ||
SGRQC1-How Many Respiratory Attacks | C106858 | SGRQC1-How Many Respiratory Attacks | St. George's Respiratory Questionnaire - How many respiratory attacks did you have during the last year? | SGRQ-C - Number of Respiratory Attacks Last Year | ||
SGRQC1-How Often Do You Have Good Days | C106859 | SGRQC1-How Often Do You Have Good Days | St. George's Respiratory Questionnaire - How often do you have good days (with few respiratory problems)? | SGRQ-C - Good Days with Few Respiratory Problems | ||
SGRQC1-How Resp Problems Affect You | C106887 | SGRQC1-How Resp Problems Affect You | St. George's Respiratory Questionnaire - How do your respiratory problems affect you? | SGRQ-C - How Respiratory Problems Affect You | ||
SGRQC1-I Bring Up Phlegm | C106855 | SGRQC1-I Bring Up Phlegm | St. George's Respiratory Questionnaire - I bring up phlegm (sputum). | SGRQ-C - Bring Up Phlegm | ||
SGRQC1-I Cough | C106854 | SGRQC1-I Cough | St. George's Respiratory Questionnaire - I cough. | SGRQ-C - Cough | ||
SGRQC1-I Have Attacks of Wheezing | C106857 | SGRQC1-I Have Attacks of Wheezing | St. George's Respiratory Questionnaire - I have attacks of wheezing. | SGRQ-C - Have Attacks of Wheezing | ||
SGRQC1-I Have Shortness of Breath | C106856 | SGRQC1-I Have Shortness of Breath | St. George's Respiratory Questionnaire - I have shortness of breath. | SGRQ-C - Have Shortness of Breath | ||
SGRQC1-If I Hurry, I Have to Stop | C106884 | SGRQC1-If I Hurry, I Have to Stop | St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down. | SGRQ-C - If Walk Fast Have to Stop | ||
SGRQC1-Jobs Take a Long Time | C106882 | SGRQC1-Jobs Take a Long Time | St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest. | SGRQ-C - Jobs Take a Long Time | ||
SGRQC1-Not in Control of Resp Problems | C106875 | SGRQC1-Not in Control of Resp Problems | St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: I feel that I am not in control of my respiratory problems. | SGRQ-C - Not in Control of Respiratory Problems | ||
SGRQC1-Respiratory Problems a Nuisance | C107021 | SGRQC1-Respiratory Problems a Nuisance | St. George's Respiratory Questionnaire - Questions about other effects that your respiratory problems may have on you: My respiratory problems are a nuisance to my family, friends or neighbours. | SGRQ-C - Respiratory Problems a Nuisance to Family, Friends or Neighbours | ||
SGRQC1-Short of Breath When Bend Over | C106870 | SGRQC1-Short of Breath When Bend Over | St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I am short of breath when I bend over. | SGRQ-C - Short of Breath When Bend Over | ||
SGRQC1-Short of Breath When Talk | C106869 | SGRQC1-Short of Breath When Talk | St. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I am short of breath when I talk. | SGRQ-C - Short of Breath When Talk | ||
SGRQC1-Take a Long Time to Get Washed | C106879 | SGRQC1-Take a Long Time to Get Washed | St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed. | SGRQ-C - Take a Long Time to Get Washed or Dressed | ||
SGRQC1-Walk Slow Than Others My Age | C106881 | SGRQC1-Walk Slow Than Others My Age | St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest. | SGRQ-C - Walk Slower Than Other People My Age | ||
SGRQC1-Walk Up Flight of Stairs Slowly | C106883 | SGRQC1-Walk Up Flight of Stairs Slowly | St. George's Respiratory Questionnaire - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop. | SGRQ-C - Walk Up Flight of Stairs Slowly | ||
SGRQC1-Walking Around the House | C106863 | SGRQC1-Walking Around the House | St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking around the house. | SGRQ-C - Feel Breathless Walking Around the House | ||
SGRQC1-Walking Outside on Level Ground | C106864 | SGRQC1-Walking Outside on Level Ground | St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking outside on level ground. | SGRQ-C - Feel Breathless Walking Outside on Level Ground | ||
SGRQC1-Walking Up a Flight of Stairs | C106865 | SGRQC1-Walking Up a Flight of Stairs | St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking up a flight of stairs. | SGRQ-C - Feel Breathless Walking Up a Flight of Stairs | ||
SGRQC1-Walking Up Hills | C106866 | SGRQC1-Walking Up Hills | St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking up hills. | SGRQ-C - Feel Breathless Walking Up Hills | ||
SGRQC1-Washing or Dressing Yourself | C106862 | SGRQC1-Washing or Dressing Yourself | St. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Washing or dressing yourself. | SGRQ-C - Feel Breathless Washing or Dressing Yourself | ||
SGRQC1-Wheeze Worse in the Morning | C106860 | SGRQC1-Wheeze Worse in the Morning | St. George's Respiratory Questionnaire - If you wheeze, is it worse when you get up in the morning? | SGRQ-C - Wheezing Worse In the Morning | ||
Back to top | ||||||
CL.C112449.SGRQ Past 3 Months Version TESTCD | QS-St. George's Respiratory Questionnaire Past 3 Months Version Test Code (SGRQ Past 3 Months Version TESTCD) | text Extensible: No | C112449 | QS-St. George's Respiratory Questionnaire Past 3 Months Version Test Code | St. George's Respiratory Questionnaire Past 3 Months Version test code. | CDISC Questionnaire SGRQ Past 3 Months Version Test Code Terminology |
SGRQ0101 | C112627 | SGRQ01-Describe Your Current Health | St. George's Respiratory Questionnaire Past 3 Months Version - Please check one box to show how you describe your current health. | SGRQ Past 3 Months Version - Describe Your Current Health | ||
SGRQ0102 | C112628 | SGRQ01-I Have Coughed | St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have coughed. | SGRQ Past 3 Months Version - I Have Coughed | ||
SGRQ0103 | C112629 | SGRQ01-I Have Brought Up Phlegm | St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have brought up phlegm (sputum). | SGRQ Past 3 Months Version - I Have Brought Up Phlegm | ||
SGRQ0104 | C112630 | SGRQ01-I Have Had Shortness of Breath | St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have had shortness of breath. | SGRQ Past 3 Months Version - I Have Had Shortness of Breath | ||
SGRQ0105 | C112631 | SGRQ01-I Have Had Wheezing Attacks | St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have had wheezing attacks. | SGRQ Past 3 Months Version - I Have Had Wheezing Attacks | ||
SGRQ0106 | C112632 | SGRQ01-Times Suffered Sev Resp Attacks | St. George's Respiratory Questionnaire Past 3 Months Version - How many times during the past 3 months have you suffered from severe or very unpleasant respiratory attacks? | SGRQ Past 3 Months Version - Times Suffered From Severe Respiratory Attacks | ||
SGRQ0107 | C112633 | SGRQ01-How Long Worst Resp Attack Last | St. George's Respiratory Questionnaire Past 3 Months Version - How long did the worst respiratory attack last? | SGRQ Past 3 Months Version - How Long Did Worst Respiratory Attack Last | ||
SGRQ0108 | C112634 | SGRQ01-How Many Good Days Have You Had | St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, in a typical week, how many good days (with few respiratory problems) have you had? | SGRQ Past 3 Months Version - How Many Good Days You Had | ||
SGRQ0109 | C112635 | SGRQ01-Wheeze Worse in the Morning | St. George's Respiratory Questionnaire Past 3 Months Version - If you wheeze, is it worse when you get up in the morning? | SGRQ Past 3 Months Version - Wheeze Worse When Get Up in the Morning | ||
SGRQ0110 | C112636 | SGRQ01-Describe Your Resp Condition | St. George's Respiratory Questionnaire Past 3 Months Version - How would you describe your respiratory condition? | SGRQ Past 3 Months Version - Describe Your Respiratory Condition | ||
SGRQ0111 | C112637 | SGRQ01-If You Have Ever Held a job | St. George's Respiratory Questionnaire Past 3 Months Version - If you have ever held a job. | SGRQ Past 3 Months Version - Held a Job | ||
SGRQ0112 | C112638 | SGRQ01-Sitting or Lying Still | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Sitting or lying still. | SGRQ Past 3 Months Version - Sitting or Lying Still | ||
SGRQ0113 | C112639 | SGRQ01-Washing or Dressing Yourself | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Washing or dressing yourself. | SGRQ Past 3 Months Version - Washing or Dressing Yourself | ||
SGRQ0114 | C112640 | SGRQ01-Walking Around the House | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking around the house. | SGRQ Past 3 Months Version - Walking Around the House | ||
SGRQ0115 | C112641 | SGRQ01-Walking Outside on Level Ground | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking outside on level ground. | SGRQ Past 3 Months Version - Walking Outside on Level Ground | ||
SGRQ0116 | C112642 | SGRQ01-Walking Up a Flight of Stairs | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking up a flight of stairs. | SGRQ Past 3 Months Version - Walking Up a Flight of Stairs | ||
SGRQ0117 | C112643 | SGRQ01-Walking Up Hills | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking up hills. | SGRQ Past 3 Months Version - Walking Up Hills | ||
SGRQ0118 | C112644 | SGRQ01-Playing Sports | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Playing sports or other physical activities. | SGRQ Past 3 Months Version - Playing Sports or Other Physical Activities | ||
SGRQ0119 | C112645 | SGRQ01-Coughing Hurts | St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: Coughing hurts. | SGRQ Past 3 Months Version - Coughing Hurts | ||
SGRQ0120 | C112646 | SGRQ01-Coughing Makes Me Tired | St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: Coughing makes me tired. | SGRQ Past 3 Months Version - Coughing Makes Me Tired | ||
SGRQ0121 | C112647 | SGRQ01-Short of Breath When I Talk | St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I talk. | SGRQ Past 3 Months Version - Short of Breath When I Talk | ||
SGRQ0122 | C112648 | SGRQ01-Short of Breath When Bend Over | St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I bend over. | SGRQ Past 3 Months Version - Short of Breath When Bend Over | ||
SGRQ0123 | C112649 | SGRQ01-Coughing Disturbs My Sleep | St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: My coughing or breathing disturbs my sleep. | SGRQ Past 3 Months Version - Coughing Disturbs My Sleep | ||
SGRQ0124 | C112650 | SGRQ01-I Get Exhausted Easily | St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I get exhausted easily. | SGRQ Past 3 Months Version - I Get Exhausted Easily | ||
SGRQ0125 | C112651 | SGRQ01-Cough Is Embarrassing in Public | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: My cough or breathing is embarrassing in public. | SGRQ Past 3 Months Version - My Cough is Embarrassing in Public | ||
SGRQ0126 | C112652 | SGRQ01-Respiratory Problems a Nuisance | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: My respiratory problems are a nuisance to my family, friends or neighbors. | SGRQ Past 3 Months Version - Respiratory Problems a Nuisance to Family | ||
SGRQ0127 | C112653 | SGRQ01-Afraid When Cannot Catch Breath | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I get afraid or panic when I cannot catch my breath. | SGRQ Past 3 Months Version - Get Afraid When Cannot Catch My Breath | ||
SGRQ0128 | C112654 | SGRQ01-Not in Control of Resp Problems | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I feel that I am not in control of my respiratory problems. | SGRQ Past 3 Months Version - Not in Control of My Respiratory Problems | ||
SGRQ0129 | C112655 | SGRQ01-Not Expect Probs to Get Better | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I do not expect my respiratory problems to get any better. | SGRQ Past 3 Months Version - Not Expect Respiratory Problems Get Better | ||
SGRQ0130 | C112656 | SGRQ01-I Have Become Frail | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I have become frail or an invalid because of my respiratory problems. | SGRQ Past 3 Months Version - Become Frail or Invalid Because of My Respiratory Problems | ||
SGRQ0131 | C112657 | SGRQ01-Exercise Is Not Safe for Me | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: Exercise is not safe for me. | SGRQ Past 3 Months Version - Exercise Is Not Safe for Me | ||
SGRQ0132 | C112658 | SGRQ01-Everything Too Much Effort | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: Everything seems too much of an effort. | SGRQ Past 3 Months Version - Everything Too Much Effort | ||
SGRQ0133 | C112659 | SGRQ01-Treatment Does Not Help Me Much | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: My treatment does not help me very much. | SGRQ Past 3 Months Version - Treatment Does Not Help Me Much | ||
SGRQ0134 | C112660 | SGRQ01-Embarrassed Using Med in Public | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: I get embarrassed using my medication in public. | SGRQ Past 3 Months Version - Embarrassed Using Medication in Public | ||
SGRQ0135 | C112661 | SGRQ01-Unpleasant Side Effect From Med | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: I have unpleasant side effects from my medication. | SGRQ Past 3 Months Version - Unpleasant Side Effects From Medication | ||
SGRQ0136 | C112662 | SGRQ01-Treatment Interferes With Life | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: My treatment interferes with my life a lot. | SGRQ Past 3 Months Version - Treatment Interferes With My Life | ||
SGRQ0137 | C112663 | SGRQ01-Take a Long Time to Get Washed | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed. | SGRQ Past 3 Months Version - Take Long Time to Get Washed or Dressed | ||
SGRQ0138 | C112664 | SGRQ01-I Cannot Take a Bath or Shower | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it. | SGRQ Past 3 Months Version - Cannot Take a Bath or Shower | ||
SGRQ0139 | C112665 | SGRQ01-I Walk Slower Than Other People | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest. | SGRQ Past 3 Months Version - Walk Slower Than Other People My Age | ||
SGRQ0140 | C112666 | SGRQ01-Jobs Take a Long Time | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest. | SGRQ Past 3 Months Version - Jobs Take Long Time or I Have to Stop | ||
SGRQ0141 | C112667 | SGRQ01-Walk Up Flight of Stairs Slowly | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop. | SGRQ Past 3 Months Version - If Walk Up One Flight of Stairs I Have to Go Slow | ||
SGRQ0142 | C112668 | SGRQ01-If I Hurry, I Have to Stop | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down. | SGRQ Past 3 Months Version - If Walk Fast I Have to Stop or Slow Down | ||
SGRQ0143 | C112669 | SGRQ01-Difficult to Walk Up Hills | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf. | SGRQ Past 3 Months Version - Breathing Makes Difficult to Walk Up Hills | ||
SGRQ0144 | C112670 | SGRQ01-Difficult to Carry Heavy Loads | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim. | SGRQ Past 3 Months Version - Breathing Makes Difficult to Carry Heavy Loads | ||
SGRQ0145 | C112671 | SGRQ01-Difficult to Do Very Heavy Work | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as very heavy manual work, ride a bike, run, swim fast, or play competitive sports. | SGRQ Past 3 Months Version - Breathing Makes Difficult to Do Heavy Manual Work | ||
SGRQ0146 | C112672 | SGRQ01-I Cannot Play Sports | St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities. | SGRQ Past 3 Months Version - Cannot Play Sports or Do Physical Activities | ||
SGRQ0147 | C112673 | SGRQ01-Cannot Go Out for Entertainment | St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation. | SGRQ Past 3 Months Version - Cannot Go Out for Entertainment | ||
SGRQ0148 | C112674 | SGRQ01-Cannot Go Out to Do Shopping | St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping. | SGRQ Past 3 Months Version - Cannot Go Out to Do Shopping | ||
SGRQ0149 | C112675 | SGRQ01-I Cannot Do Household Chores | St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores. | SGRQ Past 3 Months Version - Cannot Do Household Chores | ||
SGRQ0150 | C112676 | SGRQ01-I Cannot Move Far From My Bed | St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair. | SGRQ Past 3 Months Version - Cannot Move Far From Bed or Chair | ||
SGRQ0151 | C112677 | SGRQ01-How Resp Problems Affect You | St. George's Respiratory Questionnaire Past 3 Months Version - Best describe how your respiratory problems affect you. | SGRQ Past 3 Months Version - How Respiratory Problems Affect You | ||
Back to top | ||||||
CL.C112448.SGRQ Past 3 Months Version TEST | QS-St. George's Respiratory Questionnaire Past 3 Months Version Test Name (SGRQ Past 3 Months Version TEST) | text Extensible: No | C112448 | QS-St. George's Respiratory Questionnaire Past 3 Months Version Test Name | St. George's Respiratory Questionnaire Past 3 Months Version test name. | CDISC Questionnaire SGRQ Past 3 Months Version Test Name Terminology |
