CDISC QRS Controlled Terminology

CDISC QRS Controlled Terminology, 2015-06-26
Legend:
CodeList
CodeListItem
NCI attributes
C118971Category of Clinical Classification
C115304Category of Functional Test
C100129Category of Questionnaire
C120985CC-Acute Physiology and Chronic Health Evaluation II Clinical Classification Test Code
C120984CC-Acute Physiology and Chronic Health Evaluation II Clinical Classification Test Name
C120989CC-Child-Pugh Clinical Classification Test Code
C120988CC-Child-Pugh Clinical Classification Test Name
C119076CC-Coronary Artery Dissection NHLBI Grade Clinical Classification Test Code
C119075CC-Coronary Artery Dissection NHLBI Grade Clinical Classification Test Name
C119074CC-Coronary Thrombus TIMI Grade Clinical Classification Test Code
C119073CC-Coronary Thrombus TIMI Grade Clinical Classification Test Name
C120991CC-Model for End Stage Liver Disease Clinical Classification Test Code
C120990CC-Model for End Stage Liver Disease Clinical Classification Test Name
C120993CC-Negative Symptom Assessment-16 Clinical Classification Test Code
C120992CC-Negative Symptom Assessment-16 Clinical Classification Test Name
C119080CC-Stent Thrombosis Coronary ARC Grade Clinical Classification Test Code
C119079CC-Stent Thrombosis Coronary ARC Grade Clinical Classification Test Name
C120987CC-The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Code
C120986CC-The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Name
C115388FT-6 Minute Walk Functional Test Test Code
C115387FT-6 Minute Walk Functional Test Test Name
C120983FT-Brief Assessment of Cognition in Schizophrenia Test Code
C120982FT-Brief Assessment of Cognition in Schizophrenia Test Name
C115390FT-Hauser Ambulation Index Functional Test Test Code
C115389FT-Hauser Ambulation Index Functional Test Test Name
C115392FT-Nine-Hole Peg Functional Test Test Code
C115391FT-Nine-Hole Peg Functional Test Test Name
C115394FT-Paced Auditory Serial Addition Functional Test Test Code
C115393FT-Paced Auditory Serial Addition Functional Test Test Name
C115396FT-Symbol Digit Modalities Functional Test Test Code
C115395FT-Symbol Digit Modalities Functional Test Test Name
C115398FT-Timed 25-Foot Walk Functional Test Test Code
C115397FT-Timed 25-Foot Walk Functional Test Test Name
C115400FT-Timed Up and Go Functional Test Test Code
C115399FT-Timed Up and Go Functional Test Test Name
C101805QS-Abnormal Involuntary Movement Scale Test Code
C101806QS-Abnormal Involuntary Movement Scale Test Name
C101807QS-ADNI AVLT Test Code
C101808QS-ADNI AVLT Test Name
C112435QS-Airway Questionnaire 20 Test Code
C112434QS-Airway Questionnaire 20 Test Name
C119062QS-Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Code
C119061QS-Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Name
C119060QS-Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Code
C119059QS-Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Name
C100132QS-Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Test Code
C100131QS-Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Test Name
C106651QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Code
C106650QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Name
C105140QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Code
C105139QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Name
C106653QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Code
C106652QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Name
C103459QS-Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Code
C103458QS-Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Name
C101809QS-Barnes Akathisia Rating Scale Test Code
C101810QS-Barnes Akathisia Rating Scale Test Name
C106655QS-Baseline Dyspnea Index Questionnaire Test Code
C106654QS-Baseline Dyspnea Index Questionnaire Test Name
C113852QS-Bladder Control Scale Test Code
C113851QS-Bladder Control Scale Test Name
C113846QS-Borg CR-10 Scale Test Code
C113845QS-Borg CR-10 Scale Test Name
C113854QS-Bowel Control Scale Test Code
C113853QS-Bowel Control Scale Test Name
C100164QS-Brief Pain Inventory Short Form Test Code
C100163QS-Brief Pain Inventory Short Form Test Name
C100162QS-Brief Pain Inventory Test Code
C100161QS-Brief Pain Inventory Test Name
C100134QS-Brief Psychiatric Rating Scale-A Test Code
C100133QS-Brief Psychiatric Rating Scale-A Test Name
C120979QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Test Code
C120978QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Test Name
C120981QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Test Code
C120980QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Test Name
C119066QS-Clinical COPD Questionnaire 1 Week Version Test Code
C119065QS-Clinical COPD Questionnaire 1 Week Version Test Name
C119064QS-Clinical COPD Questionnaire 24 Hour Version Test Code
C119063QS-Clinical COPD Questionnaire 24 Hour Version Test Name
C101811QS-Clinical Dementia Rating Test Code
C101812QS-Clinical Dementia Rating Test Name
C100150QS-Clinical Global Impression Test Code
C100149QS-Clinical Global Impression Test Name
C101813QS-Clinical Opiate Withdrawal Scale Test Code
C101814QS-Clinical Opiate Withdrawal Scale Test Name
C106659QS-Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects Questionnaire Test Code
C106658QS-Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects Questionnaire Test Name
C100168QS-Columbia-Suicidality Severity Rating Scale Baseline Test Code
C100167QS-Columbia-Suicidality Severity Rating Scale Baseline Test Name
C105132QS-Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Code
C105131QS-Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test Name
C106661QS-Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Questionnaire Test Code
C106660QS-Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Questionnaire Test Name
C111336QS-Columbia-Suicidality Severity Rating Scale Children's Baseline Questionnaire Test Code
C111335QS-Columbia-Suicidality Severity Rating Scale Children's Baseline Questionnaire Test Name
C111338QS-Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening Questionnaire Test Code
C111337QS-Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening Questionnaire Test Name
C111340QS-Columbia-Suicidality Severity Rating Scale Children's Since Last Visit Questionnaire Test Code
C111339QS-Columbia-Suicidality Severity Rating Scale Children's Since Last Visit Questionnaire Test Name
C117989QS-Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version Questionnaire Test Code
C117988QS-Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version Questionnaire Test Name
C113848QS-Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test Code
C113847QS-Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test Name
C111342QS-Columbia-Suicidality Severity Rating Scale Screening Questionnaire Test Code
C111341QS-Columbia-Suicidality Severity Rating Scale Screening Questionnaire Test Name
C103461QS-Columbia-Suicidality Severity Rating Scale Since Last Visit Questionnaire Test Code
C103460QS-Columbia-Suicidality Severity Rating Scale Since Last Visit Questionnaire Test Name
C117987QS-Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Code
C117986QS-Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Name
C119068QS-Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Code
C119067QS-Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Name
C100158QS-Current Opioid Misuse Measure Test Code
C100157QS-Current Opioid Misuse Measure Test Name
C119070QS-Dermatology Life Quality Index Questionnaire Test Code
C119069QS-Dermatology Life Quality Index Questionnaire Test Name
C105130QS-Disability Assessment for Dementia Questionnaire Test Code
C105129QS-Disability Assessment for Dementia Questionnaire Test Name
C115402QS-Disability Rating Scale Questionnaire Test Code
C115401QS-Disability Rating Scale Questionnaire Test Name
C112437QS-Disease Steps Questionnaire Test Code
C112436QS-Disease Steps Questionnaire Test Name
C101815QS-Eastern Cooperative Oncology Group Performance Status Test Code
C101816QS-Eastern Cooperative Oncology Group Performance Status Test Name
C103463QS-Epworth Sleepiness Scale Questionnaire Test Code
C103462QS-Epworth Sleepiness Scale Questionnaire Test Name
C101817QS-European Quality of Life Five Dimension Five Level Scale Test Code
C101818QS-European Quality of Life Five Dimension Five Level Scale Test Name
C100136QS-European Quality of Life Five Dimension Three Level Scale Test Code
C100135QS-European Quality of Life Five Dimension Three Level Scale Test Name
C115404QS-Extended Glasgow Outcome Scale Questionnaire Test Code
C115403QS-Extended Glasgow Outcome Scale Questionnaire Test Name
C117991QS-Extrapyramidal Symptom Rating Scale-Abbreviated Questionnaire Test Code
C117990QS-Extrapyramidal Symptom Rating Scale-Abbreviated Questionnaire Test Name
C100154QS-Faces Pain Scale - Revised Test Code
C100153QS-Faces Pain Scale - Revised Test Name
C113850QS-Fatigue Severity Scale Test Code
C113849QS-Fatigue Severity Scale Test Name
C111344QS-Functional Activities Questionnaire Test Code
C111343QS-Functional Activities Questionnaire Test Name
C111346QS-Functional Activities Questionnaire-NACC Version Test Code
C111345QS-Functional Activities Questionnaire-NACC Version Test Name
C112441QS-Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Code
C112440QS-Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Name
C105138QS-General Clinical Global Impressions Questionnaire Test Code
C105137QS-General Clinical Global Impressions Questionnaire Test Name
C103467QS-Generalized Anxiety Disorder - 7 Questionnaire Test Code
C103466QS-Generalized Anxiety Disorder - 7 Questionnaire Test Name
C106663QS-Geriatric Depression Scale Questionnaire Test Code
C106662QS-Geriatric Depression Scale Questionnaire Test Name
C106665QS-Geriatric Depression Scale Short Form Questionnaire Test Code
C106664QS-Geriatric Depression Scale Short Form Questionnaire Test Name
C101819QS-Hamilton Anxiety Rating Scale Questionnaire Test Code
C101820QS-Hamilton Anxiety Rating Scale Questionnaire Test Name
C100138QS-Hamilton Depression Rating Scale - 17 Item Test Code
C100137QS-Hamilton Depression Rating Scale - 17 Item Test Name
C101821QS-Hamilton Depression Rating Scale 21-Item Questionnaire Test Code
C101822QS-Hamilton Depression Rating Scale 21-Item Questionnaire Test Name
C106667QS-Health Assessment Questionnaire Disability Index Test Code
C106666QS-Health Assessment Questionnaire Disability Index Test Name
C103469QS-Hospital Anxiety and Depression Scale Questionnaire Test Code
C103468QS-Hospital Anxiety and Depression Scale Questionnaire Test Name
C113856QS-Impact of Visual Impairment Scale Test Code
C113855QS-Impact of Visual Impairment Scale Test Name
C103471QS-International Index of Erectile Function Questionnaire Test Code
C103470QS-International Index of Erectile Function Questionnaire Test Name
C100170QS-Karnofsky Performance Status Scale Test Code
C100169QS-Karnofsky Performance Status Scale Test Name
C112439QS-Kurtzke Expanded Disability Status Scale Questionnaire Test Code
C112438QS-Kurtzke Expanded Disability Status Scale Questionnaire Test Name
C112443QS-Kurtzke Functional Systems Scores Questionnaire Test Code
C112442QS-Kurtzke Functional Systems Scores Questionnaire Test Name
C115406QS-Mayo-Portland Adaptability Inventory-4 Questionnaire Test Code
C115405QS-Mayo-Portland Adaptability Inventory-4 Questionnaire Test Name
C100152QS-Michigan Neuropathy Screening Instrument Test Code
C100151QS-Michigan Neuropathy Screening Instrument Test Name
C113858QS-Modified Fatigue Impact Scale Test Code
C113857QS-Modified Fatigue Impact Scale Test Name
C112445QS-Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Code
C112444QS-Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Name
C106669QS-Modified Medical Research Council Dyspnea Scale Questionnaire Test Code
C106668QS-Modified Medical Research Council Dyspnea Scale Questionnaire Test Name
C111348QS-Modified Rankin Scale Questionnaire Test Code
C111347QS-Modified Rankin Scale Questionnaire Test Name
C100140QS-Movement Disorder Society UPDRS Test Code
C100139QS-Movement Disorder Society UPDRS Test Name
C113860QS-Multiple Sclerosis Quality of Life-54 Instrument Test Code
C113859QS-Multiple Sclerosis Quality of Life-54 Instrument Test Name
C112453QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Test Code
C112452QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Test Name
C112455QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Test Code
C112454QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Test Name
C103473QS-Neuropathic Pain Scale Questionnaire Test Code
C103472QS-Neuropathic Pain Scale Questionnaire Test Name
C100144QS-Neuropsychiatric Inventory Test Code
C100143QS-Neuropsychiatric Inventory Test Name
C105134QS-Pain Intensity Questionnaire Test Code
C105133QS-Pain Intensity Questionnaire Test Name
C105136QS-Pain Relief Questionnaire Test Code
C105135QS-Pain Relief Questionnaire Test Name
C112447QS-Patient Determined Disease Steps Questionnaire Test Code
C112446QS-Patient Determined Disease Steps Questionnaire Test Name
C103483QS-Patient Health Questionnaire - 15 Item Test Code
C103482QS-Patient Health Questionnaire - 15 Item Test Name
C103481QS-Patient Health Questionnaire - 9 Item Test Code
C103480QS-Patient Health Questionnaire - 9 Item Test Name
C113862QS-RAND 36-Item Health Survey 1.0 Test Code
C113861QS-RAND 36-Item Health Survey 1.0 Test Name
C103465QS-Revised Fibromyalgia Impact Questionnaire Test Code
C103464QS-Revised Fibromyalgia Impact Questionnaire Test Name
C119072QS-Rivermead Post Concussion Symptoms Questionnaire Test Code
C119071QS-Rivermead Post Concussion Symptoms Questionnaire Test Name
C100166QS-Roland Morris Disability Questionnaire Test Code
C100165QS-Roland Morris Disability Questionnaire Test Name
C115408QS-Satisfaction With Life Scale Questionnaire Test Code
C115407QS-Satisfaction With Life Scale Questionnaire Test Name
C100160QS-Screener and Opioid Assessment for Patients with Pain - Revised Test Code
C100159QS-Screener and Opioid Assessment for Patients with Pain - Revised Test Name
C111350QS-Sheehan Disability Scale Questionnaire Test Code
C111349QS-Sheehan Disability Scale Questionnaire Test Name
C100156QS-Short-Form McGill Pain Questionnaire-2 Test Code
C100155QS-Short-Form McGill Pain Questionnaire-2 Test Name
C106671QS-St. George's Respiratory Questionnaire for COPD Patients Test Code
C106670QS-St. George's Respiratory Questionnaire for COPD Patients Test Name
C112449QS-St. George's Respiratory Questionnaire Past 3 Months Version Test Code
C112448QS-St. George's Respiratory Questionnaire Past 3 Months Version Test Name
C112451QS-St. George's Respiratory Questionnaire Past 4 Weeks Version Test Code
C112450QS-St. George's Respiratory Questionnaire Past 4 Weeks Version Test Name
C101828QS-Subjective Opiate Withdrawal Scale Test Code
C101829QS-Subjective Opiate Withdrawal Scale Test Name
C103485QS-Symptom Impact Questionnaire Test Code
C103484QS-Symptom Impact Questionnaire Test Name
C103479QS-The Oswestry Disability Index Version 2.1a Questionnaire Test Code
C103478QS-The Oswestry Disability Index Version 2.1a Questionnaire Test Name
C103477QS-The Overactive Bladder Questionnaire Short Form Test Code
C103476QS-The Overactive Bladder Questionnaire Short Form Test Name
C103475QS-The Overactive Bladder Questionnaire Test Code
C103474QS-The Overactive Bladder Questionnaire Test Name
C106657QS-Transition Dyspnea Index Questionnaire Test Code
C106656QS-Transition Dyspnea Index Questionnaire Test Name
C100148QS-Unified Parkinson's Disease Rating Scale Test Code
C100147QS-Unified Parkinson's Disease Rating Scale Test Name
C103489QS-Urgency Perception Scale Questionnaire Test Code
C103488QS-Urgency Perception Scale Questionnaire Test Name
C100176QS-Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Test Code
C100175QS-Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Test Name

Codelist Definitions

OIDName
(CDISC Submission Value)
DataType
Extensible
NCI CodeCDISC SynonymCDISC DefinitionPreferred Term
CDISC Submission Value [ODM:CodedValue]
CL.C118971.CCCATCategory of Clinical Classification
(CCCAT)
text
Extensible: Yes
C118971Category of Clinical ClassificationA grouping of observations within the Clinical Classification domain.CDISC Clinical Classification Category Terminology
APACHE IIC121005APCH1Acute 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 INDEXC121006BODE01The 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 CLASSIFICATIONC121007CPS01Child-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 GRADEC119105CADG01Coronary 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 GRADEC119104TIMG01Coronary 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
MELDC121008MELD01Model 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-16C121009NSA01Negative 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 GRADEC119107STCG01Stent 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
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CL.C115304.FTCATCategory of Functional Test
(FTCAT)
text
Extensible: Yes
C115304Category of Functional TestA grouping of observations within the Functional Test domain.CDISC Functional Test Category Terminology
BACSC121004BACS1Brief 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 INDEXC115790HAI01Hauser 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
NHPTC115791NHPT01Nine-Hole Peg Test (NHPT) (Copyright 2001, National Multiple Sclerosis Society).Nine-Hole Peg Functional Test
PASATC115792PASAT1Paced Auditory Serial Addition Test (PASAT) (Copyright 2001, National Multiple Sclerosis Society).Paced Auditory Serial Addition Functional Test
SDMTC115793SDMT01Symbol Digit Modalities Test (SDMT) (Copyright 1973 by Western Psychological Services).Symbol Digit Modalities Functional Test
SIX MINUTE WALKC115789SIXMW16 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
T25FWC115794T25FW1Timed 25-Foot Walk (T25FW) (Copyright 2001, National Multiple Sclerosis Society).Timed 25-Foot Walk Functional Test
TUGC115795TUG01Timed 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
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CL.C100129.QSCATCategory of Questionnaire
(QSCAT)
text
Extensible: Yes
C100129Category of QuestionnaireA grouping of observations within the Questionnaire domain.CDISC Questionnaire Category Terminology
ACQC122370ACQ01Asthma 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-COGC100762ADCThe 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-ADLC105166ADL01Alzheimer'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 MCIC106888ADL03Alzheimer'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 SEVEREC106889ADL02Alzheimer'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-CGICC103515ACGC01Alzheimer'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 VERSIONC122371ADHD01ADHD 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
AIMSC102111AIMS01Abnormal 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
AQ20C112518AQ01Airway 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
AQLQC122372AQLQ01Asthma 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-CC119098ADTC01Alcohol 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-SRC119097ADT01Alcohol 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
AVLTC102112AVL01The 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
BARSC102113BARS01Barnes 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
BDIC106693BDI01Baseline 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
BLCSC113874BLCS01Bladder Control Scale (BLCS) (1997 by the National Multiple Sclerosis Society. All rights reserved).Bladder Control Scale Questionnaire
BORG CR10C113872BCR101Borg CR10 Scale (BORG CR10) (Borg CR10 Scale. Copyright Gunnar Borg, 1981, 1982, 1998).Borg Category-Ratio 10 Scale Questionnaire
BPIC100759BPI1Brief Pain Inventory (BPI) (copyright 1991 Charles S. Cleeland, PhD, Pain Research Group, All Right Reserved).Brief Pain Inventory Questionnaire
BPI SHORT FORMC100760BPI2Brief Pain Inventory Short Form (BPI2) (copyright 1991 Charles S. Cleeland, PhD, Pain Research Group, All Right Reserved).Brief Pain Inventory Short Form Questionnaire
BPRS-AC100761BPR01Brief 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-18C43524BSI181Brief 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
BWCSC113875BWCS01Bowel Control Scale (BWCS) (1997 by the National Multiple Sclerosis Society. All rights reserved).Bowel Control Scale Questionnaire
C-SSRS ALREADY ENROLLED SUBJECTSC106695CSS05Columbia-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 BASELINEC100765CSS01Columbia-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 VERSIONC106696CSS04Columbia-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 STUDYC105164CSS03Columbia-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 BASELINEC111377CSS06Columbia-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/SCREENINGC111378CSS07Columbia-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 VISITC111379CSS08Columbia-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 VERSIONC117996CSS11Columbia-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/RECENTC113873CSS10Columbia-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 SCREENINGC111380CSS09Columbia-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 VISITC103516CSS02Columbia-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 VERSIONC119100CCQ02Clinical 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 VERSIONC119099CCQ01Clinical 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
CDLQC119092CDLQ1Children'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
CDRC102114CDR01Clinical 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
CGIC100763CGI01Clinical 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 VERSIONC117995CHSF1Craig 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 VERSIONC119101CHSF2Craig 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
COMMC100764COMM1Current Opioid Misuse Measure (COMM) (copyright 2010 Inflexxion, Inc., All rights reserved).Current Opioid Misuse Measure Questionnaire
COWSC102115COWS1The 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 VERSIONC121002CRQ01Chronic 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 VERSIONC121003CRQ02Chronic 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
DADC105165DAD01Disability Assessment for Dementia (DAD) (copyright 1994 by L. Gauthier I. Gelinas. All rights reserved.).Disability Assessment for Dementia Questionnaire
DISEASE STEPSC112519DS01Disease 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
DLQIC119102DLQI1Dermatology 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
DRSC115796DRS01Disability 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
ECOGC102116ECOG1Eastern 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
EDSSC112520EDSS01Kurtzke 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-3LC66957EQ5D01European 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-5LC102117EQ5D02European 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
ESRSAC117997ESRSA1Extrapyramidal Symptom Rating Scale-Abbreviated (ESRS-A) (Copyright 2006 Larry Alphs, MD, PhD, Guy Chouinard, MD, All Rights Reserved).Extrapyramidal Symptom Rating Scale-Abbreviated Questionnaire
ESSC103517ESS01Epworth Sleepiness Scale (ESS) (copyright Murray W. Johns, 1990-1997. All rights reserved.).Epworth Sleepiness Scale Questionnaire
FAMSC112521FAMS01Functional 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
FAQC111381FAQ01Functional 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-NACCC111382FAQ02Functional 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
FIQRC103518FIQR01Revised Fibromyalgia Impact Questionnaire (FIQR) (copyright 2009 Bennett RM and Friend. All Rights Reserved.).Revised Fibromyalgia Impact Questionnaire
FLU-IIQ ONCE DAILYC119093FLUIQ1Influenza 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 DAILYC119094FLUIQ2Influenza 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
FPSRC100766FPSR1Faces 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
FSSC106621FSS01Fatigue Severity Scale (FSS) (Copyright Lauren B. Krupp).Fatigue Severity Scale
GAD-7C103519GAD01Generalized 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
GCGIC105169GCGI01The 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
GDSC106697GDS01Geriatric 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 FORMC106698GDS02Geriatric 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
GOSEC115797GOSE1Extended 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
HADSC103520HADS01Hospital 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-QOLC122381HAEM09Hemophilia 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 IC122373HAEM01Hemophilia 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 IIC122374HAEM02Hemophilia 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 IIIC122375HAEM03Hemophilia 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 IC122376HAEM04Hemophilia 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/IIIC122377HAEM05Hemophilia 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 IC122378HAEM06Hemophilia 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 IIC122379HAEM07Hemophilia 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 IIIC122380HAEM08Hemophilia 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-AC102118HAMA1The 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 17C100767HAMD1The 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 21C102119HAMD2The 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-DIC106699HAQ01Health 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
IIEFC103521IIEF01International 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
IVISC113876IVIS01Impact of Visual Impairment Scale (IVIS) (1997 by the National Multiple Sclerosis Society. All rights reserved).Impact of Visual Impairment Scale Questionnaire
KFSSC112522KFSS1Kurtzke 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 SCALEC100768KPSSThe 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
MADRSC122382MADRS1Montgomery-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-UPDRSC100769UPD2The 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
MFISC113877MFIS01Modified Fatigue Impact Scale (MFIS) (1997 by the National Multiple Sclerosis Society. All rights reserved).Modified Fatigue Impact Scale Questionnaire
MHIS-NACCC112523MHIS01Modified 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
MMRCC106700MMRC01Modified 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
MNSIC100771MNSI1Michigan Neuropathy Screening Instrument (MNSI) (copyright University of Michigan, 2000, All rights reserved).Michigan Neuropathy Screening Instrument Questionnaire
MPAI-4C115798MPAI1The 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
MRSC111383MRS01Modified 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-54C113878MSQL1Multiple Sclerosis Quality of Life-54 Instrument (MSQOL-54) (Copyright 1995, University of California, Los Angeles).Multiple Sclerosis Quality of Life-54 Instrument Questionnaire
NPIC100772NPI1Neuropsychiatric Inventory (NPI) (copyright JL Cummings, 1994, all rights reserved; permission for commercial use required; npiTEST.net).Neuropsychiatric Inventory Questionnaire
NPSC103522NPS01Neuropathic Pain Scale (NPS) (copyright Brad Galer and Mark Jensen. All rights reserved.).Neuropathic Pain Scale Questionnaire
OAB-QC103523OABQ01The 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 FORMC103524OABQ02The 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
OCIC119095OCI01Ocular 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 v2.1AC103525ODI01The Oswestry Disability Index Version 2.1a (ODI v2.1A) (copyright 1980 Jeremy Fairbank. All Rights Reserved.).The Oswestry Disability Index Version 2.1a Questionnaire
PDDSC112524PDDS01Patient 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
PDQUALIFC100773PDQ01Parkinson'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-15C103527PHQ02Patient 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-9C103526PHQ01Patient 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
PIC105167PI01The 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
PRC105168PR01The 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
PSQIC103849PSQI1Pittsburgh 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 V1.0C113879R3601RAND 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
RDQC100774RDQ01Roland 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
RPQC119103RPQ01Rivermead 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
SDSC111384SDS01Sheehan Disability Scale (Copyright 1983, 2010, 2011 David V. Sheehan. All rights reserved.).Sheehan Disability Scale Questionnaire
SF36 v1.0 ACUTEC102120SF362The 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 STANDARDC100775SF361The 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 ACUTEC102121SF364The 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 STANDARDC102122SF363The 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 VERSIONC112525SGRQ01St. 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 VERSIONC112526SGRQ02St. 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-CC106890SGRQC1St. 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-2C100776SFMP2Short-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
SIQRC103528SIQR01Symptom Impact Questionnaire (SIQR) (copyright 2009 Bennett RM and Friend. All Rights Reserved.).Symptom Impact Questionnaire
SOAPP-RC100777SOAPR1Screener 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 SHORTC103529SOWSB1Short 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 SUBJECTIVEC102123SOWSA1The 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
SWLSC115799SWLS01The 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
TDIC106694TDI01Transition 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
UPDRSC100778UPD1Unified 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
UPSC103530UPS01Urgency Perception Scale (UPS) (copyright Pfizer. All rights reserved.).Urgency Perception Scale Questionnaire
VFQ-25 INTERVIEWER ADMINISTEREDC112527VFQ1National 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 ADMINISTEREDC112528VFQ2National 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
WLQC119096WLQ01Work 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 INDEXC122384WOMAC1Western 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 INDEXC122385WOMAC2Western 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 INDEXC122386WOMAC3Western 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-SHPC100779WPAI01The 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
YMRSC102124YMRS01Young 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
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CL.C120985.APACHE II TESTCDCC-Acute Physiology and Chronic Health Evaluation II Clinical Classification Test Code
(APACHE II TESTCD)
text
Extensible: No
C120985CC-Acute Physiology and Chronic Health Evaluation II Clinical Classification Test CodeAcute Physiology and Chronic Health Evaluation II test code.CDISC Clinical Classification APACHE II Test Code Terminology
APCH101C121096APCH1-Temperature - RectalAcute Physiology and Chronic Health Evaluation II - Temperature - rectal (degree C).APACHE II - Temperature, Rectal
APCH102C121097APCH1-Mean Arterial PressureAcute Physiology and Chronic Health Evaluation II - Mean arterial pressure - mm Hg.APACHE II - Mean Arterial Pressure
APCH103C121098APCH1-Heart RateAcute Physiology and Chronic Health Evaluation II - Heart rate (ventricular response).APACHE II - Heart Rate
APCH104C121099APCH1-Respiratory RateAcute Physiology and Chronic Health Evaluation II - Respiratory rate (non-ventilated or ventilated).APACHE II - Respiratory Rate
APCH105AC121100APCH1-Oxygenation: A-aDO2Acute 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
APCH105BC121101APCH1-Oxygenation: PaO2Acute Physiology and Chronic Health Evaluation II - Oxygenation (mm Hg): FIO2 less than 0.5 record only PaO2.APACHE II - Oxygenation, PaO2
APCH106AC121102APCH1-Arterial pHAcute Physiology and Chronic Health Evaluation II - Arterial pH (preferred).APACHE II - Arterial pH
APCH106BC121103APCH1-Serum HCO3Acute Physiology and Chronic Health Evaluation II - Serum HCO3 (venous mMol/L) (Not preferred, use if no ABGs).APACHE II - Serum HCO3
APCH107C121104APCH1-Serum SodiumAcute Physiology and Chronic Health Evaluation II - Serum sodium (mMol/L).APACHE II - Serum Sodium
APCH108C121105APCH1-Serum PotassiumAcute Physiology and Chronic Health Evaluation II - Serum potassium (mMol/L).APACHE II - Serum Potassium
APCH109C121106APCH1-Serum CreatinineAcute Physiology and Chronic Health Evaluation II - Serum creatinine (mg/100 mL) (double point score for acute renal failure).APACHE II - Serum Creatinine
APCH110C121107APCH1-HematocritAcute Physiology and Chronic Health Evaluation II - Hematocrit (%).APACHE II - Hematocrit
APCH111C121108APCH1-White Blood CountAcute Physiology and Chronic Health Evaluation II - White blood count (total/mm3) (in 1,000s).APACHE II - White Blood Count
APCH112C121109APCH1-15 Minus Glasgow Coma ScoreAcute Physiology and Chronic Health Evaluation II - Glasgow coma score: Score equals 15 minus actual GCS.APACHE II - 15 Minus Glasgow Coma Score
APCH113C121110APCH1-A: Total Acute Physiology ScoreAcute Physiology and Chronic Health Evaluation II - A: Total acute physiology score.APACHE II - A, Total Acute Physiology Score
APCH114C121111APCH1-B: Age PointsAcute Physiology and Chronic Health Evaluation II - B: Age points (years).APACHE II - B, Age Points
APCH115C121112APCH1-C: Chronic Health PointsAcute Physiology and Chronic Health Evaluation II - C: Chronic health points.APACHE II - C, Chronic Health Points
APCH116C121113APCH1-Total APACHE II ScoreAcute Physiology and Chronic Health Evaluation II - Total APACHE II score.APACHE II - Total APACHE II Score
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CL.C120984.APACHE II TESTCC-Acute Physiology and Chronic Health Evaluation II Clinical Classification Test Name
(APACHE II TEST)
text
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C120984CC-Acute Physiology and Chronic Health Evaluation II Clinical Classification Test NameAcute Physiology and Chronic Health Evaluation II test name.CDISC Clinical Classification APACHE II Test Name Terminology
APCH1-15 Minus Glasgow Coma ScoreC121109APCH1-15 Minus Glasgow Coma ScoreAcute 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 ScoreC121110APCH1-A: Total Acute Physiology ScoreAcute Physiology and Chronic Health Evaluation II - A: Total acute physiology score.APACHE II - A, Total Acute Physiology Score
APCH1-Arterial pHC121102APCH1-Arterial pHAcute Physiology and Chronic Health Evaluation II - Arterial pH (preferred).APACHE II - Arterial pH
APCH1-B: Age PointsC121111APCH1-B: Age PointsAcute Physiology and Chronic Health Evaluation II - B: Age points (years).APACHE II - B, Age Points
APCH1-C: Chronic Health PointsC121112APCH1-C: Chronic Health PointsAcute Physiology and Chronic Health Evaluation II - C: Chronic health points.APACHE II - C, Chronic Health Points
APCH1-Heart RateC121098APCH1-Heart RateAcute Physiology and Chronic Health Evaluation II - Heart rate (ventricular response).APACHE II - Heart Rate
APCH1-HematocritC121107APCH1-HematocritAcute Physiology and Chronic Health Evaluation II - Hematocrit (%).APACHE II - Hematocrit
APCH1-Mean Arterial PressureC121097APCH1-Mean Arterial PressureAcute Physiology and Chronic Health Evaluation II - Mean arterial pressure - mm Hg.APACHE II - Mean Arterial Pressure
APCH1-Oxygenation: A-aDO2C121100APCH1-Oxygenation: A-aDO2Acute 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: PaO2C121101APCH1-Oxygenation: PaO2Acute Physiology and Chronic Health Evaluation II - Oxygenation (mm Hg): FIO2 less than 0.5 record only PaO2.APACHE II - Oxygenation, PaO2
APCH1-Respiratory RateC121099APCH1-Respiratory RateAcute Physiology and Chronic Health Evaluation II - Respiratory rate (non-ventilated or ventilated).APACHE II - Respiratory Rate
APCH1-Serum CreatinineC121106APCH1-Serum CreatinineAcute Physiology and Chronic Health Evaluation II - Serum creatinine (mg/100 mL) (double point score for acute renal failure).APACHE II - Serum Creatinine
APCH1-Serum HCO3C121103APCH1-Serum HCO3Acute Physiology and Chronic Health Evaluation II - Serum HCO3 (venous mMol/L) (Not preferred, use if no ABGs).APACHE II - Serum HCO3
APCH1-Serum PotassiumC121105APCH1-Serum PotassiumAcute Physiology and Chronic Health Evaluation II - Serum potassium (mMol/L).APACHE II - Serum Potassium
APCH1-Serum SodiumC121104APCH1-Serum SodiumAcute Physiology and Chronic Health Evaluation II - Serum sodium (mMol/L).APACHE II - Serum Sodium
APCH1-Temperature - RectalC121096APCH1-Temperature - RectalAcute Physiology and Chronic Health Evaluation II - Temperature - rectal (degree C).APACHE II - Temperature, Rectal
APCH1-Total APACHE II ScoreC121113APCH1-Total APACHE II ScoreAcute Physiology and Chronic Health Evaluation II - Total APACHE II score.APACHE II - Total APACHE II Score
APCH1-White Blood CountC121108APCH1-White Blood CountAcute Physiology and Chronic Health Evaluation II - White blood count (total/mm3) (in 1,000s).APACHE II - White Blood Count
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CL.C120989.CHILD-PUGH CLASSIFICATION TESTCDCC-Child-Pugh Clinical Classification Test Code
(CHILD-PUGH CLASSIFICATION TESTCD)
text
Extensible: No
C120989CC-Child-Pugh Clinical Classification Test CodeChild-Pugh Classification test code.CDISC Clinical Classification Child-Pugh Test Code Terminology
CPS0101C121068CPS01-Encephalopathy GradeChild-Pugh Classification - Encephalopathy grade.Child-Pugh - Encephalopathy Grade
CPS0102C121069CPS01-AscitesChild-Pugh Classification - Ascites.Child-Pugh - Ascites
CPS0103C121070CPS01-Serum BilirubinChild-Pugh Classification - Serum bilirubin, mg/dL.Child-Pugh - Serum Bilirubin
CPS0104C121071CPS01-Serum AlbuminChild-Pugh Classification - Serum albumin, g/dL.Child-Pugh - Serum Albumin
CPS0105AC121072CPS01-PT, Sec ProlongedChild-Pugh Classification - Prothrombin time, sec prolonged.Child-Pugh - PT, Sec Prolonged
CPS0105BC121073CPS01-PT, INRChild-Pugh Classification - Prothrombin time, international normalized ratio (INR).Child-Pugh - PT, INR
CPS0106C121074CPS01-Total ScoreChild-Pugh Classification - Child-Pugh total score.Child-Pugh - Total Score
CPS0107C121075CPS01-GradeChild-Pugh Classification - Child-Pugh grade.Child-Pugh - Grade
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CL.C120988.CHILD-PUGH CLASSIFICATION TESTCC-Child-Pugh Clinical Classification Test Name
(CHILD-PUGH CLASSIFICATION TEST)
text
Extensible: No
C120988CC-Child-Pugh Clinical Classification Test NameChild-Pugh Classification test name.CDISC Clinical Classification Child-Pugh Test Name Terminology
CPS01-AscitesC121069CPS01-AscitesChild-Pugh Classification - Ascites.Child-Pugh - Ascites
CPS01-Encephalopathy GradeC121068CPS01-Encephalopathy GradeChild-Pugh Classification - Encephalopathy grade.Child-Pugh - Encephalopathy Grade
CPS01-GradeC121075CPS01-GradeChild-Pugh Classification - Child-Pugh grade.Child-Pugh - Grade
CPS01-PT, INRC121073CPS01-PT, INRChild-Pugh Classification - Prothrombin time, international normalized ratio (INR).Child-Pugh - PT, INR
CPS01-PT, Sec ProlongedC121072CPS01-PT, Sec ProlongedChild-Pugh Classification - Prothrombin time, sec prolonged.Child-Pugh - PT, Sec Prolonged
CPS01-Serum AlbuminC121071CPS01-Serum AlbuminChild-Pugh Classification - Serum albumin, g/dL.Child-Pugh - Serum Albumin
CPS01-Serum BilirubinC121070CPS01-Serum BilirubinChild-Pugh Classification - Serum bilirubin, mg/dL.Child-Pugh - Serum Bilirubin
CPS01-Total ScoreC121074CPS01-Total ScoreChild-Pugh Classification - Child-Pugh total score.Child-Pugh - Total Score
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CL.C119076.NHLBI CAD Grade TESTCDCC-Coronary Artery Dissection NHLBI Grade Clinical Classification Test Code
(NHLBI CAD Grade TESTCD)
text
Extensible: No
C119076CC-Coronary Artery Dissection NHLBI Grade Clinical Classification Test CodeCoronary Artery Dissection NHLBI Grade test code.CDISC Clinical Classification NHLBI CAD Grade Test Code Terminology
CADG0101C119196CADG01-Coronary Dissection NHLBI GradeCoronary 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
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CL.C119075.NHLBI CAD Grade TESTCC-Coronary Artery Dissection NHLBI Grade Clinical Classification Test Name
(NHLBI CAD Grade TEST)
text
Extensible: No
C119075CC-Coronary Artery Dissection NHLBI Grade Clinical Classification Test NameCoronary Artery Dissection NHLBI Grade test name.CDISC Clinical Classification NHLBI CAD Grade Test Name Terminology
CADG01-Coronary Dissection NHLBI GradeC119196CADG01-Coronary Dissection NHLBI GradeCoronary 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
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CL.C119074.TIMI Thrombus Grade TESTCDCC-Coronary Thrombus TIMI Grade Clinical Classification Test Code
(TIMI Thrombus Grade TESTCD)
text
Extensible: No
C119074CC-Coronary Thrombus TIMI Grade Clinical Classification Test CodeCoronary Thrombus TIMI Grade test code.CDISC Clinical Classification TIMI Thrombus Grade Test Code Terminology
TIMG0101C119195TIMG01-Coronary Thrombus TIMI GradeCoronary 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
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CL.C119073.TIMI Thrombus Grade TESTCC-Coronary Thrombus TIMI Grade Clinical Classification Test Name
(TIMI Thrombus Grade TEST)
text
Extensible: No
C119073CC-Coronary Thrombus TIMI Grade Clinical Classification Test NameCoronary Thrombus TIMI Grade test name.CDISC Clinical Classification TIMI Thrombus Grade Test Name Terminology
TIMG01-Coronary Thrombus TIMI GradeC119195TIMG01-Coronary Thrombus TIMI GradeCoronary 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
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CL.C120991.MELD TESTCDCC-Model for End Stage Liver Disease Clinical Classification Test Code
(MELD TESTCD)
text
Extensible: No
C120991CC-Model for End Stage Liver Disease Clinical Classification Test CodeModel for End Stage Liver Disease test code.CDISC Clinical Classification MELD Test Code Terminology
MELD0101C121076MELD01-ScoreModel for End Stage Liver Disease - MELD score.MELD - Score
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CL.C120990.MELD TESTCC-Model for End Stage Liver Disease Clinical Classification Test Name
(MELD TEST)
text
Extensible: No
C120990CC-Model for End Stage Liver Disease Clinical Classification Test NameModel for End Stage Liver Disease test name.CDISC Clinical Classification MELD Test Name Terminology
MELD01-ScoreC121076MELD01-ScoreModel for End Stage Liver Disease - MELD score.MELD - Score
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CL.C120993.NSA-16 TESTCDCC-Negative Symptom Assessment-16 Clinical Classification Test Code
(NSA-16 TESTCD)
text
Extensible: No
C120993CC-Negative Symptom Assessment-16 Clinical Classification Test CodeNegative Symptom Assessment-16 test code.CDISC Clinical Classification NSA-16 Test Code Terminology
NSA0101C121077NSA01-Prolonged Time to RespondNegative Symptom Assessment-16 - Prolonged time to respond.NSA-16 - Prolonged Time to Respond
NSA0102C121078NSA01-Restricted Speech QuantityNegative Symptom Assessment-16 - Restricted speech quantity.NSA-16 - Restricted Speech Quantity
NSA0103C121079NSA01-Impoverished Speech ContentNegative Symptom Assessment-16 - Impoverished speech content.NSA-16 - Impoverished Speech Content
NSA0104C121080NSA01-Inarticulate SpeechNegative Symptom Assessment-16 - Inarticulate speech.NSA-16 - Inarticulate Speech
NSA0105C121081NSA01-Emotion: Reduced RangeNegative Symptom Assessment-16 - Emotion: Reduced range.NSA-16 - Emotion: Reduced Range
NSA0106C121082NSA01-Affect Reduce Modulation IntensityNegative Symptom Assessment-16 - Affect: Reduced modulation of intensity.NSA-16 - Affect: Reduce Modulation Intensity
NSA0107C121083NSA01-Affect: Reduced Display on DemandNegative Symptom Assessment-16 - Affect: Reduced display on demand.NSA-16 - Affect: Reduced Display on Demand
NSA0108C121084NSA01-Reduced Social DriveNegative Symptom Assessment-16 - Reduced social drive.NSA-16 - Reduced Social Drive
NSA0109C121085NSA01-Poor Rapport With InterviewerNegative Symptom Assessment-16 - Poor rapport with interviewer.NSA-16 - Poor Rapport With Interviewer
NSA0110C121086NSA01-Interest Emotional/Phys IntimacyNegative Symptom Assessment-16 - Interest in emotional and physical intimacy.NSA-16 - Interest in Emotional and Physical Intimacy
NSA0111C121087NSA01-Poor Grooming and HygieneNegative Symptom Assessment-16 - Poor grooming and hygiene.NSA-16 - Poor Grooming and Hygiene
NSA0112C121088NSA01-Reduced Sense of PurposeNegative Symptom Assessment-16 - Reduced sense of purpose.NSA-16 - Reduced Sense of Purpose
NSA0113C121089NSA01-Reduced InterestsNegative Symptom Assessment-16 - Reduced interests.NSA-16 - Reduced Interests
NSA0114C121090NSA01-Reduced Daily ActivityNegative Symptom Assessment-16 - Reduced daily activity.NSA-16 - Reduced Daily Activity
NSA0115C121091NSA01-Reduced Expressive GesturesNegative Symptom Assessment-16 - Reduced expressive gestures.NSA-16 - Reduced Expressive Gestures
NSA0116C121092NSA01-Slowed MovementsNegative Symptom Assessment-16 - Slowed movements.NSA-16 - Slowed Movements
NSA0117C121093NSA01-Global Negative Symptoms RatingNegative Symptom Assessment-16 - Global negative symptoms rating.NSA-16 - Global Negative Symptoms Rating
NSA0118C121094NSA01-Global Neg Symptom Rating-SeverityNegative Symptom Assessment-16 - Global negative symptoms rating - severity.NSA-16 - Global Negative Symptoms Rating-Severity
NSA0119C121095NSA01-Global Level of FunctioningNegative Symptom Assessment-16 - Global level of functioning.NSA-16 - Global Level of Functioning
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CL.C120992.NSA-16 TESTCC-Negative Symptom Assessment-16 Clinical Classification Test Name
(NSA-16 TEST)
text
Extensible: No
C120992CC-Negative Symptom Assessment-16 Clinical Classification Test NameNegative Symptom Assessment-16 test name.CDISC Clinical Classification NSA-16 Test Name Terminology
NSA01-Affect Reduce Modulation IntensityC121082NSA01-Affect Reduce Modulation IntensityNegative Symptom Assessment-16 - Affect: Reduced modulation of intensity.NSA-16 - Affect: Reduce Modulation Intensity
NSA01-Affect: Reduced Display on DemandC121083NSA01-Affect: Reduced Display on DemandNegative Symptom Assessment-16 - Affect: Reduced display on demand.NSA-16 - Affect: Reduced Display on Demand
NSA01-Emotion: Reduced RangeC121081NSA01-Emotion: Reduced RangeNegative Symptom Assessment-16 - Emotion: Reduced range.NSA-16 - Emotion: Reduced Range
NSA01-Global Level of FunctioningC121095NSA01-Global Level of FunctioningNegative Symptom Assessment-16 - Global level of functioning.NSA-16 - Global Level of Functioning
NSA01-Global Neg Symptom Rating-SeverityC121094NSA01-Global Neg Symptom Rating-SeverityNegative Symptom Assessment-16 - Global negative symptoms rating - severity.NSA-16 - Global Negative Symptoms Rating-Severity
NSA01-Global Negative Symptoms RatingC121093NSA01-Global Negative Symptoms RatingNegative Symptom Assessment-16 - Global negative symptoms rating.NSA-16 - Global Negative Symptoms Rating
NSA01-Impoverished Speech ContentC121079NSA01-Impoverished Speech ContentNegative Symptom Assessment-16 - Impoverished speech content.NSA-16 - Impoverished Speech Content
NSA01-Inarticulate SpeechC121080NSA01-Inarticulate SpeechNegative Symptom Assessment-16 - Inarticulate speech.NSA-16 - Inarticulate Speech
NSA01-Interest Emotional/Phys IntimacyC121086NSA01-Interest Emotional/Phys IntimacyNegative Symptom Assessment-16 - Interest in emotional and physical intimacy.NSA-16 - Interest in Emotional and Physical Intimacy
NSA01-Poor Grooming and HygieneC121087NSA01-Poor Grooming and HygieneNegative Symptom Assessment-16 - Poor grooming and hygiene.NSA-16 - Poor Grooming and Hygiene
NSA01-Poor Rapport With InterviewerC121085NSA01-Poor Rapport With InterviewerNegative Symptom Assessment-16 - Poor rapport with interviewer.NSA-16 - Poor Rapport With Interviewer
NSA01-Prolonged Time to RespondC121077NSA01-Prolonged Time to RespondNegative Symptom Assessment-16 - Prolonged time to respond.NSA-16 - Prolonged Time to Respond
NSA01-Reduced Daily ActivityC121090NSA01-Reduced Daily ActivityNegative Symptom Assessment-16 - Reduced daily activity.NSA-16 - Reduced Daily Activity
NSA01-Reduced Expressive GesturesC121091NSA01-Reduced Expressive GesturesNegative Symptom Assessment-16 - Reduced expressive gestures.NSA-16 - Reduced Expressive Gestures
NSA01-Reduced InterestsC121089NSA01-Reduced InterestsNegative Symptom Assessment-16 - Reduced interests.NSA-16 - Reduced Interests
NSA01-Reduced Sense of PurposeC121088NSA01-Reduced Sense of PurposeNegative Symptom Assessment-16 - Reduced sense of purpose.NSA-16 - Reduced Sense of Purpose
NSA01-Reduced Social DriveC121084NSA01-Reduced Social DriveNegative Symptom Assessment-16 - Reduced social drive.NSA-16 - Reduced Social Drive
NSA01-Restricted Speech QuantityC121078NSA01-Restricted Speech QuantityNegative Symptom Assessment-16 - Restricted speech quantity.NSA-16 - Restricted Speech Quantity
NSA01-Slowed MovementsC121092NSA01-Slowed MovementsNegative Symptom Assessment-16 - Slowed movements.NSA-16 - Slowed Movements
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CL.C119080.ARC STC Grade TESTCDCC-Stent Thrombosis Coronary ARC Grade Clinical Classification Test Code
(ARC STC Grade TESTCD)
text
Extensible: No
C119080CC-Stent Thrombosis Coronary ARC Grade Clinical Classification Test CodeStent Thrombosis Coronary ARC Grade test code.CDISC Clinical Classification ARC STC Grade Test Code Terminology
STCG0101C119198STCG01-STC ARC GradeStent 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
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CL.C119079.ARC STC Grade TESTCC-Stent Thrombosis Coronary ARC Grade Clinical Classification Test Name
(ARC STC Grade TEST)
text
Extensible: No
C119079CC-Stent Thrombosis Coronary ARC Grade Clinical Classification Test NameStent Thrombosis Coronary ARC Grade test name.CDISC Clinical Classification ARC STC Grade Test Name Terminology
STCG01-STC ARC GradeC119198STCG01-STC ARC GradeStent 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
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CL.C120987.BODE INDEX TESTCDCC-The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Code
(BODE INDEX TESTCD)
text
Extensible: No
C120987CC-The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test CodeThe Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index test code.CDISC Clinical Classification BODE Index Test Code Terminology
BODE0101C121063BODE01-Body-mass IndexBody-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - Body-mass index.BODE Index - Body-mass Index
BODE0102C121064BODE01-FEV1 % PredictedBody-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - FEV1 (% of predicted).BODE Index - FEV1 Percent Predicted
BODE0103C121065BODE01-MMRC Dyspnea ScaleBody-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - MMRC dyspnea scale.BODE Index - MMRC Dyspnea Scale
BODE0104C121066BODE01-Distance Walked in 6 MinutesBody-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - Distance walked in 6 min (in meter).BODE Index - Distance Walked in 6 Minutes
BODE0105C121067BODE01-BODE ScoreBody-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - BODE score.BODE Index - Score
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CL.C120986.BODE INDEX TESTCC-The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test Name
(BODE INDEX TEST)
text
Extensible: No
C120986CC-The Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index Clinical Classification Test NameThe Body-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index test name.CDISC Clinical Classification BODE Index Test Name Terminology
BODE01-BODE ScoreC121067BODE01-BODE ScoreBody-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - BODE score.BODE Index - Score
BODE01-Body-mass IndexC121063BODE01-Body-mass IndexBody-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - Body-mass index.BODE Index - Body-mass Index
BODE01-Distance Walked in 6 MinutesC121066BODE01-Distance Walked in 6 MinutesBody-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 % PredictedC121064BODE01-FEV1 % PredictedBody-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - FEV1 (% of predicted).BODE Index - FEV1 Percent Predicted
BODE01-MMRC Dyspnea ScaleC121065BODE01-MMRC Dyspnea ScaleBody-Mass Index, Airflow Obstruction, Dyspnea, and Exercise Capacity Index - MMRC dyspnea scale.BODE Index - MMRC Dyspnea Scale
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CL.C115388.6MWT TESTCDFT-6 Minute Walk Functional Test Test Code
(6MWT TESTCD)
text
Extensible: No
C115388FT-6 Minute Walk Functional Test Test Code6 Minute Walk Test test code.CDISC Functional Test 6MWT Test Code Terminology
SIXMW101C115800SIXMW1-Distance at 1 Minute6 Minute Walk Test - Distance at 1 minute.6MWT - Distance at 1 Minute
SIXMW102C115801SIXMW1-Distance at 2 Minutes6 Minute Walk Test - Distance at 2 minutes.6MWT - Distance at 2 Minutes
SIXMW103C115802SIXMW1-Distance at 3 Minutes6 Minute Walk Test - Distance at 3 minutes.6MWT - Distance at 3 Minutes
SIXMW104C115803SIXMW1-Distance at 4 Minutes6 Minute Walk Test - Distance at 4 minutes.6MWT - Distance at 4 Minutes
SIXMW105C115804SIXMW1-Distance at 5 Minutes6 Minute Walk Test - Distance at 5 minutes.6MWT - Distance at 5 Minutes
SIXMW106C115805SIXMW1-Distance at 6 Minutes6 Minute Walk Test - Distance at 6 minutes.6MWT - Distance at 6 Minutes
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CL.C115387.6MWT TESTFT-6 Minute Walk Functional Test Test Name
(6MWT TEST)
text
Extensible: No
C115387FT-6 Minute Walk Functional Test Test Name6 Minute Walk Test test name.CDISC Functional Test 6MWT Test Name Terminology
SIXMW1-Distance at 1 MinuteC115800SIXMW1-Distance at 1 Minute6 Minute Walk Test - Distance at 1 minute.6MWT - Distance at 1 Minute
SIXMW1-Distance at 2 MinutesC115801SIXMW1-Distance at 2 Minutes6 Minute Walk Test - Distance at 2 minutes.6MWT - Distance at 2 Minutes
SIXMW1-Distance at 3 MinutesC115802SIXMW1-Distance at 3 Minutes6 Minute Walk Test - Distance at 3 minutes.6MWT - Distance at 3 Minutes
SIXMW1-Distance at 4 MinutesC115803SIXMW1-Distance at 4 Minutes6 Minute Walk Test - Distance at 4 minutes.6MWT - Distance at 4 Minutes
SIXMW1-Distance at 5 MinutesC115804SIXMW1-Distance at 5 Minutes6 Minute Walk Test - Distance at 5 minutes.6MWT - Distance at 5 Minutes
SIXMW1-Distance at 6 MinutesC115805SIXMW1-Distance at 6 Minutes6 Minute Walk Test - Distance at 6 minutes.6MWT - Distance at 6 Minutes
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CL.C120983.BACS TESTCDFT-Brief Assessment of Cognition in Schizophrenia Test Code
(BACS TESTCD)
text
Extensible: No
C120983FT-Brief Assessment of Cognition in Schizophrenia Test CodeBrief Assessment of Cognition in Schizophrenia test code.CDISC Functional Test BACS Test Code Terminology
BACS101C121050BACS1-Number of Items RecalledBrief Assessment of Cognition in Schizophrenia - Verbal Memory-Number of items recalled on each trial.BACS - Number of Items Recalled
BACS101AC121051BACS1-Number of Items Recalled TotalBrief Assessment of Cognition in Schizophrenia - Verbal Memory-Total number of items recalled.BACS - Number of Items Recalled Total
BACS102C121052BACS1-Number of Correct SequencesBrief Assessment of Cognition in Schizophrenia - Digit Sequencing-Number of correct sequences.BACS - Number of Correct Sequences
BACS103AC121053BACS1-Number of Tokens Left on the TableBrief Assessment of Cognition in Schizophrenia - Token Motor Task-Total number of tokens left on the table.BACS - Number of Tokens Left on the Table
BACS103BC121054BACS1-Total Number Tokens in ContainerBrief Assessment of Cognition in Schizophrenia - Token Motor Task-Total number of tokens placed in the container.BACS - Total Number Tokens in Container
BACS103CC121055BACS1-Number Tokens Incorrectly PlacedBrief Assessment of Cognition in Schizophrenia Questionnaire - Token Motor Task-Total number of tokens incorrectly placed in container.BACS - Number Tokens Incorrectly Placed
BACS103DC121056BACS1-Number of Tokens Correctly PlacedBrief Assessment of Cognition in Schizophrenia Questionnaire - Token Motor Task-Number of tokens correctly placed.BACS - Number of Tokens Correctly Placed
BACS104AC121057BACS1-Category InstancesBrief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Category instances.BACS - Category Instances
BACS104BC121058BACS1-Letter Fluency 1Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Letter fluency 1.BACS - Letter Fluency 1
BACS104CC121059BACS1-Letter Fluency 2Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Letter fluency 2.BACS - Letter Fluency 2
BACS104DC121060BACS-Verbal Fluency TotalBrief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Total number of Verbal Fluency items.BACS - Verbal Fluency Total
BACS105C121061BACS-Symbol Coding Raw ScoreBrief Assessment of Cognition in Schizophrenia Questionnaire - Symbol Coding-Raw score.BACS - Symbol Coding Raw Score
BACS106C121062BACS1-Tower of London Correct ResponsesBrief Assessment of Cognition in Schizophrenia Questionnaire - Tower of London-Number of correct responses.BACS - Tower of London Correct Responses
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CL.C120982.BACS TESTFT-Brief Assessment of Cognition in Schizophrenia Test Name
(BACS TEST)
text
Extensible: No
C120982FT-Brief Assessment of Cognition in Schizophrenia Test NameBrief Assessment of Cognition in Schizophrenia test name.CDISC Functional Test BACS Test Name Terminology
BACS-Symbol Coding Raw ScoreC121061BACS-Symbol Coding Raw ScoreBrief Assessment of Cognition in Schizophrenia Questionnaire - Symbol Coding-Raw score.BACS - Symbol Coding Raw Score
BACS-Verbal Fluency TotalC121060BACS-Verbal Fluency TotalBrief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Total number of Verbal Fluency items.BACS - Verbal Fluency Total
BACS1-Category InstancesC121057BACS1-Category InstancesBrief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Category instances.BACS - Category Instances
BACS1-Letter Fluency 1C121058BACS1-Letter Fluency 1Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Letter fluency 1.BACS - Letter Fluency 1
BACS1-Letter Fluency 2C121059BACS1-Letter Fluency 2Brief Assessment of Cognition in Schizophrenia Questionnaire - Verbal Fluency-Letter fluency 2.BACS - Letter Fluency 2
BACS1-Number of Correct SequencesC121052BACS1-Number of Correct SequencesBrief Assessment of Cognition in Schizophrenia - Digit Sequencing-Number of correct sequences.BACS - Number of Correct Sequences
BACS1-Number of Items RecalledC121050BACS1-Number of Items RecalledBrief Assessment of Cognition in Schizophrenia - Verbal Memory-Number of items recalled on each trial.BACS - Number of Items Recalled
BACS1-Number of Items Recalled TotalC121051BACS1-Number of Items Recalled TotalBrief Assessment of Cognition in Schizophrenia - Verbal Memory-Total number of items recalled.BACS - Number of Items Recalled Total
BACS1-Number of Tokens Correctly PlacedC121056BACS1-Number of Tokens Correctly PlacedBrief 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 TableC121053BACS1-Number of Tokens Left on the TableBrief 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 PlacedC121055BACS1-Number Tokens Incorrectly PlacedBrief 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 ContainerC121054BACS1-Total Number Tokens in ContainerBrief 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 ResponsesC121062BACS1-Tower of London Correct ResponsesBrief Assessment of Cognition in Schizophrenia Questionnaire - Tower of London-Number of correct responses.BACS - Tower of London Correct Responses
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CL.C115390.HAI TESTCDFT-Hauser Ambulation Index Functional Test Test Code
(HAI TESTCD)
text
Extensible: No
C115390FT-Hauser Ambulation Index Functional Test Test CodeHauser Ambulation Index test code.CDISC Functional Test HAI Test Code Terminology
HAI0101C115806HAI01-Ambulation IndexHauser Ambulation Index - Ambulation index.HAI - Ambulation Index
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CL.C115389.HAI TESTFT-Hauser Ambulation Index Functional Test Test Name
(HAI TEST)
text
Extensible: No
C115389FT-Hauser Ambulation Index Functional Test Test NameHauser Ambulation Index test name.CDISC Functional Test HAI Test Name Terminology
HAI01-Ambulation IndexC115806HAI01-Ambulation IndexHauser Ambulation Index - Ambulation index.HAI - Ambulation Index
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CL.C115392.NHPT TESTCDFT-Nine-Hole Peg Functional Test Test Code
(NHPT TESTCD)
text
Extensible: No
C115392FT-Nine-Hole Peg Functional Test Test CodeNine-Hole Peg Test test code.CDISC Functional Test NHPT Test Code Terminology
NHPT0101C115807NHPT01-Time to Complete 9-Hole Peg TestNine-Hole Peg Test - Time in seconds to complete 9-Hole Peg Test.NHPT - Time to Complete 9-Hole Peg Test
NHPT0102C115808NHPT01-More Than Two AttemptsNine-Hole Peg Test - Did it take more than two attempts to get two successful trials?NHPT - More Than Two Attempts
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CL.C115391.NHPT TESTFT-Nine-Hole Peg Functional Test Test Name
(NHPT TEST)
text
Extensible: No
C115391FT-Nine-Hole Peg Functional Test Test NameNine-Hole Peg Test test name.CDISC Functional Test NHPT Test Name Terminology
NHPT01-More Than Two AttemptsC115808NHPT01-More Than Two AttemptsNine-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 TestC115807NHPT01-Time to Complete 9-Hole Peg TestNine-Hole Peg Test - Time in seconds to complete 9-Hole Peg Test.NHPT - Time to Complete 9-Hole Peg Test
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CL.C115394.PASAT TESTCDFT-Paced Auditory Serial Addition Functional Test Test Code
(PASAT TESTCD)
text
Extensible: No
C115394FT-Paced Auditory Serial Addition Functional Test Test CodePaced Auditory Serial Addition Test test code.CDISC Functional Test PASAT Test Code Terminology
PASAT101C115809PASAT1-Total CorrectPaced Auditory Serial Addition Test - Total correct.PASAT - Total Correct
PASAT102C115810PASAT1-Percent CorrectPaced Auditory Serial Addition Test - Percent correct.PASAT - Percent Correct
PASAT103C115811PASAT1-More Than One AttemptPaced Auditory Serial Addition Test - Did it take more than one attempt to get one successful trial?PASAT - More Than One Attempt
PASAT104C115812PASAT1-Total Correct in First HalfPaced Auditory Serial Addition Test - Total correct in first half.PASAT - Total Correct in First Half
PASAT105C115813PASAT1-Total Correct in Second HalfPaced Auditory Serial Addition Test - Total correct in second half.PASAT - Total Correct in Second Half
PASAT106C115814PASAT1-Total Commission ErrorsPaced Auditory Serial Addition Test - Total commission errors.PASAT - Total Commission Errors
PASAT107C115815PASAT1-Total Omission ErrorsPaced Auditory Serial Addition Test - Total omission errors.PASAT - Total Omission Errors
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CL.C115393.PASAT TESTFT-Paced Auditory Serial Addition Functional Test Test Name
(PASAT TEST)
text
Extensible: No
C115393FT-Paced Auditory Serial Addition Functional Test Test NamePaced Auditory Serial Addition Test test name.CDISC Functional Test PASAT Test Name Terminology
PASAT1-More Than One AttemptC115811PASAT1-More Than One AttemptPaced Auditory Serial Addition Test - Did it take more than one attempt to get one successful trial?PASAT - More Than One Attempt
PASAT1-Percent CorrectC115810PASAT1-Percent CorrectPaced Auditory Serial Addition Test - Percent correct.PASAT - Percent Correct
PASAT1-Total Commission ErrorsC115814PASAT1-Total Commission ErrorsPaced Auditory Serial Addition Test - Total commission errors.PASAT - Total Commission Errors
PASAT1-Total CorrectC115809PASAT1-Total CorrectPaced Auditory Serial Addition Test - Total correct.PASAT - Total Correct
PASAT1-Total Correct in First HalfC115812PASAT1-Total Correct in First HalfPaced Auditory Serial Addition Test - Total correct in first half.PASAT - Total Correct in First Half
PASAT1-Total Correct in Second HalfC115813PASAT1-Total Correct in Second HalfPaced Auditory Serial Addition Test - Total correct in second half.PASAT - Total Correct in Second Half
PASAT1-Total Omission ErrorsC115815PASAT1-Total Omission ErrorsPaced Auditory Serial Addition Test - Total omission errors.PASAT - Total Omission Errors
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CL.C115396.SDMT TESTCDFT-Symbol Digit Modalities Functional Test Test Code
(SDMT TESTCD)
text
Extensible: No
C115396FT-Symbol Digit Modalities Functional Test Test CodeSymbol Digit Modalities Test test code.CDISC Functional Test SDMT Test Code Terminology
SDMT0101C115816SDMT01-Total ScoreSymbol Digit Modalities Test - Total score.SDMT - Total Score
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CL.C115395.SDMT TESTFT-Symbol Digit Modalities Functional Test Test Name
(SDMT TEST)
text
Extensible: No
C115395FT-Symbol Digit Modalities Functional Test Test NameSymbol Digit Modalities Test test name.CDISC Functional Test SDMT Test Name Terminology
SDMT01-Total ScoreC115816SDMT01-Total ScoreSymbol Digit Modalities Test - Total score.SDMT - Total Score
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CL.C115398.T25FW TESTCDFT-Timed 25-Foot Walk Functional Test Test Code
(T25FW TESTCD)
text
Extensible: No
C115398FT-Timed 25-Foot Walk Functional Test Test CodeTimed 25-Foot Walk Test test code.CDISC Functional Test T25FW Test Code Terminology
T25FW101C115817T25FW1-Time to Complete 25-Foot WalkTimed 25-Foot Walk - Time in seconds to complete 25-foot walk.T25FW - Time to Complete 25-Foot Walk
T25FW102C115818T25FW1-More Than Two AttemptsTimed 25-Foot Walk - Did it take more than two attempts to get two successful trials?T25FW - More Than Two Attempts
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CL.C115397.T25FW TESTFT-Timed 25-Foot Walk Functional Test Test Name
(T25FW TEST)
text
Extensible: No
C115397FT-Timed 25-Foot Walk Functional Test Test NameTimed 25-Foot Walk Test test name.CDISC Functional Test T25FW Test Name Terminology
T25FW1-More Than Two AttemptsC115818T25FW1-More Than Two AttemptsTimed 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 WalkC115817T25FW1-Time to Complete 25-Foot WalkTimed 25-Foot Walk - Time in seconds to complete 25-foot walk.T25FW - Time to Complete 25-Foot Walk
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CL.C115400.TUG TESTCDFT-Timed Up and Go Functional Test Test Code
(TUG TESTCD)
text
Extensible: No
C115400FT-Timed Up and Go Functional Test Test CodeTimed Up and Go Test test code.CDISC Functional Test TUG Test Code Terminology
TUG0101C115819TUG01-Time to Complete TUG TestTimed Up and Go - Time in seconds to complete TUG test.TUG - Time to Complete TUG Test
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CL.C115399.TUG TESTFT-Timed Up and Go Functional Test Test Name
(TUG TEST)
text
Extensible: No
C115399FT-Timed Up and Go Functional Test Test NameTimed Up and Go Test test name.CDISC Functional Test TUG Test Name Terminology
TUG01-Time to Complete TUG TestC115819TUG01-Time to Complete TUG TestTimed Up and Go - Time in seconds to complete TUG test.TUG - Time to Complete TUG Test
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CL.C101805.AIMS TESTCDQS-Abnormal Involuntary Movement Scale Test Code
(AIMS TESTCD)
text
Extensible: No
C101805QS-Abnormal Involuntary Movement Scale Test CodeAbnormal Involuntary Movement Scale test code.CDISC Questionnaire AIMS Test Code Terminology
AIMS0101C102034AIMS01-Muscles of Facial ExpressionAbnormal Involuntary Movement Scale - Facial and Oral Movements, Muscles of facial expression, e.g., movements of forehead, eyebrows, periorbital area, cheeks. Include frowning, blinking, grimacing of upper face.AIMS - Muscles of Facial Expression
AIMS0102C102035AIMS01-Lips and Perioral AreaAbnormal Involuntary Movement Scale - Facial and Oral Movements, Lips and perioral area, e.g., puckering, pouting, smacking.AIMS - Lips and Perioral Area
AIMS0103C102036AIMS01-JawAbnormal Involuntary Movement Scale - Facial and Oral Movements, Jaw, e.g., biting, clenching, chewing, mouth opening, lateral movement.AIMS - Jaw
AIMS0104C102037AIMS01-TongueAbnormal Involuntary Movement Scale - Facial and Oral Movements, Tongue. Rate only increase in movement both in and out of mouth, not inability to sustain movement.AIMS - Tongue
AIMS0105C102038AIMS01-Upper ExtremitiesAbnormal Involuntary Movement Scale - Extremity Movements, Upper (arms, wrists, hands, fingers). Include movements that are choreic (rapid, objectively purposeless, irregular, spontaneous) or athetoid (slow, irregular, complex, serpentine). Do not include tremor (repetitive, regular, rhythmic movements).AIMS - Upper Extremities
AIMS0106C102039AIMS01-Lower ExtremitiesAbnormal Involuntary Movement Scale - Extremity Movements, Lower (legs, knees, ankles, toes), e.g., lateral knee movement, foot tapping, heel dropping, foot squirming, inversion and eversion of foot.AIMS - Lower Extremities
AIMS0107C102040AIMS01-Neck, Shoulders, HipsAbnormal Involuntary Movement Scale - Trunk Movements, Neck, shoulders, hips, e.g., rocking, twisting, squirming, pelvic gyrations. Include diaphragmatic movements.AIMS - Neck, Shoulders, Hips
AIMS0108C102041AIMS01-Severity of Abnormal MovementsAbnormal Involuntary Movement Scale - Global Judgments, Severity of abnormal movements, based on the highest single score on the above items.AIMS - Severity of Abnormal Movements
AIMS0109C102042AIMS01-Incapacitation due Abn MovementsAbnormal Involuntary Movement Scale - Global Judgments, Incapacitation due to abnormal movements.AIMS - Incapacitation Due to Abnormal Movements
AIMS0110C102043AIMS01-Patient Awareness Abn MovementsAbnormal Involuntary Movement Scale - Global Judgments, Patient's awareness of abnormal movements.AIMS - Patient's Awareness of Abnormal Movements
AIMS0111C102044AIMS01-Current Problems Teeth/DenturesAbnormal Involuntary Movement Scale - Dental Status, Current problems with teeth and/or dentures.AIMS - Current Teeth/Dentures Problems
AIMS0112C102045AIMS01-Patient Usually Wear DenturesAbnormal Involuntary Movement Scale - Dental Status, Does patient usually wear dentures?AIMS - Patient Usually Wears Dentures
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CL.C101806.AIMS TESTQS-Abnormal Involuntary Movement Scale Test Name
(AIMS TEST)
text
Extensible: No
C101806QS-Abnormal Involuntary Movement Scale Test NameAbnormal Involuntary Movement Scale test name.CDISC Questionnaire AIMS Test Name Terminology
AIMS01-Current Problems Teeth/DenturesC102044AIMS01-Current Problems Teeth/DenturesAbnormal Involuntary Movement Scale - Dental Status, Current problems with teeth and/or dentures.AIMS - Current Teeth/Dentures Problems
AIMS01-Incapacitation due Abn MovementsC102042AIMS01-Incapacitation due Abn MovementsAbnormal Involuntary Movement Scale - Global Judgments, Incapacitation due to abnormal movements.AIMS - Incapacitation Due to Abnormal Movements
AIMS01-JawC102036AIMS01-JawAbnormal Involuntary Movement Scale - Facial and Oral Movements, Jaw, e.g., biting, clenching, chewing, mouth opening, lateral movement.AIMS - Jaw
AIMS01-Lips and Perioral AreaC102035AIMS01-Lips and Perioral AreaAbnormal Involuntary Movement Scale - Facial and Oral Movements, Lips and perioral area, e.g., puckering, pouting, smacking.AIMS - Lips and Perioral Area
AIMS01-Lower ExtremitiesC102039AIMS01-Lower ExtremitiesAbnormal Involuntary Movement Scale - Extremity Movements, Lower (legs, knees, ankles, toes), e.g., lateral knee movement, foot tapping, heel dropping, foot squirming, inversion and eversion of foot.AIMS - Lower Extremities
AIMS01-Muscles of Facial ExpressionC102034AIMS01-Muscles of Facial ExpressionAbnormal Involuntary Movement Scale - Facial and Oral Movements, Muscles of facial expression, e.g., movements of forehead, eyebrows, periorbital area, cheeks. Include frowning, blinking, grimacing of upper face.AIMS - Muscles of Facial Expression
AIMS01-Neck, Shoulders, HipsC102040AIMS01-Neck, Shoulders, HipsAbnormal Involuntary Movement Scale - Trunk Movements, Neck, shoulders, hips, e.g., rocking, twisting, squirming, pelvic gyrations. Include diaphragmatic movements.AIMS - Neck, Shoulders, Hips
AIMS01-Patient Awareness Abn MovementsC102043AIMS01-Patient Awareness Abn MovementsAbnormal Involuntary Movement Scale - Global Judgments, Patient's awareness of abnormal movements.AIMS - Patient's Awareness of Abnormal Movements
AIMS01-Patient Usually Wear DenturesC102045AIMS01-Patient Usually Wear DenturesAbnormal Involuntary Movement Scale - Dental Status, Does patient usually wear dentures?AIMS - Patient Usually Wears Dentures
AIMS01-Severity of Abnormal MovementsC102041AIMS01-Severity of Abnormal MovementsAbnormal Involuntary Movement Scale - Global Judgments, Severity of abnormal movements, based on the highest single score on the above items.AIMS - Severity of Abnormal Movements
AIMS01-TongueC102037AIMS01-TongueAbnormal Involuntary Movement Scale - Facial and Oral Movements, Tongue. Rate only increase in movement both in and out of mouth, not inability to sustain movement.AIMS - Tongue
AIMS01-Upper ExtremitiesC102038AIMS01-Upper ExtremitiesAbnormal Involuntary Movement Scale - Extremity Movements, Upper (arms, wrists, hands, fingers). Include movements that are choreic (rapid, objectively purposeless, irregular, spontaneous) or athetoid (slow, irregular, complex, serpentine). Do not include tremor (repetitive, regular, rhythmic movements).AIMS - Upper Extremities
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CL.C101807.AVLT TESTCDQS-ADNI AVLT Test Code
(AVLT TESTCD)
text
Extensible: No
C101807QS-ADNI AVLT Test CodeADNI AVLT test code.CDISC Questionnaire ADNI AVLT Test Code Terminology
AVL01001C101896AVL01-List A Recall 1 Word 1Auditory Verbal Learning Test Version A - List A, Recall 1, Word 1.ADNI AVLT - List A Recall 1 Word 1
AVL01002C101897AVL01-List A Recall 1 Word 2Auditory Verbal Learning Test Version A - List A, Recall 1, Word 2.ADNI AVLT - List A Recall 1 Word 2
AVL01003C101898AVL01-List A Recall 1 Word 3Auditory Verbal Learning Test Version A - List A, Recall 1, Word 3.ADNI AVLT - List A Recall 1 Word 3
AVL01004C101899AVL01-List A Recall 1 Word 4Auditory Verbal Learning Test Version A - List A, Recall 1, Word 4.ADNI AVLT - List A Recall 1 Word 4
AVL01005C101900AVL01-List A Recall 1 Word 5Auditory Verbal Learning Test Version A - List A, Recall 1, Word 5.ADNI AVLT - List A Recall 1 Word 5
AVL01006C101901AVL01-List A Recall 1 Word 6Auditory Verbal Learning Test Version A - List A, Recall 1, Word 6.ADNI AVLT - List A Recall 1 Word 6
AVL01007C101902AVL01-List A Recall 1 Word 7Auditory Verbal Learning Test Version A - List A, Recall 1, Word 7.ADNI AVLT - List A Recall 1 Word 7
AVL01008C101903AVL01-List A Recall 1 Word 8Auditory Verbal Learning Test Version A - List A, Recall 1, Word 8.ADNI AVLT - List A Recall 1 Word 8
AVL01009C101904AVL01-List A Recall 1 Word 9Auditory Verbal Learning Test Version A - List A, Recall 1, Word 9.ADNI AVLT - List A Recall 1 Word 9
AVL01010C101905AVL01-List A Recall 1 Word 10Auditory Verbal Learning Test Version A - List A, Recall 1, Word 10.ADNI AVLT - List A Recall 1 Word 10
AVL01011C101906AVL01-List A Recall 1 Word 11Auditory Verbal Learning Test Version A - List A, Recall 1, Word 11.ADNI AVLT - List A Recall 1 Word 11
AVL01012C101907AVL01-List A Recall 1 Word 12Auditory Verbal Learning Test Version A - List A, Recall 1, Word 12.ADNI AVLT - List A Recall 1 Word 12
AVL01013C101908AVL01-List A Recall 1 Word 13Auditory Verbal Learning Test Version A - List A, Recall 1, Word 13.ADNI AVLT - List A Recall 1 Word 13
AVL01014C101909AVL01-List A Recall 1 Word 14Auditory Verbal Learning Test Version A - List A, Recall 1, Word 14.ADNI AVLT - List A Recall 1 Word 14
AVL01015C101910AVL01-List A Recall 1 Word 15Auditory Verbal Learning Test Version A - List A, Recall 1, Word 15.ADNI AVLT - List A Recall 1 Word 15
AVL01016C101911AVL01-List A Recall 1 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, first attempt.ADNI AVLT - List A Recall 1 Total
AVL01017C101912AVL01-List A Intrusions 1Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, first attempt.ADNI AVLT - List A Intrusions 1
AVL01018C101913AVL01-List A Recall 2 Word 1Auditory Verbal Learning Test Version A - List A, Recall 2, Word 1.ADNI AVLT - List A Recall 2 Word 1
AVL01019C101914AVL01-List A Recall 2 Word 2Auditory Verbal Learning Test Version A - List A, Recall 2, Word 2.ADNI AVLT - List A Recall 2 Word 2
AVL01020C101915AVL01-List A Recall 2 Word 3Auditory Verbal Learning Test Version A - List A, Recall 2, Word 3.ADNI AVLT - List A Recall 2 Word 3
AVL01021C101916AVL01-List A Recall 2 Word 4Auditory Verbal Learning Test Version A - List A, Recall 2, Word 4.ADNI AVLT - List A Recall 2 Word 4
AVL01022C101917AVL01-List A Recall 2 Word 5Auditory Verbal Learning Test Version A - List A, Recall 2, Word 5.ADNI AVLT - List A Recall 2 Word 5
AVL01023C101918AVL01-List A Recall 2 Word 6Auditory Verbal Learning Test Version A - List A, Recall 2, Word 6.ADNI AVLT - List A Recall 2 Word 6
AVL01024C101919AVL01-List A Recall 2 Word 7Auditory Verbal Learning Test Version A - List A, Recall 2, Word 7.ADNI AVLT - List A Recall 2 Word 7
AVL01025C101920AVL01-List A Recall 2 Word 8Auditory Verbal Learning Test Version A - List A, Recall 2, Word 8.ADNI AVLT - List A Recall 2 Word 8
AVL01026C101921AVL01-List A Recall 2 Word 9Auditory Verbal Learning Test Version A - List A, Recall 2, Word 9.ADNI AVLT - List A Recall 2 Word 9
AVL01027C101922AVL01-List A Recall 2 Word 10Auditory Verbal Learning Test Version A - List A, Recall 2, Word 10.ADNI AVLT - List A Recall 2 Word 10
AVL01028C101923AVL01-List A Recall 2 Word 11Auditory Verbal Learning Test Version A - List A, Recall 2, Word 11.ADNI AVLT - List A Recall 2 Word 11
AVL01029C101924AVL01-List A Recall 2 Word 12Auditory Verbal Learning Test Version A - List A, Recall 2, Word 12.ADNI AVLT - List A Recall 2 Word 12
AVL01030C101925AVL01-List A Recall 2 Word 13Auditory Verbal Learning Test Version A - List A, Recall 2, Word 13.ADNI AVLT - List A Recall 2 Word 13
AVL01031C101926AVL01-List A Recall 2 Word 14Auditory Verbal Learning Test Version A - List A, Recall 2, Word 14.ADNI AVLT - List A Recall 2 Word 14
AVL01032C101927AVL01-List A Recall 2 Word 15Auditory Verbal Learning Test Version A - List A, Recall 2, Word 15.ADNI AVLT - List A Recall 2 Word 15
AVL01033C101928AVL01-List A Recall 2 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, second attempt.ADNI AVLT - List A Recall 2 Total
AVL01034C101929AVL01-List A Intrusions 2Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, second attempt.ADNI AVLT - List A Intrusions 2
AVL01035C101930AVL01-List A Recall 3 Word 1Auditory Verbal Learning Test Version A - List A, Recall 3, Word 1.ADNI AVLT - List A Recall 3 Word 1
AVL01036C101931AVL01-List A Recall 3 Word 2Auditory Verbal Learning Test Version A - List A, Recall 3, Word 2.ADNI AVLT - List A Recall 3 Word 2
AVL01037C101932AVL01-List A Recall 3 Word 3Auditory Verbal Learning Test Version A - List A, Recall 3, Word 3.ADNI AVLT - List A Recall 3 Word 3
AVL01038C101933AVL01-List A Recall 3 Word 4Auditory Verbal Learning Test Version A - List A, Recall 3, Word 4.ADNI AVLT - List A Recall 3 Word 4
AVL01039C101934AVL01-List A Recall 3 Word 5Auditory Verbal Learning Test Version A - List A, Recall 3, Word 5.ADNI AVLT - List A Recall 3 Word 5
AVL01040C101935AVL01-List A Recall 3 Word 6Auditory Verbal Learning Test Version A - List A, Recall 3, Word 6.ADNI AVLT - List A Recall 3 Word 6
AVL01041C101936AVL01-List A Recall 3 Word 7Auditory Verbal Learning Test Version A - List A, Recall 3, Word 7.ADNI AVLT - List A Recall 3 Word 7
AVL01042C101937AVL01-List A Recall 3 Word 8Auditory Verbal Learning Test Version A - List A, Recall 3, Word 8.ADNI AVLT - List A Recall 3 Word 8
AVL01043C101938AVL01-List A Recall 3 Word 9Auditory Verbal Learning Test Version A - List A, Recall 3, Word 9.ADNI AVLT - List A Recall 3 Word 9
AVL01044C101939AVL01-List A Recall 3 Word 10Auditory Verbal Learning Test Version A - List A, Recall 3, Word 10.ADNI AVLT - List A Recall 3 Word 10
AVL01045C101940AVL01-List A Recall 3 Word 11Auditory Verbal Learning Test Version A - List A, Recall 3, Word 11.ADNI AVLT - List A Recall 3 Word 11
AVL01046C101941AVL01-List A Recall 3 Word 12Auditory Verbal Learning Test Version A - List A, Recall 3, Word 12.ADNI AVLT - List A Recall 3 Word 12
AVL01047C101942AVL01-List A Recall 3 Word 13Auditory Verbal Learning Test Version A - List A, Recall 3, Word 13.ADNI AVLT - List A Recall 3 Word 13
AVL01048C101943AVL01-List A Recall 3 Word 14Auditory Verbal Learning Test Version A - List A, Recall 3, Word 14.ADNI AVLT - List A Recall 3 Word 14
AVL01049C101944AVL01-List A Recall 3 Word 15Auditory Verbal Learning Test Version A - List A, Recall 3, Word 15.ADNI AVLT - List A Recall 3 Word 15
AVL01050C101945AVL01-List A Recall 3 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, third attempt.ADNI AVLT - List A Recall 3 Total
AVL01051C101946AVL01-List A Intrusions 3Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, third attempt.ADNI AVLT - List A Intrusions 3
AVL01052C101947AVL01-List A Recall 4 Word 1Auditory Verbal Learning Test Version A - List A, Recall 4, Word 1.ADNI AVLT - List A Recall 4 Word 1
AVL01053C101948AVL01-List A Recall 4 Word 2Auditory Verbal Learning Test Version A - List A, Recall 4, Word 2.ADNI AVLT - List A Recall 4 Word 2
AVL01054C101949AVL01-List A Recall 4 Word 3Auditory Verbal Learning Test Version A - List A, Recall 4, Word 3.ADNI AVLT - List A Recall 4 Word 3
AVL01055C101950AVL01-List A Recall 4 Word 4Auditory Verbal Learning Test Version A - List A, Recall 4, Word 4.ADNI AVLT - List A Recall 4 Word 4
AVL01056C101951AVL01-List A Recall 4 Word 5Auditory Verbal Learning Test Version A - List A, Recall 4, Word 5.ADNI AVLT - List A Recall 4 Word 5
AVL01057C101952AVL01-List A Recall 4 Word 6Auditory Verbal Learning Test Version A - List A, Recall 4, Word 6.ADNI AVLT - List A Recall 4 Word 6
AVL01058C101953AVL01-List A Recall 4 Word 7Auditory Verbal Learning Test Version A - List A, Recall 4, Word 7.ADNI AVLT - List A Recall 4 Word 7
AVL01059C101954AVL01-List A Recall 4 Word 8Auditory Verbal Learning Test Version A - List A, Recall 4, Word 8.ADNI AVLT - List A Recall 4 Word 8
AVL01060C101955AVL01-List A Recall 4 Word 9Auditory Verbal Learning Test Version A - List A, Recall 4, Word 9.ADNI AVLT - List A Recall 4 Word 9
AVL01061C101956AVL01-List A Recall 4 Word 10Auditory Verbal Learning Test Version A - List A, Recall 4, Word 10.ADNI AVLT - List A Recall 4 Word 10
AVL01062C101957AVL01-List A Recall 4 Word 11Auditory Verbal Learning Test Version A - List A, Recall 4, Word 11.ADNI AVLT - List A Recall 4 Word 11
AVL01063C101958AVL01-List A Recall 4 Word 12Auditory Verbal Learning Test Version A - List A, Recall 4, Word 12.ADNI AVLT - List A Recall 4 Word 12
AVL01064C101959AVL01-List A Recall 4 Word 13Auditory Verbal Learning Test Version A - List A, Recall 4, Word 13.ADNI AVLT - List A Recall 4 Word 13
AVL01065C101960AVL01-List A Recall 4 Word 14Auditory Verbal Learning Test Version A - List A, Recall 4, Word 14.ADNI AVLT - List A Recall 4 Word 14
AVL01066C101961AVL01-List A Recall 4 Word 15Auditory Verbal Learning Test Version A - List A, Recall 4, Word 15.ADNI AVLT - List A Recall 4 Word 15
AVL01067C101962AVL01-List A Recall 4 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, fourth attempt.ADNI AVLT - List A Recall 4 Total
AVL01068C101963AVL01-List A Intrusions 4Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fourth attempt.ADNI AVLT - List A Intrusions 4
AVL01069C101964AVL01-List A Recall 5 Word 1Auditory Verbal Learning Test Version A - List A, Recall 5, Word 1.ADNI AVLT - List A Recall 5 Word 1
AVL01070C101965AVL01-List A Recall 5 Word 2Auditory Verbal Learning Test Version A - List A, Recall 5, Word 2.ADNI AVLT - List A Recall 5 Word 2
AVL01071C101966AVL01-List A Recall 5 Word 3Auditory Verbal Learning Test Version A - List A, Recall 5, Word 3.ADNI AVLT - List A Recall 5 Word 3
AVL01072C101967AVL01-List A Recall 5 Word 4Auditory Verbal Learning Test Version A - List A, Recall 5, Word 4.ADNI AVLT - List A Recall 5 Word 4
AVL01073C101968AVL01-List A Recall 5 Word 5Auditory Verbal Learning Test Version A - List A, Recall 5, Word 5.ADNI AVLT - List A Recall 5 Word 5
AVL01074C101969AVL01-List A Recall 5 Word 6Auditory Verbal Learning Test Version A - List A, Recall 5, Word 6.ADNI AVLT - List A Recall 5 Word 6
AVL01075C101970AVL01-List A Recall 5 Word 7Auditory Verbal Learning Test Version A - List A, Recall 5, Word 7.ADNI AVLT - List A Recall 5 Word 7
AVL01076C101971AVL01-List A Recall 5 Word 8Auditory Verbal Learning Test Version A - List A, Recall 5, Word 8.ADNI AVLT - List A Recall 5 Word 8
AVL01077C101972AVL01-List A Recall 5 Word 9Auditory Verbal Learning Test Version A - List A, Recall 5, Word 9.ADNI AVLT - List A Recall 5 Word 9
AVL01078C101973AVL01-List A Recall 5 Word 10Auditory Verbal Learning Test Version A - List A, Recall 5, Word 10.ADNI AVLT - List A Recall 5 Word 10
AVL01079C101974AVL01-List A Recall 5 Word 11Auditory Verbal Learning Test Version A - List A, Recall 5, Word 11.ADNI AVLT - List A Recall 5 Word 11
AVL01080C101975AVL01-List A Recall 5 Word 12Auditory Verbal Learning Test Version A - List A, Recall 5, Word 12.ADNI AVLT - List A Recall 5 Word 12
AVL01081C101976AVL01-List A Recall 5 Word 13Auditory Verbal Learning Test Version A - List A, Recall 5, Word 13.ADNI AVLT - List A Recall 5 Word 13
AVL01082C101977AVL01-List A Recall 5 Word 14Auditory Verbal Learning Test Version A - List A, Recall 5, Word 14.ADNI AVLT - List A Recall 5 Word 14
AVL01083C101978AVL01-List A Recall 5 Word 15Auditory Verbal Learning Test Version A - List A, Recall 5, Word 15.ADNI AVLT - List A Recall 5 Word 15
AVL01084C101979AVL01-List A Recall 5 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, fifth attempt.ADNI AVLT - List A Recall 5 Total
AVL01085C101980AVL01-List A Intrusions 5Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fifth attempt.ADNI AVLT - List A Intrusions 5
AVL01086C101981AVL01-List A Recall 6 (After B) Word 1Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 1.ADNI AVLT - List A Recall 6 (After B) Word 1
AVL01087C101982AVL01-List A Recall 6 (After B) Word 2Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 2.ADNI AVLT - List A Recall 6 (After B) Word 2
AVL01088C101983AVL01-List A Recall 6 (After B) Word 3Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 3.ADNI AVLT - List A Recall 6 (After B) Word 3
AVL01089C101984AVL01-List A Recall 6 (After B) Word 4Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 4.ADNI AVLT - List A Recall 6 (After B) Word 4
AVL01090C101985AVL01-List A Recall 6 (After B) Word 5Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 5.ADNI AVLT - List A Recall 6 (After B) Word 5
AVL01091C101986AVL01-List A Recall 6 (After B) Word 6Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 6.ADNI AVLT - List A Recall 6 (After B) Word 6
AVL01092C101987AVL01-List A Recall 6 (After B) Word 7Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 7.ADNI AVLT - List A Recall 6 (After B) Word 7
AVL01093C101988AVL01-List A Recall 6 (After B) Word 8Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 8.ADNI AVLT - List A Recall 6 (After B) Word 8
AVL01094C101989AVL01-List A Recall 6 (After B) Word 9Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 9.ADNI AVLT - List A Recall 6 (After B) Word 9
AVL01095C101990AVL01-List A Recall 6 (After B) Word 10Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 10.ADNI AVLT - List A Recall 6 (After B) Word 10
AVL01096C101991AVL01-List A Recall 6 (After B) Word 11Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 11.ADNI AVLT - List A Recall 6 (After B) Word 11
AVL01097C101992AVL01-List A Recall 6 (After B) Word 12Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 12.ADNI AVLT - List A Recall 6 (After B) Word 12
AVL01098C101993AVL01-List A Recall 6 (After B) Word 13Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 13.ADNI AVLT - List A Recall 6 (After B) Word 13
AVL01099C101994AVL01-List A Recall 6 (After B) Word 14Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 14.ADNI AVLT - List A Recall 6 (After B) Word 14
AVL01100C101995AVL01-List A Recall 6 (After B) Word 15Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 15.ADNI AVLT - List A Recall 6 (After B) Word 15
AVL01101C101996AVL01-List A Recall 6 (After B) TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, sixth attempt (after List B recall).ADNI AVLT - List A Recall 6 (After B) Total
AVL01102C101997AVL01-List A Intrusions 6Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, sixth attempt (after List B recall).ADNI AVLT - List A Intrusions 6
AVL01103C101998AVL01-List B Recall Word 1Auditory Verbal Learning Test Version A - List B, Word 1.ADNI AVLT - List B Recall Word 1
AVL01104C101999AVL01-List B Recall Word 2Auditory Verbal Learning Test Version A - List B, Word 2.ADNI AVLT - List B Recall Word 2
AVL01105C102000AVL01-List B Recall Word 3Auditory Verbal Learning Test Version A - List B, Word 3.ADNI AVLT - List B Recall Word 3
AVL01106C102001AVL01-List B Recall Word 4Auditory Verbal Learning Test Version A - List B, Word 4.ADNI AVLT - List B Recall Word 4
AVL01107C102002AVL01-List B Recall Word 5Auditory Verbal Learning Test Version A - List B, Word 5.ADNI AVLT - List B Recall Word 5
AVL01108C102003AVL01-List B Recall Word 6Auditory Verbal Learning Test Version A - List B, Word 6.ADNI AVLT - List B Recall Word 6
AVL01109C102004AVL01-List B Recall Word 7Auditory Verbal Learning Test Version A - List B, Word 7.ADNI AVLT - List B Recall Word 7
AVL01110C102005AVL01-List B Recall Word 8Auditory Verbal Learning Test Version A - List B, Word 8.ADNI AVLT - List B Recall Word 8
AVL01111C102006AVL01-List B Recall Word 9Auditory Verbal Learning Test Version A - List B, Word 9.ADNI AVLT - List B Recall Word 9
AVL01112C102007AVL01-List B Recall Word 10Auditory Verbal Learning Test Version A - List B, Word 10.ADNI AVLT - List B Recall Word 10
AVL01113C102008AVL01-List B Recall Word 11Auditory Verbal Learning Test Version A - List B, Word 11.ADNI AVLT - List B Recall Word 11
AVL01114C102009AVL01-List B Recall Word 12Auditory Verbal Learning Test Version A - List B, Word 12.ADNI AVLT - List B Recall Word 12
AVL01115C102010AVL01-List B Recall Word 13Auditory Verbal Learning Test Version A - List B, Word 13.ADNI AVLT - List B Recall Word 13
AVL01116C102011AVL01-List B Recall Word 14Auditory Verbal Learning Test Version A - List B, Word 14.ADNI AVLT - List B Recall Word 14
AVL01117C102012AVL01-List B Recall Word 15Auditory Verbal Learning Test Version A - List B, Word 15.ADNI AVLT - List B Recall Word 15
AVL01118C102013AVL01-List B Recall TotalAuditory Verbal Learning Test Version A - The number of words recalled from List B.ADNI AVLT - List B Recall Total
AVL01119C102014AVL01-List B IntrusionsAuditory Verbal Learning Test Version A - The number of intrusions while recalling List B.ADNI AVLT - List B Intrusions
AVL01120C102015AVL01-List A 30 Min Delay Recall Word 1Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 1.ADNI AVLT - List A 30 Min Delay Recall Word 1
AVL01121C102016AVL01-List A 30 Min Delay Recall Word 2Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 2.ADNI AVLT - List A 30 Min Delay Recall Word 2
AVL01122C102017AVL01-List A 30 Min Delay Recall Word 3Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 3.ADNI AVLT - List A 30 Min Delay Recall Word 3
AVL01123C102018AVL01-List A 30 Min Delay Recall Word 4Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 4.ADNI AVLT - List A 30 Min Delay Recall Word 4
AVL01124C102019AVL01-List A 30 Min Delay Recall Word 5Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 5.ADNI AVLT - List A 30 Min Delay Recall Word 5
AVL01125C102020AVL01-List A 30 Min Delay Recall Word 6Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 6.ADNI AVLT - List A 30 Min Delay Recall Word 6
AVL01126C102021AVL01-List A 30 Min Delay Recall Word 7Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 7.ADNI AVLT - List A 30 Min Delay Recall Word 7
AVL01127C102022AVL01-List A 30 Min Delay Recall Word 8Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 8.ADNI AVLT - List A 30 Min Delay Recall Word 8
AVL01128C102023AVL01-List A 30 Min Delay Recall Word 9Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 9.ADNI AVLT - List A 30 Min Delay Recall Word 9
AVL01129C102024AVL01-List A 30 Min Delay Recall Word 10Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 10.ADNI AVLT - List A 30 Min Delay Recall Word 10
AVL01130C102025AVL01-List A 30 Min Delay Recall Word 11Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 11.ADNI AVLT - List A 30 Min Delay Recall Word 11