SGRQ01-Afraid When Cannot Catch Breath | C112653 | SGRQ01-Afraid When Cannot Catch Breath | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I get afraid or panic when I cannot catch my breath. | SGRQ Past 3 Months Version - Get Afraid When Cannot Catch My Breath | ||
SGRQ01-Cannot Go Out for Entertainment | C112673 | SGRQ01-Cannot Go Out for Entertainment | St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation. | SGRQ Past 3 Months Version - Cannot Go Out for Entertainment | ||
SGRQ01-Cannot Go Out to Do Shopping | C112674 | SGRQ01-Cannot Go Out to Do Shopping | St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping. | SGRQ Past 3 Months Version - Cannot Go Out to Do Shopping | ||
SGRQ01-Cough Is Embarrassing in Public | C112651 | SGRQ01-Cough Is Embarrassing in Public | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: My cough or breathing is embarrassing in public. | SGRQ Past 3 Months Version - My Cough is Embarrassing in Public | ||
SGRQ01-Coughing Disturbs My Sleep | C112649 | SGRQ01-Coughing Disturbs My Sleep | St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: My coughing or breathing disturbs my sleep. | SGRQ Past 3 Months Version - Coughing Disturbs My Sleep | ||
SGRQ01-Coughing Hurts | C112645 | SGRQ01-Coughing Hurts | St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: Coughing hurts. | SGRQ Past 3 Months Version - Coughing Hurts | ||
SGRQ01-Coughing Makes Me Tired | C112646 | SGRQ01-Coughing Makes Me Tired | St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: Coughing makes me tired. | SGRQ Past 3 Months Version - Coughing Makes Me Tired | ||
SGRQ01-Describe Your Current Health | C112627 | SGRQ01-Describe Your Current Health | St. George's Respiratory Questionnaire Past 3 Months Version - Please check one box to show how you describe your current health. | SGRQ Past 3 Months Version - Describe Your Current Health | ||
SGRQ01-Describe Your Resp Condition | C112636 | SGRQ01-Describe Your Resp Condition | St. George's Respiratory Questionnaire Past 3 Months Version - How would you describe your respiratory condition? | SGRQ Past 3 Months Version - Describe Your Respiratory Condition | ||
SGRQ01-Difficult to Carry Heavy Loads | C112670 | SGRQ01-Difficult to Carry Heavy Loads | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim. | SGRQ Past 3 Months Version - Breathing Makes Difficult to Carry Heavy Loads | ||
SGRQ01-Difficult to Do Very Heavy Work | C112671 | SGRQ01-Difficult to Do Very Heavy Work | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as very heavy manual work, ride a bike, run, swim fast, or play competitive sports. | SGRQ Past 3 Months Version - Breathing Makes Difficult to Do Heavy Manual Work | ||
SGRQ01-Difficult to Walk Up Hills | C112669 | SGRQ01-Difficult to Walk Up Hills | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf. | SGRQ Past 3 Months Version - Breathing Makes Difficult to Walk Up Hills | ||
SGRQ01-Embarrassed Using Med in Public | C112660 | SGRQ01-Embarrassed Using Med in Public | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: I get embarrassed using my medication in public. | SGRQ Past 3 Months Version - Embarrassed Using Medication in Public | ||
SGRQ01-Everything Too Much Effort | C112658 | SGRQ01-Everything Too Much Effort | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: Everything seems too much of an effort. | SGRQ Past 3 Months Version - Everything Too Much Effort | ||
SGRQ01-Exercise Is Not Safe for Me | C112657 | SGRQ01-Exercise Is Not Safe for Me | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: Exercise is not safe for me. | SGRQ Past 3 Months Version - Exercise Is Not Safe for Me | ||
SGRQ01-How Long Worst Resp Attack Last | C112633 | SGRQ01-How Long Worst Resp Attack Last | St. George's Respiratory Questionnaire Past 3 Months Version - How long did the worst respiratory attack last? | SGRQ Past 3 Months Version - How Long Did Worst Respiratory Attack Last | ||
SGRQ01-How Many Good Days Have You Had | C112634 | SGRQ01-How Many Good Days Have You Had | St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, in a typical week, how many good days (with few respiratory problems) have you had? | SGRQ Past 3 Months Version - How Many Good Days You Had | ||
SGRQ01-How Resp Problems Affect You | C112677 | SGRQ01-How Resp Problems Affect You | St. George's Respiratory Questionnaire Past 3 Months Version - Best describe how your respiratory problems affect you. | SGRQ Past 3 Months Version - How Respiratory Problems Affect You | ||
SGRQ01-I Cannot Do Household Chores | C112675 | SGRQ01-I Cannot Do Household Chores | St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores. | SGRQ Past 3 Months Version - Cannot Do Household Chores | ||
SGRQ01-I Cannot Move Far From My Bed | C112676 | SGRQ01-I Cannot Move Far From My Bed | St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair. | SGRQ Past 3 Months Version - Cannot Move Far From Bed or Chair | ||
SGRQ01-I Cannot Play Sports | C112672 | SGRQ01-I Cannot Play Sports | St. George's Respiratory Questionnaire Past 3 Months Version - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities. | SGRQ Past 3 Months Version - Cannot Play Sports or Do Physical Activities | ||
SGRQ01-I Cannot Take a Bath or Shower | C112664 | SGRQ01-I Cannot Take a Bath or Shower | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it. | SGRQ Past 3 Months Version - Cannot Take a Bath or Shower | ||
SGRQ01-I Get Exhausted Easily | C112650 | SGRQ01-I Get Exhausted Easily | St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I get exhausted easily. | SGRQ Past 3 Months Version - I Get Exhausted Easily | ||
SGRQ01-I Have Become Frail | C112656 | SGRQ01-I Have Become Frail | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I have become frail or an invalid because of my respiratory problems. | SGRQ Past 3 Months Version - Become Frail or Invalid Because of My Respiratory Problems | ||
SGRQ01-I Have Brought Up Phlegm | C112629 | SGRQ01-I Have Brought Up Phlegm | St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have brought up phlegm (sputum). | SGRQ Past 3 Months Version - I Have Brought Up Phlegm | ||
SGRQ01-I Have Coughed | C112628 | SGRQ01-I Have Coughed | St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have coughed. | SGRQ Past 3 Months Version - I Have Coughed | ||
SGRQ01-I Have Had Shortness of Breath | C112630 | SGRQ01-I Have Had Shortness of Breath | St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have had shortness of breath. | SGRQ Past 3 Months Version - I Have Had Shortness of Breath | ||
SGRQ01-I Have Had Wheezing Attacks | C112631 | SGRQ01-I Have Had Wheezing Attacks | St. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have had wheezing attacks. | SGRQ Past 3 Months Version - I Have Had Wheezing Attacks | ||
SGRQ01-I Walk Slower Than Other People | C112665 | SGRQ01-I Walk Slower Than Other People | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest. | SGRQ Past 3 Months Version - Walk Slower Than Other People My Age | ||
SGRQ01-If I Hurry, I Have to Stop | C112668 | SGRQ01-If I Hurry, I Have to Stop | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down. | SGRQ Past 3 Months Version - If Walk Fast I Have to Stop or Slow Down | ||
SGRQ01-If You Have Ever Held a job | C112637 | SGRQ01-If You Have Ever Held a job | St. George's Respiratory Questionnaire Past 3 Months Version - If you have ever held a job. | SGRQ Past 3 Months Version - Held a Job | ||
SGRQ01-Jobs Take a Long Time | C112666 | SGRQ01-Jobs Take a Long Time | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest. | SGRQ Past 3 Months Version - Jobs Take Long Time or I Have to Stop | ||
SGRQ01-Not Expect Probs to Get Better | C112655 | SGRQ01-Not Expect Probs to Get Better | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I do not expect my respiratory problems to get any better. | SGRQ Past 3 Months Version - Not Expect Respiratory Problems Get Better | ||
SGRQ01-Not in Control of Resp Problems | C112654 | SGRQ01-Not in Control of Resp Problems | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: I feel that I am not in control of my respiratory problems. | SGRQ Past 3 Months Version - Not in Control of My Respiratory Problems | ||
SGRQ01-Playing Sports | C112644 | SGRQ01-Playing Sports | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Playing sports or other physical activities. | SGRQ Past 3 Months Version - Playing Sports or Other Physical Activities | ||
SGRQ01-Respiratory Problems a Nuisance | C112652 | SGRQ01-Respiratory Problems a Nuisance | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about other effects that your respiratory problems may have on you these days: My respiratory problems are a nuisance to my family, friends or neighbors. | SGRQ Past 3 Months Version - Respiratory Problems a Nuisance to Family | ||
SGRQ01-Short of Breath When Bend Over | C112648 | SGRQ01-Short of Breath When Bend Over | St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I bend over. | SGRQ Past 3 Months Version - Short of Breath When Bend Over | ||
SGRQ01-Short of Breath When I Talk | C112647 | SGRQ01-Short of Breath When I Talk | St. George's Respiratory Questionnaire Past 3 Months Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I talk. | SGRQ Past 3 Months Version - Short of Breath When I Talk | ||
SGRQ01-Sitting or Lying Still | C112638 | SGRQ01-Sitting or Lying Still | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Sitting or lying still. | SGRQ Past 3 Months Version - Sitting or Lying Still | ||
SGRQ01-Take a Long Time to Get Washed | C112663 | SGRQ01-Take a Long Time to Get Washed | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed. | SGRQ Past 3 Months Version - Take Long Time to Get Washed or Dressed | ||
SGRQ01-Times Suffered Sev Resp Attacks | C112632 | SGRQ01-Times Suffered Sev Resp Attacks | St. George's Respiratory Questionnaire Past 3 Months Version - How many times during the past 3 months have you suffered from severe or very unpleasant respiratory attacks? | SGRQ Past 3 Months Version - Times Suffered From Severe Respiratory Attacks | ||
SGRQ01-Treatment Does Not Help Me Much | C112659 | SGRQ01-Treatment Does Not Help Me Much | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: My treatment does not help me very much. | SGRQ Past 3 Months Version - Treatment Does Not Help Me Much | ||
SGRQ01-Treatment Interferes With Life | C112662 | SGRQ01-Treatment Interferes With Life | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: My treatment interferes with my life a lot. | SGRQ Past 3 Months Version - Treatment Interferes With My Life | ||
SGRQ01-Unpleasant Side Effect From Med | C112661 | SGRQ01-Unpleasant Side Effect From Med | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about your respiratory treatment: I have unpleasant side effects from my medication. | SGRQ Past 3 Months Version - Unpleasant Side Effects From Medication | ||
SGRQ01-Walk Up Flight of Stairs Slowly | C112667 | SGRQ01-Walk Up Flight of Stairs Slowly | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop. | SGRQ Past 3 Months Version - If Walk Up One Flight of Stairs I Have to Go Slow | ||
SGRQ01-Walking Around the House | C112640 | SGRQ01-Walking Around the House | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking around the house. | SGRQ Past 3 Months Version - Walking Around the House | ||
SGRQ01-Walking Outside on Level Ground | C112641 | SGRQ01-Walking Outside on Level Ground | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking outside on level ground. | SGRQ Past 3 Months Version - Walking Outside on Level Ground | ||
SGRQ01-Walking Up a Flight of Stairs | C112642 | SGRQ01-Walking Up a Flight of Stairs | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking up a flight of stairs. | SGRQ Past 3 Months Version - Walking Up a Flight of Stairs | ||
SGRQ01-Walking Up Hills | C112643 | SGRQ01-Walking Up Hills | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Walking up hills. | SGRQ Past 3 Months Version - Walking Up Hills | ||
SGRQ01-Washing or Dressing Yourself | C112639 | SGRQ01-Washing or Dressing Yourself | St. George's Respiratory Questionnaire Past 3 Months Version - These are questions about what activities usually make you feel short of breath these days: Washing or dressing yourself. | SGRQ Past 3 Months Version - Washing or Dressing Yourself | ||
SGRQ01-Wheeze Worse in the Morning | C112635 | SGRQ01-Wheeze Worse in the Morning | St. George's Respiratory Questionnaire Past 3 Months Version - If you wheeze, is it worse when you get up in the morning? | SGRQ Past 3 Months Version - Wheeze Worse When Get Up in the Morning | ||
Back to top | ||||||
CL.C112451.SGRQ Past 4 Weeks Version TESTCD | QS-St. George's Respiratory Questionnaire Past 4 Weeks Version Test Code (SGRQ Past 4 Weeks Version TESTCD) | text Extensible: No | C112451 | QS-St. George's Respiratory Questionnaire Past 4 Weeks Version Test Code | St. George's Respiratory Questionnaire Past 4 Weeks Version test code. | CDISC Questionnaire SGRQ Past 4 Weeks Version Test Code Terminology |
SGRQ0201 | C112678 | SGRQ02-Describe Your Current Health | St. George's Respiratory Questionnaire Past 4 Weeks Version - Please check one box to show how you describe your current health. | SGRQ Past 4 Weeks Version - Describe Your Current Health | ||
SGRQ0202 | C112679 | SGRQ02-I Have Coughed | St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have coughed. | SGRQ Past 4 Weeks Version - I Have Coughed | ||
SGRQ0203 | C112680 | SGRQ02-I Have Brought Up Phlegm | St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have brought up phlegm (sputum). | SGRQ Past 4 Weeks Version - I Have Brought Up Phlegm | ||
SGRQ0204 | C112681 | SGRQ02-I Have Had Shortness of Breath | St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have had shortness of breath. | SGRQ Past 4 Weeks Version - I Have Had Shortness of Breath | ||
SGRQ0205 | C112682 | SGRQ02-I Have Had Wheezing Attacks | St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have had wheezing attacks. | SGRQ Past 4 Weeks Version - I Have Had Wheezing Attacks | ||
SGRQ0206 | C112683 | SGRQ02-Times Suffered Sev Resp Attacks | St. George's Respiratory Questionnaire Past 4 Weeks Version - How many times during the past 4 weeks have you suffered from severe or very unpleasant respiratory attacks? | SGRQ Past 4 Weeks Version - Times Suffered From Severe Respiratory Attacks | ||
SGRQ0207 | C112684 | SGRQ02-How Long Worst Resp Attack Last | St. George's Respiratory Questionnaire Past 4 Weeks Version - How long did the worst respiratory attack last? | SGRQ Past 4 Weeks Version - How Long Did Worst Respiratory Attack Last | ||
SGRQ0208 | C112685 | SGRQ02-How Many Good Days Have You Had | St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, in a typical week, how many good days (with few respiratory problems) have you had? | SGRQ Past 4 Weeks Version - How Many Good Days You Had | ||
SGRQ0209 | C112686 | SGRQ02-Wheeze Worse in the Morning | St. George's Respiratory Questionnaire Past 4 Weeks Version - If you wheeze, is it worse when you get up in the morning? | SGRQ Past 4 Weeks Version - Wheeze Worse When Get Up in the Morning | ||
SGRQ0210 | C112687 | SGRQ02-Describe Your Resp Condition | St. George's Respiratory Questionnaire Past 4 Weeks Version - How would you describe your respiratory condition? | SGRQ Past 4 Weeks Version - Describe Your Respiratory Condition | ||
SGRQ0211 | C112688 | SGRQ02-If You Have Ever Held a job | St. George's Respiratory Questionnaire Past 4 Weeks Version - If you have ever held a job. | SGRQ Past 4 Weeks Version - Held a Job | ||
SGRQ0212 | C112689 | SGRQ02-Sitting or Lying Still | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Sitting or lying still. | SGRQ Past 4 Weeks Version - Sitting or Lying Still | ||
SGRQ0213 | C112690 | SGRQ02-Washing or Dressing Yourself | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Washing or dressing yourself. | SGRQ Past 4 Weeks Version - Washing or Dressing Yourself | ||
SGRQ0214 | C112691 | SGRQ02-Walking Around the House | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking around the house. | SGRQ Past 4 Weeks Version - Walking Around the House | ||
SGRQ0215 | C112692 | SGRQ02-Walking Outside on Level Ground | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking outside on level ground. | SGRQ Past 4 Weeks Version - Walking Outside on Level Ground | ||
SGRQ0216 | C112693 | SGRQ02-Walking Up a Flight of Stairs | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking up a flight of stairs. | SGRQ Past 4 Weeks Version - Walking Up a Flight of Stairs | ||
SGRQ0217 | C112694 | SGRQ02-Walking Up Hills | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking up hills. | SGRQ Past 4 Weeks Version - Walking Up Hills | ||
SGRQ0218 | C112695 | SGRQ02-Playing Sports | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Playing sports or other physical activities. | SGRQ Past 4 Weeks Version - Playing Sports or Other Physical Activities | ||
SGRQ0219 | C112696 | SGRQ02-Coughing Hurts | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: Coughing hurts. | SGRQ Past 4 Weeks Version - Coughing Hurts | ||
SGRQ0220 | C112697 | SGRQ02-Coughing Makes Me Tired | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: Coughing makes me tired. | SGRQ Past 4 Weeks Version - Coughing Makes Me Tired | ||
SGRQ0221 | C112698 | SGRQ02-Short of Breath When I Talk | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I talk. | SGRQ Past 4 Weeks Version - Short of Breath When I Talk | ||
SGRQ0222 | C112699 | SGRQ02-Short of Breath When Bend Over | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I bend over. | SGRQ Past 4 Weeks Version - Short of Breath When Bend Over | ||
SGRQ0223 | C112700 | SGRQ02-Coughing Disturbs My Sleep | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: My coughing or breathing disturbs my sleep. | SGRQ Past 4 Weeks Version - Coughing Disturbs My Sleep | ||
SGRQ0224 | C112701 | SGRQ02-I Get Exhausted Easily | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I get exhausted easily. | SGRQ Past 4 Weeks Version - I Get Exhausted Easily | ||
SGRQ0225 | C112702 | SGRQ02-Cough Is Embarrassing in Public | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: My cough or breathing is embarrassing in public. | SGRQ Past 4 Weeks Version - My Cough is Embarrassing in Public | ||
SGRQ0226 | C112703 | SGRQ02-Respiratory Problems a Nuisance | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: My respiratory problems are a nuisance to my family, friends or neighbors. | SGRQ Past 4 Weeks Version - Respiratory Problems a Nuisance to Family | ||
SGRQ0227 | C112704 | SGRQ02-Afraid When Cannot Catch Breath | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I get afraid or panic when I cannot catch my breath. | SGRQ Past 4 Weeks Version - Get Afraid When Cannot Catch My Breath | ||
SGRQ0228 | C112705 | SGRQ02-Not in Control of Resp Problems | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I feel that I am not in control of my respiratory problems. | SGRQ Past 4 Weeks Version - Not in Control of My Respiratory Problems | ||
SGRQ0229 | C112706 | SGRQ02-Not Expect Probs to Get Better | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I do not expect my respiratory problems to get any better. | SGRQ Past 4 Weeks Version - Not Expect Respiratory Problems Get Better | ||
SGRQ0230 | C112707 | SGRQ02-I Have Become Frail | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I have become frail or an invalid because of my respiratory problems. | SGRQ Past 4 Weeks Version - Become Frail or Invalid Because of My Respiratory Problems | ||
SGRQ0231 | C112708 | SGRQ02-Exercise Is Not Safe for Me | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: Exercise is not safe for me. | SGRQ Past 4 Weeks Version - Exercise Is Not Safe for Me | ||
SGRQ0232 | C112709 | SGRQ02-Everything Too Much Effort | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: Everything seems too much of an effort. | SGRQ Past 4 Weeks Version - Everything Too Much Effort | ||
SGRQ0233 | C112710 | SGRQ02-Treatment Does Not Help Me Much | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: My treatment does not help me very much. | SGRQ Past 4 Weeks Version - Treatment Does Not Help Me Much | ||
SGRQ0234 | C112711 | SGRQ02-Embarrassed Using Med in Public | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: I get embarrassed using my medication in public. | SGRQ Past 4 Weeks Version - Embarrassed Using Medication in Public | ||
SGRQ0235 | C112712 | SGRQ02-Unpleasant Side Effect From Med | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: I have unpleasant side effects from my medication. | SGRQ Past 4 Weeks Version - Unpleasant Side Effects From Medication | ||
SGRQ0236 | C112713 | SGRQ02-Treatment Interferes With Life | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: My treatment interferes with my life a lot. | SGRQ Past 4 Weeks Version - Treatment Interferes With My Life | ||
SGRQ0237 | C112714 | SGRQ02-Take a Long Time to Get Washed | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed. | SGRQ Past 4 Weeks Version - Take Long Time to Get Washed or Dressed | ||
SGRQ0238 | C112715 | SGRQ02-I Cannot Take a Bath or Shower | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it. | SGRQ Past 4 Weeks Version - Cannot Take A Bath or Shower | ||
SGRQ0239 | C112716 | SGRQ02-I Walk Slower Than Other People | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest. | SGRQ Past 4 Weeks Version - Walk Slower Than Other People My Age | ||
SGRQ0240 | C112717 | SGRQ02-Jobs Take a Long Time | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest. | SGRQ Past 4 Weeks Version - Jobs Take Long Time or I Have to Stop | ||
SGRQ0241 | C112718 | SGRQ02-Walk Up Flight of Stairs Slowly | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop. | SGRQ Past 4 Weeks Version - If Walk Up One Flight of Stairs I Have to Go Slow | ||
SGRQ0242 | C112719 | SGRQ02-If I Hurry, I Have to Stop | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down. | SGRQ Past 4 Weeks Version - If Walk Fast I Have to Stop or Slow Down | ||
SGRQ0243 | C112720 | SGRQ02-Difficult to Walk Up Hills | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf. | SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Walk Up Hills | ||
SGRQ0244 | C112721 | SGRQ02-Difficult to Carry Heavy Loads | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim. | SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Carry Heavy Loads | ||
SGRQ0245 | C112722 | SGRQ02-Difficult to Do Very Heavy Work | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as very heavy manual work, ride a bike, run, swim fast, or play competitive sports. | SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Do Heavy Manual Work | ||
SGRQ0246 | C112723 | SGRQ02-I Cannot Play Sports | St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities. | SGRQ Past 4 Weeks Version - Cannot Play Sports or Do Physical Activities | ||
SGRQ0247 | C112724 | SGRQ02-Cannot Go Out for Entertainment | St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation. | SGRQ Past 4 Weeks Version - Cannot Go Out for Entertainment | ||
SGRQ0248 | C112725 | SGRQ02-Cannot Go Out to Do Shopping | St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping. | SGRQ Past 4 Weeks Version - Cannot Go Out to Do Shopping | ||
SGRQ0249 | C112726 | SGRQ02-I Cannot Do Household Chores | St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores. | SGRQ Past 4 Weeks Version - Cannot Do Household Chores | ||
SGRQ0250 | C112727 | SGRQ02-I Cannot Move Far From My Bed | St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair. | SGRQ Past 4 Weeks Version - Cannot Move Far From Bed or Chair | ||
SGRQ0251 | C112728 | SGRQ02-How Resp Problems Affect You | St. George's Respiratory Questionnaire Past 4 Weeks Version - Best describe how your respiratory problems affect you. | SGRQ Past 4 Weeks Version - How Respiratory Problems Affect You | ||
Back to top | ||||||
CL.C112450.SGRQ Past 4 Weeks Version TEST | QS-St. George's Respiratory Questionnaire Past 4 Weeks Version Test Name (SGRQ Past 4 Weeks Version TEST) | text Extensible: No | C112450 | QS-St. George's Respiratory Questionnaire Past 4 Weeks Version Test Name | St. George's Respiratory Questionnaire Past 4 Weeks Version test name. | CDISC Questionnaire SGRQ Past 4 Weeks Version Test Name Terminology |
SGRQ02-Afraid When Cannot Catch Breath | C112704 | SGRQ02-Afraid When Cannot Catch Breath | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I get afraid or panic when I cannot catch my breath. | SGRQ Past 4 Weeks Version - Get Afraid When Cannot Catch My Breath | ||
SGRQ02-Cannot Go Out for Entertainment | C112724 | SGRQ02-Cannot Go Out for Entertainment | St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out for entertainment or recreation. | SGRQ Past 4 Weeks Version - Cannot Go Out for Entertainment | ||
SGRQ02-Cannot Go Out to Do Shopping | C112725 | SGRQ02-Cannot Go Out to Do Shopping | St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot go out of the house to do the shopping. | SGRQ Past 4 Weeks Version - Cannot Go Out to Do Shopping | ||
SGRQ02-Cough Is Embarrassing in Public | C112702 | SGRQ02-Cough Is Embarrassing in Public | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: My cough or breathing is embarrassing in public. | SGRQ Past 4 Weeks Version - My Cough is Embarrassing in Public | ||
SGRQ02-Coughing Disturbs My Sleep | C112700 | SGRQ02-Coughing Disturbs My Sleep | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: My coughing or breathing disturbs my sleep. | SGRQ Past 4 Weeks Version - Coughing Disturbs My Sleep | ||
SGRQ02-Coughing Hurts | C112696 | SGRQ02-Coughing Hurts | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: Coughing hurts. | SGRQ Past 4 Weeks Version - Coughing Hurts | ||
SGRQ02-Coughing Makes Me Tired | C112697 | SGRQ02-Coughing Makes Me Tired | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: Coughing makes me tired. | SGRQ Past 4 Weeks Version - Coughing Makes Me Tired | ||
SGRQ02-Describe Your Current Health | C112678 | SGRQ02-Describe Your Current Health | St. George's Respiratory Questionnaire Past 4 Weeks Version - Please check one box to show how you describe your current health. | SGRQ Past 4 Weeks Version - Describe Your Current Health | ||
SGRQ02-Describe Your Resp Condition | C112687 | SGRQ02-Describe Your Resp Condition | St. George's Respiratory Questionnaire Past 4 Weeks Version - How would you describe your respiratory condition? | SGRQ Past 4 Weeks Version - Describe Your Respiratory Condition | ||
SGRQ02-Difficult to Carry Heavy Loads | C112721 | SGRQ02-Difficult to Carry Heavy Loads | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as carry heavy loads, dig in the garden or shovel snow, jog or walk briskly (5 miles per hour), play tennis or swim. | SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Carry Heavy Loads | ||
SGRQ02-Difficult to Do Very Heavy Work | C112722 | SGRQ02-Difficult to Do Very Heavy Work | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as very heavy manual work, ride a bike, run, swim fast, or play competitive sports. | SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Do Heavy Manual Work | ||
SGRQ02-Difficult to Walk Up Hills | C112720 | SGRQ02-Difficult to Walk Up Hills | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: My breathing makes it difficult to do things such as walk up hills, carry things up stairs, light gardening such as weeding, dance, bowl or play golf. | SGRQ Past 4 Weeks Version - Breathing Makes Difficult to Walk Up Hills | ||
SGRQ02-Embarrassed Using Med in Public | C112711 | SGRQ02-Embarrassed Using Med in Public | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: I get embarrassed using my medication in public. | SGRQ Past 4 Weeks Version - Embarrassed Using Medication in Public | ||
SGRQ02-Everything Too Much Effort | C112709 | SGRQ02-Everything Too Much Effort | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: Everything seems too much of an effort. | SGRQ Past 4 Weeks Version - Everything Too Much Effort | ||
SGRQ02-Exercise Is Not Safe for Me | C112708 | SGRQ02-Exercise Is Not Safe for Me | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: Exercise is not safe for me. | SGRQ Past 4 Weeks Version - Exercise Is Not Safe for Me | ||
SGRQ02-How Long Worst Resp Attack Last | C112684 | SGRQ02-How Long Worst Resp Attack Last | St. George's Respiratory Questionnaire Past 4 Weeks Version - How long did the worst respiratory attack last? | SGRQ Past 4 Weeks Version - How Long Did Worst Respiratory Attack Last | ||
SGRQ02-How Many Good Days Have You Had | C112685 | SGRQ02-How Many Good Days Have You Had | St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, in a typical week, how many good days (with few respiratory problems) have you had? | SGRQ Past 4 Weeks Version - How Many Good Days You Had | ||
SGRQ02-How Resp Problems Affect You | C112728 | SGRQ02-How Resp Problems Affect You | St. George's Respiratory Questionnaire Past 4 Weeks Version - Best describe how your respiratory problems affect you. | SGRQ Past 4 Weeks Version - How Respiratory Problems Affect You | ||
SGRQ02-I Cannot Do Household Chores | C112726 | SGRQ02-I Cannot Do Household Chores | St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot do household chores. | SGRQ Past 4 Weeks Version - Cannot Do Household Chores | ||
SGRQ02-I Cannot Move Far From My Bed | C112727 | SGRQ02-I Cannot Move Far From My Bed | St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot move far from my bed or chair. | SGRQ Past 4 Weeks Version - Cannot Move Far From Bed or Chair | ||
SGRQ02-I Cannot Play Sports | C112723 | SGRQ02-I Cannot Play Sports | St. George's Respiratory Questionnaire Past 4 Weeks Version - We would like to know how your respiratory problems usually affect your daily life: I cannot play sports or do other physical activities. | SGRQ Past 4 Weeks Version - Cannot Play Sports or Do Physical Activities | ||
SGRQ02-I Cannot Take a Bath or Shower | C112715 | SGRQ02-I Cannot Take a Bath or Shower | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I cannot take a bath or shower, or I take a long time to do it. | SGRQ Past 4 Weeks Version - Cannot Take A Bath or Shower | ||
SGRQ02-I Get Exhausted Easily | C112701 | SGRQ02-I Get Exhausted Easily | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I get exhausted easily. | SGRQ Past 4 Weeks Version - I Get Exhausted Easily | ||
SGRQ02-I Have Become Frail | C112707 | SGRQ02-I Have Become Frail | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I have become frail or an invalid because of my respiratory problems. | SGRQ Past 4 Weeks Version - Become Frail or Invalid Because of My Respiratory Problems | ||
SGRQ02-I Have Brought Up Phlegm | C112680 | SGRQ02-I Have Brought Up Phlegm | St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have brought up phlegm (sputum). | SGRQ Past 4 Weeks Version - I Have Brought Up Phlegm | ||
SGRQ02-I Have Coughed | C112679 | SGRQ02-I Have Coughed | St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have coughed. | SGRQ Past 4 Weeks Version - I Have Coughed | ||
SGRQ02-I Have Had Shortness of Breath | C112681 | SGRQ02-I Have Had Shortness of Breath | St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have had shortness of breath. | SGRQ Past 4 Weeks Version - I Have Had Shortness of Breath | ||
SGRQ02-I Have Had Wheezing Attacks | C112682 | SGRQ02-I Have Had Wheezing Attacks | St. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have had wheezing attacks. | SGRQ Past 4 Weeks Version - I Have Had Wheezing Attacks | ||
SGRQ02-I Walk Slower Than Other People | C112716 | SGRQ02-I Walk Slower Than Other People | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I walk slower than other people my age, or I stop to rest. | SGRQ Past 4 Weeks Version - Walk Slower Than Other People My Age | ||
SGRQ02-If I Hurry, I Have to Stop | C112719 | SGRQ02-If I Hurry, I Have to Stop | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: If I hurry or walk fast, I have to stop or slow down. | SGRQ Past 4 Weeks Version - If Walk Fast I Have to Stop or Slow Down | ||
SGRQ02-If You Have Ever Held a job | C112688 | SGRQ02-If You Have Ever Held a job | St. George's Respiratory Questionnaire Past 4 Weeks Version - If you have ever held a job. | SGRQ Past 4 Weeks Version - Held a Job | ||
SGRQ02-Jobs Take a Long Time | C112717 | SGRQ02-Jobs Take a Long Time | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: Jobs such as household chores take a long time, or I have to stop to rest. | SGRQ Past 4 Weeks Version - Jobs Take Long Time or I Have to Stop | ||
SGRQ02-Not Expect Probs to Get Better | C112706 | SGRQ02-Not Expect Probs to Get Better | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I do not expect my respiratory problems to get any better. | SGRQ Past 4 Weeks Version - Not Expect Respiratory Problems Get Better | ||
SGRQ02-Not in Control of Resp Problems | C112705 | SGRQ02-Not in Control of Resp Problems | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: I feel that I am not in control of my respiratory problems. | SGRQ Past 4 Weeks Version - Not in Control of My Respiratory Problems | ||