AVL01131C102026AVL01-List A 30 Min Delay Recall Word 12Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 12.ADNI AVLT - List A 30 Min Delay Recall Word 12
AVL01132C102027AVL01-List A 30 Min Delay Recall Word 13Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 13.ADNI AVLT - List A 30 Min Delay Recall Word 13
AVL01133C102028AVL01-List A 30 Min Delay Recall Word 14Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 14.ADNI AVLT - List A 30 Min Delay Recall Word 14
AVL01134C102029AVL01-List A 30 Min Delay Recall Word 15Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 15.ADNI AVLT - List A 30 Min Delay Recall Word 15
AVL01135C102030AVL01-List A 30 Min Delay Recall TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, 30 Minute Delay recall.ADNI AVLT - List A 30 Min Delay Recall Total
AVL01136C102031AVL01-List A 30 Min Delay IntrusionsAuditory Verbal Learning Test Version A - The number of intrusions while recalling List A, 30 Minute Delay.ADNI AVLT - List A 30 Min Delay Intrusions
AVL01137C102032AVL01-List A Recognition TotalAuditory Verbal Learning Test Version A - The number of words correct on recognition test.ADNI AVLT - List A Recognition Total
AVL01138C102033AVL01-List A Recognition IntrusionsAuditory Verbal Learning Test Version A - The number of intrusions on recognition test.ADNI AVLT - List A Recognition Intrusions
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CL.C101808.AVLT TESTQS-ADNI AVLT Test Name
(AVLT TEST)
text
Extensible: No
C101808QS-ADNI AVLT Test NameADNI AVLT test name.CDISC Questionnaire ADNI AVLT Test Name Terminology
AVL01-List A 30 Min Delay IntrusionsC102031AVL01-List A 30 Min Delay IntrusionsAuditory Verbal Learning Test Version A - The number of intrusions while recalling List A, 30 Minute Delay.ADNI AVLT - List A 30 Min Delay Intrusions
AVL01-List A 30 Min Delay Recall TotalC102030AVL01-List A 30 Min Delay Recall TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, 30 Minute Delay recall.ADNI AVLT - List A 30 Min Delay Recall Total
AVL01-List A 30 Min Delay Recall Word 1C102015AVL01-List A 30 Min Delay Recall Word 1Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 1.ADNI AVLT - List A 30 Min Delay Recall Word 1
AVL01-List A 30 Min Delay Recall Word 10C102024AVL01-List A 30 Min Delay Recall Word 10Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 10.ADNI AVLT - List A 30 Min Delay Recall Word 10
AVL01-List A 30 Min Delay Recall Word 11C102025AVL01-List A 30 Min Delay Recall Word 11Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 11.ADNI AVLT - List A 30 Min Delay Recall Word 11
AVL01-List A 30 Min Delay Recall Word 12C102026AVL01-List A 30 Min Delay Recall Word 12Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 12.ADNI AVLT - List A 30 Min Delay Recall Word 12
AVL01-List A 30 Min Delay Recall Word 13C102027AVL01-List A 30 Min Delay Recall Word 13Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 13.ADNI AVLT - List A 30 Min Delay Recall Word 13
AVL01-List A 30 Min Delay Recall Word 14C102028AVL01-List A 30 Min Delay Recall Word 14Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 14.ADNI AVLT - List A 30 Min Delay Recall Word 14
AVL01-List A 30 Min Delay Recall Word 15C102029AVL01-List A 30 Min Delay Recall Word 15Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 15.ADNI AVLT - List A 30 Min Delay Recall Word 15
AVL01-List A 30 Min Delay Recall Word 2C102016AVL01-List A 30 Min Delay Recall Word 2Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 2.ADNI AVLT - List A 30 Min Delay Recall Word 2
AVL01-List A 30 Min Delay Recall Word 3C102017AVL01-List A 30 Min Delay Recall Word 3Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 3.ADNI AVLT - List A 30 Min Delay Recall Word 3
AVL01-List A 30 Min Delay Recall Word 4C102018AVL01-List A 30 Min Delay Recall Word 4Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 4.ADNI AVLT - List A 30 Min Delay Recall Word 4
AVL01-List A 30 Min Delay Recall Word 5C102019AVL01-List A 30 Min Delay Recall Word 5Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 5.ADNI AVLT - List A 30 Min Delay Recall Word 5
AVL01-List A 30 Min Delay Recall Word 6C102020AVL01-List A 30 Min Delay Recall Word 6Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 6.ADNI AVLT - List A 30 Min Delay Recall Word 6
AVL01-List A 30 Min Delay Recall Word 7C102021AVL01-List A 30 Min Delay Recall Word 7Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 7.ADNI AVLT - List A 30 Min Delay Recall Word 7
AVL01-List A 30 Min Delay Recall Word 8C102022AVL01-List A 30 Min Delay Recall Word 8Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 8.ADNI AVLT - List A 30 Min Delay Recall Word 8
AVL01-List A 30 Min Delay Recall Word 9C102023AVL01-List A 30 Min Delay Recall Word 9Auditory Verbal Learning Test Version A - List A, 30 Minute Delay Recall, Word 9.ADNI AVLT - List A 30 Min Delay Recall Word 9
AVL01-List A Intrusions 1C101912AVL01-List A Intrusions 1Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, first attempt.ADNI AVLT - List A Intrusions 1
AVL01-List A Intrusions 2C101929AVL01-List A Intrusions 2Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, second attempt.ADNI AVLT - List A Intrusions 2
AVL01-List A Intrusions 3C101946AVL01-List A Intrusions 3Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, third attempt.ADNI AVLT - List A Intrusions 3
AVL01-List A Intrusions 4C101963AVL01-List A Intrusions 4Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fourth attempt.ADNI AVLT - List A Intrusions 4
AVL01-List A Intrusions 5C101980AVL01-List A Intrusions 5Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, fifth attempt.ADNI AVLT - List A Intrusions 5
AVL01-List A Intrusions 6C101997AVL01-List A Intrusions 6Auditory Verbal Learning Test Version A - The number of intrusions while recalling List A, sixth attempt (after List B recall).ADNI AVLT - List A Intrusions 6
AVL01-List A Recall 1 TotalC101911AVL01-List A Recall 1 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, first attempt.ADNI AVLT - List A Recall 1 Total
AVL01-List A Recall 1 Word 1C101896AVL01-List A Recall 1 Word 1Auditory Verbal Learning Test Version A - List A, Recall 1, Word 1.ADNI AVLT - List A Recall 1 Word 1
AVL01-List A Recall 1 Word 10C101905AVL01-List A Recall 1 Word 10Auditory Verbal Learning Test Version A - List A, Recall 1, Word 10.ADNI AVLT - List A Recall 1 Word 10
AVL01-List A Recall 1 Word 11C101906AVL01-List A Recall 1 Word 11Auditory Verbal Learning Test Version A - List A, Recall 1, Word 11.ADNI AVLT - List A Recall 1 Word 11
AVL01-List A Recall 1 Word 12C101907AVL01-List A Recall 1 Word 12Auditory Verbal Learning Test Version A - List A, Recall 1, Word 12.ADNI AVLT - List A Recall 1 Word 12
AVL01-List A Recall 1 Word 13C101908AVL01-List A Recall 1 Word 13Auditory Verbal Learning Test Version A - List A, Recall 1, Word 13.ADNI AVLT - List A Recall 1 Word 13
AVL01-List A Recall 1 Word 14C101909AVL01-List A Recall 1 Word 14Auditory Verbal Learning Test Version A - List A, Recall 1, Word 14.ADNI AVLT - List A Recall 1 Word 14
AVL01-List A Recall 1 Word 15C101910AVL01-List A Recall 1 Word 15Auditory Verbal Learning Test Version A - List A, Recall 1, Word 15.ADNI AVLT - List A Recall 1 Word 15
AVL01-List A Recall 1 Word 2C101897AVL01-List A Recall 1 Word 2Auditory Verbal Learning Test Version A - List A, Recall 1, Word 2.ADNI AVLT - List A Recall 1 Word 2
AVL01-List A Recall 1 Word 3C101898AVL01-List A Recall 1 Word 3Auditory Verbal Learning Test Version A - List A, Recall 1, Word 3.ADNI AVLT - List A Recall 1 Word 3
AVL01-List A Recall 1 Word 4C101899AVL01-List A Recall 1 Word 4Auditory Verbal Learning Test Version A - List A, Recall 1, Word 4.ADNI AVLT - List A Recall 1 Word 4
AVL01-List A Recall 1 Word 5C101900AVL01-List A Recall 1 Word 5Auditory Verbal Learning Test Version A - List A, Recall 1, Word 5.ADNI AVLT - List A Recall 1 Word 5
AVL01-List A Recall 1 Word 6C101901AVL01-List A Recall 1 Word 6Auditory Verbal Learning Test Version A - List A, Recall 1, Word 6.ADNI AVLT - List A Recall 1 Word 6
AVL01-List A Recall 1 Word 7C101902AVL01-List A Recall 1 Word 7Auditory Verbal Learning Test Version A - List A, Recall 1, Word 7.ADNI AVLT - List A Recall 1 Word 7
AVL01-List A Recall 1 Word 8C101903AVL01-List A Recall 1 Word 8Auditory Verbal Learning Test Version A - List A, Recall 1, Word 8.ADNI AVLT - List A Recall 1 Word 8
AVL01-List A Recall 1 Word 9C101904AVL01-List A Recall 1 Word 9Auditory Verbal Learning Test Version A - List A, Recall 1, Word 9.ADNI AVLT - List A Recall 1 Word 9
AVL01-List A Recall 2 TotalC101928AVL01-List A Recall 2 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, second attempt.ADNI AVLT - List A Recall 2 Total
AVL01-List A Recall 2 Word 1C101913AVL01-List A Recall 2 Word 1Auditory Verbal Learning Test Version A - List A, Recall 2, Word 1.ADNI AVLT - List A Recall 2 Word 1
AVL01-List A Recall 2 Word 10C101922AVL01-List A Recall 2 Word 10Auditory Verbal Learning Test Version A - List A, Recall 2, Word 10.ADNI AVLT - List A Recall 2 Word 10
AVL01-List A Recall 2 Word 11C101923AVL01-List A Recall 2 Word 11Auditory Verbal Learning Test Version A - List A, Recall 2, Word 11.ADNI AVLT - List A Recall 2 Word 11
AVL01-List A Recall 2 Word 12C101924AVL01-List A Recall 2 Word 12Auditory Verbal Learning Test Version A - List A, Recall 2, Word 12.ADNI AVLT - List A Recall 2 Word 12
AVL01-List A Recall 2 Word 13C101925AVL01-List A Recall 2 Word 13Auditory Verbal Learning Test Version A - List A, Recall 2, Word 13.ADNI AVLT - List A Recall 2 Word 13
AVL01-List A Recall 2 Word 14C101926AVL01-List A Recall 2 Word 14Auditory Verbal Learning Test Version A - List A, Recall 2, Word 14.ADNI AVLT - List A Recall 2 Word 14
AVL01-List A Recall 2 Word 15C101927AVL01-List A Recall 2 Word 15Auditory Verbal Learning Test Version A - List A, Recall 2, Word 15.ADNI AVLT - List A Recall 2 Word 15
AVL01-List A Recall 2 Word 2C101914AVL01-List A Recall 2 Word 2Auditory Verbal Learning Test Version A - List A, Recall 2, Word 2.ADNI AVLT - List A Recall 2 Word 2
AVL01-List A Recall 2 Word 3C101915AVL01-List A Recall 2 Word 3Auditory Verbal Learning Test Version A - List A, Recall 2, Word 3.ADNI AVLT - List A Recall 2 Word 3
AVL01-List A Recall 2 Word 4C101916AVL01-List A Recall 2 Word 4Auditory Verbal Learning Test Version A - List A, Recall 2, Word 4.ADNI AVLT - List A Recall 2 Word 4
AVL01-List A Recall 2 Word 5C101917AVL01-List A Recall 2 Word 5Auditory Verbal Learning Test Version A - List A, Recall 2, Word 5.ADNI AVLT - List A Recall 2 Word 5
AVL01-List A Recall 2 Word 6C101918AVL01-List A Recall 2 Word 6Auditory Verbal Learning Test Version A - List A, Recall 2, Word 6.ADNI AVLT - List A Recall 2 Word 6
AVL01-List A Recall 2 Word 7C101919AVL01-List A Recall 2 Word 7Auditory Verbal Learning Test Version A - List A, Recall 2, Word 7.ADNI AVLT - List A Recall 2 Word 7
AVL01-List A Recall 2 Word 8C101920AVL01-List A Recall 2 Word 8Auditory Verbal Learning Test Version A - List A, Recall 2, Word 8.ADNI AVLT - List A Recall 2 Word 8
AVL01-List A Recall 2 Word 9C101921AVL01-List A Recall 2 Word 9Auditory Verbal Learning Test Version A - List A, Recall 2, Word 9.ADNI AVLT - List A Recall 2 Word 9
AVL01-List A Recall 3 TotalC101945AVL01-List A Recall 3 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, third attempt.ADNI AVLT - List A Recall 3 Total
AVL01-List A Recall 3 Word 1C101930AVL01-List A Recall 3 Word 1Auditory Verbal Learning Test Version A - List A, Recall 3, Word 1.ADNI AVLT - List A Recall 3 Word 1
AVL01-List A Recall 3 Word 10C101939AVL01-List A Recall 3 Word 10Auditory Verbal Learning Test Version A - List A, Recall 3, Word 10.ADNI AVLT - List A Recall 3 Word 10
AVL01-List A Recall 3 Word 11C101940AVL01-List A Recall 3 Word 11Auditory Verbal Learning Test Version A - List A, Recall 3, Word 11.ADNI AVLT - List A Recall 3 Word 11
AVL01-List A Recall 3 Word 12C101941AVL01-List A Recall 3 Word 12Auditory Verbal Learning Test Version A - List A, Recall 3, Word 12.ADNI AVLT - List A Recall 3 Word 12
AVL01-List A Recall 3 Word 13C101942AVL01-List A Recall 3 Word 13Auditory Verbal Learning Test Version A - List A, Recall 3, Word 13.ADNI AVLT - List A Recall 3 Word 13
AVL01-List A Recall 3 Word 14C101943AVL01-List A Recall 3 Word 14Auditory Verbal Learning Test Version A - List A, Recall 3, Word 14.ADNI AVLT - List A Recall 3 Word 14
AVL01-List A Recall 3 Word 15C101944AVL01-List A Recall 3 Word 15Auditory Verbal Learning Test Version A - List A, Recall 3, Word 15.ADNI AVLT - List A Recall 3 Word 15
AVL01-List A Recall 3 Word 2C101931AVL01-List A Recall 3 Word 2Auditory Verbal Learning Test Version A - List A, Recall 3, Word 2.ADNI AVLT - List A Recall 3 Word 2
AVL01-List A Recall 3 Word 3C101932AVL01-List A Recall 3 Word 3Auditory Verbal Learning Test Version A - List A, Recall 3, Word 3.ADNI AVLT - List A Recall 3 Word 3
AVL01-List A Recall 3 Word 4C101933AVL01-List A Recall 3 Word 4Auditory Verbal Learning Test Version A - List A, Recall 3, Word 4.ADNI AVLT - List A Recall 3 Word 4
AVL01-List A Recall 3 Word 5C101934AVL01-List A Recall 3 Word 5Auditory Verbal Learning Test Version A - List A, Recall 3, Word 5.ADNI AVLT - List A Recall 3 Word 5
AVL01-List A Recall 3 Word 6C101935AVL01-List A Recall 3 Word 6Auditory Verbal Learning Test Version A - List A, Recall 3, Word 6.ADNI AVLT - List A Recall 3 Word 6
AVL01-List A Recall 3 Word 7C101936AVL01-List A Recall 3 Word 7Auditory Verbal Learning Test Version A - List A, Recall 3, Word 7.ADNI AVLT - List A Recall 3 Word 7
AVL01-List A Recall 3 Word 8C101937AVL01-List A Recall 3 Word 8Auditory Verbal Learning Test Version A - List A, Recall 3, Word 8.ADNI AVLT - List A Recall 3 Word 8
AVL01-List A Recall 3 Word 9C101938AVL01-List A Recall 3 Word 9Auditory Verbal Learning Test Version A - List A, Recall 3, Word 9.ADNI AVLT - List A Recall 3 Word 9
AVL01-List A Recall 4 TotalC101962AVL01-List A Recall 4 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, fourth attempt.ADNI AVLT - List A Recall 4 Total
AVL01-List A Recall 4 Word 1C101947AVL01-List A Recall 4 Word 1Auditory Verbal Learning Test Version A - List A, Recall 4, Word 1.ADNI AVLT - List A Recall 4 Word 1
AVL01-List A Recall 4 Word 10C101956AVL01-List A Recall 4 Word 10Auditory Verbal Learning Test Version A - List A, Recall 4, Word 10.ADNI AVLT - List A Recall 4 Word 10
AVL01-List A Recall 4 Word 11C101957AVL01-List A Recall 4 Word 11Auditory Verbal Learning Test Version A - List A, Recall 4, Word 11.ADNI AVLT - List A Recall 4 Word 11
AVL01-List A Recall 4 Word 12C101958AVL01-List A Recall 4 Word 12Auditory Verbal Learning Test Version A - List A, Recall 4, Word 12.ADNI AVLT - List A Recall 4 Word 12
AVL01-List A Recall 4 Word 13C101959AVL01-List A Recall 4 Word 13Auditory Verbal Learning Test Version A - List A, Recall 4, Word 13.ADNI AVLT - List A Recall 4 Word 13
AVL01-List A Recall 4 Word 14C101960AVL01-List A Recall 4 Word 14Auditory Verbal Learning Test Version A - List A, Recall 4, Word 14.ADNI AVLT - List A Recall 4 Word 14
AVL01-List A Recall 4 Word 15C101961AVL01-List A Recall 4 Word 15Auditory Verbal Learning Test Version A - List A, Recall 4, Word 15.ADNI AVLT - List A Recall 4 Word 15
AVL01-List A Recall 4 Word 2C101948AVL01-List A Recall 4 Word 2Auditory Verbal Learning Test Version A - List A, Recall 4, Word 2.ADNI AVLT - List A Recall 4 Word 2
AVL01-List A Recall 4 Word 3C101949AVL01-List A Recall 4 Word 3Auditory Verbal Learning Test Version A - List A, Recall 4, Word 3.ADNI AVLT - List A Recall 4 Word 3
AVL01-List A Recall 4 Word 4C101950AVL01-List A Recall 4 Word 4Auditory Verbal Learning Test Version A - List A, Recall 4, Word 4.ADNI AVLT - List A Recall 4 Word 4
AVL01-List A Recall 4 Word 5C101951AVL01-List A Recall 4 Word 5Auditory Verbal Learning Test Version A - List A, Recall 4, Word 5.ADNI AVLT - List A Recall 4 Word 5
AVL01-List A Recall 4 Word 6C101952AVL01-List A Recall 4 Word 6Auditory Verbal Learning Test Version A - List A, Recall 4, Word 6.ADNI AVLT - List A Recall 4 Word 6
AVL01-List A Recall 4 Word 7C101953AVL01-List A Recall 4 Word 7Auditory Verbal Learning Test Version A - List A, Recall 4, Word 7.ADNI AVLT - List A Recall 4 Word 7
AVL01-List A Recall 4 Word 8C101954AVL01-List A Recall 4 Word 8Auditory Verbal Learning Test Version A - List A, Recall 4, Word 8.ADNI AVLT - List A Recall 4 Word 8
AVL01-List A Recall 4 Word 9C101955AVL01-List A Recall 4 Word 9Auditory Verbal Learning Test Version A - List A, Recall 4, Word 9.ADNI AVLT - List A Recall 4 Word 9
AVL01-List A Recall 5 TotalC101979AVL01-List A Recall 5 TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, fifth attempt.ADNI AVLT - List A Recall 5 Total
AVL01-List A Recall 5 Word 1C101964AVL01-List A Recall 5 Word 1Auditory Verbal Learning Test Version A - List A, Recall 5, Word 1.ADNI AVLT - List A Recall 5 Word 1
AVL01-List A Recall 5 Word 10C101973AVL01-List A Recall 5 Word 10Auditory Verbal Learning Test Version A - List A, Recall 5, Word 10.ADNI AVLT - List A Recall 5 Word 10
AVL01-List A Recall 5 Word 11C101974AVL01-List A Recall 5 Word 11Auditory Verbal Learning Test Version A - List A, Recall 5, Word 11.ADNI AVLT - List A Recall 5 Word 11
AVL01-List A Recall 5 Word 12C101975AVL01-List A Recall 5 Word 12Auditory Verbal Learning Test Version A - List A, Recall 5, Word 12.ADNI AVLT - List A Recall 5 Word 12
AVL01-List A Recall 5 Word 13C101976AVL01-List A Recall 5 Word 13Auditory Verbal Learning Test Version A - List A, Recall 5, Word 13.ADNI AVLT - List A Recall 5 Word 13
AVL01-List A Recall 5 Word 14C101977AVL01-List A Recall 5 Word 14Auditory Verbal Learning Test Version A - List A, Recall 5, Word 14.ADNI AVLT - List A Recall 5 Word 14
AVL01-List A Recall 5 Word 15C101978AVL01-List A Recall 5 Word 15Auditory Verbal Learning Test Version A - List A, Recall 5, Word 15.ADNI AVLT - List A Recall 5 Word 15
AVL01-List A Recall 5 Word 2C101965AVL01-List A Recall 5 Word 2Auditory Verbal Learning Test Version A - List A, Recall 5, Word 2.ADNI AVLT - List A Recall 5 Word 2
AVL01-List A Recall 5 Word 3C101966AVL01-List A Recall 5 Word 3Auditory Verbal Learning Test Version A - List A, Recall 5, Word 3.ADNI AVLT - List A Recall 5 Word 3
AVL01-List A Recall 5 Word 4C101967AVL01-List A Recall 5 Word 4Auditory Verbal Learning Test Version A - List A, Recall 5, Word 4.ADNI AVLT - List A Recall 5 Word 4
AVL01-List A Recall 5 Word 5C101968AVL01-List A Recall 5 Word 5Auditory Verbal Learning Test Version A - List A, Recall 5, Word 5.ADNI AVLT - List A Recall 5 Word 5
AVL01-List A Recall 5 Word 6C101969AVL01-List A Recall 5 Word 6Auditory Verbal Learning Test Version A - List A, Recall 5, Word 6.ADNI AVLT - List A Recall 5 Word 6
AVL01-List A Recall 5 Word 7C101970AVL01-List A Recall 5 Word 7Auditory Verbal Learning Test Version A - List A, Recall 5, Word 7.ADNI AVLT - List A Recall 5 Word 7
AVL01-List A Recall 5 Word 8C101971AVL01-List A Recall 5 Word 8Auditory Verbal Learning Test Version A - List A, Recall 5, Word 8.ADNI AVLT - List A Recall 5 Word 8
AVL01-List A Recall 5 Word 9C101972AVL01-List A Recall 5 Word 9Auditory Verbal Learning Test Version A - List A, Recall 5, Word 9.ADNI AVLT - List A Recall 5 Word 9
AVL01-List A Recall 6 (After B) TotalC101996AVL01-List A Recall 6 (After B) TotalAuditory Verbal Learning Test Version A - The number of words recalled from List A, sixth attempt (after List B recall).ADNI AVLT - List A Recall 6 (After B) Total
AVL01-List A Recall 6 (After B) Word 1C101981AVL01-List A Recall 6 (After B) Word 1Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 1.ADNI AVLT - List A Recall 6 (After B) Word 1
AVL01-List A Recall 6 (After B) Word 10C101990AVL01-List A Recall 6 (After B) Word 10Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 10.ADNI AVLT - List A Recall 6 (After B) Word 10
AVL01-List A Recall 6 (After B) Word 11C101991AVL01-List A Recall 6 (After B) Word 11Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 11.ADNI AVLT - List A Recall 6 (After B) Word 11
AVL01-List A Recall 6 (After B) Word 12C101992AVL01-List A Recall 6 (After B) Word 12Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 12.ADNI AVLT - List A Recall 6 (After B) Word 12
AVL01-List A Recall 6 (After B) Word 13C101993AVL01-List A Recall 6 (After B) Word 13Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 13.ADNI AVLT - List A Recall 6 (After B) Word 13
AVL01-List A Recall 6 (After B) Word 14C101994AVL01-List A Recall 6 (After B) Word 14Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 14.ADNI AVLT - List A Recall 6 (After B) Word 14
AVL01-List A Recall 6 (After B) Word 15C101995AVL01-List A Recall 6 (After B) Word 15Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 15.ADNI AVLT - List A Recall 6 (After B) Word 15
AVL01-List A Recall 6 (After B) Word 2C101982AVL01-List A Recall 6 (After B) Word 2Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 2.ADNI AVLT - List A Recall 6 (After B) Word 2
AVL01-List A Recall 6 (After B) Word 3C101983AVL01-List A Recall 6 (After B) Word 3Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 3.ADNI AVLT - List A Recall 6 (After B) Word 3
AVL01-List A Recall 6 (After B) Word 4C101984AVL01-List A Recall 6 (After B) Word 4Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 4.ADNI AVLT - List A Recall 6 (After B) Word 4
AVL01-List A Recall 6 (After B) Word 5C101985AVL01-List A Recall 6 (After B) Word 5Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 5.ADNI AVLT - List A Recall 6 (After B) Word 5
AVL01-List A Recall 6 (After B) Word 6C101986AVL01-List A Recall 6 (After B) Word 6Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 6.ADNI AVLT - List A Recall 6 (After B) Word 6
AVL01-List A Recall 6 (After B) Word 7C101987AVL01-List A Recall 6 (After B) Word 7Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 7.ADNI AVLT - List A Recall 6 (After B) Word 7
AVL01-List A Recall 6 (After B) Word 8C101988AVL01-List A Recall 6 (After B) Word 8Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 8.ADNI AVLT - List A Recall 6 (After B) Word 8
AVL01-List A Recall 6 (After B) Word 9C101989AVL01-List A Recall 6 (After B) Word 9Auditory Verbal Learning Test Version A - List A, Recall 6 (after B Recall), Word 9.ADNI AVLT - List A Recall 6 (After B) Word 9
AVL01-List A Recognition IntrusionsC102033AVL01-List A Recognition IntrusionsAuditory Verbal Learning Test Version A - The number of intrusions on recognition test.ADNI AVLT - List A Recognition Intrusions
AVL01-List A Recognition TotalC102032AVL01-List A Recognition TotalAuditory Verbal Learning Test Version A - The number of words correct on recognition test.ADNI AVLT - List A Recognition Total
AVL01-List B IntrusionsC102014AVL01-List B IntrusionsAuditory Verbal Learning Test Version A - The number of intrusions while recalling List B.ADNI AVLT - List B Intrusions
AVL01-List B Recall TotalC102013AVL01-List B Recall TotalAuditory Verbal Learning Test Version A - The number of words recalled from List B.ADNI AVLT - List B Recall Total
AVL01-List B Recall Word 1C101998AVL01-List B Recall Word 1Auditory Verbal Learning Test Version A - List B, Word 1.ADNI AVLT - List B Recall Word 1
AVL01-List B Recall Word 10C102007AVL01-List B Recall Word 10Auditory Verbal Learning Test Version A - List B, Word 10.ADNI AVLT - List B Recall Word 10
AVL01-List B Recall Word 11C102008AVL01-List B Recall Word 11Auditory Verbal Learning Test Version A - List B, Word 11.ADNI AVLT - List B Recall Word 11
AVL01-List B Recall Word 12C102009AVL01-List B Recall Word 12Auditory Verbal Learning Test Version A - List B, Word 12.ADNI AVLT - List B Recall Word 12
AVL01-List B Recall Word 13C102010AVL01-List B Recall Word 13Auditory Verbal Learning Test Version A - List B, Word 13.ADNI AVLT - List B Recall Word 13
AVL01-List B Recall Word 14C102011AVL01-List B Recall Word 14Auditory Verbal Learning Test Version A - List B, Word 14.ADNI AVLT - List B Recall Word 14
AVL01-List B Recall Word 15C102012AVL01-List B Recall Word 15Auditory Verbal Learning Test Version A - List B, Word 15.ADNI AVLT - List B Recall Word 15
AVL01-List B Recall Word 2C101999AVL01-List B Recall Word 2Auditory Verbal Learning Test Version A - List B, Word 2.ADNI AVLT - List B Recall Word 2
AVL01-List B Recall Word 3C102000AVL01-List B Recall Word 3Auditory Verbal Learning Test Version A - List B, Word 3.ADNI AVLT - List B Recall Word 3
AVL01-List B Recall Word 4C102001AVL01-List B Recall Word 4Auditory Verbal Learning Test Version A - List B, Word 4.ADNI AVLT - List B Recall Word 4
AVL01-List B Recall Word 5C102002AVL01-List B Recall Word 5Auditory Verbal Learning Test Version A - List B, Word 5.ADNI AVLT - List B Recall Word 5
AVL01-List B Recall Word 6C102003AVL01-List B Recall Word 6Auditory Verbal Learning Test Version A - List B, Word 6.ADNI AVLT - List B Recall Word 6
AVL01-List B Recall Word 7C102004AVL01-List B Recall Word 7Auditory Verbal Learning Test Version A - List B, Word 7.ADNI AVLT - List B Recall Word 7
AVL01-List B Recall Word 8C102005AVL01-List B Recall Word 8Auditory Verbal Learning Test Version A - List B, Word 8.ADNI AVLT - List B Recall Word 8
AVL01-List B Recall Word 9C102006AVL01-List B Recall Word 9Auditory Verbal Learning Test Version A - List B, Word 9.ADNI AVLT - List B Recall Word 9
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CL.C112435.AQ20 TESTCDQS-Airway Questionnaire 20 Test Code
(AQ20 TESTCD)
text
Extensible: No
C112435QS-Airway Questionnaire 20 Test CodeAirway Questionnaire 20 test code.CDISC Questionnaire AQ20 Test Code Terminology
AQ0101C112529AQ01-Cough Often During DayAirway Questionnaire 20 - Do you cough often during the day?AQ20 - Cough Often During the Day
AQ0102C112530AQ01-Feel Restless Due to Chest TroubleAirway Questionnaire 20 - Does your chest trouble often make you feel restless?AQ20 - Chest Trouble Make You Feel Restless
AQ0103C112531AQ01-Gardening Make You BreathlessAirway Questionnaire 20 - Does gardening make you breathless?AQ20 - Gardening Make You Breathless
AQ0104C112532AQ01-Chest Upset at Friend HouseAirway Questionnaire 20 - Do you worry when going to a friend's house that there might be something there that will upset your chest?AQ20 - Worry When Going to Friend House Something Will Upset Your Chest
AQ0105C112533AQ01-Chest Prob Smell/Fume/Smoke/PerfumeAirway Questionnaire 20 - Do you get chest problems when you come into contact with strong smells, exhaust fumes, cigarette smoke, perfume etc?AQ20 - Get Chest Problems When Contact With Strong Smells
AQ0106C112534AQ01-Partner Upset by Your Chest TroubleAirway Questionnaire 20 - Does your partner find your chest trouble upsetting?AQ20 - Partner Find Your Chest Trouble Upsetting
AQ0107C112535AQ01-Breathless When Trying to SleepAirway Questionnaire 20 - Do you feel breathless when trying to sleep?AQ20 - Feel Breathless When Trying to Sleep
AQ0108C112536AQ01-Long Term Effects of DrugsAirway Questionnaire 20 - Do you worry about the long term effects of the drugs you take for your chest trouble?AQ20 - Worry About Long Term Effects of Drugs for Chest Trouble
AQ0109C112537AQ01-Emotional Upset Worse Chest TroubleAirway Questionnaire 20 - Does getting emotionally upset make your chest trouble worse?AQ20 - Getting Emotionally Upset Make Chest Trouble Worse
AQ0110C112538AQ01-Difficulty Getting Around the HouseAirway Questionnaire 20 - Are there times when you have difficulty getting around the house because of your chest trouble?AQ20 - Difficulty Getting Around the House Because of Chest Trouble
AQ0111C112539AQ01-Breathless Carry out Work ActivityAirway Questionnaire 20 - Does your chest problem make you breathless when you do things at work? (paid employment).AQ20 - Chest Problem Make You Breathless at Work
AQ0112C112540AQ01-Breathless Walking UpstairsAirway Questionnaire 20 - Does walking upstairs make you breathless?AQ20 - Walking Upstairs Make You Breathless
AQ0113C112541AQ01-Get Breathless Doing HouseworkAirway Questionnaire 20 - Do you get breathless doing housework?AQ20 - Get Breathless Doing Housework
AQ0114C112542AQ01-Go Home Sooner Than OthersAirway Questionnaire 20 - Does your chest trouble make you go home sooner than others after a night out?AQ20 - Chest Trouble Make You Go Home Sooner Than Others
AQ0115C112543AQ01-Breathlessness When LaughAirway Questionnaire 20 - Do you suffer from breathlessness when you laugh?AQ20 - Suffer From Breathlessness When Laugh
AQ0116C112544AQ01-Impatient Due to Chest TroubleAirway Questionnaire 20 - Does your chest trouble often make you feel impatient?AQ20 - Chest Trouble Make You Feel Impatient
AQ0117C112545AQ01-Full Life Limited by Chest TroubleAirway Questionnaire 20 - Do you think the fullness of your life is limited by your chest trouble?AQ20 - Fullness of Life is Limited by Chest Trouble
AQ0118C112546AQ01-Drained After a ColdAirway Questionnaire 20 - Do you feel drained after a cold because of your chest trouble?AQ20 - Feel Drained After a Cold Because of Chest Trouble
AQ0119C112547AQ01-Feeling of Chest HeavinessAirway Questionnaire 20 - Do you have a feeling of chest heaviness?AQ20 - Feeling of Chest Heaviness
AQ0120C112548AQ01-Worry About Chest TroubleAirway Questionnaire 20 - Do you worry a lot about your chest trouble?AQ20 - Worry a Lot About Chest Trouble
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CL.C112434.AQ20 TESTQS-Airway Questionnaire 20 Test Name
(AQ20 TEST)
text
Extensible: No
C112434QS-Airway Questionnaire 20 Test NameAirway Questionnaire 20 test name.CDISC Questionnaire AQ20 Test Name Terminology
AQ01-Breathless Carry out Work ActivityC112539AQ01-Breathless Carry out Work ActivityAirway Questionnaire 20 - Does your chest problem make you breathless when you do things at work? (paid employment).AQ20 - Chest Problem Make You Breathless at Work
AQ01-Breathless Walking UpstairsC112540AQ01-Breathless Walking UpstairsAirway Questionnaire 20 - Does walking upstairs make you breathless?AQ20 - Walking Upstairs Make You Breathless
AQ01-Breathless When Trying to SleepC112535AQ01-Breathless When Trying to SleepAirway Questionnaire 20 - Do you feel breathless when trying to sleep?AQ20 - Feel Breathless When Trying to Sleep
AQ01-Breathlessness When LaughC112543AQ01-Breathlessness When LaughAirway Questionnaire 20 - Do you suffer from breathlessness when you laugh?AQ20 - Suffer From Breathlessness When Laugh
AQ01-Chest Prob Smell/Fume/Smoke/PerfumeC112533AQ01-Chest Prob Smell/Fume/Smoke/PerfumeAirway Questionnaire 20 - Do you get chest problems when you come into contact with strong smells, exhaust fumes, cigarette smoke, perfume etc?AQ20 - Get Chest Problems When Contact With Strong Smells
AQ01-Chest Upset at Friend HouseC112532AQ01-Chest Upset at Friend HouseAirway Questionnaire 20 - Do you worry when going to a friend's house that there might be something there that will upset your chest?AQ20 - Worry When Going to Friend House Something Will Upset Your Chest
AQ01-Cough Often During DayC112529AQ01-Cough Often During DayAirway Questionnaire 20 - Do you cough often during the day?AQ20 - Cough Often During the Day
AQ01-Difficulty Getting Around the HouseC112538AQ01-Difficulty Getting Around the HouseAirway Questionnaire 20 - Are there times when you have difficulty getting around the house because of your chest trouble?AQ20 - Difficulty Getting Around the House Because of Chest Trouble
AQ01-Drained After a ColdC112546AQ01-Drained After a ColdAirway Questionnaire 20 - Do you feel drained after a cold because of your chest trouble?AQ20 - Feel Drained After a Cold Because of Chest Trouble
AQ01-Emotional Upset Worse Chest TroubleC112537AQ01-Emotional Upset Worse Chest TroubleAirway Questionnaire 20 - Does getting emotionally upset make your chest trouble worse?AQ20 - Getting Emotionally Upset Make Chest Trouble Worse
AQ01-Feel Restless Due to Chest TroubleC112530AQ01-Feel Restless Due to Chest TroubleAirway Questionnaire 20 - Does your chest trouble often make you feel restless?AQ20 - Chest Trouble Make You Feel Restless
AQ01-Feeling of Chest HeavinessC112547AQ01-Feeling of Chest HeavinessAirway Questionnaire 20 - Do you have a feeling of chest heaviness?AQ20 - Feeling of Chest Heaviness
AQ01-Full Life Limited by Chest TroubleC112545AQ01-Full Life Limited by Chest TroubleAirway Questionnaire 20 - Do you think the fullness of your life is limited by your chest trouble?AQ20 - Fullness of Life is Limited by Chest Trouble
AQ01-Gardening Make You BreathlessC112531AQ01-Gardening Make You BreathlessAirway Questionnaire 20 - Does gardening make you breathless?AQ20 - Gardening Make You Breathless
AQ01-Get Breathless Doing HouseworkC112541AQ01-Get Breathless Doing HouseworkAirway Questionnaire 20 - Do you get breathless doing housework?AQ20 - Get Breathless Doing Housework
AQ01-Go Home Sooner Than OthersC112542AQ01-Go Home Sooner Than OthersAirway Questionnaire 20 - Does your chest trouble make you go home sooner than others after a night out?AQ20 - Chest Trouble Make You Go Home Sooner Than Others
AQ01-Impatient Due to Chest TroubleC112544AQ01-Impatient Due to Chest TroubleAirway Questionnaire 20 - Does your chest trouble often make you feel impatient?AQ20 - Chest Trouble Make You Feel Impatient
AQ01-Long Term Effects of DrugsC112536AQ01-Long Term Effects of DrugsAirway Questionnaire 20 - Do you worry about the long term effects of the drugs you take for your chest trouble?AQ20 - Worry About Long Term Effects of Drugs for Chest Trouble
AQ01-Partner Upset by Your Chest TroubleC112534AQ01-Partner Upset by Your Chest TroubleAirway Questionnaire 20 - Does your partner find your chest trouble upsetting?AQ20 - Partner Find Your Chest Trouble Upsetting
AQ01-Worry About Chest TroubleC112548AQ01-Worry About Chest TroubleAirway Questionnaire 20 - Do you worry a lot about your chest trouble?AQ20 - Worry a Lot About Chest Trouble
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CL.C119062.AUDIT-C TESTCDQS-Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Code
(AUDIT-C TESTCD)
text
Extensible: No
C119062QS-Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test CodeAlcohol Use Disorder Identification Test-Consumption Questions test code.CDISC Questionnaire AUDIT-C Test Code Terminology
ADTC0101C119119ADTC01-How Often Drink AlcoholAlcohol Use Disorder Identification Test-Consumption questions - How often do you have a drink containing alcohol?AUDIT-C - How Often Have Alcohol Drink
ADTC0102C119120ADTC01-Alcohol Drinks on a Typical DayAlcohol 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
ADTC0103C119121ADTC01-Six or More Drinks One OccasionAlcohol 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
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CL.C119061.AUDIT-C TESTQS-Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test Name
(AUDIT-C TEST)
text
Extensible: No
C119061QS-Alcohol Use Disorder Identification Test-Consumption Questions Questionnaire Test NameAlcohol Use Disorder Identification Test-Consumption Questions test name.CDISC Questionnaire AUDIT-C Test Name Terminology
ADTC01-Alcohol Drinks on a Typical DayC119120ADTC01-Alcohol Drinks on a Typical DayAlcohol 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 AlcoholC119119ADTC01-How Often Drink AlcoholAlcohol 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 OccasionC119121ADTC01-Six or More Drinks One OccasionAlcohol 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
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CL.C119060.AUDIT-SR TESTCDQS-Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Code
(AUDIT-SR TESTCD)
text
Extensible: No
C119060QS-Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test CodeAlcohol Use Disorder Identification Test: Self-Report Version test code.CDISC Questionnaire AUDIT-SR Test Code Terminology
ADT0101C119108ADT01-How Often Drink AlcoholAlcohol Use Disorder Identification Test: Self-Report Version - How often do you have a drink containing alcohol?AUDIT - How Often Have Alcohol Drink
ADT0102C119109ADT01-Alcohol Drinks on a Typical DayAlcohol 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
ADT0103C119110ADT01-Six or More Drinks One OccasionAlcohol 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
ADT0104C119111ADT01-Not Able Stop Drinking Once StartAlcohol 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
ADT0105C119112ADT01-Failed to Do as ExpectedAlcohol 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
ADT0106C119113ADT01-Need Drink Morning After DrinkingAlcohol 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
ADT0107C119114ADT01-Feeling of Guilt or RemorseAlcohol 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
ADT0108C119115ADT01-Unable to Remember What HappenedAlcohol 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
ADT0109C119116ADT01-Injured Because of Your DrinkingAlcohol Use Disorder Identification Test: Self-Report Version - Have you or someone else been injured because of your drinking?AUDIT - Injured Because of Drinking
ADT0110C119117ADT01-Suggested to Cut DownAlcohol 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
ADT0111C119118ADT01-TotalAlcohol Use Disorder Identification Test: Self-Report Version - Total.AUDIT - Total
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CL.C119059.AUDIT-SR TESTQS-Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test Name
(AUDIT-SR TEST)
text
Extensible: No
C119059QS-Alcohol Use Disorder Identification Test: Self-Report Version Questionnaire Test NameAlcohol Use Disorder Identification Test: Self-Report Version test name.CDISC Questionnaire AUDIT-SR Test Name Terminology
ADT01-Alcohol Drinks on a Typical DayC119109ADT01-Alcohol Drinks on a Typical DayAlcohol 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 ExpectedC119112ADT01-Failed to Do as ExpectedAlcohol 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 RemorseC119114ADT01-Feeling of Guilt or RemorseAlcohol 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 AlcoholC119108ADT01-How Often Drink AlcoholAlcohol 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 DrinkingC119116ADT01-Injured Because of Your DrinkingAlcohol 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 DrinkingC119113ADT01-Need Drink Morning After DrinkingAlcohol 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 StartC119111ADT01-Not Able Stop Drinking Once StartAlcohol 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 OccasionC119110ADT01-Six or More Drinks One OccasionAlcohol 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 DownC119117ADT01-Suggested to Cut DownAlcohol 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-TotalC119118ADT01-TotalAlcohol Use Disorder Identification Test: Self-Report Version - Total.AUDIT - Total
ADT01-Unable to Remember What HappenedC119115ADT01-Unable to Remember What HappenedAlcohol 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
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CL.C100132.ADAS-Cog CDISC Version TESTCDQS-Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Test Code
(ADAS-Cog CDISC Version TESTCD)
text
Extensible: No
C100132QS-Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Test CodeADAS-Cog CDISC Version test code.CDISC Questionnaire ADAS-Cog CDISC Version Test Code Terminology
ADCCMDC100209CommandsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for commands.CDISC ADAS-Cog - Commands Summary Score
ADCCMD01C100210Commands: FistAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for making a fist.CDISC ADAS-Cog - Commands: Fist
ADCCMD02C100211Commands: CeilingAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for pointing to the ceiling then to the floor.CDISC ADAS-Cog - Commands: Ceiling
ADCCMD03C100212Commands: PencilAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for put the pencil on top of the card and then put it back.CDISC ADAS-Cog - Commands: Pencil
ADCCMD04C100213Commands: WatchAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for put the watch on the other side of the pencil and then turn over the card.CDISC ADAS-Cog - Commands: Watch
ADCCMD05C100214Commands: ShoulderAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for tap each shoulder twice with two fingers keeping your eyes shut.CDISC ADAS-Cog - Commands: Shoulder
ADCCMPC100278ComprehensionAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to comprehend speech.CDISC ADAS-Cog - Comprehension
ADCCONC100279Concentration/DistractibilityAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to concentrate or easily be distracted.CDISC ADAS-Cog - Concentration/Distractibility
ADCCPC100226Constructional PraxisAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for constructional praxis.CDISC ADAS-Cog - Constructional Praxis Summary Score
ADCCP01C100227Constructional Praxis: CircleAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a circle.CDISC ADAS-Cog - Constructional Praxis: Circle
ADCCP02C100228Constructional Praxis: 2 RectanglesAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying two overlapping rectangles.CDISC ADAS-Cog - Constructional Praxis: 2 Rectangles
ADCCP03C100229Constructional Praxis: DiamondAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a diamond.CDISC ADAS-Cog - Constructional Praxis: Diamond
ADCCP04C100230Constructional Praxis: CubeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a cube.CDISC ADAS-Cog - Constructional Praxis: Cube
ADCCPSC100231Attempt to DrawAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis attempted to draw, but drew no forms correctly.CDISC ADAS-Cog - Attempt to Draw
ADCDIFC100277Word Finding Difficulty in Spont SpeechAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Difficulty finding the desired word in spontaneous speech.CDISC ADAS-Cog - Word Difficulty in Spontaneous Speech
ADCDRLC100215Delayed Word RecallAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for delayed word recall.CDISC ADAS-Cog - Delayed Word Recall Summary Score
ADCDRL01C100216Delayed Word Recall: Word [1]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 1.CDISC ADAS-Cog - Delayed Word Recall: Word 1
ADCDRL02C100217Delayed Word Recall: Word [2]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 2.CDISC ADAS-Cog - Delayed Word Recall: Word 2
ADCDRL03C100218Delayed Word Recall: Word [3]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 3.CDISC ADAS-Cog - Delayed Word Recall: Word 3
ADCDRL04C100219Delayed Word Recall: Word [4]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 4.CDISC ADAS-Cog - Delayed Word Recall: Word 4
ADCDRL05C100220Delayed Word Recall: Word [5]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 5.CDISC ADAS-Cog - Delayed Word Recall: Word 5
ADCDRL06C100221Delayed Word Recall: Word [6]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 6.CDISC ADAS-Cog - Delayed Word Recall: Word 6
ADCDRL07C100222Delayed Word Recall: Word [7]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 7.CDISC ADAS-Cog - Delayed Word Recall: Word 7
ADCDRL08C100223Delayed Word Recall: Word [8]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 8.CDISC ADAS-Cog - Delayed Word Recall: Word 8
ADCDRL09C100224Delayed Word Recall: Word [9]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 9.CDISC ADAS-Cog - Delayed Word Recall: Word 9
ADCDRL10C100225Delayed Word Recall: Word [10]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 10.CDISC ADAS-Cog - Delayed Word Recall: Word 10
ADCIPC100232Ideational PraxisAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for ideational praxis.CDISC ADAS-Cog - Ideational Praxis Summary Score
ADCIP01C100233Ideational Praxis: FoldAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for folding the paper.CDISC ADAS-Cog - Ideational Praxis: Fold
ADCIP02C100234Ideational Praxis: InsertAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for put the paper in the envelop.CDISC ADAS-Cog - Ideational Praxis: Insert
ADCIP03C100235Ideational Praxis: SealAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for seal the envelop.CDISC ADAS-Cog - Ideational Praxis: Seal
ADCIP04C100236Ideational Praxis: AddressAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for address the envelop to yourself.CDISC ADAS-Cog - Ideational Praxis: Address
ADCIP05C100237Ideational Praxis: StampAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for showing where the stamp goes.CDISC ADAS-Cog - Ideational Praxis: Stamp
ADCMZC100284Executive Function MazeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the executive function maze tasks.CDISC ADAS-Cog - Executive Function Maze Summary Score
ADCMZ01C100285Executive Function Maze: ErrorsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the executive function maze task.CDISC ADAS-Cog - Executive Function Maze: Errors
ADCMZ02C100286Executive Function Maze: TimeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - The time in seconds stored in ISO 8601 time for the executive function maze task.CDISC ADAS-Cog - Executive Function Maze: Time
ADCNCC100280Number CancellationAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the number cancellation tasks.CDISC ADAS-Cog - Number Cancellation Summary Score
ADCNC01C100281Number Cancellation: CorrectAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of targets hit during the number cancellation task.CDISC ADAS-Cog - Number Cancellation: Correct
ADCNC02C100282Number Cancellation: ErrorsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the number cancellation task.CDISC ADAS-Cog - Number Cancellation: Errors
ADCNC03C100283Number Cancellation: RemindAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of times reminded for the number cancellation task.CDISC ADAS-Cog - Number Cancellation: Remind
ADCOFC100191Naming Objects and FingersAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task summary score for object and fingers.CDISC ADAS-Cog - Naming Objects and Fingers Summary Score
ADCOFF01C100204Naming Objects and Fingers: ThumbAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, thumb.CDISC ADAS-Cog - Naming Objects and Fingers: Thumb
ADCOFF02C100205Naming Objects and Fingers: PointerAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, index, or pointer finger.CDISC ADAS-Cog - Naming Objects and Fingers: Pointer
ADCOFF03C100206Naming Objects and Fingers: MiddleAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, middle finger.CDISC ADAS-Cog - Naming Objects and Fingers: Middle
ADCOFF04C100207Naming Objects and Fingers: RingAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, ring finger.CDISC ADAS-Cog - Naming Objects and Fingers: Ring
ADCOFF05C100208Naming Objects and Fingers: PinkyAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, little finger or pinky.CDISC ADAS-Cog - Naming Objects and Fingers: Pinky
ADCOFO01C100192Naming Objects and Fingers: 1Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 1.CDISC ADAS-Cog - Naming Objects and Fingers: 1
ADCOFO02C100193Naming Objects and Fingers: 2Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 2.CDISC ADAS-Cog - Naming Objects and Fingers: 2
ADCOFO03C100194Naming Objects and Fingers: 3Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 3.CDISC ADAS-Cog - Naming Objects and Fingers: 3
ADCOFO04C100195Naming Objects and Fingers: 4Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 4.CDISC ADAS-Cog - Naming Objects and Fingers: 4
ADCOFO05C100196Naming Objects and Fingers: 5Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 5.CDISC ADAS-Cog - Naming Objects and Fingers: 5
ADCOFO06C100197Naming Objects and Fingers: 6Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 6.CDISC ADAS-Cog - Naming Objects and Fingers: 6
ADCOFO07C100198Naming Objects and Fingers: 7Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 7.CDISC ADAS-Cog - Naming Objects and Fingers: 7
ADCOFO08C100199Naming Objects and Fingers: 8Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 8.CDISC ADAS-Cog - Naming Objects and Fingers: 8
ADCOFO09C100200Naming Objects and Fingers: 9Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 9.CDISC ADAS-Cog - Naming Objects and Fingers: 9
ADCOFO10C100201Naming Objects and Fingers: 10Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 10.CDISC ADAS-Cog - Naming Objects and Fingers: 10
ADCOFO11C100202Naming Objects and Fingers: 11Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 11.CDISC ADAS-Cog - Naming Objects and Fingers: 11
ADCOFO12C100203Naming Objects and Fingers: 12Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 12.CDISC ADAS-Cog - Naming Objects and Fingers: 12
ADCORC100238OrientationAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for orientation.CDISC ADAS-Cog - Orientation Summary Score
ADCOR01C100239Orientation: Full NameAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing one's own full name.CDISC ADAS-Cog - Orientation: Full Name
ADCOR02C100240Orientation: MonthAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current month.CDISC ADAS-Cog - Orientation: Month
ADCOR03C100241Orientation: DateAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day.CDISC ADAS-Cog - Orientation: Date
ADCOR04C100242Orientation: YearAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current year.CDISC ADAS-Cog - Orientation: Year
ADCOR05C100243Orientation: Day of WeekAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day of the week.CDISC ADAS-Cog - Orientation: Day of Week
ADCOR06C100244Orientation: SeasonAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current season.CDISC ADAS-Cog - Orientation: Season
ADCOR07C100245Orientation: PlaceAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current place.CDISC ADAS-Cog - Orientation: Place
ADCOR08C100246Orientation: TimeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the approximate current clock time.CDISC ADAS-Cog - Orientation: Time
ADCRGC100247Word RecognitionAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for word recognition across trials 1-3.CDISC ADAS-Cog - Word Recognition Summary Score
ADCRGT01C100248Word Recognition Trial 1Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 1.CDISC ADAS-Cog - Word Recognition Trial 1 Summary Score
ADCRGT02C100249Word Recognition Trial 2Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 2.CDISC ADAS-Cog - Word Recognition Trial 2 Summary Score
ADCRGT03C100250Word Recognition Trial 3Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 3.CDISC ADAS-Cog - Word Recognition Trial 3 Summary Score
ADCRGW01C100251Word Recognition: Word [1]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 1 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 1
ADCRGW02C100252Word Recognition: Word [2]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 2 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 2
ADCRGW03C100253Word Recognition: Word [3]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 3 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 3
ADCRGW04C100254Word Recognition: Word [4]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 4 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 4
ADCRGW05C100255Word Recognition: Word [5]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 5 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 5
ADCRGW06C100256Word Recognition: Word [6]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 6 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 6
ADCRGW07C100257Word Recognition: Word [7]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 7 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 7
ADCRGW08C100258Word Recognition: Word [8]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 8 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 8
ADCRGW09C100259Word Recognition: Word [9]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 9 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 9
ADCRGW10C100260Word Recognition: Word [10]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 10 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 10
ADCRGW11C100261Word Recognition: Word [11]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 11 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 11
ADCRGW12C100262Word Recognition: Word [12]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 12 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 12
ADCRGW13C100263Word Recognition: Word [13]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 13 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 13
ADCRGW14C100264Word Recognition: Word [14]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 14 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 14
ADCRGW15C100265Word Recognition: Word [15]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 15 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 15
ADCRGW16C100266Word Recognition: Word [16]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 16 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 16
ADCRGW17C100267Word Recognition: Word [17]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 17 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 17
ADCRGW18C100268Word Recognition: Word [18]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 18 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 18
ADCRGW19C100269Word Recognition: Word [19]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 19 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 19
ADCRGW20C100270Word Recognition: Word [20]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 20 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 20
ADCRGW21C100271Word Recognition: Word [21]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 21 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 21
ADCRGW22C100272Word Recognition: Word [22]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 22 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 22
ADCRGW23C100273Word Recognition: Word [23]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 23 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 23
ADCRGW24C100274Word Recognition: Word [24]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 24 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 24
ADCRIC100275Remembering Test InstructionsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Remembering test instructions.CDISC ADAS-Cog - Remembering Test Instructions
ADCRLC100177Word RecallAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word average score of trials 1, 2, 3.CDISC ADAS-Cog - Word Recall Average Score
ADCRLT01C100178Word Recall Trial 1Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 1.CDISC ADAS-Cog - Word Recall Trial 1 Subscore
ADCRLT02C100179Word Recall Trial 2Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 2.CDISC ADAS-Cog - Word Recall Trial 2 Subscore
ADCRLT03C100180Word Recall Trial 3Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 3.CDISC ADAS-Cog - Word Recall Trial 3 Subscore
ADCRLW01C100181Word Recall: Word [1]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 1 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 1
ADCRLW02C100182Word Recall: Word [2]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 2 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 2
ADCRLW03C100183Word Recall: Word [3]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 3 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 3
ADCRLW04C100184Word Recall: Word [4]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 4 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 4
ADCRLW05C100185Word Recall: Word [5]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 5 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 5
ADCRLW06C100186Word Recall: Word [6]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 6 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 6
ADCRLW07C100187Word Recall: Word [7]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 7 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 7
ADCRLW08C100188Word Recall: Word [8]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 8 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 8
ADCRLW09C100189Word Recall: Word [9]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 9 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 9
ADCRLW10C100190Word Recall: Word [10]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 10 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 10
ADCSLC100276Spoken Language AbilityAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Global rating of the quality of speech, or difficulty in making oneself understood.CDISC ADAS-Cog - Spoken Language Ability
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CL.C100131.ADAS-Cog CDISC Version TESTQS-Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Test Name
(ADAS-Cog CDISC Version TEST)
text
Extensible: No
C100131QS-Alzheimer's Disease Assessment Scale - Cognitive CDISC Version Test NameADAS-Cog CDISC Version test name.CDISC Questionnaire ADAS-Cog CDISC Version Test Name Terminology
Attempt to DrawC100231Attempt to DrawAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis attempted to draw, but drew no forms correctly.CDISC ADAS-Cog - Attempt to Draw
CommandsC100209CommandsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for commands.CDISC ADAS-Cog - Commands Summary Score
Commands: CeilingC100211Commands: CeilingAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for pointing to the ceiling then to the floor.CDISC ADAS-Cog - Commands: Ceiling
Commands: FistC100210Commands: FistAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for making a fist.CDISC ADAS-Cog - Commands: Fist
Commands: PencilC100212Commands: PencilAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for put the pencil on top of the card and then put it back.CDISC ADAS-Cog - Commands: Pencil
Commands: ShoulderC100214Commands: ShoulderAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for tap each shoulder twice with two fingers keeping your eyes shut.CDISC ADAS-Cog - Commands: Shoulder
Commands: WatchC100213Commands: WatchAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Commands task for put the watch on the other side of the pencil and then turn over the card.CDISC ADAS-Cog - Commands: Watch
ComprehensionC100278ComprehensionAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to comprehend speech.CDISC ADAS-Cog - Comprehension
Concentration/DistractibilityC100279Concentration/DistractibilityAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ability to concentrate or easily be distracted.CDISC ADAS-Cog - Concentration/Distractibility
Constructional PraxisC100226Constructional PraxisAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for constructional praxis.CDISC ADAS-Cog - Constructional Praxis Summary Score
Constructional Praxis: 2 RectanglesC100228Constructional Praxis: 2 RectanglesAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying two overlapping rectangles.CDISC ADAS-Cog - Constructional Praxis: 2 Rectangles
Constructional Praxis: CircleC100227Constructional Praxis: CircleAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a circle.CDISC ADAS-Cog - Constructional Praxis: Circle
Constructional Praxis: CubeC100230Constructional Praxis: CubeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a cube.CDISC ADAS-Cog - Constructional Praxis: Cube
Constructional Praxis: DiamondC100229Constructional Praxis: DiamondAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Constructional praxis task for copying a diamond.CDISC ADAS-Cog - Constructional Praxis: Diamond
Delayed Word RecallC100215Delayed Word RecallAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for delayed word recall.CDISC ADAS-Cog - Delayed Word Recall Summary Score
Delayed Word Recall: Word [10]C100225Delayed Word Recall: Word [10]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 10.CDISC ADAS-Cog - Delayed Word Recall: Word 10
Delayed Word Recall: Word [1]C100216Delayed Word Recall: Word [1]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 1.CDISC ADAS-Cog - Delayed Word Recall: Word 1
Delayed Word Recall: Word [2]C100217Delayed Word Recall: Word [2]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 2.CDISC ADAS-Cog - Delayed Word Recall: Word 2
Delayed Word Recall: Word [3]C100218Delayed Word Recall: Word [3]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 3.CDISC ADAS-Cog - Delayed Word Recall: Word 3
Delayed Word Recall: Word [4]C100219Delayed Word Recall: Word [4]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 4.CDISC ADAS-Cog - Delayed Word Recall: Word 4
Delayed Word Recall: Word [5]C100220Delayed Word Recall: Word [5]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 5.CDISC ADAS-Cog - Delayed Word Recall: Word 5
Delayed Word Recall: Word [6]C100221Delayed Word Recall: Word [6]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 6.CDISC ADAS-Cog - Delayed Word Recall: Word 6
Delayed Word Recall: Word [7]C100222Delayed Word Recall: Word [7]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 7.CDISC ADAS-Cog - Delayed Word Recall: Word 7
Delayed Word Recall: Word [8]C100223Delayed Word Recall: Word [8]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 8.CDISC ADAS-Cog - Delayed Word Recall: Word 8
Delayed Word Recall: Word [9]C100224Delayed Word Recall: Word [9]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Delayed word recall task for word 9.CDISC ADAS-Cog - Delayed Word Recall: Word 9
Executive Function MazeC100284Executive Function MazeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the executive function maze tasks.CDISC ADAS-Cog - Executive Function Maze Summary Score
Executive Function Maze: ErrorsC100285Executive Function Maze: ErrorsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the executive function maze task.CDISC ADAS-Cog - Executive Function Maze: Errors
Executive Function Maze: TimeC100286Executive Function Maze: TimeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - The time in seconds stored in ISO 8601 time for the executive function maze task.CDISC ADAS-Cog - Executive Function Maze: Time
Ideational PraxisC100232Ideational PraxisAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for ideational praxis.CDISC ADAS-Cog - Ideational Praxis Summary Score
Ideational Praxis: AddressC100236Ideational Praxis: AddressAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for address the envelop to yourself.CDISC ADAS-Cog - Ideational Praxis: Address
Ideational Praxis: FoldC100233Ideational Praxis: FoldAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for folding the paper.CDISC ADAS-Cog - Ideational Praxis: Fold
Ideational Praxis: InsertC100234Ideational Praxis: InsertAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for put the paper in the envelop.CDISC ADAS-Cog - Ideational Praxis: Insert
Ideational Praxis: SealC100235Ideational Praxis: SealAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for seal the envelop.CDISC ADAS-Cog - Ideational Praxis: Seal
Ideational Praxis: StampC100237Ideational Praxis: StampAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Ideational praxis task for showing where the stamp goes.CDISC ADAS-Cog - Ideational Praxis: Stamp
Naming Objects and FingersC100191Naming Objects and FingersAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task summary score for object and fingers.CDISC ADAS-Cog - Naming Objects and Fingers Summary Score
Naming Objects and Fingers: 1C100192Naming Objects and Fingers: 1Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 1.CDISC ADAS-Cog - Naming Objects and Fingers: 1
Naming Objects and Fingers: 10C100201Naming Objects and Fingers: 10Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 10.CDISC ADAS-Cog - Naming Objects and Fingers: 10
Naming Objects and Fingers: 11C100202Naming Objects and Fingers: 11Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 11.CDISC ADAS-Cog - Naming Objects and Fingers: 11
Naming Objects and Fingers: 12C100203Naming Objects and Fingers: 12Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 12.CDISC ADAS-Cog - Naming Objects and Fingers: 12
Naming Objects and Fingers: 2C100193Naming Objects and Fingers: 2Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 2.CDISC ADAS-Cog - Naming Objects and Fingers: 2
Naming Objects and Fingers: 3C100194Naming Objects and Fingers: 3Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 3.CDISC ADAS-Cog - Naming Objects and Fingers: 3
Naming Objects and Fingers: 4C100195Naming Objects and Fingers: 4Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 4.CDISC ADAS-Cog - Naming Objects and Fingers: 4
Naming Objects and Fingers: 5C100196Naming Objects and Fingers: 5Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 5.CDISC ADAS-Cog - Naming Objects and Fingers: 5
Naming Objects and Fingers: 6C100197Naming Objects and Fingers: 6Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 6.CDISC ADAS-Cog - Naming Objects and Fingers: 6
Naming Objects and Fingers: 7C100198Naming Objects and Fingers: 7Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 7.CDISC ADAS-Cog - Naming Objects and Fingers: 7
Naming Objects and Fingers: 8C100199Naming Objects and Fingers: 8Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 8.CDISC ADAS-Cog - Naming Objects and Fingers: 8
Naming Objects and Fingers: 9C100200Naming Objects and Fingers: 9Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for object 9.CDISC ADAS-Cog - Naming Objects and Fingers: 9
Naming Objects and Fingers: MiddleC100206Naming Objects and Fingers: MiddleAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, middle finger.CDISC ADAS-Cog - Naming Objects and Fingers: Middle
Naming Objects and Fingers: PinkyC100208Naming Objects and Fingers: PinkyAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, little finger or pinky.CDISC ADAS-Cog - Naming Objects and Fingers: Pinky
Naming Objects and Fingers: PointerC100205Naming Objects and Fingers: PointerAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, index, or pointer finger.CDISC ADAS-Cog - Naming Objects and Fingers: Pointer
Naming Objects and Fingers: RingC100207Naming Objects and Fingers: RingAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, ring finger.CDISC ADAS-Cog - Naming Objects and Fingers: Ring
Naming Objects and Fingers: ThumbC100204Naming Objects and Fingers: ThumbAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Naming task for fingers of the dominant hand, thumb.CDISC ADAS-Cog - Naming Objects and Fingers: Thumb
Number CancellationC100280Number CancellationAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for the number cancellation tasks.CDISC ADAS-Cog - Number Cancellation Summary Score
Number Cancellation: CorrectC100281Number Cancellation: CorrectAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of targets hit during the number cancellation task.CDISC ADAS-Cog - Number Cancellation: Correct
Number Cancellation: ErrorsC100282Number Cancellation: ErrorsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of errors during the number cancellation task.CDISC ADAS-Cog - Number Cancellation: Errors
Number Cancellation: RemindC100283Number Cancellation: RemindAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Number of times reminded for the number cancellation task.CDISC ADAS-Cog - Number Cancellation: Remind
OrientationC100238OrientationAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for orientation.CDISC ADAS-Cog - Orientation Summary Score
Orientation: DateC100241Orientation: DateAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day.CDISC ADAS-Cog - Orientation: Date
Orientation: Day of WeekC100243Orientation: Day of WeekAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current day of the week.CDISC ADAS-Cog - Orientation: Day of Week
Orientation: Full NameC100239Orientation: Full NameAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing one's own full name.CDISC ADAS-Cog - Orientation: Full Name
Orientation: MonthC100240Orientation: MonthAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current month.CDISC ADAS-Cog - Orientation: Month
Orientation: PlaceC100245Orientation: PlaceAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current place.CDISC ADAS-Cog - Orientation: Place
Orientation: SeasonC100244Orientation: SeasonAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current season.CDISC ADAS-Cog - Orientation: Season
Orientation: TimeC100246Orientation: TimeAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the approximate current clock time.CDISC ADAS-Cog - Orientation: Time
Orientation: YearC100242Orientation: YearAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Orientation task for knowing the current year.CDISC ADAS-Cog - Orientation: Year
Remembering Test InstructionsC100275Remembering Test InstructionsAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Remembering test instructions.CDISC ADAS-Cog - Remembering Test Instructions
Spoken Language AbilityC100276Spoken Language AbilityAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Global rating of the quality of speech, or difficulty in making oneself understood.CDISC ADAS-Cog - Spoken Language Ability
Word Finding Difficulty in Spont SpeechC100277Word Finding Difficulty in Spont SpeechAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Difficulty finding the desired word in spontaneous speech.CDISC ADAS-Cog - Word Difficulty in Spontaneous Speech
Word RecallC100177Word RecallAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word average score of trials 1, 2, 3.CDISC ADAS-Cog - Word Recall Average Score
Word Recall Trial 1C100178Word Recall Trial 1Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 1.CDISC ADAS-Cog - Word Recall Trial 1 Subscore
Word Recall Trial 2C100179Word Recall Trial 2Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 2.CDISC ADAS-Cog - Word Recall Trial 2 Subscore
Word Recall Trial 3C100180Word Recall Trial 3Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recall task trial 3.CDISC ADAS-Cog - Word Recall Trial 3 Subscore
Word Recall: Word [10]C100190Word Recall: Word [10]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 10 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 10
Word Recall: Word [1]C100181Word Recall: Word [1]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 1 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 1
Word Recall: Word [2]C100182Word Recall: Word [2]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 2 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 2
Word Recall: Word [3]C100183Word Recall: Word [3]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 3 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 3
Word Recall: Word [4]C100184Word Recall: Word [4]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 4 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 4
Word Recall: Word [5]C100185Word Recall: Word [5]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 5 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 5
Word Recall: Word [6]C100186Word Recall: Word [6]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 6 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 6
Word Recall: Word [7]C100187Word Recall: Word [7]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 7 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 7
Word Recall: Word [8]C100188Word Recall: Word [8]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 8 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 8
Word Recall: Word [9]C100189Word Recall: Word [9]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recall task word 9 for trial 1, 2, 3.CDISC ADAS-Cog - Word Recall: Word 9
Word RecognitionC100247Word RecognitionAlzheimer's Disease Assessment Scale-Cognitive CDISC Version - Summary score for word recognition across trials 1-3.CDISC ADAS-Cog - Word Recognition Summary Score
Word Recognition Trial 1C100248Word Recognition Trial 1Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 1.CDISC ADAS-Cog - Word Recognition Trial 1 Summary Score
Word Recognition Trial 2C100249Word Recognition Trial 2Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 2.CDISC ADAS-Cog - Word Recognition Trial 2 Summary Score
Word Recognition Trial 3C100250Word Recognition Trial 3Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Sub-score for word recognition trial 3.CDISC ADAS-Cog - Word Recognition Trial 3 Summary Score
Word Recognition: Word [10]C100260Word Recognition: Word [10]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 10 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 10
Word Recognition: Word [11]C100261Word Recognition: Word [11]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 11 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 11
Word Recognition: Word [12]C100262Word Recognition: Word [12]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 12 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 12
Word Recognition: Word [13]C100263Word Recognition: Word [13]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 13 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 13
Word Recognition: Word [14]C100264Word Recognition: Word [14]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 14 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 14
Word Recognition: Word [15]C100265Word Recognition: Word [15]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 15 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 15
Word Recognition: Word [16]C100266Word Recognition: Word [16]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 16 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 16
Word Recognition: Word [17]C100267Word Recognition: Word [17]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 17 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 17
Word Recognition: Word [18]C100268Word Recognition: Word [18]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 18 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 18
Word Recognition: Word [19]C100269Word Recognition: Word [19]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 19 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 19
Word Recognition: Word [1]C100251Word Recognition: Word [1]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 1 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 1
Word Recognition: Word [20]C100270Word Recognition: Word [20]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 20 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 20
Word Recognition: Word [21]C100271Word Recognition: Word [21]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 21 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 21
Word Recognition: Word [22]C100272Word Recognition: Word [22]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 22 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 22
Word Recognition: Word [23]C100273Word Recognition: Word [23]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 23 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 23
Word Recognition: Word [24]C100274Word Recognition: Word [24]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 24 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 24
Word Recognition: Word [2]C100252Word Recognition: Word [2]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 2 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 2
Word Recognition: Word [3]C100253Word Recognition: Word [3]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 3 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 3
Word Recognition: Word [4]C100254Word Recognition: Word [4]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 4 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 4
Word Recognition: Word [5]C100255Word Recognition: Word [5]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 5 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 5
Word Recognition: Word [6]C100256Word Recognition: Word [6]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 6 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 6
Word Recognition: Word [7]C100257Word Recognition: Word [7]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 7 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 7
Word Recognition: Word [8]C100258Word Recognition: Word [8]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 8 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 8
Word Recognition: Word [9]C100259Word Recognition: Word [9]Alzheimer's Disease Assessment Scale-Cognitive CDISC Version - Word recognition task for word 9 Trials 1, 2, 3.CDISC ADAS-Cog - Word Recognition: Word 9
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CL.C106651.ADCS-ADL MCI TESTCDQS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Code
(ADCS-ADL MCI TESTCD)
text
Extensible: No
C106651QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test CodeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version test code.CDISC Questionnaire ADCS-ADL MCI Test Code Terminology
ADL0301C106891ADL03-Find Personal BelongingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?ADCS-ADL MCI - Find Personal Belongings
ADL0301AC106892ADL03-Find Belongings Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he /she usually performed.ADCS-ADL MCI - Description of Usual Performance of Finding Belongings
ADL0302C106893ADL03-Select First Clothes for the DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} select his/her first set of clothes for the day?ADCS-ADL MCI - Select First Clothes for the Day
ADL0302AC106894ADL03-Usual Dressing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her usual performance.ADCS-ADL MCI - Description of Usual Performance of Selecting First Clothes for the Day
ADL0303C106895ADL03-Usual Physically Dressing PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Regarding physically getting dressed, which best describes his/her usual performance in the past 4 weeks.ADCS-ADL MCI - Description of Usual Performance of Physically Getting Dressed
ADL0304C106896ADL03-Clean RoomAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} clean a living-, sitting-, or family room?ADCS-ADL MCI - Clean Room
ADL0304AC106897ADL03-Clean Room PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.ADCS-ADL MCI - Description of Usual Performance of Cleaning Room
ADL0305C106898ADL03-Balance CheckbookAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} balance his/her checkbook or credit card statement?ADCS-ADL MCI - Balance Checkbook
ADL0305AC106899ADL03-Balance Checkbook PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.ADCS-ADL MCI - Description of Usual Performance of Balancing Checkbook
ADL0306C106900ADL03-Write Things DownAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} ever write things down?ADCS-ADL MCI - Write Things Down
ADL0306AC106901ADL03-Most Complicated WritingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes the most complicated things that he/she wrote.ADCS-ADL MCI - Description of Usual Performance of Most Complicated Things Written
ADL0307C106902ADL03-Clean LaundryAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} clean a load of laundry?ADCS-ADL MCI - Clean Laundry
ADL0307AC106903ADL03-Laundry Cleaning PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.ADCS-ADL MCI - Description of Usual Performance of Clean Laundry
ADL0308C106904ADL03-Keep AppointmentsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} keep appointments or meetings with other people, such as relatives, a doctor, the hairdresser, etc.?ADCS-ADL MCI - Keep Appointments
ADL0308AC106905ADL03-Aware of Appointment Ahead of TimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her awareness of the meeting ahead of time.ADCS-ADL MCI - Description of Awareness of the Meeting Ahead of Time
ADL0309C106906ADL03-Use a TelephoneAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} use a telephone?ADCS-ADL MCI - Use a Telephone
ADL0309AC106907ADL03-Highest Telephone Use PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her highest level of performance.ADCS-ADL MCI - Description of Highest Level of Performance of Telephone Use
ADL0310C106908ADL03-Make a MealAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} make him/herself a meal or snack at home?ADCS-ADL MCI - Make a Meal or Snack
ADL0310AC106909ADL03-Highest Level of Food PreparationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her highest level of food preparation.ADCS-ADL MCI - Description of Highest Level of Food Preparation
ADL0311C106910ADL03-Get Around Outside HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?ADCS-ADL MCI - Travel Outside Home
ADL0311AC106911ADL03-Get Around Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her optimal performance.ADCS-ADL MCI - Description of Optimal Performance of Travelling Outside Home
ADL0312C106912ADL03-Talk About Current EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} talk about current events?ADCS-ADL MCI - Talk About Current Events
ADL0312AC106913ADL03-Regional, National, InternationalAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, did {S} talk about regional, national or international events?ADCS-ADL MCI - Talk About Regional, National or International Events
ADL0312BC106914ADL03-Talk About Outside EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about events outside home involving family, friends, or neighbors?ADCS-ADL MCI - Talk About Outside Home Events
ADL0312CC106915ADL03-Talk About at Home EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about events that occurred at home that he/she took part in or watched?ADCS-ADL MCI - Talk About at Home Events
ADL0312DC106916ADL03-Talk Without RepeatingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} converse without repeating him/herself, or asking the same questions repeatedly?ADCS-ADL MCI - Converse Without Repeating
ADL0313C106917ADL03-Read More Than 5 MinutesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} read a magazine, newspaper or book for more than 5 minutes at a time?ADCS-ADL MCI - Read More Than 5 Minutes
ADL0313AC106918ADL03-Select/Ask for Something to ReadAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select or ask for something to read?ADCS-ADL MCI - Select or Ask for Something to Read
ADL0313BC106919ADL03-Talk Within 1 Hour After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about what he/she read while or shortly after reading (less than 1 hour)?ADCS-ADL MCI - Talk Within 1 Hour After Reading
ADL0313CC106920ADL03-Talk Within 1 Day After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about what he/she read 1-24 hours after reading?ADCS-ADL MCI - Talk Within 24 Hours After Reading
ADL0314C106921ADL03-Watch TelevisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} watch television?ADCS-ADL MCI - Watch Television
ADL0314AC106922ADL03-Select Television ProgramAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select or ask for different programs or his/her favorite show?ADCS-ADL MCI - Select or Ask for Programs or Show
ADL0314BC106923ADL03-Talk About TV Content While WatchAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about the content of a program while watching it?ADCS-ADL MCI - Talk About Content of Program While Watching
ADL0314CC106924ADL03-Talk About TV Content Within a DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about the content of a program within a day (24 hours) after watching it?ADCS-ADL MCI - Talk About Content of Program After Watching Within a Day
ADL0315C106925ADL03-Go ShoppingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} ever go shopping at a store?ADCS-ADL MCI - Go Shopping At a Store
ADL0315AC106926ADL03-Select items Without HelpAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select correct items without supervision or help?ADCS-ADL MCI - Select Correct Items Without Help
ADL0315BC106927ADL03-Pay Items On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually pay for items on his/her own?ADCS-ADL MCI - Pay for Items on His or Her Own
ADL0316C106928ADL03-Left On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, was {S} ever left on his/her own?ADCS-ADL MCI - Left on His or Her Own
ADL0316AC106929ADL03-Left Away From HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left away from home, for 15 minutes or longer, during the day?ADCS-ADL MCI - Left Away From Home Longer Than 15 Minutes
ADL0316BC106930ADL03-Left at Home for 1 Hour or LongerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left at home, for an hour or longer, during the day?ADCS-ADL MCI - Left at Home Longer Than an Hour
ADL0316CC106931ADL03-Left at Home for Less Than 1 HourAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left at home, for less than 1 hour, during the day?ADCS-ADL MCI - Left at Home Less Than an Hour
ADL0317C106932ADL03-Use Household ApplianceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} use a household appliance to do chores?ADCS-ADL MCI - Use Household Appliance
ADL0317AC107089ADL03-Appliance: WasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: washer.ADCS-ADL MCI - Use Household Appliance: Washer
ADL0317BC107090ADL03-Appliance: DryerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dryer.ADCS-ADL MCI - Use Household Appliance: Dryer
ADL0317CC107091ADL03-Appliance: VacuumAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: vacuum.ADCS-ADL MCI - Use Household Appliance: Vacuum
ADL0317DC106933ADL03-Appliance: DishwasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dishwasher.ADCS-ADL MCI - Use Household Appliance: Dishwasher
ADL0317EC106934ADL03-Appliance: Power ToolsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: power tool (s).ADCS-ADL MCI - Use Household Appliance: Power Tools
ADL0317FC106935ADL03-Appliance: Toaster OvenAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: toaster oven.ADCS-ADL MCI - Use Household Appliance: Toaster Oven
ADL0317GC106936ADL03-Appliance: RangeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: range.ADCS-ADL MCI - Use Household Appliance: Range
ADL0317HC106937ADL03-Appliance: MicrowaveAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: microwave.ADCS-ADL MCI - Use Household Appliance: Microwave
ADL0317IC106938ADL03-Appliance: Food ProcessorAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: food processor.ADCS-ADL MCI - Use Household Appliance: Food Processor
ADL0317JC106939ADL03-Appliance: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: other.ADCS-ADL MCI - Use Household Appliance: Other
ADL0317KC106940ADL03-Appliance: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: other specify.ADCS-ADL MCI - Use Household Appliance: Other Specify
ADL0317LC106941ADL03-Use Common Used Appliances (q17a)Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - For the 1 or 2 most commonly used appliances, which best describes how {S} usually used them.ADCS-ADL MCI - Description of Usual Use of Commonly Used Appliances
ADL0318C106942ADL03-Perform PastimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} perform a pastime, hobby or game?ADCS-ADL MCI - Perform Pastime, Hobby or Game
ADL0318AC106943ADL03-Pastime: Card or Board GamesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: card or board games.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Card or Board Games
ADL0318BC106944ADL03-Pastime: BingoAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: bingo.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Bingo
ADL0318CC106945ADL03-Pastime: CrosswordsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: crosswords.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Crosswords
ADL0318DC106946ADL03-Pastime: ArtAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: art.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Art
ADL0318EC106947ADL03-Pastime: Musical InstrumentAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: musical instrument.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Musical Instrument
ADL0318FC106948ADL03-Pastime: KnittingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: knitting.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Knitting
ADL0318GC106949ADL03-Pastime: SewingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: sewing.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Sewing
ADL0318HC106950ADL03-Pastime: ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: reading.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Reading
ADL0318IC106951ADL03-Pastime: GardeningAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: gardening.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Gardening
ADL0318JC106952ADL03-Pastime: GolfAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: golf.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Golf
ADL0318KC106953ADL03-Pastime: TennisAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: tennis.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Tennis
ADL0318LC106954ADL03-Pastime: WorkshopAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: workshop.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Workshop
ADL0318MC106955ADL03-Pastime: FishingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: fishing.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Fishing
ADL0318NC106956ADL03-Pastime: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: other.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Other
ADL0318OC106957ADL03-Pastime: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: other specify.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Other Specify
ADL0318PC106958ADL03-Hobbies Needed Help (Q18a)Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} require supervision, or help, to perform any of these hobbies?ADCS-ADL MCI - Require Help to Perform Hobbies
ADL0318QC106959ADL03-Hobbies Unable to Perform (Q18b)Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - List any hobby (ies) that the subject has lost the ability to perform.ADCS-ADL MCI - List Hobbies Lost Ability to Perform
ADL0319C106960ADL03-Drive CarAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} drive a car?ADCS-ADL MCI - Drive a Car
ADL0319AC106961ADL03-Drive Car Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her optimal performance.ADCS-ADL MCI - Description of Optimal Performance of Driving Car
ADL0320C106962ADL03-Take Medications RegularlyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, did {S} take his/her medications regularly?ADCS-ADL MCI - Take Medications Regularly
ADL0320AC106963ADL03-Take Medications PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, was this.ADCS-ADL MCI - Description of Taking Medications Regularly
ADL0321C106964ADL03-Complete Complex ActivitiesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, did {S} usually carry through complex or time-consuming activities to completion?ADCS-ADL MCI - Carry Through Complex Activities to Completion
ADL0321AC106965ADL03-Extent Needed RemindersAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes extent to which he/she needed reminders.ADCS-ADL MCI - Description of Extent Needing Reminder
ADL0322C106966ADL03-Initiate Complex ActivitiesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, to what extent did {S} initiate complex daily activities or projects (e.g., hobbies, travel)?ADCS-ADL MCI - Initiate Complex Daily Activities
ADL0323C106967ADL03-Time to Complete Complex TasksAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, how long did it usually take {S} to complete complex or time-consuming tasks or activities?ADCS-ADL MCI - Time Taken to Complete Complex Activities
ADL0324C106968ADL03-Extenuating CircumstancesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Has an extenuating circumstance (such as a physical health problem, change in residence, change in support network, death of a family member, etc.) contributed to a recent alteration in the subject's activities of daily living?ADCS-ADL MCI - Extenuating Circumstance
ADL0324AC106969ADL03-Explain CircumstanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, explain.ADCS-ADL MCI - Explain Extenuating Circumstance
ADL0325C107092ADL03-Total Points for 'Don't Know'Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Were any questions (1-18) answered 'Don't Know'? If yes, calculate total points for 'Don't Know'.ADCS-ADL MCI - Points for Questions (1-18) Answered 'Don't Know'
ADL0326C106970ADL03-Subscore for Items 1 to 3Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 1.ADCS-ADL MCI - Subscore for Items 1 to 3
ADL0327C106971ADL03-Subscore for Items 4 to 7Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 2.ADCS-ADL MCI - Subscore for Items 4 to 7
ADL0328C106972ADL03-Subscore for Items 8 to 10Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 3.ADCS-ADL MCI - Subscore for Items 8 to 10
ADL0329C106973ADL03-Subscore for Items 11 to 12dAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 4.ADCS-ADL MCI - Subscore for Items 11 to 12
ADL0330C106974ADL03-Subscore for Items 13 to 14cAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 5.ADCS-ADL MCI - Subscore for Items 13 to 14
ADL0331C106975ADL03-Subscore for Items 15 to 16cAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 6.ADCS-ADL MCI - Subscore for Items 15 to 16
ADL0332C106976ADL03-Subscore for Item 17Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 7.ADCS-ADL MCI - Subscore for Item 17
ADL0333C106977ADL03-Subscore for Item 18Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 8.ADCS-ADL MCI - Subscore for Item 18
ADL0334C106978ADL03-Total ADCS-ADL ScoreAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Total Score.ADCS-ADL MCI - ADL Total Score