SGRQ02-Playing Sports | C112695 | SGRQ02-Playing Sports | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Playing sports or other physical activities. | SGRQ Past 4 Weeks Version - Playing Sports or Other Physical Activities | ||
SGRQ02-Respiratory Problems a Nuisance | C112703 | SGRQ02-Respiratory Problems a Nuisance | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about other effects that your respiratory problems may have on you these days: My respiratory problems are a nuisance to my family, friends or neighbors. | SGRQ Past 4 Weeks Version - Respiratory Problems a Nuisance to Family | ||
SGRQ02-Short of Breath When Bend Over | C112699 | SGRQ02-Short of Breath When Bend Over | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I bend over. | SGRQ Past 4 Weeks Version - Short of Breath When Bend Over | ||
SGRQ02-Short of Breath When I Talk | C112698 | SGRQ02-Short of Breath When I Talk | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are more questions about your cough and shortness of breath these days: I am short of breath when I talk. | SGRQ Past 4 Weeks Version - Short of Breath When I Talk | ||
SGRQ02-Sitting or Lying Still | C112689 | SGRQ02-Sitting or Lying Still | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Sitting or lying still. | SGRQ Past 4 Weeks Version - Sitting or Lying Still | ||
SGRQ02-Take a Long Time to Get Washed | C112714 | SGRQ02-Take a Long Time to Get Washed | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: I take a long time to get washed or dressed. | SGRQ Past 4 Weeks Version - Take Long Time to Get Washed or Dressed | ||
SGRQ02-Times Suffered Sev Resp Attacks | C112683 | SGRQ02-Times Suffered Sev Resp Attacks | St. George's Respiratory Questionnaire Past 4 Weeks Version - How many times during the past 4 weeks have you suffered from severe or very unpleasant respiratory attacks? | SGRQ Past 4 Weeks Version - Times Suffered From Severe Respiratory Attacks | ||
SGRQ02-Treatment Does Not Help Me Much | C112710 | SGRQ02-Treatment Does Not Help Me Much | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: My treatment does not help me very much. | SGRQ Past 4 Weeks Version - Treatment Does Not Help Me Much | ||
SGRQ02-Treatment Interferes With Life | C112713 | SGRQ02-Treatment Interferes With Life | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: My treatment interferes with my life a lot. | SGRQ Past 4 Weeks Version - Treatment Interferes With My Life | ||
SGRQ02-Unpleasant Side Effect From Med | C112712 | SGRQ02-Unpleasant Side Effect From Med | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about your respiratory treatment: I have unpleasant side effects from my medication. | SGRQ Past 4 Weeks Version - Unpleasant Side Effects From Medication | ||
SGRQ02-Walk Up Flight of Stairs Slowly | C112718 | SGRQ02-Walk Up Flight of Stairs Slowly | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about how your activities might be affected by your respiratory problems: If I walk up one flight of stairs, I have to go slowly or stop. | SGRQ Past 4 Weeks Version - If Walk Up One Flight of Stairs I Have to Go Slow | ||
SGRQ02-Walking Around the House | C112691 | SGRQ02-Walking Around the House | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking around the house. | SGRQ Past 4 Weeks Version - Walking Around the House | ||
SGRQ02-Walking Outside on Level Ground | C112692 | SGRQ02-Walking Outside on Level Ground | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking outside on level ground. | SGRQ Past 4 Weeks Version - Walking Outside on Level Ground | ||
SGRQ02-Walking Up a Flight of Stairs | C112693 | SGRQ02-Walking Up a Flight of Stairs | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking up a flight of stairs. | SGRQ Past 4 Weeks Version - Walking Up a Flight of Stairs | ||
SGRQ02-Walking Up Hills | C112694 | SGRQ02-Walking Up Hills | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Walking up hills. | SGRQ Past 4 Weeks Version - Walking Up Hills | ||
SGRQ02-Washing or Dressing Yourself | C112690 | SGRQ02-Washing or Dressing Yourself | St. George's Respiratory Questionnaire Past 4 Weeks Version - These are questions about what activities usually make you feel short of breath these days: Washing or dressing yourself. | SGRQ Past 4 Weeks Version - Washing or Dressing Yourself | ||
SGRQ02-Wheeze Worse in the Morning | C112686 | SGRQ02-Wheeze Worse in the Morning | St. George's Respiratory Questionnaire Past 4 Weeks Version - If you wheeze, is it worse when you get up in the morning? | SGRQ Past 4 Weeks Version - Wheeze Worse When Get Up in the Morning | ||
Back to top | ||||||
CL.C101828.SOWS Subjective TESTCD | QS-Subjective Opiate Withdrawal Scale Test Code (SOWS Subjective TESTCD) | text Extensible: No | C101828 | QS-Subjective Opiate Withdrawal Scale Test Code | Subjective Opiate Withdrawal Scale test code. | CDISC Questionnaire SOWS Subjective Test Code Terminology |
SOWSA101 | C102409 | SOWSA1-I Feel Anxious | Subjective Opiate Withdrawal Scale - I feel anxious. | SOWS Subjective (Handelsman) - I Feel Anxious | ||
SOWSA102 | C102410 | SOWSA1-I Feel Like Yawning | Subjective Opiate Withdrawal Scale - I feel like yawning. | SOWS Subjective (Handelsman) - I Feel Like Yawning | ||
SOWSA103 | C102411 | SOWSA1-I'm Perspiring | Subjective Opiate Withdrawal Scale - I'm perspiring. | SOWS Subjective (Handelsman) - I'm Perspiring | ||
SOWSA104 | C102412 | SOWSA1-My Eyes Are Tearing | Subjective Opiate Withdrawal Scale - My eyes are tearing. | SOWS Subjective (Handelsman) - My Eyes Are Tearing | ||
SOWSA105 | C102413 | SOWSA1-My Nose is Running | Subjective Opiate Withdrawal Scale - My nose is running. | SOWS Subjective (Handelsman) - My Nose is Running | ||
SOWSA106 | C102414 | SOWSA1-I Have Goose Flesh | Subjective Opiate Withdrawal Scale - I have goose flesh. | SOWS Subjective (Handelsman) - I Have Goose Flesh | ||
SOWSA107 | C102415 | SOWSA1-I Am Shaking | Subjective Opiate Withdrawal Scale - I am shaking. | SOWS Subjective (Handelsman) - I Am Shaking | ||
SOWSA108 | C102416 | SOWSA1-I Have Hot Flashes | Subjective Opiate Withdrawal Scale - I have hot flashes. | SOWS Subjective (Handelsman) - I Have Hot Flashes | ||
SOWSA109 | C102417 | SOWSA1-I Have Cold Flashes | Subjective Opiate Withdrawal Scale - I have cold flashes. | SOWS Subjective (Handelsman) - I Have Cold Flashes | ||
SOWSA110 | C102418 | SOWSA1-My Bones and Muscles Ache | Subjective Opiate Withdrawal Scale - My bones and muscles ache. | SOWS Subjective (Handelsman) - My Bones and Muscles Ache | ||
SOWSA111 | C102419 | SOWSA1-I Feel Restless | Subjective Opiate Withdrawal Scale - I feel restless. | SOWS Subjective (Handelsman) - I Feel Restless | ||
SOWSA112 | C102420 | SOWSA1-I Feel Nauseous | Subjective Opiate Withdrawal Scale - I feel nauseous. | SOWS Subjective (Handelsman) - I Feel Nauseous | ||
SOWSA113 | C102421 | SOWSA1-I Feel Like Vomiting | Subjective Opiate Withdrawal Scale - I feel like vomiting. | SOWS Subjective (Handelsman) - I Feel Like Vomiting | ||
SOWSA114 | C102422 | SOWSA1-My Muscles Twitch | Subjective Opiate Withdrawal Scale - My muscles twitch. | SOWS Subjective (Handelsman) - My Muscles Twitch | ||
SOWSA115 | C102423 | SOWSA1-I Have Cramps in My Stomach | Subjective Opiate Withdrawal Scale - I have cramps in my stomach. | SOWS Subjective (Handelsman) - I Have Cramps in My Stomach | ||
SOWSA116 | C102424 | SOWSA1-I Feel Like Shooting Up Now | Subjective Opiate Withdrawal Scale - I feel like shooting up now. | SOWS Subjective (Handelsman) - I Feel Like Shooting Up Now | ||
Back to top | ||||||
CL.C101829.SOWS Subjective TEST | QS-Subjective Opiate Withdrawal Scale Test Name (SOWS Subjective TEST) | text Extensible: No | C101829 | QS-Subjective Opiate Withdrawal Scale Test Name | Subjective Opiate Withdrawal Scale test name. | CDISC Questionnaire SOWS Subjective Test Name Terminology |
SOWSA1-I Am Shaking | C102415 | SOWSA1-I Am Shaking | Subjective Opiate Withdrawal Scale - I am shaking. | SOWS Subjective (Handelsman) - I Am Shaking | ||
SOWSA1-I Feel Anxious | C102409 | SOWSA1-I Feel Anxious | Subjective Opiate Withdrawal Scale - I feel anxious. | SOWS Subjective (Handelsman) - I Feel Anxious | ||
SOWSA1-I Feel Like Shooting Up Now | C102424 | SOWSA1-I Feel Like Shooting Up Now | Subjective Opiate Withdrawal Scale - I feel like shooting up now. | SOWS Subjective (Handelsman) - I Feel Like Shooting Up Now | ||
SOWSA1-I Feel Like Vomiting | C102421 | SOWSA1-I Feel Like Vomiting | Subjective Opiate Withdrawal Scale - I feel like vomiting. | SOWS Subjective (Handelsman) - I Feel Like Vomiting | ||
SOWSA1-I Feel Like Yawning | C102410 | SOWSA1-I Feel Like Yawning | Subjective Opiate Withdrawal Scale - I feel like yawning. | SOWS Subjective (Handelsman) - I Feel Like Yawning | ||
SOWSA1-I Feel Nauseous | C102420 | SOWSA1-I Feel Nauseous | Subjective Opiate Withdrawal Scale - I feel nauseous. | SOWS Subjective (Handelsman) - I Feel Nauseous | ||
SOWSA1-I Feel Restless | C102419 | SOWSA1-I Feel Restless | Subjective Opiate Withdrawal Scale - I feel restless. | SOWS Subjective (Handelsman) - I Feel Restless | ||
SOWSA1-I Have Cold Flashes | C102417 | SOWSA1-I Have Cold Flashes | Subjective Opiate Withdrawal Scale - I have cold flashes. | SOWS Subjective (Handelsman) - I Have Cold Flashes | ||
SOWSA1-I Have Cramps in My Stomach | C102423 | SOWSA1-I Have Cramps in My Stomach | Subjective Opiate Withdrawal Scale - I have cramps in my stomach. | SOWS Subjective (Handelsman) - I Have Cramps in My Stomach | ||
SOWSA1-I Have Goose Flesh | C102414 | SOWSA1-I Have Goose Flesh | Subjective Opiate Withdrawal Scale - I have goose flesh. | SOWS Subjective (Handelsman) - I Have Goose Flesh | ||
SOWSA1-I Have Hot Flashes | C102416 | SOWSA1-I Have Hot Flashes | Subjective Opiate Withdrawal Scale - I have hot flashes. | SOWS Subjective (Handelsman) - I Have Hot Flashes | ||
SOWSA1-I'm Perspiring | C102411 | SOWSA1-I'm Perspiring | Subjective Opiate Withdrawal Scale - I'm perspiring. | SOWS Subjective (Handelsman) - I'm Perspiring | ||
SOWSA1-My Bones and Muscles Ache | C102418 | SOWSA1-My Bones and Muscles Ache | Subjective Opiate Withdrawal Scale - My bones and muscles ache. | SOWS Subjective (Handelsman) - My Bones and Muscles Ache | ||
SOWSA1-My Eyes Are Tearing | C102412 | SOWSA1-My Eyes Are Tearing | Subjective Opiate Withdrawal Scale - My eyes are tearing. | SOWS Subjective (Handelsman) - My Eyes Are Tearing | ||
SOWSA1-My Muscles Twitch | C102422 | SOWSA1-My Muscles Twitch | Subjective Opiate Withdrawal Scale - My muscles twitch. | SOWS Subjective (Handelsman) - My Muscles Twitch | ||
SOWSA1-My Nose is Running | C102413 | SOWSA1-My Nose is Running | Subjective Opiate Withdrawal Scale - My nose is running. | SOWS Subjective (Handelsman) - My Nose is Running | ||
Back to top | ||||||
CL.C103485.SIQR TESTCD | QS-Symptom Impact Questionnaire Test Code (SIQR TESTCD) | text Extensible: No | C103485 | QS-Symptom Impact Questionnaire Test Code | Symptom Impact Questionnaire test code. | CDISC Questionnaire SIQR Test Code Terminology |
SIQR0101 | C103730 | SIQR01-Brush or Comb Your Hair | Symptom Impact Questionnaire - Brush or comb your hair. | SIQR - Brush or Comb Your Hair | ||
SIQR0102 | C103731 | SIQR01-Walk Continuously for 20 Minutes | Symptom Impact Questionnaire - Walk continuously for 20 minutes. | SIQR - Walk Continuously for 20 Minutes | ||
SIQR0103 | C103732 | SIQR01-Prepare a Homemade Meal | Symptom Impact Questionnaire - Prepare a homemade meal. | SIQR - Prepare a Homemade Meal | ||
SIQR0104 | C103733 | SIQR01-Vacuum Scrub or Sweep Floors | Symptom Impact Questionnaire - Vacuum, scrub or sweep floors. | SIQR - Vacuum Scrub or Sweep Floors | ||
SIQR0105 | C103734 | SIQR01-Lift/Carry Bag Full of Groceries | Symptom Impact Questionnaire - Lift and carry a bag full of groceries. | SIQR - Lift and Carry a Bag Full of Groceries | ||
SIQR0106 | C103735 | SIQR01-Climb One Flight of Stairs | Symptom Impact Questionnaire - Climb one flight of stairs. | SIQR - Climb One Flight of Stairs | ||
SIQR0107 | C103736 | SIQR01-Change Bed Sheets | Symptom Impact Questionnaire - Change bed sheets. | SIQR - Change Bed Sheets | ||
SIQR0108 | C103737 | SIQR01-Sit in a Chair for 45 Minutes | Symptom Impact Questionnaire - Sit in a chair for 45 minutes. | SIQR - Sit in a Chair for 45 Minutes | ||
SIQR0109 | C103738 | SIQR01-Go Shopping for Groceries | Symptom Impact Questionnaire - Go shopping for groceries. | SIQR - Go Shopping for Groceries | ||
SIQR0110 | C103739 | SIQR01-Prevent from Accomplishing Goals | Symptom Impact Questionnaire - My medical problems prevented me from accomplishing goals for week. | SIQR - My Medical Problem Prevented Me from Accomplishing Goals for the Week | ||
SIQR0111 | C103740 | SIQR01-Overwhelmed by Medical Problems | Symptom Impact Questionnaire - I was completely overwhelmed by my medical problems. | SIQR - I was Completely Overwhelmed by My Medical Problem | ||
SIQR0112 | C103741 | SIQR01-Pain | Symptom Impact Questionnaire - Please rate your level of pain. | SIQR - Pain | ||
SIQR0113 | C103742 | SIQR01-Energy | Symptom Impact Questionnaire - Please rate your level of energy. | SIQR - Energy | ||
SIQR0114 | C103743 | SIQR01-Stiffness | Symptom Impact Questionnaire - Please rate your level of stiffness. | SIQR - Stiffness | ||
SIQR0115 | C103744 | SIQR01-Your Sleep | Symptom Impact Questionnaire - Please rate the quality of your sleep. | SIQR - Your Sleep | ||
SIQR0116 | C103745 | SIQR01-Depression | Symptom Impact Questionnaire - Please rate your level of depression. | SIQR - Depression | ||
SIQR0117 | C103746 | SIQR01-Memory Problems | Symptom Impact Questionnaire - Please rate your level of memory problems. | SIQR - Memory Problems | ||
SIQR0118 | C103747 | SIQR01-Anxiety | Symptom Impact Questionnaire - Please rate your level of anxiety. | SIQR - Anxiety | ||
SIQR0119 | C103748 | SIQR01-Tenderness to Touch | Symptom Impact Questionnaire - Please rate your level of tenderness to touch. | SIQR - Tenderness to Touch | ||
SIQR0120 | C103749 | SIQR01-Balance Problems | Symptom Impact Questionnaire - Please rate your level of balance problems. | SIQR - Balance Problems | ||
SIQR0121 | C103750 | SIQR01-Sensitivity Noise/Light/Odor/Cold | Symptom Impact Questionnaire - Please rate your level of sensitivity to loud noises, bright lights, odors and cold. | SIQR - Sensitivity to Loud Noises, Bright Lights, Odors and Cold | ||
Back to top | ||||||
CL.C103484.SIQR TEST | QS-Symptom Impact Questionnaire Test Name (SIQR TEST) | text Extensible: No | C103484 | QS-Symptom Impact Questionnaire Test Name | Symptom Impact Questionnaire test name. | CDISC Questionnaire SIQR Test Name Terminology |
SIQR01-Anxiety | C103747 | SIQR01-Anxiety | Symptom Impact Questionnaire - Please rate your level of anxiety. | SIQR - Anxiety | ||
SIQR01-Balance Problems | C103749 | SIQR01-Balance Problems | Symptom Impact Questionnaire - Please rate your level of balance problems. | SIQR - Balance Problems | ||
SIQR01-Brush or Comb Your Hair | C103730 | SIQR01-Brush or Comb Your Hair | Symptom Impact Questionnaire - Brush or comb your hair. | SIQR - Brush or Comb Your Hair | ||
SIQR01-Change Bed Sheets | C103736 | SIQR01-Change Bed Sheets | Symptom Impact Questionnaire - Change bed sheets. | SIQR - Change Bed Sheets | ||
SIQR01-Climb One Flight of Stairs | C103735 | SIQR01-Climb One Flight of Stairs | Symptom Impact Questionnaire - Climb one flight of stairs. | SIQR - Climb One Flight of Stairs | ||
SIQR01-Depression | C103745 | SIQR01-Depression | Symptom Impact Questionnaire - Please rate your level of depression. | SIQR - Depression | ||
SIQR01-Energy | C103742 | SIQR01-Energy | Symptom Impact Questionnaire - Please rate your level of energy. | SIQR - Energy | ||
SIQR01-Go Shopping for Groceries | C103738 | SIQR01-Go Shopping for Groceries | Symptom Impact Questionnaire - Go shopping for groceries. | SIQR - Go Shopping for Groceries | ||
SIQR01-Lift/Carry Bag Full of Groceries | C103734 | SIQR01-Lift/Carry Bag Full of Groceries | Symptom Impact Questionnaire - Lift and carry a bag full of groceries. | SIQR - Lift and Carry a Bag Full of Groceries | ||
SIQR01-Memory Problems | C103746 | SIQR01-Memory Problems | Symptom Impact Questionnaire - Please rate your level of memory problems. | SIQR - Memory Problems | ||
SIQR01-Overwhelmed by Medical Problems | C103740 | SIQR01-Overwhelmed by Medical Problems | Symptom Impact Questionnaire - I was completely overwhelmed by my medical problems. | SIQR - I was Completely Overwhelmed by My Medical Problem | ||
SIQR01-Pain | C103741 | SIQR01-Pain | Symptom Impact Questionnaire - Please rate your level of pain. | SIQR - Pain | ||
SIQR01-Prepare a Homemade Meal | C103732 | SIQR01-Prepare a Homemade Meal | Symptom Impact Questionnaire - Prepare a homemade meal. | SIQR - Prepare a Homemade Meal | ||
SIQR01-Prevent from Accomplishing Goals | C103739 | SIQR01-Prevent from Accomplishing Goals | Symptom Impact Questionnaire - My medical problems prevented me from accomplishing goals for week. | SIQR - My Medical Problem Prevented Me from Accomplishing Goals for the Week | ||
SIQR01-Sensitivity Noise/Light/Odor/Cold | C103750 | SIQR01-Sensitivity Noise/Light/Odor/Cold | Symptom Impact Questionnaire - Please rate your level of sensitivity to loud noises, bright lights, odors and cold. | SIQR - Sensitivity to Loud Noises, Bright Lights, Odors and Cold | ||
SIQR01-Sit in a Chair for 45 Minutes | C103737 | SIQR01-Sit in a Chair for 45 Minutes | Symptom Impact Questionnaire - Sit in a chair for 45 minutes. | SIQR - Sit in a Chair for 45 Minutes | ||
SIQR01-Stiffness | C103743 | SIQR01-Stiffness | Symptom Impact Questionnaire - Please rate your level of stiffness. | SIQR - Stiffness | ||
SIQR01-Tenderness to Touch | C103748 | SIQR01-Tenderness to Touch | Symptom Impact Questionnaire - Please rate your level of tenderness to touch. | SIQR - Tenderness to Touch | ||
SIQR01-Vacuum Scrub or Sweep Floors | C103733 | SIQR01-Vacuum Scrub or Sweep Floors | Symptom Impact Questionnaire - Vacuum, scrub or sweep floors. | SIQR - Vacuum Scrub or Sweep Floors | ||
SIQR01-Walk Continuously for 20 Minutes | C103731 | SIQR01-Walk Continuously for 20 Minutes | Symptom Impact Questionnaire - Walk continuously for 20 minutes. | SIQR - Walk Continuously for 20 Minutes | ||
SIQR01-Your Sleep | C103744 | SIQR01-Your Sleep | Symptom Impact Questionnaire - Please rate the quality of your sleep. | SIQR - Your Sleep | ||
Back to top | ||||||
CL.C103479.ODI v2.1A TESTCD | QS-The Oswestry Disability Index Version 2.1a Questionnaire Test Code (ODI v2.1A TESTCD) | text Extensible: No | C103479 | QS-The Oswestry Disability Index Version 2.1a Questionnaire Test Code | The Oswestry Disability Index Version 2.1a test code. | CDISC Questionnaire ODI v2.1a Test Code Terminology |
ODI0101 | C103762 | ODI01-Pain Intensity | The Oswestry Disability Index Version 2.1a - Section 1 - Pain intensity. | ODI v2.1a - Pain Intensity | ||
ODI0102 | C103763 | ODI01-Personal Care | The Oswestry Disability Index Version 2.1a - Section 2 - Personal care (washing, dressing, etc.). | ODI v2.1a - Personal Care | ||
ODI0103 | C103764 | ODI01-Lifting | The Oswestry Disability Index Version 2.1a - Section 3 - Lifting. | ODI v2.1a - Lifting | ||
ODI0104 | C103765 | ODI01-Walking | The Oswestry Disability Index Version 2.1a - Section 4 - Walking. | ODI v2.1a - Walking | ||
ODI0105 | C103766 | ODI01-Sitting | The Oswestry Disability Index Version 2.1a - Section 5 - Sitting. | ODI v2.1a - Sitting | ||
ODI0106 | C103767 | ODI01-Standing | The Oswestry Disability Index Version 2.1a - Section 6 - Standing. | ODI v2.1a - Standing | ||
ODI0107 | C103768 | ODI01-Sleeping | The Oswestry Disability Index Version 2.1a - Section 7 - Sleeping. | ODI v2.1a - Sleeping | ||
ODI0108 | C103769 | ODI01-Sex Life | The Oswestry Disability Index Version 2.1a - Section 8 - Sex life (if applicable). | ODI v2.1a - Sex Life | ||
ODI0109 | C103770 | ODI01-Social Life | The Oswestry Disability Index Version 2.1a - Section 9 - Social life. | ODI v2.1a - Social Life | ||
ODI0110 | C103771 | ODI01-Travelling | The Oswestry Disability Index Version 2.1a - Section 10 - Travelling. | ODI v2.1a - Travelling | ||
Back to top | ||||||
CL.C103478.ODI v2.1A TEST | QS-The Oswestry Disability Index Version 2.1a Questionnaire Test Name (ODI v2.1A TEST) | text Extensible: No | C103478 | QS-The Oswestry Disability Index Version 2.1a Questionnaire Test Name | The Oswestry Disability Index Version 2.1a test name. | CDISC Questionnaire ODI v2.1a Test Name Terminology |
ODI01-Lifting | C103764 | ODI01-Lifting | The Oswestry Disability Index Version 2.1a - Section 3 - Lifting. | ODI v2.1a - Lifting | ||
ODI01-Pain Intensity | C103762 | ODI01-Pain Intensity | The Oswestry Disability Index Version 2.1a - Section 1 - Pain intensity. | ODI v2.1a - Pain Intensity | ||
ODI01-Personal Care | C103763 | ODI01-Personal Care | The Oswestry Disability Index Version 2.1a - Section 2 - Personal care (washing, dressing, etc.). | ODI v2.1a - Personal Care | ||
ODI01-Sex Life | C103769 | ODI01-Sex Life | The Oswestry Disability Index Version 2.1a - Section 8 - Sex life (if applicable). | ODI v2.1a - Sex Life | ||
ODI01-Sitting | C103766 | ODI01-Sitting | The Oswestry Disability Index Version 2.1a - Section 5 - Sitting. | ODI v2.1a - Sitting | ||
ODI01-Sleeping | C103768 | ODI01-Sleeping | The Oswestry Disability Index Version 2.1a - Section 7 - Sleeping. | ODI v2.1a - Sleeping | ||
ODI01-Social Life | C103770 | ODI01-Social Life | The Oswestry Disability Index Version 2.1a - Section 9 - Social life. | ODI v2.1a - Social Life | ||
ODI01-Standing | C103767 | ODI01-Standing | The Oswestry Disability Index Version 2.1a - Section 6 - Standing. | ODI v2.1a - Standing | ||
ODI01-Travelling | C103771 | ODI01-Travelling | The Oswestry Disability Index Version 2.1a - Section 10 - Travelling. | ODI v2.1a - Travelling | ||
ODI01-Walking | C103765 | ODI01-Walking | The Oswestry Disability Index Version 2.1a - Section 4 - Walking. | ODI v2.1a - Walking | ||
Back to top | ||||||
CL.C103477.OAB-Q Short Form TESTCD | QS-The Overactive Bladder Questionnaire Short Form Test Code (OAB-Q Short Form TESTCD) | text Extensible: No | C103477 | QS-The Overactive Bladder Questionnaire Short Form Test Code | The Overactive Bladder Questionnaire Short Form test code. | CDISC Questionnaire OAB-q Short Form Test Code Terminology |
OABQ0201 | C103686 | OABQ02-Uncomfortable Urge to Urinate | The Overactive Bladder Questionnaire Short Form - An uncomfortable urge to urinate? | OAB-q Short Form - Uncomfortable Urge to Urinate | ||
OABQ0202 | C103687 | OABQ02-Sudden Urge to Urinate No Warning | The Overactive Bladder Questionnaire Short Form - A sudden urge to urinate with little or no warning? | OAB-q Short Form - Sudden Urge to Urinate with Little or No Warning | ||
OABQ0203 | C103688 | OABQ02-Accidental Loss of Urine | The Overactive Bladder Questionnaire Short Form - Accidental loss of small amounts of urine? | OAB-q Short Form - Accidental Loss of Urine | ||
OABQ0204 | C103689 | OABQ02-Nighttime Urination | The Overactive Bladder Questionnaire Short Form - Nighttime urination? | OAB-q Short Form - Nighttime Urination | ||
OABQ0205 | C103690 | OABQ02-Waking Up at Night had to Urinate | The Overactive Bladder Questionnaire Short Form - Waking up at night because you had to urinate? | OAB-q Short Form - Waking Up at Night Because You had to Urinate | ||
OABQ0206 | C103691 | OABQ02-Urine Loss Strong Desire Urinate | The Overactive Bladder Questionnaire Short Form - Urine loss associated with strong desire to urinate? | OAB-q Short Form - Urine Loss Associated with a Strong Desire to Urinate | ||
OABQ0207 | C103692 | OABQ02-Plan 'Escape Routes' to Restrooms | The Overactive Bladder Questionnaire Short Form - Caused you to plan "escape routes" to restrooms in public places? | OAB-q Short Form - Plan 'Escape Routes' to Restrooms | ||
OABQ0208 | C103693 | OABQ02-Feel Something is Wrong with You | The Overactive Bladder Questionnaire Short Form - Made you feel like there is something wrong with you? | OAB-q Short Form - Feel Like There is Something Wrong with You | ||
OABQ0209 | C103694 | OABQ02-Interfered with Good Night's Rest | The Overactive Bladder Questionnaire Short Form - Interfered with your ability to get a good night's rest? | OAB-q Short Form - Interfered with a Good Night's Rest | ||
OABQ0210 | C103695 | OABQ02-Frustrated about Time in Restroom | The Overactive Bladder Questionnaire Short Form - Made you frustrated or annoyed about the amount of time you spend in the restroom? | OAB-q Short Form - Frustrated or Annoyed About the Amount of Time You Spend in the Restroom | ||
OABQ0211 | C103696 | OABQ02-Avoid Activ Away From Restroom | The Overactive Bladder Questionnaire Short Form - Made you avoid activities away from restrooms (i.e., walks, running, hiking)? | OAB-q Short Form - Avoid Activities Away From Restrooms | ||
OABQ0212 | C103697 | OABQ02-Awakened You During Sleep | The Overactive Bladder Questionnaire Short Form - Awakened you during sleep? | OAB-q Short Form - Awakened You During Sleep | ||
OABQ0213 | C103698 | OABQ02-Decrease Physical Activities | The Overactive Bladder Questionnaire Short Form - Caused you to decrease your physical activities (exercising, sports, etc.)? | OAB-q Short Form - Decrease Your Physical Activities | ||
OABQ0214 | C103699 | OABQ02-Caused Problems Partner/Spouse | The Overactive Bladder Questionnaire Short Form - Caused you to have problems with your partner or spouse? | OAB-q Short Form - Caused Problems with Your Partner or Spouse | ||
OABQ0215 | C103700 | OABQ02-Uncomfortable Travel with Others | The Overactive Bladder Questionnaire Short Form - Made you uncomfortable while travelling with others because of needing to stop for a restroom? | OAB-q Short Form - Uncomfortable While Traveling With Others | ||
OABQ0216 | C103701 | OABQ02-Affected Relationships | The Overactive Bladder Questionnaire Short Form - Affected your relationships with family and friends? | OAB-q Short Form - Affected Your Relationships with Family and Friends | ||
OABQ0217 | C103702 | OABQ02-Interfered with Getting Sleep | The Overactive Bladder Questionnaire Short Form - Interfered with getting the amount of sleep you needed? | OAB-q Short Form - Interfered with Getting Sleep | ||
OABQ0218 | C103703 | OABQ02-Caused You Embarrassment | The Overactive Bladder Questionnaire Short Form - Caused you embarrassment? | OAB-q Short Form - Caused You Embarrassment | ||
OABQ0219 | C103704 | OABQ02-Locate Closest Restroom | The Overactive Bladder Questionnaire Short Form - Caused you to locate the closest restroom as soon as you arrive at a place you have never been? | OAB-q Short Form - Locate Closest Restroom as Soon as You Arrive | ||
Back to top | ||||||
CL.C103476.OAB-Q Short Form TEST | QS-The Overactive Bladder Questionnaire Short Form Test Name (OAB-Q Short Form TEST) | text Extensible: No | C103476 | QS-The Overactive Bladder Questionnaire Short Form Test Name | The Overactive Bladder Questionnaire Short Form test name. | CDISC Questionnaire OAB-q Short Form Test Name Terminology |
OABQ02-Accidental Loss of Urine | C103688 | OABQ02-Accidental Loss of Urine | The Overactive Bladder Questionnaire Short Form - Accidental loss of small amounts of urine? | OAB-q Short Form - Accidental Loss of Urine | ||
OABQ02-Affected Relationships | C103701 | OABQ02-Affected Relationships | The Overactive Bladder Questionnaire Short Form - Affected your relationships with family and friends? | OAB-q Short Form - Affected Your Relationships with Family and Friends | ||
OABQ02-Avoid Activ Away From Restroom | C103696 | OABQ02-Avoid Activ Away From Restroom | The Overactive Bladder Questionnaire Short Form - Made you avoid activities away from restrooms (i.e., walks, running, hiking)? | OAB-q Short Form - Avoid Activities Away From Restrooms | ||
OABQ02-Awakened You During Sleep | C103697 | OABQ02-Awakened You During Sleep | The Overactive Bladder Questionnaire Short Form - Awakened you during sleep? | OAB-q Short Form - Awakened You During Sleep | ||
OABQ02-Caused Problems Partner/Spouse | C103699 | OABQ02-Caused Problems Partner/Spouse | The Overactive Bladder Questionnaire Short Form - Caused you to have problems with your partner or spouse? | OAB-q Short Form - Caused Problems with Your Partner or Spouse | ||
OABQ02-Caused You Embarrassment | C103703 | OABQ02-Caused You Embarrassment | The Overactive Bladder Questionnaire Short Form - Caused you embarrassment? | OAB-q Short Form - Caused You Embarrassment | ||
OABQ02-Decrease Physical Activities | C103698 | OABQ02-Decrease Physical Activities | The Overactive Bladder Questionnaire Short Form - Caused you to decrease your physical activities (exercising, sports, etc.)? | OAB-q Short Form - Decrease Your Physical Activities | ||
OABQ02-Feel Something is Wrong with You | C103693 | OABQ02-Feel Something is Wrong with You | The Overactive Bladder Questionnaire Short Form - Made you feel like there is something wrong with you? | OAB-q Short Form - Feel Like There is Something Wrong with You | ||
OABQ02-Frustrated about Time in Restroom | C103695 | OABQ02-Frustrated about Time in Restroom | The Overactive Bladder Questionnaire Short Form - Made you frustrated or annoyed about the amount of time you spend in the restroom? | OAB-q Short Form - Frustrated or Annoyed About the Amount of Time You Spend in the Restroom | ||
OABQ02-Interfered with Getting Sleep | C103702 | OABQ02-Interfered with Getting Sleep | The Overactive Bladder Questionnaire Short Form - Interfered with getting the amount of sleep you needed? | OAB-q Short Form - Interfered with Getting Sleep | ||
OABQ02-Interfered with Good Night's Rest | C103694 | OABQ02-Interfered with Good Night's Rest | The Overactive Bladder Questionnaire Short Form - Interfered with your ability to get a good night's rest? | OAB-q Short Form - Interfered with a Good Night's Rest | ||
OABQ02-Locate Closest Restroom | C103704 | OABQ02-Locate Closest Restroom | The Overactive Bladder Questionnaire Short Form - Caused you to locate the closest restroom as soon as you arrive at a place you have never been? | OAB-q Short Form - Locate Closest Restroom as Soon as You Arrive | ||
OABQ02-Nighttime Urination | C103689 | OABQ02-Nighttime Urination | The Overactive Bladder Questionnaire Short Form - Nighttime urination? | OAB-q Short Form - Nighttime Urination | ||
OABQ02-Plan 'Escape Routes' to Restrooms | C103692 | OABQ02-Plan 'Escape Routes' to Restrooms | The Overactive Bladder Questionnaire Short Form - Caused you to plan "escape routes" to restrooms in public places? | OAB-q Short Form - Plan 'Escape Routes' to Restrooms | ||
OABQ02-Sudden Urge to Urinate No Warning | C103687 | OABQ02-Sudden Urge to Urinate No Warning | The Overactive Bladder Questionnaire Short Form - A sudden urge to urinate with little or no warning? | OAB-q Short Form - Sudden Urge to Urinate with Little or No Warning | ||
OABQ02-Uncomfortable Travel with Others | C103700 | OABQ02-Uncomfortable Travel with Others | The Overactive Bladder Questionnaire Short Form - Made you uncomfortable while travelling with others because of needing to stop for a restroom? | OAB-q Short Form - Uncomfortable While Traveling With Others | ||
OABQ02-Uncomfortable Urge to Urinate | C103686 | OABQ02-Uncomfortable Urge to Urinate | The Overactive Bladder Questionnaire Short Form - An uncomfortable urge to urinate? | OAB-q Short Form - Uncomfortable Urge to Urinate | ||
OABQ02-Urine Loss Strong Desire Urinate | C103691 | OABQ02-Urine Loss Strong Desire Urinate | The Overactive Bladder Questionnaire Short Form - Urine loss associated with strong desire to urinate? | OAB-q Short Form - Urine Loss Associated with a Strong Desire to Urinate | ||
OABQ02-Waking Up at Night had to Urinate | C103690 | OABQ02-Waking Up at Night had to Urinate | The Overactive Bladder Questionnaire Short Form - Waking up at night because you had to urinate? | OAB-q Short Form - Waking Up at Night Because You had to Urinate | ||
Back to top | ||||||
CL.C103475.OAB-Q TESTCD | QS-The Overactive Bladder Questionnaire Test Code (OAB-Q TESTCD) | text Extensible: No | C103475 | QS-The Overactive Bladder Questionnaire Test Code | The Overactive Bladder Questionnaire test code. | CDISC Questionnaire OAB-q Test Code Terminology |
OABQ0101 | C103653 | OABQ01-Frequent Urination During Daytime | The Overactive Bladder Questionnaire - Frequent urination during the daytime hours? | OAB-q - Frequent Urination During the Daytime | ||
OABQ0102 | C103654 | OABQ01-Uncomfortable Urge to Urinate | The Overactive Bladder Questionnaire - An uncomfortable urge to urinate? | OAB-q - Uncomfortable Urge to Urinate | ||
OABQ0103 | C103655 | OABQ01-Sudden Urge to Urinate No Warning | The Overactive Bladder Questionnaire - A sudden urge to urinate with little or no warning? | OAB-q - Sudden Urge to Urinate with Little or No Warning | ||
OABQ0104 | C103656 | OABQ01-Accidental Loss of Urine | The Overactive Bladder Questionnaire - Accidental loss of small amounts of urine? | OAB-q - Accidental Loss of Urine | ||
OABQ0105 | C103657 | OABQ01-Nighttime Urination | The Overactive Bladder Questionnaire - Nighttime urination? | OAB-q - Nighttime Urination | ||