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CL.C106650.ADCS-ADL MCI TESTQS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test Name
(ADCS-ADL MCI TEST)
text
Extensible: No
C106650QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version Questionnaire Test NameAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory MCI Version test name.CDISC Questionnaire ADCS-ADL MCI Test Name Terminology
ADL03-Appliance: DishwasherC106933ADL03-Appliance: DishwasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dishwasher.ADCS-ADL MCI - Use Household Appliance: Dishwasher
ADL03-Appliance: DryerC107090ADL03-Appliance: DryerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: dryer.ADCS-ADL MCI - Use Household Appliance: Dryer
ADL03-Appliance: Food ProcessorC106938ADL03-Appliance: Food ProcessorAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: food processor.ADCS-ADL MCI - Use Household Appliance: Food Processor
ADL03-Appliance: MicrowaveC106937ADL03-Appliance: MicrowaveAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: microwave.ADCS-ADL MCI - Use Household Appliance: Microwave
ADL03-Appliance: OtherC106939ADL03-Appliance: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: other.ADCS-ADL MCI - Use Household Appliance: Other
ADL03-Appliance: Other SpecifyC106940ADL03-Appliance: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: other specify.ADCS-ADL MCI - Use Household Appliance: Other Specify
ADL03-Appliance: Power ToolsC106934ADL03-Appliance: Power ToolsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: power tool (s).ADCS-ADL MCI - Use Household Appliance: Power Tools
ADL03-Appliance: RangeC106936ADL03-Appliance: RangeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: range.ADCS-ADL MCI - Use Household Appliance: Range
ADL03-Appliance: Toaster OvenC106935ADL03-Appliance: Toaster OvenAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: toaster oven.ADCS-ADL MCI - Use Household Appliance: Toaster Oven
ADL03-Appliance: VacuumC107091ADL03-Appliance: VacuumAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: vacuum.ADCS-ADL MCI - Use Household Appliance: Vacuum
ADL03-Appliance: WasherC107089ADL03-Appliance: WasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Check all that were used: washer.ADCS-ADL MCI - Use Household Appliance: Washer
ADL03-Aware of Appointment Ahead of TimeC106905ADL03-Aware of Appointment Ahead of TimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her awareness of the meeting ahead of time.ADCS-ADL MCI - Description of Awareness of the Meeting Ahead of Time
ADL03-Balance CheckbookC106898ADL03-Balance CheckbookAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} balance his/her checkbook or credit card statement?ADCS-ADL MCI - Balance Checkbook
ADL03-Balance Checkbook PerformanceC106899ADL03-Balance Checkbook PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.ADCS-ADL MCI - Description of Usual Performance of Balancing Checkbook
ADL03-Clean LaundryC106902ADL03-Clean LaundryAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} clean a load of laundry?ADCS-ADL MCI - Clean Laundry
ADL03-Clean RoomC106896ADL03-Clean RoomAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} clean a living-, sitting-, or family room?ADCS-ADL MCI - Clean Room
ADL03-Clean Room PerformanceC106897ADL03-Clean Room PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.ADCS-ADL MCI - Description of Usual Performance of Cleaning Room
ADL03-Complete Complex ActivitiesC106964ADL03-Complete Complex ActivitiesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, did {S} usually carry through complex or time-consuming activities to completion?ADCS-ADL MCI - Carry Through Complex Activities to Completion
ADL03-Drive CarC106960ADL03-Drive CarAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} drive a car?ADCS-ADL MCI - Drive a Car
ADL03-Drive Car Optimal PerformanceC106961ADL03-Drive Car Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her optimal performance.ADCS-ADL MCI - Description of Optimal Performance of Driving Car
ADL03-Explain CircumstanceC106969ADL03-Explain CircumstanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, explain.ADCS-ADL MCI - Explain Extenuating Circumstance
ADL03-Extent Needed RemindersC106965ADL03-Extent Needed RemindersAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes extent to which he/she needed reminders.ADCS-ADL MCI - Description of Extent Needing Reminder
ADL03-Extenuating CircumstancesC106968ADL03-Extenuating CircumstancesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Has an extenuating circumstance (such as a physical health problem, change in residence, change in support network, death of a family member, etc.) contributed to a recent alteration in the subject's activities of daily living?ADCS-ADL MCI - Extenuating Circumstance
ADL03-Find Belongings Usual PerformanceC106892ADL03-Find Belongings Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he /she usually performed.ADCS-ADL MCI - Description of Usual Performance of Finding Belongings
ADL03-Find Personal BelongingsC106891ADL03-Find Personal BelongingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?ADCS-ADL MCI - Find Personal Belongings
ADL03-Get Around Optimal PerformanceC106911ADL03-Get Around Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her optimal performance.ADCS-ADL MCI - Description of Optimal Performance of Travelling Outside Home
ADL03-Get Around Outside HomeC106910ADL03-Get Around Outside HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?ADCS-ADL MCI - Travel Outside Home
ADL03-Go ShoppingC106925ADL03-Go ShoppingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} ever go shopping at a store?ADCS-ADL MCI - Go Shopping At a Store
ADL03-Highest Level of Food PreparationC106909ADL03-Highest Level of Food PreparationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her highest level of food preparation.ADCS-ADL MCI - Description of Highest Level of Food Preparation
ADL03-Highest Telephone Use PerformanceC106907ADL03-Highest Telephone Use PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her highest level of performance.ADCS-ADL MCI - Description of Highest Level of Performance of Telephone Use
ADL03-Hobbies Needed Help (Q18a)C106958ADL03-Hobbies Needed Help (Q18a)Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} require supervision, or help, to perform any of these hobbies?ADCS-ADL MCI - Require Help to Perform Hobbies
ADL03-Hobbies Unable to Perform (Q18b)C106959ADL03-Hobbies Unable to Perform (Q18b)Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - List any hobby (ies) that the subject has lost the ability to perform.ADCS-ADL MCI - List Hobbies Lost Ability to Perform
ADL03-Initiate Complex ActivitiesC106966ADL03-Initiate Complex ActivitiesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, to what extent did {S} initiate complex daily activities or projects (e.g., hobbies, travel)?ADCS-ADL MCI - Initiate Complex Daily Activities
ADL03-Keep AppointmentsC106904ADL03-Keep AppointmentsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} keep appointments or meetings with other people, such as relatives, a doctor, the hairdresser, etc.?ADCS-ADL MCI - Keep Appointments
ADL03-Laundry Cleaning PerformanceC106903ADL03-Laundry Cleaning PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes how he/she usually performed.ADCS-ADL MCI - Description of Usual Performance of Clean Laundry
ADL03-Left at Home for 1 Hour or LongerC106930ADL03-Left at Home for 1 Hour or LongerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left at home, for an hour or longer, during the day?ADCS-ADL MCI - Left at Home Longer Than an Hour
ADL03-Left at Home for Less Than 1 HourC106931ADL03-Left at Home for Less Than 1 HourAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left at home, for less than 1 hour, during the day?ADCS-ADL MCI - Left at Home Less Than an Hour
ADL03-Left Away From HomeC106929ADL03-Left Away From HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Was {S} left away from home, for 15 minutes or longer, during the day?ADCS-ADL MCI - Left Away From Home Longer Than 15 Minutes
ADL03-Left On His/Her OwnC106928ADL03-Left On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, was {S} ever left on his/her own?ADCS-ADL MCI - Left on His or Her Own
ADL03-Make a MealC106908ADL03-Make a MealAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} make him/herself a meal or snack at home?ADCS-ADL MCI - Make a Meal or Snack
ADL03-Most Complicated WritingsC106901ADL03-Most Complicated WritingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes the most complicated things that he/she wrote.ADCS-ADL MCI - Description of Usual Performance of Most Complicated Things Written
ADL03-Pastime: ArtC106946ADL03-Pastime: ArtAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: art.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Art
ADL03-Pastime: BingoC106944ADL03-Pastime: BingoAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: bingo.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Bingo
ADL03-Pastime: Card or Board GamesC106943ADL03-Pastime: Card or Board GamesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: card or board games.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Card or Board Games
ADL03-Pastime: CrosswordsC106945ADL03-Pastime: CrosswordsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: crosswords.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Crosswords
ADL03-Pastime: FishingC106955ADL03-Pastime: FishingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: fishing.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Fishing
ADL03-Pastime: GardeningC106951ADL03-Pastime: GardeningAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: gardening.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Gardening
ADL03-Pastime: GolfC106952ADL03-Pastime: GolfAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: golf.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Golf
ADL03-Pastime: KnittingC106948ADL03-Pastime: KnittingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: knitting.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Knitting
ADL03-Pastime: Musical InstrumentC106947ADL03-Pastime: Musical InstrumentAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: musical instrument.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Musical Instrument
ADL03-Pastime: OtherC106956ADL03-Pastime: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: other.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Other
ADL03-Pastime: Other SpecifyC106957ADL03-Pastime: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: other specify.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Other Specify
ADL03-Pastime: ReadingC106950ADL03-Pastime: ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: reading.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Reading
ADL03-Pastime: SewingC106949ADL03-Pastime: SewingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: sewing.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Sewing
ADL03-Pastime: TennisC106953ADL03-Pastime: TennisAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: tennis.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Tennis
ADL03-Pastime: WorkshopC106954ADL03-Pastime: WorkshopAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Which pastimes did he/she perform: workshop.ADCS-ADL MCI - Perform Pastime, Hobby or Game: Workshop
ADL03-Pay Items On His/Her OwnC106927ADL03-Pay Items On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually pay for items on his/her own?ADCS-ADL MCI - Pay for Items on His or Her Own
ADL03-Perform PastimeC106942ADL03-Perform PastimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} perform a pastime, hobby or game?ADCS-ADL MCI - Perform Pastime, Hobby or Game
ADL03-Read More Than 5 MinutesC106917ADL03-Read More Than 5 MinutesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} read a magazine, newspaper or book for more than 5 minutes at a time?ADCS-ADL MCI - Read More Than 5 Minutes
ADL03-Regional, National, InternationalC106913ADL03-Regional, National, InternationalAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, did {S} talk about regional, national or international events?ADCS-ADL MCI - Talk About Regional, National or International Events
ADL03-Select First Clothes for the DayC106893ADL03-Select First Clothes for the DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} select his/her first set of clothes for the day?ADCS-ADL MCI - Select First Clothes for the Day
ADL03-Select items Without HelpC106926ADL03-Select items Without HelpAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select correct items without supervision or help?ADCS-ADL MCI - Select Correct Items Without Help
ADL03-Select Television ProgramC106922ADL03-Select Television ProgramAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select or ask for different programs or his/her favorite show?ADCS-ADL MCI - Select or Ask for Programs or Show
ADL03-Select/Ask for Something to ReadC106918ADL03-Select/Ask for Something to ReadAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually select or ask for something to read?ADCS-ADL MCI - Select or Ask for Something to Read
ADL03-Subscore for Item 17C106976ADL03-Subscore for Item 17Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 7.ADCS-ADL MCI - Subscore for Item 17
ADL03-Subscore for Item 18C106977ADL03-Subscore for Item 18Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 8.ADCS-ADL MCI - Subscore for Item 18
ADL03-Subscore for Items 1 to 3C106970ADL03-Subscore for Items 1 to 3Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 1.ADCS-ADL MCI - Subscore for Items 1 to 3
ADL03-Subscore for Items 11 to 12dC106973ADL03-Subscore for Items 11 to 12dAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 4.ADCS-ADL MCI - Subscore for Items 11 to 12
ADL03-Subscore for Items 13 to 14cC106974ADL03-Subscore for Items 13 to 14cAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 5.ADCS-ADL MCI - Subscore for Items 13 to 14
ADL03-Subscore for Items 15 to 16cC106975ADL03-Subscore for Items 15 to 16cAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 6.ADCS-ADL MCI - Subscore for Items 15 to 16
ADL03-Subscore for Items 4 to 7C106971ADL03-Subscore for Items 4 to 7Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 2.ADCS-ADL MCI - Subscore for Items 4 to 7
ADL03-Subscore for Items 8 to 10C106972ADL03-Subscore for Items 8 to 10Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Subscore for Page 3.ADCS-ADL MCI - Subscore for Items 8 to 10
ADL03-Take Medications PerformanceC106963ADL03-Take Medications PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, was this.ADCS-ADL MCI - Description of Taking Medications Regularly
ADL03-Take Medications RegularlyC106962ADL03-Take Medications RegularlyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, did {S} take his/her medications regularly?ADCS-ADL MCI - Take Medications Regularly
ADL03-Talk About at Home EventsC106915ADL03-Talk About at Home EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about events that occurred at home that he/she took part in or watched?ADCS-ADL MCI - Talk About at Home Events
ADL03-Talk About Current EventsC106912ADL03-Talk About Current EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} talk about current events?ADCS-ADL MCI - Talk About Current Events
ADL03-Talk About Outside EventsC106914ADL03-Talk About Outside EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about events outside home involving family, friends, or neighbors?ADCS-ADL MCI - Talk About Outside Home Events
ADL03-Talk About TV Content While WatchC106923ADL03-Talk About TV Content While WatchAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about the content of a program while watching it?ADCS-ADL MCI - Talk About Content of Program While Watching
ADL03-Talk About TV Content Within a DayC106924ADL03-Talk About TV Content Within a DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} talk about the content of a program within a day (24 hours) after watching it?ADCS-ADL MCI - Talk About Content of Program After Watching Within a Day
ADL03-Talk Within 1 Day After ReadingC106920ADL03-Talk Within 1 Day After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about what he/she read 1-24 hours after reading?ADCS-ADL MCI - Talk Within 24 Hours After Reading
ADL03-Talk Within 1 Hour After ReadingC106919ADL03-Talk Within 1 Hour After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} usually talk about what he/she read while or shortly after reading (less than 1 hour)?ADCS-ADL MCI - Talk Within 1 Hour After Reading
ADL03-Talk Without RepeatingC106916ADL03-Talk Without RepeatingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Did {S} converse without repeating him/herself, or asking the same questions repeatedly?ADCS-ADL MCI - Converse Without Repeating
ADL03-Time to Complete Complex TasksC106967ADL03-Time to Complete Complex TasksAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - During the past 4 weeks, how long did it usually take {S} to complete complex or time-consuming tasks or activities?ADCS-ADL MCI - Time Taken to Complete Complex Activities
ADL03-Total ADCS-ADL ScoreC106978ADL03-Total ADCS-ADL ScoreAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Total Score.ADCS-ADL MCI - ADL Total Score
ADL03-Total Points for 'Don't Know'C107092ADL03-Total Points for 'Don't Know'Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Were any questions (1-18) answered 'Don't Know'? If yes, calculate total points for 'Don't Know'.ADCS-ADL MCI - Points for Questions (1-18) Answered 'Don't Know'
ADL03-Use a TelephoneC106906ADL03-Use a TelephoneAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} use a telephone?ADCS-ADL MCI - Use a Telephone
ADL03-Use Common Used Appliances (q17a)C106941ADL03-Use Common Used Appliances (q17a)Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - For the 1 or 2 most commonly used appliances, which best describes how {S} usually used them.ADCS-ADL MCI - Description of Usual Use of Commonly Used Appliances
ADL03-Use Household ApplianceC106932ADL03-Use Household ApplianceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} use a household appliance to do chores?ADCS-ADL MCI - Use Household Appliance
ADL03-Usual Dressing PerformanceC106894ADL03-Usual Dressing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - If yes, which best describes his/her usual performance.ADCS-ADL MCI - Description of Usual Performance of Selecting First Clothes for the Day
ADL03-Usual Physically Dressing PerformC106895ADL03-Usual Physically Dressing PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - Regarding physically getting dressed, which best describes his/her usual performance in the past 4 weeks.ADCS-ADL MCI - Description of Usual Performance of Physically Getting Dressed
ADL03-Watch TelevisionC106921ADL03-Watch TelevisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} watch television?ADCS-ADL MCI - Watch Television
ADL03-Write Things DownC106900ADL03-Write Things DownAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, MCI Version - In the past 4 weeks, did {S} ever write things down?ADCS-ADL MCI - Write Things Down
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CL.C105140.ADCS-ADL TESTCDQS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Code
(ADCS-ADL TESTCD)
text
Extensible: No
C105140QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test CodeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory test code.CDISC Questionnaire ADCS-ADL Test Code Terminology
ADL0101C105283ADL01-Usual Eating PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding eating: which best describes {S} usual performance during the past 4 weeks?ADCS-ADL - Description of Usual Performance of Eating
ADL0102C105284ADL01-Optimal Walking PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding walking (or getting around in a wheelchair), in the past 4 weeks, which best describes his/her optimal performance.ADCS-ADL - Description of Optimal Performance of Walking
ADL0103C105285ADL01-Usual Bowel/Bladder FunctionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding bowel and bladder function at the toilet, which best describes his/her usual performance in the past 4 weeks.ADCS-ADL - Usual Bowel and Bladder Function at Toilet
ADL0104C105286ADL01-Usual Bathing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding bathing, in the past 4 weeks, which best describes his/her usual performance.ADCS-ADL - Description of Usual Performance of Bathing
ADL0105C105287ADL01-Optimal Grooming PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding grooming, in the past 4 weeks, which best describes his/her optimal performance.ADCS-ADL - Description of Optimal Performance of Grooming
ADL0106C105288ADL01-Select First Clothes for the DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding dressing in the past 4 weeks: Did {S} select his/her first set of clothes for the day?ADCS-ADL - Select First Clothes for the Day
ADL0106AC105289ADL01-Usual Dressing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes usual performance.ADCS-ADL - Description of Usual Performance of Dressing
ADL0106BC105290ADL01-Usual Physically Dressing PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding physically getting dressed, which best describes his/her usual performance in the past 4 weeks.ADCS-ADL - Description of Usual Performance of Physically Getting Dressed
ADL0107C105291ADL01-Use a TelephoneAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} use a telephone?ADCS-ADL - Use a Telephone
ADL0107AC105292ADL01-Highest Telephone Use PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of performance.ADCS-ADL - Description of Highest Performance of Telephone Use
ADL0108C105293ADL01-Watch TelevisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} watch television?ADCS-ADL - Watch Television
ADL0108AC105294ADL01-Select Television ProgramAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually select or ask for different programs or his/her favorite show?ADCS-ADL - Select or Ask for Television Program
ADL0108BC105295ADL01-Talk About TV Content While WatchAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about the content of a program while watching it?ADCS-ADL - Talk About TV Content While Watching
ADL0108CC105296ADL01-Talk About TV Content Within a DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about the content of a program within a day (24 hours) after watching it?ADCS-ADL - Talk About TV Content Within a Day After Watching
ADL0109C105297ADL01-Pay Attention to ConversationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever appear to pay attention to conversation or small talk for at least 5 minutes?ADCS-ADL - Pay Attention to Conversation
ADL0109AC105298ADL01-Usual Conversation ParticipationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her usual degree of participation.ADCS-ADL - Usual Conversation Participation
ADL0110C105299ADL01-Clear DishesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} clear the dishes from the table after a meal or snack?ADCS-ADL - Clear Dishes After Meal or Snack
ADL0110AC105300ADL01-Clear Dishes Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.ADCS-ADL - Description of Usual Performance of Clearing Dishes
ADL0111C105301ADL01-Find BelongingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?ADCS-ADL - Find Personal Belongings at Home
ADL0111AC105302ADL01-Find Belongings Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.ADCS-ADL - Description of Usual Performance of Finding Personal Belonging at Home
ADL0112C105303ADL01-Obtain BeverageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} obtain a hot or cold beverage for him/herself?ADCS-ADL - Obtain Beverage for Self
ADL0112AC105304ADL01-Obtain Beverage Highest PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of performance.ADCS-ADL - Description of Highest Performance of Obtaining Beverage
ADL0113C105305ADL01-Make a MealAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} make him/herself a meal or snack at home?ADCS-ADL - Make a Meal or Snack at Home
ADL0113AC105306ADL01-Highest Level of Food PreparationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of food preparation.ADCS-ADL - Highest Level of Food Preparation
ADL0114C105307ADL01-Dispose of GarbageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} dispose of garbage or litter in an appropriate place or container at home?ADCS-ADL - Dispose of Garbage in Appropriate Place at Home
ADL0114AC105308ADL01-Dispose Garbage Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.ADCS-ADL - Description of Usual Performance of Garbage Disposal
ADL0115C105309ADL01-Get Around Outside HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?ADCS-ADL - Get Around Outside Home
ADL0115AC105310ADL01-Get Around Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her optimal performance.ADCS-ADL - Description of Optimal Performance of Getting Around Outside of Home
ADL0116C105311ADL01-Go ShoppingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever go shopping?ADCS-ADL - Go Shopping
ADL0116AC105312ADL01-How Usually Selects ItemsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which one best describes how {S} usually selects items.ADCS-ADL - How Subject Usually Selects Items
ADL0116BC105313ADL01-Pay Without SupervisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually pay for items without supervision or physical help?ADCS-ADL - Pay for Items Without Supervision or Physical Help
ADL0117C105314ADL01-Keep AppointmentsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} keep appointments or meetings with other people, such as relatives, a doctor, the hairdresser, etc.?ADCS-ADL - Keep Appointments or Meetings with Others
ADL0117AC105315ADL01-Aware of Appointment Ahead of TimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her awareness of the meeting ahead of time.ADCS-ADL - Description of Awareness of Appointment Ahead of Time
ADL0118C105316ADL01-Left On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, was {S} ever left on his/her own?ADCS-ADL - Subject Left on Their Own
ADL0118AC105317ADL01-Left Away From HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left away from home, for 15 minutes or longer, during the day?ADCS-ADL - Left Away From Home for Fifteen Minutes or Longer
ADL0118BC105318ADL01-Left at Home for 1 Hour or LongerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left: at home, for an hour or longer, during the day?ADCS-ADL - Left at Home for One Hour or Longer
ADL0118CC105319ADL01-Left at Home for Less Than 1 HourAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left at home, for less than 1 hour, during the day?ADCS-ADL - Left at Home for Less Than One Hour
ADL0119C105320ADL01-Talk About Current EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} talk about current events?ADCS-ADL - Talk About Current Events
ADL0119AC105321ADL01-Talk About Events Heard/Read AboutAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that he/she heard or read about or saw on TV but did not take part in?ADCS-ADL - Talk About Events on TV that Subject Did not Take Part In
ADL0119BC105322ADL01-Talk About Outside EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that he/she took part in outside home involving family, friends, or neighbors?ADCS-ADL - Talk About Events Outside of Home that Subject Took Part In
ADL0119CC105323ADL01-Talk About at Home EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that occurred at home that he/she took part in or watched?ADCS-ADL - Talk About Events at Home that Subject Took Part in or Watched
ADL0120C105324ADL01-Read More Than 5 MinutesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} read a magazine, newspaper or book for more than 5 minutes at a time?ADCS-ADL - Read for More Than Five Minutes
ADL0120AC105325ADL01-Talk Within 1 Hour After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about details of what he/she read while or shortly (less than 1 hour) after reading?ADCS-ADL - Talk About What Subject Read Less Than One Hour After Reading
ADL0120BC105326ADL01-Talk 1 Hour or More After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about what he/she read 1 hour or longer after reading?ADCS-ADL - Talk About What Subject Read More Than One Hour After Reading
ADL0121C105327ADL01-Write Things DownAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever write things down?ADCS-ADL - Write Things Down
ADL0121AC105328ADL01-Most Complicated WritingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes the most complicated things that he/she wrote.ADCS-ADL - Description of Most Complicated Writings
ADL0122C105329ADL01-Perform PastimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} perform a pastime, hobby or game?ADCS-ADL - Perform Pastime, Hobby or Game
ADL0122AC105330ADL01-Pastime: Card or Board GamesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: Card or board games.ADCS-ADL - Pastime: Card or Board Games
ADL0122BC105331ADL01-Pastime: BingoAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: bingo.ADCS-ADL - Pastime: Bingo
ADL0122CC105332ADL01-Pastime: CrosswordsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: crosswords.ADCS-ADL - Pastime: Crosswords
ADL0122DC105333ADL01-Pastime: ArtAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: art.ADCS-ADL - Pastime: Art
ADL0122EC105334ADL01-Pastime: Musical InstrumentAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: musical instrument.ADCS-ADL - Pastime: Musical Instrument
ADL0122FC105335ADL01-Pastime: KnittingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: knitting.ADCS-ADL - Pastime: Knitting
ADL0122GC105336ADL01-Pastime: SewingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: sewing.ADCS-ADL - Pastime: Sewing
ADL0122HC105337ADL01-Pastime: ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: reading.ADCS-ADL - Pastime: Reading
ADL0122IC105338ADL01-Pastime: GardeningAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: gardening.ADCS-ADL - Pastime: Gardening
ADL0122JC105339ADL01-Pastime: GolfAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: golf.ADCS-ADL - Pastime: Golf
ADL0122KC105340ADL01-Pastime: TennisAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: tennis.ADCS-ADL - Pastime: Tennis
ADL0122LC105341ADL01-Pastime: WorkshopAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: workshop.ADCS-ADL - Pastime: Workshop
ADL0122MC105342ADL01-Pastime: FishingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: fishing.ADCS-ADL - Pastime: Fishing
ADL0122NC105343ADL01-Pastime: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other.ADCS-ADL - Pastime: Other
ADL0122OC105344ADL01-Pastime: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other specify.ADCS-ADL - Pastime: Other Specify
ADL0122PC105345ADL01-Hobbies Only at Day CareAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If {S} performs hobbies/pastimes only at day care, check here.ADCS-ADL - Performed Hobbies Only at Day Care
ADL0122QC105346ADL01-Usual Common Pastimes PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, how did {S} usually perform his/her most common pastimes.ADCS-ADL - Description of Usual Performance of Common Pastimes
ADL0123C105347ADL01-Use Household ApplianceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} use a household appliance to do chores?ADCS-ADL - Use Household Appliance to do Chores
ADL0123AC105348ADL01-Appliance: WasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: washer.ADCS-ADL - Appliance: Washer
ADL0123BC105349ADL01-Appliance: DryerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dryer.ADCS-ADL - Appliance: Dryer
ADL0123CC105350ADL01-Appliance: VacuumAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: vacuum.ADCS-ADL - Appliance: Vacuum
ADL0123DC105351ADL01-Appliance: DishwasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dishwasher.ADCS-ADL - Appliance: Dishwasher
ADL0123EC105352ADL01-Appliance: ToasterAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster.ADCS-ADL - Appliance: Toaster
ADL0123FC105353ADL01-Appliance: Toaster OvenAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster oven.ADCS-ADL - Appliance: Toaster Oven
ADL0123GC105354ADL01-Appliance: RangeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: range.ADCS-ADL - Appliance: Range
ADL0123HC105355ADL01-Appliance: MicrowaveAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: microwave.ADCS-ADL - Appliance: Microwave
ADL0123IC105356ADL01-Appliance: Food ProcessorAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: food processor.ADCS-ADL - Appliance: Food Processor
ADL0123JC105357ADL01-Appliance: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other.ADCS-ADL - Appliance: Other
ADL0123KC105358ADL01-Appliance: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other specify.ADCS-ADL - Appliance: Other Specify
ADL0123LC105359ADL01-Use Common Used AppliancesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, for the most commonly used appliances, which best describes how {S} usually used them.ADCS-ADL - Description of Usual Use of Commonly Used Appliances
ADL0124C105360ADL01-Total ADCS-ADL ScoreAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Total Score.ADCS-ADL - Total Score
ADL0125C105361ADL01-Number Don't Know ResponsesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Number of 'Don't Know' Responses.ADCS-ADL - Number of 'Don't Know' Responses
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CL.C105139.ADCS-ADL TESTQS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test Name
(ADCS-ADL TEST)
text
Extensible: No
C105139QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Questionnaire Test NameAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory test name.CDISC Questionnaire ADCS-ADL Test Name Terminology
ADL01-Appliance: DishwasherC105351ADL01-Appliance: DishwasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dishwasher.ADCS-ADL - Appliance: Dishwasher
ADL01-Appliance: DryerC105349ADL01-Appliance: DryerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: dryer.ADCS-ADL - Appliance: Dryer
ADL01-Appliance: Food ProcessorC105356ADL01-Appliance: Food ProcessorAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: food processor.ADCS-ADL - Appliance: Food Processor
ADL01-Appliance: MicrowaveC105355ADL01-Appliance: MicrowaveAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: microwave.ADCS-ADL - Appliance: Microwave
ADL01-Appliance: OtherC105357ADL01-Appliance: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other.ADCS-ADL - Appliance: Other
ADL01-Appliance: Other SpecifyC105358ADL01-Appliance: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: other specify.ADCS-ADL - Appliance: Other Specify
ADL01-Appliance: RangeC105354ADL01-Appliance: RangeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: range.ADCS-ADL - Appliance: Range
ADL01-Appliance: ToasterC105352ADL01-Appliance: ToasterAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster.ADCS-ADL - Appliance: Toaster
ADL01-Appliance: Toaster OvenC105353ADL01-Appliance: Toaster OvenAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: toaster oven.ADCS-ADL - Appliance: Toaster Oven
ADL01-Appliance: VacuumC105350ADL01-Appliance: VacuumAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: vacuum.ADCS-ADL - Appliance: Vacuum
ADL01-Appliance: WasherC105348ADL01-Appliance: WasherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Check all that were used: washer.ADCS-ADL - Appliance: Washer
ADL01-Aware of Appointment Ahead of TimeC105315ADL01-Aware of Appointment Ahead of TimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her awareness of the meeting ahead of time.ADCS-ADL - Description of Awareness of Appointment Ahead of Time
ADL01-Clear DishesC105299ADL01-Clear DishesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} clear the dishes from the table after a meal or snack?ADCS-ADL - Clear Dishes After Meal or Snack
ADL01-Clear Dishes Usual PerformanceC105300ADL01-Clear Dishes Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.ADCS-ADL - Description of Usual Performance of Clearing Dishes
ADL01-Dispose Garbage Usual PerformanceC105308ADL01-Dispose Garbage Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.ADCS-ADL - Description of Usual Performance of Garbage Disposal
ADL01-Dispose of GarbageC105307ADL01-Dispose of GarbageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} dispose of garbage or litter in an appropriate place or container at home?ADCS-ADL - Dispose of Garbage in Appropriate Place at Home
ADL01-Find BelongingsC105301ADL01-Find BelongingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?ADCS-ADL - Find Personal Belongings at Home
ADL01-Find Belongings Usual PerformanceC105302ADL01-Find Belongings Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes how he/she usually performed.ADCS-ADL - Description of Usual Performance of Finding Personal Belonging at Home
ADL01-Get Around Optimal PerformanceC105310ADL01-Get Around Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her optimal performance.ADCS-ADL - Description of Optimal Performance of Getting Around Outside of Home
ADL01-Get Around Outside HomeC105309ADL01-Get Around Outside HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?ADCS-ADL - Get Around Outside Home
ADL01-Go ShoppingC105311ADL01-Go ShoppingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever go shopping?ADCS-ADL - Go Shopping
ADL01-Highest Level of Food PreparationC105306ADL01-Highest Level of Food PreparationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of food preparation.ADCS-ADL - Highest Level of Food Preparation
ADL01-Highest Telephone Use PerformanceC105292ADL01-Highest Telephone Use PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of performance.ADCS-ADL - Description of Highest Performance of Telephone Use
ADL01-Hobbies Only at Day CareC105345ADL01-Hobbies Only at Day CareAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If {S} performs hobbies/pastimes only at day care, check here.ADCS-ADL - Performed Hobbies Only at Day Care
ADL01-How Usually Selects ItemsC105312ADL01-How Usually Selects ItemsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which one best describes how {S} usually selects items.ADCS-ADL - How Subject Usually Selects Items
ADL01-Keep AppointmentsC105314ADL01-Keep AppointmentsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} keep appointments or meetings with other people, such as relatives, a doctor, the hairdresser, etc.?ADCS-ADL - Keep Appointments or Meetings with Others
ADL01-Left at Home for 1 Hour or LongerC105318ADL01-Left at Home for 1 Hour or LongerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left: at home, for an hour or longer, during the day?ADCS-ADL - Left at Home for One Hour or Longer
ADL01-Left at Home for Less Than 1 HourC105319ADL01-Left at Home for Less Than 1 HourAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left at home, for less than 1 hour, during the day?ADCS-ADL - Left at Home for Less Than One Hour
ADL01-Left Away From HomeC105317ADL01-Left Away From HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Was {S} left away from home, for 15 minutes or longer, during the day?ADCS-ADL - Left Away From Home for Fifteen Minutes or Longer
ADL01-Left On His/Her OwnC105316ADL01-Left On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, was {S} ever left on his/her own?ADCS-ADL - Subject Left on Their Own
ADL01-Make a MealC105305ADL01-Make a MealAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} make him/herself a meal or snack at home?ADCS-ADL - Make a Meal or Snack at Home
ADL01-Most Complicated WritingsC105328ADL01-Most Complicated WritingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes the most complicated things that he/she wrote.ADCS-ADL - Description of Most Complicated Writings
ADL01-Number Don't Know ResponsesC105361ADL01-Number Don't Know ResponsesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Number of 'Don't Know' Responses.ADCS-ADL - Number of 'Don't Know' Responses
ADL01-Obtain BeverageC105303ADL01-Obtain BeverageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} obtain a hot or cold beverage for him/herself?ADCS-ADL - Obtain Beverage for Self
ADL01-Obtain Beverage Highest PerformC105304ADL01-Obtain Beverage Highest PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her highest level of performance.ADCS-ADL - Description of Highest Performance of Obtaining Beverage
ADL01-Optimal Grooming PerformanceC105287ADL01-Optimal Grooming PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding grooming, in the past 4 weeks, which best describes his/her optimal performance.ADCS-ADL - Description of Optimal Performance of Grooming
ADL01-Optimal Walking PerformanceC105284ADL01-Optimal Walking PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding walking (or getting around in a wheelchair), in the past 4 weeks, which best describes his/her optimal performance.ADCS-ADL - Description of Optimal Performance of Walking
ADL01-Pastime: ArtC105333ADL01-Pastime: ArtAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: art.ADCS-ADL - Pastime: Art
ADL01-Pastime: BingoC105331ADL01-Pastime: BingoAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: bingo.ADCS-ADL - Pastime: Bingo
ADL01-Pastime: Card or Board GamesC105330ADL01-Pastime: Card or Board GamesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: Card or board games.ADCS-ADL - Pastime: Card or Board Games
ADL01-Pastime: CrosswordsC105332ADL01-Pastime: CrosswordsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: crosswords.ADCS-ADL - Pastime: Crosswords
ADL01-Pastime: FishingC105342ADL01-Pastime: FishingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: fishing.ADCS-ADL - Pastime: Fishing
ADL01-Pastime: GardeningC105338ADL01-Pastime: GardeningAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: gardening.ADCS-ADL - Pastime: Gardening
ADL01-Pastime: GolfC105339ADL01-Pastime: GolfAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: golf.ADCS-ADL - Pastime: Golf
ADL01-Pastime: KnittingC105335ADL01-Pastime: KnittingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: knitting.ADCS-ADL - Pastime: Knitting
ADL01-Pastime: Musical InstrumentC105334ADL01-Pastime: Musical InstrumentAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: musical instrument.ADCS-ADL - Pastime: Musical Instrument
ADL01-Pastime: OtherC105343ADL01-Pastime: OtherAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other.ADCS-ADL - Pastime: Other
ADL01-Pastime: Other SpecifyC105344ADL01-Pastime: Other SpecifyAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: other specify.ADCS-ADL - Pastime: Other Specify
ADL01-Pastime: ReadingC105337ADL01-Pastime: ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: reading.ADCS-ADL - Pastime: Reading
ADL01-Pastime: SewingC105336ADL01-Pastime: SewingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: sewing.ADCS-ADL - Pastime: Sewing
ADL01-Pastime: TennisC105340ADL01-Pastime: TennisAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: tennis.ADCS-ADL - Pastime: Tennis
ADL01-Pastime: WorkshopC105341ADL01-Pastime: WorkshopAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Which pastimes did he/she perform: workshop.ADCS-ADL - Pastime: Workshop
ADL01-Pay Attention to ConversationC105297ADL01-Pay Attention to ConversationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever appear to pay attention to conversation or small talk for at least 5 minutes?ADCS-ADL - Pay Attention to Conversation
ADL01-Pay Without SupervisionC105313ADL01-Pay Without SupervisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually pay for items without supervision or physical help?ADCS-ADL - Pay for Items Without Supervision or Physical Help
ADL01-Perform PastimeC105329ADL01-Perform PastimeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} perform a pastime, hobby or game?ADCS-ADL - Perform Pastime, Hobby or Game
ADL01-Read More Than 5 MinutesC105324ADL01-Read More Than 5 MinutesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} read a magazine, newspaper or book for more than 5 minutes at a time?ADCS-ADL - Read for More Than Five Minutes
ADL01-Select First Clothes for the DayC105288ADL01-Select First Clothes for the DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding dressing in the past 4 weeks: Did {S} select his/her first set of clothes for the day?ADCS-ADL - Select First Clothes for the Day
ADL01-Select Television ProgramC105294ADL01-Select Television ProgramAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually select or ask for different programs or his/her favorite show?ADCS-ADL - Select or Ask for Television Program
ADL01-Talk 1 Hour or More After ReadingC105326ADL01-Talk 1 Hour or More After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about what he/she read 1 hour or longer after reading?ADCS-ADL - Talk About What Subject Read More Than One Hour After Reading
ADL01-Talk About at Home EventsC105323ADL01-Talk About at Home EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that occurred at home that he/she took part in or watched?ADCS-ADL - Talk About Events at Home that Subject Took Part in or Watched
ADL01-Talk About Current EventsC105320ADL01-Talk About Current EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} talk about current events?ADCS-ADL - Talk About Current Events
ADL01-Talk About Events Heard/Read AboutC105321ADL01-Talk About Events Heard/Read AboutAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that he/she heard or read about or saw on TV but did not take part in?ADCS-ADL - Talk About Events on TV that Subject Did not Take Part In
ADL01-Talk About Outside EventsC105322ADL01-Talk About Outside EventsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about events that he/she took part in outside home involving family, friends, or neighbors?ADCS-ADL - Talk About Events Outside of Home that Subject Took Part In
ADL01-Talk About TV Content While WatchC105295ADL01-Talk About TV Content While WatchAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about the content of a program while watching it?ADCS-ADL - Talk About TV Content While Watching
ADL01-Talk About TV Content Within a DayC105296ADL01-Talk About TV Content Within a DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} talk about the content of a program within a day (24 hours) after watching it?ADCS-ADL - Talk About TV Content Within a Day After Watching
ADL01-Talk Within 1 Hour After ReadingC105325ADL01-Talk Within 1 Hour After ReadingAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Did {S} usually talk about details of what he/she read while or shortly (less than 1 hour) after reading?ADCS-ADL - Talk About What Subject Read Less Than One Hour After Reading
ADL01-Total ADCS-ADL ScoreC105360ADL01-Total ADCS-ADL ScoreAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Total Score.ADCS-ADL - Total Score
ADL01-Use a TelephoneC105291ADL01-Use a TelephoneAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} use a telephone?ADCS-ADL - Use a Telephone
ADL01-Use Common Used AppliancesC105359ADL01-Use Common Used AppliancesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, for the most commonly used appliances, which best describes how {S} usually used them.ADCS-ADL - Description of Usual Use of Commonly Used Appliances
ADL01-Use Household ApplianceC105347ADL01-Use Household ApplianceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} use a household appliance to do chores?ADCS-ADL - Use Household Appliance to do Chores
ADL01-Usual Bathing PerformanceC105286ADL01-Usual Bathing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding bathing, in the past 4 weeks, which best describes his/her usual performance.ADCS-ADL - Description of Usual Performance of Bathing
ADL01-Usual Bowel/Bladder FunctionC105285ADL01-Usual Bowel/Bladder FunctionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding bowel and bladder function at the toilet, which best describes his/her usual performance in the past 4 weeks.ADCS-ADL - Usual Bowel and Bladder Function at Toilet
ADL01-Usual Common Pastimes PerformanceC105346ADL01-Usual Common Pastimes PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, how did {S} usually perform his/her most common pastimes.ADCS-ADL - Description of Usual Performance of Common Pastimes
ADL01-Usual Conversation ParticipationC105298ADL01-Usual Conversation ParticipationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes his/her usual degree of participation.ADCS-ADL - Usual Conversation Participation
ADL01-Usual Dressing PerformanceC105289ADL01-Usual Dressing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - If yes, which best describes usual performance.ADCS-ADL - Description of Usual Performance of Dressing
ADL01-Usual Eating PerformanceC105283ADL01-Usual Eating PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding eating: which best describes {S} usual performance during the past 4 weeks?ADCS-ADL - Description of Usual Performance of Eating
ADL01-Usual Physically Dressing PerformC105290ADL01-Usual Physically Dressing PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - Regarding physically getting dressed, which best describes his/her usual performance in the past 4 weeks.ADCS-ADL - Description of Usual Performance of Physically Getting Dressed
ADL01-Watch TelevisionC105293ADL01-Watch TelevisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} watch television?ADCS-ADL - Watch Television
ADL01-Write Things DownC105327ADL01-Write Things DownAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory - In the past 4 weeks, did {S} ever write things down?ADCS-ADL - Write Things Down
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CL.C106653.ADCS-ADL Severe Dementia TESTCDQS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Code
(ADCS-ADL Severe Dementia TESTCD)
text
Extensible: No
C106653QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test CodeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version test code.CDISC Questionnaire ADCS-ADL Severe Dementia Test Code Terminology
ADL0201C106979ADL02-Usual Eating PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding eating, which best describes {S} usual performance during the last 4 weeks?ADCS-ADL Severe Dementia - Description of Usual Performance of Eating
ADL0202C106980ADL02-Optimal Walking PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding walking (or getting around in a wheelchair) in the past 4 weeks, which best describes {S} optimal performance?ADCS-ADL Severe Dementia - Description of Optimal Performance of Walking
ADL0203C106981ADL02-Usual Bowel/Bladder FunctionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding bowel and bladder function at the toilet, which best describes {S} usual performance during the past 4 weeks?ADCS-ADL Severe Dementia - Usual Bowel and Bladder Function at Toilet
ADL0204C106982ADL02-Usual Bathing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding bathing, in the past 4 weeks, which best describes {S} usual performance?ADCS-ADL Severe Dementia - Description of Usual Performance of Bathing
ADL0205C106983ADL02-Optimal Grooming PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding grooming, in the past 4 weeks, which best describes {S} optimal performance?ADCS-ADL Severe Dementia - Description of Optimal Performance of Grooming
ADL0206C106984ADL02-Usual Physically Dressing PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding physically getting dressed, which best describes {S} usual performance in the past 4 weeks?ADCS-ADL Severe Dementia - Description of Usual Performance of Physically Getting Dressed
ADL0207C106985ADL02-Use a TelephoneAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} use a telephone?ADCS-ADL Severe Dementia - Use a Telephone
ADL0207AC106986ADL02-Highest Telephone Use PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} highest level of performance.ADCS-ADL Severe Dementia - Description of Highest Performance of Telephone Use
ADL0208C106987ADL02-Watch TelevisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} watch television?ADCS-ADL Severe Dementia - Watch Television
ADL0208AC106988ADL02-Select Television ProgramAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} usually select or ask for different programs or {S} favorite show?ADCS-ADL Severe Dementia - Select or Ask for Television Program
ADL0208BC106989ADL02-Talk About TV Content While WatchAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} usually talk about the content of a program while watching it?ADCS-ADL Severe Dementia - Talk About TV Content While Watching
ADL0208CC106990ADL02-Talk About TV Content Within a DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} talk about the content of a program within a day (24 hours) after watching it?ADCS-ADL Severe Dementia - Talk About TV Content Within a Day After Watching
ADL0209C106991ADL02-Pay Attention to ConversationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} ever appear to pay attention to conversation or small talk for at least 5 minutes?ADCS-ADL Severe Dementia - Pay Attention to Conversation
ADL0209AC106992ADL02-Usual Conversation ParticipationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} usual degree of participation.ADCS-ADL Severe Dementia - Usual Conversation Participation
ADL0210C106993ADL02-Clear DishesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} clear the dishes from the table after a meal or snack?ADCS-ADL Severe Dementia - Clear Dishes After Meal or Snack
ADL0210AC106994ADL02-Clear Dishes Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.ADCS-ADL Severe Dementia - Description of Usual Performance of Clearing Dishes
ADL0211C106995ADL02-Find BelongingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?ADCS-ADL Severe Dementia - Find Personal Belongings at Home
ADL0211AC106996ADL02-Find Belongings Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.ADCS-ADL Severe Dementia - Description of Usual Performance of Finding Personal Belonging at Home
ADL0212C106997ADL02-Obtain BeverageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} obtain a hot or cold beverage for him/herself?ADCS-ADL Severe Dementia - Obtain Beverage for Self
ADL0212AC106998ADL02-Obtain Beverage Highest PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} highest level of performance.ADCS-ADL Severe Dementia - Description of Highest Performance of Obtaining Beverage
ADL0213C106999ADL02-Dispose of GarbageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} dispose of garbage or litter in an appropriate place or container at home?ADCS-ADL Severe Dementia - Dispose of Garbage in Appropriate Place at Home
ADL0213AC107000ADL02-Dispose Garbage Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.ADCS-ADL Severe Dementia - Description of Usual Performance of Garbage Disposal
ADL0214C107001ADL02-Get Around Outside HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?ADCS-ADL Severe Dementia - Get Around Outside Home
ADL0214AC107002ADL02-Get Around Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} optimal performance.ADCS-ADL Severe Dementia - Description of Optimal Performance of Getting Around Outside of Home
ADL0215C107003ADL02-Left On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, was {S} ever left on his/her own?ADCS-ADL Severe Dementia - Subject Left on Their Own
ADL0215AC107004ADL02-Left Away From HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: away from home for 15 minutes or longer, during the day?ADCS-ADL Severe Dementia - Alone Away From Home for Fifteen Minutes or Longer
ADL0215BC107005ADL02-Left at Home for 1 Hour or LongerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: at home for an hour or longer during the day?ADCS-ADL Severe Dementia - Alone at Home for One Hour or Longer
ADL0215CC107006ADL02-Left at Home for Less Than 1 HourAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: at home for less than 1 hour during the day?ADCS-ADL Severe Dementia - Alone at Home for Less Than One Hour
ADL0216C107007ADL02-Run Water Faucet to WashAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually run water from a faucet to wash {S} hands or face without help?ADCS-ADL Severe Dementia - Turn On Faucet to Wash Without Help
ADL0217C107008ADL02-Turn Off FaucetAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn off the faucet after finishing running water without help?ADCS-ADL Severe Dementia - Turn Off Faucet After Wash Without Help
ADL0218C107009ADL02-Turn On LightAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn on a light without help when entering a dark room or area?ADCS-ADL Severe Dementia - Turn On Light Without Help Entering Room
ADL0219C107010ADL02-Turn Off LightAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn off lights without help when leaving a room or going to sleep?ADCS-ADL Severe Dementia - Turn Off Light Without Help Leaving Room
ADL0220C107011ADL02-Sum 1 to 5Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 1-5.ADCS-ADL Severe Dementia - Sum of Items 1-5
ADL0221C107012ADL02-Sum 6 to 8Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 6-8.ADCS-ADL Severe Dementia - Sum of Items 6-8
ADL0222C107013ADL02-Sum 9 to 12Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 9-12.ADCS-ADL Severe Dementia - Sum of Items 9-12
ADL0223C107014ADL02-Sum 13 to 15Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 13-15.ADCS-ADL Severe Dementia - Sum of Items 13-15
ADL0224C107015ADL02-Sum 16 to 19Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 16-19.ADCS-ADL Severe Dementia - Sum of Items 16-19
ADL0225C107016ADL02-Total ADCS-ADL ScoreAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Total Score.ADCS-ADL Severe Dementia - Total Score
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CL.C106652.ADCS-ADL Severe Dementia TESTQS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test Name
(ADCS-ADL Severe Dementia TEST)
text
Extensible: No
C106652QS-Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version Questionnaire Test NameAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory Severe Dementia Version test name.CDISC Questionnaire ADCS-ADL Severe Dementia Test Name Terminology
ADL02-Clear DishesC106993ADL02-Clear DishesAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} clear the dishes from the table after a meal or snack?ADCS-ADL Severe Dementia - Clear Dishes After Meal or Snack
ADL02-Clear Dishes Usual PerformanceC106994ADL02-Clear Dishes Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.ADCS-ADL Severe Dementia - Description of Usual Performance of Clearing Dishes
ADL02-Dispose Garbage Usual PerformanceC107000ADL02-Dispose Garbage Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.ADCS-ADL Severe Dementia - Description of Usual Performance of Garbage Disposal
ADL02-Dispose of GarbageC106999ADL02-Dispose of GarbageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} dispose of garbage or litter in an appropriate place or container at home?ADCS-ADL Severe Dementia - Dispose of Garbage in Appropriate Place at Home
ADL02-Find BelongingsC106995ADL02-Find BelongingsAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually manage to find his/her personal belongings at home?ADCS-ADL Severe Dementia - Find Personal Belongings at Home
ADL02-Find Belongings Usual PerformanceC106996ADL02-Find Belongings Usual PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes how {S} usually performed.ADCS-ADL Severe Dementia - Description of Usual Performance of Finding Personal Belonging at Home
ADL02-Get Around Optimal PerformanceC107002ADL02-Get Around Optimal PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} optimal performance.ADCS-ADL Severe Dementia - Description of Optimal Performance of Getting Around Outside of Home
ADL02-Get Around Outside HomeC107001ADL02-Get Around Outside HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} get around (or travel) outside of his/her home?ADCS-ADL Severe Dementia - Get Around Outside Home
ADL02-Highest Telephone Use PerformanceC106986ADL02-Highest Telephone Use PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} highest level of performance.ADCS-ADL Severe Dementia - Description of Highest Performance of Telephone Use
ADL02-Left at Home for 1 Hour or LongerC107005ADL02-Left at Home for 1 Hour or LongerAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: at home for an hour or longer during the day?ADCS-ADL Severe Dementia - Alone at Home for One Hour or Longer
ADL02-Left at Home for Less Than 1 HourC107006ADL02-Left at Home for Less Than 1 HourAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: at home for less than 1 hour during the day?ADCS-ADL Severe Dementia - Alone at Home for Less Than One Hour
ADL02-Left Away From HomeC107004ADL02-Left Away From HomeAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Was {S} left: away from home for 15 minutes or longer, during the day?ADCS-ADL Severe Dementia - Alone Away From Home for Fifteen Minutes or Longer
ADL02-Left On His/Her OwnC107003ADL02-Left On His/Her OwnAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, was {S} ever left on his/her own?ADCS-ADL Severe Dementia - Subject Left on Their Own
ADL02-Obtain BeverageC106997ADL02-Obtain BeverageAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} obtain a hot or cold beverage for him/herself?ADCS-ADL Severe Dementia - Obtain Beverage for Self
ADL02-Obtain Beverage Highest PerformC106998ADL02-Obtain Beverage Highest PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} highest level of performance.ADCS-ADL Severe Dementia - Description of Highest Performance of Obtaining Beverage
ADL02-Optimal Grooming PerformanceC106983ADL02-Optimal Grooming PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding grooming, in the past 4 weeks, which best describes {S} optimal performance?ADCS-ADL Severe Dementia - Description of Optimal Performance of Grooming
ADL02-Optimal Walking PerformanceC106980ADL02-Optimal Walking PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding walking (or getting around in a wheelchair) in the past 4 weeks, which best describes {S} optimal performance?ADCS-ADL Severe Dementia - Description of Optimal Performance of Walking
ADL02-Pay Attention to ConversationC106991ADL02-Pay Attention to ConversationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} ever appear to pay attention to conversation or small talk for at least 5 minutes?ADCS-ADL Severe Dementia - Pay Attention to Conversation
ADL02-Run Water Faucet to WashC107007ADL02-Run Water Faucet to WashAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually run water from a faucet to wash {S} hands or face without help?ADCS-ADL Severe Dementia - Turn On Faucet to Wash Without Help
ADL02-Select Television ProgramC106988ADL02-Select Television ProgramAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} usually select or ask for different programs or {S} favorite show?ADCS-ADL Severe Dementia - Select or Ask for Television Program
ADL02-Sum 1 to 5C107011ADL02-Sum 1 to 5Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 1-5.ADCS-ADL Severe Dementia - Sum of Items 1-5
ADL02-Sum 13 to 15C107014ADL02-Sum 13 to 15Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 13-15.ADCS-ADL Severe Dementia - Sum of Items 13-15
ADL02-Sum 16 to 19C107015ADL02-Sum 16 to 19Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 16-19.ADCS-ADL Severe Dementia - Sum of Items 16-19
ADL02-Sum 6 to 8C107012ADL02-Sum 6 to 8Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 6-8.ADCS-ADL Severe Dementia - Sum of Items 6-8
ADL02-Sum 9 to 12C107013ADL02-Sum 9 to 12Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Sum of Items 9-12.ADCS-ADL Severe Dementia - Sum of Items 9-12
ADL02-Talk About TV Content While WatchC106989ADL02-Talk About TV Content While WatchAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} usually talk about the content of a program while watching it?ADCS-ADL Severe Dementia - Talk About TV Content While Watching
ADL02-Talk About TV Content Within a DayC106990ADL02-Talk About TV Content Within a DayAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Did {S} talk about the content of a program within a day (24 hours) after watching it?ADCS-ADL Severe Dementia - Talk About TV Content Within a Day After Watching
ADL02-Total ADCS-ADL ScoreC107016ADL02-Total ADCS-ADL ScoreAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Total Score.ADCS-ADL Severe Dementia - Total Score
ADL02-Turn Off FaucetC107008ADL02-Turn Off FaucetAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn off the faucet after finishing running water without help?ADCS-ADL Severe Dementia - Turn Off Faucet After Wash Without Help
ADL02-Turn Off LightC107010ADL02-Turn Off LightAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn off lights without help when leaving a room or going to sleep?ADCS-ADL Severe Dementia - Turn Off Light Without Help Leaving Room
ADL02-Turn On LightC107009ADL02-Turn On LightAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} usually turn on a light without help when entering a dark room or area?ADCS-ADL Severe Dementia - Turn On Light Without Help Entering Room
ADL02-Use a TelephoneC106985ADL02-Use a TelephoneAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} use a telephone?ADCS-ADL Severe Dementia - Use a Telephone
ADL02-Usual Bathing PerformanceC106982ADL02-Usual Bathing PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding bathing, in the past 4 weeks, which best describes {S} usual performance?ADCS-ADL Severe Dementia - Description of Usual Performance of Bathing
ADL02-Usual Bowel/Bladder FunctionC106981ADL02-Usual Bowel/Bladder FunctionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding bowel and bladder function at the toilet, which best describes {S} usual performance during the past 4 weeks?ADCS-ADL Severe Dementia - Usual Bowel and Bladder Function at Toilet
ADL02-Usual Conversation ParticipationC106992ADL02-Usual Conversation ParticipationAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - If yes, which best describes {S} usual degree of participation.ADCS-ADL Severe Dementia - Usual Conversation Participation
ADL02-Usual Eating PerformanceC106979ADL02-Usual Eating PerformanceAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding eating, which best describes {S} usual performance during the last 4 weeks?ADCS-ADL Severe Dementia - Description of Usual Performance of Eating
ADL02-Usual Physically Dressing PerformC106984ADL02-Usual Physically Dressing PerformAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - Regarding physically getting dressed, which best describes {S} usual performance in the past 4 weeks?ADCS-ADL Severe Dementia - Description of Usual Performance of Physically Getting Dressed
ADL02-Watch TelevisionC106987ADL02-Watch TelevisionAlzheimer's Disease Cooperative Study-Activities of Daily Living Inventory, Severe Dementia Version - In the past 4 weeks, did {S} watch television?ADCS-ADL Severe Dementia - Watch Television
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CL.C103459.ADCS-CGIC TESTCDQS-Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Code
(ADCS-CGIC TESTCD)
text
Extensible: No
C103459QS-Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test CodeAlzheimer's Disease Cooperative Study-Clinical Global Impression of Change test code.CDISC Questionnaire ADCS-CGIC Test Code Terminology
ACGC0101C103531ACGC01-Clinical Impression of ChangeAlzheimer's Disease Cooperative Study-Clinical Global Impression of Change - Clinical impression of change from baseline.ADCS-CGIC - Clinical Impression of Change from Baseline
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CL.C103458.ADCS-CGIC TESTQS-Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test Name
(ADCS-CGIC TEST)
text
Extensible: No
C103458QS-Alzheimer's Disease Cooperative Study-Clinical Global Impression of Change Questionnaire Test NameAlzheimer's Disease Cooperative Study-Clinical Global Impression of Change test name.CDISC Questionnaire ADCS-CGIC Test Name Terminology
ACGC01-Clinical Impression of ChangeC103531ACGC01-Clinical Impression of ChangeAlzheimer's Disease Cooperative Study-Clinical Global Impression of Change - Clinical impression of change from baseline.ADCS-CGIC - Clinical Impression of Change from Baseline
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CL.C101809.BARS TESTCDQS-Barnes Akathisia Rating Scale Test Code
(BARS TESTCD)
text
Extensible: No
C101809QS-Barnes Akathisia Rating Scale Test CodeBarnes Akathisia Rating Scale test code.CDISC Questionnaire BARS Test Code Terminology
BARS0101C102046BARS01-ObjectiveBarnes Akathisia Rating Scale - Objective.BARS - Objective
BARS0102C102047BARS01-Subjective, AwarenessBarnes Akathisia Rating Scale - Subjective, awareness of restlessness.BARS - Subjective, Awareness
BARS0103C102048BARS01-Subjective, DistressBarnes Akathisia Rating Scale - Subjective, distress related to restlessness.BARS - Subjective, Distress
BARS0104C102049BARS01-Global Clinical AssessmentBarnes Akathisia Rating Scale - Global clinical assessment of akathisia.BARS - Global Clinical Assessment
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CL.C101810.BARS TESTQS-Barnes Akathisia Rating Scale Test Name
(BARS TEST)
text
Extensible: No
C101810QS-Barnes Akathisia Rating Scale Test NameBarnes Akathisia Rating Scale test name.CDISC Questionnaire BARS Test Name Terminology
BARS01-Global Clinical AssessmentC102049BARS01-Global Clinical AssessmentBarnes Akathisia Rating Scale - Global clinical assessment of akathisia.BARS - Global Clinical Assessment
BARS01-ObjectiveC102046BARS01-ObjectiveBarnes Akathisia Rating Scale - Objective.BARS - Objective
BARS01-Subjective, AwarenessC102047BARS01-Subjective, AwarenessBarnes Akathisia Rating Scale - Subjective, awareness of restlessness.BARS - Subjective, Awareness
BARS01-Subjective, DistressC102048BARS01-Subjective, DistressBarnes Akathisia Rating Scale - Subjective, distress related to restlessness.BARS - Subjective, Distress
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CL.C106655.BDI TESTCDQS-Baseline Dyspnea Index Questionnaire Test Code
(BDI TESTCD)
text
Extensible: No
C106655QS-Baseline Dyspnea Index Questionnaire Test CodeBaseline Dyspnea Index test code.CDISC Questionnaire BDI Test Code Terminology
BDI0101C106701BDI01-Functional ImpairmentBaseline Dyspnea Index - Functional impairment.BDI - Functional Impairment
BDI0102C106702BDI01-Magnitude of TaskBaseline Dyspnea Index - Magnitude of task.BDI - Magnitude of Task
BDI0103C106703BDI01-Magnitude of EffortBaseline Dyspnea Index - Magnitude of effort.BDI - Magnitude of Effort
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CL.C106654.BDI TESTQS-Baseline Dyspnea Index Questionnaire Test Name
(BDI TEST)
text
Extensible: No
C106654QS-Baseline Dyspnea Index Questionnaire Test NameBaseline Dyspnea Index test name.CDISC Questionnaire BDI Test Name Terminology
BDI01-Functional ImpairmentC106701BDI01-Functional ImpairmentBaseline Dyspnea Index - Functional impairment.BDI - Functional Impairment
BDI01-Magnitude of EffortC106703BDI01-Magnitude of EffortBaseline Dyspnea Index - Magnitude of effort.BDI - Magnitude of Effort
BDI01-Magnitude of TaskC106702BDI01-Magnitude of TaskBaseline Dyspnea Index - Magnitude of task.BDI - Magnitude of Task
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CL.C113852.BLCS TESTCDQS-Bladder Control Scale Test Code
(BLCS TESTCD)
text
Extensible: No
C113852QS-Bladder Control Scale Test CodeBladder Control Scale test code.CDISC Questionnaire Bladder Control Scale Test Code Terminology
BLCS0101C113953BLCS01-Lost Control of BladderBladder Control Scale - During the past 4 weeks, how often have you lost control of your bladder or had an accident?BLCS - Lost Control of Your Bladder
BLCS0102C113954BLCS01-Almost Lost Control of BladderBladder Control Scale - During the past 4 weeks, how often have you almost lost control of your bladder or had an accident?BLCS - Almost Lost Control of Your Bladder
BLCS0103C113955BLCS01-Altered Activity Because BladderBladder Control Scale - During the past 4 weeks, how often have you altered your activities because of bladder problems?BLCS - Altered Activities Because Bladder Problems
BLCS0104C113956BLCS01-Bladder Restricted LifestyleBladder Control Scale - During the past 4 weeks, how much have bladder problems restricted your overall lifestyle?BLCS - Bladder Problems Restrict Overall Lifestyle
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CL.C113851.BLCS TESTQS-Bladder Control Scale Test Name
(BLCS TEST)
text
Extensible: No
C113851QS-Bladder Control Scale Test NameBladder Control Scale test name.CDISC Questionnaire Bladder Control Scale Test Name Terminology
BLCS01-Almost Lost Control of BladderC113954BLCS01-Almost Lost Control of BladderBladder Control Scale - During the past 4 weeks, how often have you almost lost control of your bladder or had an accident?BLCS - Almost Lost Control of Your Bladder
BLCS01-Altered Activity Because BladderC113955BLCS01-Altered Activity Because BladderBladder Control Scale - During the past 4 weeks, how often have you altered your activities because of bladder problems?BLCS - Altered Activities Because Bladder Problems
BLCS01-Bladder Restricted LifestyleC113956BLCS01-Bladder Restricted LifestyleBladder Control Scale - During the past 4 weeks, how much have bladder problems restricted your overall lifestyle?BLCS - Bladder Problems Restrict Overall Lifestyle
BLCS01-Lost Control of BladderC113953BLCS01-Lost Control of BladderBladder Control Scale - During the past 4 weeks, how often have you lost control of your bladder or had an accident?BLCS - Lost Control of Your Bladder
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CL.C113846.Borg CR-10 Scale TESTCDQS-Borg CR-10 Scale Test Code
(Borg CR-10 Scale TESTCD)
text
Extensible: No
C113846QS-Borg CR-10 Scale Test CodeBorg CR-10 scale test code.CDISC Questionnaire Borg CR-10 Test Code Terminology
BCR10101C113888BCR101-Rating of BreathlessnessBorg CR10 Scale - Rating of breathlessness.Borg CR10 - Rating of Breathlessness
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CL.C113845.Borg CR-10 Scale TESTQS-Borg CR-10 Scale Test Name
(Borg CR-10 Scale TEST)
text
Extensible: No
C113845QS-Borg CR-10 Scale Test NameBorg CR-10 scale test name.CDISC Questionnaire Borg CR-10 Test Name Terminology
BCR101-Rating of BreathlessnessC113888BCR101-Rating of BreathlessnessBorg CR10 Scale - Rating of breathlessness.Borg CR10 - Rating of Breathlessness
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CL.C113854.BWCS TESTCDQS-Bowel Control Scale Test Code
(BWCS TESTCD)
text
Extensible: No
C113854QS-Bowel Control Scale Test CodeBowel Control Scale test code.CDISC Questionnaire Bowel Control Scale Test Code Terminology
BWCS0101C113957BWCS01-Been ConstipatedBowel Control Scale - During the past 4 weeks, how often have you been constipated?BWCS - Been Constipated
BWCS0102C113958BWCS01-Lost Control of BowelsBowel Control Scale - During the past 4 weeks, how often have you lost control of your bowels or had an accident?BWCS - Lost Control of Your Bowels
BWCS0103C113959BWCS01-Almost Lost Control of BowelsBowel Control Scale - During the past 4 weeks, how often have you almost lost control of your bowels or almost had an accident?BWCS - Almost Lost Control of Your Bowels
BWCS0104C113960BWCS01-Altered Activity Because BowelsBowel Control Scale - During the past 4 weeks, how often have you altered your activities because of bowel control problems?BWCS - Altered Activities Because Bowel Control Problems
BWCS0105C113961BWCS01-Bowels Restricted LifestyleBowel Control Scale - During the past 4 weeks, how much have bowel problems restricted your overall lifestyle?BWCS - Bowel Problems Restrict Overall Lifestyle
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CL.C113853.BWCS TESTQS-Bowel Control Scale Test Name
(BWCS TEST)
text
Extensible: No
C113853QS-Bowel Control Scale Test NameBowel Control Scale test name.CDISC Questionnaire Bowel Control Scale Test Name Terminology
BWCS01-Almost Lost Control of BowelsC113959BWCS01-Almost Lost Control of BowelsBowel Control Scale - During the past 4 weeks, how often have you almost lost control of your bowels or almost had an accident?BWCS - Almost Lost Control of Your Bowels
BWCS01-Altered Activity Because BowelsC113960BWCS01-Altered Activity Because BowelsBowel Control Scale - During the past 4 weeks, how often have you altered your activities because of bowel control problems?BWCS - Altered Activities Because Bowel Control Problems
BWCS01-Been ConstipatedC113957BWCS01-Been ConstipatedBowel Control Scale - During the past 4 weeks, how often have you been constipated?BWCS - Been Constipated
BWCS01-Bowels Restricted LifestyleC113961BWCS01-Bowels Restricted LifestyleBowel Control Scale - During the past 4 weeks, how much have bowel problems restricted your overall lifestyle?BWCS - Bowel Problems Restrict Overall Lifestyle
BWCS01-Lost Control of BowelsC113958BWCS01-Lost Control of BowelsBowel Control Scale - During the past 4 weeks, how often have you lost control of your bowels or had an accident?BWCS - Lost Control of Your Bowels
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CL.C100164.BPI Short Form TESTCDQS-Brief Pain Inventory Short Form Test Code
(BPI Short Form TESTCD)
text
Extensible: No
C100164QS-Brief Pain Inventory Short Form Test CodeBrief Pain Inventory Short Form test code.CDISC Questionnaire BPI Short Form Test Code Terminology
BPI201C100356BPI2-Pain Other Than Everyday KindsBrief Pain Inventory Short Form - Have you had pain other than these everyday kinds of pain today?BPI Short Form - Pain Other Than Everyday Kinds
BPI202AC100357BPI2-Areas of PainBrief Pain Inventory Short Form - On the diagram, shade in the areas where you feel pain.BPI Short Form - Areas of Pain
BPI202BC100358BPI2-Area Hurts MostBrief Pain Inventory Short Form - On the diagram, put an X on the area that hurts the most.BPI Short Form - Area that Hurts Most
BPI203C100359BPI2-Pain at its Worst in Last 24 HoursBrief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain at its worst in the last 24 hours.BPI Short Form - Pain at its Worst in Last 24 Hours
BPI204C100360BPI2-Pain at its Least in Last 24 HoursBrief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain at its least in the last 24 hours.BPI Short Form - Pain at its Least in Last 24 Hours
BPI205C100361BPI2-Pain on the AverageBrief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain on the average.BPI Short Form - Pain on the Average
BPI206C100362BPI2-Pain Right NowBrief Pain Inventory Short Form - Please rate your pain by circling the one number that tells how much pain you have right now.BPI Short Form - Pain Right Now
BPI207C100363BPI2-Treatments Receiving for PainBrief Pain Inventory Short Form - What treatments or medications are you receiving for your pain?BPI Short Form - Treatments or Medications Receiving for Pain
BPI208C100364BPI2-Relief Pain Treatments ProvidedBrief Pain Inventory Short Form - In the last 24 hours, how much relief have pain treatments or medications provided? Please circle the one percentage that most shows how much relief you have received.BPI Short Form - Relief from Pain Treatments Provided
BPI209AC100365BPI2-Pain Interfered General ActivityBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your general activity.BPI Short Form - Pain Interfered with General Activity
BPI209BC100366BPI2-Pain Interfered with MoodBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your mood.BPI Short Form - Pain Interfered with Mood
BPI209CC100367BPI2-Pain Interfered Walking AbilityBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your walking ability.BPI Short Form - Pain Interfered with Walking Ability
BPI209DC100368BPI2-Pain Interfered with Normal WorkBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your normal work.BPI Short Form - Pain Interfered with Normal Work
BPI209EC100369BPI2-Pain Interfered with RelationsBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your relations with other people.BPI Short Form - Pain Interfered with Relations
BPI209FC100370BPI2-Pain Interfered with SleepBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your sleep.BPI Short Form - Pain Interfered with Sleep
BPI209GC100371BPI2-Pain Interfered Enjoyment of LifeBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your enjoyment of life.BPI Short Form - Pain Interfered with Enjoyment of Life
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CL.C100163.BPI Short Form TESTQS-Brief Pain Inventory Short Form Test Name
(BPI Short Form TEST)
text
Extensible: No
C100163QS-Brief Pain Inventory Short Form Test NameBrief Pain Inventory Short Form test name.CDISC Questionnaire BPI Short Form Test Name Terminology
BPI2-Area Hurts MostC100358BPI2-Area Hurts MostBrief Pain Inventory Short Form - On the diagram, put an X on the area that hurts the most.BPI Short Form - Area that Hurts Most
BPI2-Areas of PainC100357BPI2-Areas of PainBrief Pain Inventory Short Form - On the diagram, shade in the areas where you feel pain.BPI Short Form - Areas of Pain
BPI2-Pain at its Least in Last 24 HoursC100360BPI2-Pain at its Least in Last 24 HoursBrief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain at its least in the last 24 hours.BPI Short Form - Pain at its Least in Last 24 Hours
BPI2-Pain at its Worst in Last 24 HoursC100359BPI2-Pain at its Worst in Last 24 HoursBrief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain at its worst in the last 24 hours.BPI Short Form - Pain at its Worst in Last 24 Hours
BPI2-Pain Interfered Enjoyment of LifeC100371BPI2-Pain Interfered Enjoyment of LifeBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your enjoyment of life.BPI Short Form - Pain Interfered with Enjoyment of Life
BPI2-Pain Interfered General ActivityC100365BPI2-Pain Interfered General ActivityBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your general activity.BPI Short Form - Pain Interfered with General Activity
BPI2-Pain Interfered Walking AbilityC100367BPI2-Pain Interfered Walking AbilityBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your walking ability.BPI Short Form - Pain Interfered with Walking Ability
BPI2-Pain Interfered with MoodC100366BPI2-Pain Interfered with MoodBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your mood.BPI Short Form - Pain Interfered with Mood
BPI2-Pain Interfered with Normal WorkC100368BPI2-Pain Interfered with Normal WorkBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your normal work.BPI Short Form - Pain Interfered with Normal Work
BPI2-Pain Interfered with RelationsC100369BPI2-Pain Interfered with RelationsBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your relations with other people.BPI Short Form - Pain Interfered with Relations
BPI2-Pain Interfered with SleepC100370BPI2-Pain Interfered with SleepBrief Pain Inventory Short Form - Circle the one number that describes how, during the past 24 hours, pain has interfered with your sleep.BPI Short Form - Pain Interfered with Sleep
BPI2-Pain on the AverageC100361BPI2-Pain on the AverageBrief Pain Inventory Short Form - Please rate your pain by circling the one number that best describes your pain on the average.BPI Short Form - Pain on the Average
BPI2-Pain Other Than Everyday KindsC100356BPI2-Pain Other Than Everyday KindsBrief Pain Inventory Short Form - Have you had pain other than these everyday kinds of pain today?BPI Short Form - Pain Other Than Everyday Kinds
BPI2-Pain Right NowC100362BPI2-Pain Right NowBrief Pain Inventory Short Form - Please rate your pain by circling the one number that tells how much pain you have right now.BPI Short Form - Pain Right Now
BPI2-Relief Pain Treatments ProvidedC100364BPI2-Relief Pain Treatments ProvidedBrief Pain Inventory Short Form - In the last 24 hours, how much relief have pain treatments or medications provided? Please circle the one percentage that most shows how much relief you have received.BPI Short Form - Relief from Pain Treatments Provided
BPI2-Treatments Receiving for PainC100363BPI2-Treatments Receiving for PainBrief Pain Inventory Short Form - What treatments or medications are you receiving for your pain?BPI Short Form - Treatments or Medications Receiving for Pain
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CL.C100162.BPI TESTCDQS-Brief Pain Inventory Test Code
(BPI TESTCD)
text
Extensible: No
C100162QS-Brief Pain Inventory Test CodeBrief Pain Inventory test code.CDISC Questionnaire BPI Test Code Terminology
BPI101C100287BPI1-Marital StatusBrief Pain Inventory - Marital status.BPI - Marital Status
BPI102C100288BPI1-EducationBrief Pain Inventory - Education.BPI - Education
BPI102AC100289BPI1-Professional DegreeBrief Pain Inventory - Education. Professional degree.BPI - Professional Degree
BPI103C100290BPI1-Current OccupationBrief Pain Inventory - Current occupation.BPI - Current Occupation
BPI104C100291BPI1-Spouse's OccupationBrief Pain Inventory - Spouse's occupation.BPI - Spouse's Occupation
BPI105C100292BPI1-Current Job StatusBrief Pain Inventory - Which of the following best describes your current job status?BPI - Current Job Status
BPI106C100293BPI1-How Long Since DiagnosisBrief Pain Inventory - How long has it been since you first learned your diagnosis?BPI - How Long Since Diagnosis
BPI107C100294BPI1-Pain Due to Present DiseaseBrief Pain Inventory - Have you ever had pain due to your present disease?BPI - Pain Due to Present Disease
BPI108C100295BPI1-Pain One of Your SymptomsBrief Pain Inventory - When you first received your diagnosis, was pain one of your symptoms?BPI - Pain as a Symptom
BPI109C100296BPI1-Surgery in Past MonthBrief Pain Inventory - Have you had surgery in the past month?BPI - Surgery in Past Month
BPI109AC100297BPI1-Kind of Surgery in Past MonthBrief Pain Inventory - What kind of surgery have you had in the past month?BPI - Kind of Surgery in Past Month
BPI110C100298BPI1-Pain Other than Everyday KindsBrief Pain Inventory - Have you had pain other than these everyday kinds of pain during the last week?BPI - Pain Other than Everyday Kinds
BPI110AC100299BPI1-Pain Medications in the Last 7 DaysBrief Pain Inventory - Did you take pain medications in the last 7 days?BPI - Pain Medications in the Last 7 Days
BPI110BC100300BPI1-Pain Requires Medication DailyBrief Pain Inventory - I feel I have some form of pain that requires medication each and every day.BPI - Pain Requires Medication Daily
BPI111AC100301BPI1-Areas of PainBrief Pain Inventory - On the diagram, shade in the areas where you feel pain.BPI - Areas of Pain
BPI111BC100302BPI1-Area Hurts MostBrief Pain Inventory - On the diagram, put an X on the area that hurts the most.BPI - Area Hurts Most
BPI112C100303BPI1-Pain at its Worst in Last WeekBrief Pain Inventory - Please rate your pain by circling the one number that best describes your pain at its worst in the last week.BPI - Pain at its Worst in Last Week
BPI113C100304BPI1-Pain at its Least in Last WeekBrief Pain Inventory - Please rate your pain by circling the one number that best describes your pain at its least in the last week.BPI - Pain at its Least in Last Week
BPI114C100305BPI1-Pain on the AverageBrief Pain Inventory - Please rate your pain by circling the one number that best describes your pain on the average.BPI - Pain on the Average
BPI115C100306BPI1-Pain Right NowBrief Pain Inventory - Please rate your pain by circling the one number that tells how much pain you have right now.BPI - Pain Right Now
BPI116C100307BPI1-Things that Make Pain Feel BetterBrief Pain Inventory - What kinds of things make your pain feel better?BPI - Things that Make Pain Feel Better
BPI117C100308BPI1-Things that Make your Pain WorseBrief Pain Inventory - What kinds of things make your pain feel worse?BPI - Things that Make your Pain Worse
BPI118C100309BPI1-Treatments Receiving for PainBrief Pain Inventory - What treatments or medications are you receiving for your pain?BPI - Treatments Receiving for Pain
BPI119C100310BPI1-Relief Pain Treatments ProvidedBrief Pain Inventory - In the last week, how much relief have pain treatments or medications provided? Please circle the one percentage that most shows how much relief you have received.BPI - Relief Pain Treatments Provided
BPI120C100311BPI1-Hours before Pain ReturnsBrief Pain Inventory - If you take pain medication, how many hours does it take before the pain returns?BPI - Hours before Pain Returns
BPI1211C100312BPI1-Pain Due to Effects of TreatmentBrief Pain Inventory - I believe my pain is due to the effects of treatment.BPI - Pain Due to Effects of Treatment
BPI1212C100313BPI1-Pain Due to Primary DiseaseBrief Pain Inventory - I believe my pain is due to my primary disease.BPI - Pain Due to Primary Disease
BPI1213C100314BPI1-Pain Due to Unrelated Med ConditionBrief Pain Inventory - I believe my pain is due to a medical condition unrelated to my primary disease.BPI - Pain Due to Unrelated Medical Condition
BPI1213AC100315BPI1-Describe Unrelated Med ConditionBrief Pain Inventory - I believe my pain is due to a medical condition unrelated to my primary disease. Please describe condition.BPI - Describe Unrelated Medical Condition
BPI122AC100316BPI1-AchingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: aching.BPI - Aching
BPI122BC100317BPI1-ThrobbingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: throbbing.BPI - Throbbing
BPI122CC100318BPI1-ShootingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: shooting.BPI - Shooting
BPI122DC100319BPI1-StabbingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: stabbing.BPI - Stabbing
BPI122EC100320BPI1-GnawingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: gnawing.BPI - Gnawing
BPI122FC100321BPI1-SharpBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: sharp.BPI - Sharp
BPI122GC100322BPI1-TenderBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: tender.BPI - Tender
BPI122HC100323BPI1-BurningBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: burning.BPI - Burning
BPI122IC100324BPI1-ExhaustingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: exhausting.BPI - Exhausting
BPI122JC100325BPI1-TiringBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: tiring.BPI - Tiring
BPI122KC100326BPI1-PenetratingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: penetrating.BPI - Penetrating
BPI122LC100327BPI1-NaggingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: nagging.BPI - Nagging
BPI122MC100328BPI1-NumbBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: numb.BPI - Numb
BPI122NC100329BPI1-MiserableBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: miserable.BPI - Miserable
BPI122OC100330BPI1-UnbearableBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: unbearable.BPI - Unbearable
BPI123AC100331BPI1-Pain Interfered General ActivityBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your general activity.BPI - Pain Interfered with General Activity
BPI123BC100332BPI1-Pain Interfered with MoodBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your mood.BPI - Pain Interfered with Mood
BPI123CC100333BPI1-Pain Interfered Walking AbilityBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your walking ability.BPI - Pain Interfered with Walking Ability
BPI123DC100334BPI1-Pain Interfered with Normal WorkBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your normal work.BPI - Pain Interfered with Normal Work
BPI123EC100335BPI1-Pain Interfered with RelationsBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your relations with other people.BPI - Pain Interfered with Relations
BPI123FC100336BPI1-Pain Interfered with SleepBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your sleep.BPI - Pain Interfered with Sleep
BPI123GC100337BPI1-Pain Interfered Enjoyment of LifeBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your enjoyment of life.BPI - Pain Interfered with Enjoyment of Life
BPI124C100338BPI1-Prefer to Take Pain MedicineBrief Pain Inventory - I prefer to take my pain medicine.BPI - Prefer to Take Pain Medicine
BPI125C100339BPI1-Take my Pain MedicineBrief Pain Inventory - I take my pain medicine (in a 24 hour period).BPI - Take my Pain Medicine
BPI126C100340BPI1-Need Stronger Type of Pain MedBrief Pain Inventory - Do you feel you need a stronger type of pain medication?BPI - Need Stronger Type of Pain Medication
BPI127C100341BPI1-Need more Pain Med than PrescribedBrief Pain Inventory - Do you feel you need to take more of the pain medication than your doctor has prescribed?BPI - Need more Pain Medication than Prescribed
BPI128C100342BPI1-Concerned Use Too Much Pain MedBrief Pain Inventory - Are you concerned that you use too much pain medication?BPI - Concerned with Too Much Pain Medication Use
BPI128AC100343BPI1-Why Concerned Use Too Much Pain MedBrief Pain Inventory - Are you concerned that you use too much pain medication? If Yes, why?BPI - Why Concerned with Too Much Pain Medication Use
BPI129C100344BPI1-Problems with Side Effects Pain MedBrief Pain Inventory - Are you having problems with side effects from your pain medication?BPI - Problems with Side Effects Pain Medication
BPI129AC100345BPI1-Which Side Effects from Pain MedBrief Pain Inventory - Are you having problems with side effects from your pain medication? Which side effects?BPI - What Side Effects from Pain Medication