OABQ0106 | C103658 | OABQ01-Waking Up at Night had to Urinate | The Overactive Bladder Questionnaire - Waking up at night because you had to urinate? | OAB-q - Waking Up at Night Because You had to Urinate | ||
OABQ0107 | C103659 | OABQ01-Uncontrollable Urge to Urinate | The Overactive Bladder Questionnaire - An uncontrollable urge to urinate? | OAB-q - Uncontrollable Urge to Urinate | ||
OABQ0108 | C103660 | OABQ01-Urine Loss Strong Desire Urinate | The Overactive Bladder Questionnaire - Urine loss associated with a strong desire to urinate? | OAB-q - Urine Loss Associated with a Strong Desire to Urinate | ||
OABQ0109 | C103661 | OABQ01-Carefully Plan Your Commute | The Overactive Bladder Questionnaire - Made you carefully plan your commute? | OAB-q - Carefully Plan Your Commute | ||
OABQ0110 | C103662 | OABQ01-Feel Drowsy or Sleepy During Day | The Overactive Bladder Questionnaire - Caused you to feel drowsy or sleepy during the day? | OAB-q - Feel Drowsy or Sleepy During the Day | ||
OABQ0111 | C103663 | OABQ01-Plan 'Escape Routes' to Restrooms | The Overactive Bladder Questionnaire - Caused you to plan "escape routes" to restrooms in public places? | OAB-q - Plan 'Escape Routes' to Restrooms | ||
OABQ0112 | C103664 | OABQ01-Caused You Distress | The Overactive Bladder Questionnaire - Caused you distress? | OAB-q - Caused You Distress | ||
OABQ0113 | C103665 | OABQ01-Frustrated You | The Overactive Bladder Questionnaire - Frustrated you? | OAB-q - Frustrated You | ||
OABQ0114 | C103666 | OABQ01-Feel Something Wrong with You | The Overactive Bladder Questionnaire - Made you feel like there is something wrong with you? | OAB-q - Feel Like There is Something Wrong with You | ||
OABQ0115 | C103667 | OABQ01-Interfered with Good Night's Rest | The Overactive Bladder Questionnaire - Interfered with your ability to get a good night's rest? | OAB-q - Interfered with a Good Night's Rest | ||
OABQ0116 | C103668 | OABQ01-Decrease Your Physical Activities | The Overactive Bladder Questionnaire - Caused you to decrease your physical activities (exercising, sports, etc.)? | OAB-q - Decrease Your Physical Activities | ||
OABQ0117 | C103669 | OABQ01-Prevented From Feeling Rested | The Overactive Bladder Questionnaire - Prevented you from feeling rested upon waking in the morning? | OAB-q - Prevented You From Feeling Rested Upon Waking | ||
OABQ0118 | C103670 | OABQ01-Frustrated Family and Friends | The Overactive Bladder Questionnaire - Frustrated your family and friends? | OAB-q - Frustrated Your Family and Friends | ||
OABQ0119 | C103671 | OABQ01-Caused You Anxiety or Worry | The Overactive Bladder Questionnaire - Caused you anxiety or worry? | OAB-q - Caused You Anxiety or Worry | ||
OABQ0120 | C103672 | OABQ01-Stay Home More Often Than Prefer | The Overactive Bladder Questionnaire - Caused you to stay home more often than you would prefer? | OAB-q - Stay Home More Often Than You Would Prefer | ||
OABQ0121 | C103673 | OABQ01-Adjust Travel Plans Near Restroom | The Overactive Bladder Questionnaire - Caused you to adjust your travel plans so that you are always near a restroom? | OAB-q - Adjust Your Travel Plans so That You are Always Near a Restroom | ||
OABQ0122 | C103674 | OABQ01-Avoid Act Away From Restroom | The Overactive Bladder Questionnaire - Made you avoid activities away from restrooms (i.e., walks, running, hiking)? | OAB-q - Avoid Activities Away From Restrooms | ||
OABQ0123 | C103675 | OABQ01-Amount of Time Spend in Restroom | The Overactive Bladder Questionnaire - Made you frustrated or annoyed about the amount of time you spend in the restroom? | OAB-q - Frustrated or Annoyed About the Amount of Time You Spend in the Restroom | ||
OABQ0124 | C103676 | OABQ01-Awakened You During Sleep | The Overactive Bladder Questionnaire - Awakened you during sleep? | OAB-q - Awakened You During Sleep | ||
OABQ0125 | C103677 | OABQ01-Worry About Odor or Hygiene | The Overactive Bladder Questionnaire - Made you worry about odor or hygiene? | OAB-q - Made You Worry About Odor or Hygiene | ||
OABQ0126 | C103678 | OABQ01-Uncomfortable Travel with Others | The Overactive Bladder Questionnaire - Made you uncomfortable while traveling with others because of needing to stop for a restroom? | OAB-q - Uncomfortable While Traveling With Others | ||
OABQ0127 | C103679 | OABQ01-Affected Relationships | The Overactive Bladder Questionnaire - Affected your relationships with family and friends? | OAB-q - Affected Your Relationships with Family and Friends | ||
OABQ0128 | C103680 | OABQ01-Decrease Participating Gatherings | The Overactive Bladder Questionnaire - Caused you to decrease participating in social gatherings, such as parties or visits with family or friends? | OAB-q - Decrease Participating in Social Gatherings | ||
OABQ0129 | C103681 | OABQ01-Caused You Embarrassment | The Overactive Bladder Questionnaire - Caused you embarrassment? | OAB-q - Caused You Embarrassment | ||
OABQ0130 | C103682 | OABQ01-Interfered with Getting Sleep | The Overactive Bladder Questionnaire - Interfered with getting the amount of sleep you needed? | OAB-q - Interfered with Getting Sleep | ||
OABQ0131 | C103683 | OABQ01-Caused Problems Partner/Spouse | The Overactive Bladder Questionnaire - Caused you to have problems with your partner or spouse? | OAB-q - Caused Problems with Your Partner or Spouse | ||
OABQ0132 | C103684 | OABQ01-Plan Activities More Carefully | The Overactive Bladder Questionnaire - Caused you to plan activities more carefully? | OAB-q - Plan Activities More Carefully | ||
OABQ0133 | C103685 | OABQ01-Locate Closest Restroom | The Overactive Bladder Questionnaire - Caused you to locate the closest restroom as soon as you arrive at a place you have never been? | OAB-q - Locate Closest Restroom as Soon as You Arrive | ||
Back to top | ||||||
CL.C103474.OAB-Q TEST | QS-The Overactive Bladder Questionnaire Test Name (OAB-Q TEST) | text Extensible: No | C103474 | QS-The Overactive Bladder Questionnaire Test Name | The Overactive Bladder Questionnaire test name. | CDISC Questionnaire OAB-q Test Name Terminology |
OABQ01-Accidental Loss of Urine | C103656 | OABQ01-Accidental Loss of Urine | The Overactive Bladder Questionnaire - Accidental loss of small amounts of urine? | OAB-q - Accidental Loss of Urine | ||
OABQ01-Adjust Travel Plans Near Restroom | C103673 | OABQ01-Adjust Travel Plans Near Restroom | The Overactive Bladder Questionnaire - Caused you to adjust your travel plans so that you are always near a restroom? | OAB-q - Adjust Your Travel Plans so That You are Always Near a Restroom | ||
OABQ01-Affected Relationships | C103679 | OABQ01-Affected Relationships | The Overactive Bladder Questionnaire - Affected your relationships with family and friends? | OAB-q - Affected Your Relationships with Family and Friends | ||
OABQ01-Amount of Time Spend in Restroom | C103675 | OABQ01-Amount of Time Spend in Restroom | The Overactive Bladder Questionnaire - Made you frustrated or annoyed about the amount of time you spend in the restroom? | OAB-q - Frustrated or Annoyed About the Amount of Time You Spend in the Restroom | ||
OABQ01-Avoid Act Away From Restroom | C103674 | OABQ01-Avoid Act Away From Restroom | The Overactive Bladder Questionnaire - Made you avoid activities away from restrooms (i.e., walks, running, hiking)? | OAB-q - Avoid Activities Away From Restrooms | ||
OABQ01-Awakened You During Sleep | C103676 | OABQ01-Awakened You During Sleep | The Overactive Bladder Questionnaire - Awakened you during sleep? | OAB-q - Awakened You During Sleep | ||
OABQ01-Carefully Plan Your Commute | C103661 | OABQ01-Carefully Plan Your Commute | The Overactive Bladder Questionnaire - Made you carefully plan your commute? | OAB-q - Carefully Plan Your Commute | ||
OABQ01-Caused Problems Partner/Spouse | C103683 | OABQ01-Caused Problems Partner/Spouse | The Overactive Bladder Questionnaire - Caused you to have problems with your partner or spouse? | OAB-q - Caused Problems with Your Partner or Spouse | ||
OABQ01-Caused You Anxiety or Worry | C103671 | OABQ01-Caused You Anxiety or Worry | The Overactive Bladder Questionnaire - Caused you anxiety or worry? | OAB-q - Caused You Anxiety or Worry | ||
OABQ01-Caused You Distress | C103664 | OABQ01-Caused You Distress | The Overactive Bladder Questionnaire - Caused you distress? | OAB-q - Caused You Distress | ||
OABQ01-Caused You Embarrassment | C103681 | OABQ01-Caused You Embarrassment | The Overactive Bladder Questionnaire - Caused you embarrassment? | OAB-q - Caused You Embarrassment | ||
OABQ01-Decrease Participating Gatherings | C103680 | OABQ01-Decrease Participating Gatherings | The Overactive Bladder Questionnaire - Caused you to decrease participating in social gatherings, such as parties or visits with family or friends? | OAB-q - Decrease Participating in Social Gatherings | ||
OABQ01-Decrease Your Physical Activities | C103668 | OABQ01-Decrease Your Physical Activities | The Overactive Bladder Questionnaire - Caused you to decrease your physical activities (exercising, sports, etc.)? | OAB-q - Decrease Your Physical Activities | ||
OABQ01-Feel Drowsy or Sleepy During Day | C103662 | OABQ01-Feel Drowsy or Sleepy During Day | The Overactive Bladder Questionnaire - Caused you to feel drowsy or sleepy during the day? | OAB-q - Feel Drowsy or Sleepy During the Day | ||
OABQ01-Feel Something Wrong with You | C103666 | OABQ01-Feel Something Wrong with You | The Overactive Bladder Questionnaire - Made you feel like there is something wrong with you? | OAB-q - Feel Like There is Something Wrong with You | ||
OABQ01-Frequent Urination During Daytime | C103653 | OABQ01-Frequent Urination During Daytime | The Overactive Bladder Questionnaire - Frequent urination during the daytime hours? | OAB-q - Frequent Urination During the Daytime | ||
OABQ01-Frustrated Family and Friends | C103670 | OABQ01-Frustrated Family and Friends | The Overactive Bladder Questionnaire - Frustrated your family and friends? | OAB-q - Frustrated Your Family and Friends | ||
OABQ01-Frustrated You | C103665 | OABQ01-Frustrated You | The Overactive Bladder Questionnaire - Frustrated you? | OAB-q - Frustrated You | ||
OABQ01-Interfered with Getting Sleep | C103682 | OABQ01-Interfered with Getting Sleep | The Overactive Bladder Questionnaire - Interfered with getting the amount of sleep you needed? | OAB-q - Interfered with Getting Sleep | ||
OABQ01-Interfered with Good Night's Rest | C103667 | OABQ01-Interfered with Good Night's Rest | The Overactive Bladder Questionnaire - Interfered with your ability to get a good night's rest? | OAB-q - Interfered with a Good Night's Rest | ||
OABQ01-Locate Closest Restroom | C103685 | OABQ01-Locate Closest Restroom | The Overactive Bladder Questionnaire - Caused you to locate the closest restroom as soon as you arrive at a place you have never been? | OAB-q - Locate Closest Restroom as Soon as You Arrive | ||
OABQ01-Nighttime Urination | C103657 | OABQ01-Nighttime Urination | The Overactive Bladder Questionnaire - Nighttime urination? | OAB-q - Nighttime Urination | ||
OABQ01-Plan 'Escape Routes' to Restrooms | C103663 | OABQ01-Plan 'Escape Routes' to Restrooms | The Overactive Bladder Questionnaire - Caused you to plan "escape routes" to restrooms in public places? | OAB-q - Plan 'Escape Routes' to Restrooms | ||
OABQ01-Plan Activities More Carefully | C103684 | OABQ01-Plan Activities More Carefully | The Overactive Bladder Questionnaire - Caused you to plan activities more carefully? | OAB-q - Plan Activities More Carefully | ||
OABQ01-Prevented From Feeling Rested | C103669 | OABQ01-Prevented From Feeling Rested | The Overactive Bladder Questionnaire - Prevented you from feeling rested upon waking in the morning? | OAB-q - Prevented You From Feeling Rested Upon Waking | ||
OABQ01-Stay Home More Often Than Prefer | C103672 | OABQ01-Stay Home More Often Than Prefer | The Overactive Bladder Questionnaire - Caused you to stay home more often than you would prefer? | OAB-q - Stay Home More Often Than You Would Prefer | ||
OABQ01-Sudden Urge to Urinate No Warning | C103655 | OABQ01-Sudden Urge to Urinate No Warning | The Overactive Bladder Questionnaire - A sudden urge to urinate with little or no warning? | OAB-q - Sudden Urge to Urinate with Little or No Warning | ||
OABQ01-Uncomfortable Travel with Others | C103678 | OABQ01-Uncomfortable Travel with Others | The Overactive Bladder Questionnaire - Made you uncomfortable while traveling with others because of needing to stop for a restroom? | OAB-q - Uncomfortable While Traveling With Others | ||
OABQ01-Uncomfortable Urge to Urinate | C103654 | OABQ01-Uncomfortable Urge to Urinate | The Overactive Bladder Questionnaire - An uncomfortable urge to urinate? | OAB-q - Uncomfortable Urge to Urinate | ||
OABQ01-Uncontrollable Urge to Urinate | C103659 | OABQ01-Uncontrollable Urge to Urinate | The Overactive Bladder Questionnaire - An uncontrollable urge to urinate? | OAB-q - Uncontrollable Urge to Urinate | ||
OABQ01-Urine Loss Strong Desire Urinate | C103660 | OABQ01-Urine Loss Strong Desire Urinate | The Overactive Bladder Questionnaire - Urine loss associated with a strong desire to urinate? | OAB-q - Urine Loss Associated with a Strong Desire to Urinate | ||
OABQ01-Waking Up at Night had to Urinate | C103658 | OABQ01-Waking Up at Night had to Urinate | The Overactive Bladder Questionnaire - Waking up at night because you had to urinate? | OAB-q - Waking Up at Night Because You had to Urinate | ||
OABQ01-Worry About Odor or Hygiene | C103677 | OABQ01-Worry About Odor or Hygiene | The Overactive Bladder Questionnaire - Made you worry about odor or hygiene? | OAB-q - Made You Worry About Odor or Hygiene | ||
Back to top | ||||||
CL.C106657.TDI TESTCD | QS-Transition Dyspnea Index Questionnaire Test Code (TDI TESTCD) | text Extensible: No | C106657 | QS-Transition Dyspnea Index Questionnaire Test Code | Transition Dyspnea Index test code. | CDISC Questionnaire TDI Test Code Terminology |
TDI0101 | C106704 | TDI01-Change in Functional Impairment | Transition Dyspnea Index - Change in functional impairment. | TDI - Change in Functional Impairment | ||
TDI0102 | C106705 | TDI01-Change in Magnitude of Task | Transition Dyspnea Index - Change in magnitude of task. | TDI - Change in Magnitude of Task | ||
TDI0103 | C106706 | TDI01-Change in Magnitude of Effort | Transition Dyspnea Index - Change in magnitude of effort. | TDI - Change in Magnitude of Effort | ||
Back to top | ||||||
CL.C106656.TDI TEST | QS-Transition Dyspnea Index Questionnaire Test Name (TDI TEST) | text Extensible: No | C106656 | QS-Transition Dyspnea Index Questionnaire Test Name | Transition Dyspnea Index test name. | CDISC Questionnaire TDI Test Name Terminology |
TDI01-Change in Functional Impairment | C106704 | TDI01-Change in Functional Impairment | Transition Dyspnea Index - Change in functional impairment. | TDI - Change in Functional Impairment | ||
TDI01-Change in Magnitude of Effort | C106706 | TDI01-Change in Magnitude of Effort | Transition Dyspnea Index - Change in magnitude of effort. | TDI - Change in Magnitude of Effort | ||
TDI01-Change in Magnitude of Task | C106705 | TDI01-Change in Magnitude of Task | Transition Dyspnea Index - Change in magnitude of task. | TDI - Change in Magnitude of Task | ||
Back to top | ||||||
CL.C100148.UPDRS TESTCD | QS-Unified Parkinson's Disease Rating Scale Test Code (UPDRS TESTCD) | text Extensible: No | C100148 | QS-Unified Parkinson's Disease Rating Scale Test Code | Unified Parkinson's Disease Rating Scale test code. | CDISC Questionnaire UPDRS Test Code Terminology |
UPD101 | C100901 | UPD1-Mentation:Intellectual Impairment | Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Intellectual impairment. | UPDRS - Mentation, Behavior and Mood: Intellectual Impairment | ||
UPD102 | C100902 | UPD1-Mentation:Thought Disorder | Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Thought disorder. | UPDRS - Mentation, Behavior and Mood: Thought Disorder | ||
UPD103 | C100903 | UPD1-Mentation:Depression | Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Depression. | UPDRS - Mentation, Behavior and Mood: Depression | ||
UPD104 | C100904 | UPD1-Mentation:Motivation/Initiative | Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Motivation/Initiative. | UPDRS - Mentation, Behavior and Mood: Motivation/Initiative | ||
UPD105 | C100905 | UPD1-Activities:Speech | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Speech. | UPDRS - Activities of Daily Living: Speech | ||
UPD106 | C100906 | UPD1-Activities:Salivation | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Salivation. | UPDRS - Activities of Daily Living: Salivation | ||
UPD107 | C100907 | UPD1-Activities:Swallowing | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Swallowing. | UPDRS - Activities of Daily Living: Swallowing | ||
UPD108 | C100908 | UPD1-Activities:Handwriting | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Handwriting. | UPDRS - Activities of Daily Living: Handwriting | ||
UPD109 | C100909 | UPD1-Activities:Cut Food/Handle Utensil | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Cutting food and handling utensils. | UPDRS - Activities of Daily Living: Cutting Food and Handling Utensils | ||
UPD110 | C100910 | UPD1-Activities:Dressing | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Dressing. | UPDRS - Activities of Daily Living: Dressing | ||
UPD111 | C100911 | UPD1-Activities:Hygiene | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Hygiene. | UPDRS - Activities of Daily Living: Hygiene | ||
UPD112 | C100912 | UPD1-Activities:Turn Bed/Adj Clothes | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Turning in bed and adjusting bed clothes. | UPDRS - Activities of Daily Living: Turning in Bed and Adjusting Bed Clothes | ||
UPD113 | C100913 | UPD1-Activities:Falling | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Falling (unrelated to freezing). | UPDRS - Activities of Daily Living: Falling | ||
UPD114 | C100914 | UPD1-Activities:Freezing When Walking | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Freezing when walking. | UPDRS - Activities of Daily Living: Freezing When Walking | ||
UPD115 | C100915 | UPD1-Activities:Walking | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Walking. | UPDRS - Activities of Daily Living: Walking | ||
UPD116 | C100916 | UPD1-Activities:Tremor | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Tremor (Symptomatic complaint of tremor in any part of body.). | UPDRS - Activities of Daily Living: Tremor | ||
UPD117 | C100917 | UPD1-Activities:Sensory Complaints | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Sensory complaints related to Parkinsonism. | UPDRS - Activities of Daily Living: Sensory Complaints Related to Parkinsonism | ||
UPD118 | C100918 | UPD1-Motor:Speech | Unified Parkinson's Disease Rating Scale - Motor examination: Speech. | UPDRS - Motor Examination: Speech | ||
UPD119 | C100919 | UPD1-Motor:Facial Expression | Unified Parkinson's Disease Rating Scale - Motor examination: Facial expression. | UPDRS - Motor Examination: Facial Expression | ||
UPD120A | C111585 | UPD1-Motor:Tremor at Rest:Face Lips Chin | Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: face, lips, chin. | UPDRS - Motor Examination: Tremor at Rest, Face, Lips, Chin | ||
UPD120B | C111586 | UPD1-Motor:Tremor at Rest:Hands: Right | Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Hands: Right. | UPDRS - Motor Examination: Tremor at Rest, Hands, Right | ||
UPD120C | C111587 | UPD1-Motor:Tremor at Rest:Hands: Left | Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Hands: Left. | UPDRS - Motor Examination: Tremor at Rest, Hands, Left | ||
UPD120D | C111588 | UPD1-Motor:Tremor at Rest:Feet: Right | Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Feet: Right. | UPDRS - Motor Examination: Tremor at Rest, Feet, Right | ||
UPD120E | C111589 | UPD1-Motor:Tremor at Rest:Feet: Left | Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Feet: Left. | UPDRS - Motor Examination: Tremor at Rest, Feet, Left | ||
UPD121A | C111590 | UPD1--Motor:Action Tremor:Hand: Right | Unified Parkinson's Disease Rating Scale - Motor examination: Action tremor: Hand: Right. | UPDRS - Motor Examination: Action Tremor, Hand, Right | ||
UPD121B | C111591 | UPD1--Motor:Action Tremor:Hand: Left | Unified Parkinson's Disease Rating Scale - Motor examination: Action tremor: Hand: Left. | UPDRS - Motor Examination: Action Tremor, Hand, Left | ||
UPD122A | C111592 | UPD1-Motor:Rigidity Neck | Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity neck. | UPDRS - Motor Examination: Rigidity Neck | ||
UPD122B | C111593 | UPD1-Motor:Rigidity Upper Extrem: Right | Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity upper extremity: Right. | UPDRS - Motor Examination: Rigidity Upper Extremity, Right | ||
UPD122C | C111594 | UPD1-Motor:Rigidity Upper Extrem: Left | Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity upper extremity: Left. | UPDRS - Motor Examination: Rigidity Upper Extremity, Left | ||
UPD122D | C111595 | UPD1-Motor:Rigidity Lower Extrem: Right | Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity lower extremity: Right. | UPDRS - Motor Examination: Rigidity Lower Extremity, Right | ||
UPD122E | C111596 | UPD1-Motor:Rigidity Lower Extrem: Left | Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity lower extremity: Left. | UPDRS - Motor Examination: Rigidity Lower Extremity, Left | ||
UPD123A | C111597 | UPD1-Motor:Finger Taps: Right | Unified Parkinson's Disease Rating Scale - Motor examination: Finger taps: Right. | UPDRS - Motor Examination: Finger Taps, Right | ||
UPD123B | C111598 | UPD1-Motor:Finger Taps: Left | Unified Parkinson's Disease Rating Scale - Motor examination: Finger taps: Left. | UPDRS - Motor Examination: Finger Taps, Left | ||
UPD124A | C111599 | UPD1-Motor:Hand Grips: Right | Unified Parkinson's Disease Rating Scale - Motor examination: Hand grips: Right. | UPDRS - Motor Examination: Hand Grips, Right | ||
UPD124B | C111600 | UPD1-Motor:Hand Grips: Left | Unified Parkinson's Disease Rating Scale - Motor examination: Hand grips: Left. | UPDRS - Motor Examination: Hand Grips, Left | ||
UPD125A | C111601 | UPD1-Motor:Hand Pronate/Supinate: Right | Unified Parkinson's Disease Rating Scale - Motor examination: Hand pronate/supinate: Right. | UPDRS - Motor Examination: Hand Pronate/Supinate, Right | ||
UPD125B | C111602 | UPD1-Motor:Hand Pronate/Supinate: Left | Unified Parkinson's Disease Rating Scale - Motor examination: Hand pronate/supinate: Left. | UPDRS - Motor Examination: Hand Pronate/Supinate, Left | ||
UPD126A | C111603 | UPD1-Motor:Leg Agility: Right | Unified Parkinson's Disease Rating Scale - Motor examination: Leg agility: Right. | UPDRS - Motor Examination: Leg Agility, Right | ||
UPD126B | C111604 | UPD1-Motor:Leg Agility: Left | Unified Parkinson's Disease Rating Scale - Motor examination: Leg agility: Left. | UPDRS - Motor Examination: Leg Agility, Left | ||
UPD127 | C100927 | UPD1-Motor:Arising from Chair | Unified Parkinson's Disease Rating Scale - Motor examination: Arising from chair (Patient attempts to rise from a straightbacked chair, with arms folded across chest.). | UPDRS - Motor Examination: Arising from Chair | ||
UPD128 | C100928 | UPD1-Motor:Posture | Unified Parkinson's Disease Rating Scale - Motor examination: Posture. | UPDRS - Motor Examination: Posture | ||
UPD129 | C100929 | UPD1-Motor:Gait | Unified Parkinson's Disease Rating Scale - Motor examination: Gait. | UPDRS - Motor Examination: Gait | ||
UPD130 | C100930 | UPD1-Motor:Postural Stability | Unified Parkinson's Disease Rating Scale - Motor examination: Postural stability (Response to sudden, strong posterior displacement produced by pull on shoulders while patient erect with eyes open and feet slightly apart. Patient is prepared.). | UPDRS - Motor Examination: Postural Stability | ||
UPD131 | C100931 | UPD1-Motor:Bradykinesia and Hypokinesia | Unified Parkinson's Disease Rating Scale - Motor examination: Body bradykinesia and hypokinesia (Combining slowness, hesitancy, decreased arm swing, small amplitude, and poverty of movement in general.). | UPDRS - Motor Examination: Body Bradykinesia and Hypokinesia | ||
UPD132 | C100932 | UPD1-Complications:Dyskinesias Duration | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Duration: What proportion of the waking day are dyskinesias present? (Historical information.). | UPDRS - Complications of Therapy: Dyskinesias - Duration | ||
UPD133 | C100933 | UPD1-Complications:Dyskinesias Disable | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Disability: How disabling are the dyskinesias? (Historical information; may be modified by office examination.). | UPDRS - Complications of Therapy: Dyskinesias - Disability | ||
UPD134 | C100934 | UPD1-Complications:Dyskinesias Painful | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Painful dyskinesias: How painful are the dyskinesias? | UPDRS - Complications of Therapy: Dyskinesias - Painful Dyskinesias | ||
UPD135 | C100935 | UPD1-Complications:Dyskinesias Dystonia | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Presence of early morning dystonia (Historical information.). | UPDRS - Complications of Therapy: Dyskinesias - Presence of Early Morning Dystonia | ||
UPD136 | C100936 | UPD1-Complications:Fluct Predictable | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Are 'off' periods predictable? | UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Predictable | ||
UPD137 | C100937 | UPD1-Complications:Fluct Unpredictable | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Are 'off' periods unpredictable? | UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Unpredictable | ||
UPD138 | C100938 | UPD1-Complications:Fluct Suddenly | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Do 'off' periods come on suddenly, within a few seconds? | UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Sudden | ||
UPD139 | C100939 | UPD1-Complications:Fluct Average | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, What proportion of the waking day is the patient 'off' on average? | UPDRS - Complications of Therapy: Clinical Fluctuations - Average Off Periods Per Day | ||
UPD140 | C100940 | UPD1-Complications:Anorex Nausea Vomit | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Does the patient have anorexia, nausea, or vomiting? | UPDRS - Complications of Therapy: Other Complications - Anorexia, Nausea, or Vomiting | ||
UPD141 | C100941 | UPD1-Complications:Insomnia Hypersomnol | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Any sleep disturbances, such as insomnia or hypersomnolence? | UPDRS - Complications of Therapy: Other Complications - Sleep Disturbances | ||
UPD142 | C100942 | UPD1-Complications:Symptom Orthostasis | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Does the patient have symptomatic orthostasis? (Record the patient's blood pressure, height and weight on the scoring form). | UPDRS - Complications of Therapy: Other Complications - Symptomatic Orthostasis | ||
UPD142A | C111605 | UPD1-Blood Pressure: Seated | Unified Parkinson's Disease Rating Scale - Blood pressure: Seated. | UPDRS - Symptomatic Orthostasis: Blood Pressure, Seated | ||
UPD142B | C111606 | UPD1-Blood Pressure: Supine | Unified Parkinson's Disease Rating Scale - Blood pressure: Supine. | UPDRS - Symptomatic Orthostasis: Blood Pressure, Supine | ||
UPD142C | C111607 | UPD1-Blood Pressure: Standing | Unified Parkinson's Disease Rating Scale - Blood pressure: Standing. | UPDRS - Symptomatic Orthostasis: Blood Pressure, Standing | ||
UPD142D | C111608 | UPD1-Weight | Unified Parkinson's Disease Rating Scale - Weight. | UPDRS - Symptomatic Orthostasis: Weight | ||
UPD142E | C111609 | UPD1-Pulse: Seated | Unified Parkinson's Disease Rating Scale - Pulse: Seated. | UPDRS - Symptomatic Orthostasis: Pulse, Seated | ||
UPD142F | C111610 | UPD1-Pulse: Standing | Unified Parkinson's Disease Rating Scale - Pulse: Standing. | UPDRS - Symptomatic Orthostasis: Pulse, Standing | ||
UPD143 | C100943 | UPD1-Modified Hoehn and Yahr Staging | Unified Parkinson's Disease Rating Scale - Modified Hoehn and Yahr Staging. | UPDRS - Modified Hoehn and Yahr Staging | ||
UPD144A | C111611 | UPD1-Schwab/England % ADL Score (PD) | Unified Parkinson's Disease Rating Scale - Schwab and England % ADL Score (PD). | UPDRS - Schwab and England % ADL Score (PD) | ||
UPD144B | C111612 | UPD1-Schwab/England % ADL (Dyskinesia) | Unified Parkinson's Disease Rating Scale - Schwab and England % ADL (with dyskinesia). | UPDRS - Schwab and England % ADL (With Dyskinesia) | ||
UPD145 | C111613 | UPD1-Mentation, Behavior, Mood Sub-Total | Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood sub-total. | UPDRS - Mentation, Behavior and Mood Sub-total | ||
UPD146 | C111614 | UPD1-Activities Daily Living Sub-Total | Unified Parkinson's Disease Rating Scale - Activities of daily living sub-total. | UPDRS - Activities of Daily Living Sub-total | ||
UPD147 | C111615 | UPD1-Motor Examination Sub-Total | Unified Parkinson's Disease Rating Scale - Motor examination sub-total. | UPDRS - Motor Examination Sub-total | ||
UPD148 | C111616 | UPD1-UPDRS Total | Unified Parkinson's Disease Rating Scale - UPDRS total. | UPDRS - UPDRS Total | ||
Back to top | ||||||
CL.C100147.UPDRS TEST | QS-Unified Parkinson's Disease Rating Scale Test Name (UPDRS TEST) | text Extensible: No | C100147 | QS-Unified Parkinson's Disease Rating Scale Test Name | Unified Parkinson's Disease Rating Scale test name. | CDISC Questionnaire UPDRS Test Name Terminology |
UPD1--Motor:Action Tremor:Hand: Left | C111591 | UPD1--Motor:Action Tremor:Hand: Left | Unified Parkinson's Disease Rating Scale - Motor examination: Action tremor: Hand: Left. | UPDRS - Motor Examination: Action Tremor, Hand, Left | ||
UPD1--Motor:Action Tremor:Hand: Right | C111590 | UPD1--Motor:Action Tremor:Hand: Right | Unified Parkinson's Disease Rating Scale - Motor examination: Action tremor: Hand: Right. | UPDRS - Motor Examination: Action Tremor, Hand, Right | ||
UPD1-Activities Daily Living Sub-Total | C111614 | UPD1-Activities Daily Living Sub-Total | Unified Parkinson's Disease Rating Scale - Activities of daily living sub-total. | UPDRS - Activities of Daily Living Sub-total | ||
UPD1-Activities:Cut Food/Handle Utensil | C100909 | UPD1-Activities:Cut Food/Handle Utensil | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Cutting food and handling utensils. | UPDRS - Activities of Daily Living: Cutting Food and Handling Utensils | ||
UPD1-Activities:Dressing | C100910 | UPD1-Activities:Dressing | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Dressing. | UPDRS - Activities of Daily Living: Dressing | ||
UPD1-Activities:Falling | C100913 | UPD1-Activities:Falling | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Falling (unrelated to freezing). | UPDRS - Activities of Daily Living: Falling | ||
UPD1-Activities:Freezing When Walking | C100914 | UPD1-Activities:Freezing When Walking | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Freezing when walking. | UPDRS - Activities of Daily Living: Freezing When Walking | ||
UPD1-Activities:Handwriting | C100908 | UPD1-Activities:Handwriting | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Handwriting. | UPDRS - Activities of Daily Living: Handwriting | ||
UPD1-Activities:Hygiene | C100911 | UPD1-Activities:Hygiene | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Hygiene. | UPDRS - Activities of Daily Living: Hygiene | ||
UPD1-Activities:Salivation | C100906 | UPD1-Activities:Salivation | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Salivation. | UPDRS - Activities of Daily Living: Salivation | ||
UPD1-Activities:Sensory Complaints | C100917 | UPD1-Activities:Sensory Complaints | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Sensory complaints related to Parkinsonism. | UPDRS - Activities of Daily Living: Sensory Complaints Related to Parkinsonism | ||
UPD1-Activities:Speech | C100905 | UPD1-Activities:Speech | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Speech. | UPDRS - Activities of Daily Living: Speech | ||
UPD1-Activities:Swallowing | C100907 | UPD1-Activities:Swallowing | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Swallowing. | UPDRS - Activities of Daily Living: Swallowing | ||
UPD1-Activities:Tremor | C100916 | UPD1-Activities:Tremor | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Tremor (Symptomatic complaint of tremor in any part of body.). | UPDRS - Activities of Daily Living: Tremor | ||
UPD1-Activities:Turn Bed/Adj Clothes | C100912 | UPD1-Activities:Turn Bed/Adj Clothes | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Turning in bed and adjusting bed clothes. | UPDRS - Activities of Daily Living: Turning in Bed and Adjusting Bed Clothes | ||
UPD1-Activities:Walking | C100915 | UPD1-Activities:Walking | Unified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Walking. | UPDRS - Activities of Daily Living: Walking | ||
UPD1-Blood Pressure: Seated | C111605 | UPD1-Blood Pressure: Seated | Unified Parkinson's Disease Rating Scale - Blood pressure: Seated. | UPDRS - Symptomatic Orthostasis: Blood Pressure, Seated | ||
UPD1-Blood Pressure: Standing | C111607 | UPD1-Blood Pressure: Standing | Unified Parkinson's Disease Rating Scale - Blood pressure: Standing. | UPDRS - Symptomatic Orthostasis: Blood Pressure, Standing | ||