BPI130C100346BPI1-Need Further Info about Pain MedBrief Pain Inventory - Do you feel you need to receive further information about your pain medication?BPI - Need Further Information about Pain Medication
BPI131AC100347BPI1-Warm Compresses to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: warm compresses.BPI - Warm Compresses to Relieve Pain
BPI131BC100348BPI1-Cold Compresses to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: cold compresses.BPI - Cold Compresses to Relieve Pain
BPI131CC100349BPI1-Relaxation Techniques Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: relaxation techniques.BPI - Relaxation Techniques Relieve Pain
BPI131DC100350BPI1-Distraction to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: distraction.BPI - Distraction to Relieve Pain
BPI131EC100351BPI1-Biofeedback to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: biofeedback.BPI - Biofeedback to Relieve Pain
BPI131FC100352BPI1-Hypnosis to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: hypnosis.BPI - Hypnosis to Relieve Pain
BPI131GC100353BPI1-Other to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: other.BPI - Other Methods to Relieve Pain
BPI131HC100354BPI1-Other specify to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: other. Please specify.BPI - Specified Other Method to Relieve Pain
BPI132C100355BPI1-Meds not Prescribed Taken for PainBrief Pain Inventory - Medications not prescribed by my doctor that I take for pain are.BPI - Medications not Prescribed Taken for Pain
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CL.C100161.BPI TESTQS-Brief Pain Inventory Test Name
(BPI TEST)
text
Extensible: No
C100161QS-Brief Pain Inventory Test NameBrief Pain Inventory test name.CDISC Questionnaire BPI Test Name Terminology
BPI1-AchingC100316BPI1-AchingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: aching.BPI - Aching
BPI1-Area Hurts MostC100302BPI1-Area Hurts MostBrief Pain Inventory - On the diagram, put an X on the area that hurts the most.BPI - Area Hurts Most
BPI1-Areas of PainC100301BPI1-Areas of PainBrief Pain Inventory - On the diagram, shade in the areas where you feel pain.BPI - Areas of Pain
BPI1-Biofeedback to Relieve PainC100351BPI1-Biofeedback to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: biofeedback.BPI - Biofeedback to Relieve Pain
BPI1-BurningC100323BPI1-BurningBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: burning.BPI - Burning
BPI1-Cold Compresses to Relieve PainC100348BPI1-Cold Compresses to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: cold compresses.BPI - Cold Compresses to Relieve Pain
BPI1-Concerned Use Too Much Pain MedC100342BPI1-Concerned Use Too Much Pain MedBrief Pain Inventory - Are you concerned that you use too much pain medication?BPI - Concerned with Too Much Pain Medication Use
BPI1-Current Job StatusC100292BPI1-Current Job StatusBrief Pain Inventory - Which of the following best describes your current job status?BPI - Current Job Status
BPI1-Current OccupationC100290BPI1-Current OccupationBrief Pain Inventory - Current occupation.BPI - Current Occupation
BPI1-Describe Unrelated Med ConditionC100315BPI1-Describe Unrelated Med ConditionBrief Pain Inventory - I believe my pain is due to a medical condition unrelated to my primary disease. Please describe condition.BPI - Describe Unrelated Medical Condition
BPI1-Distraction to Relieve PainC100350BPI1-Distraction to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: distraction.BPI - Distraction to Relieve Pain
BPI1-EducationC100288BPI1-EducationBrief Pain Inventory - Education.BPI - Education
BPI1-ExhaustingC100324BPI1-ExhaustingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: exhausting.BPI - Exhausting
BPI1-GnawingC100320BPI1-GnawingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: gnawing.BPI - Gnawing
BPI1-Hours before Pain ReturnsC100311BPI1-Hours before Pain ReturnsBrief Pain Inventory - If you take pain medication, how many hours does it take before the pain returns?BPI - Hours before Pain Returns
BPI1-How Long Since DiagnosisC100293BPI1-How Long Since DiagnosisBrief Pain Inventory - How long has it been since you first learned your diagnosis?BPI - How Long Since Diagnosis
BPI1-Hypnosis to Relieve PainC100352BPI1-Hypnosis to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: hypnosis.BPI - Hypnosis to Relieve Pain
BPI1-Kind of Surgery in Past MonthC100297BPI1-Kind of Surgery in Past MonthBrief Pain Inventory - What kind of surgery have you had in the past month?BPI - Kind of Surgery in Past Month
BPI1-Marital StatusC100287BPI1-Marital StatusBrief Pain Inventory - Marital status.BPI - Marital Status
BPI1-Meds not Prescribed Taken for PainC100355BPI1-Meds not Prescribed Taken for PainBrief Pain Inventory - Medications not prescribed by my doctor that I take for pain are.BPI - Medications not Prescribed Taken for Pain
BPI1-MiserableC100329BPI1-MiserableBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: miserable.BPI - Miserable
BPI1-NaggingC100327BPI1-NaggingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: nagging.BPI - Nagging
BPI1-Need Further Info about Pain MedC100346BPI1-Need Further Info about Pain MedBrief Pain Inventory - Do you feel you need to receive further information about your pain medication?BPI - Need Further Information about Pain Medication
BPI1-Need more Pain Med than PrescribedC100341BPI1-Need more Pain Med than PrescribedBrief Pain Inventory - Do you feel you need to take more of the pain medication than your doctor has prescribed?BPI - Need more Pain Medication than Prescribed
BPI1-Need Stronger Type of Pain MedC100340BPI1-Need Stronger Type of Pain MedBrief Pain Inventory - Do you feel you need a stronger type of pain medication?BPI - Need Stronger Type of Pain Medication
BPI1-NumbC100328BPI1-NumbBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: numb.BPI - Numb
BPI1-Other specify to Relieve PainC100354BPI1-Other specify to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: other. Please specify.BPI - Specified Other Method to Relieve Pain
BPI1-Other to Relieve PainC100353BPI1-Other to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: other.BPI - Other Methods to Relieve Pain
BPI1-Pain at its Least in Last WeekC100304BPI1-Pain at its Least in Last WeekBrief Pain Inventory - Please rate your pain by circling the one number that best describes your pain at its least in the last week.BPI - Pain at its Least in Last Week
BPI1-Pain at its Worst in Last WeekC100303BPI1-Pain at its Worst in Last WeekBrief Pain Inventory - Please rate your pain by circling the one number that best describes your pain at its worst in the last week.BPI - Pain at its Worst in Last Week
BPI1-Pain Due to Effects of TreatmentC100312BPI1-Pain Due to Effects of TreatmentBrief Pain Inventory - I believe my pain is due to the effects of treatment.BPI - Pain Due to Effects of Treatment
BPI1-Pain Due to Present DiseaseC100294BPI1-Pain Due to Present DiseaseBrief Pain Inventory - Have you ever had pain due to your present disease?BPI - Pain Due to Present Disease
BPI1-Pain Due to Primary DiseaseC100313BPI1-Pain Due to Primary DiseaseBrief Pain Inventory - I believe my pain is due to my primary disease.BPI - Pain Due to Primary Disease
BPI1-Pain Due to Unrelated Med ConditionC100314BPI1-Pain Due to Unrelated Med ConditionBrief Pain Inventory - I believe my pain is due to a medical condition unrelated to my primary disease.BPI - Pain Due to Unrelated Medical Condition
BPI1-Pain Interfered Enjoyment of LifeC100337BPI1-Pain Interfered Enjoyment of LifeBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your enjoyment of life.BPI - Pain Interfered with Enjoyment of Life
BPI1-Pain Interfered General ActivityC100331BPI1-Pain Interfered General ActivityBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your general activity.BPI - Pain Interfered with General Activity
BPI1-Pain Interfered Walking AbilityC100333BPI1-Pain Interfered Walking AbilityBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your walking ability.BPI - Pain Interfered with Walking Ability
BPI1-Pain Interfered with MoodC100332BPI1-Pain Interfered with MoodBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your mood.BPI - Pain Interfered with Mood
BPI1-Pain Interfered with Normal WorkC100334BPI1-Pain Interfered with Normal WorkBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your normal work.BPI - Pain Interfered with Normal Work
BPI1-Pain Interfered with RelationsC100335BPI1-Pain Interfered with RelationsBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your relations with other people.BPI - Pain Interfered with Relations
BPI1-Pain Interfered with SleepC100336BPI1-Pain Interfered with SleepBrief Pain Inventory - Circle the one number that describes how, during the past week, pain has interfered with your sleep.BPI - Pain Interfered with Sleep
BPI1-Pain Medications in the Last 7 DaysC100299BPI1-Pain Medications in the Last 7 DaysBrief Pain Inventory - Did you take pain medications in the last 7 days?BPI - Pain Medications in the Last 7 Days
BPI1-Pain on the AverageC100305BPI1-Pain on the AverageBrief Pain Inventory - Please rate your pain by circling the one number that best describes your pain on the average.BPI - Pain on the Average
BPI1-Pain One of Your SymptomsC100295BPI1-Pain One of Your SymptomsBrief Pain Inventory - When you first received your diagnosis, was pain one of your symptoms?BPI - Pain as a Symptom
BPI1-Pain Other than Everyday KindsC100298BPI1-Pain Other than Everyday KindsBrief Pain Inventory - Have you had pain other than these everyday kinds of pain during the last week?BPI - Pain Other than Everyday Kinds
BPI1-Pain Requires Medication DailyC100300BPI1-Pain Requires Medication DailyBrief Pain Inventory - I feel I have some form of pain that requires medication each and every day.BPI - Pain Requires Medication Daily
BPI1-Pain Right NowC100306BPI1-Pain Right NowBrief Pain Inventory - Please rate your pain by circling the one number that tells how much pain you have right now.BPI - Pain Right Now
BPI1-PenetratingC100326BPI1-PenetratingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: penetrating.BPI - Penetrating
BPI1-Prefer to Take Pain MedicineC100338BPI1-Prefer to Take Pain MedicineBrief Pain Inventory - I prefer to take my pain medicine.BPI - Prefer to Take Pain Medicine
BPI1-Problems with Side Effects Pain MedC100344BPI1-Problems with Side Effects Pain MedBrief Pain Inventory - Are you having problems with side effects from your pain medication?BPI - Problems with Side Effects Pain Medication
BPI1-Professional DegreeC100289BPI1-Professional DegreeBrief Pain Inventory - Education. Professional degree.BPI - Professional Degree
BPI1-Relaxation Techniques Relieve PainC100349BPI1-Relaxation Techniques Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: relaxation techniques.BPI - Relaxation Techniques Relieve Pain
BPI1-Relief Pain Treatments ProvidedC100310BPI1-Relief Pain Treatments ProvidedBrief Pain Inventory - In the last week, how much relief have pain treatments or medications provided? Please circle the one percentage that most shows how much relief you have received.BPI - Relief Pain Treatments Provided
BPI1-SharpC100321BPI1-SharpBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: sharp.BPI - Sharp
BPI1-ShootingC100318BPI1-ShootingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: shooting.BPI - Shooting
BPI1-Spouse's OccupationC100291BPI1-Spouse's OccupationBrief Pain Inventory - Spouse's occupation.BPI - Spouse's Occupation
BPI1-StabbingC100319BPI1-StabbingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: stabbing.BPI - Stabbing
BPI1-Surgery in Past MonthC100296BPI1-Surgery in Past MonthBrief Pain Inventory - Have you had surgery in the past month?BPI - Surgery in Past Month
BPI1-Take my Pain MedicineC100339BPI1-Take my Pain MedicineBrief Pain Inventory - I take my pain medicine (in a 24 hour period).BPI - Take my Pain Medicine
BPI1-TenderC100322BPI1-TenderBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: tender.BPI - Tender
BPI1-Things that Make Pain Feel BetterC100307BPI1-Things that Make Pain Feel BetterBrief Pain Inventory - What kinds of things make your pain feel better?BPI - Things that Make Pain Feel Better
BPI1-Things that Make your Pain WorseC100308BPI1-Things that Make your Pain WorseBrief Pain Inventory - What kinds of things make your pain feel worse?BPI - Things that Make your Pain Worse
BPI1-ThrobbingC100317BPI1-ThrobbingBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: throbbing.BPI - Throbbing
BPI1-TiringC100325BPI1-TiringBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: tiring.BPI - Tiring
BPI1-Treatments Receiving for PainC100309BPI1-Treatments Receiving for PainBrief Pain Inventory - What treatments or medications are you receiving for your pain?BPI - Treatments Receiving for Pain
BPI1-UnbearableC100330BPI1-UnbearableBrief Pain Inventory - Check Yes or No if the adjective applies to your pain: unbearable.BPI - Unbearable
BPI1-Warm Compresses to Relieve PainC100347BPI1-Warm Compresses to Relieve PainBrief Pain Inventory - Other methods I use to relieve pain include: warm compresses.BPI - Warm Compresses to Relieve Pain
BPI1-Which Side Effects from Pain MedC100345BPI1-Which Side Effects from Pain MedBrief Pain Inventory - Are you having problems with side effects from your pain medication? Which side effects?BPI - What Side Effects from Pain Medication
BPI1-Why Concerned Use Too Much Pain MedC100343BPI1-Why Concerned Use Too Much Pain MedBrief Pain Inventory - Are you concerned that you use too much pain medication? If Yes, why?BPI - Why Concerned with Too Much Pain Medication Use
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CL.C100134.BPRS-A TESTCDQS-Brief Psychiatric Rating Scale-A Test Code
(BPRS-A TESTCD)
text
Extensible: No
C100134QS-Brief Psychiatric Rating Scale-A Test CodeThe Brief Psychiatric Rating Scale-A test code.CDISC Questionnaire BPRS-A Test Code Terminology
BPR0101C100372BPR01-Somatic ConcernBrief Psychiatric Rating Scale-A - Somatic Concern.BPRS-A - Somatic Concern
BPR0102C100373BPR01-AnxietyBrief Psychiatric Rating Scale-A - Anxiety.BPRS-A - Anxiety
BPR0103C100374BPR01-Emotional WithdrawalBrief Psychiatric Rating Scale-A - Emotional Withdrawal.BPRS-A - Emotional Withdrawal
BPR0104C100375BPR01-Conceptual DisorganizationBrief Psychiatric Rating Scale-A - Conceptual Disorganization.BPRS-A - Conceptual Disorganization
BPR0105C100376BPR01-Guilt FeelingsBrief Psychiatric Rating Scale-A - Guilt Feelings.BPRS-A - Guilt Feelings
BPR0106C100377BPR01-TensionBrief Psychiatric Rating Scale-A - Tension.BPRS-A - Tension
BPR0107C100378BPR01-Mannerisms and PosturingBrief Psychiatric Rating Scale-A - Mannerisms and Posturing.BPRS-A - Mannerisms and Posturing
BPR0108C100379BPR01-GrandiosityBrief Psychiatric Rating Scale-A - Grandiosity.BPRS-A - Grandiosity
BPR0109C100380BPR01-Depressive MoodBrief Psychiatric Rating Scale-A - Depressive Mood.BPRS-A - Depressive Mood
BPR0110C100381BPR01-HostilityBrief Psychiatric Rating Scale-A - Hostility.BPRS-A - Hostility
BPR0111C100382BPR01-SuspiciousnessBrief Psychiatric Rating Scale-A - Suspiciousness.BPRS-A - Suspiciousness
BPR0112C100383BPR01-Hallucinatory BehaviorBrief Psychiatric Rating Scale-A - Hallucinatory Behavior.BPRS-A - Hallucinatory Behavior
BPR0113C100384BPR01-Motor RetardationBrief Psychiatric Rating Scale-A - Motor Retardation.BPRS-A - Motor Retardation
BPR0114C100385BPR01-UncooperativenessBrief Psychiatric Rating Scale-A - Uncooperativeness.BPRS-A - Uncooperativeness
BPR0115C100386BPR01-Unusual Thought ContentBrief Psychiatric Rating Scale-A - Unusual Thought Content.BPRS-A - Unusual Thought Content
BPR0116C100387BPR01-Blunted AffectBrief Psychiatric Rating Scale-A - Blunted Affect.BPRS-A - Blunted Affect
BPR0117C100388BPR01-ExcitementBrief Psychiatric Rating Scale-A - Excitement.BPRS-A - Excitement
BPR0118C100389BPR01-DisorientationBrief Psychiatric Rating Scale-A - Disorientation.BPRS-A - Disorientation
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CL.C100133.BPRS-A TESTQS-Brief Psychiatric Rating Scale-A Test Name
(BPRS-A TEST)
text
Extensible: No
C100133QS-Brief Psychiatric Rating Scale-A Test NameThe Brief Psychiatric Rating Scale-A test name.CDISC Questionnaire BPRS-A Test Name Terminology
BPR01-AnxietyC100373BPR01-AnxietyBrief Psychiatric Rating Scale-A - Anxiety.BPRS-A - Anxiety
BPR01-Blunted AffectC100387BPR01-Blunted AffectBrief Psychiatric Rating Scale-A - Blunted Affect.BPRS-A - Blunted Affect
BPR01-Conceptual DisorganizationC100375BPR01-Conceptual DisorganizationBrief Psychiatric Rating Scale-A - Conceptual Disorganization.BPRS-A - Conceptual Disorganization
BPR01-Depressive MoodC100380BPR01-Depressive MoodBrief Psychiatric Rating Scale-A - Depressive Mood.BPRS-A - Depressive Mood
BPR01-DisorientationC100389BPR01-DisorientationBrief Psychiatric Rating Scale-A - Disorientation.BPRS-A - Disorientation
BPR01-Emotional WithdrawalC100374BPR01-Emotional WithdrawalBrief Psychiatric Rating Scale-A - Emotional Withdrawal.BPRS-A - Emotional Withdrawal
BPR01-ExcitementC100388BPR01-ExcitementBrief Psychiatric Rating Scale-A - Excitement.BPRS-A - Excitement
BPR01-GrandiosityC100379BPR01-GrandiosityBrief Psychiatric Rating Scale-A - Grandiosity.BPRS-A - Grandiosity
BPR01-Guilt FeelingsC100376BPR01-Guilt FeelingsBrief Psychiatric Rating Scale-A - Guilt Feelings.BPRS-A - Guilt Feelings
BPR01-Hallucinatory BehaviorC100383BPR01-Hallucinatory BehaviorBrief Psychiatric Rating Scale-A - Hallucinatory Behavior.BPRS-A - Hallucinatory Behavior
BPR01-HostilityC100381BPR01-HostilityBrief Psychiatric Rating Scale-A - Hostility.BPRS-A - Hostility
BPR01-Mannerisms and PosturingC100378BPR01-Mannerisms and PosturingBrief Psychiatric Rating Scale-A - Mannerisms and Posturing.BPRS-A - Mannerisms and Posturing
BPR01-Motor RetardationC100384BPR01-Motor RetardationBrief Psychiatric Rating Scale-A - Motor Retardation.BPRS-A - Motor Retardation
BPR01-Somatic ConcernC100372BPR01-Somatic ConcernBrief Psychiatric Rating Scale-A - Somatic Concern.BPRS-A - Somatic Concern
BPR01-SuspiciousnessC100382BPR01-SuspiciousnessBrief Psychiatric Rating Scale-A - Suspiciousness.BPRS-A - Suspiciousness
BPR01-TensionC100377BPR01-TensionBrief Psychiatric Rating Scale-A - Tension.BPRS-A - Tension
BPR01-UncooperativenessC100385BPR01-UncooperativenessBrief Psychiatric Rating Scale-A - Uncooperativeness.BPRS-A - Uncooperativeness
BPR01-Unusual Thought ContentC100386BPR01-Unusual Thought ContentBrief Psychiatric Rating Scale-A - Unusual Thought Content.BPRS-A - Unusual Thought Content
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CL.C120979.CRQ-SAS FIRST ADMINISTRATION VERSION TESTCDQS-Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Test Code
(CRQ-SAS FIRST ADMINISTRATION VERSION TESTCD)
text
Extensible: No
C120979QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Test CodeChronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version test code.CDISC Questionnaire CRQ-SAS First Administration Version Test Code Terminology
CRQ0101C121010CRQ01-Feeling EmotionalChronic 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
CRQ0102C121011CRQ01-Take Care of Basic NeedsChronic 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
CRQ0103C121012CRQ01-WalkingChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Walking.CRQ-SAS First Administration Version - Walking
CRQ0104C121013CRQ01-Performing ChoresChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Performing chores.CRQ-SAS First Administration Version - Performing Chores
CRQ0105C121014CRQ01-Participate in Social ActivitiesChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Participating in social activities.CRQ-SAS First Administration Version - Participate in Social Activities
CRQ0106C121015CRQ01-Felt Frustrated or ImpatientChronic 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
CRQ0107C121016CRQ01-Feeling of Fear or PanicChronic 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
CRQ0108C121017CRQ01-FatigueChronic 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
CRQ0109C121018CRQ01-Embarrassed by CoughingChronic 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
CRQ0110C121019CRQ01-Confident to Deal With IllnessChronic 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
CRQ0111C121020CRQ01-EnergyChronic 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
CRQ0112C121021CRQ01-Feel Upset, Worried or DepressedChronic 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
CRQ0113C121022CRQ01-Control of Breathing ProblemsChronic 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
CRQ0114C121023CRQ01-Feel Relaxed and Free of TensionChronic 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
CRQ0115C121024CRQ01-Felt Low in EnergyChronic 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
CRQ0116C121025CRQ01-Felt Discouraged or DownChronic 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
CRQ0117C121026CRQ01-Felt Worn Out or SluggishChronic 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
CRQ0118C121027CRQ01-Happy, Satisfied or PleasedChronic 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
CRQ0119C121028CRQ01-Feel Upset Diff Getting BreathChronic 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
CRQ0120C121029CRQ01-Felt Restless, Tense or UptightChronic 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
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CL.C120978.CRQ-SAS FIRST ADMINISTRATION VERSION TESTQS-Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Test Name
(CRQ-SAS FIRST ADMINISTRATION VERSION TEST)
text
Extensible: No
C120978QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format First Administration Version Test NameChronic 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 IllnessC121019CRQ01-Confident to Deal With IllnessChronic 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 ProblemsC121022CRQ01-Control of Breathing ProblemsChronic 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 CoughingC121018CRQ01-Embarrassed by CoughingChronic 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-EnergyC121020CRQ01-EnergyChronic 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-FatigueC121017CRQ01-FatigueChronic 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 TensionC121023CRQ01-Feel Relaxed and Free of TensionChronic 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 BreathC121028CRQ01-Feel Upset Diff Getting BreathChronic 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 DepressedC121021CRQ01-Feel Upset, Worried or DepressedChronic 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 EmotionalC121010CRQ01-Feeling EmotionalChronic 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 PanicC121016CRQ01-Feeling of Fear or PanicChronic 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 DownC121025CRQ01-Felt Discouraged or DownChronic 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 ImpatientC121015CRQ01-Felt Frustrated or ImpatientChronic 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 EnergyC121024CRQ01-Felt Low in EnergyChronic 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 UptightC121029CRQ01-Felt Restless, Tense or UptightChronic 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 SluggishC121026CRQ01-Felt Worn Out or SluggishChronic 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 PleasedC121027CRQ01-Happy, Satisfied or PleasedChronic 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 ActivitiesC121014CRQ01-Participate in Social ActivitiesChronic 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 ChoresC121013CRQ01-Performing ChoresChronic 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 NeedsC121011CRQ01-Take Care of Basic NeedsChronic 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-WalkingC121012CRQ01-WalkingChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) First Administration Version - Walking.CRQ-SAS First Administration Version - Walking
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CL.C120981.CRQ-SAS FOLLOW-UP ADMINISTRATION VERSION TESTCDQS-Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Test Code
(CRQ-SAS FOLLOW-UP ADMINISTRATION VERSION TESTCD)
text
Extensible: No
C120981QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Test CodeChronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version test code.CDISC Questionnaire CRQ-SAS Follow-Up Administration Version Test Code Terminology
CRQ0201C121030CRQ02-Feeling EmotionalChronic 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
CRQ0202C121031CRQ02-Take Care of Basic NeedsChronic 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
CRQ0203C121032CRQ02-WalkingChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Walking.CRQ-SAS Follow-Up Administration Version - Walking
CRQ0204C121033CRQ02-Performing ChoresChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Performing chores.CRQ-SAS Follow-Up Administration Version - Performing Chores
CRQ0205C121034CRQ02-Participate in Social ActivitiesChronic 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
CRQ0206C121035CRQ02-Felt Frustrated or ImpatientChronic 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
CRQ0207C121036CRQ02-Feeling of Fear or PanicChronic 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
CRQ0208C121037CRQ02-FatigueChronic 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
CRQ0209C121038CRQ02-Embarrassed by CoughingChronic 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
CRQ0210C121039CRQ02-Confident to Deal With IllnessChronic 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
CRQ0211C121040CRQ02-EnergyChronic 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
CRQ0212C121041CRQ02-Feel Upset, Worried or DepressedChronic 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
CRQ0213C121042CRQ02-Control of Breathing ProblemsChronic 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
CRQ0214C121043CRQ02-Feel Relaxed and Free of TensionChronic 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
CRQ0215C121044CRQ02-Felt Low in EnergyChronic 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
CRQ0216C121045CRQ02-Felt Discouraged or DownChronic 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
CRQ0217C121046CRQ02-Felt Worn Out or SluggishChronic 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
CRQ0218C121047CRQ02-Happy, Satisfied or PleasedChronic 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
CRQ0219C121048CRQ02-Feel Upset Diff Getting BreathChronic 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
CRQ0220C121049CRQ02-Felt Restless, Tense or UptightChronic 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
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CL.C120980.CRQ-SAS FOLLOW-UP ADMINISTRATION VERSION TESTQS-Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Test Name
(CRQ-SAS FOLLOW-UP ADMINISTRATION VERSION TEST)
text
Extensible: No
C120980QS-Chronic Respiratory Questionnaire Self-Administered Standardized Format Follow-Up Administration Version Test NameChronic 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 IllnessC121039CRQ02-Confident to Deal With IllnessChronic 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 ProblemsC121042CRQ02-Control of Breathing ProblemsChronic 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 CoughingC121038CRQ02-Embarrassed by CoughingChronic 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-EnergyC121040CRQ02-EnergyChronic 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-FatigueC121037CRQ02-FatigueChronic 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 TensionC121043CRQ02-Feel Relaxed and Free of TensionChronic 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 BreathC121048CRQ02-Feel Upset Diff Getting BreathChronic 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 DepressedC121041CRQ02-Feel Upset, Worried or DepressedChronic 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 EmotionalC121030CRQ02-Feeling EmotionalChronic 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 PanicC121036CRQ02-Feeling of Fear or PanicChronic 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 DownC121045CRQ02-Felt Discouraged or DownChronic 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 ImpatientC121035CRQ02-Felt Frustrated or ImpatientChronic 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 EnergyC121044CRQ02-Felt Low in EnergyChronic 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 UptightC121049CRQ02-Felt Restless, Tense or UptightChronic 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 SluggishC121046CRQ02-Felt Worn Out or SluggishChronic 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 PleasedC121047CRQ02-Happy, Satisfied or PleasedChronic 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 ActivitiesC121034CRQ02-Participate in Social ActivitiesChronic 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 ChoresC121033CRQ02-Performing ChoresChronic 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 NeedsC121031CRQ02-Take Care of Basic NeedsChronic 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-WalkingC121032CRQ02-WalkingChronic Respiratory Questionnaire Self-Administered Standardized Format (CRQ-SAS) Follow-up Administration Version - Walking.CRQ-SAS Follow-Up Administration Version - Walking
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CL.C119066.CCQ 1 Week Version TESTCDQS-Clinical COPD Questionnaire 1 Week Version Test Code
(CCQ 1 Week Version TESTCD)
text
Extensible: No
C119066QS-Clinical COPD Questionnaire 1 Week Version Test CodeClinical COPD Questionnaire 1 Week Version test code.CDISC Questionnaire CCQ 1 Week Version Test Code Terminology
CCQ0201C119132CCQ02-Short of Breath at RestClinical 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
CCQ0202C119133CCQ02-Short of Breath Physical ActivityClinical 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
CCQ0203C119134CCQ02-Concern About Breathing Get WorseClinical 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
CCQ0204C119135CCQ02-Depressed for Breathing ProblemClinical 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
CCQ0205C119136CCQ02-CoughClinical 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
CCQ0206C119137CCQ02-Produce Sputum or PhlegmClinical 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
CCQ0207C119138CCQ02-Breathing Limit Strenuous ActivityClinical 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
CCQ0208C119139CCQ02-Breathing Limit Moderate ActivityClinical 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
CCQ0209C119140CCQ02-Breathing Limit Daily ActivityClinical 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
CCQ0210C119141CCQ02-Breathing Limit Social ActivityClinical 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
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CL.C119065.CCQ 1 Week Version TESTQS-Clinical COPD Questionnaire 1 Week Version Test Name
(CCQ 1 Week Version TEST)
text
Extensible: No
C119065QS-Clinical COPD Questionnaire 1 Week Version Test NameClinical COPD Questionnaire 1 Week Version test name.CDISC Questionnaire CCQ 1 Week Version Test Name Terminology
CCQ02-Breathing Limit Daily ActivityC119140CCQ02-Breathing Limit Daily ActivityClinical 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 ActivityC119139CCQ02-Breathing Limit Moderate ActivityClinical 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 ActivityC119141CCQ02-Breathing Limit Social ActivityClinical 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 ActivityC119138CCQ02-Breathing Limit Strenuous ActivityClinical 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 WorseC119134CCQ02-Concern About Breathing Get WorseClinical 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-CoughC119136CCQ02-CoughClinical 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 ProblemC119135CCQ02-Depressed for Breathing ProblemClinical 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 PhlegmC119137CCQ02-Produce Sputum or PhlegmClinical 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 RestC119132CCQ02-Short of Breath at RestClinical 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 ActivityC119133CCQ02-Short of Breath Physical ActivityClinical 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
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CL.C119064.CCQ 24 Hour Version TESTCDQS-Clinical COPD Questionnaire 24 Hour Version Test Code
(CCQ 24 Hour Version TESTCD)
text
Extensible: No
C119064QS-Clinical COPD Questionnaire 24 Hour Version Test CodeClinical COPD Questionnaire 24 Hour Version test code.CDISC Questionnaire CCQ 24 Hour Version Test Code Terminology
CCQ0101C119122CCQ01-Short of Breath at RestClinical 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
CCQ0102C119123CCQ01-Short of Breath Physical ActivityClinical 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
CCQ0103C119124CCQ01-Concern About Breathing Get WorseClinical 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
CCQ0104C119125CCQ01-Depressed for Breathing ProblemClinical 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
CCQ0105C119126CCQ01-CoughClinical 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
CCQ0106C119127CCQ01-Produce Sputum or PhlegmClinical 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
CCQ0107C119128CCQ01-Breathing Limit Strenuous ActivityClinical 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
CCQ0108C119129CCQ01-Breathing Limit Moderate ActivityClinical 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
CCQ0109C119130CCQ01-Breathing Limit Daily ActivityClinical 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
CCQ0110C119131CCQ01-Breathing Limit Social ActivityClinical 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
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CL.C119063.CCQ 24 Hour Version TESTQS-Clinical COPD Questionnaire 24 Hour Version Test Name
(CCQ 24 Hour Version TEST)
text
Extensible: No
C119063QS-Clinical COPD Questionnaire 24 Hour Version Test NameClinical COPD Questionnaire 24 Hour Version test name.CDISC Questionnaire CCQ 24 Hour Version Test Name Terminology
CCQ01-Breathing Limit Daily ActivityC119130CCQ01-Breathing Limit Daily ActivityClinical 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 ActivityC119129CCQ01-Breathing Limit Moderate ActivityClinical 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 ActivityC119131CCQ01-Breathing Limit Social ActivityClinical 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 ActivityC119128CCQ01-Breathing Limit Strenuous ActivityClinical 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 WorseC119124CCQ01-Concern About Breathing Get WorseClinical 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-CoughC119126CCQ01-CoughClinical 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 ProblemC119125CCQ01-Depressed for Breathing ProblemClinical 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 PhlegmC119127CCQ01-Produce Sputum or PhlegmClinical 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 RestC119122CCQ01-Short of Breath at RestClinical 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 ActivityC119123CCQ01-Short of Breath Physical ActivityClinical 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
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CL.C101811.CDR TESTCDQS-Clinical Dementia Rating Test Code
(CDR TESTCD)
text
Extensible: No
C101811QS-Clinical Dementia Rating Test CodeClinical Dementia Rating test code.CDISC Questionnaire CDR Test Code Terminology
CDR0101C102050CDR01-MemoryClinical Dementia Rating - Memory.CDR - Memory
CDR0102C102051CDR01-OrientationClinical Dementia Rating - Orientation.CDR - Orientation
CDR0103C102052CDR01-Judgment and Problem SolvingClinical Dementia Rating - Judgment and problem solving.CDR - Judgment and Problem Solving
CDR0104C102053CDR01-Community AffairsClinical Dementia Rating - Community affairs.CDR - Community Affairs
CDR0105C102054CDR01-Home and HobbiesClinical Dementia Rating - Home and hobbies.CDR - Home and Hobbies
CDR0106C102055CDR01-Personal CareClinical Dementia Rating - Personal care.CDR - Personal Care
CDR0107C113880CDR01-Sum of BoxesClinical Dementia Rating - Sum of Boxes.CDR - Sum of Boxes
CDR0108C113881CDR01-Global CDRClinical Dementia Rating - Global CDR.CDR - Global CDR
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CL.C101812.CDR TESTQS-Clinical Dementia Rating Test Name
(CDR TEST)
text
Extensible: No
C101812QS-Clinical Dementia Rating Test NameClinical Dementia Rating test name.CDISC Questionnaire CDR Test Name Terminology
CDR01-Community AffairsC102053CDR01-Community AffairsClinical Dementia Rating - Community affairs.CDR - Community Affairs
CDR01-Global CDRC113881CDR01-Global CDRClinical Dementia Rating - Global CDR.CDR - Global CDR
CDR01-Home and HobbiesC102054CDR01-Home and HobbiesClinical Dementia Rating - Home and hobbies.CDR - Home and Hobbies
CDR01-Judgment and Problem SolvingC102052CDR01-Judgment and Problem SolvingClinical Dementia Rating - Judgment and problem solving.CDR - Judgment and Problem Solving
CDR01-MemoryC102050CDR01-MemoryClinical Dementia Rating - Memory.CDR - Memory
CDR01-OrientationC102051CDR01-OrientationClinical Dementia Rating - Orientation.CDR - Orientation
CDR01-Personal CareC102055CDR01-Personal CareClinical Dementia Rating - Personal care.CDR - Personal Care
CDR01-Sum of BoxesC113880CDR01-Sum of BoxesClinical Dementia Rating - Sum of Boxes.CDR - Sum of Boxes
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CL.C100150.CGI TESTCDQS-Clinical Global Impression Test Code
(CGI TESTCD)
text
Extensible: No
C100150QS-Clinical Global Impression Test CodeClinical Global Impression test code.CDISC Questionnaire CGI Test Code Terminology
CGI0101C100955CGI01-Severity of IllnessClinical Global Impression - Considering your total clinical experience with this particular population, how mentally ill is the patient at this time?CGI - Severity of Illness
CGI0102C100956CGI01-Global ImprovementClinical Global Impression - Rate total improvement whether or not, in your judgment, it is due entirely to drug treatment. Compared to his condition at admission to the project, how much has he changed?CGI - Global Improvement
CGI0103C100957CGI01-Efficacy IndexClinical Global Impression - Rate this item on the basis of drug effect only. Select the terms which best describe the degrees of therapeutic effect and side effects and record the number in the box where the two items intersect.CGI - Efficacy Index
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CL.C100149.CGI TESTQS-Clinical Global Impression Test Name
(CGI TEST)
text
Extensible: No
C100149QS-Clinical Global Impression Test NameClinical Global Impression test name.CDISC Questionnaire CGI Test Name Terminology
CGI01-Efficacy IndexC100957CGI01-Efficacy IndexClinical Global Impression - Rate this item on the basis of drug effect only. Select the terms which best describe the degrees of therapeutic effect and side effects and record the number in the box where the two items intersect.CGI - Efficacy Index
CGI01-Global ImprovementC100956CGI01-Global ImprovementClinical Global Impression - Rate total improvement whether or not, in your judgment, it is due entirely to drug treatment. Compared to his condition at admission to the project, how much has he changed?CGI - Global Improvement
CGI01-Severity of IllnessC100955CGI01-Severity of IllnessClinical Global Impression - Considering your total clinical experience with this particular population, how mentally ill is the patient at this time?CGI - Severity of Illness
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CL.C101813.COWS TESTCDQS-Clinical Opiate Withdrawal Scale Test Code
(COWS TESTCD)
text
Extensible: No
C101813QS-Clinical Opiate Withdrawal Scale Test CodeClinical Opiate Withdrawal Scale test code.CDISC Questionnaire COWS Test Code Terminology
COWS101C102056COWS1-Resting Pulse RateClinical Opiate Withdrawal Scale - Resting pulse rate.COWS - Resting Pulse Rate
COWS101AC112467COWS1-Resting Pulse Rate Beats/minuteClinical Opiate Withdrawal Scale - Resting pulse rate: beats/minute.COWS - Resting Pulse Rate: Beats/Minute
COWS102C102057COWS1-SweatingClinical Opiate Withdrawal Scale - Sweating.COWS - Sweating
COWS103C102058COWS1-RestlessnessClinical Opiate Withdrawal Scale - Restlessness.COWS - Restlessness
COWS104C102059COWS1-Pupil SizeClinical Opiate Withdrawal Scale - Pupil size.COWS - Pupil Size
COWS105C102060COWS1-Bone or Joint AchesClinical Opiate Withdrawal Scale - Bone or joint aches.COWS - Bone or Joint Aches
COWS106C102061COWS1-Runny Nose or TearingClinical Opiate Withdrawal Scale - Runny nose or tearing.COWS - Runny Nose or Tearing
COWS107C102062COWS1-GI UpsetClinical Opiate Withdrawal Scale - GI upset.COWS - GI Upset
COWS108C102063COWS1-TremorClinical Opiate Withdrawal Scale - Tremor.COWS - Tremor
COWS109C102064COWS1-YawningClinical Opiate Withdrawal Scale - Yawning.COWS - Yawning
COWS110C102065COWS1-Anxiety or IrritabilityClinical Opiate Withdrawal Scale - Anxiety or irritability.COWS - Anxiety or Irritability
COWS111C102066COWS1-Gooseflesh SkinClinical Opiate Withdrawal Scale - Gooseflesh skin.COWS - Gooseflesh Skin
COWS112C112468COWS1-Total ScoreClinical Opiate Withdrawal Scale - Total score.COWS - Total Score
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CL.C101814.COWS TESTQS-Clinical Opiate Withdrawal Scale Test Name
(COWS TEST)
text
Extensible: No
C101814QS-Clinical Opiate Withdrawal Scale Test NameClinical Opiate Withdrawal Scale test name.CDISC Questionnaire COWS Test Name Terminology
COWS1-Anxiety or IrritabilityC102065COWS1-Anxiety or IrritabilityClinical Opiate Withdrawal Scale - Anxiety or irritability.COWS - Anxiety or Irritability
COWS1-Bone or Joint AchesC102060COWS1-Bone or Joint AchesClinical Opiate Withdrawal Scale - Bone or joint aches.COWS - Bone or Joint Aches
COWS1-GI UpsetC102062COWS1-GI UpsetClinical Opiate Withdrawal Scale - GI upset.COWS - GI Upset
COWS1-Gooseflesh SkinC102066COWS1-Gooseflesh SkinClinical Opiate Withdrawal Scale - Gooseflesh skin.COWS - Gooseflesh Skin
COWS1-Pupil SizeC102059COWS1-Pupil SizeClinical Opiate Withdrawal Scale - Pupil size.COWS - Pupil Size
COWS1-Resting Pulse RateC102056COWS1-Resting Pulse RateClinical Opiate Withdrawal Scale - Resting pulse rate.COWS - Resting Pulse Rate
COWS1-Resting Pulse Rate Beats/MinuteC112467COWS1-Resting Pulse Rate Beats/minuteClinical Opiate Withdrawal Scale - Resting pulse rate: beats/minute.COWS - Resting Pulse Rate: Beats/Minute
COWS1-RestlessnessC102058COWS1-RestlessnessClinical Opiate Withdrawal Scale - Restlessness.COWS - Restlessness
COWS1-Runny Nose or TearingC102061COWS1-Runny Nose or TearingClinical Opiate Withdrawal Scale - Runny nose or tearing.COWS - Runny Nose or Tearing
COWS1-SweatingC102057COWS1-SweatingClinical Opiate Withdrawal Scale - Sweating.COWS - Sweating
COWS1-Total ScoreC112468COWS1-Total ScoreClinical Opiate Withdrawal Scale - Total score.COWS - Total Score
COWS1-TremorC102063COWS1-TremorClinical Opiate Withdrawal Scale - Tremor.COWS - Tremor
COWS1-YawningC102064COWS1-YawningClinical Opiate Withdrawal Scale - Yawning.COWS - Yawning
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CL.C106659.C-SSRS Already Enrolled Subjects TESTCDQS-Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects Questionnaire Test Code
(C-SSRS Already Enrolled Subjects TESTCD)
text
Extensible: No
C106659QS-Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects Questionnaire Test CodeColumbia-Suicidality Severity Rating Scale Already Enrolled Subject test code.CDISC Questionnaire C-SSRS Already Enrolled Subjects Test Code Terminology
CSS0501AC107027CSS05-Wish to be Dead-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you wished you were dead or wished you could go to sleep and not wake up? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Wish to Be Dead (Prior to Study Entry)
CSS0501BC107028CSS05-Wish to be Dead-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you wished you were dead or wished you could go to sleep and not wake up? (Since Study Start).C-SSRS Already Enrolled Subjects - Wish to Be Dead (Since Study Start)
CSS0501CC107029CSS05-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of wishing to be dead.C-SSRS Already Enrolled Subjects - Description of Wish to Be Dead
CSS0502AC107030CSS05-Non-Spec Suicid Thought-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you actually had any thoughts of killing yourself? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Non-Specific Active Suicidal Thoughts (Prior to Study Entry)
CSS0502BC107031CSS05-Non-Spec Suicid Thought-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you actually had any thoughts of killing yourself? (Since Study Start).C-SSRS Already Enrolled Subjects - Non-Specific Active Suicidal Thoughts (Since Study Start)
CSS0502CC107032CSS05-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of non-specific active suicidal thoughts.C-SSRS Already Enrolled Subjects - Description of Non-Specific Active Suicidal Thoughts
CSS0503AC107033CSS05-Idea, No Intent, No Plan-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you been thinking about how you might do this? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Prior to Study Entry)
CSS0503BC107034CSS05-Idea, No Intent, No Plan-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you been thinking about how you might do this? (Since Study Start).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Since Study Start)
CSS0503CC107035CSS05-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act
CSS0504AC107036CSS05-Idea, Intent, No Plan-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you had these thoughts and had some intention of acting on them? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Prior to Study Entry)
CSS0504BC107037CSS05-Idea, Intent, No Plan-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you had these thoughts and had some intention of acting on them? (Since Study Start).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Since Study Start)
CSS0504CC107038CSS05-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Some Intent to Act, Without Specific Plan
CSS0505AC107039CSS05-Idea, Plan, Intent-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Specific Plan and Intent (Prior to Study Entry)
CSS0505BC107040CSS05-Idea, Plan, Intent-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Since Study Start).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Specific Plan and Intent (Since Study Start)
CSS0505CC107041CSS05-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with specific plan and intent.C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Specific Plan and Intent
CSS0506AC107042CSS05-Most Severe Idea-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most severe ideation. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Most Severe Ideation (Prior to Study Entry)
CSS0506BC107043CSS05-Most Severe Idea, Desc-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of most severe ideation. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Describe Most Severe Ideation (Prior to Study Entry)
CSS0506CC107044CSS05-Most Severe Idea-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most severe ideation. (Since Study Start).C-SSRS Already Enrolled Subjects - Most Severe Ideation (Since Study Start)
CSS0506DC107045CSS05-Most Severe Idea, Desc-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of most severe ideation. (Since Study Start).C-SSRS Already Enrolled Subjects - Describe Most Severe Ideation (Since Study Start)
CSS0507AC107046CSS05-Most Severe Idea, Frequency-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - How many times have you had these thoughts? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Frequency of Most Severe Ideation (Prior to Study Entry)
CSS0507BC107047CSS05-Most Severe Idea, Frequency-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - How many times have you had these thoughts? (Since Study Start).C-SSRS Already Enrolled Subjects - Frequency of Most Severe Ideation (Since Study Start)
CSS0508AC107048CSS05-Most Severe Idea, Duration-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - When you have 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)
CSS0508BC107049CSS05-Most Severe Idea, Duration-SinceColumbia-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)
CSS0509AC107050CSS05-Most Severe Idea, Control-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Controllability of Most Severe Ideation (Prior to Study Entry)
CSS0509BC107051CSS05-Most Severe Idea, Control-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Since Study Start).C-SSRS Already Enrolled Subjects - Controllability of Most Severe Ideation (Since Study Start)
CSS0510AC107052CSS05-Most Severe Idea, Deterrents-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Deterrents to Most Severe Ideation (Prior to Study Entry)
CSS0510BC107053CSS05-Most Severe Idea, Deterrents-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Since Study Start).C-SSRS Already Enrolled Subjects - Deterrents to Most Severe Ideation (Since Study Start)
CSS0511AC107054CSS05-Most Severe Idea, Reasons-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Reasons For Most Severe Ideation (Prior to Study Entry)
CSS0511BC107055CSS05-Most Severe Idea, Reasons-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Since Study Start).C-SSRS Already Enrolled Subjects - Reasons For Most Severe Ideation (Since Study Start)
CSS0512AC107056CSS05-Actual Attempt-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Actual Suicide Attempt (Prior to Study Entry)
CSS0512BC107057CSS05-Actual Attempt-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Since Study Start).C-SSRS Already Enrolled Subjects - Actual Suicide Attempt (Since Study Start)
CSS0513AC107058CSS05-Number of Actual Attempts-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of actual attempts. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Number of Actual Suicide Attempts (Prior to Study Entry)
CSS0513BC107059CSS05-Number of Actual Attempts-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of actual attempts. (Since Study Start).C-SSRS Already Enrolled Subjects - Number of Actual Suicide Attempts (Since Study Start)
CSS0513CC107060CSS05-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of actual attempt.C-SSRS Already Enrolled Subjects - Description of Actual Suicide Attempt
CSS0514AC107061CSS05-Non-suicid Self-injur Behav-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has the subject engaged in non-suicidal self-injurious behavior? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Non-suicidal Self-injurious Behavior (Prior to Study Entry)
CSS0514BC107062CSS05-Non-suicid Self-injur Behav-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has the subject engaged in non-suicidal self-injurious behavior? (Since Study Start).C-SSRS Already Enrolled Subjects - Non-suicidal Self-injurious Behavior (Since Study Start)
CSS0515AC107063CSS05-Interrupted Attempt-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Interrupted Suicide Attempt (Prior to Study Entry)
CSS0515BC107064CSS05-Interrupted Attempt-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Since Study Start).C-SSRS Already Enrolled Subjects - Interrupted Suicide Attempt (Since Study Start)
CSS0516AC107065CSS05-Num of Interrupted Attempts-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of interrupted attempts. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Prior to Study Entry)
CSS0516BC107066CSS05-Num of Interrupted Attempts-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of interrupted attempts. (Since Study Start).C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Since Study Start)
CSS0516CC107067CSS05-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of interrupted attempt.C-SSRS Already Enrolled Subjects - Description of Interrupted Suicide Attempt
CSS0517AC107068CSS05-Aborted Attempt-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Aborted Suicide Attempt (Prior to Study Entry)
CSS0517BC107069CSS05-Aborted Attempt-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Since Study Start).C-SSRS Already Enrolled Subjects - Aborted Suicide Attempt (Since Study Start)
CSS0518AC107070CSS05-Number of Aborted Attempts-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of aborted attempts. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Prior to Study Entry)
CSS0518BC107071CSS05-Number of Aborted Attempts-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of aborted attempts. (Since Study Start).C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Since Study Start)
CSS0518CC107072CSS05-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of aborted attempt.C-SSRS Already Enrolled Subjects - Description of Aborted Suicide Attempt
CSS0519AC107073CSS05-Preparatory Acts/Behavior-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you taken any steps 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)
CSS0519BC107074CSS05-Preparatory Acts/Behavior-SinceColumbia-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)
CSS0519CC107075CSS05-Preparatory Acts/Behavior, DescrColumbia-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
CSS0520AC107076CSS05-Suicidal Behavior-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Suicidal behavior was present during the assessment period? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Suicidal Behavior (Prior to Study Entry)
CSS0520BC107077CSS05-Suicidal Behavior-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Suicidal behavior was present during the assessment period? (Since Study Start).C-SSRS Already Enrolled Subjects - Suicidal Behavior (Since Study Start)
CSS0521AC107078CSS05-Completed Suicide-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Completed Suicide (Prior to Study Entry)
CSS0521BC107079CSS05-Completed Suicide-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Since Study Start).C-SSRS Already Enrolled Subjects - Completed Suicide (Since Study Start)
CSS0522AC107080CSS05-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most recent attempt date.C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Date
CSS0522BC107081CSS05-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most recent attempt actual lethality/medical damage.C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS0522CC107082CSS05-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most recent attempt potential lethality.C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Potential Lethality
CSS0523AC107083CSS05-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most lethal attempt date.C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Date
CSS0523BC107084CSS05-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most lethal attempt actual lethality/medical damage.C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS0523CC107085CSS05-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most lethal attempt potential lethality.C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Potential Lethality
CSS0524AC107086CSS05-First Attempt DateColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Initial/first attempt date.C-SSRS Already Enrolled Subjects - First Suicide Attempt Date
CSS0524BC107087CSS05-First Attempt DamageColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Initial/first attempt actual lethality/medical damage.C-SSRS Already Enrolled Subjects - First Suicide Attempt Actual Lethality/Medical Damage
CSS0524CC107088CSS05-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Initial/first attempt potential lethality.C-SSRS Already Enrolled Subjects - First Suicide Attempt Potential Lethality
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CL.C106658.C-SSRS Already Enrolled Subjects TESTQS-Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects Questionnaire Test Name
(C-SSRS Already Enrolled Subjects TEST)
text
Extensible: No
C106658QS-Columbia-Suicidality Severity Rating Scale Already Enrolled Subjects Questionnaire Test NameColumbia-Suicidality Severity Rating Scale Already Enrolled Subject test name.CDISC Questionnaire C-SSRS Already Enrolled Subjects Test Name Terminology
CSS05-Aborted Attempt, DescribeC107072CSS05-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of aborted attempt.C-SSRS Already Enrolled Subjects - Description of Aborted Suicide Attempt
CSS05-Aborted Attempt-PriorC107068CSS05-Aborted Attempt-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Aborted Suicide Attempt (Prior to Study Entry)
CSS05-Aborted Attempt-SinceC107069CSS05-Aborted Attempt-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Since Study Start).C-SSRS Already Enrolled Subjects - Aborted Suicide Attempt (Since Study Start)
CSS05-Actual Attempt, DescribeC107060CSS05-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of actual attempt.C-SSRS Already Enrolled Subjects - Description of Actual Suicide Attempt
CSS05-Actual Attempt-PriorC107056CSS05-Actual Attempt-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Actual Suicide Attempt (Prior to Study Entry)
CSS05-Actual Attempt-SinceC107057CSS05-Actual Attempt-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Since Study Start).C-SSRS Already Enrolled Subjects - Actual Suicide Attempt (Since Study Start)
CSS05-Completed Suicide-PriorC107078CSS05-Completed Suicide-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Completed Suicide (Prior to Study Entry)
CSS05-Completed Suicide-SinceC107079CSS05-Completed Suicide-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Completed suicide? (Since Study Start).C-SSRS Already Enrolled Subjects - Completed Suicide (Since Study Start)
CSS05-First Attempt DamageC107087CSS05-First Attempt DamageColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Initial/first attempt actual lethality/medical damage.C-SSRS Already Enrolled Subjects - First Suicide Attempt Actual Lethality/Medical Damage
CSS05-First Attempt DateC107086CSS05-First Attempt DateColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Initial/first attempt date.C-SSRS Already Enrolled Subjects - First Suicide Attempt Date
CSS05-First Attempt PotentialC107088CSS05-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Initial/first attempt potential lethality.C-SSRS Already Enrolled Subjects - First Suicide Attempt Potential Lethality
CSS05-Idea, Intent, No Plan, DescribeC107038CSS05-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Some Intent to Act, Without Specific Plan
CSS05-Idea, Intent, No Plan-PriorC107036CSS05-Idea, Intent, No Plan-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you had these thoughts and had some intention of acting on them? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Prior to Study Entry)
CSS05-Idea, Intent, No Plan-SinceC107037CSS05-Idea, Intent, No Plan-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you had these thoughts and had some intention of acting on them? (Since Study Start).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Since Study Start)
CSS05-Idea, No Intent, No Plan, DescribeC107035CSS05-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act
CSS05-Idea, No Intent, No Plan-PriorC107033CSS05-Idea, No Intent, No Plan-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you been thinking about how you might do this? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Prior to Study Entry)
CSS05-Idea, No Intent, No Plan-SinceC107034CSS05-Idea, No Intent, No Plan-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you been thinking about how you might do this? (Since Study Start).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Since Study Start)
CSS05-Idea, Plan, Intent, DescribeC107041CSS05-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of active suicidal ideation with specific plan and intent.C-SSRS Already Enrolled Subjects - Description of Active Suicidal Ideation With Specific Plan and Intent
CSS05-Idea, Plan, Intent-PriorC107039CSS05-Idea, Plan, Intent-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Specific Plan and Intent (Prior to Study Entry)
CSS05-Idea, Plan, Intent-SinceC107040CSS05-Idea, Plan, Intent-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Since Study Start).C-SSRS Already Enrolled Subjects - Active Suicidal Ideation With Specific Plan and Intent (Since Study Start)
CSS05-Interrupted Attempt, DescribeC107067CSS05-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of interrupted attempt.C-SSRS Already Enrolled Subjects - Description of Interrupted Suicide Attempt
CSS05-Interrupted Attempt-PriorC107063CSS05-Interrupted Attempt-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Interrupted Suicide Attempt (Prior to Study Entry)
CSS05-Interrupted Attempt-SinceC107064CSS05-Interrupted Attempt-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Since Study Start).C-SSRS Already Enrolled Subjects - Interrupted Suicide Attempt (Since Study Start)
CSS05-Most Lethal Attempt DamageC107084CSS05-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most lethal attempt actual lethality/medical damage.C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS05-Most Lethal Attempt DateC107083CSS05-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most lethal attempt date.C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Date
CSS05-Most Lethal Attempt PotentialC107085CSS05-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most lethal attempt potential lethality.C-SSRS Already Enrolled Subjects - Most Lethal Suicide Attempt Potential Lethality
CSS05-Most Recent Attempt DamageC107081CSS05-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most recent attempt actual lethality/medical damage.C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS05-Most Recent Attempt DateC107080CSS05-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most recent attempt date.C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Date
CSS05-Most Recent Attempt PotentialC107082CSS05-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most recent attempt potential lethality.C-SSRS Already Enrolled Subjects - Most Recent Suicide Attempt Potential Lethality
CSS05-Most Severe Idea, Control-PriorC107050CSS05-Most Severe Idea, Control-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Controllability of Most Severe Ideation (Prior to Study Entry)
CSS05-Most Severe Idea, Control-SinceC107051CSS05-Most Severe Idea, Control-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Since Study Start).C-SSRS Already Enrolled Subjects - Controllability of Most Severe Ideation (Since Study Start)
CSS05-Most Severe Idea, Desc-PriorC107043CSS05-Most Severe Idea, Desc-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of most severe ideation. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Describe Most Severe Ideation (Prior to Study Entry)
CSS05-Most Severe Idea, Desc-SinceC107045CSS05-Most Severe Idea, Desc-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of most severe ideation. (Since Study Start).C-SSRS Already Enrolled Subjects - Describe Most Severe Ideation (Since Study Start)
CSS05-Most Severe Idea, Deterrents-PriorC107052CSS05-Most Severe Idea, Deterrents-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Deterrents to Most Severe Ideation (Prior to Study Entry)
CSS05-Most Severe Idea, Deterrents-SinceC107053CSS05-Most Severe Idea, Deterrents-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Since Study Start).C-SSRS Already Enrolled Subjects - Deterrents to Most Severe Ideation (Since Study Start)
CSS05-Most Severe Idea, Duration-PriorC107048CSS05-Most Severe Idea, Duration-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - When you have 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-SinceC107049CSS05-Most Severe Idea, Duration-SinceColumbia-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-PriorC107046CSS05-Most Severe Idea, Frequency-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - How many times have you had these thoughts? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Frequency of Most Severe Ideation (Prior to Study Entry)
CSS05-Most Severe Idea, Frequency-SinceC107047CSS05-Most Severe Idea, Frequency-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - How many times have you had these thoughts? (Since Study Start).C-SSRS Already Enrolled Subjects - Frequency of Most Severe Ideation (Since Study Start)
CSS05-Most Severe Idea, Reasons-PriorC107054CSS05-Most Severe Idea, Reasons-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Reasons For Most Severe Ideation (Prior to Study Entry)
CSS05-Most Severe Idea, Reasons-SinceC107055CSS05-Most Severe Idea, Reasons-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Since Study Start).C-SSRS Already Enrolled Subjects - Reasons For Most Severe Ideation (Since Study Start)
CSS05-Most Severe Idea-PriorC107042CSS05-Most Severe Idea-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most severe ideation. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Most Severe Ideation (Prior to Study Entry)
CSS05-Most Severe Idea-SinceC107044CSS05-Most Severe Idea-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Most severe ideation. (Since Study Start).C-SSRS Already Enrolled Subjects - Most Severe Ideation (Since Study Start)
CSS05-Non-Spec Suicid Thought, DescribeC107032CSS05-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of non-specific active suicidal thoughts.C-SSRS Already Enrolled Subjects - Description of Non-Specific Active Suicidal Thoughts
CSS05-Non-Spec Suicid Thought-PriorC107030CSS05-Non-Spec Suicid Thought-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you actually had any thoughts of killing yourself? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Non-Specific Active Suicidal Thoughts (Prior to Study Entry)
CSS05-Non-Spec Suicid Thought-SinceC107031CSS05-Non-Spec Suicid Thought-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you actually had any thoughts of killing yourself? (Since Study Start).C-SSRS Already Enrolled Subjects - Non-Specific Active Suicidal Thoughts (Since Study Start)
CSS05-Non-suicid Self-injur Behav-PriorC107061CSS05-Non-suicid Self-injur Behav-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has the subject engaged in non-suicidal self-injurious behavior? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Non-suicidal Self-injurious Behavior (Prior to Study Entry)
CSS05-Non-suicid Self-injur Behav-SinceC107062CSS05-Non-suicid Self-injur Behav-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Has the subject engaged in non-suicidal self-injurious behavior? (Since Study Start).C-SSRS Already Enrolled Subjects - Non-suicidal Self-injurious Behavior (Since Study Start)
CSS05-Num of Interrupted Attempts-PriorC107065CSS05-Num of Interrupted Attempts-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of interrupted attempts. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Prior to Study Entry)
CSS05-Num of Interrupted Attempts-SinceC107066CSS05-Num of Interrupted Attempts-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of interrupted attempts. (Since Study Start).C-SSRS Already Enrolled Subjects - Number of Interrupted Suicide Attempts (Since Study Start)
CSS05-Number of Aborted Attempts-PriorC107070CSS05-Number of Aborted Attempts-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of aborted attempts. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Prior to Study Entry)
CSS05-Number of Aborted Attempts-SinceC107071CSS05-Number of Aborted Attempts-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of aborted attempts. (Since Study Start).C-SSRS Already Enrolled Subjects - Number of Aborted Suicide Attempts (Since Study Start)
CSS05-Number of Actual Attempts-PriorC107058CSS05-Number of Actual Attempts-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of actual attempts. (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Number of Actual Suicide Attempts (Prior to Study Entry)
CSS05-Number of Actual Attempts-SinceC107059CSS05-Number of Actual Attempts-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Total number of actual attempts. (Since Study Start).C-SSRS Already Enrolled Subjects - Number of Actual Suicide Attempts (Since Study Start)
CSS05-Preparatory Acts/Behavior, DescrC107075CSS05-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of preparatory acts or behavior.C-SSRS Already Enrolled Subjects - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS05-Preparatory Acts/Behavior-PriorC107073CSS05-Preparatory Acts/Behavior-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you taken any steps 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-SinceC107074CSS05-Preparatory Acts/Behavior-SinceColumbia-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-PriorC107076CSS05-Suicidal Behavior-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Suicidal behavior was present during the assessment period? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Suicidal Behavior (Prior to Study Entry)
CSS05-Suicidal Behavior-SinceC107077CSS05-Suicidal Behavior-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Suicidal behavior was present during the assessment period? (Since Study Start).C-SSRS Already Enrolled Subjects - Suicidal Behavior (Since Study Start)
CSS05-Wish to be Dead, DescribeC107029CSS05-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Description of wishing to be dead.C-SSRS Already Enrolled Subjects - Description of Wish to Be Dead
CSS05-Wish to be Dead-PriorC107027CSS05-Wish to be Dead-PriorColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you wished you were dead or wished you could go to sleep and not wake up? (Prior to Study Entry).C-SSRS Already Enrolled Subjects - Wish to Be Dead (Prior to Study Entry)
CSS05-Wish to be Dead-SinceC107028CSS05-Wish to be Dead-SinceColumbia-Suicidality Severity Rating Scale Already Enrolled Subjects - Have you wished you were dead or wished you could go to sleep and not wake up? (Since Study Start).C-SSRS Already Enrolled Subjects - Wish to Be Dead (Since Study Start)
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CL.C100168.C-SSRS Baseline TESTCDQS-Columbia-Suicidality Severity Rating Scale Baseline Test Code
(C-SSRS Baseline TESTCD)
text
Extensible: No
C100168QS-Columbia-Suicidality Severity Rating Scale Baseline Test CodeColumbia-Suicidality Severity Rating Scale Baseline test code.CDISC Questionnaire C-SSRS Baseline Test Code Terminology
CSS0101C100976CSS01-Wish to be DeadColumbia-Suicidality Severity Rating Scale Baseline - Have you wished you were dead or wished you could go to sleep and not wake up?C-SSRS Baseline - Wish to be Dead or go to Sleep and not Wake Up
CSS0101AC100977CSS01-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Baseline - Description of wishing to be dead.C-SSRS Baseline - Description of Wish to be Dead
CSS0102C100978CSS01-Non-Specific Suicidal ThoughtColumbia-Suicidality Severity Rating Scale Baseline - Have you actually had any thoughts of killing yourself?C-SSRS Baseline - Non-Specific Suicidal Thought
CSS0102AC100979CSS01-Non-Specific Suicid Thought, DescrColumbia-Suicidality Severity Rating Scale Baseline - Description of non-specific active suicidal thoughts.C-SSRS Baseline - Description of Non-Specific Suicide Thought
CSS0103C100980CSS01-Suicidal Ideation-No IntentColumbia-Suicidality Severity Rating Scale Baseline - Have you been thinking about how you might do this?C-SSRS Baseline - Suicidal Ideation-No Intent
CSS0103AC100981CSS01-Suicidal Ideation-No Intent, DescrColumbia-Suicidality Severity Rating Scale Baseline - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Baseline - Description of Suicidal Ideation-No Intent
CSS0104C101014CSS01-Ideation With Intent, No PlanColumbia-Suicidality Severity Rating Scale Baseline - Have you have these thoughts and had some intention of acting on them?C-SSRS Baseline - Ideation With Intent, No Plan
CSS0104AC101015CSS01-Ideation With Intent No Plan DescrColumbia-Suicidality Severity Rating Scale Baseline - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Baseline - Description of Ideation With Intent, No Plan
CSS0105C100982CSS01-Ideation With Plan/IntentColumbia-Suicidality Severity Rating Scale Baseline - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?C-SSRS Baseline - Ideation With Plan/Intent
CSS0105AC100983CSS01-Ideation With Plan/Intent, DescrColumbia-Suicidality Severity Rating Scale Baseline - Description of active suicidal ideation with specific plan and intent.C-SSRS Baseline - Description of Ideation With Plan and Intent
CSS0106C100984CSS01-Most Severe IdeationColumbia-Suicidality Severity Rating Scale Baseline - Most severe ideation.C-SSRS Baseline - Most Severe Ideation
CSS0106AC100985CSS01-Most Severe Ideation, DescriptionColumbia-Suicidality Severity Rating Scale Baseline - Description of most severe ideation.C-SSRS Baseline - Describe Most Severe Ideation
CSS0107C100986CSS01-Most Severe Ideation, FrequencyColumbia-Suicidality Severity Rating Scale Baseline - How many times have you had these thoughts?C-SSRS Baseline - Frequency of Most Severe Ideation
CSS0108C100987CSS01-Most Severe Ideation, DurationColumbia-Suicidality Severity Rating Scale Baseline - When you have the thoughts, how long do they last?C-SSRS Baseline - Duration of Most Severe Ideation
CSS0109C100988CSS01-Most Severe Ideation, ControlColumbia-Suicidality Severity Rating Scale Baseline - Could/can you stop thinking about killing yourself or wanting to die if you want to?C-SSRS Baseline - Control over Most Severe Ideation
CSS0110C100989CSS01-Most Severe Ideation, DeterrentsColumbia-Suicidality Severity Rating Scale Baseline - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?C-SSRS Baseline - Deterrents to Most Severe Ideation
CSS0111C100990CSS01-Most Severe Ideation, ReasonsColumbia-Suicidality Severity Rating Scale Baseline - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?C-SSRS Baseline - Reasons for Most Severe Ideation
CSS0112C100991CSS01-Actual AttemptColumbia-Suicidality Severity Rating Scale Baseline - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Baseline - Actual Suicide Attempt
CSS0113C100992CSS01-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Baseline - Total number of actual attempts.C-SSRS Baseline - Number of Actual Suicide Attempts
CSS0113AC100993CSS01-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline - Description of actual attempt.C-SSRS Baseline - Description of Actual Suicide Attempts
CSS0114C100994CSS01-Non-suicidal Self-injurious BehavColumbia-Suicidality Severity Rating Scale Baseline - Has the subject engaged in non-suicidal self-injurious behavior.C-SSRS Baseline - Non-suicidal Self-injurious Behavior
CSS0115C100995CSS01-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Baseline - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?C-SSRS Baseline - Interrupted Suicide Attempt
CSS0116C100996CSS01-Number of Interrupted AttemptsColumbia-Suicidality Severity Rating Scale Baseline - Total number of interrupted attempts.C-SSRS Baseline - Number of Interrupted Suicide Attempts
CSS0116AC100997CSS01-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline - Description of interrupted attempt.C-SSRS Baseline - Description of Interrupted Suicide Attempt
CSS0117C100998CSS01-Aborted AttemptColumbia-Suicidality Severity Rating Scale Baseline - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Baseline - Aborted Suicide Attempt
CSS0118C100999CSS01-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Baseline - Total number of aborted attempts.C-SSRS Baseline - Number of Aborted Suicide Attempts
CSS0118AC101000CSS01-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline - Description of aborted attempt.C-SSRS Baseline - Description of Aborted Suicide Attempt
CSS0119C101001CSS01-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Baseline - Have you taken any steps 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
CSS0119AC101002CSS01-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Baseline - Description of preparatory acts or behavior.C-SSRS Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0120C101003CSS01-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Baseline - Suicidal behavior was present during the assessment period?C-SSRS Baseline - Suicidal Behavior
CSS0121AC101004CSS01-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Baseline - Most recent attempt date.C-SSRS Baseline - Most Recent Suicide Attempt Date
CSS0121BC101005CSS01-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline - Most recent attempt actual lethality/medical damage.C-SSRS Baseline - Most Recent Suicide Attempt Damage
CSS0121CC101006CSS01-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline - Most recent attempt potential lethality.C-SSRS Baseline - Most Recent Suicide Attempt Potential
CSS0122AC101007CSS01-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Baseline - Most lethal attempt date.C-SSRS Baseline - Most Lethal Suicide Attempt Date
CSS0122BC101008CSS01-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline - Most lethal attempt actual lethality/medical damage.C-SSRS Baseline - Most Lethal Suicide Attempt Damage
CSS0122CC101009CSS01-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline - Most lethal attempt potential lethality.C-SSRS Baseline - Most Lethal Suicide Attempt Potential
CSS0123AC101010CSS01-First Attempt DateColumbia-Suicidality Severity Rating Scale Baseline - Initial/first attempt date.C-SSRS Baseline - First Suicide Attempt Date
CSS0123BC101011CSS01-First Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline - Initial/first attempt actual lethality/medical damage.C-SSRS Baseline - First Suicide Attempt Damage
CSS0123CC101012CSS01-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline - Initial/first attempt potential lethality.C-SSRS Baseline - First Suicide Attempt Potential
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CL.C100167.C-SSRS Baseline TESTQS-Columbia-Suicidality Severity Rating Scale Baseline Test Name
(C-SSRS Baseline TEST)
text
Extensible: No
C100167QS-Columbia-Suicidality Severity Rating Scale Baseline Test NameColumbia-Suicidality Severity Rating Scale Baseline test name.CDISC Questionnaire C-SSRS Baseline Test Name Terminology
CSS01-Aborted AttemptC100998CSS01-Aborted AttemptColumbia-Suicidality Severity Rating Scale Baseline - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Baseline - Aborted Suicide Attempt
CSS01-Aborted Attempt, DescribeC101000CSS01-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline - Description of aborted attempt.C-SSRS Baseline - Description of Aborted Suicide Attempt
CSS01-Actual AttemptC100991CSS01-Actual AttemptColumbia-Suicidality Severity Rating Scale Baseline - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Baseline - Actual Suicide Attempt
CSS01-Actual Attempt, DescribeC100993CSS01-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline - Description of actual attempt.C-SSRS Baseline - Description of Actual Suicide Attempts
CSS01-First Attempt DamageC101011CSS01-First Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline - Initial/first attempt actual lethality/medical damage.C-SSRS Baseline - First Suicide Attempt Damage
CSS01-First Attempt DateC101010CSS01-First Attempt DateColumbia-Suicidality Severity Rating Scale Baseline - Initial/first attempt date.C-SSRS Baseline - First Suicide Attempt Date
CSS01-First Attempt PotentialC101012CSS01-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline - Initial/first attempt potential lethality.C-SSRS Baseline - First Suicide Attempt Potential
CSS01-Ideation With Intent No Plan DescrC101015CSS01-Ideation With Intent No Plan DescrColumbia-Suicidality Severity Rating Scale Baseline - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Baseline - Description of Ideation With Intent, No Plan
CSS01-Ideation With Intent, No PlanC101014CSS01-Ideation With Intent, No PlanColumbia-Suicidality Severity Rating Scale Baseline - Have you have these thoughts and had some intention of acting on them?C-SSRS Baseline - Ideation With Intent, No Plan
CSS01-Ideation With Plan/IntentC100982CSS01-Ideation With Plan/IntentColumbia-Suicidality Severity Rating Scale Baseline - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?C-SSRS Baseline - Ideation With Plan/Intent
CSS01-Ideation With Plan/Intent, DescrC100983CSS01-Ideation With Plan/Intent, DescrColumbia-Suicidality Severity Rating Scale Baseline - Description of active suicidal ideation with specific plan and intent.C-SSRS Baseline - Description of Ideation With Plan and Intent
CSS01-Interrupted AttemptC100995CSS01-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Baseline - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?C-SSRS Baseline - Interrupted Suicide Attempt
CSS01-Interrupted Attempt, DescribeC100997CSS01-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline - Description of interrupted attempt.C-SSRS Baseline - Description of Interrupted Suicide Attempt
CSS01-Most Lethal Attempt DamageC101008CSS01-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline - Most lethal attempt actual lethality/medical damage.C-SSRS Baseline - Most Lethal Suicide Attempt Damage
CSS01-Most Lethal Attempt DateC101007CSS01-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Baseline - Most lethal attempt date.C-SSRS Baseline - Most Lethal Suicide Attempt Date
CSS01-Most Lethal Attempt PotentialC101009CSS01-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline - Most lethal attempt potential lethality.C-SSRS Baseline - Most Lethal Suicide Attempt Potential
CSS01-Most Recent Attempt DamageC101005CSS01-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline - Most recent attempt actual lethality/medical damage.C-SSRS Baseline - Most Recent Suicide Attempt Damage
CSS01-Most Recent Attempt DateC101004CSS01-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Baseline - Most recent attempt date.C-SSRS Baseline - Most Recent Suicide Attempt Date
CSS01-Most Recent Attempt PotentialC101006CSS01-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline - Most recent attempt potential lethality.C-SSRS Baseline - Most Recent Suicide Attempt Potential
CSS01-Most Severe IdeationC100984CSS01-Most Severe IdeationColumbia-Suicidality Severity Rating Scale Baseline - Most severe ideation.C-SSRS Baseline - Most Severe Ideation
CSS01-Most Severe Ideation, ControlC100988CSS01-Most Severe Ideation, ControlColumbia-Suicidality Severity Rating Scale Baseline - Could/can you stop thinking about killing yourself or wanting to die if you want to?C-SSRS Baseline - Control over Most Severe Ideation
CSS01-Most Severe Ideation, DescriptionC100985CSS01-Most Severe Ideation, DescriptionColumbia-Suicidality Severity Rating Scale Baseline - Description of most severe ideation.C-SSRS Baseline - Describe Most Severe Ideation
CSS01-Most Severe Ideation, DeterrentsC100989CSS01-Most Severe Ideation, DeterrentsColumbia-Suicidality Severity Rating Scale Baseline - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?C-SSRS Baseline - Deterrents to Most Severe Ideation
CSS01-Most Severe Ideation, DurationC100987CSS01-Most Severe Ideation, DurationColumbia-Suicidality Severity Rating Scale Baseline - When you have the thoughts, how long do they last?C-SSRS Baseline - Duration of Most Severe Ideation
CSS01-Most Severe Ideation, FrequencyC100986CSS01-Most Severe Ideation, FrequencyColumbia-Suicidality Severity Rating Scale Baseline - How many times have you had these thoughts?C-SSRS Baseline - Frequency of Most Severe Ideation
CSS01-Most Severe Ideation, ReasonsC100990CSS01-Most Severe Ideation, ReasonsColumbia-Suicidality Severity Rating Scale Baseline - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?C-SSRS Baseline - Reasons for Most Severe Ideation
CSS01-Non-Specific Suicid Thought, DescrC100979CSS01-Non-Specific Suicid Thought, DescrColumbia-Suicidality Severity Rating Scale Baseline - Description of non-specific active suicidal thoughts.C-SSRS Baseline - Description of Non-Specific Suicide Thought
CSS01-Non-Specific Suicidal ThoughtC100978CSS01-Non-Specific Suicidal ThoughtColumbia-Suicidality Severity Rating Scale Baseline - Have you actually had any thoughts of killing yourself?C-SSRS Baseline - Non-Specific Suicidal Thought
CSS01-Non-suicidal Self-injurious BehavC100994CSS01-Non-suicidal Self-injurious BehavColumbia-Suicidality Severity Rating Scale Baseline - Has the subject engaged in non-suicidal self-injurious behavior.C-SSRS Baseline - Non-suicidal Self-injurious Behavior
CSS01-Number of Aborted AttemptsC100999CSS01-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Baseline - Total number of aborted attempts.C-SSRS Baseline - Number of Aborted Suicide Attempts
CSS01-Number of Actual AttemptsC100992CSS01-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Baseline - Total number of actual attempts.C-SSRS Baseline - Number of Actual Suicide Attempts
CSS01-Number of Interrupted AttemptsC100996CSS01-Number of Interrupted AttemptsColumbia-Suicidality Severity Rating Scale Baseline - Total number of interrupted attempts.C-SSRS Baseline - Number of Interrupted Suicide Attempts
CSS01-Preparatory Acts/BehaviorC101001CSS01-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Baseline - Have you taken any steps 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, DescrC101002CSS01-Preparatory Acts/Behavior, DescrColumbia-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 BehaviorC101003CSS01-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Baseline - Suicidal behavior was present during the assessment period?C-SSRS Baseline - Suicidal Behavior
CSS01-Suicidal Ideation-No IntentC100980CSS01-Suicidal Ideation-No IntentColumbia-Suicidality Severity Rating Scale Baseline - Have you been thinking about how you might do this?C-SSRS Baseline - Suicidal Ideation-No Intent
CSS01-Suicidal Ideation-No Intent, DescrC100981CSS01-Suicidal Ideation-No Intent, DescrColumbia-Suicidality Severity Rating Scale Baseline - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Baseline - Description of Suicidal Ideation-No Intent
CSS01-Wish to be DeadC100976CSS01-Wish to be DeadColumbia-Suicidality Severity Rating Scale Baseline - Have you wished you were dead or wished you could go to sleep and not wake up?C-SSRS Baseline - Wish to be Dead or go to Sleep and not Wake Up
CSS01-Wish to be Dead, DescribeC100977CSS01-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Baseline - Description of wishing to be dead.C-SSRS Baseline - Description of Wish to be Dead
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CL.C105132.C-SSRS Baseline/Screening Version Phase 1 Study TESTCDQS-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
C105132QS-Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test CodeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study Version 1/14/2009 Questionnaire test code.CDISC Questionnaire C-SSRS Baseline/Screening Version Phase 1 Study Version 1/14/09 Test Code Terminology
CSS0301AC105210CSS03-Wish to be Dead-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Wish to be Dead (Lifetime)
CSS0301BC105211CSS03-Wish to be Dead-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you wished you were dead or wished you could go to sleep and not wake up? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Wish to be Dead (Past 6 Months)
CSS0301CC105212CSS03-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of wishing to be dead.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Wish to be Dead (Lifetime)
CSS0302AC105213CSS03-Non-Spec Suicid Thought-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you actually had any thoughts of killing yourself? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS0302BC105214CSS03-Non-Spec Suicid Thought-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you actually had any thoughts of killing yourself? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Non-Specific Active Suicidal Thoughts (Past 6 Months)
CSS0302CC105215CSS03-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of non-specific active suicidal thoughts.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Non-Specific Active Suicidal Thoughts (Lifetime)
CSS0303AC105216CSS03-Idea, No Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you been thinking about how you might do this? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS0303BC105217CSS03-Idea, No Intent, No Plan-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you been thinking about how you might do this? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 6 Months)
CSS0303CC105218CSS03-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS0304AC105219CSS03-Idea, Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you had these thoughts and had some intention of acting on them? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS0304BC105220CSS03-Idea, Intent, No Plan-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you had these thoughts and had some intention of acting on them? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 6 Months)
CSS0304CC105221CSS03-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS0305AC105222CSS03-Idea, Plan, Intent-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS0305BC105223CSS03-Idea, Plan, Intent-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Specific Plan and Intent (Past 6 Months)
CSS0305CC105224CSS03-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with specific plan and intent.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS0306AC105225CSS03-Most Severe Idea-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Most Severe Ideation (Lifetime)
CSS0306BC105226CSS03-Most Severe Idea, Desc-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Describe Most Severe Ideation (Lifetime)
CSS0306CC105227CSS03-Most Severe Idea-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most severe ideation. (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Most Severe Ideation (Past 6 Months)
CSS0306DC105228CSS03-Most Severe Idea, Desc-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of most severe ideation. (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Describe Most Severe Ideation (Past 6 Months)
CSS0307AC105229CSS03-Most Severe Idea, Frequency-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - How many times have you had these thoughts? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Frequency of Most Severe Ideation (Lifetime)
CSS0307BC105230CSS03-Most Severe Idea, Frequency-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - How many times have you had these thoughts? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Frequency of Most Severe Ideation (Past 6 Months)
CSS0308AC105231CSS03-Most Severe Idea, Duration-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have the thoughts how long do they last? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Duration of Most Severe Ideation (Lifetime)
CSS0308BC105232CSS03-Most Severe Idea, Duration-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have 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)
CSS0309AC105233CSS03-Most Severe Idea, Control-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Controllability of Most Severe Ideation (Lifetime)
CSS0309BC105234CSS03-Most Severe Idea, Control-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Controllability of Most Severe Ideation (Past 6 Months)
CSS0310AC105235CSS03-Most Severe Idea, Deterrents-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Deterrents to Most Severe Ideation (Lifetime)
CSS0310BC105236CSS03-Most Severe Idea, Deterrents-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Deterrents to Most Severe Ideation (Past 6 Months)
CSS0311AC105237CSS03-Most Severe Idea, Reasons-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Reasons for Most Severe Ideation (Lifetime)
CSS0311BC105238CSS03-Most Severe Idea, Reasons-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Reasons for Most Severe Ideation (Past 6 Months)
CSS0312C105239CSS03-Actual AttemptColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Baseline/Screening Version Phase 1 Study - Actual Suicide Attempt
CSS0313C105240CSS03-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of actual attempts.C-SSRS Baseline/Screening Version Phase 1 Study - Number of Actual Suicide Attempts
CSS0313AC105241CSS03-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of actual attempt.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Actual Suicide Attempt
CSS0314C105242CSS03-Non-suicidal Self-injurious BehavColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has the subject engaged in non-suicidal self-injurious behavior.C-SSRS Baseline/Screening Version Phase 1 Study - Non-suicidal Self-injurious Behavior
CSS0315C105243CSS03-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?C-SSRS Baseline/Screening Version Phase 1 Study - Interrupted Suicide Attempt
CSS0316C105244CSS03-Number of Interrupted AttemptsColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of interrupted attempts.C-SSRS Baseline/Screening Version Phase 1 Study - Number of Interrupted Suicide Attempts
CSS0316AC105245CSS03-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of interrupted attempt.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Interrupted Suicide Attempt
CSS0317C105246CSS03-Aborted AttemptColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Baseline/Screening Version Phase 1 Study - Aborted Suicide Attempt
CSS0318C105247CSS03-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of aborted attempts.C-SSRS Baseline/Screening Version Phase 1 Study - Number of Aborted Suicide Attempts
CSS0318AC105248CSS03-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of aborted attempt.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Aborted Suicide Attempt
CSS0319C105249CSS03-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you taken any steps 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
CSS0319AC105250CSS03-Preparatory Acts/Behavior, DescrColumbia-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
CSS0320C105251CSS03-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Suicidal behavior was present during the assessment period?C-SSRS Baseline/Screening Version Phase 1 Study - Suicidal Behavior
CSS0321AC105252CSS03-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt date.C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Date
CSS0321BC105253CSS03-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS0321CC105254CSS03-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt potential lethality.C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Potential Lethality
CSS0322AC105255CSS03-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt date.C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Date
CSS0322BC105256CSS03-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS0322CC105257CSS03-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt potential lethality.C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Potential Lethality
CSS0323AC105258CSS03-First Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt date.C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Date
CSS0323BC105259CSS03-First Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Actual Lethality/Medical Damage
CSS0323CC105260CSS03-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt potential lethality.C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Potential Lethality
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CL.C105131.C-SSRS Baseline/Screening Version Phase 1 Study TESTQS-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
C105131QS-Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study Questionnaire Test NameColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study Version 1/14/2009 test name.CDISC Questionnaire C-SSRS Baseline/Screening Version Phase 1 Study Version 1/14/09 Test Name Terminology
CSS03-Aborted AttemptC105246CSS03-Aborted AttemptColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Baseline/Screening Version Phase 1 Study - Aborted Suicide Attempt
CSS03-Aborted Attempt, DescribeC105248CSS03-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of aborted attempt.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Aborted Suicide Attempt
CSS03-Actual AttemptC105239CSS03-Actual AttemptColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Baseline/Screening Version Phase 1 Study - Actual Suicide Attempt
CSS03-Actual Attempt, DescribeC105241CSS03-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of actual attempt.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Actual Suicide Attempt
CSS03-First Attempt DamageC105259CSS03-First Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Actual Lethality/Medical Damage
CSS03-First Attempt DateC105258CSS03-First Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt date.C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Date
CSS03-First Attempt PotentialC105260CSS03-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Initial/first attempt potential lethality.C-SSRS Baseline/Screening Version Phase 1 Study - First Suicide Attempt Potential Lethality
CSS03-Idea, Intent, No Plan, DescribeC105221CSS03-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS03-Idea, Intent, No Plan-LifeC105219CSS03-Idea, Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you had these thoughts and had some intention of acting on them? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS03-Idea, Intent, No Plan-P6MC105220CSS03-Idea, Intent, No Plan-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you had these thoughts and had some intention of acting on them? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 6 Months)
CSS03-Idea, No Intent, No Plan, DescribeC105218CSS03-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS03-Idea, No Intent, No Plan-LifeC105216CSS03-Idea, No Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you been thinking about how you might do this? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS03-Idea, No Intent, No Plan-P6MC105217CSS03-Idea, No Intent, No Plan-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you been thinking about how you might do this? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 6 Months)
CSS03-Idea, Plan, Intent, DescribeC105224CSS03-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of active suicidal ideation with specific plan and intent.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS03-Idea, Plan, Intent-LifeC105222CSS03-Idea, Plan, Intent-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS03-Idea, Plan, Intent-P6MC105223CSS03-Idea, Plan, Intent-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Active Suicidal Ideation with Specific Plan and Intent (Past 6 Months)
CSS03-Interrupted AttemptC105243CSS03-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?C-SSRS Baseline/Screening Version Phase 1 Study - Interrupted Suicide Attempt
CSS03-Interrupted Attempt, DescribeC105245CSS03-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of interrupted attempt.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Interrupted Suicide Attempt
CSS03-Most Lethal Attempt DamageC105256CSS03-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS03-Most Lethal Attempt DateC105255CSS03-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt date.C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Date
CSS03-Most Lethal Attempt PotentialC105257CSS03-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most lethal attempt potential lethality.C-SSRS Baseline/Screening Version Phase 1 Study - Most Lethal Suicide Attempt Potential Lethality
CSS03-Most Recent Attempt DamageC105253CSS03-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS03-Most Recent Attempt DateC105252CSS03-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt date.C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Date
CSS03-Most Recent Attempt PotentialC105254CSS03-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most recent attempt potential lethality.C-SSRS Baseline/Screening Version Phase 1 Study - Most Recent Suicide Attempt Potential Lethality
CSS03-Most Severe Idea, Control-LifeC105233CSS03-Most Severe Idea, Control-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Controllability of Most Severe Ideation (Lifetime)
CSS03-Most Severe Idea, Control-P6MC105234CSS03-Most Severe Idea, Control-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Controllability of Most Severe Ideation (Past 6 Months)
CSS03-Most Severe Idea, Desc-LifeC105226CSS03-Most Severe Idea, Desc-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Describe Most Severe Ideation (Lifetime)
CSS03-Most Severe Idea, Desc-P6MC105228CSS03-Most Severe Idea, Desc-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of most severe ideation. (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Describe Most Severe Ideation (Past 6 Months)
CSS03-Most Severe Idea, Deterrents-LifeC105235CSS03-Most Severe Idea, Deterrents-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Deterrents to Most Severe Ideation (Lifetime)
CSS03-Most Severe Idea, Deterrents-P6MC105236CSS03-Most Severe Idea, Deterrents-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Deterrents to Most Severe Ideation (Past 6 Months)
CSS03-Most Severe Idea, Duration-LifeC105231CSS03-Most Severe Idea, Duration-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - When you have 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-P6MC105232CSS03-Most Severe Idea, Duration-P6MColumbia-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-LifeC105229CSS03-Most Severe Idea, Frequency-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - How many times have you had these thoughts? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Frequency of Most Severe Ideation (Lifetime)
CSS03-Most Severe Idea, Frequency-P6MC105230CSS03-Most Severe Idea, Frequency-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - How many times have you had these thoughts? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Frequency of Most Severe Ideation (Past 6 Months)
CSS03-Most Severe Idea, Reasons-LifeC105237CSS03-Most Severe Idea, Reasons-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Reasons for Most Severe Ideation (Lifetime)
CSS03-Most Severe Idea, Reasons-P6MC105238CSS03-Most Severe Idea, Reasons-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Reasons for Most Severe Ideation (Past 6 Months)
CSS03-Most Severe Idea-LifeC105225CSS03-Most Severe Idea-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Most Severe Ideation (Lifetime)
CSS03-Most Severe Idea-P6MC105227CSS03-Most Severe Idea-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Most severe ideation. (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Most Severe Ideation (Past 6 Months)
CSS03-Non-Spec Suicid Thought, DescribeC105215CSS03-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of non-specific active suicidal thoughts.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Non-Specific Active Suicidal Thoughts (Lifetime)
CSS03-Non-Spec Suicid Thought-LifeC105213CSS03-Non-Spec Suicid Thought-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you actually had any thoughts of killing yourself? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS03-Non-Spec Suicid Thought-P6MC105214CSS03-Non-Spec Suicid Thought-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you actually had any thoughts of killing yourself? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Non-Specific Active Suicidal Thoughts (Past 6 Months)
CSS03-Non-suicidal Self-injurious BehavC105242CSS03-Non-suicidal Self-injurious BehavColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Has the subject engaged in non-suicidal self-injurious behavior.C-SSRS Baseline/Screening Version Phase 1 Study - Non-suicidal Self-injurious Behavior
CSS03-Number of Aborted AttemptsC105247CSS03-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of aborted attempts.C-SSRS Baseline/Screening Version Phase 1 Study - Number of Aborted Suicide Attempts
CSS03-Number of Actual AttemptsC105240CSS03-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of actual attempts.C-SSRS Baseline/Screening Version Phase 1 Study - Number of Actual Suicide Attempts
CSS03-Number of Interrupted AttemptsC105244CSS03-Number of Interrupted AttemptsColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Total number of interrupted attempts.C-SSRS Baseline/Screening Version Phase 1 Study - Number of Interrupted Suicide Attempts
CSS03-Preparatory Acts/BehaviorC105249CSS03-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you taken any steps 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, DescrC105250CSS03-Preparatory Acts/Behavior, DescrColumbia-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 BehaviorC105251CSS03-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Suicidal behavior was present during the assessment period?C-SSRS Baseline/Screening Version Phase 1 Study - Suicidal Behavior
CSS03-Wish to be Dead, DescribeC105212CSS03-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Description of wishing to be dead.C-SSRS Baseline/Screening Version Phase 1 Study - Description of Wish to be Dead (Lifetime)
CSS03-Wish to be Dead-LifeC105210CSS03-Wish to be Dead-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime).C-SSRS Baseline/Screening Version Phase 1 Study - Wish to be Dead (Lifetime)
CSS03-Wish to be Dead-P6MC105211CSS03-Wish to be Dead-P6MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version Phase 1 Study - Have you wished you were dead or wished you could go to sleep and not wake up? (Past 6 Months).C-SSRS Baseline/Screening Version Phase 1 Study - Wish to be Dead (Past 6 Months)
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CL.C106661.C-SSRS Baseline/Screening Version TESTCDQS-Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Questionnaire Test Code
(C-SSRS Baseline/Screening Version TESTCD)
text
Extensible: No
C106661QS-Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Questionnaire Test CodeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version test code.CDISC Questionnaire C-SSRS Baseline/Screening Version Test Code Terminology
CSS0401AC106707CSS04-Wish to be Dead-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime).C-SSRS Baseline/Screening Version - Wish to be Dead (Lifetime)
CSS0401BC106708CSS04-Wish to be Dead-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Past _ Months).C-SSRS Baseline/Screening Version - Wish to be Dead (Past X Months)
CSS0401CC106709CSS04-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of wishing to be dead.C-SSRS Baseline/Screening Version - Description of Wish to be Dead
CSS0402AC106710CSS04-Non-Spec Suicid Thought-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you actually had any thoughts of killing yourself? (Lifetime).C-SSRS Baseline/Screening Version - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS0402BC106711CSS04-Non-Spec Suicid Thought-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you actually had any thoughts of killing yourself? (Past _ Months).C-SSRS Baseline/Screening Version - Non-Specific Active Suicidal Thoughts (Past X Months)
CSS0402CC106712CSS04-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of non-specific active suicidal thoughts.C-SSRS Baseline/Screening Version - Description of Non-Specific Active Suicidal Thoughts
CSS0403AC106713CSS04-Idea, No Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you been thinking about how you might do this? (Lifetime).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS0403BC106714CSS04-Idea, No Intent, No Plan-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you been thinking about how you might do this? (Past _ Months).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past X Months)
CSS0403CC106715CSS04-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0404AC107017CSS04-Idea, Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you had these thoughts and had some intention of acting on them? (Lifetime).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS0404BC107018CSS04-Idea, Intent, No Plan-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you had these thoughts and had some intention of acting on them? (Past _ Months).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past X Months)
CSS0404CC107019CSS04-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0405AC106716CSS04-Idea, Plan, Intent-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS0405BC106717CSS04-Idea, Plan, Intent-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past _ Months).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Specific Plan and Intent (Past X Months)
CSS0405CC106718CSS04-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with specific plan and intent.C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS0406AC106719CSS04-Most Severe Idea-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version - Most Severe Ideation (Lifetime)
CSS0406BC106720CSS04-Most Severe Idea, Desc-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version - Describe Most Severe Ideation (Lifetime)
CSS0406CC106721CSS04-Most Severe Idea-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Past _ Months).C-SSRS Baseline/Screening Version - Most Severe Ideation (Past X Months)
CSS0406DC106722CSS04-Most Severe Idea, Desc-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of most severe ideation. (Past _ Months).C-SSRS Baseline/Screening Version - Describe Most Severe Ideation (Past X Months)
CSS0407AC106723CSS04-Most Severe Idea, Frequency-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - How many times have you had these thoughts? (Lifetime).C-SSRS Baseline/Screening Version - Frequency of Most Severe Ideation (Lifetime)
CSS0407BC106724CSS04-Most Severe Idea, Frequency-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - How many times have you had these thoughts? (Past _ Months).C-SSRS Baseline/Screening Version - Frequency of Most Severe Ideation (Past X Months)
CSS0408AC106725CSS04-Most Severe Idea, Duration-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - When you have the thoughts how long do they last? (Lifetime).C-SSRS Baseline/Screening Version - Duration of Most Severe Ideation (Lifetime)
CSS0408BC106726CSS04-Most Severe Idea, Duration-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - When you have the thoughts how long do they last? (Past _ Months).C-SSRS Baseline/Screening Version - Duration of Most Severe Ideation (Past X Months)
CSS0409AC106727CSS04-Most Severe Idea, Control-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime).C-SSRS Baseline/Screening Version - Controllability of Most Severe Ideation (Lifetime)
CSS0409BC106728CSS04-Most Severe Idea, Control-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past _ Months).C-SSRS Baseline/Screening Version - Controllability of Most Severe Ideation (Past X Months)
CSS0410AC106729CSS04-Most Severe Idea, Deterrents-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime).C-SSRS Baseline/Screening Version - Deterrents to Most Severe Ideation (Lifetime)
CSS0410BC106730CSS04-Most Severe Idea, Deterrents-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past _ Months).C-SSRS Baseline/Screening Version - Deterrents to Most Severe Ideation (Past X Months)
CSS0411AC106731CSS04-Most Severe Idea, Reasons-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime).C-SSRS Baseline/Screening Version - Reasons for Most Severe Ideation (Lifetime)
CSS0411BC106732CSS04-Most Severe Idea, Reasons-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past _ Months).C-SSRS Baseline/Screening Version - Reasons for Most Severe Ideation (Past X Months)
CSS0412AC106733CSS04-Actual Attempt-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Lifetime).C-SSRS Baseline/Screening Version - Actual Suicide Attempt (Lifetime)
CSS0412BC106734CSS04-Actual Attempt-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Past _ Years).C-SSRS Baseline/Screening Version - Actual Suicide Attempt (Past X Years)
CSS0413AC106735CSS04-Number of Actual Attempts-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of actual attempts. (Lifetime).C-SSRS Baseline/Screening Version - Number of Actual Suicide Attempts (Lifetime)
CSS0413BC106736CSS04-Number of Actual Attempts-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of actual attempts. (Past _ Years).C-SSRS Baseline/Screening Version - Number of Actual Suicide Attempts (Past X Years)
CSS0413CC106737CSS04-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of actual attempt.C-SSRS Baseline/Screening Version - Description of Actual Suicide Attempt
CSS0414AC106738CSS04-Non-suicidal Self-injur Behav-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has the subject engaged in non-suicidal self-injurious behavior. (Lifetime).C-SSRS Baseline/Screening Version - Non-suicidal Self-injurious Behavior (Lifetime)
CSS0414BC106739CSS04-Non-suicidal Self-injur Behav-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has the subject engaged in non-suicidal self-injurious behavior. (Past _ Years).C-SSRS Baseline/Screening Version - Non-suicidal Self-injurious Behavior (Past X Years)
CSS0415AC106740CSS04-Interrupted Attempt-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Lifetime).C-SSRS Baseline/Screening Version - Interrupted Suicide Attempt (Lifetime)
CSS0415BC106741CSS04-Interrupted Attempt-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Past _ Years).C-SSRS Baseline/Screening Version - Interrupted Suicide Attempt (Past X Years)
CSS0416AC106742CSS04-Number of Interrupt Attempts-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of interrupted attempts. (Lifetime).C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Lifetime)
CSS0416BC106743CSS04-Number of Interrupt Attempts-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of interrupted attempts. (Past _ Years).C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Past X Years)
CSS0416CC106744CSS04-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of interrupted attempt.C-SSRS Baseline/Screening Version - Description of Interrupted Suicide Attempt
CSS0417AC106745CSS04-Aborted Attempt-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Lifetime).C-SSRS Baseline/Screening Version - Aborted Suicide Attempt (Lifetime)
CSS0417BC106746CSS04-Aborted Attempt-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Past _ Years).C-SSRS Baseline/Screening Version - Aborted Suicide Attempt (Past X Years)
CSS0418AC106747CSS04-Number of Aborted Attempts-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of aborted attempts. (Lifetime).C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Lifetime)
CSS0418BC106748CSS04-Number of Aborted Attempts-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of aborted attempts. (Past _ Years).C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Past X Years)
CSS0418CC106749CSS04-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of aborted attempt.C-SSRS Baseline/Screening Version - Description of Aborted Suicide Attempt
CSS0419AC106750CSS04-Preparatory Acts/Behavior-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you taken any steps 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)
CSS0419BC106751CSS04-Preparatory Acts/Behavior-P_YColumbia-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)
CSS0419CC106752CSS04-Preparatory Acts/Behav, DescrColumbia-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
CSS0420AC106753CSS04-Suicidal Behavior-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Suicidal behavior was present during the assessment period? (Lifetime).C-SSRS Baseline/Screening Version - Suicidal Behavior (Lifetime)
CSS0420BC106754CSS04-Suicidal Behavior-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Suicidal behavior was present during the assessment period? (Past _ Years).C-SSRS Baseline/Screening Version - Suicidal Behavior (Past X Years)
CSS0421AC106755CSS04-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most recent attempt date.C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Date
CSS0421BC106756CSS04-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most recent attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS0421CC106757CSS04-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most recent attempt potential lethality.C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Potential Lethality
CSS0422AC106758CSS04-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most lethal attempt date.C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Date
CSS0422BC106759CSS04-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most lethal attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS0422CC106760CSS04-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most lethal attempt potential lethality.C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Potential Lethality
CSS0423AC106761CSS04-First Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Initial/first attempt date.C-SSRS Baseline/Screening Version - First Suicide Attempt Date
CSS0423BC106762CSS04-First Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Initial/first attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version - First Suicide Attempt Actual Lethality/Medical Damage
CSS0423CC106763CSS04-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Initial/first attempt potential lethality.C-SSRS Baseline/Screening Version - First Suicide Attempt Potential Lethality
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CL.C106660.C-SSRS Baseline/Screening Version TESTQS-Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Questionnaire Test Name
(C-SSRS Baseline/Screening Version TEST)
text
Extensible: No
C106660QS-Columbia-Suicidality Severity Rating Scale Baseline/Screening Version Questionnaire Test NameColumbia-Suicidality Severity Rating Scale Baseline/Screening Version test name.CDISC Questionnaire C-SSRS Baseline/Screening Version Test Name Terminology
CSS04-Aborted Attempt, DescribeC106749CSS04-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of aborted attempt.C-SSRS Baseline/Screening Version - Description of Aborted Suicide Attempt
CSS04-Aborted Attempt-LifeC106745CSS04-Aborted Attempt-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Lifetime).C-SSRS Baseline/Screening Version - Aborted Suicide Attempt (Lifetime)
CSS04-Aborted Attempt-P_YC106746CSS04-Aborted Attempt-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything? (Past _ Years).C-SSRS Baseline/Screening Version - Aborted Suicide Attempt (Past X Years)
CSS04-Actual Attempt, DescribeC106737CSS04-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of actual attempt.C-SSRS Baseline/Screening Version - Description of Actual Suicide Attempt
CSS04-Actual Attempt-LifeC106733CSS04-Actual Attempt-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Lifetime).C-SSRS Baseline/Screening Version - Actual Suicide Attempt (Lifetime)
CSS04-Actual Attempt-P_YC106734CSS04-Actual Attempt-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died? (Past _ Years).C-SSRS Baseline/Screening Version - Actual Suicide Attempt (Past X Years)
CSS04-First Attempt DamageC106762CSS04-First Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Initial/first attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version - First Suicide Attempt Actual Lethality/Medical Damage
CSS04-First Attempt DateC106761CSS04-First Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Initial/first attempt date.C-SSRS Baseline/Screening Version - First Suicide Attempt Date
CSS04-First Attempt PotentialC106763CSS04-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Initial/first attempt potential lethality.C-SSRS Baseline/Screening Version - First Suicide Attempt Potential Lethality
CSS04-Idea, Intent, No Plan, DescribeC107019CSS04-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS04-Idea, Intent, No Plan-LifeC107017CSS04-Idea, Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you had these thoughts and had some intention of acting on them? (Lifetime).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS04-Idea, Intent, No Plan-P_MC107018CSS04-Idea, Intent, No Plan-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you had these thoughts and had some intention of acting on them? (Past _ Months).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past X Months)
CSS04-Idea, No Intent, No Plan, DescribeC106715CSS04-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS04-Idea, No Intent, No Plan-LifeC106713CSS04-Idea, No Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you been thinking about how you might do this? (Lifetime).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS04-Idea, No Intent, No Plan-P_MC106714CSS04-Idea, No Intent, No Plan-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you been thinking about how you might do this? (Past _ Months).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past X Months)
CSS04-Idea, Plan, Intent, DescribeC106718CSS04-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of active suicidal ideation with specific plan and intent.C-SSRS Baseline/Screening Version - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS04-Idea, Plan, Intent-LifeC106716CSS04-Idea, Plan, Intent-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Lifetime).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS04-Idea, Plan, Intent-P_MC106717CSS04-Idea, Plan, Intent-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? (Past _ Months).C-SSRS Baseline/Screening Version - Active Suicidal Ideation with Specific Plan and Intent (Past X Months)
CSS04-Interrupted Attempt, DescribeC106744CSS04-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of interrupted attempt.C-SSRS Baseline/Screening Version - Description of Interrupted Suicide Attempt
CSS04-Interrupted Attempt-LifeC106740CSS04-Interrupted Attempt-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Lifetime).C-SSRS Baseline/Screening Version - Interrupted Suicide Attempt (Lifetime)
CSS04-Interrupted Attempt-P_YC106741CSS04-Interrupted Attempt-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything? (Past _ Years).C-SSRS Baseline/Screening Version - Interrupted Suicide Attempt (Past X Years)
CSS04-Most Lethal Attempt DamageC106759CSS04-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most lethal attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS04-Most Lethal Attempt DateC106758CSS04-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most lethal attempt date.C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Date
CSS04-Most Lethal Attempt PotentialC106760CSS04-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most lethal attempt potential lethality.C-SSRS Baseline/Screening Version - Most Lethal Suicide Attempt Potential Lethality
CSS04-Most Recent Attempt DamageC106756CSS04-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most recent attempt actual lethality/medical damage.C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS04-Most Recent Attempt DateC106755CSS04-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most recent attempt date.C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Date
CSS04-Most Recent Attempt PotentialC106757CSS04-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most recent attempt potential lethality.C-SSRS Baseline/Screening Version - Most Recent Suicide Attempt Potential Lethality
CSS04-Most Severe Idea, Control-LifeC106727CSS04-Most Severe Idea, Control-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Lifetime).C-SSRS Baseline/Screening Version - Controllability of Most Severe Ideation (Lifetime)
CSS04-Most Severe Idea, Control-P_MC106728CSS04-Most Severe Idea, Control-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Could/can you stop thinking about killing yourself or wanting to die if you want to? (Past _ Months).C-SSRS Baseline/Screening Version - Controllability of Most Severe Ideation (Past X Months)
CSS04-Most Severe Idea, Desc-LifeC106720CSS04-Most Severe Idea, Desc-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version - Describe Most Severe Ideation (Lifetime)
CSS04-Most Severe Idea, Desc-P_MC106722CSS04-Most Severe Idea, Desc-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of most severe ideation. (Past _ Months).C-SSRS Baseline/Screening Version - Describe Most Severe Ideation (Past X Months)
CSS04-Most Severe Idea, Deterrents-LifeC106729CSS04-Most Severe Idea, Deterrents-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Lifetime).C-SSRS Baseline/Screening Version - Deterrents to Most Severe Ideation (Lifetime)
CSS04-Most Severe Idea, Deterrents-P_MC106730CSS04-Most Severe Idea, Deterrents-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide? (Past _ Months).C-SSRS Baseline/Screening Version - Deterrents to Most Severe Ideation (Past X Months)
CSS04-Most Severe Idea, Duration-LifeC106725CSS04-Most Severe Idea, Duration-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - When you have 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_MC106726CSS04-Most Severe Idea, Duration-P_MColumbia-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-LifeC106723CSS04-Most Severe Idea, Frequency-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - How many times have you had these thoughts? (Lifetime).C-SSRS Baseline/Screening Version - Frequency of Most Severe Ideation (Lifetime)
CSS04-Most Severe Idea, Frequency-P_MC106724CSS04-Most Severe Idea, Frequency-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - How many times have you had these thoughts? (Past _ Months).C-SSRS Baseline/Screening Version - Frequency of Most Severe Ideation (Past X Months)
CSS04-Most Severe Idea, Reasons-LifeC106731CSS04-Most Severe Idea, Reasons-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Lifetime).C-SSRS Baseline/Screening Version - Reasons for Most Severe Ideation (Lifetime)
CSS04-Most Severe Idea, Reasons-P_MC106732CSS04-Most Severe Idea, Reasons-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both? (Past _ Months).C-SSRS Baseline/Screening Version - Reasons for Most Severe Ideation (Past X Months)
CSS04-Most Severe Idea-LifeC106719CSS04-Most Severe Idea-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Lifetime).C-SSRS Baseline/Screening Version - Most Severe Ideation (Lifetime)
CSS04-Most Severe Idea-P_MC106721CSS04-Most Severe Idea-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Most severe ideation. (Past _ Months).C-SSRS Baseline/Screening Version - Most Severe Ideation (Past X Months)
CSS04-Non-Spec Suicid Thought, DescribeC106712CSS04-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of non-specific active suicidal thoughts.C-SSRS Baseline/Screening Version - Description of Non-Specific Active Suicidal Thoughts
CSS04-Non-Spec Suicid Thought-LifeC106710CSS04-Non-Spec Suicid Thought-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you actually had any thoughts of killing yourself? (Lifetime).C-SSRS Baseline/Screening Version - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS04-Non-Spec Suicid Thought-P_MC106711CSS04-Non-Spec Suicid Thought-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you actually had any thoughts of killing yourself? (Past _ Months).C-SSRS Baseline/Screening Version - Non-Specific Active Suicidal Thoughts (Past X Months)
CSS04-Non-suicidal Self-injur Behav-LifeC106738CSS04-Non-suicidal Self-injur Behav-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has the subject engaged in non-suicidal self-injurious behavior. (Lifetime).C-SSRS Baseline/Screening Version - Non-suicidal Self-injurious Behavior (Lifetime)
CSS04-Non-suicidal Self-injur Behav-P_YC106739CSS04-Non-suicidal Self-injur Behav-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Has the subject engaged in non-suicidal self-injurious behavior. (Past _ Years).C-SSRS Baseline/Screening Version - Non-suicidal Self-injurious Behavior (Past X Years)
CSS04-Number of Aborted Attempts-LifeC106747CSS04-Number of Aborted Attempts-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of aborted attempts. (Lifetime).C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Lifetime)
CSS04-Number of Aborted Attempts-P_YC106748CSS04-Number of Aborted Attempts-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of aborted attempts. (Past _ Years).C-SSRS Baseline/Screening Version - Number of Aborted Suicide Attempts (Past X Years)
CSS04-Number of Actual Attempts-LifeC106735CSS04-Number of Actual Attempts-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of actual attempts. (Lifetime).C-SSRS Baseline/Screening Version - Number of Actual Suicide Attempts (Lifetime)
CSS04-Number of Actual Attempts-P_YC106736CSS04-Number of Actual Attempts-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of actual attempts. (Past _ Years).C-SSRS Baseline/Screening Version - Number of Actual Suicide Attempts (Past X Years)
CSS04-Number of Interrupt Attempts-LifeC106742CSS04-Number of Interrupt Attempts-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of interrupted attempts. (Lifetime).C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Lifetime)
CSS04-Number of Interrupt Attempts-P_YC106743CSS04-Number of Interrupt Attempts-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Total number of interrupted attempts. (Past _ Years).C-SSRS Baseline/Screening Version - Number of Interrupted Suicide Attempts (Past X Years)
CSS04-Preparatory Acts/Behav, DescrC106752CSS04-Preparatory Acts/Behav, DescrColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of preparatory acts or behavior.C-SSRS Baseline/Screening Version - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS04-Preparatory Acts/Behavior-LifeC106750CSS04-Preparatory Acts/Behavior-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you taken any steps 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_YC106751CSS04-Preparatory Acts/Behavior-P_YColumbia-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-LifeC106753CSS04-Suicidal Behavior-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Suicidal behavior was present during the assessment period? (Lifetime).C-SSRS Baseline/Screening Version - Suicidal Behavior (Lifetime)
CSS04-Suicidal Behavior-P_YC106754CSS04-Suicidal Behavior-P_YColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Suicidal behavior was present during the assessment period? (Past _ Years).C-SSRS Baseline/Screening Version - Suicidal Behavior (Past X Years)
CSS04-Wish to be Dead, DescribeC106709CSS04-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Description of wishing to be dead.C-SSRS Baseline/Screening Version - Description of Wish to be Dead
CSS04-Wish to be Dead-LifeC106707CSS04-Wish to be Dead-LifeColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Lifetime).C-SSRS Baseline/Screening Version - Wish to be Dead (Lifetime)
CSS04-Wish to be Dead-P_MC106708CSS04-Wish to be Dead-P_MColumbia-Suicidality Severity Rating Scale Baseline/Screening Version - Have you wished you were dead or wished you could go to sleep and not wake up? (Past _ Months).C-SSRS Baseline/Screening Version - Wish to be Dead (Past X Months)
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CL.C111336.C-SSRS Children's Baseline TESTCDQS-Columbia-Suicidality Severity Rating Scale Children's Baseline Questionnaire Test Code
(C-SSRS Children's Baseline TESTCD)
text
Extensible: No
C111336QS-Columbia-Suicidality Severity Rating Scale Children's Baseline Questionnaire Test CodeColumbia-Suicidality Severity Rating Scale Children's Baseline test code.CDISC Questionnaire C-SSRS Children's Baseline Test Code Terminology
CSS0601C111527CSS06-Wish to be DeadColumbia-Suicidality Severity Rating Scale Children's Baseline - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore?C-SSRS Children's Baseline - Wish to be Dead
CSS0601AC111528CSS06-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of wishing to be dead.C-SSRS Children's Baseline - Description of Wish to be Dead
CSS0602C111529CSS06-Non-Specific Suicidal ThoughtColumbia-Suicidality Severity Rating Scale Children's Baseline - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself?C-SSRS Children's Baseline - Non-Specific Active Suicidal Thoughts
CSS0602AC111530CSS06-Non-Specific Suicid Thought, DescrColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of non-specific active suicidal thoughts.C-SSRS Children's Baseline - Description of Non-Specific Active Suicidal Thoughts
CSS0603C111531CSS06-Idea, No Intent, No PlanColumbia-Suicidality Severity Rating Scale Children's Baseline - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about?C-SSRS Children's Baseline - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0603AC111532CSS06-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0604C111533CSS06-Ideation With Intent, No PlanColumbia-Suicidality Severity Rating Scale Children's Baseline - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it.C-SSRS Children's Baseline - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0604AC111534CSS06-Ideation With Intent No Plan DescrColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0605C111535CSS06-Ideation With Plan/IntentColumbia-Suicidality Severity Rating Scale Children's Baseline - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it?C-SSRS Children's Baseline - Active Suicidal Ideation with Specific Plan and Intent
CSS0605AC111536CSS06-Ideation With Plan/Intent, DescrColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of active suicidal ideation with specific plan and intent.C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS0606C111537CSS06-Most Severe IdeationColumbia-Suicidality Severity Rating Scale Children's Baseline - Most severe ideation.C-SSRS Children's Baseline - Most Severe Ideation
CSS0606AC111538CSS06-Most Severe Ideation, DescriptionColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of most severe ideation.C-SSRS Children's Baseline - Describe Most Severe Ideation
CSS0607C111539CSS06-Most Severe Ideation, FrequencyColumbia-Suicidality Severity Rating Scale Children's Baseline - How many times have you had these thoughts?C-SSRS Children's Baseline - Frequency of Most Severe Ideation
CSS0607AC111540CSS06-Frequency, Write ResponseColumbia-Suicidality Severity Rating Scale Children's Baseline - Frequency, write response.C-SSRS Children's Baseline - Frequency, Write Response
CSS0608C111541CSS06-Actual AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that?C-SSRS Children's Baseline - Actual Suicide Attempt
CSS0609C111542CSS06-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline - Total number of actual attempts.C-SSRS Children's Baseline - Number of Actual Suicide Attempts
CSS0609AC111543CSS06-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of actual attempt.C-SSRS Children's Baseline - Description of Actual Suicide Attempt
CSS0610C111544CSS06-Non-suicidal Self-injurious BehavColumbia-Suicidality Severity Rating Scale Children's Baseline - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Children's Baseline - Non-suicidal Self-injurious Behavior
CSS0611C111545CSS06-Self-injur Behav, Intent UnknownColumbia-Suicidality Severity Rating Scale Children's Baseline - Has subject engaged in self-injurious behavior, intent unknown?C-SSRS Children's Baseline - Self-injurious Behavior, Intent Unknown
CSS0612C111546CSS06-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?C-SSRS Children's Baseline - Interrupted Suicide Attempt
CSS0613C111547CSS06-Number of Interrupt AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline - Total number of interrupted attempts.C-SSRS Children's Baseline - Number of Interrupted Suicide Attempts
CSS0613AC111548CSS06-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of interrupted attempt.C-SSRS Children's Baseline - Description of Interrupted Suicide Attempt
CSS0614C111549CSS06-Aborted AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?C-SSRS Children's Baseline - Aborted Suicide Attempt
CSS0615C111550CSS06-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline - Total number of aborted attempts.C-SSRS Children's Baseline - Number of Aborted Suicide Attempts
CSS0615AC111551CSS06-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of aborted attempt.C-SSRS Children's Baseline - Description of Aborted Suicide Attempt
CSS0616C111552CSS06-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Children's Baseline - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?C-SSRS Children's Baseline - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0616AC111553CSS06-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of preparatory acts or behavior.C-SSRS Children's Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0617C111554CSS06-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Children's Baseline - Suicidal behavior was present during the assessment period?C-SSRS Children's Baseline - Suicidal Behavior
CSS0618AC111555CSS06-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline - Most recent attempt date.C-SSRS Children's Baseline - Most Recent Suicide Attempt Date
CSS0618BC111556CSS06-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline - Most recent attempt actual lethality/medical damage.C-SSRS Children's Baseline - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS0618CC111557CSS06-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline - Most recent attempt potential lethality.C-SSRS Children's Baseline - Most Recent Suicide Attempt Potential Lethality
CSS0619AC111558CSS06-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline - Most lethal attempt date.C-SSRS Children's Baseline - Most Lethal Suicide Attempt Date
CSS0619BC111559CSS06-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline - Most lethal attempt actual lethality/medical damage.C-SSRS Children's Baseline - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS0619CC111560CSS06-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline - Most lethal attempt potential lethality.C-SSRS Children's Baseline - Most Lethal Suicide Attempt Potential Lethality
CSS0620AC111561CSS06-First Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline - Initial/first attempt date.C-SSRS Children's Baseline - First Suicide Attempt Date
CSS0620BC111562CSS06-First Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline - Initial/first attempt actual lethality/medical damage.C-SSRS Children's Baseline - First Suicide Attempt Actual Lethality/Medical Damage
CSS0620CC111563CSS06-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline - Initial/first attempt potential lethality.C-SSRS Children's Baseline - First Suicide Attempt Potential Lethality
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CL.C111335.C-SSRS Children's Baseline TESTQS-Columbia-Suicidality Severity Rating Scale Children's Baseline Questionnaire Test Name
(C-SSRS Children's Baseline TEST)
text
Extensible: No
C111335QS-Columbia-Suicidality Severity Rating Scale Children's Baseline Questionnaire Test NameColumbia-Suicidality Severity Rating Scale Children's Baseline test name.CDISC Questionnaire C-SSRS Children's Baseline Test Name Terminology
CSS06-Aborted AttemptC111549CSS06-Aborted AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?C-SSRS Children's Baseline - Aborted Suicide Attempt
CSS06-Aborted Attempt, DescribeC111551CSS06-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of aborted attempt.C-SSRS Children's Baseline - Description of Aborted Suicide Attempt
CSS06-Actual AttemptC111541CSS06-Actual AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that?C-SSRS Children's Baseline - Actual Suicide Attempt
CSS06-Actual Attempt, DescribeC111543CSS06-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of actual attempt.C-SSRS Children's Baseline - Description of Actual Suicide Attempt
CSS06-First Attempt DamageC111562CSS06-First Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline - Initial/first attempt actual lethality/medical damage.C-SSRS Children's Baseline - First Suicide Attempt Actual Lethality/Medical Damage
CSS06-First Attempt DateC111561CSS06-First Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline - Initial/first attempt date.C-SSRS Children's Baseline - First Suicide Attempt Date
CSS06-First Attempt PotentialC111563CSS06-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline - Initial/first attempt potential lethality.C-SSRS Children's Baseline - First Suicide Attempt Potential Lethality
CSS06-Frequency, Write ResponseC111540CSS06-Frequency, Write ResponseColumbia-Suicidality Severity Rating Scale Children's Baseline - Frequency, write response.C-SSRS Children's Baseline - Frequency, Write Response
CSS06-Idea, No Intent, No PlanC111531CSS06-Idea, No Intent, No PlanColumbia-Suicidality Severity Rating Scale Children's Baseline - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about?C-SSRS Children's Baseline - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS06-Idea, No Intent, No Plan, DescribeC111532CSS06-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS06-Ideation With Intent No Plan DescrC111534CSS06-Ideation With Intent No Plan DescrColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS06-Ideation With Intent, No PlanC111533CSS06-Ideation With Intent, No PlanColumbia-Suicidality Severity Rating Scale Children's Baseline - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it.C-SSRS Children's Baseline - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS06-Ideation With Plan/IntentC111535CSS06-Ideation With Plan/IntentColumbia-Suicidality Severity Rating Scale Children's Baseline - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it?C-SSRS Children's Baseline - Active Suicidal Ideation with Specific Plan and Intent
CSS06-Ideation With Plan/Intent, DescrC111536CSS06-Ideation With Plan/Intent, DescrColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of active suicidal ideation with specific plan and intent.C-SSRS Children's Baseline - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS06-Interrupted AttemptC111546CSS06-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?C-SSRS Children's Baseline - Interrupted Suicide Attempt
CSS06-Interrupted Attempt, DescribeC111548CSS06-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of interrupted attempt.C-SSRS Children's Baseline - Description of Interrupted Suicide Attempt
CSS06-Most Lethal Attempt DamageC111559CSS06-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline - Most lethal attempt actual lethality/medical damage.C-SSRS Children's Baseline - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS06-Most Lethal Attempt DateC111558CSS06-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline - Most lethal attempt date.C-SSRS Children's Baseline - Most Lethal Suicide Attempt Date
CSS06-Most Lethal Attempt PotentialC111560CSS06-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline - Most lethal attempt potential lethality.C-SSRS Children's Baseline - Most Lethal Suicide Attempt Potential Lethality
CSS06-Most Recent Attempt DamageC111556CSS06-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline - Most recent attempt actual lethality/medical damage.C-SSRS Children's Baseline - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS06-Most Recent Attempt DateC111555CSS06-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline - Most recent attempt date.C-SSRS Children's Baseline - Most Recent Suicide Attempt Date
CSS06-Most Recent Attempt PotentialC111557CSS06-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline - Most recent attempt potential lethality.C-SSRS Children's Baseline - Most Recent Suicide Attempt Potential Lethality
CSS06-Most Severe IdeationC111537CSS06-Most Severe IdeationColumbia-Suicidality Severity Rating Scale Children's Baseline - Most severe ideation.C-SSRS Children's Baseline - Most Severe Ideation
CSS06-Most Severe Ideation, DescriptionC111538CSS06-Most Severe Ideation, DescriptionColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of most severe ideation.C-SSRS Children's Baseline - Describe Most Severe Ideation
CSS06-Most Severe Ideation, FrequencyC111539CSS06-Most Severe Ideation, FrequencyColumbia-Suicidality Severity Rating Scale Children's Baseline - How many times have you had these thoughts?C-SSRS Children's Baseline - Frequency of Most Severe Ideation
CSS06-Non-Specific Suicid Thought, DescrC111530CSS06-Non-Specific Suicid Thought, DescrColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of non-specific active suicidal thoughts.C-SSRS Children's Baseline - Description of Non-Specific Active Suicidal Thoughts
CSS06-Non-Specific Suicidal ThoughtC111529CSS06-Non-Specific Suicidal ThoughtColumbia-Suicidality Severity Rating Scale Children's Baseline - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself?C-SSRS Children's Baseline - Non-Specific Active Suicidal Thoughts
CSS06-Non-suicidal Self-injurious BehavC111544CSS06-Non-suicidal Self-injurious BehavColumbia-Suicidality Severity Rating Scale Children's Baseline - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Children's Baseline - Non-suicidal Self-injurious Behavior
CSS06-Number of Aborted AttemptsC111550CSS06-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline - Total number of aborted attempts.C-SSRS Children's Baseline - Number of Aborted Suicide Attempts
CSS06-Number of Actual AttemptsC111542CSS06-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline - Total number of actual attempts.C-SSRS Children's Baseline - Number of Actual Suicide Attempts
CSS06-Number of Interrupt AttemptsC111547CSS06-Number of Interrupt AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline - Total number of interrupted attempts.C-SSRS Children's Baseline - Number of Interrupted Suicide Attempts
CSS06-Preparatory Acts/BehaviorC111552CSS06-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Children's Baseline - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?C-SSRS Children's Baseline - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS06-Preparatory Acts/Behavior, DescrC111553CSS06-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of preparatory acts or behavior.C-SSRS Children's Baseline - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS06-Self-injur Behav, Intent UnknownC111545CSS06-Self-injur Behav, Intent UnknownColumbia-Suicidality Severity Rating Scale Children's Baseline - Has subject engaged in self-injurious behavior, intent unknown?C-SSRS Children's Baseline - Self-injurious Behavior, Intent Unknown
CSS06-Suicidal BehaviorC111554CSS06-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Children's Baseline - Suicidal behavior was present during the assessment period?C-SSRS Children's Baseline - Suicidal Behavior
CSS06-Wish to be DeadC111527CSS06-Wish to be DeadColumbia-Suicidality Severity Rating Scale Children's Baseline - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore?C-SSRS Children's Baseline - Wish to be Dead
CSS06-Wish to be Dead, DescribeC111528CSS06-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline - Description of wishing to be dead.C-SSRS Children's Baseline - Description of Wish to be Dead
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CL.C111338.C-SSRS Children's Baseline/Screening TESTCDQS-Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening Questionnaire Test Code
(C-SSRS Children's Baseline/Screening TESTCD)
text
Extensible: No
C111338QS-Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening Questionnaire Test CodeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening test code.CDISC Questionnaire C-SSRS Children's Baseline/Screening Test Code Terminology
CSS0701AC111385CSS07-Wish to be Dead-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Lifetime).C-SSRS Children's Baseline/Screening - Wish to be Dead (Lifetime)
CSS0701BC111386CSS07-Wish to be Dead-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Past 6 Months).C-SSRS Children's Baseline/Screening - Wish to be Dead (Past 6 Months)
CSS0701CC111387CSS07-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of wishing to be dead.C-SSRS Children's Baseline/Screening - Description of Wish to be Dead
CSS0702AC111388CSS07-Non-Spec Suicid Thought-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Lifetime).C-SSRS Children's Baseline/Screening - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS0702BC111389CSS07-Non-Spec Suicid Thought-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Past 6 Months).C-SSRS Children's Baseline/Screening - Non-Specific Active Suicidal Thoughts (Past 6 Months)
CSS0702CC111390CSS07-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of non-specific active suicidal thoughts.C-SSRS Children's Baseline/Screening - Description of Non-Specific Active Suicidal Thoughts
CSS0703AC111391CSS07-Idea, No Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Lifetime).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS0703BC111392CSS07-Idea, No Intent, No Plan-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Past 6 Months).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 6 Months)
CSS0703CC111393CSS07-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0704AC111394CSS07-Idea, Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Lifetime).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS0704BC111395CSS07-Idea, Intent, No Plan-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Past 6 Months).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 6 Months)
CSS0704CC111396CSS07-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0705AC111397CSS07-Idea, Plan, Intent-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Lifetime).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS0705BC111398CSS07-Idea, Plan, Intent-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Past 6 Months).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Specific Plan and Intent (Past 6 Months)
CSS0705CC111399CSS07-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with specific plan and intent.C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS0706AC111400CSS07-Most Severe IdeaColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most severe ideation.C-SSRS Children's Baseline/Screening - Most Severe Ideation
CSS0706BC111401CSS07-Most Severe Idea, DescColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of most severe ideation.C-SSRS Children's Baseline/Screening - Describe Most Severe Ideation
CSS0707AC111402CSS07-Most Severe Idea, Frequency-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - How many times have you had these thoughts? (Lifetime).C-SSRS Children's Baseline/Screening - Frequency of Most Severe Ideation (Lifetime)
CSS0707BC111403CSS07-Most Severe Idea, Frequency-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - How many times have you had these thoughts? (Past 6 Months).C-SSRS Children's Baseline/Screening - Frequency of Most Severe Ideation (Past 6 Months)
CSS0707CC111404CSS07-Frequency, Write ResponseColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Frequency, write response.C-SSRS Children's Baseline/Screening - Frequency, Write Response
CSS0708C111405CSS07-Actual AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that?C-SSRS Children's Baseline/Screening - Actual Suicide Attempt
CSS0709C111406CSS07-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Total number of actual attempts.C-SSRS Children's Baseline/Screening - Number of Actual Suicide Attempts
CSS0709AC111407CSS07-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of actual attempt.C-SSRS Children's Baseline/Screening - Description of Actual Suicide Attempt
CSS0710C111408CSS07-Non-suicidal Self-injur BehavColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Children's Baseline/Screening - Non-suicidal Self-injurious Behavior
CSS0711C111409CSS07-Self-injur Behav, Intent UnknownColumbia-Suicidality Severity Rating Scale Children's Baseline - Has subject engaged in self-injurious behavior, intent unknown?C-SSRS Children's Baseline/Screening - Self-injurious Behavior, Intent Unknown
CSS0712C111410CSS07-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?C-SSRS Children's Baseline/Screening - Interrupted Suicide Attempt
CSS0713C111411CSS07-Number of Interrupt AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Total number of interrupted attempts.C-SSRS Children's Baseline/Screening - Number of Interrupted Suicide Attempts
CSS0713AC111412CSS07-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of interrupted attempt.C-SSRS Children's Baseline/Screening - Description of Interrupted Suicide Attempt
CSS0714C111413CSS07-Aborted AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?C-SSRS Children's Baseline/Screening - Aborted Suicide Attempt
CSS0715C111414CSS07-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Total number of aborted attempts.C-SSRS Children's Baseline/Screening - Number of Aborted Suicide Attempts
CSS0715AC111415CSS07-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of aborted attempt.C-SSRS Children's Baseline/Screening - Description of Aborted Suicide Attempt
CSS0716C111416CSS07-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?C-SSRS Children's Baseline/Screening - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0716AC111417CSS07-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of preparatory acts or behavior.C-SSRS Children's Baseline/Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0717C111418CSS07-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Suicidal behavior was present during the assessment period?C-SSRS Children's Baseline/Screening - Suicidal Behavior
CSS0718AC111419CSS07-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most recent attempt date.C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Date
CSS0718BC111420CSS07-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most recent attempt actual lethality/medical damage.C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS0718CC111421CSS07-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most recent attempt potential lethality.C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Potential Lethality
CSS0719AC111422CSS07-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most lethal attempt date.C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Date
CSS0719BC111423CSS07-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most lethal attempt actual lethality/medical damage.C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS0719CC111424CSS07-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most lethal attempt potential lethality.C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Potential Lethality
CSS0720AC111425CSS07-First Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Initial/first attempt date.C-SSRS Children's Baseline/Screening - First Suicide Attempt Date
CSS0720BC111426CSS07-First Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Initial/first attempt actual lethality/medical damage.C-SSRS Children's Baseline/Screening - First Suicide Attempt Actual Lethality/Medical Damage
CSS0720CC111427CSS07-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Initial/first attempt potential lethality.C-SSRS Children's Baseline/Screening - First Suicide Attempt Potential Lethality
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CL.C111337.C-SSRS Children's Baseline/Screening TESTQS-Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening Questionnaire Test Name
(C-SSRS Children's Baseline/Screening TEST)
text
Extensible: No
C111337QS-Columbia-Suicidality Severity Rating Scale Children's Baseline/Screening Questionnaire Test NameColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening test name.CDISC Questionnaire C-SSRS Children's Baseline/Screening Test Name Terminology
CSS07-Aborted AttemptC111413CSS07-Aborted AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?C-SSRS Children's Baseline/Screening - Aborted Suicide Attempt
CSS07-Aborted Attempt, DescribeC111415CSS07-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of aborted attempt.C-SSRS Children's Baseline/Screening - Description of Aborted Suicide Attempt
CSS07-Actual AttemptC111405CSS07-Actual AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that?C-SSRS Children's Baseline/Screening - Actual Suicide Attempt
CSS07-Actual Attempt, DescribeC111407CSS07-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of actual attempt.C-SSRS Children's Baseline/Screening - Description of Actual Suicide Attempt
CSS07-First Attempt DamageC111426CSS07-First Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Initial/first attempt actual lethality/medical damage.C-SSRS Children's Baseline/Screening - First Suicide Attempt Actual Lethality/Medical Damage
CSS07-First Attempt DateC111425CSS07-First Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Initial/first attempt date.C-SSRS Children's Baseline/Screening - First Suicide Attempt Date
CSS07-First Attempt PotentialC111427CSS07-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Initial/first attempt potential lethality.C-SSRS Children's Baseline/Screening - First Suicide Attempt Potential Lethality
CSS07-Frequency, Write ResponseC111404CSS07-Frequency, Write ResponseColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Frequency, write response.C-SSRS Children's Baseline/Screening - Frequency, Write Response
CSS07-Idea, Intent, No Plan, DescribeC111396CSS07-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS07-Idea, Intent, No Plan-LifeC111394CSS07-Idea, Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Lifetime).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Lifetime)
CSS07-Idea, Intent, No Plan-P6MC111395CSS07-Idea, Intent, No Plan-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Past 6 Months).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan (Past 6 Months)
CSS07-Idea, No Intent, No Plan, DescribeC111393CSS07-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS07-Idea, No Intent, No Plan-LifeC111391CSS07-Idea, No Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Lifetime).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Lifetime)
CSS07-Idea, No Intent, No Plan-P6MC111392CSS07-Idea, No Intent, No Plan-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Past 6 Months).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act (Past 6 Months)
CSS07-Idea, Plan, Intent, DescribeC111399CSS07-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of active suicidal ideation with specific plan and intent.C-SSRS Children's Baseline/Screening - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS07-Idea, Plan, Intent-LifeC111397CSS07-Idea, Plan, Intent-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Lifetime).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Specific Plan and Intent (Lifetime)
CSS07-Idea, Plan, Intent-P6MC111398CSS07-Idea, Plan, Intent-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Past 6 Months).C-SSRS Children's Baseline/Screening - Active Suicidal Ideation with Specific Plan and Intent (Past 6 Months)
CSS07-Interrupted AttemptC111410CSS07-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?C-SSRS Children's Baseline/Screening - Interrupted Suicide Attempt
CSS07-Interrupted Attempt, DescribeC111412CSS07-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of interrupted attempt.C-SSRS Children's Baseline/Screening - Description of Interrupted Suicide Attempt
CSS07-Most Lethal Attempt DamageC111423CSS07-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most lethal attempt actual lethality/medical damage.C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS07-Most Lethal Attempt DateC111422CSS07-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most lethal attempt date.C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Date
CSS07-Most Lethal Attempt PotentialC111424CSS07-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most lethal attempt potential lethality.C-SSRS Children's Baseline/Screening - Most Lethal Suicide Attempt Potential Lethality
CSS07-Most Recent Attempt DamageC111420CSS07-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most recent attempt actual lethality/medical damage.C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS07-Most Recent Attempt DateC111419CSS07-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most recent attempt date.C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Date
CSS07-Most Recent Attempt PotentialC111421CSS07-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most recent attempt potential lethality.C-SSRS Children's Baseline/Screening - Most Recent Suicide Attempt Potential Lethality
CSS07-Most Severe IdeaC111400CSS07-Most Severe IdeaColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Most severe ideation.C-SSRS Children's Baseline/Screening - Most Severe Ideation
CSS07-Most Severe Idea, DescC111401CSS07-Most Severe Idea, DescColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of most severe ideation.C-SSRS Children's Baseline/Screening - Describe Most Severe Ideation
CSS07-Most Severe Idea, Frequency-LifeC111402CSS07-Most Severe Idea, Frequency-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - How many times have you had these thoughts? (Lifetime).C-SSRS Children's Baseline/Screening - Frequency of Most Severe Ideation (Lifetime)
CSS07-Most Severe Idea, Frequency-P6MC111403CSS07-Most Severe Idea, Frequency-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - How many times have you had these thoughts? (Past 6 Months).C-SSRS Children's Baseline/Screening - Frequency of Most Severe Ideation (Past 6 Months)
CSS07-Non-Spec Suicid Thought, DescribeC111390CSS07-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of non-specific active suicidal thoughts.C-SSRS Children's Baseline/Screening - Description of Non-Specific Active Suicidal Thoughts
CSS07-Non-Spec Suicid Thought-LifeC111388CSS07-Non-Spec Suicid Thought-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Lifetime).C-SSRS Children's Baseline/Screening - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS07-Non-Spec Suicid Thought-P6MC111389CSS07-Non-Spec Suicid Thought-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Past 6 Months).C-SSRS Children's Baseline/Screening - Non-Specific Active Suicidal Thoughts (Past 6 Months)
CSS07-Non-suicidal Self-injur BehavC111408CSS07-Non-suicidal Self-injur BehavColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Children's Baseline/Screening - Non-suicidal Self-injurious Behavior
CSS07-Number of Aborted AttemptsC111414CSS07-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Total number of aborted attempts.C-SSRS Children's Baseline/Screening - Number of Aborted Suicide Attempts
CSS07-Number of Actual AttemptsC111406CSS07-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Total number of actual attempts.C-SSRS Children's Baseline/Screening - Number of Actual Suicide Attempts
CSS07-Number of Interrupt AttemptsC111411CSS07-Number of Interrupt AttemptsColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Total number of interrupted attempts.C-SSRS Children's Baseline/Screening - Number of Interrupted Suicide Attempts
CSS07-Preparatory Acts/BehaviorC111416CSS07-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?C-SSRS Children's Baseline/Screening - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS07-Preparatory Acts/Behavior, DescrC111417CSS07-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of preparatory acts or behavior.C-SSRS Children's Baseline/Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS07-Self-injur Behav, Intent UnknownC111409CSS07-Self-injur Behav, Intent UnknownColumbia-Suicidality Severity Rating Scale Children's Baseline - Has subject engaged in self-injurious behavior, intent unknown?C-SSRS Children's Baseline/Screening - Self-injurious Behavior, Intent Unknown
CSS07-Suicidal BehaviorC111418CSS07-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Suicidal behavior was present during the assessment period?C-SSRS Children's Baseline/Screening - Suicidal Behavior
CSS07-Wish to be Dead, DescribeC111387CSS07-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Description of wishing to be dead.C-SSRS Children's Baseline/Screening - Description of Wish to be Dead
CSS07-Wish to be Dead-LifeC111385CSS07-Wish to be Dead-LifeColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Lifetime).C-SSRS Children's Baseline/Screening - Wish to be Dead (Lifetime)
CSS07-Wish to be Dead-P6MC111386CSS07-Wish to be Dead-P6MColumbia-Suicidality Severity Rating Scale Children's Baseline/Screening - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Past 6 Months).C-SSRS Children's Baseline/Screening - Wish to be Dead (Past 6 Months)
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CL.C111340.C-SSRS Children's Since Last Visit TESTCDQS-Columbia-Suicidality Severity Rating Scale Children's Since Last Visit Questionnaire Test Code
(C-SSRS Children's Since Last Visit TESTCD)
text
Extensible: No
C111340QS-Columbia-Suicidality Severity Rating Scale Children's Since Last Visit Questionnaire Test CodeColumbia-Suicidality Severity Rating Scale Children's Since Last Visit test code.CDISC Questionnaire C-SSRS Children's Since Last Visit Test Code Terminology
CSS0801C111428CSS08-Wish to be DeadColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore?C-SSRS Children's Since Last Visit - Wish to be Dead
CSS0801AC111429CSS08-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of wishing to be dead.C-SSRS Children's Since Last Visit - Description of Wish to be Dead
CSS0802C111430CSS08-Non-Specific Suicidal ThoughtColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself?C-SSRS Children's Since Last Visit - Non-Specific Active Suicidal Thoughts
CSS0802AC111431CSS08-Non-Specific Suicid Thought, DescrColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of non-specific active suicidal thoughts.C-SSRS Children's Since Last Visit - Description of Non-Specific Active Suicidal Thoughts
CSS0803C111432CSS08-Idea, No Intent, No PlanColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about?C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0803AC111433CSS08-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0804C111434CSS08-Ideation With Intent, No PlanColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it.C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0804AC111435CSS08-Ideation With Intent No Plan DescrColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0805C111436CSS08-Ideation With Plan/IntentColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Have you decided how or when you would make yourself not alive anymore/kill yourself? Have you planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it?C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Specific Plan and Intent
CSS0805AC111437CSS08-Ideation With Plan/Intent, DescrColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with specific plan and intent.C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS0806C111438CSS08-Most Severe IdeationColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Most severe ideation.C-SSRS Children's Since Last Visit - Most Severe Ideation
CSS0806AC111439CSS08-Most Severe Ideation, DescriptionColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of most severe ideation.C-SSRS Children's Since Last Visit - Describe Most Severe Ideation
CSS0807C111440CSS08-Most Severe Ideation, FrequencyColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - How many times have you had these thoughts?C-SSRS Children's Since Last Visit - Frequency of Most Severe Ideation
CSS0807AC111441CSS08-Frequency, Write ResponseColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Frequency, write response.C-SSRS Children's Since Last Visit - Frequency, Write Response
CSS0808C111442CSS08-Actual AttemptColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Did you do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you hurt yourself on purpose? Why did you do that?C-SSRS Children's Since Last Visit - Actual Suicide Attempt
CSS0809C111443CSS08-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Total number of actual attempts.C-SSRS Children's Since Last Visit - Number of Actual Suicide Attempts
CSS0809AC111444CSS08-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of actual attempt.C-SSRS Children's Since Last Visit - Description of Actual Suicide Attempt
CSS0810C111445CSS08-Non-suicidal Self-injurious BehavColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Children's Since Last Visit - Non-suicidal Self-injurious Behavior
CSS0811C111446CSS08-Self-injur Behav, Intent UnknownColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Has subject engaged in self-injurious behavior, intent unknown?C-SSRS Children's Since Last Visit - Self-injurious Behavior, Intent Unknown
CSS0812C111447CSS08-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?C-SSRS Children's Since Last Visit - Interrupted Suicide Attempt
CSS0813C111448CSS08-Number of Interrupt AttemptsColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Total number of interrupted attempts.C-SSRS Children's Since Last Visit - Number of Interrupted Suicide Attempts
CSS0813AC111449CSS08-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of interrupted attempt.C-SSRS Children's Since Last Visit - Description of Interrupted Suicide Attempt
CSS0814C111450CSS08-Aborted/Self-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?C-SSRS Children's Since Last Visit - Aborted or Self-interrupted Suicide Attempt
CSS0815C111451CSS08-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Total number of aborted or self-interrupted attempts.C-SSRS Children's Since Last Visit - Number of Aborted or Self-interrupted Suicide Attempts
CSS0815AC111452CSS08-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of aborted attempt or self-interrupted attempt.C-SSRS Children's Since Last Visit - Description of Aborted or Self-interrupted Suicide Attempt
CSS0816C111453CSS08-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?C-SSRS Children's Since Last Visit - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0816AC111454CSS08-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of preparatory acts or behavior.C-SSRS Children's Since Last Visit - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0817C111455CSS08-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Suicidal behavior was present during the assessment period?C-SSRS Children's Since Last Visit - Suicidal Behavior
CSS0818C111456CSS08-SuicideColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Suicide.C-SSRS Children's Since Last Visit - Suicide
CSS0819AC111457CSS08-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Most lethal attempt date.C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Date
CSS0819BC111458CSS08-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Most lethal attempt actual lethality/medical damage.C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS0819CC111459CSS08-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Most lethal attempt potential lethality.C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Potential Lethality
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CL.C111339.C-SSRS Children's Since Last Visit TESTQS-Columbia-Suicidality Severity Rating Scale Children's Since Last Visit Questionnaire Test Name
(C-SSRS Children's Since Last Visit TEST)
text
Extensible: No
C111339QS-Columbia-Suicidality Severity Rating Scale Children's Since Last Visit Questionnaire Test NameColumbia-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, DescribeC111452CSS08-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of aborted attempt or self-interrupted attempt.C-SSRS Children's Since Last Visit - Description of Aborted or Self-interrupted Suicide Attempt
CSS08-Aborted/Self-Interrupted AttemptC111450CSS08-Aborted/Self-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?C-SSRS Children's Since Last Visit - Aborted or Self-interrupted Suicide Attempt
CSS08-Actual AttemptC111442CSS08-Actual AttemptColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Did you do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you hurt yourself on purpose? Why did you do that?C-SSRS Children's Since Last Visit - Actual Suicide Attempt
CSS08-Actual Attempt, DescribeC111444CSS08-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of actual attempt.C-SSRS Children's Since Last Visit - Description of Actual Suicide Attempt
CSS08-Frequency, Write ResponseC111441CSS08-Frequency, Write ResponseColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Frequency, write response.C-SSRS Children's Since Last Visit - Frequency, Write Response
CSS08-Idea, No Intent, No PlanC111432CSS08-Idea, No Intent, No PlanColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about?C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS08-Idea, No Intent, No Plan, DescribeC111433CSS08-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS08-Ideation With Intent No Plan DescrC111435CSS08-Ideation With Intent No Plan DescrColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS08-Ideation With Intent, No PlanC111434CSS08-Ideation With Intent, No PlanColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it.C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS08-Ideation With Plan/IntentC111436CSS08-Ideation With Plan/IntentColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Have you decided how or when you would make yourself not alive anymore/kill yourself? Have you planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it?C-SSRS Children's Since Last Visit - Active Suicidal Ideation with Specific Plan and Intent
CSS08-Ideation With Plan/Intent, DescrC111437CSS08-Ideation With Plan/Intent, DescrColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of active suicidal ideation with specific plan and intent.C-SSRS Children's Since Last Visit - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS08-Interrupted AttemptC111447CSS08-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?C-SSRS Children's Since Last Visit - Interrupted Suicide Attempt
CSS08-Interrupted Attempt, DescribeC111449CSS08-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of interrupted attempt.C-SSRS Children's Since Last Visit - Description of Interrupted Suicide Attempt
CSS08-Most Lethal Attempt DamageC111458CSS08-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Most lethal attempt actual lethality/medical damage.C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS08-Most Lethal Attempt DateC111457CSS08-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Most lethal attempt date.C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Date
CSS08-Most Lethal Attempt PotentialC111459CSS08-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Most lethal attempt potential lethality.C-SSRS Children's Since Last Visit - Most Lethal Suicide Attempt Potential Lethality
CSS08-Most Severe IdeationC111438CSS08-Most Severe IdeationColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Most severe ideation.C-SSRS Children's Since Last Visit - Most Severe Ideation
CSS08-Most Severe Ideation, DescriptionC111439CSS08-Most Severe Ideation, DescriptionColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of most severe ideation.C-SSRS Children's Since Last Visit - Describe Most Severe Ideation
CSS08-Most Severe Ideation, FrequencyC111440CSS08-Most Severe Ideation, FrequencyColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - How many times have you had these thoughts?C-SSRS Children's Since Last Visit - Frequency of Most Severe Ideation
CSS08-Non-Specific Suicid Thought, DescrC111431CSS08-Non-Specific Suicid Thought, DescrColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of non-specific active suicidal thoughts.C-SSRS Children's Since Last Visit - Description of Non-Specific Active Suicidal Thoughts
CSS08-Non-Specific Suicidal ThoughtC111430CSS08-Non-Specific Suicidal ThoughtColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself?C-SSRS Children's Since Last Visit - Non-Specific Active Suicidal Thoughts
CSS08-Non-suicidal Self-injurious BehavC111445CSS08-Non-suicidal Self-injurious BehavColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Children's Since Last Visit - Non-suicidal Self-injurious Behavior
CSS08-Number of Aborted AttemptsC111451CSS08-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Total number of aborted or self-interrupted attempts.C-SSRS Children's Since Last Visit - Number of Aborted or Self-interrupted Suicide Attempts
CSS08-Number of Actual AttemptsC111443CSS08-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Total number of actual attempts.C-SSRS Children's Since Last Visit - Number of Actual Suicide Attempts
CSS08-Number of Interrupt AttemptsC111448CSS08-Number of Interrupt AttemptsColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Total number of interrupted attempts.C-SSRS Children's Since Last Visit - Number of Interrupted Suicide Attempts
CSS08-Preparatory Acts/BehaviorC111453CSS08-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?C-SSRS Children's Since Last Visit - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS08-Preparatory Acts/Behavior, DescrC111454CSS08-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of preparatory acts or behavior.C-SSRS Children's Since Last Visit - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS08-Self-injur Behav, Intent UnknownC111446CSS08-Self-injur Behav, Intent UnknownColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Has subject engaged in self-injurious behavior, intent unknown?C-SSRS Children's Since Last Visit - Self-injurious Behavior, Intent Unknown
CSS08-Suicidal BehaviorC111455CSS08-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Suicidal behavior was present during the assessment period?C-SSRS Children's Since Last Visit - Suicidal Behavior
CSS08-SuicideC111456CSS08-SuicideColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Suicide.C-SSRS Children's Since Last Visit - Suicide
CSS08-Wish to be DeadC111428CSS08-Wish to be DeadColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore?C-SSRS Children's Since Last Visit - Wish to be Dead
CSS08-Wish to be Dead, DescribeC111429CSS08-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Children's Since Last Visit - Description of wishing to be dead.C-SSRS Children's Since Last Visit - Description of Wish to be Dead
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CL.C117989.C-SSRS Lifetime/Recent Version TESTCDQS-Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version Questionnaire Test Code
(C-SSRS Lifetime/Recent Version TESTCD)
text
Extensible: No
C117989QS-Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version Questionnaire Test CodeColumbia-Suicidality Severity Rating Scale Lifetime/Recent Version test code.CDISC Questionnaire C-SSRS Lifetime/Recent Version Test Code Terminology
CSS1101AC118019CSS11-Wish to be Dead-LifeColumbia-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)
CSS1101BC118020CSS11-Wish to be Dead-P1MColumbia-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)
CSS1101CC118021CSS11-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of wishing to be dead.C-SSRS Lifetime/Recent Version - Description of Wish to be Dead
CSS1102AC118022CSS11-Non-Spec Suicid Thought-LifeColumbia-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)
CSS1102BC118023CSS11-Non-Spec Suicid Thought-P1MColumbia-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)
CSS1102CC118024CSS11-Non-Spec Suicid Thought, DescribeColumbia-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
CSS1103AC118025CSS11-Idea, No Intent, No Plan-LifeColumbia-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)
CSS1103BC118026CSS11-Idea, No Intent, No Plan-P1MColumbia-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)
CSS1103CC118027CSS11-Idea, No Intent, No Plan, DescribeColumbia-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
CSS1104AC118028CSS11-Idea, Intent, No Plan-LifeColumbia-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)
CSS1104BC118029CSS11-Idea, Intent, No Plan-P1MColumbia-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)
CSS1104CC118030CSS11-Idea, Intent, No Plan, DescribeColumbia-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
CSS1105AC118031CSS11-Idea, Plan, Intent-LifeColumbia-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)
CSS1105BC118032CSS11-Idea, Plan, Intent-P1MColumbia-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)
CSS1105CC118033CSS11-Idea, Plan, Intent, DescribeColumbia-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
CSS1106AC118034CSS11-Most Severe Idea-LifeColumbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Most severe ideation. (Lifetime).C-SSRS Lifetime/Recent Version - Most Severe Ideation (Lifetime)
CSS1106BC118035CSS11-Most Severe Idea, Desc-LifeColumbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of most severe ideation. (Lifetime).C-SSRS Lifetime/Recent Version - Describe Most Severe Ideation (Lifetime)
CSS1106CC118036CSS11-Most Severe Idea-Recent-P1MColumbia-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)
CSS1106DC118037CSS11-Most Severe Idea, Desc-Recent-P1MColumbia-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)
CSS1107AC118038CSS11-Most Severe Idea, Frequency-LifeColumbia-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)
CSS1107BC118039CSS11-Most Severe Idea, Frequency-P1MColumbia-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)
CSS1108AC118040CSS11-Most Severe Idea, Duration-LifeColumbia-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)
CSS1108BC118041CSS11-Most Severe Idea, Duration-P1MColumbia-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)
CSS1109AC118042CSS11-Most Severe Idea, Control-LifeColumbia-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)
CSS1109BC118043CSS11-Most Severe Idea, Control-P1MColumbia-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)
CSS1110AC118044CSS11-Most Severe Idea, Deterrents-LifeColumbia-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)
CSS1110BC118045CSS11-Most Severe Idea, Deterrents-P1MColumbia-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)
CSS1111AC118046CSS11-Most Severe Idea, Reasons-LifeColumbia-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)
CSS1111BC118047CSS11-Most Severe Idea, Reasons-P1MColumbia-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)
CSS1112AC118048CSS11-Actual Attempt-LifeColumbia-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)
CSS1112BC118049CSS11-Actual Attempt-P3MColumbia-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)
CSS1113AC118050CSS11-Number of Actual Attempts-LifeColumbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Total number of actual attempts. (Lifetime).C-SSRS Lifetime/Recent Version - Number of Actual Suicide Attempts (Lifetime)
CSS1113BC118051CSS11-Number of Actual Attempts-P3MColumbia-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)
CSS1113CC118052CSS11-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of actual attempt.C-SSRS Lifetime/Recent Version - Description of Actual Suicide Attempt
CSS1114AC118053CSS11-Non-suicid Self-injur Behav-LifeColumbia-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)
CSS1114BC118054CSS11-Non-suicid Self-injur Behav-P3MColumbia-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)
CSS1115AC118055CSS11-Interrupted Attempt-LifeColumbia-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)
CSS1115BC118056CSS11-Interrupted Attempt-P3MColumbia-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)
CSS1116AC118057CSS11-Num of Interrupted Attempts-LifeColumbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Total number of interrupted attempts. (Lifetime).C-SSRS Lifetime/Recent Version - Number of Interrupted Suicide Attempts (Lifetime)
CSS1116BC118058CSS11-Num of Interrupted Attempts-P3MColumbia-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)
CSS1116CC118059CSS11-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of interrupted attempt.C-SSRS Lifetime/Recent Version - Description of Interrupted Suicide Attempt
CSS1117AC118060CSS11-Aborted Attempt-LifeColumbia-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)
CSS1117BC118061CSS11-Aborted Attempt-P3MColumbia-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)
CSS1118AC118062CSS11-Number of Aborted Attempts-LifeColumbia-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)
CSS1118BC118063CSS11-Number of Aborted Attempts-P3MColumbia-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)
CSS1118CC118064CSS11-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of aborted or self-interrupted attempt.C-SSRS Lifetime/Recent Version - Description of Aborted Suicide Attempt
CSS1119AC118065CSS11-Preparatory Acts/Behavior-LifeColumbia-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)
CSS1119BC118066CSS11-Preparatory Acts/Behavior-P3MColumbia-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)
CSS1119CC118067CSS11-Preparatory Acts/Behavior, DescrColumbia-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
CSS1120AC118068CSS11-Suicidal Behavior-LifeColumbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Suicidal behavior was present during the assessment period? (Lifetime).C-SSRS Lifetime/Recent Version - Suicidal Behavior (Lifetime)
CSS1120BC118069CSS11-Suicidal Behavior-P3MColumbia-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)
CSS1121AC118070CSS11-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Most recent attempt date.C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Date
CSS1121BC118071CSS11-Most Recent Attempt DamageColumbia-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
CSS1121CC118072CSS11-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Most recent attempt potential lethality.C-SSRS Lifetime/Recent Version - Most Recent Suicide Attempt Potential Lethality
CSS1122AC118073CSS11-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Most lethal attempt date.C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Date
CSS1122BC118074CSS11-Most Lethal Attempt DamageColumbia-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
CSS1122CC118075CSS11-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Most lethal attempt potential lethality.C-SSRS Lifetime/Recent Version - Most Lethal Suicide Attempt Potential Lethality
CSS1123AC118076CSS11-First Attempt DateColumbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Initial/first attempt date.C-SSRS Lifetime/Recent Version - First Suicide Attempt Date