UPD1-Blood Pressure: Supine | C111606 | UPD1-Blood Pressure: Supine | Unified Parkinson's Disease Rating Scale - Blood pressure: Supine. | UPDRS - Symptomatic Orthostasis: Blood Pressure, Supine | ||
UPD1-Complications:Anorex Nausea Vomit | C100940 | UPD1-Complications:Anorex Nausea Vomit | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Does the patient have anorexia, nausea, or vomiting? | UPDRS - Complications of Therapy: Other Complications - Anorexia, Nausea, or Vomiting | ||
UPD1-Complications:Dyskinesias Disable | C100933 | UPD1-Complications:Dyskinesias Disable | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Disability: How disabling are the dyskinesias? (Historical information; may be modified by office examination.). | UPDRS - Complications of Therapy: Dyskinesias - Disability | ||
UPD1-Complications:Dyskinesias Duration | C100932 | UPD1-Complications:Dyskinesias Duration | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Duration: What proportion of the waking day are dyskinesias present? (Historical information.). | UPDRS - Complications of Therapy: Dyskinesias - Duration | ||
UPD1-Complications:Dyskinesias Dystonia | C100935 | UPD1-Complications:Dyskinesias Dystonia | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Presence of early morning dystonia (Historical information.). | UPDRS - Complications of Therapy: Dyskinesias - Presence of Early Morning Dystonia | ||
UPD1-Complications:Dyskinesias Painful | C100934 | UPD1-Complications:Dyskinesias Painful | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Dyskinesias, Painful dyskinesias: How painful are the dyskinesias? | UPDRS - Complications of Therapy: Dyskinesias - Painful Dyskinesias | ||
UPD1-Complications:Fluct Average | C100939 | UPD1-Complications:Fluct Average | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, What proportion of the waking day is the patient 'off' on average? | UPDRS - Complications of Therapy: Clinical Fluctuations - Average Off Periods Per Day | ||
UPD1-Complications:Fluct Predictable | C100936 | UPD1-Complications:Fluct Predictable | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Are 'off' periods predictable? | UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Predictable | ||
UPD1-Complications:Fluct Suddenly | C100938 | UPD1-Complications:Fluct Suddenly | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Do 'off' periods come on suddenly, within a few seconds? | UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Sudden | ||
UPD1-Complications:Fluct Unpredictable | C100937 | UPD1-Complications:Fluct Unpredictable | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Clinical fluctuations, Are 'off' periods unpredictable? | UPDRS - Complications of Therapy: Clinical Fluctuations - Off Periods Unpredictable | ||
UPD1-Complications:Insomnia Hypersomnol | C100941 | UPD1-Complications:Insomnia Hypersomnol | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Any sleep disturbances, such as insomnia or hypersomnolence? | UPDRS - Complications of Therapy: Other Complications - Sleep Disturbances | ||
UPD1-Complications:Symptom Orthostasis | C100942 | UPD1-Complications:Symptom Orthostasis | Unified Parkinson's Disease Rating Scale - Complications of therapy (in the past week): Other complications, Does the patient have symptomatic orthostasis? (Record the patient's blood pressure, height and weight on the scoring form). | UPDRS - Complications of Therapy: Other Complications - Symptomatic Orthostasis | ||
UPD1-Mentation, Behavior, Mood Sub-Total | C111613 | UPD1-Mentation, Behavior, Mood Sub-Total | Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood sub-total. | UPDRS - Mentation, Behavior and Mood Sub-total | ||
UPD1-Mentation:Depression | C100903 | UPD1-Mentation:Depression | Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Depression. | UPDRS - Mentation, Behavior and Mood: Depression | ||
UPD1-Mentation:Intellectual Impairment | C100901 | UPD1-Mentation:Intellectual Impairment | Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Intellectual impairment. | UPDRS - Mentation, Behavior and Mood: Intellectual Impairment | ||
UPD1-Mentation:Motivation/Initiative | C100904 | UPD1-Mentation:Motivation/Initiative | Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Motivation/Initiative. | UPDRS - Mentation, Behavior and Mood: Motivation/Initiative | ||
UPD1-Mentation:Thought Disorder | C100902 | UPD1-Mentation:Thought Disorder | Unified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Thought disorder. | UPDRS - Mentation, Behavior and Mood: Thought Disorder | ||
UPD1-Modified Hoehn and Yahr Staging | C100943 | UPD1-Modified Hoehn and Yahr Staging | Unified Parkinson's Disease Rating Scale - Modified Hoehn and Yahr Staging. | UPDRS - Modified Hoehn and Yahr Staging | ||
UPD1-Motor Examination Sub-Total | C111615 | UPD1-Motor Examination Sub-Total | Unified Parkinson's Disease Rating Scale - Motor examination sub-total. | UPDRS - Motor Examination Sub-total | ||
UPD1-Motor:Arising from Chair | C100927 | UPD1-Motor:Arising from Chair | Unified Parkinson's Disease Rating Scale - Motor examination: Arising from chair (Patient attempts to rise from a straightbacked chair, with arms folded across chest.). | UPDRS - Motor Examination: Arising from Chair | ||
UPD1-Motor:Bradykinesia and Hypokinesia | C100931 | UPD1-Motor:Bradykinesia and Hypokinesia | Unified Parkinson's Disease Rating Scale - Motor examination: Body bradykinesia and hypokinesia (Combining slowness, hesitancy, decreased arm swing, small amplitude, and poverty of movement in general.). | UPDRS - Motor Examination: Body Bradykinesia and Hypokinesia | ||
UPD1-Motor:Facial Expression | C100919 | UPD1-Motor:Facial Expression | Unified Parkinson's Disease Rating Scale - Motor examination: Facial expression. | UPDRS - Motor Examination: Facial Expression | ||
UPD1-Motor:Finger Taps: Left | C111598 | UPD1-Motor:Finger Taps: Left | Unified Parkinson's Disease Rating Scale - Motor examination: Finger taps: Left. | UPDRS - Motor Examination: Finger Taps, Left | ||
UPD1-Motor:Finger Taps: Right | C111597 | UPD1-Motor:Finger Taps: Right | Unified Parkinson's Disease Rating Scale - Motor examination: Finger taps: Right. | UPDRS - Motor Examination: Finger Taps, Right | ||
UPD1-Motor:Gait | C100929 | UPD1-Motor:Gait | Unified Parkinson's Disease Rating Scale - Motor examination: Gait. | UPDRS - Motor Examination: Gait | ||
UPD1-Motor:Hand Grips: Left | C111600 | UPD1-Motor:Hand Grips: Left | Unified Parkinson's Disease Rating Scale - Motor examination: Hand grips: Left. | UPDRS - Motor Examination: Hand Grips, Left | ||
UPD1-Motor:Hand Grips: Right | C111599 | UPD1-Motor:Hand Grips: Right | Unified Parkinson's Disease Rating Scale - Motor examination: Hand grips: Right. | UPDRS - Motor Examination: Hand Grips, Right | ||
UPD1-Motor:Hand Pronate/Supinate: Left | C111602 | UPD1-Motor:Hand Pronate/Supinate: Left | Unified Parkinson's Disease Rating Scale - Motor examination: Hand pronate/supinate: Left. | UPDRS - Motor Examination: Hand Pronate/Supinate, Left | ||
UPD1-Motor:Hand Pronate/Supinate: Right | C111601 | UPD1-Motor:Hand Pronate/Supinate: Right | Unified Parkinson's Disease Rating Scale - Motor examination: Hand pronate/supinate: Right. | UPDRS - Motor Examination: Hand Pronate/Supinate, Right | ||
UPD1-Motor:Leg Agility: Left | C111604 | UPD1-Motor:Leg Agility: Left | Unified Parkinson's Disease Rating Scale - Motor examination: Leg agility: Left. | UPDRS - Motor Examination: Leg Agility, Left | ||
UPD1-Motor:Leg Agility: Right | C111603 | UPD1-Motor:Leg Agility: Right | Unified Parkinson's Disease Rating Scale - Motor examination: Leg agility: Right. | UPDRS - Motor Examination: Leg Agility, Right | ||
UPD1-Motor:Postural Stability | C100930 | UPD1-Motor:Postural Stability | Unified Parkinson's Disease Rating Scale - Motor examination: Postural stability (Response to sudden, strong posterior displacement produced by pull on shoulders while patient erect with eyes open and feet slightly apart. Patient is prepared.). | UPDRS - Motor Examination: Postural Stability | ||
UPD1-Motor:Posture | C100928 | UPD1-Motor:Posture | Unified Parkinson's Disease Rating Scale - Motor examination: Posture. | UPDRS - Motor Examination: Posture | ||
UPD1-Motor:Rigidity Lower Extrem: Left | C111596 | UPD1-Motor:Rigidity Lower Extrem: Left | Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity lower extremity: Left. | UPDRS - Motor Examination: Rigidity Lower Extremity, Left | ||
UPD1-Motor:Rigidity Lower Extrem: Right | C111595 | UPD1-Motor:Rigidity Lower Extrem: Right | Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity lower extremity: Right. | UPDRS - Motor Examination: Rigidity Lower Extremity, Right | ||
UPD1-Motor:Rigidity Neck | C111592 | UPD1-Motor:Rigidity Neck | Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity neck. | UPDRS - Motor Examination: Rigidity Neck | ||
UPD1-Motor:Rigidity Upper Extrem: Left | C111594 | UPD1-Motor:Rigidity Upper Extrem: Left | Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity upper extremity: Left. | UPDRS - Motor Examination: Rigidity Upper Extremity, Left | ||
UPD1-Motor:Rigidity Upper Extrem: Right | C111593 | UPD1-Motor:Rigidity Upper Extrem: Right | Unified Parkinson's Disease Rating Scale - Motor examination: Rigidity upper extremity: Right. | UPDRS - Motor Examination: Rigidity Upper Extremity, Right | ||
UPD1-Motor:Speech | C100918 | UPD1-Motor:Speech | Unified Parkinson's Disease Rating Scale - Motor examination: Speech. | UPDRS - Motor Examination: Speech | ||
UPD1-Motor:Tremor at Rest:Face Lips Chin | C111585 | UPD1-Motor:Tremor at Rest:Face Lips Chin | Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: face, lips, chin. | UPDRS - Motor Examination: Tremor at Rest, Face, Lips, Chin | ||
UPD1-Motor:Tremor at Rest:Feet: Left | C111589 | UPD1-Motor:Tremor at Rest:Feet: Left | Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Feet: Left. | UPDRS - Motor Examination: Tremor at Rest, Feet, Left | ||
UPD1-Motor:Tremor at Rest:Feet: Right | C111588 | UPD1-Motor:Tremor at Rest:Feet: Right | Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Feet: Right. | UPDRS - Motor Examination: Tremor at Rest, Feet, Right | ||
UPD1-Motor:Tremor at Rest:Hands: Left | C111587 | UPD1-Motor:Tremor at Rest:Hands: Left | Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Hands: Left. | UPDRS - Motor Examination: Tremor at Rest, Hands, Left | ||
UPD1-Motor:Tremor at Rest:Hands: Right | C111586 | UPD1-Motor:Tremor at Rest:Hands: Right | Unified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Hands: Right. | UPDRS - Motor Examination: Tremor at Rest, Hands, Right | ||
UPD1-Pulse: Seated | C111609 | UPD1-Pulse: Seated | Unified Parkinson's Disease Rating Scale - Pulse: Seated. | UPDRS - Symptomatic Orthostasis: Pulse, Seated | ||
UPD1-Pulse: Standing | C111610 | UPD1-Pulse: Standing | Unified Parkinson's Disease Rating Scale - Pulse: Standing. | UPDRS - Symptomatic Orthostasis: Pulse, Standing | ||
UPD1-Schwab/England % ADL (Dyskinesia) | C111612 | UPD1-Schwab/England % ADL (Dyskinesia) | Unified Parkinson's Disease Rating Scale - Schwab and England % ADL (with dyskinesia). | UPDRS - Schwab and England % ADL (With Dyskinesia) | ||
UPD1-Schwab/England % ADL Score (PD) | C111611 | UPD1-Schwab/England % ADL Score (PD) | Unified Parkinson's Disease Rating Scale - Schwab and England % ADL Score (PD). | UPDRS - Schwab and England % ADL Score (PD) | ||
UPD1-UPDRS Total | C111616 | UPD1-UPDRS Total | Unified Parkinson's Disease Rating Scale - UPDRS total. | UPDRS - UPDRS Total | ||
UPD1-Weight | C111608 | UPD1-Weight | Unified Parkinson's Disease Rating Scale - Weight. | UPDRS - Symptomatic Orthostasis: Weight | ||
Back to top | ||||||
CL.C103489.UPS TESTCD | QS-Urgency Perception Scale Questionnaire Test Code (UPS TESTCD) | text Extensible: No | C103489 | QS-Urgency Perception Scale Questionnaire Test Code | Urgency Perception Scale test code. | CDISC Questionnaire UPS Test Code Terminology |
UPS0101 | C103761 | UPS01-Describe Your Desire to Urinate | Urgency Perception Scale - Which of the following would typically describe your experience when you have a desire to urinate. | UPS - Describe Your Experience When You Desire to Urinate | ||
Back to top | ||||||
CL.C103488.UPS TEST | QS-Urgency Perception Scale Questionnaire Test Name (UPS TEST) | text Extensible: No | C103488 | QS-Urgency Perception Scale Questionnaire Test Name | Urgency Perception Scale test name. | CDISC Questionnaire UPS Test Name Terminology |
UPS01-Describe Your Desire to Urinate | C103761 | UPS01-Describe Your Desire to Urinate | Urgency Perception Scale - Which of the following would typically describe your experience when you have a desire to urinate. | UPS - Describe Your Experience When You Desire to Urinate | ||
Back to top | ||||||
CL.C100176.WPAI-SHP TESTCD | QS-Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Test Code (WPAI-SHP TESTCD) | text Extensible: No | C100176 | QS-Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Test Code | Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 test code. | CDISC Questionnaire WPAI:SHP v2.0 Test Code Terminology |
WPAI0101 | C100949 | WPAI01-Currently Employed | Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Are you currently employed (working for pay)? | WPAI:SHP v2.0 - Currently Employed | ||
WPAI0102 | C100950 | WPAI01-Missed Work Hours Due to Problem | Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you miss from work because of problems associated with your problem? | WPAI:SHP v2.0 - Missed Work Hours Due to Problem | ||
WPAI0103 | C100951 | WPAI01-Missed Work Hours Due to Other | Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you miss from work because of any other reason, such as vacation, holidays, time off to participate in this study? | WPAI:SHP v2.0 - Missed Work Hours Due to Other Reasons | ||
WPAI0104 | C100952 | WPAI01-Hours Actually Worked | Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you actually work? | WPAI:SHP v2.0 - Hours Actually Worked | ||
WPAI0105 | C100953 | WPAI01-Problem Affect Productivity | Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how much did your problem affect your productivity while you were working? | WPAI:SHP v2.0 - Problem Affects Productivity | ||
WPAI0106 | C100954 | WPAI01-Problem Affect Reg Daily Activity | Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how much did your problem affect your ability to do your regular daily activities, other than work at a job? | WPAI:SHP v2.0 - Problem Affects Regular Daily Activity | ||
Back to top | ||||||
CL.C100175.WPAI-SHP TEST | QS-Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Test Name (WPAI-SHP TEST) | text Extensible: No | C100175 | QS-Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Test Name | Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 test name. | CDISC Questionnaire WPAI:SHP v2.0 Test Name Terminology |
WPAI01-Currently Employed | C100949 | WPAI01-Currently Employed | Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Are you currently employed (working for pay)? | WPAI:SHP v2.0 - Currently Employed | ||
WPAI01-Hours Actually Worked | C100952 | WPAI01-Hours Actually Worked | Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you actually work? | WPAI:SHP v2.0 - Hours Actually Worked | ||
WPAI01-Missed Work Hours Due to Other | C100951 | WPAI01-Missed Work Hours Due to Other | Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you miss from work because of any other reason, such as vacation, holidays, time off to participate in this study? | WPAI:SHP v2.0 - Missed Work Hours Due to Other Reasons | ||
WPAI01-Missed Work Hours Due to Problem | C100950 | WPAI01-Missed Work Hours Due to Problem | Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how many hours did you miss from work because of problems associated with your problem? | WPAI:SHP v2.0 - Missed Work Hours Due to Problem | ||
WPAI01-Problem Affect Productivity | C100953 | WPAI01-Problem Affect Productivity | Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how much did your problem affect your productivity while you were working? | WPAI:SHP v2.0 - Problem Affects Productivity | ||
WPAI01-Problem Affect Reg Daily Activity | C100954 | WPAI01-Problem Affect Reg Daily Activity | Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - During the past seven days, how much did your problem affect your ability to do your regular daily activities, other than work at a job? | WPAI:SHP v2.0 - Problem Affects Regular Daily Activity | ||
Back to top |