CSS1123BC118077CSS11-First Attempt DamageColumbia-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
CSS1123CC118078CSS11-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Initial/first attempt potential lethality.C-SSRS Lifetime/Recent Version - First Suicide Attempt Potential Lethality
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CL.C117988.C-SSRS Lifetime/Recent Version TESTQS-Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version Questionnaire Test Name
(C-SSRS Lifetime/Recent Version TEST)
text
Extensible: No
C117988QS-Columbia-Suicidality Severity Rating Scale Lifetime/Recent Version Questionnaire Test NameColumbia-Suicidality Severity Rating Scale Lifetime/Recent Version test name.CDISC Questionnaire C-SSRS Lifetime/Recent Version Test Name Terminology
CSS11-Aborted Attempt, DescribeC118064CSS11-Aborted Attempt, DescribeColumbia-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-LifeC118060CSS11-Aborted Attempt-LifeColumbia-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-P3MC118061CSS11-Aborted Attempt-P3MColumbia-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, DescribeC118052CSS11-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of actual attempt.C-SSRS Lifetime/Recent Version - Description of Actual Suicide Attempt
CSS11-Actual Attempt-LifeC118048CSS11-Actual Attempt-LifeColumbia-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-P3MC118049CSS11-Actual Attempt-P3MColumbia-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 DamageC118077CSS11-First Attempt DamageColumbia-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 DateC118076CSS11-First Attempt DateColumbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Initial/first attempt date.C-SSRS Lifetime/Recent Version - First Suicide Attempt Date
CSS11-First Attempt PotentialC118078CSS11-First Attempt PotentialColumbia-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, DescribeC118030CSS11-Idea, Intent, No Plan, DescribeColumbia-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-LifeC118028CSS11-Idea, Intent, No Plan-LifeColumbia-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-P1MC118029CSS11-Idea, Intent, No Plan-P1MColumbia-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, DescribeC118027CSS11-Idea, No Intent, No Plan, DescribeColumbia-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-LifeC118025CSS11-Idea, No Intent, No Plan-LifeColumbia-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-P1MC118026CSS11-Idea, No Intent, No Plan-P1MColumbia-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, DescribeC118033CSS11-Idea, Plan, Intent, DescribeColumbia-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-LifeC118031CSS11-Idea, Plan, Intent-LifeColumbia-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-P1MC118032CSS11-Idea, Plan, Intent-P1MColumbia-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, DescribeC118059CSS11-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Lifetime/Recent Version - Description of interrupted attempt.C-SSRS Lifetime/Recent Version - Description of Interrupted Suicide Attempt
CSS11-Interrupted Attempt-LifeC118055CSS11-Interrupted Attempt-LifeColumbia-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-P3MC118056CSS11-Interrupted Attempt-P3MColumbia-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 DamageC118074CSS11-Most Lethal Attempt DamageColumbia-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 DateC118073CSS11-Most Lethal Attempt DateColumbia-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 PotentialC118075CSS11-Most Lethal Attempt PotentialColumbia-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 DamageC118071CSS11-Most Recent Attempt DamageColumbia-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 DateC118070CSS11-Most Recent Attempt DateColumbia-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 PotentialC118072CSS11-Most Recent Attempt PotentialColumbia-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-LifeC118042CSS11-Most Severe Idea, Control-LifeColumbia-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-P1MC118043CSS11-Most Severe Idea, Control-P1MColumbia-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-LifeC118035CSS11-Most Severe Idea, Desc-LifeColumbia-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-P1MC118037CSS11-Most Severe Idea, Desc-Recent-P1MColumbia-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-LifeC118044CSS11-Most Severe Idea, Deterrents-LifeColumbia-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-P1MC118045CSS11-Most Severe Idea, Deterrents-P1MColumbia-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-LifeC118040CSS11-Most Severe Idea, Duration-LifeColumbia-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-P1MC118041CSS11-Most Severe Idea, Duration-P1MColumbia-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-LifeC118038CSS11-Most Severe Idea, Frequency-LifeColumbia-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-P1MC118039CSS11-Most Severe Idea, Frequency-P1MColumbia-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-LifeC118046CSS11-Most Severe Idea, Reasons-LifeColumbia-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-P1MC118047CSS11-Most Severe Idea, Reasons-P1MColumbia-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-LifeC118034CSS11-Most Severe Idea-LifeColumbia-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-P1MC118036CSS11-Most Severe Idea-Recent-P1MColumbia-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, DescribeC118024CSS11-Non-Spec Suicid Thought, DescribeColumbia-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-LifeC118022CSS11-Non-Spec Suicid Thought-LifeColumbia-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-P1MC118023CSS11-Non-Spec Suicid Thought-P1MColumbia-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-LifeC118053CSS11-Non-suicid Self-injur Behav-LifeColumbia-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-P3MC118054CSS11-Non-suicid Self-injur Behav-P3MColumbia-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-LifeC118057CSS11-Num of Interrupted Attempts-LifeColumbia-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-P3MC118058CSS11-Num of Interrupted Attempts-P3MColumbia-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-LifeC118062CSS11-Number of Aborted Attempts-LifeColumbia-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-P3MC118063CSS11-Number of Aborted Attempts-P3MColumbia-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-LifeC118050CSS11-Number of Actual Attempts-LifeColumbia-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-P3MC118051CSS11-Number of Actual Attempts-P3MColumbia-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, DescrC118067CSS11-Preparatory Acts/Behavior, DescrColumbia-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-LifeC118065CSS11-Preparatory Acts/Behavior-LifeColumbia-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-P3MC118066CSS11-Preparatory Acts/Behavior-P3MColumbia-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-LifeC118068CSS11-Suicidal Behavior-LifeColumbia-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-P3MC118069CSS11-Suicidal Behavior-P3MColumbia-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, DescribeC118021CSS11-Wish to be Dead, DescribeColumbia-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-LifeC118019CSS11-Wish to be Dead-LifeColumbia-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-P1MC118020CSS11-Wish to be Dead-P1MColumbia-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)
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CL.C113848.C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED LIFETIME/RECENT TESTCDQS-Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test Code
(C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED LIFETIME/RECENT TESTCD)
text
Extensible: No
C113848QS-Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test CodeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent test code.CDISC Questionnaire C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent Test Code Terminology
CSS1001AC113889CSS10-Wish to be Dead-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Wish to be Dead (Lifetime)
CSS1001BC113890CSS10-Wish to be Dead-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Wish to be Dead (Past 1 Month)
CSS1001CC113891CSS10-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of wishing to be dead.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Wish to be Dead
CSS1002AC113892CSS10-Non-Spec Suicid Thought-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS1002BC113893CSS10-Non-Spec Suicid Thought-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-Specific Active Suicidal Thoughts (Past 1 Month)
CSS1002CC113894CSS10-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of non-specific active suicidal thoughts.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Non-Specific Active Suicidal Thoughts
CSS1003AC113895CSS10-Idea, No Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Lifetime)
CSS1003BC113896CSS10-Idea, No Intent, No Plan-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Past 1 Month)
CSS1003CC113897CSS10-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act
CSS1004AC113898CSS10-Idea, Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Lifetime)
CSS1004BC113899CSS10-Idea, Intent, No Plan-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Past 1 Month)
CSS1004CC113900CSS10-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Some Intent to Act, Without Specific Plan
CSS1005AC113901CSS10-Idea, Plan, Intent-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Specific Plan and Intent (Lifetime)
CSS1005BC113902CSS10-Idea, Plan, Intent-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Specific Plan and Intent (Past 1 Month)
CSS1005CC113903CSS10-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with specific plan and intent.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Specific Plan and Intent
CSS1006AC113904CSS10-Most Severe Idea-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most severe ideation. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Severe Ideation (Lifetime)
CSS1006BC113905CSS10-Most Severe Idea, Desc-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of most severe ideation. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Describe Most Severe Ideation (Lifetime)
CSS1006CC113906CSS10-Most Severe Idea-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most severe ideation. (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Severe Ideation (Past 1 Month)
CSS1006DC113907CSS10-Most Severe Idea, Desc-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of most severe ideation. (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Describe Most Severe Ideation (Past 1 Month)
CSS1007AC113908CSS10-Most Severe Idea, Frequency-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - How many times have you had these thoughts? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency (Lifetime)
CSS1007BC113909CSS10-Most Severe Idea, Frequency-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - How many times have you had these thoughts? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency (Past 1 Month)
CSS1007CC113910CSS10-Frequency, Write ResponseColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Frequency, write response.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency Write Response
CSS1008AC113911CSS10-Actual Attempt-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Actual Suicide Attempt (Lifetime)
CSS1008BC113912CSS10-Actual Attempt-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Actual Suicide Attempt (Past 3 Month)
CSS1009AC113913CSS10-Number of Actual Attempts-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of actual attempts. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Actual Suicide Attempts (Lifetime)
CSS1009BC113914CSS10-Number of Actual Attempts-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of actual attempts. (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Actual Suicide Attempts (Past 3 Months)
CSS1009CC113915CSS10-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of actual attempt.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Actual Suicide Attempt
CSS1010AC113916CSS10-Non-suicidal Self-injur Behav-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in non-suicidal self-injurious behavior? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-suicidal Self-injurious Behavior (Lifetime)
CSS1010BC113917CSS10-Non-suicidal Self-injur Behav-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in non-suicidal self-injurious behavior? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-suicidal Self-injurious Behavior (Past 3 Months)
CSS1011AC113918CSS10-Self-injur Behav, Intent Unk-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in self-injurious behavior, intent unknown? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Self-injurious Behavior, Intent Unknown (Lifetime)
CSS1011BC113919CSS10-Self-injur Behav, Intent Unk-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in self-injurious behavior, intent unknown? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Self-injurious Behavior, Intent Unknown (Past 3 Months)
CSS1012AC113920CSS10-Interrupted Attempt-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Interrupted Suicide Attempt (Lifetime)
CSS1012BC113921CSS10-Interrupted Attempt-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Interrupted Suicide Attempt (Past 3 Months)
CSS1013AC113922CSS10-Number of Interrupt Attempts-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted attempts. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Lifetime)
CSS1013BC113923CSS10-Number of Interrupt Attempts-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted attempts. (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Past 3 Months)
CSS1013CC113924CSS10-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of interrupted attempt.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Interrupted Suicide Attempt
CSS1014AC113925CSS10-Aborted Attempt-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Aborted or Self-interrupted Suicide Attempt (Lifetime)
CSS1014BC113926CSS10-Aborted Attempt-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Aborted or Self-interrupted Suicide Attempt (Past 3 Months)
CSS1015AC113927CSS10-Number of Aborted Attempts-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted attempts. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Lifetime)
CSS1015BC113928CSS10-Number of Aborted Attempts-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted attempts. (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Past 3 Months)
CSS1015CC113929CSS10-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of aborted or self-interrupted attempt.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Aborted Suicide Attempt
CSS1016AC113930CSS10-Preparatory Acts/Behavior-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
CSS1016BC113931CSS10-Preparatory Acts/Behavior-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Preparatory Acts or Behaviors Toward Suicide Attempt (Past 3 Months)
CSS1016CC113932CSS10-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of preparatory acts or behavior.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS1017AC113933CSS10-Suicidal Behavior-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal behavior was present during the assessment period? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal Behavior (Lifetime)
CSS1017BC113934CSS10-Suicidal Behavior-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal behavior was present during the assessment period? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal Behavior (Past 3 Months)
CSS1018AC113935CSS10-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt date.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Date
CSS1018BC113936CSS10-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt actual lethality/medical damage.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS1018CC113937CSS10-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt potential lethality.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Potential Lethality
CSS1019AC113938CSS10-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt date.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Date
CSS1019BC113939CSS10-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt actual lethality/medical damage.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS1019CC113940CSS10-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt potential lethality.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Potential Lethality
CSS1020AC113941CSS10-First Attempt DateColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt date.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Date
CSS1020BC113942CSS10-First Attempt DamageColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt actual lethality/medical damage.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Actual Lethality/Medical Damage
CSS1020CC113943CSS10-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt potential lethality.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Potential Lethality
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CL.C113847.C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED LIFETIME/RECENT TESTQS-Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test Name
(C-SSRS PEDIATRIC/COGNITIVELY IMPAIRED LIFETIME/RECENT TEST)
text
Extensible: No
C113847QS-Columbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent Test NameColumbia-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, DescribeC113929CSS10-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of aborted or self-interrupted attempt.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Aborted Suicide Attempt
CSS10-Aborted Attempt-LifeC113925CSS10-Aborted Attempt-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Aborted or Self-interrupted Suicide Attempt (Lifetime)
CSS10-Aborted Attempt-P3MC113926CSS10-Aborted Attempt-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Aborted or Self-interrupted Suicide Attempt (Past 3 Months)
CSS10-Actual Attempt, DescribeC113915CSS10-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of actual attempt.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Actual Suicide Attempt
CSS10-Actual Attempt-LifeC113911CSS10-Actual Attempt-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Actual Suicide Attempt (Lifetime)
CSS10-Actual Attempt-P3MC113912CSS10-Actual Attempt-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Actual Suicide Attempt (Past 3 Month)
CSS10-First Attempt DamageC113942CSS10-First Attempt DamageColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt actual lethality/medical damage.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Actual Lethality/Medical Damage
CSS10-First Attempt DateC113941CSS10-First Attempt DateColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt date.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Date
CSS10-First Attempt PotentialC113943CSS10-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Initial/first attempt potential lethality.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - First Suicide Attempt Potential Lethality
CSS10-Frequency, Write ResponseC113910CSS10-Frequency, Write ResponseColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Frequency, write response.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency Write Response
CSS10-Idea, Intent, No Plan, DescribeC113900CSS10-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Some Intent to Act, Without Specific Plan
CSS10-Idea, Intent, No Plan-LifeC113898CSS10-Idea, Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Lifetime)
CSS10-Idea, Intent, No Plan-P1MC113899CSS10-Idea, Intent, No Plan-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it. (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Some Intent to Act, Without Specific Plan (Past 1 Month)
CSS10-Idea, No Intent, No Plan, DescribeC113897CSS10-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act
CSS10-Idea, No Intent, No Plan-LifeC113895CSS10-Idea, No Intent, No Plan-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Lifetime)
CSS10-Idea, No Intent, No Plan-P1MC113896CSS10-Idea, No Intent, No Plan-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Any Methods (Not Plan) Without Intent to Act (Past 1 Month)
CSS10-Idea, Plan, Intent, DescribeC113903CSS10-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of active suicidal ideation with specific plan and intent.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Active Suicidal Ideation With Specific Plan and Intent
CSS10-Idea, Plan, Intent-LifeC113901CSS10-Idea, Plan, Intent-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Specific Plan and Intent (Lifetime)
CSS10-Idea, Plan, Intent-P1MC113902CSS10-Idea, Plan, Intent-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (or worked out these details), was any part of you thinking about actually doing it? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Active Suicidal Ideation With Specific Plan and Intent (Past 1 Month)
CSS10-Interrupted Attempt, DescribeC113924CSS10-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of interrupted attempt.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Interrupted Suicide Attempt
CSS10-Interrupted Attempt-LifeC113920CSS10-Interrupted Attempt-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Interrupted Suicide Attempt (Lifetime)
CSS10-Interrupted Attempt-P3MC113921CSS10-Interrupted Attempt-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Interrupted Suicide Attempt (Past 3 Months)
CSS10-Most Lethal Attempt DamageC113939CSS10-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt actual lethality/medical damage.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS10-Most Lethal Attempt DateC113938CSS10-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt date.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Date
CSS10-Most Lethal Attempt PotentialC113940CSS10-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most lethal attempt potential lethality.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Lethal Suicide Attempt Potential Lethality
CSS10-Most Recent Attempt DamageC113936CSS10-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt actual lethality/medical damage.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS10-Most Recent Attempt DateC113935CSS10-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt date.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Date
CSS10-Most Recent Attempt PotentialC113937CSS10-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most recent attempt potential lethality.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Recent Suicide Attempt Potential Lethality
CSS10-Most Severe Idea, Desc-LifeC113905CSS10-Most Severe Idea, Desc-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of most severe ideation. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Describe Most Severe Ideation (Lifetime)
CSS10-Most Severe Idea, Desc-P1MC113907CSS10-Most Severe Idea, Desc-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of most severe ideation. (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Describe Most Severe Ideation (Past 1 Month)
CSS10-Most Severe Idea, Frequency-LifeC113908CSS10-Most Severe Idea, Frequency-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - How many times have you had these thoughts? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency (Lifetime)
CSS10-Most Severe Idea, Frequency-P1MC113909CSS10-Most Severe Idea, Frequency-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - How many times have you had these thoughts? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Frequency (Past 1 Month)
CSS10-Most Severe Idea-LifeC113904CSS10-Most Severe Idea-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most severe ideation. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Severe Ideation (Lifetime)
CSS10-Most Severe Idea-P1MC113906CSS10-Most Severe Idea-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Most severe ideation. (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Most Severe Ideation (Past 1 Month)
CSS10-Non-Spec Suicid Thought, DescribeC113894CSS10-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of non-specific active suicidal thoughts.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Non-Specific Active Suicidal Thoughts
CSS10-Non-Spec Suicid Thought-LifeC113892CSS10-Non-Spec Suicid Thought-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-Specific Active Suicidal Thoughts (Lifetime)
CSS10-Non-Spec Suicid Thought-P1MC113893CSS10-Non-Spec Suicid Thought-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-Specific Active Suicidal Thoughts (Past 1 Month)
CSS10-Non-suicidal Self-injur Behav-LifeC113916CSS10-Non-suicidal Self-injur Behav-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in non-suicidal self-injurious behavior? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-suicidal Self-injurious Behavior (Lifetime)
CSS10-Non-suicidal Self-injur Behav-P3MC113917CSS10-Non-suicidal Self-injur Behav-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in non-suicidal self-injurious behavior? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Non-suicidal Self-injurious Behavior (Past 3 Months)
CSS10-Number of Aborted Attempts-LifeC113927CSS10-Number of Aborted Attempts-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted attempts. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Aborted or Self-interrupted Suicide Attempt (Lifetime)
CSS10-Number of Aborted Attempts-P3MC113928CSS10-Number of Aborted Attempts-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of aborted or self-interrupted 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-LifeC113913CSS10-Number of Actual Attempts-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of actual attempts. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Actual Suicide Attempts (Lifetime)
CSS10-Number of Actual Attempts-P3MC113914CSS10-Number of Actual Attempts-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of actual attempts. (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Actual Suicide Attempts (Past 3 Months)
CSS10-Number of Interrupt Attempts-LifeC113922CSS10-Number of Interrupt Attempts-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted attempts. (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Lifetime)
CSS10-Number of Interrupt Attempts-P3MC113923CSS10-Number of Interrupt Attempts-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Total number of interrupted attempts. (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Number of Interrupted Suicide Attempts (Past 3 Months)
CSS10-Preparatory Acts/Behavior, DescrC113932CSS10-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of preparatory acts or behavior.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS10-Preparatory Acts/Behavior-LifeC113930CSS10-Preparatory Acts/Behavior-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Preparatory Acts or Behaviors Toward Suicide Attempt (Lifetime)
CSS10-Preparatory Acts/Behavior-P3MC113931CSS10-Preparatory Acts/Behavior-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Preparatory Acts or Behaviors Toward Suicide Attempt (Past 3 Months)
CSS10-Self-injur Behav, Intent Unk-LifeC113918CSS10-Self-injur Behav, Intent Unk-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in self-injurious behavior, intent unknown? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Self-injurious Behavior, Intent Unknown (Lifetime)
CSS10-Self-injur Behav, Intent Unk-P3MC113919CSS10-Self-injur Behav, Intent Unk-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Has subject engaged in self-injurious behavior, intent unknown? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Self-injurious Behavior, Intent Unknown (Past 3 Months)
CSS10-Suicidal Behavior-LifeC113933CSS10-Suicidal Behavior-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal behavior was present during the assessment period? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal Behavior (Lifetime)
CSS10-Suicidal Behavior-P3MC113934CSS10-Suicidal Behavior-P3MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal behavior was present during the assessment period? (Past 3 Months).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Suicidal Behavior (Past 3 Months)
CSS10-Wish to be Dead, DescribeC113891CSS10-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Description of wishing to be dead.C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Description of Wish to be Dead
CSS10-Wish to be Dead-LifeC113889CSS10-Wish to be Dead-LifeColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Lifetime).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Wish to be Dead (Lifetime)
CSS10-Wish to be Dead-P1MC113890CSS10-Wish to be Dead-P1MColumbia-Suicidality Severity Rating Scale Pediatric/Cognitively Impaired Lifetime/Recent - Have you thought about being dead or what it would be like to be dead? Have you wished you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore? (Past 1 Month).C-SSRS Pediatric/Cognitively Impaired Lifetime/Recent - Wish to be Dead (Past 1 Month)
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CL.C111342.C-SSRS Screening TESTCDQS-Columbia-Suicidality Severity Rating Scale Screening Questionnaire Test Code
(C-SSRS Screening TESTCD)
text
Extensible: No
C111342QS-Columbia-Suicidality Severity Rating Scale Screening Questionnaire Test CodeColumbia-Suicidality Severity Rating Scale Screening test code.CDISC Questionnaire C-SSRS Screening Test Code Terminology
CSS0901C111460CSS09-Wish to be DeadColumbia-Suicidality Severity Rating Scale Screening - Have you wished you were dead or wished you could go to sleep and not wake up?C-SSRS Screening - Wish to be Dead
CSS0901AC111461CSS09-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of wishing to be dead.C-SSRS Screening - Description of Wish to be Dead
CSS0902C111462CSS09-Non-Spec Suicid ThoughtColumbia-Suicidality Severity Rating Scale Screening - Have you actually had any thoughts of killing yourself?C-SSRS Screening - Non-Specific Active Suicidal Thoughts
CSS0902AC111463CSS09-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of non-specific active suicidal thoughts.C-SSRS Screening - Description of Non-Specific Active Suicidal Thoughts
CSS0903C111464CSS09-Idea, No Intent, No PlanColumbia-Suicidality Severity Rating Scale Screening - Have you been thinking about how you might do this?C-SSRS Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0903AC111465CSS09-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Screening - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS0904C111466CSS09-Idea, Intent, No PlanColumbia-Suicidality Severity Rating Scale Screening - Have you had these thoughts and had some intention of acting on them?C-SSRS Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0904BC111467CSS09-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Screening - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS0905C111468CSS09-Idea, Plan, IntentColumbia-Suicidality Severity Rating Scale Screening - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?C-SSRS Screening - Active Suicidal Ideation with Specific Plan and Intent
CSS0905AC111469CSS09-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of active suicidal ideation with specific plan and intent.C-SSRS Screening - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS0906C111470CSS09-Most Severe IdeaColumbia-Suicidality Severity Rating Scale Screening - Most severe ideation.C-SSRS Screening - Most Severe Ideation
CSS0906AC111471CSS09-Most Severe Idea, DescColumbia-Suicidality Severity Rating Scale Screening - Description of most severe ideation.C-SSRS Screening - Describe Most Severe Ideation
CSS0907C111472CSS09-Most Severe Idea, FrequencyColumbia-Suicidality Severity Rating Scale Screening - How many times have you had these thoughts?C-SSRS Screening - Frequency of Most Severe Ideation
CSS0908C111473CSS09-Most Severe Idea, DurationColumbia-Suicidality Severity Rating Scale Screening - When you have the thoughts, how long do they last?C-SSRS Screening - Duration of Most Severe Ideation
CSS0909C111474CSS09-Most Severe Idea, ControllabilityColumbia-Suicidality Severity Rating Scale Screening - Could/can you stop thinking about killing yourself or wanting to die if you want to?C-SSRS Screening - Controllability of Most Severe Ideation
CSS0910C111475CSS09-Most Severe Idea, DeterrentsColumbia-Suicidality Severity Rating Scale Screening - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?C-SSRS Screening - Deterrents to Most Severe Ideation
CSS0911C111476CSS09-Most Severe Idea, ReasonsColumbia-Suicidality Severity Rating Scale Screening - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?C-SSRS Screening - Reasons for Most Severe Ideation
CSS0912C111477CSS09-Actual AttemptColumbia-Suicidality Severity Rating Scale Screening - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Screening - Actual Suicide Attempt
CSS0913C111478CSS09-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Screening - Total number of actual attempts.C-SSRS Screening - Number of Actual Suicide Attempts
CSS0913AC111479CSS09-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of actual attempt.C-SSRS Screening - Description of Actual Suicide Attempt
CSS0914C111480CSS09-Non-suicidal Self-injur BehavColumbia-Suicidality Severity Rating Scale Screening - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Screening - Non-suicidal Self-injurious Behavior
CSS0915C111481CSS09-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Screening - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything?C-SSRS Screening - Interrupted Suicide Attempt
CSS0916C111482CSS09-Number of Interrupt AttemptsColumbia-Suicidality Severity Rating Scale Screening - Total number of interrupted attempts.C-SSRS Screening - Number of Interrupted Suicide Attempts
CSS0916AC111483CSS09-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of interrupted attempt.C-SSRS Screening - Description of Interrupted Suicide Attempt
CSS0917C111484CSS09-Aborted AttemptColumbia-Suicidality Severity Rating Scale Screening - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Screening - Aborted Suicide Attempt
CSS0918C111485CSS09-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Screening - Total number of aborted attempts.C-SSRS Screening - Number of Aborted Suicide Attempts
CSS0918AC111486CSS09-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of aborted attempt.C-SSRS Screening - Description of Aborted Suicide Attempt
CSS0919C111487CSS09-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Screening - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?C-SSRS Screening - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0919AC111488CSS09-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Screening - Description of preparatory acts or behavior.C-SSRS Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0920C111489CSS09-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Screening - Suicidal behavior was present during the assessment period?C-SSRS Screening - Suicidal Behavior
CSS0921AC111490CSS09-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Screening - Most recent attempt date.C-SSRS Screening - Most Recent Suicide Attempt Date
CSS0921BC111491CSS09-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Screening - Most recent attempt actual lethality/medical damage.C-SSRS Screening - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS0921CC111492CSS09-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Screening - Most recent attempt potential lethality.C-SSRS Screening - Most Recent Suicide Attempt Potential Lethality
CSS0922AC111493CSS09-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Screening - Most lethal attempt date.C-SSRS Screening - Most Lethal Suicide Attempt Date
CSS0922BC111494CSS09-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Screening - Most lethal attempt actual lethality/medical damage.C-SSRS Screening - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS0922CC111495CSS09-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Screening - Most lethal attempt potential lethality.C-SSRS Screening - Most Lethal Suicide Attempt Potential Lethality
CSS0923AC111496CSS09-First Attempt DateColumbia-Suicidality Severity Rating Scale Screening - Initial/first attempt date.C-SSRS Screening - First Suicide Attempt Date
CSS0923BC111497CSS09-First Attempt DamageColumbia-Suicidality Severity Rating Scale Screening - Initial/first attempt actual lethality/medical damage.C-SSRS Screening - First Suicide Attempt Actual Lethality/Medical Damage
CSS0923CC111498CSS09-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Screening - Initial/first attempt potential lethality.C-SSRS Screening - First Suicide Attempt Potential Lethality
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CL.C111341.C-SSRS Screening TESTQS-Columbia-Suicidality Severity Rating Scale Screening Questionnaire Test Name
(C-SSRS Screening TEST)
text
Extensible: No
C111341QS-Columbia-Suicidality Severity Rating Scale Screening Questionnaire Test NameColumbia-Suicidality Severity Rating Scale Screening test name.CDISC Questionnaire C-SSRS Screening Test Name Terminology
CSS09-Aborted AttemptC111484CSS09-Aborted AttemptColumbia-Suicidality Severity Rating Scale Screening - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Screening - Aborted Suicide Attempt
CSS09-Aborted Attempt, DescribeC111486CSS09-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of aborted attempt.C-SSRS Screening - Description of Aborted Suicide Attempt
CSS09-Actual AttemptC111477CSS09-Actual AttemptColumbia-Suicidality Severity Rating Scale Screening - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Screening - Actual Suicide Attempt
CSS09-Actual Attempt, DescribeC111479CSS09-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of actual attempt.C-SSRS Screening - Description of Actual Suicide Attempt
CSS09-First Attempt DamageC111497CSS09-First Attempt DamageColumbia-Suicidality Severity Rating Scale Screening - Initial/first attempt actual lethality/medical damage.C-SSRS Screening - First Suicide Attempt Actual Lethality/Medical Damage
CSS09-First Attempt DateC111496CSS09-First Attempt DateColumbia-Suicidality Severity Rating Scale Screening - Initial/first attempt date.C-SSRS Screening - First Suicide Attempt Date
CSS09-First Attempt PotentialC111498CSS09-First Attempt PotentialColumbia-Suicidality Severity Rating Scale Screening - Initial/first attempt potential lethality.C-SSRS Screening - First Suicide Attempt Potential Lethality
CSS09-Idea, Intent, No PlanC111466CSS09-Idea, Intent, No PlanColumbia-Suicidality Severity Rating Scale Screening - Have you had these thoughts and had some intention of acting on them?C-SSRS Screening - Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS09-Idea, Intent, No Plan, DescribeC111467CSS09-Idea, Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Screening - Description of Active Suicidal Ideation with Some Intent to Act, without Specific Plan
CSS09-Idea, No Intent, No PlanC111464CSS09-Idea, No Intent, No PlanColumbia-Suicidality Severity Rating Scale Screening - Have you been thinking about how you might do this?C-SSRS Screening - Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS09-Idea, No Intent, No Plan, DescribeC111465CSS09-Idea, No Intent, No Plan, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Screening - Description of Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
CSS09-Idea, Plan, IntentC111468CSS09-Idea, Plan, IntentColumbia-Suicidality Severity Rating Scale Screening - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?C-SSRS Screening - Active Suicidal Ideation with Specific Plan and Intent
CSS09-Idea, Plan, Intent, DescribeC111469CSS09-Idea, Plan, Intent, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of active suicidal ideation with specific plan and intent.C-SSRS Screening - Description of Active Suicidal Ideation with Specific Plan and Intent
CSS09-Interrupted AttemptC111481CSS09-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Screening - Has there been a time when you started to do something to end your life but someone or something stopped you before you actually did anything?C-SSRS Screening - Interrupted Suicide Attempt
CSS09-Interrupted Attempt, DescribeC111483CSS09-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of interrupted attempt.C-SSRS Screening - Description of Interrupted Suicide Attempt
CSS09-Most Lethal Attempt DamageC111494CSS09-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Screening - Most lethal attempt actual lethality/medical damage.C-SSRS Screening - Most Lethal Suicide Attempt Actual Lethality/Medical Damage
CSS09-Most Lethal Attempt DateC111493CSS09-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Screening - Most lethal attempt date.C-SSRS Screening - Most Lethal Suicide Attempt Date
CSS09-Most Lethal Attempt PotentialC111495CSS09-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Screening - Most lethal attempt potential lethality.C-SSRS Screening - Most Lethal Suicide Attempt Potential Lethality
CSS09-Most Recent Attempt DamageC111491CSS09-Most Recent Attempt DamageColumbia-Suicidality Severity Rating Scale Screening - Most recent attempt actual lethality/medical damage.C-SSRS Screening - Most Recent Suicide Attempt Actual Lethality/Medical Damage
CSS09-Most Recent Attempt DateC111490CSS09-Most Recent Attempt DateColumbia-Suicidality Severity Rating Scale Screening - Most recent attempt date.C-SSRS Screening - Most Recent Suicide Attempt Date
CSS09-Most Recent Attempt PotentialC111492CSS09-Most Recent Attempt PotentialColumbia-Suicidality Severity Rating Scale Screening - Most recent attempt potential lethality.C-SSRS Screening - Most Recent Suicide Attempt Potential Lethality
CSS09-Most Severe IdeaC111470CSS09-Most Severe IdeaColumbia-Suicidality Severity Rating Scale Screening - Most severe ideation.C-SSRS Screening - Most Severe Ideation
CSS09-Most Severe Idea, ControllabilityC111474CSS09-Most Severe Idea, ControllabilityColumbia-Suicidality Severity Rating Scale Screening - Could/can you stop thinking about killing yourself or wanting to die if you want to?C-SSRS Screening - Controllability of Most Severe Ideation
CSS09-Most Severe Idea, DescC111471CSS09-Most Severe Idea, DescColumbia-Suicidality Severity Rating Scale Screening - Description of most severe ideation.C-SSRS Screening - Describe Most Severe Ideation
CSS09-Most Severe Idea, DeterrentsC111475CSS09-Most Severe Idea, DeterrentsColumbia-Suicidality Severity Rating Scale Screening - Are there things-anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?C-SSRS Screening - Deterrents to Most Severe Ideation
CSS09-Most Severe Idea, DurationC111473CSS09-Most Severe Idea, DurationColumbia-Suicidality Severity Rating Scale Screening - When you have the thoughts, how long do they last?C-SSRS Screening - Duration of Most Severe Ideation
CSS09-Most Severe Idea, FrequencyC111472CSS09-Most Severe Idea, FrequencyColumbia-Suicidality Severity Rating Scale Screening - How many times have you had these thoughts?C-SSRS Screening - Frequency of Most Severe Ideation
CSS09-Most Severe Idea, ReasonsC111476CSS09-Most Severe Idea, ReasonsColumbia-Suicidality Severity Rating Scale Screening - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?C-SSRS Screening - Reasons for Most Severe Ideation
CSS09-Non-Spec Suicid ThoughtC111462CSS09-Non-Spec Suicid ThoughtColumbia-Suicidality Severity Rating Scale Screening - Have you actually had any thoughts of killing yourself?C-SSRS Screening - Non-Specific Active Suicidal Thoughts
CSS09-Non-Spec Suicid Thought, DescribeC111463CSS09-Non-Spec Suicid Thought, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of non-specific active suicidal thoughts.C-SSRS Screening - Description of Non-Specific Active Suicidal Thoughts
CSS09-Non-suicidal Self-injur BehavC111480CSS09-Non-suicidal Self-injur BehavColumbia-Suicidality Severity Rating Scale Screening - Has subject engaged in non-suicidal self-injurious behavior?C-SSRS Screening - Non-suicidal Self-injurious Behavior
CSS09-Number of Aborted AttemptsC111485CSS09-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Screening - Total number of aborted attempts.C-SSRS Screening - Number of Aborted Suicide Attempts
CSS09-Number of Actual AttemptsC111478CSS09-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Screening - Total number of actual attempts.C-SSRS Screening - Number of Actual Suicide Attempts
CSS09-Number of Interrupt AttemptsC111482CSS09-Number of Interrupt AttemptsColumbia-Suicidality Severity Rating Scale Screening - Total number of interrupted attempts.C-SSRS Screening - Number of Interrupted Suicide Attempts
CSS09-Preparatory Acts/BehaviorC111487CSS09-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Screening - Have you taken any steps towards making a suicide attempt or preparing to kill yourself (such as collecting pills, getting a gun, giving valuables away or writing a suicide note)?C-SSRS Screening - Preparatory Acts or Behaviors Toward Suicide Attempt
CSS09-Preparatory Acts/Behavior, DescrC111488CSS09-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Screening - Description of preparatory acts or behavior.C-SSRS Screening - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS09-Suicidal BehaviorC111489CSS09-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Screening - Suicidal behavior was present during the assessment period?C-SSRS Screening - Suicidal Behavior
CSS09-Wish to be DeadC111460CSS09-Wish to be DeadColumbia-Suicidality Severity Rating Scale Screening - Have you wished you were dead or wished you could go to sleep and not wake up?C-SSRS Screening - Wish to be Dead
CSS09-Wish to be Dead, DescribeC111461CSS09-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Screening - Description of wishing to be dead.C-SSRS Screening - Description of Wish to be Dead
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CL.C103461.C-SSRS Since Last Visit TESTCDQS-Columbia-Suicidality Severity Rating Scale Since Last Visit Questionnaire Test Code
(C-SSRS Since Last Visit TESTCD)
text
Extensible: No
C103461QS-Columbia-Suicidality Severity Rating Scale Since Last Visit Questionnaire Test CodeColumbia-Suicidality Severity Rating Scale Since Last Visit test code.CDISC Questionnaire C-SSRS Since Last Visit Test Code Terminology
CSS0201C103772CSS02-Wish to be DeadColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you wished you were dead or wished you could go to sleep and not wake up?C-SSRS Since Last Visit - Wish to be Dead or go to Sleep and not Wake Up
CSS0201AC103773CSS02-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of wishing to be dead.C-SSRS Since Last Visit - Description of Wish to be Dead
CSS0202C103774CSS02-Non-Specific Suicidal ThoughtColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you actually had any thoughts of killing yourself?C-SSRS Since Last Visit - Non-Specific Suicidal Thought
CSS0202AC103775CSS02-Non-Specific Suicid Thought, DescrColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of non-specific active suicidal thoughts.C-SSRS Since Last Visit - Description of Non-Specific Suicide Thought
CSS0203C103776CSS02-Suicidal Ideation-No IntentColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you been thinking about how you might do this?C-SSRS Since Last Visit - Suicidal Ideation-No Intent
CSS0203AC103777CSS02-Suicidal Ideation-No Intent, DescrColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Since Last Visit - Description of Suicidal Ideation-No Intent
CSS0204C103799CSS02-Ideation With Intent, No PlanColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you had these thoughts and had some intention of acting on them?C-SSRS Since Last Visit - Ideation With Intent, No Plan
CSS0204AC103800CSS02-Ideation With Intent No Plan DescrColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Since Last Visit - Description of Ideation With Intent, No Plan
CSS0205C103801CSS02-Ideation With Plan/IntentColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?C-SSRS Since Last Visit - Ideation With Plan/Intent
CSS0205AC103778CSS02-Ideation With Plan/Intent, DescrColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of active suicidal ideation with specific plan and intent.C-SSRS Since Last Visit - Description of Ideation With Plan and Intent
CSS0206C103779CSS02-Most Severe IdeationColumbia-Suicidality Severity Rating Scale Since Last Visit - Most severe ideation.C-SSRS Since Last Visit - Most Severe Ideation
CSS0206AC103780CSS02-Most Severe Ideation, DescriptionColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of most severe ideation.C-SSRS Since Last Visit - Describe Most Severe Ideation
CSS0207C103781CSS02-Most Severe Ideation, FrequencyColumbia-Suicidality Severity Rating Scale Since Last Visit - How many times have you had these thoughts?C-SSRS Since Last Visit - Frequency of Most Severe Ideation
CSS0208C103782CSS02-Most Severe Ideation, DurationColumbia-Suicidality Severity Rating Scale Since Last Visit - When you have the thoughts, how long do they last?C-SSRS Since Last Visit - Duration of Most Severe Ideation
CSS0209C103783CSS02-Most Severe Ideation, ControlColumbia-Suicidality Severity Rating Scale Since Last Visit - Could/can you stop thinking about killing yourself or wanting to die if you want to?C-SSRS Since Last Visit - Control over Most Severe Ideation
CSS0210C103784CSS02-Most Severe Ideation, DeterrentsColumbia-Suicidality Severity Rating Scale Since Last Visit - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?C-SSRS Since Last Visit - Deterrents to Most Severe Ideation
CSS0211C103785CSS02-Most Severe Ideation, ReasonsColumbia-Suicidality Severity Rating Scale Since Last Visit - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?C-SSRS Since Last Visit - Reasons for Most Severe Ideation
CSS0212C103786CSS02-Actual AttemptColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Since Last Visit - Actual Suicide Attempt
CSS0213C103787CSS02-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Since Last Visit - Total number of actual attempts.C-SSRS Since Last Visit - Number of Actual Suicide Attempts
CSS0213AC103788CSS02-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of actual attempt.C-SSRS Since Last Visit - Description of Actual Suicide Attempts
CSS0214C103789CSS02-Non-suicidal Self-injurious BehavColumbia-Suicidality Severity Rating Scale Since Last Visit - Has the subject engaged in non-suicidal self-injurious behavior.C-SSRS Since Last Visit - Non-suicidal Self-injurious Behavior
CSS0215C103790CSS02-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Since Last Visit - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?C-SSRS Since Last Visit - Interrupted Suicide Attempt
CSS0216C103791CSS02-Number of Interrupted AttemptsColumbia-Suicidality Severity Rating Scale Since Last Visit - Total number of interrupted attempts.C-SSRS Since Last Visit - Number of Interrupted Suicide Attempts
CSS0216AC103792CSS02-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of interrupted attempt.C-SSRS Since Last Visit - Description of Interrupted Suicide Attempt
CSS0217C103793CSS02-Aborted AttemptColumbia-Suicidality Severity Rating Scale Since Last Visit - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Since Last Visit - Aborted Suicide Attempt
CSS0218C103794CSS02-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Since Last Visit - Total number of aborted attempts.C-SSRS Since Last Visit - Number of Aborted Suicide Attempts
CSS0218AC103795CSS02-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of aborted attempt.C-SSRS Since Last Visit - Description of Aborted Suicide Attempt
CSS0219C103796CSS02-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you taken any steps 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
CSS0219AC103797CSS02-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of preparatory acts or behavior.C-SSRS Since Last Visit - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS0220C103798CSS02-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Since Last Visit - Suicidal behavior was present during the assessment period?C-SSRS Since Last Visit - Suicidal Behavior
CSS0221C103532CSS02-SuicideColumbia-Suicidality Severity Rating Scale Since Last Visit - Suicide.C-SSRS Since Last Visit - Suicide
CSS0222AC103533CSS02-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Since Last Visit - Most lethal attempt date.C-SSRS Since Last Visit - Most Lethal Attempt Date
CSS0222BC103534CSS02-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Since Last Visit - Most lethal attempt actual lethality/medical damage.C-SSRS Since Last Visit - Most Lethal Actual Attempt Lethality/Medical Damage
CSS0222CC103535CSS02-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Since Last Visit - Most lethal attempt potential lethality.C-SSRS Since Last Visit - Most Lethal Actual Attempt Potential Lethality
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CL.C103460.C-SSRS Since Last Visit TESTQS-Columbia-Suicidality Severity Rating Scale Since Last Visit Questionnaire Test Name
(C-SSRS Since Last Visit TEST)
text
Extensible: No
C103460QS-Columbia-Suicidality Severity Rating Scale Since Last Visit Questionnaire Test NameColumbia-Suicidality Severity Rating Scale Since Last Visit test name.CDISC Questionnaire C-SSRS Since Last Visit Test Name Terminology
CSS02-Aborted AttemptC103793CSS02-Aborted AttemptColumbia-Suicidality Severity Rating Scale Since Last Visit - Has there been a time when you started to do something to try to end your life but you stopped yourself before you actually did anything?C-SSRS Since Last Visit - Aborted Suicide Attempt
CSS02-Aborted Attempt, DescribeC103795CSS02-Aborted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of aborted attempt.C-SSRS Since Last Visit - Description of Aborted Suicide Attempt
CSS02-Actual AttemptC103786CSS02-Actual AttemptColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you made a suicide attempt? Have you done anything to harm yourself? Have you done anything dangerous where you could have died?C-SSRS Since Last Visit - Actual Suicide Attempt
CSS02-Actual Attempt, DescribeC103788CSS02-Actual Attempt, DescribeColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of actual attempt.C-SSRS Since Last Visit - Description of Actual Suicide Attempts
CSS02-Ideation With Intent No Plan DescrC103800CSS02-Ideation With Intent No Plan DescrColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of active suicidal ideation with some intent to act, without specific plan.C-SSRS Since Last Visit - Description of Ideation With Intent, No Plan
CSS02-Ideation With Intent, No PlanC103799CSS02-Ideation With Intent, No PlanColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you had these thoughts and had some intention of acting on them?C-SSRS Since Last Visit - Ideation With Intent, No Plan
CSS02-Ideation With Plan/IntentC103801CSS02-Ideation With Plan/IntentColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?C-SSRS Since Last Visit - Ideation With Plan/Intent
CSS02-Ideation With Plan/Intent, DescrC103778CSS02-Ideation With Plan/Intent, DescrColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of active suicidal ideation with specific plan and intent.C-SSRS Since Last Visit - Description of Ideation With Plan and Intent
CSS02-Interrupted AttemptC103790CSS02-Interrupted AttemptColumbia-Suicidality Severity Rating Scale Since Last Visit - Has there been a time when you started to do something to try to end your life but someone or something stopped you before you actually did anything?C-SSRS Since Last Visit - Interrupted Suicide Attempt
CSS02-Interrupted Attempt, DescribeC103792CSS02-Interrupted Attempt, DescribeColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of interrupted attempt.C-SSRS Since Last Visit - Description of Interrupted Suicide Attempt
CSS02-Most Lethal Attempt DamageC103534CSS02-Most Lethal Attempt DamageColumbia-Suicidality Severity Rating Scale Since Last Visit - Most lethal attempt actual lethality/medical damage.C-SSRS Since Last Visit - Most Lethal Actual Attempt Lethality/Medical Damage
CSS02-Most Lethal Attempt DateC103533CSS02-Most Lethal Attempt DateColumbia-Suicidality Severity Rating Scale Since Last Visit - Most lethal attempt date.C-SSRS Since Last Visit - Most Lethal Attempt Date
CSS02-Most Lethal Attempt PotentialC103535CSS02-Most Lethal Attempt PotentialColumbia-Suicidality Severity Rating Scale Since Last Visit - Most lethal attempt potential lethality.C-SSRS Since Last Visit - Most Lethal Actual Attempt Potential Lethality
CSS02-Most Severe IdeationC103779CSS02-Most Severe IdeationColumbia-Suicidality Severity Rating Scale Since Last Visit - Most severe ideation.C-SSRS Since Last Visit - Most Severe Ideation
CSS02-Most Severe Ideation, ControlC103783CSS02-Most Severe Ideation, ControlColumbia-Suicidality Severity Rating Scale Since Last Visit - Could/can you stop thinking about killing yourself or wanting to die if you want to?C-SSRS Since Last Visit - Control over Most Severe Ideation
CSS02-Most Severe Ideation, DescriptionC103780CSS02-Most Severe Ideation, DescriptionColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of most severe ideation.C-SSRS Since Last Visit - Describe Most Severe Ideation
CSS02-Most Severe Ideation, DeterrentsC103784CSS02-Most Severe Ideation, DeterrentsColumbia-Suicidality Severity Rating Scale Since Last Visit - Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of committing suicide?C-SSRS Since Last Visit - Deterrents to Most Severe Ideation
CSS02-Most Severe Ideation, DurationC103782CSS02-Most Severe Ideation, DurationColumbia-Suicidality Severity Rating Scale Since Last Visit - When you have the thoughts, how long do they last?C-SSRS Since Last Visit - Duration of Most Severe Ideation
CSS02-Most Severe Ideation, FrequencyC103781CSS02-Most Severe Ideation, FrequencyColumbia-Suicidality Severity Rating Scale Since Last Visit - How many times have you had these thoughts?C-SSRS Since Last Visit - Frequency of Most Severe Ideation
CSS02-Most Severe Ideation, ReasonsC103785CSS02-Most Severe Ideation, ReasonsColumbia-Suicidality Severity Rating Scale Since Last Visit - What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?C-SSRS Since Last Visit - Reasons for Most Severe Ideation
CSS02-Non-Specific Suicid Thought, DescrC103775CSS02-Non-Specific Suicid Thought, DescrColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of non-specific active suicidal thoughts.C-SSRS Since Last Visit - Description of Non-Specific Suicide Thought
CSS02-Non-Specific Suicidal ThoughtC103774CSS02-Non-Specific Suicidal ThoughtColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you actually had any thoughts of killing yourself?C-SSRS Since Last Visit - Non-Specific Suicidal Thought
CSS02-Non-suicidal Self-injurious BehavC103789CSS02-Non-suicidal Self-injurious BehavColumbia-Suicidality Severity Rating Scale Since Last Visit - Has the subject engaged in non-suicidal self-injurious behavior.C-SSRS Since Last Visit - Non-suicidal Self-injurious Behavior
CSS02-Number of Aborted AttemptsC103794CSS02-Number of Aborted AttemptsColumbia-Suicidality Severity Rating Scale Since Last Visit - Total number of aborted attempts.C-SSRS Since Last Visit - Number of Aborted Suicide Attempts
CSS02-Number of Actual AttemptsC103787CSS02-Number of Actual AttemptsColumbia-Suicidality Severity Rating Scale Since Last Visit - Total number of actual attempts.C-SSRS Since Last Visit - Number of Actual Suicide Attempts
CSS02-Number of Interrupted AttemptsC103791CSS02-Number of Interrupted AttemptsColumbia-Suicidality Severity Rating Scale Since Last Visit - Total number of interrupted attempts.C-SSRS Since Last Visit - Number of Interrupted Suicide Attempts
CSS02-Preparatory Acts/BehaviorC103796CSS02-Preparatory Acts/BehaviorColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you taken any steps 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, DescrC103797CSS02-Preparatory Acts/Behavior, DescrColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of preparatory acts or behavior.C-SSRS Since Last Visit - Description of Preparatory Acts or Behaviors Toward Suicide Attempt
CSS02-Suicidal BehaviorC103798CSS02-Suicidal BehaviorColumbia-Suicidality Severity Rating Scale Since Last Visit - Suicidal behavior was present during the assessment period?C-SSRS Since Last Visit - Suicidal Behavior
CSS02-Suicidal Ideation-No IntentC103776CSS02-Suicidal Ideation-No IntentColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you been thinking about how you might do this?C-SSRS Since Last Visit - Suicidal Ideation-No Intent
CSS02-Suicidal Ideation-No Intent, DescrC103777CSS02-Suicidal Ideation-No Intent, DescrColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of active suicidal ideation with any methods (not plan) without intent to act.C-SSRS Since Last Visit - Description of Suicidal Ideation-No Intent
CSS02-SuicideC103532CSS02-SuicideColumbia-Suicidality Severity Rating Scale Since Last Visit - Suicide.C-SSRS Since Last Visit - Suicide
CSS02-Wish to be DeadC103772CSS02-Wish to be DeadColumbia-Suicidality Severity Rating Scale Since Last Visit - Have you wished you were dead or wished you could go to sleep and not wake up?C-SSRS Since Last Visit - Wish to be Dead or go to Sleep and not Wake Up
CSS02-Wish to be Dead, DescribeC103773CSS02-Wish to be Dead, DescribeColumbia-Suicidality Severity Rating Scale Since Last Visit - Description of wishing to be dead.C-SSRS Since Last Visit - Description of Wish to be Dead
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CL.C117987.CHART-SF Interview Version TESTCDQS-Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Code
(CHART-SF Interview Version TESTCD)
text
Extensible: No
C117987QS-Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test CodeCraig Handicap Assessment and Reporting Technique - Short Form Interview Version test code.CDISC Questionnaire CHART-SF Interview Version Test Code Terminology
CHSF101AC117998CHSF1-Paid Personal Care per DayCraig 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
CHSF101BC117999CHSF1-Unpaid Personal Care per DayCraig 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
CHSF102C118000CHSF1-Home Cognitive Assistance per DayCraig 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
CHSF103C118001CHSF1-Away Cognitive Assistance per DayCraig 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
CHSF104C118002CHSF1-Hours Out of Bed per DayCraig 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
CHSF105C118003CHSF1-Days Out of the House per WeekCraig 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
CHSF106C118004CHSF1-Nights Away From Home Last YearCraig 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
CHSF107AC118005CHSF1-Hours of Paid Work per WeekCraig 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
CHSF107BC118006CHSF1-Occupation of Paid WorkCraig 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
CHSF108C118007CHSF1-Hours of Schoolwork per WeekCraig 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
CHSF109C118008CHSF1-Hours of Homemaking per WeekCraig 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
CHSF110C118009CHSF1-Hours of Home Maintenance per WeekCraig 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
CHSF111C118010CHSF1-Hours of Recreation per WeekCraig 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
CHSF112C118011CHSF1-Number of People You Live WithCraig 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
CHSF113C118012CHSF1-Live With Spouse or Signif OtherCraig 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
CHSF114C118013CHSF1-Number of Relatives You Live WithCraig 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
CHSF115C118014CHSF1-Associates Contacted per MonthCraig 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
CHSF116C118015CHSF1-Friends Contacted per MonthCraig 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
CHSF117C118016CHSF1-Strangers Spoke with Last MonthCraig 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
CHSF118C118017CHSF1-Combined Household Income Last YrCraig 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
CHSF119C118018CHSF1-Medical Care Expenses Last YearCraig 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
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CL.C117986.CHART-SF Interview Version TESTQS-Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test Name
(CHART-SF Interview Version TEST)
text
Extensible: No
C117986QS-Craig Handicap Assessment and Reporting Technique - Short Form Interview Version Questionnaire Test NameCraig Handicap Assessment and Reporting Technique - Short Form Interview Version test name.CDISC Questionnaire CHART-SF Interview Version Test Name Terminology
CHSF1-Associates Contacted per MonthC118014CHSF1-Associates Contacted per MonthCraig 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 DayC118001CHSF1-Away Cognitive Assistance per DayCraig 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 YrC118017CHSF1-Combined Household Income Last YrCraig 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 WeekC118003CHSF1-Days Out of the House per WeekCraig 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 MonthC118015CHSF1-Friends Contacted per MonthCraig 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 DayC118000CHSF1-Home Cognitive Assistance per DayCraig 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 WeekC118009CHSF1-Hours of Home Maintenance per WeekCraig 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 WeekC118008CHSF1-Hours of Homemaking per WeekCraig 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 WeekC118005CHSF1-Hours of Paid Work per WeekCraig 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 WeekC118010CHSF1-Hours of Recreation per WeekCraig 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 WeekC118007CHSF1-Hours of Schoolwork per WeekCraig 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 DayC118002CHSF1-Hours Out of Bed per DayCraig 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 OtherC118012CHSF1-Live With Spouse or Signif OtherCraig 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 YearC118018CHSF1-Medical Care Expenses Last YearCraig 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 YearC118004CHSF1-Nights Away From Home Last YearCraig 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 WithC118011CHSF1-Number of People You Live WithCraig 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 WithC118013CHSF1-Number of Relatives You Live WithCraig 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 WorkC118006CHSF1-Occupation of Paid WorkCraig 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 DayC117998CHSF1-Paid Personal Care per DayCraig 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 MonthC118016CHSF1-Strangers Spoke with Last MonthCraig 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 DayC117999CHSF1-Unpaid Personal Care per DayCraig 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
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CL.C119068.CHART-SF Paper Version TESTCDQS-Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Code
(CHART-SF Paper Version TESTCD)
text
Extensible: No
C119068QS-Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test CodeCraig Handicap Assessment and Reporting Technique - Short Form Paper Version test code.CDISC Questionnaire CHART-SF Paper Version Test Code Terminology
CHSF201AC119142CHSF2-Paid Personal Care per DayCraig 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
CHSF201BC119143CHSF2-Unpaid Personal Care per DayCraig 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
CHSF202C119144CHSF2-Home Cognitive Assistance per DayCraig 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
CHSF203C119145CHSF2-Away Cognitive Assistance per DayCraig 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
CHSF204C119146CHSF2-Hours Out of Bed per DayCraig 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
CHSF205C119147CHSF2-Days Out of the House per WeekCraig 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
CHSF206C119148CHSF2-Nights Away From Home Last YearCraig 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
CHSF207AC119149CHSF2-Hours of Paid Work per WeekCraig 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
CHSF207BC119150CHSF2-Occupation of Paid WorkCraig 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
CHSF208C119151CHSF2-Hours of Schoolwork per WeekCraig 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
CHSF209C119152CHSF2-Hours of Homemaking per WeekCraig 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
CHSF210C119153CHSF2-Hours of Home Maintenance per WeekCraig 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
CHSF211C119154CHSF2-Hours of Recreation per WeekCraig 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
CHSF212C119155CHSF2-Number of People You Live WithCraig 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
CHSF213C119156CHSF2-Live With Spouse or Signif OtherCraig 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
CHSF214C119157CHSF2-Number of Relatives You Live WithCraig 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
CHSF215C119158CHSF2-Associates Contacted per MonthCraig 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
CHSF216C119159CHSF2-Friends Contacted per MonthCraig 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
CHSF217C119160CHSF2-Strangers Spoke with Last MonthCraig 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
CHSF218C119161CHSF2-Combined Household Income Last YrCraig 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
CHSF219C119162CHSF2-Medical Care Expenses Last YearCraig 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
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CL.C119067.CHART-SF Paper Version TESTQS-Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test Name
(CHART-SF Paper Version TEST)
text
Extensible: No
C119067QS-Craig Handicap Assessment and Reporting Technique - Short Form Paper Version Questionnaire Test NameCraig Handicap Assessment and Reporting Technique - Short Form Paper Version test name.CDISC Questionnaire CHART-SF Paper Version Test Name Terminology
CHSF2-Associates Contacted per MonthC119158CHSF2-Associates Contacted per MonthCraig 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 DayC119145CHSF2-Away Cognitive Assistance per DayCraig 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 YrC119161CHSF2-Combined Household Income Last YrCraig 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 WeekC119147CHSF2-Days Out of the House per WeekCraig 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 MonthC119159CHSF2-Friends Contacted per MonthCraig 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 DayC119144CHSF2-Home Cognitive Assistance per DayCraig 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 WeekC119153CHSF2-Hours of Home Maintenance per WeekCraig 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 WeekC119152CHSF2-Hours of Homemaking per WeekCraig 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 WeekC119149CHSF2-Hours of Paid Work per WeekCraig 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 WeekC119154CHSF2-Hours of Recreation per WeekCraig 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 WeekC119151CHSF2-Hours of Schoolwork per WeekCraig 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 DayC119146CHSF2-Hours Out of Bed per DayCraig 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 OtherC119156CHSF2-Live With Spouse or Signif OtherCraig 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 YearC119162CHSF2-Medical Care Expenses Last YearCraig 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 YearC119148CHSF2-Nights Away From Home Last YearCraig 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 WithC119155CHSF2-Number of People You Live WithCraig 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 WithC119157CHSF2-Number of Relatives You Live WithCraig 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 WorkC119150CHSF2-Occupation of Paid WorkCraig 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 DayC119142CHSF2-Paid Personal Care per DayCraig 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 MonthC119160CHSF2-Strangers Spoke with Last MonthCraig 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 DayC119143CHSF2-Unpaid Personal Care per DayCraig 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
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CL.C100158.COMM TESTCDQS-Current Opioid Misuse Measure Test Code
(COMM TESTCD)
text
Extensible: No
C100158QS-Current Opioid Misuse Measure Test CodeCurrent Opioid Misuse Measure test code.CDISC Questionnaire COMM Test Code Terminology
COMM101C100958COMM1-Trouble Thinking Clearly/MemoryCurrent Opioid Misuse Measure - In the past 30 days, how often have you had trouble with thinking clearly or had memory problems?COMM - Trouble Thinking Clearly or Memory Problems
COMM102C100959COMM1-Complaints Not Completing TasksCurrent Opioid Misuse Measure - In the past 30 days, how often do people complain that you are not completing necessary tasks? (i.e., doing things that need to be done, such as going to class, work or appointments)COMM - Complaints Not Completing Tasks
COMM103C100960COMM1-Other Sources For Pain MedicationCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to go to someone other than your prescribing physician to get sufficient pain relief from medications? (i.e., another doctor, the Emergency Room, friends, street source)COMM - Other Sources for Pain Medication
COMM104C100961COMM1-Taken Meds Other Than PrescribedCurrent Opioid Misuse Measure - In the past 30 days, how often have you taken your medications differently from how they are prescribed?COMM - Taken Medications Other Than Prescribed
COMM105C100962COMM1-Seriously Thought of Hurting SelfCurrent Opioid Misuse Measure - In the past 30 days, how often have you seriously thought about hurting yourself?COMM - Seriously Thought of Hurting Self
COMM106C100963COMM1-Time Spent Thinking About OpioidsCurrent Opioid Misuse Measure - In the past 30 days, how much of your time was spent thinking about opioid medications (having enough, taking them, dosing schedule, etc.)?COMM - Time Spent Thinking About Opioids
COMM107C100964COMM1-Been in an ArgumentCurrent Opioid Misuse Measure - In the past 30 days, how often have you been in an argument?COMM - Been in an Argument
COMM108C100965COMM1-Trouble Controlling AngerCurrent Opioid Misuse Measure - In the past 30 days, how often have you had trouble controlling your anger (e.g., road rage, screaming, etc.)?COMM - Trouble Controlling Anger
COMM109C100966COMM1-Take Meds Belonging to OthersCurrent Opioid Misuse Measure - In the past 30 days, how often have you needed to take pain medications belonging to someone else?COMM - Take Medications Belonging to Others
COMM110C100967COMM1-Worry About Handling MedsCurrent Opioid Misuse Measure - In the past 30 days, how often have you been worried about how you're handling your medications?COMM - Worry About Handling Medications
COMM111C100968COMM1-Others Worry About Your MedsCurrent Opioid Misuse Measure - In the past 30 days, how often have others been worried about how you're handling your medications?COMM - Others Worry About Your Medications
COMM112C100969COMM1-Emergency Phone Call/Clinic VisitCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to make an emergency phone call or show up at the clinic without an appointment?COMM - Emergency Phone Call or Clinic Visit
COMM113C100970COMM1-Gotten Angry With PeopleCurrent Opioid Misuse Measure - In the past 30 days, how often have you gotten angry with people?COMM - Gotten Angry With People
COMM114C100971COMM1-Take More Meds Than PrescribedCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to take more of your medication than prescribed?COMM - Take More Medication Than Prescribed
COMM115C100972COMM1-Borrowed Meds From OthersCurrent Opioid Misuse Measure - In the past 30 days, how often have you borrowed pain medication from someone else?COMM - Borrowed Medication From Others
COMM116C100973COMM1-Used Pain Meds For Other SymptomsCurrent Opioid Misuse Measure - In the past 30 days, how often have you used your pain medicine for symptoms other than for pain (e.g., to help you sleep, improve your mood, or relieve stress)?COMM - Used Pain Medicine For Other Symptoms
COMM117C100974COMM1-Visit Emergency RoomCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to visit the Emergency Room?COMM - Visit Emergency Room
COMM118C100975COMM1-ScoreCurrent Opioid Misuse Measure - Score.COMM - Score
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CL.C100157.COMM TESTQS-Current Opioid Misuse Measure Test Name
(COMM TEST)
text
Extensible: No
C100157QS-Current Opioid Misuse Measure Test NameCurrent Opioid Misuse Measure test name.CDISC Questionnaire COMM Test Name Terminology
COMM1-Been in an ArgumentC100964COMM1-Been in an ArgumentCurrent Opioid Misuse Measure - In the past 30 days, how often have you been in an argument?COMM - Been in an Argument
COMM1-Borrowed Meds From OthersC100972COMM1-Borrowed Meds From OthersCurrent Opioid Misuse Measure - In the past 30 days, how often have you borrowed pain medication from someone else?COMM - Borrowed Medication From Others
COMM1-Complaints Not Completing TasksC100959COMM1-Complaints Not Completing TasksCurrent Opioid Misuse Measure - In the past 30 days, how often do people complain that you are not completing necessary tasks? (i.e., doing things that need to be done, such as going to class, work or appointments)COMM - Complaints Not Completing Tasks
COMM1-Emergency Phone Call/Clinic VisitC100969COMM1-Emergency Phone Call/Clinic VisitCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to make an emergency phone call or show up at the clinic without an appointment?COMM - Emergency Phone Call or Clinic Visit
COMM1-Gotten Angry With PeopleC100970COMM1-Gotten Angry With PeopleCurrent Opioid Misuse Measure - In the past 30 days, how often have you gotten angry with people?COMM - Gotten Angry With People
COMM1-Other Sources For Pain MedicationC100960COMM1-Other Sources For Pain MedicationCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to go to someone other than your prescribing physician to get sufficient pain relief from medications? (i.e., another doctor, the Emergency Room, friends, street source)COMM - Other Sources for Pain Medication
COMM1-Others Worry About Your MedsC100968COMM1-Others Worry About Your MedsCurrent Opioid Misuse Measure - In the past 30 days, how often have others been worried about how you're handling your medications?COMM - Others Worry About Your Medications
COMM1-ScoreC100975COMM1-ScoreCurrent Opioid Misuse Measure - Score.COMM - Score
COMM1-Seriously Thought of Hurting SelfC100962COMM1-Seriously Thought of Hurting SelfCurrent Opioid Misuse Measure - In the past 30 days, how often have you seriously thought about hurting yourself?COMM - Seriously Thought of Hurting Self
COMM1-Take Meds Belonging to OthersC100966COMM1-Take Meds Belonging to OthersCurrent Opioid Misuse Measure - In the past 30 days, how often have you needed to take pain medications belonging to someone else?COMM - Take Medications Belonging to Others
COMM1-Take More Meds Than PrescribedC100971COMM1-Take More Meds Than PrescribedCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to take more of your medication than prescribed?COMM - Take More Medication Than Prescribed
COMM1-Taken Meds Other Than PrescribedC100961COMM1-Taken Meds Other Than PrescribedCurrent Opioid Misuse Measure - In the past 30 days, how often have you taken your medications differently from how they are prescribed?COMM - Taken Medications Other Than Prescribed
COMM1-Time Spent Thinking About OpioidsC100963COMM1-Time Spent Thinking About OpioidsCurrent Opioid Misuse Measure - In the past 30 days, how much of your time was spent thinking about opioid medications (having enough, taking them, dosing schedule, etc.)?COMM - Time Spent Thinking About Opioids
COMM1-Trouble Controlling AngerC100965COMM1-Trouble Controlling AngerCurrent Opioid Misuse Measure - In the past 30 days, how often have you had trouble controlling your anger (e.g., road rage, screaming, etc.)?COMM - Trouble Controlling Anger
COMM1-Trouble Thinking Clearly/MemoryC100958COMM1-Trouble Thinking Clearly/MemoryCurrent Opioid Misuse Measure - In the past 30 days, how often have you had trouble with thinking clearly or had memory problems?COMM - Trouble Thinking Clearly or Memory Problems
COMM1-Used Pain Meds For Other SymptomsC100973COMM1-Used Pain Meds For Other SymptomsCurrent Opioid Misuse Measure - In the past 30 days, how often have you used your pain medicine for symptoms other than for pain (e.g., to help you sleep, improve your mood, or relieve stress)?COMM - Used Pain Medicine For Other Symptoms
COMM1-Visit Emergency RoomC100974COMM1-Visit Emergency RoomCurrent Opioid Misuse Measure - In the past 30 days, how often have you had to visit the Emergency Room?COMM - Visit Emergency Room
COMM1-Worry About Handling MedsC100967COMM1-Worry About Handling MedsCurrent Opioid Misuse Measure - In the past 30 days, how often have you been worried about how you're handling your medications?COMM - Worry About Handling Medications
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CL.C119070.DLQI TESTCDQS-Dermatology Life Quality Index Questionnaire Test Code
(DLQI TESTCD)
text
Extensible: No
C119070QS-Dermatology Life Quality Index Questionnaire Test CodeDermatology Life Quality Index test code.CDISC Questionnaire DLQI Test Code Terminology
DLQI101C119163DLQI1-How Itchy, Sore, Painful, StingingDermatology Life Quality Index - Over the last week, how itchy, sore, painful or stinging has your skin been?DLQI - Itchy, Sore, Painful or Stinging Skin
DLQI102C119164DLQI1-How Embarrassed, Self ConsciousDermatology Life Quality Index - Over the last week, how embarrassed or self conscious have you been because of your skin?DLQI - Embarrassed Because of Skin
DLQI103C119165DLQI1-Interfered Shopping, Home, YardDermatology 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
DLQI104C119166DLQI1-Influenced Clothes You WearDermatology Life Quality Index - Over the last week, how much has your skin influenced the clothes you wear?DLQI - Skin Influence Clothes You Wear
DLQI105C119167DLQI1-Affected Social, Leisure ActivityDermatology 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
DLQI106C119168DLQI1-Made It Difficult to Do Any SportsDermatology 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
DLQI107C119169DLQI1-Prevented Working or StudyingDermatology Life Quality Index - Over the last week, has your skin prevented you from working or studying?DLQI - Skin Prevent Work or Study
DLQI107AC119170DLQI1-Problem at Work or StudyingDermatology 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
DLQI108C119171DLQI1-Problem Partner, Friends, RelativeDermatology 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
DLQI109C119172DLQI1-Caused Any Sexual DifficultiesDermatology Life Quality Index - Over the last week, how much has your skin caused any sexual difficulties?DLQI - Skin Cause Sexual Difficulties
DLQI110C119173DLQI1-How Much a Problem is TreatmentDermatology 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
DLQI111C119174DLQI-ScoreDermatology Life Quality Index - Score.DLQI - Score
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CL.C119069.DLQI TESTQS-Dermatology Life Quality Index Questionnaire Test Name
(DLQI TEST)
text
Extensible: No
C119069QS-Dermatology Life Quality Index Questionnaire Test NameDermatology Life Quality Index test name.CDISC Questionnaire DLQI Test Name Terminology
DLQI-ScoreC119174DLQI-ScoreDermatology Life Quality Index - Score.DLQI - Score
DLQI1-Affected Social, Leisure ActivityC119167DLQI1-Affected Social, Leisure ActivityDermatology 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 DifficultiesC119172DLQI1-Caused Any Sexual DifficultiesDermatology 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 ConsciousC119164DLQI1-How Embarrassed, Self ConsciousDermatology 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, StingingC119163DLQI1-How Itchy, Sore, Painful, StingingDermatology 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 TreatmentC119173DLQI1-How Much a Problem is TreatmentDermatology 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 WearC119166DLQI1-Influenced Clothes You WearDermatology 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, YardC119165DLQI1-Interfered Shopping, Home, YardDermatology 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 SportsC119168DLQI1-Made It Difficult to Do Any SportsDermatology 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 StudyingC119169DLQI1-Prevented Working or StudyingDermatology 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 StudyingC119170DLQI1-Problem at Work or StudyingDermatology 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, RelativeC119171DLQI1-Problem Partner, Friends, RelativeDermatology 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
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CL.C105130.DAD TESTCDQS-Disability Assessment for Dementia Questionnaire Test Code
(DAD TESTCD)
text
Extensible: No
C105130QS-Disability Assessment for Dementia Questionnaire Test CodeDisability Assessment for Dementia test code.CDISC Questionnaire DAD Test Code Terminology
DAD0101C105170DAD01-Decide to WashDisability Assessment for Dementia - Decide to wash himself/herself or to take a bath or shower?DAD - Decide to Wash or Take a Bath or Shower
DAD0102C105171DAD01-Decide to Brush Teeth DenturesDisability Assessment for Dementia - Decide to brush his/her teeth or care for his/her dentures?DAD - Decide to Brush Teeth or Care for Dentures
DAD0103C105172DAD01-Decide to Care For HairDisability Assessment for Dementia - Decide to care for his/her hair (wash and comb)?DAD - Decide to Care for His/Her Hair
DAD0104C105173DAD01-Prepare For Washing Bath ShowerDisability Assessment for Dementia - Prepare the water, towels, and soap for washing, taking a bath or a shower?DAD - Prepare the Water, Towels, and Soap for Washing, Taking a Bath or Shower
DAD0105C105174DAD01-Wash and Dry Body SafelyDisability Assessment for Dementia - Wash and dry all parts of his/her body safely and completely?DAD - Wash and Dry All Parts of Body Safely and Completely
DAD0106C105175DAD01-Brush Teeth Take Care of DenturesDisability Assessment for Dementia - Brush his/her teeth or take care of his/her dentures appropriately?DAD - Brush Teeth or Take Care of Dentures Appropriately
DAD0107C105176DAD01-Take Care of HairDisability Assessment for Dementia - Take care of his/her hair (wash and comb)?DAD - Take Care of His/Her Hair
DAD0108C105177DAD01-Decide to DressDisability Assessment for Dementia - Decide to dress himself/herself?DAD - Decide to Dress Himself/Herself
DAD0109C105178DAD01-Choose Appropriate ClothingDisability Assessment for Dementia - Choose appropriate clothing (with regard to the occasion, neatness, the weather and color combination)?DAD - Choose Appropriate Clothing
DAD0110C105179DAD01-Dress in Appropriate OrderDisability Assessment for Dementia - Dress himself/herself in the appropriate order (undergarments, pant/dress, shoes)?DAD - Dress in the Appropriate Order
DAD0111C105180DAD01-Dress CompletelyDisability Assessment for Dementia - Dress himself/herself completely?DAD - Dress Himself/Herself Completely
DAD0112C105181DAD01-Undress CompletelyDisability Assessment for Dementia - Undress himself/herself completely?DAD - Undress Himself/Herself Completely
DAD0113C105182DAD01-Use Toilet at Appropriate TimesDisability Assessment for Dementia - Decide to use the toilet at appropriate times?DAD - Decide to Use the Toilet at Appropriate Times
DAD0114C105183DAD01-Use Toilet Without AccidentsDisability Assessment for Dementia - Use the toilet without 'accidents'?DAD - Use the Toilet Without Accidents
DAD0115C105184DAD01-Decide That He/She Needs to EatDisability Assessment for Dementia - Decide that he/she needs to eat?DAD - Decide That He/She Needs to Eat
DAD0116C105185DAD01-Choose Appropriate UtensilsDisability Assessment for Dementia - Choose appropriate utensils and seasonings when eating?DAD - Choose Appropriate Utensils and Seasonings When Eating
DAD0117C105186DAD01-Eat at Normal Pace With MannersDisability Assessment for Dementia - Eat his/her meals at a normal pace and with appropriate manners?DAD - Eat Meals at a Normal Pace and with Appropriate Manners
DAD0118C105187DAD01-Decide to Prepare Meal SnackDisability Assessment for Dementia - Decide to prepare a light meal or snack for himself/herself?DAD - Decide to Prepare a Light Meal or Snack for Himself/Herself
DAD0119C105188DAD01-Adequately Plan Light Meal SnackDisability Assessment for Dementia - Adequately plan a light meal or snack (ingredients, cookware)?DAD - Adequately Plan a Light Meal or Snack
DAD0120C105189DAD01-Prepare or Cook Light Meal SnackDisability Assessment for Dementia - Prepare or cook a light meal or a snack safely?DAD - Safely Prepare or Cook a Light Meal or Snack
DAD0121C105190DAD01-Telephone Someone at Suitable TimeDisability Assessment for Dementia - Attempt to telephone someone at a suitable time?DAD - Attempt to Telephone Someone at a Suitable Time
DAD0122C105191DAD01-Find and Dial Telephone NumberDisability Assessment for Dementia - Find and dial a telephone number correctly?DAD - Find and Dial a Telephone Number Correctly
DAD0123C105192DAD01-Carry Out Telephone ConversationDisability Assessment for Dementia - Carry out an appropriate telephone conversation?DAD - Carry Out an Appropriate Telephone Conversation
DAD0124C105193DAD01-Write Convey Telephone MessageDisability Assessment for Dementia - Write and convey a telephone message adequately?DAD - Write and Convey a Telephone Message Adequately
DAD0125C105194DAD01-Decide to Go OutDisability Assessment for Dementia - Decide to go out (walk, visit, shop) at an appropriate time?DAD - Decide to Go Out at an Appropriate Time
DAD0126C105195DAD01-Adequately Organize an OutingDisability Assessment for Dementia - Adequately organize an outing with respect to transportation, keys, destination, weather, necessary money, shopping list?DAD - Adequately Organize an Outing with Respect to Transportation, Keys, Destination, Weather, Money, Shopping List
DAD0127C105196DAD01-Go Out Without Getting LostDisability Assessment for Dementia - Go out and reach a familiar destination without getting lost?DAD - Go Out and Reach a Familiar Destination Without Getting Lost
DAD0128C105197DAD01-Safely Take TransportationDisability Assessment for Dementia - Safely take the adequate mode of transportation (car, bus, taxi)?DAD - Safely Take the Adequate Mode of Transportation
DAD0129C105198DAD01-Return From Store With ItemsDisability Assessment for Dementia - Return from the store with the appropriate items?DAD - Return From the Store with Appropriate Items
DAD0130C105199DAD01-Show Interest in Personal AffairsDisability Assessment for Dementia - Show an interest in his/her personal affairs such as his/her finances and written correspondence?DAD - Show an Interest in Personal Affairs such as Finances and Written Correspondence
DAD0131C105200DAD01-Oragnize Finances to Pay BillsDisability Assessment for Dementia - Organize his/her finances to pay his/her bills (checks, bank statement, bills)?DAD - Organize Finances to Pay Bills
DAD0132C105201DAD01-Adequately Organize CorrespondenceDisability Assessment for Dementia - Adequately organize his/her correspondence with respect to stationery, address, stamps?DAD - Adequately Organize Correspondence
DAD0133C105202DAD01-Handle Money AdequatelyDisability Assessment for Dementia - Handle his/her money adequately (deal with cash)?DAD - Handle Money Adequately
DAD0134C105203DAD01-Take Medications at Correct TimeDisability Assessment for Dementia - Decide to take his/her medications at the correct time?DAD - Decide to Take Medications at the Correct Time
DAD0135C105204DAD01-Take Medications as PrescribedDisability Assessment for Dementia - Take his/her medications as prescribed (according to the right dosage)?DAD - Take Medications as Prescribed
DAD0136C105205DAD01-Show Interest in Leisure ActivityDisability Assessment for Dementia - Show an interest in leisure activity(ies)?DAD - Show an Interest in Leisure Activities
DAD0137C105206DAD01-Take Interest in Household ChoresDisability Assessment for Dementia - Take an interest in household chores that he/she used to perform in the past?DAD - Take an Interest in Household Chores as in the Past
DAD0138C105207DAD01-Plan Organize Household ChoresDisability Assessment for Dementia - Plan and organize adequately household chores that he/she used to perform in the past?DAD - Plan and Organize Adequately Household Chores as in the Past
DAD0139C105208DAD01-Complete Household ChoresDisability Assessment for Dementia - Complete household chores adequately as he/she used to perform in the past?DAD - Complete Household Chores Adequately as in the Past
DAD0140C105209DAD01-Stay Safely at Home When NeededDisability Assessment for Dementia - Stay safely at home by himself/herself when needed?DAD - Stay Safely at Home When Needed
DAD0141C111577DAD01-Sub-Total InitiationDisability Assessment for Dementia - Sub-Total Initiation.DAD - Sub-Total Initiation
DAD0142C111578DAD01-Initiation Num Applic ItemsDisability Assessment for Dementia - Sub-Total Initiation Number of Applicable Items.DAD - Total Initiation Number of Applicable Items
DAD0143C111579DAD01-Sub-Total Planning & OrganizationDisability Assessment for Dementia - Sub-Total Planning & Organization.DAD - Sub-Total Planning and Organization
DAD0144C111617DAD01-Plan & Org Num Applic ItemsDisability Assessment for Dementia - Sub-Total Planning & Organization Number of Applicable Items.DAD - Plan and Organize Number of Applicable Items
DAD0145C111580DAD01-Sub-Total Effective PerformanceDisability Assessment for Dementia - Sub-Total Effective Performance.DAD - Sub-Total Effective Performance
DAD0146C111581DAD01-Effective Perf Num Applic ItemsDisability Assessment for Dementia - Sub-Total Effective Performance Number of Applicable Items.DAD - Sub-Total Effective Performance Number of Applicable Items
DAD0147C111582DAD01-Total ScoreDisability Assessment for Dementia - Total Score.DAD - Total Score
DAD0148C111583DAD01-Total Num of Applic ItemsDisability Assessment for Dementia - Total Number of Applicable Items.DAD - Total Number of Applicable Items
DAD0149C111584DAD01-Total %Disability Assessment for Dementia - Total %.DAD - Total Percent
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CL.C105129.DAD TESTQS-Disability Assessment for Dementia Questionnaire Test Name
(DAD TEST)
text
Extensible: No
C105129QS-Disability Assessment for Dementia Questionnaire Test NameDisability Assessment for Dementia test name.CDISC Questionnaire DAD Test Name Terminology
DAD01-Adequately Organize an OutingC105195DAD01-Adequately Organize an OutingDisability Assessment for Dementia - Adequately organize an outing with respect to transportation, keys, destination, weather, necessary money, shopping list?DAD - Adequately Organize an Outing with Respect to Transportation, Keys, Destination, Weather, Money, Shopping List
DAD01-Adequately Organize CorrespondenceC105201DAD01-Adequately Organize CorrespondenceDisability Assessment for Dementia - Adequately organize his/her correspondence with respect to stationery, address, stamps?DAD - Adequately Organize Correspondence
DAD01-Adequately Plan Light Meal SnackC105188DAD01-Adequately Plan Light Meal SnackDisability Assessment for Dementia - Adequately plan a light meal or snack (ingredients, cookware)?DAD - Adequately Plan a Light Meal or Snack
DAD01-Brush Teeth Take Care of DenturesC105175DAD01-Brush Teeth Take Care of DenturesDisability Assessment for Dementia - Brush his/her teeth or take care of his/her dentures appropriately?DAD - Brush Teeth or Take Care of Dentures Appropriately
DAD01-Carry Out Telephone ConversationC105192DAD01-Carry Out Telephone ConversationDisability Assessment for Dementia - Carry out an appropriate telephone conversation?DAD - Carry Out an Appropriate Telephone Conversation
DAD01-Choose Appropriate ClothingC105178DAD01-Choose Appropriate ClothingDisability Assessment for Dementia - Choose appropriate clothing (with regard to the occasion, neatness, the weather and color combination)?DAD - Choose Appropriate Clothing
DAD01-Choose Appropriate UtensilsC105185DAD01-Choose Appropriate UtensilsDisability Assessment for Dementia - Choose appropriate utensils and seasonings when eating?DAD - Choose Appropriate Utensils and Seasonings When Eating
DAD01-Complete Household ChoresC105208DAD01-Complete Household ChoresDisability Assessment for Dementia - Complete household chores adequately as he/she used to perform in the past?DAD - Complete Household Chores Adequately as in the Past
DAD01-Decide That He/She Needs to EatC105184DAD01-Decide That He/She Needs to EatDisability Assessment for Dementia - Decide that he/she needs to eat?DAD - Decide That He/She Needs to Eat
DAD01-Decide to Brush Teeth DenturesC105171DAD01-Decide to Brush Teeth DenturesDisability Assessment for Dementia - Decide to brush his/her teeth or care for his/her dentures?DAD - Decide to Brush Teeth or Care for Dentures
DAD01-Decide to Care For HairC105172DAD01-Decide to Care For HairDisability Assessment for Dementia - Decide to care for his/her hair (wash and comb)?DAD - Decide to Care for His/Her Hair
DAD01-Decide to DressC105177DAD01-Decide to DressDisability Assessment for Dementia - Decide to dress himself/herself?DAD - Decide to Dress Himself/Herself
DAD01-Decide to Go OutC105194DAD01-Decide to Go OutDisability Assessment for Dementia - Decide to go out (walk, visit, shop) at an appropriate time?DAD - Decide to Go Out at an Appropriate Time
DAD01-Decide to Prepare Meal SnackC105187DAD01-Decide to Prepare Meal SnackDisability Assessment for Dementia - Decide to prepare a light meal or snack for himself/herself?DAD - Decide to Prepare a Light Meal or Snack for Himself/Herself
DAD01-Decide to WashC105170DAD01-Decide to WashDisability Assessment for Dementia - Decide to wash himself/herself or to take a bath or shower?DAD - Decide to Wash or Take a Bath or Shower
DAD01-Dress CompletelyC105180DAD01-Dress CompletelyDisability Assessment for Dementia - Dress himself/herself completely?DAD - Dress Himself/Herself Completely
DAD01-Dress in Appropriate OrderC105179DAD01-Dress in Appropriate OrderDisability Assessment for Dementia - Dress himself/herself in the appropriate order (undergarments, pant/dress, shoes)?DAD - Dress in the Appropriate Order
DAD01-Eat at Normal Pace With MannersC105186DAD01-Eat at Normal Pace With MannersDisability Assessment for Dementia - Eat his/her meals at a normal pace and with appropriate manners?DAD - Eat Meals at a Normal Pace and with Appropriate Manners
DAD01-Effective Perf Num Applic ItemsC111581DAD01-Effective Perf Num Applic ItemsDisability Assessment for Dementia - Sub-Total Effective Performance Number of Applicable Items.DAD - Sub-Total Effective Performance Number of Applicable Items
DAD01-Find and Dial Telephone NumberC105191DAD01-Find and Dial Telephone NumberDisability Assessment for Dementia - Find and dial a telephone number correctly?DAD - Find and Dial a Telephone Number Correctly
DAD01-Go Out Without Getting LostC105196DAD01-Go Out Without Getting LostDisability Assessment for Dementia - Go out and reach a familiar destination without getting lost?DAD - Go Out and Reach a Familiar Destination Without Getting Lost
DAD01-Handle Money AdequatelyC105202DAD01-Handle Money AdequatelyDisability Assessment for Dementia - Handle his/her money adequately (deal with cash)?DAD - Handle Money Adequately
DAD01-Initiation Num Applic ItemsC111578DAD01-Initiation Num Applic ItemsDisability Assessment for Dementia - Sub-Total Initiation Number of Applicable Items.DAD - Total Initiation Number of Applicable Items
DAD01-Oragnize Finances to Pay BillsC105200DAD01-Oragnize Finances to Pay BillsDisability Assessment for Dementia - Organize his/her finances to pay his/her bills (checks, bank statement, bills)?DAD - Organize Finances to Pay Bills
DAD01-Plan & Org Num Applic ItemsC111617DAD01-Plan & Org Num Applic ItemsDisability Assessment for Dementia - Sub-Total Planning & Organization Number of Applicable Items.DAD - Plan and Organize Number of Applicable Items
DAD01-Plan Organize Household ChoresC105207DAD01-Plan Organize Household ChoresDisability Assessment for Dementia - Plan and organize adequately household chores that he/she used to perform in the past?DAD - Plan and Organize Adequately Household Chores as in the Past
DAD01-Prepare For Washing Bath ShowerC105173DAD01-Prepare For Washing Bath ShowerDisability Assessment for Dementia - Prepare the water, towels, and soap for washing, taking a bath or a shower?DAD - Prepare the Water, Towels, and Soap for Washing, Taking a Bath or Shower
DAD01-Prepare or Cook Light Meal SnackC105189DAD01-Prepare or Cook Light Meal SnackDisability Assessment for Dementia - Prepare or cook a light meal or a snack safely?DAD - Safely Prepare or Cook a Light Meal or Snack
DAD01-Return From Store With ItemsC105198DAD01-Return From Store With ItemsDisability Assessment for Dementia - Return from the store with the appropriate items?DAD - Return From the Store with Appropriate Items
DAD01-Safely Take TransportationC105197DAD01-Safely Take TransportationDisability Assessment for Dementia - Safely take the adequate mode of transportation (car, bus, taxi)?DAD - Safely Take the Adequate Mode of Transportation
DAD01-Show Interest in Leisure ActivityC105205DAD01-Show Interest in Leisure ActivityDisability Assessment for Dementia - Show an interest in leisure activity(ies)?DAD - Show an Interest in Leisure Activities
DAD01-Show Interest in Personal AffairsC105199DAD01-Show Interest in Personal AffairsDisability Assessment for Dementia - Show an interest in his/her personal affairs such as his/her finances and written correspondence?DAD - Show an Interest in Personal Affairs such as Finances and Written Correspondence
DAD01-Stay Safely at Home When NeededC105209DAD01-Stay Safely at Home When NeededDisability Assessment for Dementia - Stay safely at home by himself/herself when needed?DAD - Stay Safely at Home When Needed
DAD01-Sub-Total Effective PerformanceC111580DAD01-Sub-Total Effective PerformanceDisability Assessment for Dementia - Sub-Total Effective Performance.DAD - Sub-Total Effective Performance
DAD01-Sub-Total InitiationC111577DAD01-Sub-Total InitiationDisability Assessment for Dementia - Sub-Total Initiation.DAD - Sub-Total Initiation
DAD01-Sub-Total Planning & OrganizationC111579DAD01-Sub-Total Planning & OrganizationDisability Assessment for Dementia - Sub-Total Planning & Organization.DAD - Sub-Total Planning and Organization
DAD01-Take Care of HairC105176DAD01-Take Care of HairDisability Assessment for Dementia - Take care of his/her hair (wash and comb)?DAD - Take Care of His/Her Hair
DAD01-Take Interest in Household ChoresC105206DAD01-Take Interest in Household ChoresDisability Assessment for Dementia - Take an interest in household chores that he/she used to perform in the past?DAD - Take an Interest in Household Chores as in the Past
DAD01-Take Medications as PrescribedC105204DAD01-Take Medications as PrescribedDisability Assessment for Dementia - Take his/her medications as prescribed (according to the right dosage)?DAD - Take Medications as Prescribed
DAD01-Take Medications at Correct TimeC105203DAD01-Take Medications at Correct TimeDisability Assessment for Dementia - Decide to take his/her medications at the correct time?DAD - Decide to Take Medications at the Correct Time
DAD01-Telephone Someone at Suitable TimeC105190DAD01-Telephone Someone at Suitable TimeDisability Assessment for Dementia - Attempt to telephone someone at a suitable time?DAD - Attempt to Telephone Someone at a Suitable Time
DAD01-Total %C111584DAD01-Total %Disability Assessment for Dementia - Total %.DAD - Total Percent
DAD01-Total Num of Applic ItemsC111583DAD01-Total Num of Applic ItemsDisability Assessment for Dementia - Total Number of Applicable Items.DAD - Total Number of Applicable Items
DAD01-Total ScoreC111582DAD01-Total ScoreDisability Assessment for Dementia - Total Score.DAD - Total Score
DAD01-Undress CompletelyC105181DAD01-Undress CompletelyDisability Assessment for Dementia - Undress himself/herself completely?DAD - Undress Himself/Herself Completely
DAD01-Use Toilet at Appropriate TimesC105182DAD01-Use Toilet at Appropriate TimesDisability Assessment for Dementia - Decide to use the toilet at appropriate times?DAD - Decide to Use the Toilet at Appropriate Times
DAD01-Use Toilet Without AccidentsC105183DAD01-Use Toilet Without AccidentsDisability Assessment for Dementia - Use the toilet without 'accidents'?DAD - Use the Toilet Without Accidents
DAD01-Wash and Dry Body SafelyC105174DAD01-Wash and Dry Body SafelyDisability Assessment for Dementia - Wash and dry all parts of his/her body safely and completely?DAD - Wash and Dry All Parts of Body Safely and Completely
DAD01-Write Convey Telephone MessageC105193DAD01-Write Convey Telephone MessageDisability Assessment for Dementia - Write and convey a telephone message adequately?DAD - Write and Convey a Telephone Message Adequately
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CL.C115402.DRS TESTCDQS-Disability Rating Scale Questionnaire Test Code
(DRS TESTCD)
text
Extensible: No
C115402QS-Disability Rating Scale Questionnaire Test CodeDisability Rating Scale test code.CDISC Questionnaire DRS Test Code Terminology
DRS0101C115820DRS01-Eye OpeningDisability Rating Scale - Eye opening.DRS - Eye Opening
DRS0102C115821DRS01-Communication AbilityDisability Rating Scale - Communication ability.DRS - Communication Ability
DRS0103C115822DRS01-Motor ResponseDisability Rating Scale - Motor response.DRS - Motor Response
DRS0104C115823DRS01-FeedingDisability Rating Scale - Feeding (cognitive ability only).DRS - Feeding
DRS0105C115824DRS01-ToiletingDisability Rating Scale - Toileting (cognitive ability only).DRS - Toileting
DRS0106C115825DRS01-GroomingDisability Rating Scale - Grooming (cognitive ability only).DRS - Grooming
DRS0107C115826DRS01-Level of FunctioningDisability Rating Scale - Level of functioning (physical, mental, emotional or social function).DRS - Level of Functioning
DRS0108C115827DRS01-EmployabilityDisability Rating Scale - Employability (as a full time worker, homemaker, or student).DRS - Employability
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CL.C115401.DRS TESTQS-Disability Rating Scale Questionnaire Test Name
(DRS TEST)
text
Extensible: No
C115401QS-Disability Rating Scale Questionnaire Test NameDisability Rating Scale test name.CDISC Questionnaire DRS Test Name Terminology
DRS01-Communication AbilityC115821DRS01-Communication AbilityDisability Rating Scale - Communication ability.DRS - Communication Ability
DRS01-EmployabilityC115827DRS01-EmployabilityDisability Rating Scale - Employability (as a full time worker, homemaker, or student).DRS - Employability
DRS01-Eye OpeningC115820DRS01-Eye OpeningDisability Rating Scale - Eye opening.DRS - Eye Opening
DRS01-FeedingC115823DRS01-FeedingDisability Rating Scale - Feeding (cognitive ability only).DRS - Feeding
DRS01-GroomingC115825DRS01-GroomingDisability Rating Scale - Grooming (cognitive ability only).DRS - Grooming
DRS01-Level of FunctioningC115826DRS01-Level of FunctioningDisability Rating Scale - Level of functioning (physical, mental, emotional or social function).DRS - Level of Functioning
DRS01-Motor ResponseC115822DRS01-Motor ResponseDisability Rating Scale - Motor response.DRS - Motor Response
DRS01-ToiletingC115824DRS01-ToiletingDisability Rating Scale - Toileting (cognitive ability only).DRS - Toileting
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CL.C112437.Disease Steps TESTCDQS-Disease Steps Questionnaire Test Code
(Disease Steps TESTCD)
text
Extensible: No
C112437QS-Disease Steps Questionnaire Test CodeDisease Steps test code.CDISC Questionnaire DS Test Code Terminology
DS0101C112549DS01-Disease Steps ClassificationDisease Steps - Methods: For Disease Steps, classification of a patient is determined by history and neurologic examination as well as course of MS.DS - Disease Steps Classification
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CL.C112436.Disease Steps TESTQS-Disease Steps Questionnaire Test Name
(Disease Steps TEST)
text
Extensible: No
C112436QS-Disease Steps Questionnaire Test NameDisease Steps test name.CDISC Questionnaire DS Test Name Terminology
DS01-Disease Steps ClassificationC112549DS01-Disease Steps ClassificationDisease Steps - Methods: For Disease Steps, classification of a patient is determined by history and neurologic examination as well as course of MS.DS - Disease Steps Classification
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CL.C101815.ECOG TESTCDQS-Eastern Cooperative Oncology Group Performance Status Test Code
(ECOG TESTCD)
text
Extensible: No
C101815QS-Eastern Cooperative Oncology Group Performance Status Test CodeEastern Cooperative Oncology Group Performance Status test code.CDISC Questionnaire ECOG Test Code Terminology
ECOG101C102408ECOG1-Performance StatusECOG Performance Status - Performance Status.ECOG - Performance Status
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CL.C101816.ECOG TESTQS-Eastern Cooperative Oncology Group Performance Status Test Name
(ECOG TEST)
text
Extensible: No
C101816QS-Eastern Cooperative Oncology Group Performance Status Test NameEastern Cooperative Oncology Group Performance Status test name.CDISC Questionnaire ECOG Test Name Terminology
ECOG1-Performance StatusC102408ECOG1-Performance StatusECOG Performance Status - Performance Status.ECOG - Performance Status
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CL.C103463.ESS TESTCDQS-Epworth Sleepiness Scale Questionnaire Test Code
(ESS TESTCD)
text
Extensible: No
C103463QS-Epworth Sleepiness Scale Questionnaire Test CodeEpworth Sleepiness Scale test code.CDISC Questionnaire ESS Test Code Terminology
ESS0101C103536ESS01-Sitting and ReadingEpworth Sleepiness Scale - Sitting and reading.ESS - Sitting and Reading
ESS0102C103537ESS01-Watching TVEpworth Sleepiness Scale - Watching TV.ESS - Watching TV
ESS0103C103538ESS01-Sitting Inactive in a Public PlaceEpworth Sleepiness Scale - Sitting, inactive in a public place (e.g. a theatre or a meeting).ESS - Sitting, Inactive in a Public Place
ESS0104C103539ESS01-Passenger for Hour Without BreakEpworth Sleepiness Scale - As a passenger in a car for an hour without a break.ESS - As a Passenger in a Car for an Hour Without a Break
ESS0105C103540ESS01-Lying Down to Rest In AfternoonEpworth Sleepiness Scale - Lying down to rest in the afternoon when circumstances permit.ESS - Lying Down to Rest in the Afternoon When Circumstances Permit
ESS0106C103541ESS01-Sitting and Talking to SomeoneEpworth Sleepiness Scale - Sitting and talking to someone.ESS - Sitting and Talking to Someone
ESS0107C103542ESS01-Sitting Quietly After LunchEpworth Sleepiness Scale - Sitting quietly after a lunch without alcohol.ESS - Sitting Quietly After a Lunch without Alcohol
ESS0108C103543ESS01-In Car Stopped Few Minutes TrafficEpworth Sleepiness Scale - In a car, while stopped for a few minutes in the traffic.ESS - In a car, While Stopped for a Few Minutes in the Traffic
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CL.C103462.ESS TESTQS-Epworth Sleepiness Scale Questionnaire Test Name
(ESS TEST)
text
Extensible: No
C103462QS-Epworth Sleepiness Scale Questionnaire Test NameEpworth Sleepiness Scale test name.CDISC Questionnaire ESS Test Name Terminology
ESS01-In Car Stopped Few Minutes TrafficC103543ESS01-In Car Stopped Few Minutes TrafficEpworth Sleepiness Scale - In a car, while stopped for a few minutes in the traffic.ESS - In a car, While Stopped for a Few Minutes in the Traffic
ESS01-Lying Down to Rest In AfternoonC103540ESS01-Lying Down to Rest In AfternoonEpworth Sleepiness Scale - Lying down to rest in the afternoon when circumstances permit.ESS - Lying Down to Rest in the Afternoon When Circumstances Permit
ESS01-Passenger for Hour Without BreakC103539ESS01-Passenger for Hour Without BreakEpworth Sleepiness Scale - As a passenger in a car for an hour without a break.ESS - As a Passenger in a Car for an Hour Without a Break
ESS01-Sitting and ReadingC103536ESS01-Sitting and ReadingEpworth Sleepiness Scale - Sitting and reading.ESS - Sitting and Reading
ESS01-Sitting and Talking to SomeoneC103541ESS01-Sitting and Talking to SomeoneEpworth Sleepiness Scale - Sitting and talking to someone.ESS - Sitting and Talking to Someone
ESS01-Sitting Inactive in a Public PlaceC103538ESS01-Sitting Inactive in a Public PlaceEpworth Sleepiness Scale - Sitting, inactive in a public place (e.g. a theatre or a meeting).ESS - Sitting, Inactive in a Public Place
ESS01-Sitting Quietly After LunchC103542ESS01-Sitting Quietly After LunchEpworth Sleepiness Scale - Sitting quietly after a lunch without alcohol.ESS - Sitting Quietly After a Lunch without Alcohol
ESS01-Watching TVC103537ESS01-Watching TVEpworth Sleepiness Scale - Watching TV.ESS - Watching TV
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CL.C101817.EQ-5D-5L TESTCDQS-European Quality of Life Five Dimension Five Level Scale Test Code
(EQ-5D-5L TESTCD)
text
Extensible: No
C101817QS-European Quality of Life Five Dimension Five Level Scale Test CodeEuropean Quality of Life Five Dimension Three Level Scale test code.CDISC Questionnaire EQ-5D-5L Test Code Terminology
EQ5D0201C102067EQ5D02-MobilityEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Mobility.EQ-5D-5L - Mobility
EQ5D0202C102068EQ5D02-Self-CareEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Self-care.EQ-5D-5L - Self-Care
EQ5D0203C102069EQ5D02-Usual ActivitiesEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Usual activities.EQ-5D-5L - Usual Activities
EQ5D0204C102070EQ5D02-Pain/DiscomfortEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Pain/discomfort.EQ-5D-5L - Pain or Discomfort
EQ5D0205C102071EQ5D02-Anxiety/DepressionEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Anxiety/depression.EQ-5D-5L - Anxiety or Depression
EQ5D0206C102072EQ5D02-EQ VAS ScoreEuropean Quality of Life Five Dimension Five Level Scale - Indicate how your health is today.EQ-5D-5L - EQ VAS Score
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CL.C101818.EQ-5D-5L TESTQS-European Quality of Life Five Dimension Five Level Scale Test Name
(EQ-5D-5L TEST)
text
Extensible: No
C101818QS-European Quality of Life Five Dimension Five Level Scale Test NameEuropean Quality of Life Five Dimension Five Level Scale test name.CDISC Questionnaire EQ-5D-5L Test Name Terminology
EQ5D02-Anxiety/DepressionC102071EQ5D02-Anxiety/DepressionEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Anxiety/depression.EQ-5D-5L - Anxiety or Depression
EQ5D02-EQ VAS ScoreC102072EQ5D02-EQ VAS ScoreEuropean Quality of Life Five Dimension Five Level Scale - Indicate how your health is today.EQ-5D-5L - EQ VAS Score
EQ5D02-MobilityC102067EQ5D02-MobilityEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Mobility.EQ-5D-5L - Mobility
EQ5D02-Pain/DiscomfortC102070EQ5D02-Pain/DiscomfortEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Pain/discomfort.EQ-5D-5L - Pain or Discomfort
EQ5D02-Self-CareC102068EQ5D02-Self-CareEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Self-care.EQ-5D-5L - Self-Care
EQ5D02-Usual ActivitiesC102069EQ5D02-Usual ActivitiesEuropean Quality of Life Five Dimension Five Level Scale - Check the one box that best describes your health today: Usual activities.EQ-5D-5L - Usual Activities
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CL.C100136.EQ-5D-3L TESTCDQS-European Quality of Life Five Dimension Three Level Scale Test Code
(EQ-5D-3L TESTCD)
text
Extensible: No
C100136QS-European Quality of Life Five Dimension Three Level Scale Test CodeEuropean Quality of Life Five Dimension Five Level Scale test code.CDISC Questionnaire EQ-5D-3L Test Code Terminology
EQ5D0101C100392EQ5D01-MobilityEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Mobility.EQ-5D-3L - Mobility
EQ5D0102C100393EQ5D01-Self-CareEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Self-care.EQ-5D-3L - Self-Care
EQ5D0103C100394EQ5D01-Usual ActivitiesEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Usual activities.EQ-5D-3L - Usual Activities
EQ5D0104C100395EQ5D01-Pain/DiscomfortEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Pain/discomfort.EQ-5D-3L - Pain or Discomfort
EQ5D0105C100396EQ5D01-Anxiety/DepressionEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Anxiety/depression.EQ-5D-3L - Anxiety or Depression
EQ5D0106C100397EQ5D01-EQ VAS ScoreEuropean Quality of Life Five Dimension Three Level Scale - Indicate on this scale how good or bad your own health is today, in your opinion.EQ-5D-3L - EQ VAS Score
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CL.C100135.EQ-5D-3L TESTQS-European Quality of Life Five Dimension Three Level Scale Test Name
(EQ-5D-3L TEST)
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Extensible: No
C100135QS-European Quality of Life Five Dimension Three Level Scale Test NameEuropean Quality of Life Five Dimension Three Level Scale test name.CDISC Questionnaire EQ-5D-3L Test Name Terminology
EQ5D01-Anxiety/DepressionC100396EQ5D01-Anxiety/DepressionEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Anxiety/depression.EQ-5D-3L - Anxiety or Depression
EQ5D01-EQ VAS ScoreC100397EQ5D01-EQ VAS ScoreEuropean Quality of Life Five Dimension Three Level Scale - Indicate on this scale how good or bad your own health is today, in your opinion.EQ-5D-3L - EQ VAS Score
EQ5D01-MobilityC100392EQ5D01-MobilityEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Mobility.EQ-5D-3L - Mobility
EQ5D01-Pain/DiscomfortC100395EQ5D01-Pain/DiscomfortEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Pain/discomfort.EQ-5D-3L - Pain or Discomfort
EQ5D01-Self-CareC100393EQ5D01-Self-CareEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Self-care.EQ-5D-3L - Self-Care
EQ5D01-Usual ActivitiesC100394EQ5D01-Usual ActivitiesEuropean Quality of Life Five Dimension Three Level Scale - Indicate which statements best describe your own health state today: Usual activities.EQ-5D-3L - Usual Activities
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CL.C115404.GOSE TESTCDQS-Extended Glasgow Outcome Scale Questionnaire Test Code
(GOSE TESTCD)
text
Extensible: No
C115404QS-Extended Glasgow Outcome Scale Questionnaire Test CodeExtended Glasgow Outcome Scale test code.CDISC Questionnaire GOSE Test Code Terminology
GOSE101C115828GOSE1-Obey Simple Commands or Say WordsExtended Glasgow Outcome Scale - Is the head injured person able to obey simple commands, or say any words?GOSE - Consciousness: Obey Simple Commands
GOSE102AC115829GOSE1-Daily Assistance at Home EssentialExtended 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
GOSE102BC115830GOSE1-Need Frequent Help at HomeExtended 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
GOSE102CC115831GOSE1-Assistance at Home Before InjuryExtended Glasgow Outcome Scale - Was assistance at home essential before the injury?GOSE - Independence in the Home: Assistance at Home Before Injury
GOSE103AC115832GOSE1-Shop Without AssistanceExtended Glasgow Outcome Scale - Are they able to shop without assistance?GOSE - Independence Outside the Home: Able to Shop Without Assistance
GOSE103BC115833GOSE1-Shop Without Assist Before InjuryExtended 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
GOSE104AC115834GOSE1-Travel Locally Without AssistanceExtended Glasgow Outcome Scale - Are they able to travel locally without assistance?GOSE - Independence Outside the Home: Travel Locally Without Assistance
GOSE104BC115835GOSE1-Travel Without Assist Before InjExtended Glasgow Outcome Scale - Were they able to travel without assistance before the injury?GOSE - Independence Outside the Home: Travel Locally Without Assistance Before Injury
GOSE105AC115836GOSE1-Able to Work to Previous CapacityExtended Glasgow Outcome Scale - Are they currently able to work to their previous capacity?GOSE - Work: Able to Work to Previous Capacity
GOSE105BC115837GOSE1-How Restricted Are TheyExtended Glasgow Outcome Scale - How restricted are they?GOSE - Work: How Restricted Are They
GOSE105CC115838GOSE1-Working Before InjuryExtended 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
GOSE106AC115839GOSE1-Resume Social/Leisure Outside HomeExtended 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
GOSE106BC115840GOSE1-Extent Social/Leisure RestrictionExtended 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
GOSE106CC115841GOSE1-Engage Social/Leisure Before InjExtended 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
GOSE107AC115842GOSE1-Disruptive Psychological ProblemsExtended 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
GOSE107BC115843GOSE1-Extent of DisruptionExtended Glasgow Outcome Scale - What has been the extent of disruption or strain?GOSE - Family and Friendships: Extent of Disruption or Strain
GOSE107CC115844GOSE1-Family/Friends Probs Before InjuryExtended Glasgow Outcome Scale - Were there problems with family or friends before the injury?GOSE - Family and Friendships: Problems with Family or Friends Before Injury
GOSE108AC115845GOSE1-Other Problems Related to InjuryExtended 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
GOSE108BC115846GOSE1-Similar Problems Before InjuryExtended Glasgow Outcome Scale - Were similar problems present before the injury?GOSE - Return to Normal Life: Similar Problems Before Injury
GOSE109C115847GOSE1-Since Injury Any Epileptic FitsExtended Glasgow Outcome Scale - Since the injury has the head injured person had any epileptic fits?GOSE - Epilepsy: Since Injury Any Epileptic Fits
GOSE110C115848GOSE1-At Risk of Developing EpilepsyExtended Glasgow Outcome Scale - Have they been told that they are currently at risk of developing epilepsy?GOSE - Epilepsy: At Risk of Developing Epilepsy
GOSE111C115849GOSE1-Most Important Factor in OutcomeExtended Glasgow Outcome Scale - What is the most important factor in outcome?GOSE - Epilepsy: Most Important Factor in Outcome
GOSE112C115850GOSE1-GOSE Overall ScoreExtended Glasgow Outcome Scale - Scoring: The patient's overall rating is based on the lowest outcome category indicated on the scale.GOSE - GOSE Overall Score
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CL.C115403.GOSE TESTQS-Extended Glasgow Outcome Scale Questionnaire Test Name
(GOSE TEST)
text
Extensible: No
C115403QS-Extended Glasgow Outcome Scale Questionnaire Test NameExtended Glasgow Outcome Scale test name.CDISC Questionnaire GOSE Test Name Terminology
GOSE1-Able to Work to Previous CapacityC115836GOSE1-Able to Work to Previous CapacityExtended 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 InjuryC115831GOSE1-Assistance at Home Before InjuryExtended 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 EpilepsyC115848GOSE1-At Risk of Developing EpilepsyExtended 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 EssentialC115829GOSE1-Daily Assistance at Home EssentialExtended 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 ProblemsC115842GOSE1-Disruptive Psychological ProblemsExtended 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 InjC115841GOSE1-Engage Social/Leisure Before InjExtended 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 DisruptionC115843GOSE1-Extent of DisruptionExtended 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 RestrictionC115840GOSE1-Extent Social/Leisure RestrictionExtended 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 InjuryC115844GOSE1-Family/Friends Probs Before InjuryExtended 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 ScoreC115850GOSE1-GOSE Overall ScoreExtended 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 TheyC115837GOSE1-How Restricted Are TheyExtended Glasgow Outcome Scale - How restricted are they?GOSE - Work: How Restricted Are They
GOSE1-Most Important Factor in OutcomeC115849GOSE1-Most Important Factor in OutcomeExtended Glasgow Outcome Scale - What is the most important factor in outcome?GOSE - Epilepsy: Most Important Factor in Outcome
GOSE1-Need Frequent Help at HomeC115830GOSE1-Need Frequent Help at HomeExtended 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 WordsC115828GOSE1-Obey Simple Commands or Say WordsExtended 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 InjuryC115845GOSE1-Other Problems Related to InjuryExtended 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 HomeC115839GOSE1-Resume Social/Leisure Outside HomeExtended 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 InjuryC115833GOSE1-Shop Without Assist Before InjuryExtended 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 AssistanceC115832GOSE1-Shop Without AssistanceExtended Glasgow Outcome Scale - Are they able to shop without assistance?GOSE - Independence Outside the Home: Able to Shop Without Assistance
GOSE1-Similar Problems Before InjuryC115846GOSE1-Similar Problems Before InjuryExtended Glasgow Outcome Scale - Were similar problems present before the injury?GOSE - Return to Normal Life: Similar Problems Before Injury
GOSE1-Since Injury Any Epileptic FitsC115847GOSE1-Since Injury Any Epileptic FitsExtended 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 AssistanceC115834GOSE1-Travel Locally Without AssistanceExtended 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 InjC115835GOSE1-Travel Without Assist Before InjExtended 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 InjuryC115838GOSE1-Working Before InjuryExtended 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
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CL.C117991.ESRSA TESTCDQS-Extrapyramidal Symptom Rating Scale-Abbreviated Questionnaire Test Code
(ESRSA TESTCD)
text
Extensible: No
C117991QS-Extrapyramidal Symptom Rating Scale-Abbreviated Questionnaire Test CodeExtrapyramidal Symptom Rating Scale-Abbreviated test code.CDISC Questionnaire ESRS-A Test Code Terminology
ESRSA101C118079ESRSA1-Rigidity: Upper LimbsExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Upper limbs.ESRS-A - Rigidity: Upper Limbs
ESRSA102C118080ESRSA1-Rigidity: Lower LimbsExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Lower limbs.ESRS-A - Rigidity: Lower Limbs
ESRSA103C118081ESRSA1-Rigidity: NeckExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Neck.ESRS-A - Rigidity: Neck
ESRSA104C118082ESRSA1-Tremor: Face/Jaw/Chin/Lips/HeadExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Face, jaw/chin, lips, head.ESRS-A - Tremor: Face/Jaw/Chin/Lips/Head
ESRSA105C118083ESRSA1-Tremor: Upper Limbs/HandsExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Upper limbs/hands.ESRS-A - Tremor: Upper Limbs/Hands
ESRSA106C118084ESRSA1-Tremor: Lower Limbs/FeetExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Lower limbs/feet.ESRS-A - Tremor: Lower Limbs/Feet
ESRSA107C118085ESRSA1-Reduced Facial Expression/SpeechExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Reduced facial expression/speech.ESRS-A - Reduced Facial Expression/Speech
ESRSA108C118086ESRSA1-Impaired Gait/PostureExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Impaired gait/posture.ESRS-A - Impaired Gait/Posture
ESRSA109C118087ESRSA1-Postural InstabilityExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Postural instability.ESRS-A - Postural Instability
ESRSA110C118088ESRSA1-Bradykinesia/HypokinesiaExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Bradykinesia/hypokinesia.ESRS-A - Bradykinesia/Hypokinesia
ESRSA111C118089ESRSA1-Dystonia: TongueExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Tongue.ESRS-A - Dystonia: Tongue
ESRSA112C118090ESRSA1-Dystonia: JawExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Jaw.ESRS-A - Dystonia: Jaw
ESRSA113C118091ESRSA1-Dystonia: Eyes/Face/LarynxExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Eyes, upper face, lower face, larynx.ESRS-A - Dystonia: Eyes/Upper and Lower Face/Larynx
ESRSA114C118092ESRSA1-Dystonia: Shoulder/Up Limb/HandExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Shoulders, upper limbs, hands.ESRS-A - Dystonia: Shoulder/Upper Limbs/Hands
ESRSA115C118093ESRSA1-Dystonia: Hips/Lower Limbs/FeetExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Hips, lower limbs, feet.ESRS-A - Dystonia: Hips/Lower Limbs/Feet
ESRSA116C118094ESRSA1-Dystonia: Trunk/NeckExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Trunk, neck.ESRS-A - Dystonia: Trunk/Neck
ESRSA117C118095ESRSA1-Dyskinesia: TongueExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Tongue.ESRS-A - Dyskinesia: Tongue
ESRSA118C118096ESRSA1-Dyskinesia: JawExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Jaw.ESRS-A - Dyskinesia: Jaw
ESRSA119C118097ESRSA1-Dyskinesia: Eyes/Up Face/Low FaceExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Eyes, upper face, lower face.ESRS-A - Dyskinesia: Eyes/Upper Face/Lower Face
ESRSA120C118098ESRSA1-Dyskinesia: Shoulder/Up Limb/HandExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Shoulders, upper limbs, hands.ESRS-A - Dyskinesia: Shoulder/Upper Limbs/Hands
ESRSA121C118099ESRSA1-Dyskinesia: Hips/Lower Limbs/FeetExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Hips, lower limbs, feet.ESRS-A - Dyskinesia: Hips/Lower Limbs/Feet
ESRSA122C118100ESRSA1-Dyskinesia: Trunk/NeckExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Trunk, neck.ESRS-A - Dyskinesia: Trunk/Neck
ESRSA123C118101ESRSA1-Akathisia: SubjectiveExtrapyramidal Symptom Rating Scale-Abbreviated - Akathisia: Subjective.ESRS-A - Akathisia: Subjective
ESRSA124C118102ESRSA1-Akathisia: ObjectiveExtrapyramidal Symptom Rating Scale-Abbreviated - Akathisia: Objective.ESRS-A - Akathisia: Objective
ESRSA125C118103ESRSA1-CGI-S ParkinsonismExtrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Parkinsonism.ESRS-A - CGI-S Parkinsonism
ESRSA126C118104ESRSA1-CGI-S DystoniaExtrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Dystonia.ESRS-A - CGI-S Dystonia
ESRSA127C118105ESRSA1-CGI-S DyskinesiaExtrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Dyskinesia.ESRS-A - CGI-S Dyskinesia
ESRSA128C118106ESRSA1-CGI-S AkathisiaExtrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Akathisia.ESRS-A - CGI-S Akathisia
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CL.C117990.ESRSA TESTQS-Extrapyramidal Symptom Rating Scale-Abbreviated Questionnaire Test Name
(ESRSA TEST)
text
Extensible: No
C117990QS-Extrapyramidal Symptom Rating Scale-Abbreviated Questionnaire Test NameExtrapyramidal Symptom Rating Scale-Abbreviated test name.CDISC Questionnaire ESRS-A Test Name Terminology
ESRSA1-Akathisia: ObjectiveC118102ESRSA1-Akathisia: ObjectiveExtrapyramidal Symptom Rating Scale-Abbreviated - Akathisia: Objective.ESRS-A - Akathisia: Objective
ESRSA1-Akathisia: SubjectiveC118101ESRSA1-Akathisia: SubjectiveExtrapyramidal Symptom Rating Scale-Abbreviated - Akathisia: Subjective.ESRS-A - Akathisia: Subjective
ESRSA1-Bradykinesia/HypokinesiaC118088ESRSA1-Bradykinesia/HypokinesiaExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Bradykinesia/hypokinesia.ESRS-A - Bradykinesia/Hypokinesia
ESRSA1-CGI-S AkathisiaC118106ESRSA1-CGI-S AkathisiaExtrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Akathisia.ESRS-A - CGI-S Akathisia
ESRSA1-CGI-S DyskinesiaC118105ESRSA1-CGI-S DyskinesiaExtrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Dyskinesia.ESRS-A - CGI-S Dyskinesia
ESRSA1-CGI-S DystoniaC118104ESRSA1-CGI-S DystoniaExtrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Dystonia.ESRS-A - CGI-S Dystonia
ESRSA1-CGI-S ParkinsonismC118103ESRSA1-CGI-S ParkinsonismExtrapyramidal Symptom Rating Scale-Abbreviated - Clinical Global Impression (CGI-S): Parkinsonism.ESRS-A - CGI-S Parkinsonism
ESRSA1-Dyskinesia: Eyes/Up Face/Low FaceC118097ESRSA1-Dyskinesia: Eyes/Up Face/Low FaceExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Eyes, upper face, lower face.ESRS-A - Dyskinesia: Eyes/Upper Face/Lower Face
ESRSA1-Dyskinesia: Hips/Lower Limbs/FeetC118099ESRSA1-Dyskinesia: Hips/Lower Limbs/FeetExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Hips, lower limbs, feet.ESRS-A - Dyskinesia: Hips/Lower Limbs/Feet
ESRSA1-Dyskinesia: JawC118096ESRSA1-Dyskinesia: JawExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Jaw.ESRS-A - Dyskinesia: Jaw
ESRSA1-Dyskinesia: Shoulder/Up Limb/HandC118098ESRSA1-Dyskinesia: Shoulder/Up Limb/HandExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Shoulders, upper limbs, hands.ESRS-A - Dyskinesia: Shoulder/Upper Limbs/Hands
ESRSA1-Dyskinesia: TongueC118095ESRSA1-Dyskinesia: TongueExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Tongue.ESRS-A - Dyskinesia: Tongue
ESRSA1-Dyskinesia: Trunk/NeckC118100ESRSA1-Dyskinesia: Trunk/NeckExtrapyramidal Symptom Rating Scale-Abbreviated - Dyskinesia: Trunk, neck.ESRS-A - Dyskinesia: Trunk/Neck
ESRSA1-Dystonia: Eyes/Face/LarynxC118091ESRSA1-Dystonia: Eyes/Face/LarynxExtrapyramidal 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/FeetC118093ESRSA1-Dystonia: Hips/Lower Limbs/FeetExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Hips, lower limbs, feet.ESRS-A - Dystonia: Hips/Lower Limbs/Feet
ESRSA1-Dystonia: JawC118090ESRSA1-Dystonia: JawExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Jaw.ESRS-A - Dystonia: Jaw
ESRSA1-Dystonia: Shoulder/Up Limb/HandC118092ESRSA1-Dystonia: Shoulder/Up Limb/HandExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Shoulders, upper limbs, hands.ESRS-A - Dystonia: Shoulder/Upper Limbs/Hands
ESRSA1-Dystonia: TongueC118089ESRSA1-Dystonia: TongueExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Tongue.ESRS-A - Dystonia: Tongue
ESRSA1-Dystonia: Trunk/NeckC118094ESRSA1-Dystonia: Trunk/NeckExtrapyramidal Symptom Rating Scale-Abbreviated - Dystonia: Trunk, neck.ESRS-A - Dystonia: Trunk/Neck
ESRSA1-Impaired Gait/PostureC118086ESRSA1-Impaired Gait/PostureExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Impaired gait/posture.ESRS-A - Impaired Gait/Posture
ESRSA1-Postural InstabilityC118087ESRSA1-Postural InstabilityExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Postural instability.ESRS-A - Postural Instability
ESRSA1-Reduced Facial Expression/SpeechC118085ESRSA1-Reduced Facial Expression/SpeechExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Reduced facial expression/speech.ESRS-A - Reduced Facial Expression/Speech
ESRSA1-Rigidity: Lower LimbsC118080ESRSA1-Rigidity: Lower LimbsExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Lower limbs.ESRS-A - Rigidity: Lower Limbs
ESRSA1-Rigidity: NeckC118081ESRSA1-Rigidity: NeckExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Neck.ESRS-A - Rigidity: Neck
ESRSA1-Rigidity: Upper LimbsC118079ESRSA1-Rigidity: Upper LimbsExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Rigidity: Upper limbs.ESRS-A - Rigidity: Upper Limbs
ESRSA1-Tremor: Face/Jaw/Chin/Lips/HeadC118082ESRSA1-Tremor: Face/Jaw/Chin/Lips/HeadExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Face, jaw/chin, lips, head.ESRS-A - Tremor: Face/Jaw/Chin/Lips/Head
ESRSA1-Tremor: Lower Limbs/FeetC118084ESRSA1-Tremor: Lower Limbs/FeetExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Lower limbs/feet.ESRS-A - Tremor: Lower Limbs/Feet
ESRSA1-Tremor: Upper Limbs/HandsC118083ESRSA1-Tremor: Upper Limbs/HandsExtrapyramidal Symptom Rating Scale-Abbreviated - Parkinsonism-Tremor: Upper limbs/hands.ESRS-A - Tremor: Upper Limbs/Hands
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CL.C100154.FPSR TESTCDQS-Faces Pain Scale - Revised Test Code
(FPSR TESTCD)
text
Extensible: No
C100154QS-Faces Pain Scale - Revised Test CodeFaces Pain Scale - Revised test code.CDISC Questionnaire FPSR Test Code Terminology
FPSR101C101013FPSR1-How Much do you HurtFaces Pain Scale - Revised - Point to the face that shows how much you hurt [right now].FPSR - How Much do You Hurt
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CL.C100153.FPSR TESTQS-Faces Pain Scale - Revised Test Name
(FPSR TEST)
text
Extensible: No
C100153QS-Faces Pain Scale - Revised Test NameFaces Pain Scale - Revised test name.CDISC Questionnaire FPSR Test Name Terminology
FPSR1-How Much do you HurtC101013FPSR1-How Much do you HurtFaces Pain Scale - Revised - Point to the face that shows how much you hurt [right now].FPSR - How Much do You Hurt
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CL.C113850.FSS TESTCDQS-Fatigue Severity Scale Test Code
(FSS TESTCD)
text
Extensible: No
C113850QS-Fatigue Severity Scale Test CodeFatigue Severity Scale test code.CDISC Questionnaire Fatigue Severity Scale Test Code Terminology
FSS0101C113944FSS01-Motivation Is Lower When FatiguedFatigue Severity Scale - My motivation is lower when I am fatigued.FSS - Motivation is Lower When Fatigued
FSS0102C113945FSS01-Exercise Brings on My FatigueFatigue Severity Scale - Exercise brings on my fatigue.FSS - Exercise Brings on My Fatigue
FSS0103C113946FSS01-I Am Easily FatiguedFatigue Severity Scale - I am easily fatigued.FSS - I Am Easily Fatigued
FSS0104C113947FSS01-Interferes With Phys FunctionFatigue Severity Scale - Fatigue interferes with my physical functioning.FSS - Fatigue Interferes With Physical Functioning
FSS0105C113948FSS01-Fatigue Causes Frequent ProblemsFatigue Severity Scale - Fatigue causes frequent problems for me.FSS - Fatigue Causes Frequent Problems
FSS0106C113949FSS01-Prevents Sustained Phys FunctionFatigue Severity Scale - My fatigue prevents sustained physical functioning.FSS - Fatigue Prevents Sustained Physical Functioning
FSS0107C113950FSS01-Fatigue Interferes With DutiesFatigue Severity Scale - Fatigue interferes with carrying out certain duties and responsibilities.FSS - Fatigue Interferes With Carrying Out Duties
FSS0108C113951FSS01-Among My 3 Most Disabling SymptomsFatigue Severity Scale - Fatigue is among my three most disabling symptoms.FSS - Fatigue is Among Most Disabling Symptoms
FSS0109C113952FSS01-Fatigue Interferes With My LifeFatigue Severity Scale - Fatigue interferes with my work, family, or social life.FSS - Fatigue Interferes With Work
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CL.C113849.FSS TESTQS-Fatigue Severity Scale Test Name
(FSS TEST)
text
Extensible: No
C113849QS-Fatigue Severity Scale Test NameFatigue Severity Scale test name.CDISC Questionnaire Fatigue Severity Scale Test Name Terminology
FSS01-Among My 3 Most Disabling SymptomsC113951FSS01-Among My 3 Most Disabling SymptomsFatigue Severity Scale - Fatigue is among my three most disabling symptoms.FSS - Fatigue is Among Most Disabling Symptoms
FSS01-Exercise Brings on My FatigueC113945FSS01-Exercise Brings on My FatigueFatigue Severity Scale - Exercise brings on my fatigue.FSS - Exercise Brings on My Fatigue
FSS01-Fatigue Causes Frequent ProblemsC113948FSS01-Fatigue Causes Frequent ProblemsFatigue Severity Scale - Fatigue causes frequent problems for me.FSS - Fatigue Causes Frequent Problems
FSS01-Fatigue Interferes With DutiesC113950FSS01-Fatigue Interferes With DutiesFatigue Severity Scale - Fatigue interferes with carrying out certain duties and responsibilities.FSS - Fatigue Interferes With Carrying Out Duties
FSS01-Fatigue Interferes With My LifeC113952FSS01-Fatigue Interferes With My LifeFatigue Severity Scale - Fatigue interferes with my work, family, or social life.FSS - Fatigue Interferes With Work
FSS01-I Am Easily FatiguedC113946FSS01-I Am Easily FatiguedFatigue Severity Scale - I am easily fatigued.FSS - I Am Easily Fatigued
FSS01-Interferes With Phys FunctionC113947FSS01-Interferes With Phys FunctionFatigue Severity Scale - Fatigue interferes with my physical functioning.FSS - Fatigue Interferes With Physical Functioning
FSS01-Motivation Is Lower When FatiguedC113944FSS01-Motivation Is Lower When FatiguedFatigue Severity Scale - My motivation is lower when I am fatigued.FSS - Motivation is Lower When Fatigued
FSS01-Prevents Sustained Phys FunctionC113949FSS01-Prevents Sustained Phys FunctionFatigue Severity Scale - My fatigue prevents sustained physical functioning.FSS - Fatigue Prevents Sustained Physical Functioning
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CL.C111344.FAQ TESTCDQS-Functional Activities Questionnaire Test Code
(FAQ TESTCD)
text
Extensible: No
C111344QS-Functional Activities Questionnaire Test CodeFunctional Activities Questionnaire test code.CDISC Questionnaire FAQ Test Code Terminology
FAQ0101C111499FAQ01-Write Checks/Pay Bills/CheckbookFunctional Activities Questionnaire - Writing checks, paying bills, balancing checkbook.FAQ - Write checks, Pay bills, Balance checkbook
FAQ0102C111500FAQ01-AssemblingFunctional Activities Questionnaire - Assembling tax records, business affairs, or papers.FAQ - Assemble
FAQ0103C111501FAQ01-Shopping AloneFunctional Activities Questionnaire - Shopping alone for clothes, household necessities, or groceries.FAQ - Shop Alone
FAQ0104C111502FAQ01-Playing a Game of SkillFunctional Activities Questionnaire - Playing a game of skill, working on a hobby.FAQ - Play Game of Skill, Work on Hobby
FAQ0105C111503FAQ01-Heat Water/Make Coffee/Stove OffFunctional Activities Questionnaire - Heating water, making a cup of coffee, turning off stove after use.FAQ - Heat water, Make Coffee, Turn Off Stove
FAQ0106C111504FAQ01-Preparing a Balanced MealFunctional Activities Questionnaire - Preparing a balanced meal.FAQ - Prepare a Meal
FAQ0107C111505FAQ01-Keeping Track of Current EventsFunctional Activities Questionnaire - Keeping track of current events.FAQ - Keep Track of Current Events
FAQ0108C111506FAQ01-Paying AttentionFunctional Activities Questionnaire - Paying attention to, understanding, discussing TV, book, magazine.FAQ - Pay Attention, Understand, Discuss
FAQ0109C111507FAQ01-RememberingFunctional Activities Questionnaire - Remembering appointments, family occasions, holidays, medications.FAQ - Remember
FAQ0110C111508FAQ01-TravelingFunctional Activities Questionnaire - Traveling out of neighborhood, driving, arranging to take buses.FAQ - Travel
FAQ0111C111509FAQ01-Total ScoreFunctional Activities Questionnaire - Total Score.FAQ - Total Score
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CL.C111343.FAQ TESTQS-Functional Activities Questionnaire Test Name
(FAQ TEST)
text
Extensible: No
C111343QS-Functional Activities Questionnaire Test NameFunctional Activities Questionnaire test name.CDISC Questionnaire FAQ Test Name Terminology
FAQ01-AssemblingC111500FAQ01-AssemblingFunctional Activities Questionnaire - Assembling tax records, business affairs, or papers.FAQ - Assemble
FAQ01-Heat Water/Make Coffee/Stove OffC111503FAQ01-Heat Water/Make Coffee/Stove OffFunctional Activities Questionnaire - Heating water, making a cup of coffee, turning off stove after use.FAQ - Heat water, Make Coffee, Turn Off Stove
FAQ01-Keeping Track of Current EventsC111505FAQ01-Keeping Track of Current EventsFunctional Activities Questionnaire - Keeping track of current events.FAQ - Keep Track of Current Events
FAQ01-Paying AttentionC111506FAQ01-Paying AttentionFunctional Activities Questionnaire - Paying attention to, understanding, discussing TV, book, magazine.FAQ - Pay Attention, Understand, Discuss
FAQ01-Playing a Game of SkillC111502FAQ01-Playing a Game of SkillFunctional Activities Questionnaire - Playing a game of skill, working on a hobby.FAQ - Play Game of Skill, Work on Hobby
FAQ01-Preparing a Balanced MealC111504FAQ01-Preparing a Balanced MealFunctional Activities Questionnaire - Preparing a balanced meal.FAQ - Prepare a Meal
FAQ01-RememberingC111507FAQ01-RememberingFunctional Activities Questionnaire - Remembering appointments, family occasions, holidays, medications.FAQ - Remember
FAQ01-Shopping AloneC111501FAQ01-Shopping AloneFunctional Activities Questionnaire - Shopping alone for clothes, household necessities, or groceries.FAQ - Shop Alone
FAQ01-Total ScoreC111509FAQ01-Total ScoreFunctional Activities Questionnaire - Total Score.FAQ - Total Score
FAQ01-TravelingC111508FAQ01-TravelingFunctional Activities Questionnaire - Traveling out of neighborhood, driving, arranging to take buses.FAQ - Travel
FAQ01-Write Checks/Pay Bills/CheckbookC111499FAQ01-Write Checks/Pay Bills/CheckbookFunctional Activities Questionnaire - Writing checks, paying bills, balancing checkbook.FAQ - Write checks, Pay bills, Balance checkbook
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CL.C111346.FAQ-NACC Version TESTCDQS-Functional Activities Questionnaire-NACC Version Test Code
(FAQ-NACC Version TESTCD)
text
Extensible: No
C111346QS-Functional Activities Questionnaire-NACC Version Test CodeFunctional Activities Questionnaire-NACC Version test code.CDISC Questionnaire FAQ-NACC Version Test Code Terminology
FAQ0201C111510FAQ02-Write Checks/Pay Bills/CheckbookFunctional Activities Questionnaire-NACC - Writing checks, paying bills, or balancing a checkbook.FAQ-NACC Version - Write checks, Pay bills, Balance checkbook
FAQ0202C111511FAQ02-AssemblingFunctional Activities Questionnaire-NACC - Assembling tax records, business affairs, or other papers.FAQ-NACC Version - Assemble
FAQ0203C111512FAQ02-Shopping AloneFunctional Activities Questionnaire-NACC - Shopping alone for clothes, household necessities, or groceries.FAQ-NACC Version - Shop Alone
FAQ0204C111513FAQ02-Playing a Game of SkillFunctional Activities Questionnaire-NACC - Playing a game of skill such as bridge or chess, working on a hobby.FAQ-NACC Version - Play Game of Skill, Work on Hobby
FAQ0205C111514FAQ02-Heat Water/Make Coffee/Stove OffFunctional Activities Questionnaire-NACC - Heating water, making a cup of coffee, turning off the stove.FAQ-NACC Version - Heat water, Make Coffee, Turn Off Stove
FAQ0206C111515FAQ02-Preparing a Balanced MealFunctional Activities Questionnaire-NACC - Preparing a balanced meal.FAQ-NACC Version - Prepare a Meal
FAQ0207C111516FAQ02-Keeping Track of Current EventsFunctional Activities Questionnaire-NACC - Keeping track of current events.FAQ-NACC Version - Keep Track of Current Events
FAQ0208C111517FAQ02-Paying AttentionFunctional Activities Questionnaire-NACC - Paying attention to and understanding a TV program, book, or magazine.FAQ-NACC Version - Pay Attention, Understand, Discuss
FAQ0209C111518FAQ02-RememberingFunctional Activities Questionnaire-NACC - Remembering appointments, family occasions, holidays, medications.FAQ-NACC Version - Remember
FAQ0210C111519FAQ02-TravelingFunctional Activities Questionnaire-NACC - Traveling out of the neighborhood, driving, or arranging to take public transportation.FAQ-NACC Version - Travel
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CL.C111345.FAQ-NACC Version TESTQS-Functional Activities Questionnaire-NACC Version Test Name
(FAQ-NACC Version TEST)
text
Extensible: No
C111345QS-Functional Activities Questionnaire-NACC Version Test NameFunctional Activities Questionnaire-NACC Version test name.CDISC Questionnaire FAQ-NACC Version Test Name Terminology
FAQ02-AssemblingC111511FAQ02-AssemblingFunctional Activities Questionnaire-NACC - Assembling tax records, business affairs, or other papers.FAQ-NACC Version - Assemble
FAQ02-Heat Water/Make Coffee/Stove OffC111514FAQ02-Heat Water/Make Coffee/Stove OffFunctional Activities Questionnaire-NACC - Heating water, making a cup of coffee, turning off the stove.FAQ-NACC Version - Heat water, Make Coffee, Turn Off Stove
FAQ02-Keeping Track of Current EventsC111516FAQ02-Keeping Track of Current EventsFunctional Activities Questionnaire-NACC - Keeping track of current events.FAQ-NACC Version - Keep Track of Current Events
FAQ02-Paying AttentionC111517FAQ02-Paying AttentionFunctional Activities Questionnaire-NACC - Paying attention to and understanding a TV program, book, or magazine.FAQ-NACC Version - Pay Attention, Understand, Discuss
FAQ02-Playing a Game of SkillC111513FAQ02-Playing a Game of SkillFunctional Activities Questionnaire-NACC - Playing a game of skill such as bridge or chess, working on a hobby.FAQ-NACC Version - Play Game of Skill, Work on Hobby
FAQ02-Preparing a Balanced MealC111515FAQ02-Preparing a Balanced MealFunctional Activities Questionnaire-NACC - Preparing a balanced meal.FAQ-NACC Version - Prepare a Meal
FAQ02-RememberingC111518FAQ02-RememberingFunctional Activities Questionnaire-NACC - Remembering appointments, family occasions, holidays, medications.FAQ-NACC Version - Remember
FAQ02-Shopping AloneC111512FAQ02-Shopping AloneFunctional Activities Questionnaire-NACC - Shopping alone for clothes, household necessities, or groceries.FAQ-NACC Version - Shop Alone
FAQ02-TravelingC111519FAQ02-TravelingFunctional Activities Questionnaire-NACC - Traveling out of the neighborhood, driving, or arranging to take public transportation.FAQ-NACC Version - Travel
FAQ02-Write Checks/Pay Bills/CheckbookC111510FAQ02-Write Checks/Pay Bills/CheckbookFunctional Activities Questionnaire-NACC - Writing checks, paying bills, or balancing a checkbook.FAQ-NACC Version - Write checks, Pay bills, Balance checkbook
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CL.C112441.FAMS TESTCDQS-Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Code
(FAMS TESTCD)
text
Extensible: No
C112441QS-Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test CodeFunctional Assessment of Multiple Sclerosis Version 4 test code.CDISC Questionnaire FAMS Test Code Terminology
FAMS0101C112551FAMS01-Trouble Meeting Needs of FamilyFunctional Assessment of Multiple Sclerosis - Mobility: Because of my physical condition, I have trouble meeting the needs of my family.FAMS - Have Trouble Meeting Needs of Family Because of My Condition
FAMS0102C112552FAMS01-I Am Able to WorkFunctional Assessment of Multiple Sclerosis - Mobility: I am able to work (include work at home).FAMS - I Am Able to Work
FAMS0103C112553FAMS01-I Have Trouble WalkingFunctional Assessment of Multiple Sclerosis - Mobility: I have trouble walking.FAMS - I Have Trouble Walking
FAMS0104C112554FAMS01-Limit My Social ActivityFunctional Assessment of Multiple Sclerosis - Mobility: I have to limit my social activity because of my condition.FAMS - Limit Social Activity Because of Condition
FAMS0105C112555FAMS01-I Have Strength in My LegsFunctional Assessment of Multiple Sclerosis - Mobility: I have strength in my legs.FAMS - I Have Strength in My Legs
FAMS0106C112556FAMS01-Trouble Getting Around in PublicFunctional Assessment of Multiple Sclerosis - Mobility: I have trouble getting around in public places.FAMS - Trouble Getting Around in Public Places
FAMS0107C112557FAMS01-Take My Condition Into AccountFunctional Assessment of Multiple Sclerosis - Mobility: I have to take my condition into account when making plans.FAMS - Have to Take Condition Into Account When Making Plans
FAMS0108C112558FAMS01-I Have NauseaFunctional Assessment of Multiple Sclerosis - Symptoms: I have nausea.FAMS - I Have Nausea
FAMS0109C112559FAMS01-I Have PainFunctional Assessment of Multiple Sclerosis - Symptoms: I have pain.FAMS - I Have Pain
FAMS0110C112560FAMS01-I Feel IllFunctional Assessment of Multiple Sclerosis - Symptoms: I feel ill.FAMS - I Feel Ill
FAMS0111C112561FAMS01-I Feel Weak All OverFunctional Assessment of Multiple Sclerosis - Symptoms: I feel weak all over.FAMS - I Feel Weak All Over
FAMS0112C112562FAMS01-I Have Pain in My JointsFunctional Assessment of Multiple Sclerosis - Symptoms: I have pain in my joints.FAMS - I Have Pain in My Joints
FAMS0113C112563FAMS01-I Am Bothered by HeadachesFunctional Assessment of Multiple Sclerosis - Symptoms: I am bothered by headaches.FAMS - Bothered by Headaches
FAMS0114C112564FAMS01-I Am Bothered by Muscle PainsFunctional Assessment of Multiple Sclerosis - Symptoms: I am bothered by muscle pains.FAMS - Bothered by Muscle Pains
FAMS0115C112565FAMS01-I Feel SadFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel sad.FAMS - I Feel Sad
FAMS0116C112566FAMS01-Losing Hope Against IllnessFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I am losing hope in the fight against my illness.FAMS - Losing Hope in Fight Against My Illness
FAMS0117C112567FAMS01-I Am Able to Enjoy LifeFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I am able to enjoy life.FAMS - I Am Able to Enjoy Life
FAMS0118C112568FAMS01-I Feel Trapped by My ConditionFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel trapped by my condition.FAMS - Feel Trapped by My Condition
FAMS0119C112569FAMS01-I Am Depressed About My ConditionFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I am depressed about my condition.FAMS - Depressed About My Condition
FAMS0120C112570FAMS01-I Feel UselessFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel useless.FAMS - I Feel Useless
FAMS0121C112571FAMS01-Feel Overwhelmed by My ConditionFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel overwhelmed by my condition.FAMS - Feel Overwhelmed by My Condition
FAMS0122C112572FAMS01-My Work Is FulfillingFunctional Assessment of Multiple Sclerosis - General Contentment: My work (include work at home) is fulfilling.FAMS - My Work is Fulfilling
FAMS0123C112573FAMS01-I Have Accepted My IllnessFunctional Assessment of Multiple Sclerosis - General Contentment: I have accepted my illness.FAMS - I Have Accepted My Illness
FAMS0124C112574FAMS01-Enjoy Things I Usually Do for FunFunctional Assessment of Multiple Sclerosis - General Contentment: I am enjoying the things I usually do for fun.FAMS - Enjoying Things I Usually Do for Fun
FAMS0125C112575FAMS01-Content With Quality of My LifeFunctional Assessment of Multiple Sclerosis - General Contentment: I am content with the quality of my life right now.FAMS - Content With Quality of My Life Now
FAMS0126C112576FAMS01-I Am Frustrated by My ConditionFunctional Assessment of Multiple Sclerosis - General Contentment: I am frustrated by my condition.FAMS - I Am Frustrated by My Condition
FAMS0127C112577FAMS01-Feel Sense of Purpose in My LifeFunctional Assessment of Multiple Sclerosis - General Contentment: I feel a sense of purpose in my life.FAMS - Feel Sense of Purpose in My Life
FAMS0128C112578FAMS01-I Feel Motivated to Do ThingsFunctional Assessment of Multiple Sclerosis - General Contentment: I feel motivated to do things.FAMS - Feel Motivated to Do Things
FAMS0129C112579FAMS01-I Have a Lack of EnergyFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have a lack of energy.FAMS - Have a Lack of Energy
FAMS0130C112580FAMS01-I Feel TiredFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I feel tired.FAMS - I Feel Tired
FAMS0131C112581FAMS01-Trouble Starting ThingsFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble starting things because I am tired.FAMS - Trouble Starting Things Because I Am Tired
FAMS0132C112582FAMS01-Trouble Finishing ThingsFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble finishing things because I am tired.FAMS - Trouble Finishing Things Because I Am Tired
FAMS0133C112583FAMS01-I Need to Rest During the DayFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I need to rest during the day.FAMS - Need to Rest During the Day
FAMS0134C112584FAMS01-I Have Trouble Remembering ThingsFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble remembering things.FAMS - Trouble Remembering Things
FAMS0135C112585FAMS01-I Have Trouble ConcentratingFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble concentrating.FAMS - Trouble Concentrating
FAMS0136C112586FAMS01-My Thinking Is Slower Than BeforeFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: My thinking is slower than before.FAMS - My Thinking is Slower Than Before
FAMS0137C112587FAMS01-I Have Trouble Learning New TasksFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble learning new tasks or directions.FAMS - Trouble Learning New Tasks or Directions
FAMS0138C112588FAMS01-I Feel Close to My FriendsFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel close to my friends.FAMS - Feel Close to My Friends
FAMS0139C112589FAMS01-Get Emotional Support From FamilyFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get emotional support from my family.FAMS - Get Emotional Support From Family
FAMS0140C112590FAMS01-I Get Support From My FriendsFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get support from my friends.FAMS - Get Support From Friends
FAMS0141C112591FAMS01-My Family Has Accepted My IllnessFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: My family has accepted my illness.FAMS - Family Has Accepted My Illness
FAMS0142C112592FAMS01-Satisfied Communication IllnessFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I am satisfied with family communication about my illness.FAMS - Satisfied With Family Communication About My Illness
FAMS0143C112593FAMS01-Trouble Understanding WorseningFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: My family has trouble understanding when my condition gets worse.FAMS - Family Has Trouble Understanding When My Condition Gets Worse
FAMS0144C112594FAMS01-I Feel Left Out of ThingsFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel 'left out' of things.FAMS - Feel Left Out of Things
FAMS0145C112595FAMS01-Bothered by Treatment Side EffectFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by side effects of treatment.FAMS - Bothered by Side Effects of Treatment
FAMS0146C112596FAMS01-I Am Forced to Spend Time in BedFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am forced to spend time in bed.FAMS - Forced to Spend Time in Bed
FAMS0147C112597FAMS01-I Feel Close to My PartnerFunctional Assessment of Multiple Sclerosis - Additional Concerns: I feel close to my partner (or the person who is my main support).FAMS - Feel Close to My Partner
FAMS0148C112598FAMS01-I Am Satisfied With My Sex LifeFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with my sex life.FAMS - Satisfied With My Sex Life
FAMS0149C112599FAMS01-Satisfied With How I Am CopingFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with how I am coping with my illness.FAMS - Satisfied With How I Am Coping With Illness
FAMS0150C112600FAMS01-I Feel NervousFunctional Assessment of Multiple Sclerosis - Additional Concerns: I feel nervous.FAMS - I Feel Nervous
FAMS0151C112601FAMS01-Worry My Condition Will Get WorseFunctional Assessment of Multiple Sclerosis - Additional Concerns: I worry that my condition will get worse.FAMS - Worry My Condition Will Get Worse
FAMS0152C112602FAMS01-I Am Sleeping WellFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am sleeping well.FAMS - I Am Sleeping Well
FAMS0153C112603FAMS01-Heat Worsens My SymptomsFunctional Assessment of Multiple Sclerosis - Additional Concerns: Heat worsens my symptoms.FAMS - Heat Worsens My Symptoms
FAMS0154C112604FAMS01-Have Trouble Controlling My UrineFunctional Assessment of Multiple Sclerosis - Additional Concerns: I have trouble controlling my urine.FAMS - Trouble Controlling My Urine
FAMS0155C112605FAMS01-I Urinate More FrequentlyFunctional Assessment of Multiple Sclerosis - Additional Concerns: I urinate more frequently than usual.FAMS - Urinate More Frequently Than Usual
FAMS0156C112606FAMS01-I Am Bothered by the ChillsFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by the chills.FAMS - Bothered by Chills
FAMS0157C112607FAMS01-I Am Bothered by FeversFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by fevers (episodes of high body temperature).FAMS - Bothered by Fevers
FAMS0158C112608FAMS01-I Am Bothered by Muscle SpasmsFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by muscle spasms.FAMS - Bothered by Muscle Spasms
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CL.C112440.FAMS TESTQS-Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test Name
(FAMS TEST)
text
Extensible: No
C112440QS-Functional Assessment of Multiple Sclerosis Version 4 Questionnaire Test NameFunctional Assessment of Multiple Sclerosis Version 4 test name.CDISC Questionnaire FAMS Test Name Terminology
FAMS01-Bothered by Treatment Side EffectC112595FAMS01-Bothered by Treatment Side EffectFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by side effects of treatment.FAMS - Bothered by Side Effects of Treatment
FAMS01-Content With Quality of My LifeC112575FAMS01-Content With Quality of My LifeFunctional Assessment of Multiple Sclerosis - General Contentment: I am content with the quality of my life right now.FAMS - Content With Quality of My Life Now
FAMS01-Enjoy Things I Usually Do for FunC112574FAMS01-Enjoy Things I Usually Do for FunFunctional Assessment of Multiple Sclerosis - General Contentment: I am enjoying the things I usually do for fun.FAMS - Enjoying Things I Usually Do for Fun
FAMS01-Feel Overwhelmed by My ConditionC112571FAMS01-Feel Overwhelmed by My ConditionFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel overwhelmed by my condition.FAMS - Feel Overwhelmed by My Condition
FAMS01-Feel Sense of Purpose in My LifeC112577FAMS01-Feel Sense of Purpose in My LifeFunctional Assessment of Multiple Sclerosis - General Contentment: I feel a sense of purpose in my life.FAMS - Feel Sense of Purpose in My Life
FAMS01-Get Emotional Support From FamilyC112589FAMS01-Get Emotional Support From FamilyFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get emotional support from my family.FAMS - Get Emotional Support From Family
FAMS01-Have Trouble Controlling My UrineC112604FAMS01-Have Trouble Controlling My UrineFunctional Assessment of Multiple Sclerosis - Additional Concerns: I have trouble controlling my urine.FAMS - Trouble Controlling My Urine
FAMS01-Heat Worsens My SymptomsC112603FAMS01-Heat Worsens My SymptomsFunctional Assessment of Multiple Sclerosis - Additional Concerns: Heat worsens my symptoms.FAMS - Heat Worsens My Symptoms
FAMS01-I Am Able to Enjoy LifeC112567FAMS01-I Am Able to Enjoy LifeFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I am able to enjoy life.FAMS - I Am Able to Enjoy Life
FAMS01-I Am Able to WorkC112552FAMS01-I Am Able to WorkFunctional Assessment of Multiple Sclerosis - Mobility: I am able to work (include work at home).FAMS - I Am Able to Work
FAMS01-I Am Bothered by FeversC112607FAMS01-I Am Bothered by FeversFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by fevers (episodes of high body temperature).FAMS - Bothered by Fevers
FAMS01-I Am Bothered by HeadachesC112563FAMS01-I Am Bothered by HeadachesFunctional Assessment of Multiple Sclerosis - Symptoms: I am bothered by headaches.FAMS - Bothered by Headaches
FAMS01-I Am Bothered by Muscle PainsC112564FAMS01-I Am Bothered by Muscle PainsFunctional Assessment of Multiple Sclerosis - Symptoms: I am bothered by muscle pains.FAMS - Bothered by Muscle Pains
FAMS01-I Am Bothered by Muscle SpasmsC112608FAMS01-I Am Bothered by Muscle SpasmsFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by muscle spasms.FAMS - Bothered by Muscle Spasms
FAMS01-I Am Bothered by the ChillsC112606FAMS01-I Am Bothered by the ChillsFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am bothered by the chills.FAMS - Bothered by Chills
FAMS01-I Am Depressed About My ConditionC112569FAMS01-I Am Depressed About My ConditionFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I am depressed about my condition.FAMS - Depressed About My Condition
FAMS01-I Am Forced to Spend Time in BedC112596FAMS01-I Am Forced to Spend Time in BedFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am forced to spend time in bed.FAMS - Forced to Spend Time in Bed
FAMS01-I Am Frustrated by My ConditionC112576FAMS01-I Am Frustrated by My ConditionFunctional Assessment of Multiple Sclerosis - General Contentment: I am frustrated by my condition.FAMS - I Am Frustrated by My Condition
FAMS01-I Am Satisfied With My Sex LifeC112598FAMS01-I Am Satisfied With My Sex LifeFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with my sex life.FAMS - Satisfied With My Sex Life
FAMS01-I Am Sleeping WellC112602FAMS01-I Am Sleeping WellFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am sleeping well.FAMS - I Am Sleeping Well
FAMS01-I Feel Close to My FriendsC112588FAMS01-I Feel Close to My FriendsFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel close to my friends.FAMS - Feel Close to My Friends
FAMS01-I Feel Close to My PartnerC112597FAMS01-I Feel Close to My PartnerFunctional Assessment of Multiple Sclerosis - Additional Concerns: I feel close to my partner (or the person who is my main support).FAMS - Feel Close to My Partner
FAMS01-I Feel IllC112560FAMS01-I Feel IllFunctional Assessment of Multiple Sclerosis - Symptoms: I feel ill.FAMS - I Feel Ill
FAMS01-I Feel Left Out of ThingsC112594FAMS01-I Feel Left Out of ThingsFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I feel 'left out' of things.FAMS - Feel Left Out of Things
FAMS01-I Feel Motivated to Do ThingsC112578FAMS01-I Feel Motivated to Do ThingsFunctional Assessment of Multiple Sclerosis - General Contentment: I feel motivated to do things.FAMS - Feel Motivated to Do Things
FAMS01-I Feel NervousC112600FAMS01-I Feel NervousFunctional Assessment of Multiple Sclerosis - Additional Concerns: I feel nervous.FAMS - I Feel Nervous
FAMS01-I Feel SadC112565FAMS01-I Feel SadFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel sad.FAMS - I Feel Sad
FAMS01-I Feel TiredC112580FAMS01-I Feel TiredFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I feel tired.FAMS - I Feel Tired
FAMS01-I Feel Trapped by My ConditionC112568FAMS01-I Feel Trapped by My ConditionFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel trapped by my condition.FAMS - Feel Trapped by My Condition
FAMS01-I Feel UselessC112570FAMS01-I Feel UselessFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I feel useless.FAMS - I Feel Useless
FAMS01-I Feel Weak All OverC112561FAMS01-I Feel Weak All OverFunctional Assessment of Multiple Sclerosis - Symptoms: I feel weak all over.FAMS - I Feel Weak All Over
FAMS01-I Get Support From My FriendsC112590FAMS01-I Get Support From My FriendsFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I get support from my friends.FAMS - Get Support From Friends
FAMS01-I Have a Lack of EnergyC112579FAMS01-I Have a Lack of EnergyFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have a lack of energy.FAMS - Have a Lack of Energy
FAMS01-I Have Accepted My IllnessC112573FAMS01-I Have Accepted My IllnessFunctional Assessment of Multiple Sclerosis - General Contentment: I have accepted my illness.FAMS - I Have Accepted My Illness
FAMS01-I Have NauseaC112558FAMS01-I Have NauseaFunctional Assessment of Multiple Sclerosis - Symptoms: I have nausea.FAMS - I Have Nausea
FAMS01-I Have PainC112559FAMS01-I Have PainFunctional Assessment of Multiple Sclerosis - Symptoms: I have pain.FAMS - I Have Pain
FAMS01-I Have Pain in My JointsC112562FAMS01-I Have Pain in My JointsFunctional Assessment of Multiple Sclerosis - Symptoms: I have pain in my joints.FAMS - I Have Pain in My Joints
FAMS01-I Have Strength in My LegsC112555FAMS01-I Have Strength in My LegsFunctional Assessment of Multiple Sclerosis - Mobility: I have strength in my legs.FAMS - I Have Strength in My Legs
FAMS01-I Have Trouble ConcentratingC112585FAMS01-I Have Trouble ConcentratingFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble concentrating.FAMS - Trouble Concentrating
FAMS01-I Have Trouble Learning New TasksC112587FAMS01-I Have Trouble Learning New TasksFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble learning new tasks or directions.FAMS - Trouble Learning New Tasks or Directions
FAMS01-I Have Trouble Remembering ThingsC112584FAMS01-I Have Trouble Remembering ThingsFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble remembering things.FAMS - Trouble Remembering Things
FAMS01-I Have Trouble WalkingC112553FAMS01-I Have Trouble WalkingFunctional Assessment of Multiple Sclerosis - Mobility: I have trouble walking.FAMS - I Have Trouble Walking
FAMS01-I Need to Rest During the DayC112583FAMS01-I Need to Rest During the DayFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I need to rest during the day.FAMS - Need to Rest During the Day
FAMS01-I Urinate More FrequentlyC112605FAMS01-I Urinate More FrequentlyFunctional Assessment of Multiple Sclerosis - Additional Concerns: I urinate more frequently than usual.FAMS - Urinate More Frequently Than Usual
FAMS01-Limit My Social ActivityC112554FAMS01-Limit My Social ActivityFunctional Assessment of Multiple Sclerosis - Mobility: I have to limit my social activity because of my condition.FAMS - Limit Social Activity Because of Condition
FAMS01-Losing Hope Against IllnessC112566FAMS01-Losing Hope Against IllnessFunctional Assessment of Multiple Sclerosis - Emotional Well-Being: I am losing hope in the fight against my illness.FAMS - Losing Hope in Fight Against My Illness
FAMS01-My Family Has Accepted My IllnessC112591FAMS01-My Family Has Accepted My IllnessFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: My family has accepted my illness.FAMS - Family Has Accepted My Illness
FAMS01-My Thinking Is Slower Than BeforeC112586FAMS01-My Thinking Is Slower Than BeforeFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: My thinking is slower than before.FAMS - My Thinking is Slower Than Before
FAMS01-My Work Is FulfillingC112572FAMS01-My Work Is FulfillingFunctional Assessment of Multiple Sclerosis - General Contentment: My work (include work at home) is fulfilling.FAMS - My Work is Fulfilling
FAMS01-Satisfied Communication IllnessC112592FAMS01-Satisfied Communication IllnessFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: I am satisfied with family communication about my illness.FAMS - Satisfied With Family Communication About My Illness
FAMS01-Satisfied With How I Am CopingC112599FAMS01-Satisfied With How I Am CopingFunctional Assessment of Multiple Sclerosis - Additional Concerns: I am satisfied with how I am coping with my illness.FAMS - Satisfied With How I Am Coping With Illness
FAMS01-Take My Condition Into AccountC112557FAMS01-Take My Condition Into AccountFunctional Assessment of Multiple Sclerosis - Mobility: I have to take my condition into account when making plans.FAMS - Have to Take Condition Into Account When Making Plans
FAMS01-Trouble Finishing ThingsC112582FAMS01-Trouble Finishing ThingsFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble finishing things because I am tired.FAMS - Trouble Finishing Things Because I Am Tired
FAMS01-Trouble Getting Around in PublicC112556FAMS01-Trouble Getting Around in PublicFunctional Assessment of Multiple Sclerosis - Mobility: I have trouble getting around in public places.FAMS - Trouble Getting Around in Public Places
FAMS01-Trouble Meeting Needs of FamilyC112551FAMS01-Trouble Meeting Needs of FamilyFunctional Assessment of Multiple Sclerosis - Mobility: Because of my physical condition, I have trouble meeting the needs of my family.FAMS - Have Trouble Meeting Needs of Family Because of My Condition
FAMS01-Trouble Starting ThingsC112581FAMS01-Trouble Starting ThingsFunctional Assessment of Multiple Sclerosis - Thinking and Fatigue: I have trouble starting things because I am tired.FAMS - Trouble Starting Things Because I Am Tired
FAMS01-Trouble Understanding WorseningC112593FAMS01-Trouble Understanding WorseningFunctional Assessment of Multiple Sclerosis - Family/Social Well-Being: My family has trouble understanding when my condition gets worse.FAMS - Family Has Trouble Understanding When My Condition Gets Worse
FAMS01-Worry My Condition Will Get WorseC112601FAMS01-Worry My Condition Will Get WorseFunctional Assessment of Multiple Sclerosis - Additional Concerns: I worry that my condition will get worse.FAMS - Worry My Condition Will Get Worse
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CL.C105138.GCGI TESTCDQS-General Clinical Global Impressions Questionnaire Test Code
(GCGI TESTCD)
text
Extensible: No
C105138QS-General Clinical Global Impressions Questionnaire Test CodeGeneral Clinical Global Impressions test code.CDISC Questionnaire GCGI v1 Test Code Terminology
GCGI0101C105278GCGI01-Global Severity of PainGeneral Clinical Global Impressions - Global severity of pain.GCGI - Global Severity of Pain
GCGI0102C105279GCGI01-Global Improvement of PainGeneral Clinical Global Impressions - Global improvement of pain.GCGI - Global Improvement of Pain
GCGI0103C105280GCGI01-Global Disease Status of PainGeneral Clinical Global Impressions - Global disease status of pain.GCGI - Global Disease Status of Pain
GCGI0104C105281GCGI01-Pain Treatment PreferenceGeneral Clinical Global Impressions - Pain treatment preference.GCGI - Pain Treatment Preference
GCGI0105C105282GCGI01-Global Rating of Pain MediationGeneral Clinical Global Impressions - Global rating of pain medication.GCGI - Global Rating of Pain Medication
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CL.C105137.GCGI TESTQS-General Clinical Global Impressions Questionnaire Test Name
(GCGI TEST)
text
Extensible: No
C105137QS-General Clinical Global Impressions Questionnaire Test NameGeneral Clinical Global Impressions test name.CDISC Questionnaire GCGI v1 Test Name Terminology
GCGI01-Global Disease Status of PainC105280GCGI01-Global Disease Status of PainGeneral Clinical Global Impressions - Global disease status of pain.GCGI - Global Disease Status of Pain
GCGI01-Global Improvement of PainC105279GCGI01-Global Improvement of PainGeneral Clinical Global Impressions - Global improvement of pain.GCGI - Global Improvement of Pain
GCGI01-Global Rating of Pain MediationC105282GCGI01-Global Rating of Pain MediationGeneral Clinical Global Impressions - Global rating of pain medication.GCGI - Global Rating of Pain Medication
GCGI01-Global Severity of PainC105278GCGI01-Global Severity of PainGeneral Clinical Global Impressions - Global severity of pain.GCGI - Global Severity of Pain
GCGI01-Pain Treatment PreferenceC105281GCGI01-Pain Treatment PreferenceGeneral Clinical Global Impressions - Pain treatment preference.GCGI - Pain Treatment Preference
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CL.C103467.GAD-7 TESTCDQS-Generalized Anxiety Disorder - 7 Questionnaire Test Code
(GAD-7 TESTCD)
text
Extensible: No
C103467QS-Generalized Anxiety Disorder - 7 Questionnaire Test CodeGeneralized Anxiety Disorder - 7 test code.CDISC Questionnaire GAD-7 Test Code Terminology
GAD0101C103565GAD01-Feeling Nervous Anxious or On EdgeGeneralized Anxiety Disorder - 7 - Feeling nervous, anxious or on edge.GAD-7 - Feeling Nervous Anxious or On Edge
GAD0102C103566GAD01-Not Able to Stop/Control WorryingGeneralized Anxiety Disorder - 7 - Not being able to stop or control worrying.GAD-7 - Not Being Able to Stop or Control Worrying
GAD0103C103567GAD01-Worrying Too Much About ThingsGeneralized Anxiety Disorder - 7 - Worrying too much about different things.GAD-7 - Worrying Too Much About Different Things
GAD0104C103568GAD01-Trouble RelaxingGeneralized Anxiety Disorder - 7 - Trouble relaxing.GAD-7 - Trouble Relaxing
GAD0105C103569GAD01-Being Restless Hard to Sit StillGeneralized Anxiety Disorder - 7 - Being so restless that it is hard to sit still.GAD-7 - Being so Restless That it is Hard to Sit Still
GAD0106C103570GAD01-Becoming Easily Annoyed/IrritableGeneralized Anxiety Disorder - 7 - Becoming easily annoyed or irritable.GAD-7 - Becoming Easily Annoyed or Irritable
GAD0107C103571GAD01-Feel Afraid/Something Awful HappenGeneralized Anxiety Disorder - 7 - Feeling afraid as if something awful might happen.GAD-7 - Feel Afraid as if Something Awful Might Happen
GAD0108C103572GAD01-Difficult to Work/Take Care ThingsGeneralized Anxiety Disorder - 7 - If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?GAD-7 - Problems Made it Difficult to Work, Take Care of Things, or Get Along with Other People
GAD0109C113886GAD01-Total ScoreGeneralized Anxiety Disorder - 7 - Total score.GAD-7 - Total Score
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CL.C103466.GAD-7 TESTQS-Generalized Anxiety Disorder - 7 Questionnaire Test Name
(GAD-7 TEST)
text
Extensible: No
C103466QS-Generalized Anxiety Disorder - 7 Questionnaire Test NameGeneralized Anxiety Disorder - 7 test name.CDISC Questionnaire GAD-7 Test Name Terminology
GAD01-Becoming Easily Annoyed/IrritableC103570GAD01-Becoming Easily Annoyed/IrritableGeneralized Anxiety Disorder - 7 - Becoming easily annoyed or irritable.GAD-7 - Becoming Easily Annoyed or Irritable
GAD01-Being Restless Hard to Sit StillC103569GAD01-Being Restless Hard to Sit StillGeneralized Anxiety Disorder - 7 - Being so restless that it is hard to sit still.GAD-7 - Being so Restless That it is Hard to Sit Still
GAD01-Difficult to Work/Take Care ThingsC103572GAD01-Difficult to Work/Take Care ThingsGeneralized Anxiety Disorder - 7 - If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?GAD-7 - Problems Made it Difficult to Work, Take Care of Things, or Get Along with Other People
GAD01-Feel Afraid/Something Awful HappenC103571GAD01-Feel Afraid/Something Awful HappenGeneralized Anxiety Disorder - 7 - Feeling afraid as if something awful might happen.GAD-7 - Feel Afraid as if Something Awful Might Happen
GAD01-Feeling Nervous Anxious or On EdgeC103565GAD01-Feeling Nervous Anxious or On EdgeGeneralized Anxiety Disorder - 7 - Feeling nervous, anxious or on edge.GAD-7 - Feeling Nervous Anxious or On Edge
GAD01-Not Able to Stop/Control WorryingC103566GAD01-Not Able to Stop/Control WorryingGeneralized Anxiety Disorder - 7 - Not being able to stop or control worrying.GAD-7 - Not Being Able to Stop or Control Worrying
GAD01-Total ScoreC113886GAD01-Total ScoreGeneralized Anxiety Disorder - 7 - Total score.GAD-7 - Total Score
GAD01-Trouble RelaxingC103568GAD01-Trouble RelaxingGeneralized Anxiety Disorder - 7 - Trouble relaxing.GAD-7 - Trouble Relaxing
GAD01-Worrying Too Much About ThingsC103567GAD01-Worrying Too Much About ThingsGeneralized Anxiety Disorder - 7 - Worrying too much about different things.GAD-7 - Worrying Too Much About Different Things
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CL.C106663.GDS TESTCDQS-Geriatric Depression Scale Questionnaire Test Code
(GDS TESTCD)
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Extensible: No
C106663QS-Geriatric Depression Scale Questionnaire Test CodeGeriatric Depression Scale test code.CDISC Questionnaire GDS Test Code Terminology
GDS0101C106764GDS01-Satisfied With LifeGeriatric Depression Scale - Are you basically satisfied with your life?GDS - Basically Satisfied With Life
GDS0102C106765GDS01-Dropped Activities and InterestsGeriatric Depression Scale - Have you dropped many of your activities and interests?GDS - Dropped Activities and Interests
GDS0103C106766GDS01-Life Is EmptyGeriatric Depression Scale - Do you feel that your life is empty?GDS - Feel Life Is Empty
GDS0104C106767GDS01-Bored OftenGeriatric Depression Scale - Do you often get bored?GDS - Often Get Bored
GDS0105C106768GDS01-Hopeful About FutureGeriatric Depression Scale - Are you hopeful about the future?GDS - Hopeful About Future
GDS0106C106769GDS01-Bothered by ThoughtsGeriatric Depression Scale - Are you bothered by thoughts you can't get out of your head?GDS - Bothered by Thoughts
GDS0107C106770GDS01-Good Spirits Most of TimeGeriatric Depression Scale - Are you in good spirits most of the time?GDS - Good Spirits Most of Time
GDS0108C106771GDS01-Afraid of Something Bad HappeningGeriatric Depression Scale - Are you afraid that something bad is going to happen to you?GDS - Afraid of Something Bad Happening
GDS0109C106772GDS01-Feel Happy Most of TimeGeriatric Depression Scale - Do you feel happy most of the time?GDS - Feel Happy Most of Time
GDS0110C106773GDS01-Often Feel HelplessGeriatric Depression Scale - Do you often feel helpless?GDS - Often Feel Helpless
GDS0111C106774GDS01-Get Restless and FidgetyGeriatric Depression Scale - Do you often get restless and fidgety?GDS - Get Restless and Fidgety
GDS0112C106775GDS01-Prefer to Stay HomeGeriatric Depression Scale - Do you prefer to stay at home, rather than going out and doing new things?GDS - Prefer to Stay Home
GDS0113C106776GDS01-Worry About FutureGeriatric Depression Scale - Do you frequently worry about the future?GDS - Frequently Worry About Future
GDS0114C106777GDS01-Memory ProblemsGeriatric Depression Scale - Do you feel you have more problems with memory than most?GDS - More Memory Problems Than Most
GDS0115C106778GDS01-Wonderful to Be AliveGeriatric Depression Scale - Do you think it is wonderful to be alive now?GDS - Think Wonderful to Be Alive
GDS0116C106779GDS01-Feel Downhearted and BlueGeriatric Depression Scale - Do you often feel downhearted and blue?GDS - Feel Downhearted and Blue
GDS0117C106780GDS01-Feel WorthlessGeriatric Depression Scale - Do you feel pretty worthless the way you are now?GDS - Feel Worthless
GDS0118C106781GDS01-Worry About the PastGeriatric Depression Scale - Do you worry a lot about the past?GDS - Worry About the Past
GDS0119C106782GDS01-Find Life ExcitingGeriatric Depression Scale - Do you find life very exciting?GDS - Find Life Exciting
GDS0120C106783GDS01-Hard to Start New ProjectsGeriatric Depression Scale - Is it hard for you to get started on new projects?GDS - Hard to Start New Projects
GDS0121C106784GDS01-Feel Full of EnergyGeriatric Depression Scale - Do you feel full of energy?GDS - Feel Full of Energy
GDS0122C106785GDS01-Feel HopelessGeriatric Depression Scale - Do you feel that your situation is hopeless?GDS - Feel Situation Is Hopeless
GDS0123C106786GDS01-Most People Better Off Than YouGeriatric Depression Scale - Do you think that most people are better off than you are?GDS - Think Most People Better Off Than You
GDS0124C106787GDS01-Often Upset Over Little ThingsGeriatric Depression Scale -Do you frequently get upset over little things?GDS - Often Upset Over Little Things
GDS0125C106788GDS01-Frequently Feel Like CryingGeriatric Depression Scale - Do you frequently feel like crying?GDS - Frequently Feel Like Crying
GDS0126C106789GDS01-Trouble ConcentratingGeriatric Depression Scale - Do you have trouble concentrating?GDS - Have Trouble Concentrating
GDS0127C106790GDS01-Enjoy Getting Up in the MorningGeriatric Depression Scale - Do you enjoy getting up in the morning?GDS - Enjoy Getting Up in the Morning
GDS0128C106791GDS01-Avoid Social GatheringsGeriatric Depression Scale - Do you prefer to avoid social gatherings?GDS - Prefer to Avoid Social Gatherings
GDS0129C106792GDS01-Easy to Make DecisionsGeriatric Depression Scale - Is it easy for you to make decisions?GDS - Easy to Make Decisions
GDS0130C106793GDS01-Mind as Clear as It Used to BeGeriatric Depression Scale - Is your mind as clear as it used to be?GDS - Mind as Clear as It Used to Be
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CL.C106662.GDS TESTQS-Geriatric Depression Scale Questionnaire Test Name
(GDS TEST)
text
Extensible: No
C106662QS-Geriatric Depression Scale Questionnaire Test NameGeriatric Depression Scale test name.CDISC Questionnaire GDS Test Name Terminology
GDS01-Afraid of Something Bad HappeningC106771GDS01-Afraid of Something Bad HappeningGeriatric Depression Scale - Are you afraid that something bad is going to happen to you?GDS - Afraid of Something Bad Happening
GDS01-Avoid Social GatheringsC106791GDS01-Avoid Social GatheringsGeriatric Depression Scale - Do you prefer to avoid social gatherings?GDS - Prefer to Avoid Social Gatherings
GDS01-Bored OftenC106767GDS01-Bored OftenGeriatric Depression Scale - Do you often get bored?GDS - Often Get Bored
GDS01-Bothered by ThoughtsC106769GDS01-Bothered by ThoughtsGeriatric Depression Scale - Are you bothered by thoughts you can't get out of your head?GDS - Bothered by Thoughts
GDS01-Dropped Activities and InterestsC106765GDS01-Dropped Activities and InterestsGeriatric Depression Scale - Have you dropped many of your activities and interests?GDS - Dropped Activities and Interests
GDS01-Easy to Make DecisionsC106792GDS01-Easy to Make DecisionsGeriatric Depression Scale - Is it easy for you to make decisions?GDS - Easy to Make Decisions
GDS01-Enjoy Getting Up in the MorningC106790GDS01-Enjoy Getting Up in the MorningGeriatric Depression Scale - Do you enjoy getting up in the morning?GDS - Enjoy Getting Up in the Morning
GDS01-Feel Downhearted and BlueC106779GDS01-Feel Downhearted and BlueGeriatric Depression Scale - Do you often feel downhearted and blue?GDS - Feel Downhearted and Blue
GDS01-Feel Full of EnergyC106784GDS01-Feel Full of EnergyGeriatric Depression Scale - Do you feel full of energy?GDS - Feel Full of Energy
GDS01-Feel Happy Most of TimeC106772GDS01-Feel Happy Most of TimeGeriatric Depression Scale - Do you feel happy most of the time?GDS - Feel Happy Most of Time
GDS01-Feel HopelessC106785GDS01-Feel HopelessGeriatric Depression Scale - Do you feel that your situation is hopeless?GDS - Feel Situation Is Hopeless
GDS01-Feel WorthlessC106780GDS01-Feel WorthlessGeriatric Depression Scale - Do you feel pretty worthless the way you are now?GDS - Feel Worthless
GDS01-Find Life ExcitingC106782GDS01-Find Life ExcitingGeriatric Depression Scale - Do you find life very exciting?GDS - Find Life Exciting
GDS01-Frequently Feel Like CryingC106788GDS01-Frequently Feel Like CryingGeriatric Depression Scale - Do you frequently feel like crying?GDS - Frequently Feel Like Crying
GDS01-Get Restless and FidgetyC106774GDS01-Get Restless and FidgetyGeriatric Depression Scale - Do you often get restless and fidgety?GDS - Get Restless and Fidgety
GDS01-Good Spirits Most of TimeC106770GDS01-Good Spirits Most of TimeGeriatric Depression Scale - Are you in good spirits most of the time?GDS - Good Spirits Most of Time
GDS01-Hard to Start New ProjectsC106783GDS01-Hard to Start New ProjectsGeriatric Depression Scale - Is it hard for you to get started on new projects?GDS - Hard to Start New Projects
GDS01-Hopeful About FutureC106768GDS01-Hopeful About FutureGeriatric Depression Scale - Are you hopeful about the future?GDS - Hopeful About Future
GDS01-Life Is EmptyC106766GDS01-Life Is EmptyGeriatric Depression Scale - Do you feel that your life is empty?GDS - Feel Life Is Empty
GDS01-Memory ProblemsC106777GDS01-Memory ProblemsGeriatric 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 BeC106793GDS01-Mind as Clear as It Used to BeGeriatric 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 YouC106786GDS01-Most People Better Off Than YouGeriatric Depression Scale - Do you think that most people are better off than you are?GDS - Think Most People Better Off Than You
GDS01-Often Feel HelplessC106773GDS01-Often Feel HelplessGeriatric Depression Scale - Do you often feel helpless?GDS - Often Feel Helpless
GDS01-Often Upset Over Little ThingsC106787GDS01-Often Upset Over Little ThingsGeriatric Depression Scale -Do you frequently get upset over little things?GDS - Often Upset Over Little Things
GDS01-Prefer to Stay HomeC106775GDS01-Prefer to Stay HomeGeriatric Depression Scale - Do you prefer to stay at home, rather than going out and doing new things?GDS - Prefer to Stay Home
GDS01-Satisfied With LifeC106764GDS01-Satisfied With LifeGeriatric Depression Scale - Are you basically satisfied with your life?GDS - Basically Satisfied With Life
GDS01-Trouble ConcentratingC106789GDS01-Trouble ConcentratingGeriatric Depression Scale - Do you have trouble concentrating?GDS - Have Trouble Concentrating
GDS01-Wonderful to Be AliveC106778GDS01-Wonderful to Be AliveGeriatric Depression Scale - Do you think it is wonderful to be alive now?GDS - Think Wonderful to Be Alive
GDS01-Worry About FutureC106776GDS01-Worry About FutureGeriatric Depression Scale - Do you frequently worry about the future?GDS - Frequently Worry About Future
GDS01-Worry About the PastC106781GDS01-Worry About the PastGeriatric Depression Scale - Do you worry a lot about the past?GDS - Worry About the Past
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CL.C106665.GDS SHORT FORM TESTCDQS-Geriatric Depression Scale Short Form Questionnaire Test Code
(GDS SHORT FORM TESTCD)
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Extensible: No
C106665QS-Geriatric Depression Scale Short Form Questionnaire Test CodeGeriatric Depression Scale Short Form test code.CDISC Questionnaire GDS-SF Test Code Terminology
GDS0201C106794GDS02-Satisfied With LifeGeriatric Depression Scale Short Form - Are you basically satisfied with your life?GDS-SF - Basically Satisfied With Life
GDS0202C106795GDS02-Dropped Activities and InterestsGeriatric Depression Scale Short Form - Have you dropped many of your activities and interests?GDS-SF - Dropped Activities and Interests
GDS0203C106796GDS02-Life Is EmptyGeriatric Depression Scale Short Form - Do you feel that your life is empty?GDS-SF - Feel Life Is Empty
GDS0204C106797GDS02-Bored OftenGeriatric Depression Scale Short Form - Do you often get bored?GDS-SF - Often Get Bored
GDS0205C106798GDS02-Good Spirits Most of TimeGeriatric Depression Scale Short Form - Are you in good spirits most of the time?GDS-SF - Good Spirits Most of Time
GDS0206C106799GDS02-Afraid of Something Bad HappeningGeriatric Depression Scale Short Form - Are you afraid that something bad is going to happen to you?GDS-SF - Afraid of Something Bad Happening
GDS0207C106800GDS02-Feel Happy Most of TimeGeriatric Depression Scale Short Form - Do you feel happy most of the time?GDS-SF - Feel Happy Most of Time
GDS0208C106801GDS02-Often Feel HelplessGeriatric Depression Scale Short Form - Do you often feel helpless?GDS-SF - Often Feel Helpless
GDS0209C106802GDS02-Prefer to Stay HomeGeriatric 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
GDS0210C106803GDS02-Memory ProblemsGeriatric Depression Scale Short Form - Do you feel you have more problems with memory than most?GDS-SF - More Memory Problems Than Most
GDS0211C106804GDS02-Wonderful to Be AliveGeriatric Depression Scale Short Form - Do you think it is wonderful to be alive now?GDS-SF - Think Wonderful to Be Alive
GDS0212C106805GDS02-Feel WorthlessGeriatric Depression Scale Short Form - Do you feel pretty worthless the way you are now?GDS-SF - Feel Worthless
GDS0213C106806GDS02-Feel Full of EnergyGeriatric Depression Scale Short Form - Do you feel full of energy?GDS-SF - Feel Full of Energy
GDS0214C106807GDS02-Feel HopelessGeriatric Depression Scale Short Form - Do you feel that your situation is hopeless?GDS-SF - Feel Situation is Hopeless
GDS0215C106808GDS02-Most People Better Off Than YouGeriatric 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
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CL.C106664.GDS SHORT FORM TESTQS-Geriatric Depression Scale Short Form Questionnaire Test Name
(GDS SHORT FORM TEST)
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Extensible: No
C106664QS-Geriatric Depression Scale Short Form Questionnaire Test NameGeriatric Depression Scale Short Form test name.CDISC Questionnaire GDS-SF Test Name Terminology
GDS02-Afraid of Something Bad HappeningC106799GDS02-Afraid of Something Bad HappeningGeriatric 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 OftenC106797GDS02-Bored OftenGeriatric Depression Scale Short Form - Do you often get bored?GDS-SF - Often Get Bored
GDS02-Dropped Activities and InterestsC106795GDS02-Dropped Activities and InterestsGeriatric Depression Scale Short Form - Have you dropped many of your activities and interests?GDS-SF - Dropped Activities and Interests
GDS02-Feel Full of EnergyC106806GDS02-Feel Full of EnergyGeriatric Depression Scale Short Form - Do you feel full of energy?GDS-SF - Feel Full of Energy
GDS02-Feel Happy Most of TimeC106800GDS02-Feel Happy Most of TimeGeriatric Depression Scale Short Form - Do you feel happy most of the time?GDS-SF - Feel Happy Most of Time
GDS02-Feel HopelessC106807GDS02-Feel HopelessGeriatric Depression Scale Short Form - Do you feel that your situation is hopeless?GDS-SF - Feel Situation is Hopeless
GDS02-Feel WorthlessC106805GDS02-Feel WorthlessGeriatric Depression Scale Short Form - Do you feel pretty worthless the way you are now?GDS-SF - Feel Worthless
GDS02-Good Spirits Most of TimeC106798GDS02-Good Spirits Most of TimeGeriatric Depression Scale Short Form - Are you in good spirits most of the time?GDS-SF - Good Spirits Most of Time
GDS02-Life Is EmptyC106796GDS02-Life Is EmptyGeriatric Depression Scale Short Form - Do you feel that your life is empty?GDS-SF - Feel Life Is Empty
GDS02-Memory ProblemsC106803GDS02-Memory ProblemsGeriatric 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 YouC106808GDS02-Most People Better Off Than YouGeriatric 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 HelplessC106801GDS02-Often Feel HelplessGeriatric Depression Scale Short Form - Do you often feel helpless?GDS-SF - Often Feel Helpless
GDS02-Prefer to Stay HomeC106802GDS02-Prefer to Stay HomeGeriatric 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 LifeC106794GDS02-Satisfied With LifeGeriatric Depression Scale Short Form - Are you basically satisfied with your life?GDS-SF - Basically Satisfied With Life
GDS02-Wonderful to Be AliveC106804GDS02-Wonderful to Be AliveGeriatric Depression Scale Short Form - Do you think it is wonderful to be alive now?GDS-SF - Think Wonderful to Be Alive
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CL.C101819.HAMA TESTCDQS-Hamilton Anxiety Rating Scale Questionnaire Test Code
(HAMA TESTCD)
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Extensible: No
C101819QS-Hamilton Anxiety Rating Scale Questionnaire Test CodeHamilton Anxiety Rating Scale test code.CDISC Questionnaire HAMA Test Code Terminology
HAMA101C102073HAMA1-Anxious MoodHamilton Anxiety Rating Scale - Anxious mood: worries, anticipation of the worst, fearful anticipation, irritability.HAMA - Anxious Mood
HAMA102C102074HAMA1-TensionHamilton Anxiety Rating Scale - Tension: feelings of tension, fatigability, startle response, moved to tears easily, trembling, feelings of restlessness, inability to relax.HAMA - Tension
HAMA103C102075HAMA1-FearsHamilton Anxiety Rating Scale - Fears: of dark, of strangers, of being left alone, of animals, of traffic, of crowds.HAMA - Fears
HAMA104C102076HAMA1-InsomniaHamilton Anxiety Rating Scale - Insomnia: difficulty falling asleep, broken sleep, unsatisfying sleep and fatigue on waking, dreams, nightmares, night terrors.HAMA - Insomnia
HAMA105C102077HAMA1-IntellectualHamilton Anxiety Rating Scale - Intellectual: difficulty in concentration, poor memory.HAMA - Intellectual
HAMA106C102078HAMA1-Depressed MoodHamilton Anxiety Rating Scale - Depressed mood: loss of interest, lack of pleasure in hobbies, depression, early waking, diurnal swing.HAMA - Depressed Mood
HAMA107C102079HAMA1-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)
HAMA108C102080HAMA1-Somatic (Sensory)Hamilton Anxiety Rating Scale - Somatic (sensory): tinnitus, blurring of vision, hot and cold flushes, feelings of weakness, pricking sensation.HAMA - Somatic (Sensory)
HAMA109C102081HAMA1-Cardiovascular SymptomsHamilton Anxiety Rating Scale - Cardiovascular symptoms: tachycardia, palpitations, pain in chest, throbbing of vessels, fainting feelings, missing beat.HAMA - Cardiovascular Symptoms
HAMA110C102082HAMA1-Respiratory SymptomsHamilton Anxiety Rating Scale - Respiratory symptoms: pressure or constriction in chest, choking feelings, sighing, dyspnea.HAMA - Respiratory Symptoms
HAMA111C102083HAMA1-Gastrointestinal SymptomsHamilton 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
HAMA112C102084HAMA1-Genitourinary SymptomsHamilton 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
HAMA113C102085HAMA1-Autonomic SymptomsHamilton Anxiety Rating Scale - Autonomic symptoms: dry mouth, flushing, pallor, tendency to sweat, giddiness, tension, headache, raising of hair.HAMA - Autonomic Symptoms
HAMA114C102086HAMA1-Behavior at InterviewHamilton 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
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CL.C101820.HAMA TESTQS-Hamilton Anxiety Rating Scale Questionnaire Test Name
(HAMA TEST)
text
Extensible: No
C101820QS-Hamilton Anxiety Rating Scale Questionnaire Test NameHamilton Anxiety Rating Scale test name.CDISC Questionnaire HAMA Test Name Terminology
HAMA1-Anxious MoodC102073HAMA1-Anxious MoodHamilton Anxiety Rating Scale - Anxious mood: worries, anticipation of the worst, fearful anticipation, irritability.HAMA - Anxious Mood
HAMA1-Autonomic SymptomsC102085HAMA1-Autonomic SymptomsHamilton Anxiety Rating Scale - Autonomic symptoms: dry mouth, flushing, pallor, tendency to sweat, giddiness, tension, headache, raising of hair.HAMA - Autonomic Symptoms
HAMA1-Behavior at InterviewC102086HAMA1-Behavior at InterviewHamilton 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 SymptomsC102081HAMA1-Cardiovascular SymptomsHamilton Anxiety Rating Scale - Cardiovascular symptoms: tachycardia, palpitations, pain in chest, throbbing of vessels, fainting feelings, missing beat.HAMA - Cardiovascular Symptoms
HAMA1-Depressed MoodC102078HAMA1-Depressed MoodHamilton Anxiety Rating Scale - Depressed mood: loss of interest, lack of pleasure in hobbies, depression, early waking, diurnal swing.HAMA - Depressed Mood
HAMA1-FearsC102075HAMA1-FearsHamilton Anxiety Rating Scale - Fears: of dark, of strangers, of being left alone, of animals, of traffic, of crowds.HAMA - Fears
HAMA1-Gastrointestinal SymptomsC102083HAMA1-Gastrointestinal SymptomsHamilton 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 SymptomsC102084HAMA1-Genitourinary SymptomsHamilton 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-InsomniaC102076HAMA1-InsomniaHamilton Anxiety Rating Scale - Insomnia: difficulty falling asleep, broken sleep, unsatisfying sleep and fatigue on waking, dreams, nightmares, night terrors.HAMA - Insomnia
HAMA1-IntellectualC102077HAMA1-IntellectualHamilton Anxiety Rating Scale - Intellectual: difficulty in concentration, poor memory.HAMA - Intellectual
HAMA1-Respiratory SymptomsC102082HAMA1-Respiratory SymptomsHamilton Anxiety Rating Scale - Respiratory symptoms: pressure or constriction in chest, choking feelings, sighing, dyspnea.HAMA - Respiratory Symptoms
HAMA1-Somatic (Muscular)C102079HAMA1-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)C102080HAMA1-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-TensionC102074HAMA1-TensionHamilton Anxiety Rating Scale - Tension: feelings of tension, fatigability, startle response, moved to tears easily, trembling, feelings of restlessness, inability to relax.HAMA - Tension
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CL.C100138.HAMD 17 TESTCDQS-Hamilton Depression Rating Scale - 17 Item Test Code
(HAMD 17 TESTCD)
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Extensible: No
C100138QS-Hamilton Depression Rating Scale - 17 Item Test CodeThe Hamilton Depression Rating Scale - 17 Item test code.CDISC Questionnaire HAMD 17 Test Code Terminology
HAMD101C100398HAMD1-Depressed MoodHamilton Depression Rating Scale 17 Item - Depressed mood: sadness, hopeless, helpless, worthless.HAMD-17 - Depressed Mood
HAMD102C100399HAMD1-Feelings of GuiltHamilton Depression Rating Scale 17 Item - Feelings of guilt.HAMD-17 - Feelings of Guilt
HAMD103C100400HAMD1-SuicideHamilton Depression Rating Scale 17 Item - Suicide.HAMD-17 - Suicide
HAMD104C100401HAMD1-Insomnia Early - Early NightHamilton Depression Rating Scale 17 Item - Insomnia: early in the night.HAMD-17 - Insomnia - Early Night
HAMD105C100402HAMD1-Insomnia Middle - Middle NightHamilton Depression Rating Scale 17 Item - Insomnia: middle of the night.HAMD-17 - Insomnia - Middle Night
HAMD106C100403HAMD1-Insomnia Early Hours - MorningHamilton Depression Rating Scale 17 Item - Insomnia: early hours of the morning.HAMD-17 - Insomnia - Early Morning
HAMD107C100404HAMD1-Work and ActivitiesHamilton Depression Rating Scale 17 Item - Work and activities.HAMD-17 - Work and Activities
HAMD108C100405HAMD1-RetardationHamilton Depression Rating Scale 17 Item - Retardation.HAMD-17 - Retardation
HAMD109C100406HAMD1-AgitationHamilton Depression Rating Scale 17 Item - Agitation.HAMD-17 - Agitation
HAMD110C100407HAMD1-Anxiety PsychicHamilton Depression Rating Scale 17 Item - Anxiety psychic.HAMD-17 - Psychic Anxiety
HAMD111C100408HAMD1-Anxiety SomaticHamilton 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
HAMD112C100409HAMD1-Somatic Symptoms GIHamilton Depression Rating Scale 17 Item - Somatic symptoms gastro-intestinal.HAMD-17 - Gastrointestinal Somatic Symptoms
HAMD113C100410HAMD1-General Somatic SymptomsHamilton Depression Rating Scale 17 Item - General somatic symptoms.HAMD-17 - General Somatic Symptoms
HAMD114C100411HAMD1-Genital SymptomsHamilton Depression Rating Scale 17 Item - Genital symptoms: symptoms such as loss of libido, menstrual disturbances.HAMD-17 - Genital Symptoms
HAMD115C100412HAMD1-HypochondriasisHamilton Depression Rating Scale 17 Item - Hypochondriasis.HAMD-17 - Hypochondriasis
HAMD116AC100413HAMD1-Loss of WT According to PatientHamilton Depression Rating Scale 17 Item - Loss of weight according to the patient.HAMD-17 - Loss of Weight According to Patient
HAMD116BC100414HAMD1-Loss of WT According to WK MeasHamilton Depression Rating Scale 17 Item - Loss of weight according to weekly measurements.HAMD-17 - Loss of Weight According to Weekly Measurements
HAMD117C100415HAMD1-InsightHamilton Depression Rating Scale 17 Item - Insight.HAMD-17 - Insight
HAMD118C100416HAMD1-Total ScoreHamilton Depression Rating Scale 17 Item - Total Score.HAMD-17 - Total Score
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CL.C100137.HAMD 17 TESTQS-Hamilton Depression Rating Scale - 17 Item Test Name
(HAMD 17 TEST)
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C100137QS-Hamilton Depression Rating Scale - 17 Item Test NameThe Hamilton Depression Rating Scale - 17 Item test name.CDISC Questionnaire HAMD 17 Test Name Terminology
HAMD1-AgitationC100406HAMD1-AgitationHamilton Depression Rating Scale 17 Item - Agitation.HAMD-17 - Agitation
HAMD1-Anxiety PsychicC100407HAMD1-Anxiety PsychicHamilton Depression Rating Scale 17 Item - Anxiety psychic.HAMD-17 - Psychic Anxiety
HAMD1-Anxiety SomaticC100408HAMD1-Anxiety SomaticHamilton 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 MoodC100398HAMD1-Depressed MoodHamilton Depression Rating Scale 17 Item - Depressed mood: sadness, hopeless, helpless, worthless.HAMD-17 - Depressed Mood
HAMD1-Feelings of GuiltC100399HAMD1-Feelings of GuiltHamilton Depression Rating Scale 17 Item - Feelings of guilt.HAMD-17 - Feelings of Guilt
HAMD1-General Somatic SymptomsC100410HAMD1-General Somatic SymptomsHamilton Depression Rating Scale 17 Item - General somatic symptoms.HAMD-17 - General Somatic Symptoms
HAMD1-Genital SymptomsC100411HAMD1-Genital SymptomsHamilton Depression Rating Scale 17 Item - Genital symptoms: symptoms such as loss of libido, menstrual disturbances.HAMD-17 - Genital Symptoms
HAMD1-HypochondriasisC100412HAMD1-HypochondriasisHamilton Depression Rating Scale 17 Item - Hypochondriasis.HAMD-17 - Hypochondriasis
HAMD1-InsightC100415HAMD1-InsightHamilton Depression Rating Scale 17 Item - Insight.HAMD-17 - Insight
HAMD1-Insomnia Early - Early NightC100401HAMD1-Insomnia Early - Early NightHamilton Depression Rating Scale 17 Item - Insomnia: early in the night.HAMD-17 - Insomnia - Early Night
HAMD1-Insomnia Early Hours - MorningC100403HAMD1-Insomnia Early Hours - MorningHamilton Depression Rating Scale 17 Item - Insomnia: early hours of the morning.HAMD-17 - Insomnia - Early Morning
HAMD1-Insomnia Middle - Middle NightC100402HAMD1-Insomnia Middle - Middle NightHamilton Depression Rating Scale 17 Item - Insomnia: middle of the night.HAMD-17 - Insomnia - Middle Night
HAMD1-Loss of WT According to PatientC100413HAMD1-Loss of WT According to PatientHamilton 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 MeasC100414HAMD1-Loss of WT According to WK MeasHamilton Depression Rating Scale 17 Item - Loss of weight according to weekly measurements.HAMD-17 - Loss of Weight According to Weekly Measurements
HAMD1-RetardationC100405HAMD1-RetardationHamilton Depression Rating Scale 17 Item - Retardation.HAMD-17 - Retardation
HAMD1-Somatic Symptoms GIC100409HAMD1-Somatic Symptoms GIHamilton Depression Rating Scale 17 Item - Somatic symptoms gastro-intestinal.HAMD-17 - Gastrointestinal Somatic Symptoms
HAMD1-SuicideC100400HAMD1-SuicideHamilton Depression Rating Scale 17 Item - Suicide.HAMD-17 - Suicide
HAMD1-Total ScoreC100416HAMD1-Total ScoreHamilton Depression Rating Scale 17 Item - Total Score.HAMD-17 - Total Score
HAMD1-Work and ActivitiesC100404HAMD1-Work and ActivitiesHamilton Depression Rating Scale 17 Item - Work and activities.HAMD-17 - Work and Activities
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CL.C101821.HAMD 21 TESTCDQS-Hamilton Depression Rating Scale 21-Item Questionnaire Test Code
(HAMD 21 TESTCD)
text
Extensible: No
C101821QS-Hamilton Depression Rating Scale 21-Item Questionnaire Test CodeHamilton Depression Rating Scale 21-Item test code.CDISC Questionnaire HAMD 21 Test Code Terminology
HAMD201C102087HAMD2-Depressed MoodHamilton Depression Rating Scale 21 Item - Depressed mood: sadness, hopeless, helpless, worthless.HAMD-21 - Depressed Mood
HAMD202C102088HAMD2-Feelings of GuiltHamilton Depression Rating Scale 21 Item - Feelings of guilt.HAMD-21 - Feelings of Guilt
HAMD203C102089HAMD2-SuicideHamilton Depression Rating Scale 21 Item - Suicide.HAMD-21 - Suicide
HAMD204C102090HAMD2-Insomnia EarlyHamilton Depression Rating Scale 21 Item - Insomnia early.HAMD-21 - Insomnia Early
HAMD205C102091HAMD2-Insomnia MiddleHamilton Depression Rating Scale 21 Item - Insomnia middle.HAMD-21 - Insomnia Middle
HAMD206C102092HAMD2-Insomnia LateHamilton Depression Rating Scale 21 Item - Insomnia late.HAMD-21 - Insomnia Late
HAMD207C102093HAMD2-Work and ActivitiesHamilton Depression Rating Scale 21 Item - Work and activities.HAMD-21 - Work and Activities
HAMD208C102094HAMD2-RetardationHamilton Depression Rating Scale 21 Item - Retardation: psychomotor (slowness of thought and speech; impaired ability to concentrate; decreased motor activity).HAMD-21 - Retardation
HAMD209C102095HAMD2-AgitationHamilton Depression Rating Scale 21 Item - Agitation.HAMD-21 - Agitation
HAMD210C102096HAMD2-Anxiety PsychologicalHamilton Depression Rating Scale 21 Item - Anxiety Psychological.HAMD-21 - Anxiety Psychological
HAMD211C102097HAMD2-Anxiety SomaticHamilton 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
HAMD212C102098HAMD2-Somatic Symptoms Gastro-intestinalHamilton Depression Rating Scale 21 Item - Somatic symptoms gastro-intestinal.HAMD-21 - Somatic Symptoms Gastro-intestinal
HAMD213C102099HAMD2-Somatic Symptoms GeneralHamilton Depression Rating Scale 21 Item - Somatic symptoms general.HAMD-21 - Somatic Symptoms General
HAMD214C102100HAMD2-Genital SymptomsHamilton Depression Rating Scale 21 Item - Genital symptoms: symptoms such as: loss of libido; impaired sexual performance; menstrual disturbances.HAMD-21 - Genital Symptoms
HAMD215C102101HAMD2-HypochondriasisHamilton Depression Rating Scale 21 Item - Hypochondriasis.HAMD-21 - Hypochondriasis
HAMD216AC102102HAMD2-Loss of Weight by HistoryHamilton Depression Rating Scale 21 Item - Loss of weight when rating by history.HAMD-21 - Loss of Weight by History
HAMD216BC102103HAMD2-Loss of Weight MeasuredHamilton 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
HAMD217C102104HAMD2-InsightHamilton Depression Rating Scale 21 Item - Insight.HAMD-21 - Insight
HAMD218AC102105HAMD2-Diurnal VariationHamilton Depression Rating Scale 21 Item - Diurnal variation.HAMD-21 - Diurnal Variation
HAMD218BC102106HAMD2-Diurnal Variation SeverityHamilton Depression Rating Scale 21 Item - Diurnal variation severity.HAMD-21 - Diurnal Variation Severity
HAMD219C102107HAMD2-Depersonalization/DerealizationHamilton Depression Rating Scale 21 Item - Depersonalization and derealization: such as feelings of unreality; nihilistic ideas.HAMD-21 - Depersonalization and Derealization
HAMD220C102108HAMD2-Paranoid SymptomsHamilton Depression Rating Scale 21 Item - Paranoid symptoms.HAMD-21 - Paranoid Symptoms
HAMD221C102109HAMD2-Obsessional/Compulsive SymptomsHamilton Depression Rating Scale 21 Item - Obsessional and compulsive symptoms.HAMD-21 - Obsessional and Compulsive Symptoms
HAMD222C102110HAMD2-Total ScoreHamilton Depression Rating Scale 21 Item - Total score.HAMD-21 - Total Score
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CL.C101822.HAMD 21 TESTQS-Hamilton Depression Rating Scale 21-Item Questionnaire Test Name
(HAMD 21 TEST)
text
Extensible: No
C101822QS-Hamilton Depression Rating Scale 21-Item Questionnaire Test NameHamilton Depression Rating Scale 21-Item test name.CDISC Questionnaire HAMD 21 Test Name Terminology
HAMD2-AgitationC102095HAMD2-AgitationHamilton Depression Rating Scale 21 Item - Agitation.HAMD-21 - Agitation
HAMD2-Anxiety PsychologicalC102096HAMD2-Anxiety PsychologicalHamilton Depression Rating Scale 21 Item - Anxiety Psychological.HAMD-21 - Anxiety Psychological
HAMD2-Anxiety SomaticC102097HAMD2-Anxiety SomaticHamilton 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/DerealizationC102107HAMD2-Depersonalization/DerealizationHamilton Depression Rating Scale 21 Item - Depersonalization and derealization: such as feelings of unreality; nihilistic ideas.HAMD-21 - Depersonalization and Derealization
HAMD2-Depressed MoodC102087HAMD2-Depressed MoodHamilton Depression Rating Scale 21 Item - Depressed mood: sadness, hopeless, helpless, worthless.HAMD-21 - Depressed Mood
HAMD2-Diurnal VariationC102105HAMD2-Diurnal VariationHamilton Depression Rating Scale 21 Item - Diurnal variation.HAMD-21 - Diurnal Variation
HAMD2-Diurnal Variation SeverityC102106HAMD2-Diurnal Variation SeverityHamilton Depression Rating Scale 21 Item - Diurnal variation severity.HAMD-21 - Diurnal Variation Severity
HAMD2-Feelings of GuiltC102088HAMD2-Feelings of GuiltHamilton Depression Rating Scale 21 Item - Feelings of guilt.HAMD-21 - Feelings of Guilt
HAMD2-Genital SymptomsC102100HAMD2-Genital SymptomsHamilton Depression Rating Scale 21 Item - Genital symptoms: symptoms such as: loss of libido; impaired sexual performance; menstrual disturbances.HAMD-21 - Genital Symptoms
HAMD2-HypochondriasisC102101HAMD2-HypochondriasisHamilton Depression Rating Scale 21 Item - Hypochondriasis.HAMD-21 - Hypochondriasis
HAMD2-InsightC102104HAMD2-InsightHamilton Depression Rating Scale 21 Item - Insight.HAMD-21 - Insight
HAMD2-Insomnia EarlyC102090HAMD2-Insomnia EarlyHamilton Depression Rating Scale 21 Item - Insomnia early.HAMD-21 - Insomnia Early
HAMD2-Insomnia LateC102092HAMD2-Insomnia LateHamilton Depression Rating Scale 21 Item - Insomnia late.HAMD-21 - Insomnia Late
HAMD2-Insomnia MiddleC102091HAMD2-Insomnia MiddleHamilton Depression Rating Scale 21 Item - Insomnia middle.HAMD-21 - Insomnia Middle
HAMD2-Loss of Weight by HistoryC102102HAMD2-Loss of Weight by HistoryHamilton Depression Rating Scale 21 Item - Loss of weight when rating by history.HAMD-21 - Loss of Weight by History
HAMD2-Loss of Weight MeasuredC102103HAMD2-Loss of Weight MeasuredHamilton 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 SymptomsC102109HAMD2-Obsessional/Compulsive SymptomsHamilton Depression Rating Scale 21 Item - Obsessional and compulsive symptoms.HAMD-21 - Obsessional and Compulsive Symptoms
HAMD2-Paranoid SymptomsC102108HAMD2-Paranoid SymptomsHamilton Depression Rating Scale 21 Item - Paranoid symptoms.HAMD-21 - Paranoid Symptoms
HAMD2-RetardationC102094HAMD2-RetardationHamilton 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-intestinalC102098HAMD2-Somatic Symptoms Gastro-intestinalHamilton Depression Rating Scale 21 Item - Somatic symptoms gastro-intestinal.HAMD-21 - Somatic Symptoms Gastro-intestinal
HAMD2-Somatic Symptoms GeneralC102099HAMD2-Somatic Symptoms GeneralHamilton Depression Rating Scale 21 Item - Somatic symptoms general.HAMD-21 - Somatic Symptoms General
HAMD2-SuicideC102089HAMD2-SuicideHamilton Depression Rating Scale 21 Item - Suicide.HAMD-21 - Suicide
HAMD2-Total ScoreC102110HAMD2-Total ScoreHamilton Depression Rating Scale 21 Item - Total score.HAMD-21 - Total Score
HAMD2-Work and ActivitiesC102093HAMD2-Work and ActivitiesHamilton Depression Rating Scale 21 Item - Work and activities.HAMD-21 - Work and Activities
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CL.C106667.HAQ-DI TESTCDQS-Health Assessment Questionnaire Disability Index Test Code
(HAQ-DI TESTCD)
text
Extensible: No
C106667QS-Health Assessment Questionnaire Disability Index Test CodeHealth Assessment Questionnaire Disability Index test code.CDISC Questionnaire HAQ-DI Test Code Terminology
HAQ0101C106809HAQ01-Dress YourselfHealth Assessment Questionnaire Disability Index - Dressing & Grooming: Are you able to dress yourself, including tying shoelaces and doing buttons?HAQ-DI - Able to Dress Yourself
HAQ0102C106810HAQ01-Shampoo Your HairHealth Assessment Questionnaire Disability Index - Dressing & Grooming: Are you able to shampoo your hair?HAQ-DI - Able to Shampoo Hair
HAQ0103C106811HAQ01-Stand Up From a Straight ChairHealth Assessment Questionnaire Disability Index - Arising: Are you able to stand up from a straight chair?HAQ-DI - Able to Stand Up From Chair
HAQ0104C106812HAQ01-Get In and Out of BedHealth 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
HAQ0105C106813HAQ01-Cut Your MeatHealth Assessment Questionnaire Disability Index - Eating: Are you able to cut your meat?HAQ-DI - Able to Cut Meat
HAQ0106C106814HAQ01-Lift a Full Cup or Glass to MouthHealth 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
HAQ0107C106815HAQ01-Open a New Milk CartonHealth Assessment Questionnaire Disability Index - Eating: Are you able to open a new milk carton?HAQ-DI - Able to Open Milk Carton
HAQ0108C106816HAQ01-Walk Outdoors on Flat GroundHealth Assessment Questionnaire Disability Index - Walking: Are you able to walk outdoors on flat ground?HAQ-DI - Able to Walk Outdoors On Flat Ground
HAQ0109C106817HAQ01-Climb Up Five StepsHealth Assessment Questionnaire Disability Index - Walking: Are you able to climb up five steps?HAQ-DI - Able to Climb Up Steps
HAQ0110C106818HAQ01-Aid: CaneHealth Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Cane.HAQ-DI - Aids or Devices - Cane
HAQ0111C106819HAQ01-Aid: WalkerHealth Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Walker.HAQ-DI - Aids or Devices - Walker
HAQ0112C106820HAQ01-Aid: CrutchesHealth Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Crutches.HAQ-DI - Aids or Devices - Crutches
HAQ0113C106821HAQ01-Aid: WheelchairHealth Assessment Questionnaire Disability Index - Aids or devices that you usually use for any of these activities: Wheelchair.HAQ-DI - Aids or Devices - Wheelchair
HAQ0114C106822HAQ01-Aid: Devices Used for DressingHealth 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
HAQ0115C106823HAQ01-Aid: Built Up or Special UtensilsHealth 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
HAQ0116C106824HAQ01-Aid: Special or Built Up ChairHealth 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
HAQ0117C106825HAQ01-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
HAQ0118C106826HAQ01-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
HAQ0119C106827HAQ01-Help: Dressing and GroomingHealth Assessment Questionnaire Disability Index - Usually need help from another person: Dressing and Grooming.HAQ-DI - Help From Another Person - Dressing and Grooming
HAQ0120C106828HAQ01-Help: ArisingHealth Assessment Questionnaire Disability Index - Usually need help from another person: Arising.HAQ-DI - Help From Another Person - Arising
HAQ0121C106829HAQ01-Help: EatingHealth Assessment Questionnaire Disability Index - Usually need help from another person: Eating.HAQ-DI - Help From Another Person - Eating
HAQ0122C106830HAQ01-Help: WalkingHealth Assessment Questionnaire Disability Index - Usually need help from another person: Walking.HAQ-DI - Help From Another Person - Walking
HAQ0123C106831HAQ01-Wash and Dry Your BodyHealth Assessment Questionnaire Disability Index - Hygiene: Are you able to wash and dry your body?HAQ-DI - Able to Wash and Dry Body
HAQ0124C106832HAQ01-Take a Tub BathHealth Assessment Questionnaire Disability Index - Hygiene: Are you able to take a tub bath?HAQ-DI - Able to Take Tub Bath
HAQ0125C106833HAQ01-Get On and Off The ToiletHealth Assessment Questionnaire Disability Index - Hygiene: Are you able to get on and off the toilet?HAQ-DI - Able to Get On and Off Toilet
HAQ0126C106834HAQ01-Reach-Get Down 5 Lb Obj Above HeadHealth 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
HAQ0127C106835HAQ01-Bend Down Pick Up Clothing - FloorHealth 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
HAQ0128C106836HAQ01-Open Car DoorsHealth Assessment Questionnaire Disability Index - Grip: Are you able to open car doors?HAQ-DI - Able to Open Car Doors
HAQ0129C106837HAQ01-Open Jars Previously OpenedHealth Assessment Questionnaire Disability Index - Grip: Are you able to open jars which have been previously opened?HAQ-DI - Able to Open Previously Opened Jars
HAQ0130C106838HAQ01-Turn Faucets On And OffHealth Assessment Questionnaire Disability Index - Grip: Are you able to turn faucets on and off?HAQ-DI - Able to Turn Faucets On and Off
HAQ0131C106839HAQ01-Run Errands and ShopHealth Assessment Questionnaire Disability Index - Activities: Are you able to run errands and shop?HAQ-DI - Able to Run Errands and Shop
HAQ0132C106840HAQ01-Get In and Out of a CarHealth 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
HAQ0133C106841HAQ01-Able to Do ChoresHealth 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
HAQ0134C106842HAQ01-Aid: Raised Toilet SeatHealth 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
HAQ0135C106843HAQ01-Aid: Bathtub SeatHealth 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
HAQ0136C107020HAQ01-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)
HAQ0137C106844HAQ01-Aid: Bathtub BarHealth 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
HAQ0138C106845HAQ01-Aid: Long-Handled Appl ReachHealth 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
HAQ0139C106846HAQ01-Aid: Long-Handled Appl BathroomHealth 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
HAQ0140C107093HAQ01-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
HAQ0141C107094HAQ01-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
HAQ0142C106847HAQ01-Help: HygieneHealth Assessment Questionnaire Disability Index - Usually need help from another person: Hygiene.HAQ-DI - Help From Another Person - Hygiene
HAQ0143C106848HAQ01-Help: ReachHealth Assessment Questionnaire Disability Index - Usually need help from another person: Reach.HAQ-DI - Help From Another Person - Reach
HAQ0144C106849HAQ01-Help: Gripping and Opening ThingsHealth Assessment Questionnaire Disability Index - Usually need help from another person: Gripping and opening things.HAQ-DI - Help From Another Person - Gripping and Opening Things
HAQ0145C106850HAQ01-Help: Errands and ChoresHealth Assessment Questionnaire Disability Index - Usually need help from another person: Errands and chores.HAQ-DI - Help From Another Person - Errands and Chores
HAQ0146C106851HAQ01-Severity of PainHealth 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
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CL.C106666.HAQ-DI TESTQS-Health Assessment Questionnaire Disability Index Test Name
(HAQ-DI TEST)
text
Extensible: No
C106666QS-Health Assessment Questionnaire Disability Index Test NameHealth Assessment Questionnaire Disability Index test name.CDISC Questionnaire HAQ-DI Test Name Terminology
HAQ01-Able to Do ChoresC106841HAQ01-Able to Do ChoresHealth 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 BarC106844HAQ01-Aid: Bathtub BarHealth 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 SeatC106843HAQ01-Aid: Bathtub SeatHealth 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 UtensilsC106823HAQ01-Aid: Built Up or Special UtensilsHealth 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: CaneC106818HAQ01-Aid: CaneHealth 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: CrutchesC106820HAQ01-Aid: CrutchesHealth 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 DressingC106822HAQ01-Aid: Devices Used for DressingHealth 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)C107020HAQ01-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 BathroomC106846HAQ01-Aid: Long-Handled Appl BathroomHealth 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 ReachC106845HAQ01-Aid: Long-Handled Appl ReachHealth 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 SeatC106842HAQ01-Aid: Raised Toilet SeatHealth 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 ChairC106824HAQ01-Aid: Special or Built Up ChairHealth 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: WalkerC106819HAQ01-Aid: WalkerHealth 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: WheelchairC106821HAQ01-Aid: WheelchairHealth 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 - FloorC106835HAQ01-Bend Down Pick Up Clothing - FloorHealth 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 StepsC106817HAQ01-Climb Up Five StepsHealth Assessment Questionnaire Disability Index - Walking: Are you able to climb up five steps?HAQ-DI - Able to Climb Up Steps
HAQ01-Cut Your MeatC106813HAQ01-Cut Your MeatHealth Assessment Questionnaire Disability Index - Eating: Are you able to cut your meat?HAQ-DI - Able to Cut Meat
HAQ01-Dress YourselfC106809HAQ01-Dress YourselfHealth 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 CarC106840HAQ01-Get In and Out of a CarHealth 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 BedC106812HAQ01-Get In and Out of BedHealth 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 ToiletC106833HAQ01-Get On and Off The ToiletHealth 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: ArisingC106828HAQ01-Help: ArisingHealth Assessment Questionnaire Disability Index - Usually need help from another person: Arising.HAQ-DI - Help From Another Person - Arising
HAQ01-Help: Dressing and GroomingC106827HAQ01-Help: Dressing and GroomingHealth Assessment Questionnaire Disability Index - Usually need help from another person: Dressing and Grooming.HAQ-DI - Help From Another Person - Dressing and Grooming
HAQ01-Help: EatingC106829HAQ01-Help: EatingHealth Assessment Questionnaire Disability Index - Usually need help from another person: Eating.HAQ-DI - Help From Another Person - Eating
HAQ01-Help: Errands and ChoresC106850HAQ01-Help: Errands and ChoresHealth 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 ThingsC106849HAQ01-Help: Gripping and Opening ThingsHealth 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: HygieneC106847HAQ01-Help: HygieneHealth Assessment Questionnaire Disability Index - Usually need help from another person: Hygiene.HAQ-DI - Help From Another Person - Hygiene
HAQ01-Help: ReachC106848HAQ01-Help: ReachHealth Assessment Questionnaire Disability Index - Usually need help from another person: Reach.HAQ-DI - Help From Another Person - Reach
HAQ01-Help: WalkingC106830HAQ01-Help: WalkingHealth 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 MouthC106814HAQ01-Lift a Full Cup or Glass to MouthHealth 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 CartonC106815HAQ01-Open a New Milk CartonHealth Assessment Questionnaire Disability Index - Eating: Are you able to open a new milk carton?HAQ-DI - Able to Open Milk Carton
HAQ01-Open Car DoorsC106836HAQ01-Open Car DoorsHealth Assessment Questionnaire Disability Index - Grip: Are you able to open car doors?HAQ-DI - Able to Open Car Doors
HAQ01-Open Jars Previously OpenedC106837HAQ01-Open Jars Previously OpenedHealth 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)C106825HAQ01-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)C107093HAQ01-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 HeadC106834HAQ01-Reach-Get Down 5 Lb Obj Above HeadHealth 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 ShopC106839HAQ01-Run Errands and ShopHealth Assessment Questionnaire Disability Index - Activities: Are you able to run errands and shop?HAQ-DI - Able to Run Errands and Shop
HAQ01-Severity of PainC106851HAQ01-Severity of PainHealth 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 HairC106810HAQ01-Shampoo Your HairHealth 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)C106826HAQ01-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)C107094HAQ01-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 ChairC106811HAQ01-Stand Up From a Straight ChairHealth 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 BathC106832HAQ01-Take a Tub BathHealth 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 OffC106838HAQ01-Turn Faucets On And OffHealth 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 GroundC106816HAQ01-Walk Outdoors on Flat GroundHealth 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 BodyC106831HAQ01-Wash and Dry Your BodyHealth Assessment Questionnaire Disability Index - Hygiene: Are you able to wash and dry your body?HAQ-DI - Able to Wash and Dry Body
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CL.C103469.HADS TESTCDQS-Hospital Anxiety and Depression Scale Questionnaire Test Code
(HADS TESTCD)
text
Extensible: No
C103469QS-Hospital Anxiety and Depression Scale Questionnaire Test CodeHospital Anxiety and Depression Scale test code.CDISC Questionnaire HADS Test Code Terminology
HADS0101C103573HADS01-I Feel Tense or Wound UpHospital Anxiety and Depression Scale - I feel tense or 'wound up.'HADS - I Feel Tense or Wound Up
HADS0102C103574HADS01-Enjoy the Things I Used to EnjoyHospital Anxiety and Depression Scale - I still enjoy the things I used to enjoy.HADS - I Still Enjoy the Things I Used to Enjoy
HADS0103C103575HADS01-Something Awful About to HappenHospital 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
HADS0104C103576HADS01-I Can Laugh and See Funny SideHospital Anxiety and Depression Scale - I can laugh and see the funny side of things.HADS - I Can Laugh and See Funny Side of Things
HADS0105C103577HADS01-Worrying Thoughts Go Through MindHospital Anxiety and Depression Scale - Worrying thoughts go through my mind.HADS - Worrying Thoughts Go Through My Mind
HADS0106C103578HADS01-I Feel CheerfulHospital Anxiety and Depression Scale - I feel cheerful.HADS - I Feel Cheerful
HADS0107C103579HADS01-Sit at Ease and Feel RelaxedHospital Anxiety and Depression Scale - I can sit at ease and feel relaxed.HADS - I Can Sit at Ease and Feel Relaxed
HADS0108C103580HADS01-I Feel as if I am Slowed DownHospital Anxiety and Depression Scale - I feel as if I am slowed down.HADS - I Feel as if I am Slowed Down
HADS0109C103581HADS01-Butterflies in the StomachHospital 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
HADS0110C103582HADS01-Lost Interest in My AppearanceHospital Anxiety and Depression Scale - I have lost interest in my appearance.HADS - I Have Lost Interest in My Appearance
HADS0111C103583HADS01-Feel Restless be on the MoveHospital 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
HADS0112C103584HADS01-Look Forward with EnjoymentHospital Anxiety and Depression Scale - I look forward with enjoyment to things.HADS - I Look Forward with Enjoyment to Things
HADS0113C103585HADS01-I Get Sudden Feelings of PanicHospital Anxiety and Depression Scale - I get sudden feelings of panic.HADS - I Get Sudden Feelings of Panic
HADS0114C103586HADS01-Enjoy Good Book/Radio/TelevisionHospital 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
HADS0115C118111HADS01-Total Score AnxietyHospital Anxiety and Depression Scale - Total score anxiety.HADS - Total Score Anxiety
HADS0116C118112HADS01-Total Score DepressionHospital Anxiety and Depression Scale - Total score depression.HADS - Total Score Depression
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CL.C103468.HADS TESTQS-Hospital Anxiety and Depression Scale Questionnaire Test Name
(HADS TEST)
text
Extensible: No
C103468QS-Hospital Anxiety and Depression Scale Questionnaire Test NameHospital Anxiety and Depression Scale test name.CDISC Questionnaire HADS Test Name Terminology
HADS01-Butterflies in the StomachC103581HADS01-Butterflies in the StomachHospital 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/TelevisionC103586HADS01-Enjoy Good Book/Radio/TelevisionHospital 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 EnjoyC103574HADS01-Enjoy the Things I Used to EnjoyHospital 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 MoveC103583HADS01-Feel Restless be on the MoveHospital 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 SideC103576HADS01-I Can Laugh and See Funny SideHospital 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 DownC103580HADS01-I Feel as if I am Slowed DownHospital Anxiety and Depression Scale - I feel as if I am slowed down.HADS - I Feel as if I am Slowed Down
HADS01-I Feel CheerfulC103578HADS01-I Feel CheerfulHospital Anxiety and Depression Scale - I feel cheerful.HADS - I Feel Cheerful
HADS01-I Feel Tense or Wound UpC103573HADS01-I Feel Tense or Wound UpHospital Anxiety and Depression Scale - I feel tense or 'wound up.'HADS - I Feel Tense or Wound Up
HADS01-I Get Sudden Feelings of PanicC103585HADS01-I Get Sudden Feelings of PanicHospital Anxiety and Depression Scale - I get sudden feelings of panic.HADS - I Get Sudden Feelings of Panic
HADS01-Look Forward with EnjoymentC103584HADS01-Look Forward with EnjoymentHospital Anxiety and Depression Scale - I look forward with enjoyment to things.HADS - I Look Forward with Enjoyment to Things
HADS01-Lost Interest in My AppearanceC103582HADS01-Lost Interest in My AppearanceHospital 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 RelaxedC103579HADS01-Sit at Ease and Feel RelaxedHospital 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 HappenC103575HADS01-Something Awful About to HappenHospital 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 AnxietyC118111HADS01-Total Score AnxietyHospital Anxiety and Depression Scale - Total score anxiety.HADS - Total Score Anxiety
HADS01-Total Score DepressionC118112HADS01-Total Score DepressionHospital Anxiety and Depression Scale - Total score depression.HADS - Total Score Depression
HADS01-Worrying Thoughts Go Through MindC103577HADS01-Worrying Thoughts Go Through MindHospital Anxiety and Depression Scale - Worrying thoughts go through my mind.HADS - Worrying Thoughts Go Through My Mind
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CL.C113856.IVIS TESTCDQS-Impact of Visual Impairment Scale Test Code
(IVIS TESTCD)
text
Extensible: No
C113856QS-Impact of Visual Impairment Scale Test CodeImpact of Visual Impairment Scale test code.CDISC Questionnaire Impact of Visual Impairment Scale Test Code Terminology
IVIS0101C113962IVIS01-Read or Access Personal LettersImpact 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
IVIS0102C113963IVIS01-Read or Access Printed MaterialsImpact 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
IVIS0103C113964IVIS01-Read or Access DialsImpact 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
IVIS0104C113965IVIS01-Watch TV/ID Faces From DistanceImpact 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
IVIS0105C113966IVIS01-Identify House Number/Street SignImpact 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
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CL.C113855.IVIS TESTQS-Impact of Visual Impairment Scale Test Name
(IVIS TEST)
text
Extensible: No
C113855QS-Impact of Visual Impairment Scale Test NameImpact of Visual Impairment Scale test name.CDISC Questionnaire Impact of Visual Impairment Scale Test Name Terminology
IVIS01-Identify House Number/Street SignC113966IVIS01-Identify House Number/Street SignImpact 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 DialsC113964IVIS01-Read or Access DialsImpact 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 LettersC113962IVIS01-Read or Access Personal LettersImpact 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 MaterialsC113963IVIS01-Read or Access Printed MaterialsImpact 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 DistanceC113965IVIS01-Watch TV/ID Faces From DistanceImpact 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
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CL.C103471.IIEF TESTCDQS-International Index of Erectile Function Questionnaire Test Code
(IIEF TESTCD)
text
Extensible: No
C103471QS-International Index of Erectile Function Questionnaire Test CodeInternational Index of Erectile Function test code.CDISC Questionnaire IIEF Test Code Terminology
IIEF0101C103587IIEF01-Erection During Sexual Activity;IIEF01-Erection FrequencyInternational 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
IIEF0102C103588IIEF01-Erection Firmness;IIEF01-Erection Hard Enough to PenetrateInternational 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
IIEF0103C103589IIEF01-Able to Penetrate Your Partner;IIEF01-Penetration AbilityInternational 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
IIEF0104C103590IIEF01-Maintain Erection After Penetrate;IIEF01-Maintenance FrequencyInternational 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
IIEF0105C103591IIEF01-Maintain Erection to Completion;IIEF01-Maintenance AbilityInternational 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
IIEF0106C103592IIEF01-Intercourse Frequency;IIEF01-Times Attempted Sexual IntercoursInternational 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
IIEF0107C103593IIEF01-How Often was it Satisfactory;IIEF01-Intercourse SatisfactionInternational 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
IIEF0108C103594IIEF01-Enjoyed Sexual Intercourse;IIEF01-Intercourse EnjoymentInternational Index of Erectile Function - Over the past four weeks how much have you enjoyed sexual intercourse?IIEF - How Much Have You Enjoyed Sexual Intercourse
IIEF0109C103595IIEF01-Ejaculation Frequency;IIEF01-How Often Did You EjaculateInternational 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
IIEF0110C103596IIEF01-Did You Have Feeling of Orgasm;IIEF01-Orgasm FrequencyInternational 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
IIEF0111C103597IIEF01-Desire Frequency;IIEF01-Have You Felt Sexual DesireInternational Index of Erectile Function - Over the past four weeks how often have you felt sexual desire?IIEF - How Often Have You Felt Sexual Desire
IIEF0112C103598IIEF01-Desire Level;IIEF01-Rate Your Level of Sexual DesireInternational 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
IIEF0113C103599IIEF01-Overall Satisfaction;IIEF01-Satisfied with Overall Sex LifeInternational 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
IIEF0114C103600IIEF01-Relationship Satisfaction;IIEF01-Satisfy with Sexual RelationshipInternational 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
IIEF0115C103601IIEF01-Confidence to Get/Keep Erection;IIEF01-Erection ConfidenceInternational 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
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CL.C103470.IIEF TESTQS-International Index of Erectile Function Questionnaire Test Name
(IIEF TEST)
text
Extensible: No
C103470QS-International Index of Erectile Function Questionnaire Test NameInternational Index of Erectile Function test name.CDISC Questionnaire IIEF Test Name Terminology
IIEF01-Able to Penetrate Your PartnerC103589IIEF01-Able to Penetrate Your Partner;IIEF01-Penetration AbilityInternational 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 ErectionC103601IIEF01-Confidence to Get/Keep Erection;IIEF01-Erection ConfidenceInternational 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 OrgasmC103596IIEF01-Did You Have Feeling of Orgasm;IIEF01-Orgasm FrequencyInternational 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 IntercourseC103594IIEF01-Enjoyed Sexual Intercourse;IIEF01-Intercourse EnjoymentInternational 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 ActivityC103587IIEF01-Erection During Sexual Activity;IIEF01-Erection FrequencyInternational 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 PenetrateC103588IIEF01-Erection Firmness;IIEF01-Erection Hard Enough to PenetrateInternational 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 DesireC103597IIEF01-Desire Frequency;IIEF01-Have You Felt Sexual DesireInternational 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 EjaculateC103595IIEF01-Ejaculation Frequency;IIEF01-How Often Did You EjaculateInternational 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 SatisfactoryC103593IIEF01-How Often was it Satisfactory;IIEF01-Intercourse SatisfactionInternational 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 PenetrateC103590IIEF01-Maintain Erection After Penetrate;IIEF01-Maintenance FrequencyInternational 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 CompletionC103591IIEF01-Maintain Erection to Completion;IIEF01-Maintenance AbilityInternational 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 DesireC103598IIEF01-Desire Level;IIEF01-Rate Your Level of Sexual DesireInternational 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 LifeC103599IIEF01-Overall Satisfaction;IIEF01-Satisfied with Overall Sex LifeInternational 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 RelationshipC103600IIEF01-Relationship Satisfaction;IIEF01-Satisfy with Sexual RelationshipInternational 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 IntercoursC103592IIEF01-Intercourse Frequency;IIEF01-Times Attempted Sexual IntercoursInternational 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
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CL.C100170.KPS Scale TESTCDQS-Karnofsky Performance Status Scale Test Code
(KPS Scale TESTCD)
text
Extensible: No
C100170QS-Karnofsky Performance Status Scale Test CodeKarnofsky Performance Status Scale test code.CDISC Questionnaire KPS Scale Test Code Terminology
KPSS01C100417KPSS-Karnofsky Performance StatusKarnofsky Performance Status Scale - Karnofsky Performance Status.KPS Scale - Karnofsky Performance Status
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CL.C100169.KPS Scale TESTQS-Karnofsky Performance Status Scale Test Name
(KPS Scale TEST)
text
Extensible: No
C100169QS-Karnofsky Performance Status Scale Test NameKarnofsky Performance Status Scale test name.CDISC Questionnaire KPS Scale Test Name Terminology
KPSS-Karnofsky Performance StatusC100417KPSS-Karnofsky Performance StatusKarnofsky Performance Status Scale - Karnofsky Performance Status.KPS Scale - Karnofsky Performance Status
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CL.C112439.EDSS TESTCDQS-Kurtzke Expanded Disability Status Scale Questionnaire Test Code
(EDSS TESTCD)
text
Extensible: No
C112439QS-Kurtzke Expanded Disability Status Scale Questionnaire Test CodeKurtzke Expanded Disability Status Scale test code.CDISC Questionnaire EDSS Test Code Terminology
EDSS0101C112550EDSS01-Expanded Disability ScoreKurtzke Expanded Disability Status Scale - Expanded disability score.EDSS - Expanded Disability Score
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CL.C112438.EDSS TESTQS-Kurtzke Expanded Disability Status Scale Questionnaire Test Name
(EDSS TEST)
text
Extensible: No
C112438QS-Kurtzke Expanded Disability Status Scale Questionnaire Test NameKurtzke Expanded Disability Status Scale test name.CDISC Questionnaire EDSS Test Name Terminology
EDSS01-Expanded Disability ScoreC112550EDSS01-Expanded Disability ScoreKurtzke Expanded Disability Status Scale - Expanded disability score.EDSS - Expanded Disability Score
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CL.C112443.KFSS TESTCDQS-Kurtzke Functional Systems Scores Questionnaire Test Code
(KFSS TESTCD)
text
Extensible: No
C112443QS-Kurtzke Functional Systems Scores Questionnaire Test CodeKurtzke Functional Systems Scores test code.CDISC Questionnaire KFSS Test Code Terminology
KFSS101C112609KFSS1-Pyramidal FunctionsKurtzke Functional Systems Scores - Pyramidal functions.KFSS - Pyramidal Functions
KFSS102C112610KFSS1-Cerebellar FunctionsKurtzke Functional Systems Scores - Cerebellar functions.KFSS - Cerebellar Functions
KFSS102AC112611KFSS1-Weakness Interferes With TestingKurtzke Functional Systems Scores - Check here when weakness (grade 3 or more on pyramidal) interferes with testing.KFSS - Weakness Interferes With Testing
KFSS103C112612KFSS1-Brain Stem FunctionsKurtzke Functional Systems Scores - Brain stem functions.KFSS - Brain Stem Functions
KFSS104C112613KFSS1-Sensory FunctionsKurtzke Functional Systems Scores - Sensory functions.KFSS - Sensory Functions
KFSS105C112614KFSS1-Bowel and Bladder FunctionsKurtzke Functional Systems Scores - Bowel and bladder functions.KFSS - Bowel and Bladder Functions
KFSS106C112615KFSS1-Visual or Optic FunctionsKurtzke Functional Systems Scores - Visual (or optic) functions.KFSS - Visual (or Optic) Functions
KFSS106AC112616KFSS1-Presence of Temporal PallorKurtzke Functional Systems Scores - Check here for presence of temporal pallor.KFSS - Presence of Temporal Pallor
KFSS107C112617KFSS1-Cerebral or Mental FunctionsKurtzke Functional Systems Scores - Cerebral (or mental) functions.KFSS - Cerebral (or Mental) Functions
KFSS108C113884KFSS1-Other FunctionsKurtzke Functional Systems Scores - Other functions.KFSS - Other Functions
KFSS108AC113885KFSS1-Other Functions SpecifyKurtzke Functional Systems Scores - Any other neurologic findings attributed to MS (specify).KFSS - Other Functions Specify
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CL.C112442.KFSS TESTQS-Kurtzke Functional Systems Scores Questionnaire Test Name
(KFSS TEST)
text
Extensible: No
C112442QS-Kurtzke Functional Systems Scores Questionnaire Test NameKurtzke Functional Systems Scores test name.CDISC Questionnaire KFSS Test Name Terminology
KFSS1-Bowel and Bladder FunctionsC112614KFSS1-Bowel and Bladder FunctionsKurtzke Functional Systems Scores - Bowel and bladder functions.KFSS - Bowel and Bladder Functions
KFSS1-Brain Stem FunctionsC112612KFSS1-Brain Stem FunctionsKurtzke Functional Systems Scores - Brain stem functions.KFSS - Brain Stem Functions
KFSS1-Cerebellar FunctionsC112610KFSS1-Cerebellar FunctionsKurtzke Functional Systems Scores - Cerebellar functions.KFSS - Cerebellar Functions
KFSS1-Cerebral or Mental FunctionsC112617KFSS1-Cerebral or Mental FunctionsKurtzke Functional Systems Scores - Cerebral (or mental) functions.KFSS - Cerebral (or Mental) Functions
KFSS1-Other FunctionsC113884KFSS1-Other FunctionsKurtzke Functional Systems Scores - Other functions.KFSS - Other Functions
KFSS1-Other Functions SpecifyC113885KFSS1-Other Functions SpecifyKurtzke Functional Systems Scores - Any other neurologic findings attributed to MS (specify).KFSS - Other Functions Specify
KFSS1-Presence of Temporal PallorC112616KFSS1-Presence of Temporal PallorKurtzke Functional Systems Scores - Check here for presence of temporal pallor.KFSS - Presence of Temporal Pallor
KFSS1-Pyramidal FunctionsC112609KFSS1-Pyramidal FunctionsKurtzke Functional Systems Scores - Pyramidal functions.KFSS - Pyramidal Functions
KFSS1-Sensory FunctionsC112613KFSS1-Sensory FunctionsKurtzke Functional Systems Scores - Sensory functions.KFSS - Sensory Functions
KFSS1-Visual or Optic FunctionsC112615KFSS1-Visual or Optic FunctionsKurtzke Functional Systems Scores - Visual (or optic) functions.KFSS - Visual (or Optic) Functions
KFSS1-Weakness Interferes With TestingC112611KFSS1-Weakness Interferes With TestingKurtzke Functional Systems Scores - Check here when weakness (grade 3 or more on pyramidal) interferes with testing.KFSS - Weakness Interferes With Testing
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CL.C115406.MPAI-4 TESTCDQS-Mayo-Portland Adaptability Inventory-4 Questionnaire Test Code
(MPAI-4 TESTCD)
text
Extensible: No
C115406QS-Mayo-Portland Adaptability Inventory-4 Questionnaire Test CodeMayo-Portland Adaptability Inventory-4 test code.CDISC Questionnaire MPAI-4 Test Code Terminology
MPAI101C115851MPAI1-MobilityMayo-Portland Adaptability Inventory-4 - Problems walking or moving; balance problems that interfere with moving about.MPAI-4 - Abilities: Mobility
MPAI102C115852MPAI1-Use of HandsMayo-Portland Adaptability Inventory-4 - Impaired strength or coordination in one or both hands.MPAI-4 - Abilities: Use of Hands
MPAI103C115853MPAI1-VisionMayo-Portland Adaptability Inventory-4 - Problems seeing; double vision; eye, brain, or nerve injuries that interfere with seeing.MPAI-4 - Abilities: Vision
MPAI104C115854MPAI1-AuditionMayo-Portland Adaptability Inventory-4 - Problems hearing; ringing in the ears.MPAI-4 - Abilities: Audition
MPAI105C115855MPAI1-DizzinessMayo-Portland Adaptability Inventory-4 - Feeling unsteady, dizzy, light-headed.MPAI-4 - Abilities: Dizziness
MPAI106C115856MPAI1-Motor SpeechMayo-Portland Adaptability Inventory-4 - Abnormal clearness or rate of speech; stuttering.MPAI-4 - Abilities: Motor Speech
MPAI107AC115857MPAI1-Verbal CommunicationMayo-Portland Adaptability Inventory-4 - Problems expressing or understanding language.MPAI-4 - Abilities: Verbal Communication
MPAI107BC115858MPAI1-Nonverbal CommunicationMayo-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
MPAI108C115859MPAI1-Attention/ConcentrationMayo-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
MPAI109C115860MPAI1-MemoryMayo-Portland Adaptability Inventory-4 - Problems learning and recalling new information.MPAI-4 - Abilities: Memory
MPAI110C115861MPAI1-Fund of InformationMayo-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
MPAI111C115862MPAI1-Novel Problem-SolvingMayo-Portland Adaptability Inventory-4 - Problems thinking up solutions or picking the best solution to new problems.MPAI-4 - Abilities: Novel Problem-Solving
MPAI112C115863MPAI1-Visuospatial AbilitiesMayo-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
MPAI113C115864MPAI1-AnxietyMayo-Portland Adaptability Inventory-4 - Tense, nervous, fearful, phobias, nightmares, flashbacks of stressful events.MPAI-4 - Adjustment: Anxiety
MPAI114C115865MPAI1-DepressionMayo-Portland Adaptability Inventory-4 - Sad, blue, hopeless, poor appetite, poor sleep, worry, self-criticism.MPAI-4 - Adjustment: Depression
MPAI115C115866MPAI1-Irritablity, Anger, AggressionMayo-Portland Adaptability Inventory-4 - Verbal or physical expressions of anger.MPAI-4 - Adjustment: Irritability, Anger, Aggression
MPAI116C115867MPAI1-Pain and HeadacheMayo-Portland Adaptability Inventory-4 - Verbal and nonverbal expressions of pain; activities limited by pain.MPAI-4 - Adjustment: Pain and Headache
MPAI117C115868MPAI1-FatigueMayo-Portland Adaptability Inventory-4 - Feeling tired; lack of energy; tiring easily.MPAI-4 - Adjustment: Fatigue
MPAI118C115869MPAI1-Sensitivity to Mild SymptomsMayo-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
MPAI119C115870MPAI1-Inappropriate Social InteractionMayo-Portland Adaptability Inventory-4 - Acting childish, silly, rude, behavior not fitting for time and place.MPAI-4 - Adjustment: Inappropriate Social Interaction
MPAI120C115871MPAI1-Impaired Self-AwarenessMayo-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
MPAI121C115872MPAI1-Family/Significant RelationshipsMayo-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
MPAI122C115873MPAI1-InitiationMayo-Portland Adaptability Inventory-4 - Problems getting started on activities without prompting.MPAI-4 - Participation: Initiation
MPAI123C115874MPAI1-Social Contact-Friends/CoworkersMayo-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
MPAI124C115875MPAI1-Leisure and Recreation ActivitiesMayo-Portland Adaptability Inventory-4 - Leisure and recreational activities.MPAI-4 - Participation: Leisure and Recreational Activities
MPAI125C115876MPAI1-Self-CareMayo-Portland Adaptability Inventory-4 - Eating, dressing, bathing, hygiene.MPAI-4 - Participation: Self-Care
MPAI126C115877MPAI1-ResidenceMayo-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
MPAI127C115878MPAI1-TransportationMayo-Portland Adaptability Inventory-4 - Transportation.MPAI-4 - Participation: Transportation
MPAI128AC115879MPAI1-Paid EmploymentMayo-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
MPAI128BC115880MPAI1-Other EmploymentMayo-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
MPAI128CC115881MPAI1-Other Employment-Social RoleMayo-Portland Adaptability Inventory-4 - Primary social role when paid employment is not primary desired social role.MPAI-4 - Participation: Other Employment-Social Role
MPAI129C115882MPAI1-Managing Money and FinancesMayo-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
MPAI130AC115883MPAI1-Alcohol Use-Pre-InjuryMayo-Portland Adaptability Inventory-4 - Pre-injury use of alcoholic beverages.MPAI-4 - Alcohol Use Pre-Injury
MPAI130BC115884MPAI1-Alcohol Use-Post-InjuryMayo-Portland Adaptability Inventory-4 - Post-injury use of alcoholic beverages.MPAI-4 - Alcohol Use Post-Injury
MPAI131AC115885MPAI1-Drug Use-Pre-InjuryMayo-Portland Adaptability Inventory-4 - Pre-injury use of illegal drugs or abuse of prescription drugs.MPAI-4 - Drug Use Pre-Injury
MPAI131BC115886MPAI1-Drug Use-Post-InjuryMayo-Portland Adaptability Inventory-4 - Post-injury use of illegal drugs or abuse of prescription drugs.MPAI-4 - Drug Use Post-Injury
MPAI132AC115887MPAI1-Psychotic Symptoms-Pre-InjuryMayo-Portland Adaptability Inventory-4 - Pre-injury hallucinations, delusions, other persistent severely distorted perceptions of reality.MPAI-4 - Psychotic Symptoms Pre-Injury
MPAI132BC115888MPAI1-Psychotic Symptoms-Post-InjuryMayo-Portland Adaptability Inventory-4 - Post-injury hallucinations, delusions, other persistent severely distorted perceptions of reality.MPAI-4 - Psychotic Symptoms Post-Injury
MPAI133AC115889MPAI1-Law Violations-Pre-InjuryMayo-Portland Adaptability Inventory-4 - Pre-injury history before and after injury.MPAI-4 - Law Violations Pre-Injury
MPAI133BC115890MPAI1-Law Violations-Post-InjuryMayo-Portland Adaptability Inventory-4 - Post-injury history before and after injury.MPAI-4 - Law Violations Post-Injury
MPAI134AC115891MPAI1-Other Physical Cond-Pre-InjuryMayo-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
MPAI134BC115892MPAI1-Other Physical Cond-Post-InjuryMayo-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
MPAI135AC115893MPAI1-Other Cognitive Cond-Pre-InjuryMayo-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
MPAI135BC115894MPAI1-Other Cognitive Cond-Post-InjuryMayo-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
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CL.C115405.MPAI-4 TESTQS-Mayo-Portland Adaptability Inventory-4 Questionnaire Test Name
(MPAI-4 TEST)
text
Extensible: No
C115405QS-Mayo-Portland Adaptability Inventory-4 Questionnaire Test NameMayo-Portland Adaptability Inventory-4 test name.CDISC Questionnaire MPAI-4 Test Name Terminology
MPAI1-Alcohol Use-Post-InjuryC115884MPAI1-Alcohol Use-Post-InjuryMayo-Portland Adaptability Inventory-4 - Post-injury use of alcoholic beverages.MPAI-4 - Alcohol Use Post-Injury
MPAI1-Alcohol Use-Pre-InjuryC115883MPAI1-Alcohol Use-Pre-InjuryMayo-Portland Adaptability Inventory-4 - Pre-injury use of alcoholic beverages.MPAI-4 - Alcohol Use Pre-Injury
MPAI1-AnxietyC115864MPAI1-AnxietyMayo-Portland Adaptability Inventory-4 - Tense, nervous, fearful, phobias, nightmares, flashbacks of stressful events.MPAI-4 - Adjustment: Anxiety
MPAI1-Attention/ConcentrationC115859MPAI1-Attention/ConcentrationMayo-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-AuditionC115854MPAI1-AuditionMayo-Portland Adaptability Inventory-4 - Problems hearing; ringing in the ears.MPAI-4 - Abilities: Audition
MPAI1-DepressionC115865MPAI1-DepressionMayo-Portland Adaptability Inventory-4 - Sad, blue, hopeless, poor appetite, poor sleep, worry, self-criticism.MPAI-4 - Adjustment: Depression
MPAI1-DizzinessC115855MPAI1-DizzinessMayo-Portland Adaptability Inventory-4 - Feeling unsteady, dizzy, light-headed.MPAI-4 - Abilities: Dizziness
MPAI1-Drug Use-Post-InjuryC115886MPAI1-Drug Use-Post-InjuryMayo-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-InjuryC115885MPAI1-Drug Use-Pre-InjuryMayo-Portland Adaptability Inventory-4 - Pre-injury use of illegal drugs or abuse of prescription drugs.MPAI-4 - Drug Use Pre-Injury
MPAI1-Family/Significant RelationshipsC115872MPAI1-Family/Significant RelationshipsMayo-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-FatigueC115868MPAI1-FatigueMayo-Portland Adaptability Inventory-4 - Feeling tired; lack of energy; tiring easily.MPAI-4 - Adjustment: Fatigue
MPAI1-Fund of InformationC115861MPAI1-Fund of InformationMayo-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-AwarenessC115871MPAI1-Impaired Self-AwarenessMayo-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 InteractionC115870MPAI1-Inappropriate Social InteractionMayo-Portland Adaptability Inventory-4 - Acting childish, silly, rude, behavior not fitting for time and place.MPAI-4 - Adjustment: Inappropriate Social Interaction
MPAI1-InitiationC115873MPAI1-InitiationMayo-Portland Adaptability Inventory-4 - Problems getting started on activities without prompting.MPAI-4 - Participation: Initiation
MPAI1-Irritablity, Anger, AggressionC115866MPAI1-Irritablity, Anger, AggressionMayo-Portland Adaptability Inventory-4 - Verbal or physical expressions of anger.MPAI-4 - Adjustment: Irritability, Anger, Aggression
MPAI1-Law Violations-Post-InjuryC115890MPAI1-Law Violations-Post-InjuryMayo-Portland Adaptability Inventory-4 - Post-injury history before and after injury.MPAI-4 - Law Violations Post-Injury
MPAI1-Law Violations-Pre-InjuryC115889MPAI1-Law Violations-Pre-InjuryMayo-Portland Adaptability Inventory-4 - Pre-injury history before and after injury.MPAI-4 - Law Violations Pre-Injury
MPAI1-Leisure and Recreation ActivitiesC115875MPAI1-Leisure and Recreation ActivitiesMayo-Portland Adaptability Inventory-4 - Leisure and recreational activities.MPAI-4 - Participation: Leisure and Recreational Activities
MPAI1-Managing Money and FinancesC115882MPAI1-Managing Money and FinancesMayo-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-MemoryC115860MPAI1-MemoryMayo-Portland Adaptability Inventory-4 - Problems learning and recalling new information.MPAI-4 - Abilities: Memory
MPAI1-MobilityC115851MPAI1-MobilityMayo-Portland Adaptability Inventory-4 - Problems walking or moving; balance problems that interfere with moving about.MPAI-4 - Abilities: Mobility
MPAI1-Motor SpeechC115856MPAI1-Motor SpeechMayo-Portland Adaptability Inventory-4 - Abnormal clearness or rate of speech; stuttering.MPAI-4 - Abilities: Motor Speech
MPAI1-Nonverbal CommunicationC115858MPAI1-Nonverbal CommunicationMayo-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-SolvingC115862MPAI1-Novel Problem-SolvingMayo-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-InjuryC115894MPAI1-Other Cognitive Cond-Post-InjuryMayo-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-InjuryC115893MPAI1-Other Cognitive Cond-Pre-InjuryMayo-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 EmploymentC115880MPAI1-Other EmploymentMayo-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 RoleC115881MPAI1-Other Employment-Social RoleMayo-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-InjuryC115892MPAI1-Other Physical Cond-Post-InjuryMayo-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-InjuryC115891MPAI1-Other Physical Cond-Pre-InjuryMayo-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 EmploymentC115879MPAI1-Paid EmploymentMayo-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 HeadacheC115867MPAI1-Pain and HeadacheMayo-Portland Adaptability Inventory-4 - Verbal and nonverbal expressions of pain; activities limited by pain.MPAI-4 - Adjustment: Pain and Headache
MPAI1-Psychotic Symptoms-Post-InjuryC115888MPAI1-Psychotic Symptoms-Post-InjuryMayo-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-InjuryC115887MPAI1-Psychotic Symptoms-Pre-InjuryMayo-Portland Adaptability Inventory-4 - Pre-injury hallucinations, delusions, other persistent severely distorted perceptions of reality.MPAI-4 - Psychotic Symptoms Pre-Injury
MPAI1-ResidenceC115877MPAI1-ResidenceMayo-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-CareC115876MPAI1-Self-CareMayo-Portland Adaptability Inventory-4 - Eating, dressing, bathing, hygiene.MPAI-4 - Participation: Self-Care
MPAI1-Sensitivity to Mild SymptomsC115869MPAI1-Sensitivity to Mild SymptomsMayo-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/CoworkersC115874MPAI1-Social Contact-Friends/CoworkersMayo-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-TransportationC115878MPAI1-TransportationMayo-Portland Adaptability Inventory-4 - Transportation.MPAI-4 - Participation: Transportation
MPAI1-Use of HandsC115852MPAI1-Use of HandsMayo-Portland Adaptability Inventory-4 - Impaired strength or coordination in one or both hands.MPAI-4 - Abilities: Use of Hands
MPAI1-Verbal CommunicationC115857MPAI1-Verbal CommunicationMayo-Portland Adaptability Inventory-4 - Problems expressing or understanding language.MPAI-4 - Abilities: Verbal Communication
MPAI1-VisionC115853MPAI1-VisionMayo-Portland Adaptability Inventory-4 - Problems seeing; double vision; eye, brain, or nerve injuries that interfere with seeing.MPAI-4 - Abilities: Vision
MPAI1-Visuospatial AbilitiesC115863MPAI1-Visuospatial AbilitiesMayo-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
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CL.C100152.MNSI TESTCDQS-Michigan Neuropathy Screening Instrument Test Code
(MNSI TESTCD)
text
Extensible: No
C100152QS-Michigan Neuropathy Screening Instrument Test CodeMichigan Neuropathy Screening Instrument test code.CDISC Questionnaire MNSI Test Code Terminology
MNSI101C100587MNSI1-Are Your Legs and/or Feet NumbMichigan Neuropathy Screening Instrument - History: Are your legs and/or feet numb?MNSI - Legs and/or Feet Numb
MNSI102C100588MNSI1-Ever Have Burning Pain Legs/FeetMichigan Neuropathy Screening Instrument - History: Do you ever have any burning pain in your legs and/or feet?MNSI - Burning Pain Legs/Feet
MNSI103C100589MNSI1-Are Feet Too Sensitive to TouchMichigan Neuropathy Screening Instrument - History: Are your feet too sensitive to touch?MNSI - Feet Too Sensitive to Touch
MNSI104C100590MNSI1-Get Muscle Cramps Legs/FeetMichigan Neuropathy Screening Instrument - History: Do you get muscle cramps in your legs and/or feet?MNSI - Muscle Cramps Legs/Feet
MNSI105C100591MNSI1-Ever Prickling Feelings Legs/FeetMichigan Neuropathy Screening Instrument - History: Do you ever have any prickling feelings in your legs or feet?MNSI - Prickling Feelings Legs/Feet
MNSI106C100592MNSI1-Hurt When Bed Covers Touch SkinMichigan Neuropathy Screening Instrument - History: Does it hurt when the bed covers touch your skin?MNSI - Hurt When Bed Covers Touch Skin
MNSI107C100593MNSI1-Able to Tell Hot from Cold WaterMichigan 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
MNSI108C100594MNSI1-Ever Had Open Sore on FootMichigan Neuropathy Screening Instrument - History: Have you ever had an open sore on your foot?MNSI - Open Sore on Foot
MNSI109C100595MNSI1-Doctor Says Diabetic NeuropathyMichigan Neuropathy Screening Instrument - History: Has your doctor ever told you that you have diabetic neuropathy?MNSI - Doctor Says Diabetic Neuropathy
MNSI110C100596MNSI1-Feel Weak All Over Most TimesMichigan Neuropathy Screening Instrument - History: Do you feel weak all over most of the time?MNSI - Feel Weak All Over Most Times
MNSI111C100597MNSI1-Symptoms Worse at NightMichigan Neuropathy Screening Instrument - History: Are your symptoms worse at night?MNSI - Symptoms Worse at Night
MNSI112C100598MNSI1-Legs Hurt When WalkingMichigan Neuropathy Screening Instrument - History: Do your legs hurt when you walk?MNSI - Legs Hurt When Walking
MNSI113C100599MNSI1-Able to Sense Feet When WalkingMichigan Neuropathy Screening Instrument - History: Are you able to sense your feet when you walk?MNSI - Able to Sense Feet When Walking
MNSI114C100600MNSI1-Skin So Dry That Feet Crack OpenMichigan Neuropathy Screening Instrument - History: Is the skin on your feet so dry that it cracks open?MNSI - Skin So Dry That Feet Crack Open
MNSI115C100601MNSI1-Ever Had AmputationMichigan Neuropathy Screening Instrument - History: Have you ever had an amputation?MNSI - Ever Had Amputation
MNSI116C100602MNSI1-TotalMichigan Neuropathy Screening Instrument - History: Total.MNSI - History Total
MNSI117C100603MNSI1-Right Foot Appears NormalMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - normal.MNSI - Right Foot Appears Normal
MNSI118C100604MNSI1-Right Foot DeformitiesMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - deformities.MNSI - Right Foot Deformities
MNSI119C101019MNSI1-Right Foot Dry Skin, CallusMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - dry skin, callus.MNSI - Right Foot Dry Skin, Callus
MNSI120C100605MNSI1-Right Foot InfectionMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - infection.MNSI - Right Foot Infection
MNSI121C100606MNSI1-Right Foot FissureMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - fissure.MNSI - Right Foot Fissure
MNSI122C100607MNSI1-Right Foot Other Abnormal SpecifyMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - other, specify.MNSI - Right Foot Other Abnormal Specify
MNSI123C100608MNSI1-Left Foot Appears NormalMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - normal.MNSI - Left Foot Appears Normal
MNSI124C100609MNSI1-Left Foot DeformitiesMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - deformities.MNSI - Left Foot Deformities
MNSI125C101020MNSI1-Left Dry Skin, CallusMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - dry skin, callus.MNSI - Left Foot Dry Skin, Callus
MNSI126C100610MNSI1-Left Foot InfectionMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - infection.MNSI - Left Foot Infection
MNSI127C100611MNSI1-Left Foot FissureMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - fissure.MNSI - Left Foot Fissure
MNSI128C100612MNSI1-Left Foot Other Abnormal SpecifyMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - other, specify.MNSI - Left Foot Other Abnormal Specify
MNSI129C100613MNSI1-Right Foot UlcerationMichigan Neuropathy Screening Instrument - Physical Assessment: Right foot - ulceration.MNSI - Right Foot Ulceration
MNSI130C100614MNSI1-Left Foot UlcerationMichigan Neuropathy Screening Instrument - Physical Assessment: Left foot - ulceration.MNSI - Left Foot Ulceration
MNSI131C100615MNSI1-Right Ankle ReflexesMichigan Neuropathy Screening Instrument - Physical Assessment: Right ankle reflexes.MNSI - Right Ankle Reflexes
MNSI132C100616MNSI1-Left Ankle ReflexesMichigan Neuropathy Screening Instrument - Physical Assessment: Left ankle reflexes.MNSI - Left Ankle Reflexes
MNSI133C100617MNSI1-Right Foot Vibration Great ToeMichigan Neuropathy Screening Instrument - Physical Assessment: Right foot - vibration perception at great toe.MNSI - Right Foot Vibration Great Toe
MNSI134C100618MNSI1-Left Foot Vibration Great ToeMichigan Neuropathy Screening Instrument - Physical Assessment: Left foot - vibration perception at great toe.MNSI - Left Foot Vibration Great Toe
MNSI135C100619MNSI1-Right Foot MonofilamentMichigan Neuropathy Screening Instrument - Physical Assessment: Right foot - monofilament.MNSI - Right Foot Monofilament
MNSI136C100620MNSI1-Left Foot MonofilamentMichigan Neuropathy Screening Instrument - Physical Assessment: Left foot - monofilament.MNSI - Left Foot Monofilament
MNSI137C100621MNSI1-Total ScoreMichigan Neuropathy Screening Instrument - Physical Assessment: Total Score.MNSI - Physical Assessment Total Score
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CL.C100151.MNSI TESTQS-Michigan Neuropathy Screening Instrument Test Name
(MNSI TEST)
text
Extensible: No
C100151QS-Michigan Neuropathy Screening Instrument Test NameMichigan Neuropathy Screening Instrument test name.CDISC Questionnaire MNSI Test Name Terminology
MNSI1-Able to Sense Feet When WalkingC100599MNSI1-Able to Sense Feet When WalkingMichigan 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 WaterC100593MNSI1-Able to Tell Hot from Cold WaterMichigan 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 TouchC100589MNSI1-Are Feet Too Sensitive to TouchMichigan Neuropathy Screening Instrument - History: Are your feet too sensitive to touch?MNSI - Feet Too Sensitive to Touch
MNSI1-Are Your Legs and/or Feet NumbC100587MNSI1-Are Your Legs and/or Feet NumbMichigan Neuropathy Screening Instrument - History: Are your legs and/or feet numb?MNSI - Legs and/or Feet Numb
MNSI1-Doctor Says Diabetic NeuropathyC100595MNSI1-Doctor Says Diabetic NeuropathyMichigan Neuropathy Screening Instrument - History: Has your doctor ever told you that you have diabetic neuropathy?MNSI - Doctor Says Diabetic Neuropathy
MNSI1-Ever Had AmputationC100601MNSI1-Ever Had AmputationMichigan Neuropathy Screening Instrument - History: Have you ever had an amputation?MNSI - Ever Had Amputation
MNSI1-Ever Had Open Sore on FootC100594MNSI1-Ever Had Open Sore on FootMichigan 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/FeetC100588MNSI1-Ever Have Burning Pain Legs/FeetMichigan 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/FeetC100591MNSI1-Ever Prickling Feelings Legs/FeetMichigan 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 TimesC100596MNSI1-Feel Weak All Over Most TimesMichigan 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/FeetC100590MNSI1-Get Muscle Cramps Legs/FeetMichigan 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 SkinC100592MNSI1-Hurt When Bed Covers Touch SkinMichigan Neuropathy Screening Instrument - History: Does it hurt when the bed covers touch your skin?MNSI - Hurt When Bed Covers Touch Skin
MNSI1-Left Ankle ReflexesC100616MNSI1-Left Ankle ReflexesMichigan Neuropathy Screening Instrument - Physical Assessment: Left ankle reflexes.MNSI - Left Ankle Reflexes
MNSI1-Left Foot Appears NormalC100608MNSI1-Left Foot Appears NormalMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - normal.MNSI - Left Foot Appears Normal
MNSI1-Left Foot DeformitiesC100609MNSI1-Left Foot DeformitiesMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - deformities.MNSI - Left Foot Deformities
MNSI1-Left Foot Dry Skin, CallusC101020MNSI1-Left Dry Skin, CallusMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - dry skin, callus.MNSI - Left Foot Dry Skin, Callus
MNSI1-Left Foot FissureC100611MNSI1-Left Foot FissureMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - fissure.MNSI - Left Foot Fissure
MNSI1-Left Foot InfectionC100610MNSI1-Left Foot InfectionMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - infection.MNSI - Left Foot Infection
MNSI1-Left Foot MonofilamentC100620MNSI1-Left Foot MonofilamentMichigan Neuropathy Screening Instrument - Physical Assessment: Left foot - monofilament.MNSI - Left Foot Monofilament
MNSI1-Left Foot Other Abnormal SpecifyC100612MNSI1-Left Foot Other Abnormal SpecifyMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of left foot - other, specify.MNSI - Left Foot Other Abnormal Specify
MNSI1-Left Foot UlcerationC100614MNSI1-Left Foot UlcerationMichigan Neuropathy Screening Instrument - Physical Assessment: Left foot - ulceration.MNSI - Left Foot Ulceration
MNSI1-Left Foot Vibration Great ToeC100618MNSI1-Left Foot Vibration Great ToeMichigan Neuropathy Screening Instrument - Physical Assessment: Left foot - vibration perception at great toe.MNSI - Left Foot Vibration Great Toe
MNSI1-Legs Hurt When WalkingC100598MNSI1-Legs Hurt When WalkingMichigan Neuropathy Screening Instrument - History: Do your legs hurt when you walk?MNSI - Legs Hurt When Walking
MNSI1-Right Ankle ReflexesC100615MNSI1-Right Ankle ReflexesMichigan Neuropathy Screening Instrument - Physical Assessment: Right ankle reflexes.MNSI - Right Ankle Reflexes
MNSI1-Right Foot Appears NormalC100603MNSI1-Right Foot Appears NormalMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - normal.MNSI - Right Foot Appears Normal
MNSI1-Right Foot DeformitiesC100604MNSI1-Right Foot DeformitiesMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - deformities.MNSI - Right Foot Deformities
MNSI1-Right Foot Dry Skin, CallusC101019MNSI1-Right Foot Dry Skin, CallusMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - dry skin, callus.MNSI - Right Foot Dry Skin, Callus
MNSI1-Right Foot FissureC100606MNSI1-Right Foot FissureMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - fissure.MNSI - Right Foot Fissure
MNSI1-Right Foot InfectionC100605MNSI1-Right Foot InfectionMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - infection.MNSI - Right Foot Infection
MNSI1-Right Foot MonofilamentC100619MNSI1-Right Foot MonofilamentMichigan Neuropathy Screening Instrument - Physical Assessment: Right foot - monofilament.MNSI - Right Foot Monofilament
MNSI1-Right Foot Other Abnormal SpecifyC100607MNSI1-Right Foot Other Abnormal SpecifyMichigan Neuropathy Screening Instrument - Physical Assessment: Appearance of right foot - other, specify.MNSI - Right Foot Other Abnormal Specify
MNSI1-Right Foot UlcerationC100613MNSI1-Right Foot UlcerationMichigan Neuropathy Screening Instrument - Physical Assessment: Right foot - ulceration.MNSI - Right Foot Ulceration
MNSI1-Right Foot Vibration Great ToeC100617MNSI1-Right Foot Vibration Great ToeMichigan 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 OpenC100600MNSI1-Skin So Dry That Feet Crack OpenMichigan 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 NightC100597MNSI1-Symptoms Worse at NightMichigan Neuropathy Screening Instrument - History: Are your symptoms worse at night?MNSI - Symptoms Worse at Night
MNSI1-TotalC100602MNSI1-TotalMichigan Neuropathy Screening Instrument - History: Total.MNSI - History Total
MNSI1-Total ScoreC100621MNSI1-Total ScoreMichigan Neuropathy Screening Instrument - Physical Assessment: Total Score.MNSI - Physical Assessment Total Score
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CL.C113858.MFIS TESTCDQS-Modified Fatigue Impact Scale Test Code
(MFIS TESTCD)
text
Extensible: No
C113858QS-Modified Fatigue Impact Scale Test CodeModified Fatigue Impact Scale test code.CDISC Questionnaire Modified Fatigue Impact Scale Test Code Terminology
MFIS0101C113967MFIS01-I Have Been Less AlertModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been less alert.MFIS - Have Been Less Alert
MFIS0102C113968MFIS01-Have Difficulty Paying AttentionModified 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
MFIS0103C113969MFIS01-Have Been Unable to Think ClearlyModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been unable to think clearly.MFIS - Unable to Think Clearly
MFIS0104C113970MFIS01-Been Clumsy and UncoordinatedModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been clumsy and uncoordinated.MFIS - Have Been Clumsy and Uncoordinated
MFIS0105C113971MFIS01-I Have Been ForgetfulModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been forgetful.MFIS - Have Been Forgetful
MFIS0106C113972MFIS01-Pace Myself in Physical ActivityModified 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
MFIS0107C113973MFIS01-Less Motivated, Physical EffortModified 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
MFIS0108C113974MFIS01-Less Motivated, Social ActivityModified 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
MFIS0109C113975MFIS01-Limited in Ability Away From HomeModified 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
MFIS0110C113976MFIS01-Trouble Maintain Physical EffortModified 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
MFIS0111C113977MFIS01-Have Difficulty Making DecisionsModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had difficulty making decisions.MFIS - Have Difficulty Making Decisions
MFIS0112C113978MFIS01-Less Motivated, ThinkingModified 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
MFIS0113C113979MFIS01-My Muscles Have Felt WeakModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks my muscles have felt weak.MFIS - Muscles Have Felt Weak
MFIS0114C113980MFIS01-Been Physically UncomfortableModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have been physically uncomfortable.MFIS - Been Physically Uncomfortable
MFIS0115C113981MFIS01-Trouble Finishing Thinking TasksModified 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
MFIS0116C113982MFIS01-Difficulty Organizing My ThoughtsModified 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
MFIS0117C113983MFIS01-Less Able Complete Physical TasksModified 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
MFIS0118C113984MFIS01-My Thinking Has Been Slowed DownModified 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
MFIS0119C113985MFIS01-I Have Had Trouble ConcentratingModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have had trouble concentrating.MFIS - Have Trouble Concentrating
MFIS0120C113986MFIS01-Have Limited My Physical ActivityModified Fatigue Impact Scale - Because of my fatigue during the past 4 weeks I have limited my physical activities.MFIS - Have Limited My Physical Activities
MFIS0121C113987MFIS01-Need to Rest More Often or LongerModified 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
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CL.C113857.MFIS TESTQS-Modified Fatigue Impact Scale Test Name
(MFIS TEST)
text
Extensible: No
C113857QS-Modified Fatigue Impact Scale Test NameModified Fatigue Impact Scale test name.CDISC Questionnaire Modified Fatigue Impact Scale Test Name Terminology
MFIS01-Been Clumsy and UncoordinatedC113970MFIS01-Been Clumsy and UncoordinatedModified 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 UncomfortableC113980MFIS01-Been Physically UncomfortableModified 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 ThoughtsC113982MFIS01-Difficulty Organizing My ThoughtsModified 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 ClearlyC113969MFIS01-Have Been Unable to Think ClearlyModified 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 DecisionsC113977MFIS01-Have Difficulty Making DecisionsModified 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 AttentionC113968MFIS01-Have Difficulty Paying AttentionModified 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 ActivityC113986MFIS01-Have Limited My Physical ActivityModified 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 ForgetfulC113971MFIS01-I Have Been ForgetfulModified 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 AlertC113967MFIS01-I Have Been Less AlertModified 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 ConcentratingC113985MFIS01-I Have Had Trouble ConcentratingModified 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 TasksC113983MFIS01-Less Able Complete Physical TasksModified 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 EffortC113973MFIS01-Less Motivated, Physical EffortModified 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 ActivityC113974MFIS01-Less Motivated, Social ActivityModified 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, ThinkingC113978MFIS01-Less Motivated, ThinkingModified 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 HomeC113975MFIS01-Limited in Ability Away From HomeModified 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 WeakC113979MFIS01-My Muscles Have Felt WeakModified 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 DownC113984MFIS01-My Thinking Has Been Slowed DownModified 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 LongerC113987MFIS01-Need to Rest More Often or LongerModified 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 ActivityC113972MFIS01-Pace Myself in Physical ActivityModified 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 TasksC113981MFIS01-Trouble Finishing Thinking TasksModified 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 EffortC113976MFIS01-Trouble Maintain Physical EffortModified 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
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CL.C112445.MHIS-NACC TESTCDQS-Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Code
(MHIS-NACC TESTCD)
text
Extensible: No
C112445QS-Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test CodeModified Hachinski Ischemic Scale-NACC Version test code.CDISC Questionnaire MHIS-NACC Test Code Terminology
MHIS0101C112618MHIS01-Abrupt OnsetModified Hachinski Ischemic Scale-NACC Version - Abrupt onset (re: cognitive status).MHIS-NACC - Abrupt Onset
MHIS0102C112619MHIS01-Stepwise DeteriorationModified Hachinski Ischemic Scale-NACC Version - Stepwise deterioration (re: cognitive status).MHIS-NACC - Stepwise Deterioration
MHIS0103C112813MHIS01- Somatic ComplaintsModified Hachinski Ischemic Scale-NACC Version - Somatic complaints.MHIS-NACC - Somatic Complaints
MHIS0104C112620MHIS01-Emotional IncontinenceModified Hachinski Ischemic Scale-NACC Version - Emotional incontinence.MHIS-NACC - Emotional Incontinence
MHIS0105C112621MHIS01-History or Presence HypertensionModified Hachinski Ischemic Scale-NACC Version - History or presence of hypertension.MHIS-NACC - History or Presence of Hypertension
MHIS0106C112622MHIS01-History of StrokeModified Hachinski Ischemic Scale-NACC Version - History of stroke.MHIS-NACC - History of Stroke
MHIS0107C112623MHIS01-Focal Neurological SymptomsModified Hachinski Ischemic Scale-NACC Version - Focal neurological symptoms.MHIS-NACC - Focal Neurological Symptoms
MHIS0108C112624MHIS01-Focal Neurological SignsModified Hachinski Ischemic Scale-NACC Version - Focal neurological signs.MHIS-NACC - Focal Neurological Signs
MHIS0109C112625MHIS01-Total ScoreModified Hachinski Ischemic Scale-NACC Version - Sum all circled answers for a total score.MHIS-NACC - Total Score
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CL.C112444.MHIS-NACC TESTQS-Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test Name
(MHIS-NACC TEST)
text
Extensible: No
C112444QS-Modified Hachinski Ischemic Scale-NACC Version Questionnaire Test NameModified Hachinski Ischemic Scale-NACC Version test name.CDISC Questionnaire MHIS-NACC Test Name Terminology
MHIS01- Somatic ComplaintsC112813MHIS01- Somatic ComplaintsModified Hachinski Ischemic Scale-NACC Version - Somatic complaints.MHIS-NACC - Somatic Complaints
MHIS01-Abrupt OnsetC112618MHIS01-Abrupt OnsetModified Hachinski Ischemic Scale-NACC Version - Abrupt onset (re: cognitive status).MHIS-NACC - Abrupt Onset
MHIS01-Emotional IncontinenceC112620MHIS01-Emotional IncontinenceModified Hachinski Ischemic Scale-NACC Version - Emotional incontinence.MHIS-NACC - Emotional Incontinence
MHIS01-Focal Neurological SignsC112624MHIS01-Focal Neurological SignsModified Hachinski Ischemic Scale-NACC Version - Focal neurological signs.MHIS-NACC - Focal Neurological Signs
MHIS01-Focal Neurological SymptomsC112623MHIS01-Focal Neurological SymptomsModified Hachinski Ischemic Scale-NACC Version - Focal neurological symptoms.MHIS-NACC - Focal Neurological Symptoms
MHIS01-History of StrokeC112622MHIS01-History of StrokeModified Hachinski Ischemic Scale-NACC Version - History of stroke.MHIS-NACC - History of Stroke
MHIS01-History or Presence HypertensionC112621MHIS01-History or Presence HypertensionModified Hachinski Ischemic Scale-NACC Version - History or presence of hypertension.MHIS-NACC - History or Presence of Hypertension
MHIS01-Stepwise DeteriorationC112619MHIS01-Stepwise DeteriorationModified Hachinski Ischemic Scale-NACC Version - Stepwise deterioration (re: cognitive status).MHIS-NACC - Stepwise Deterioration
MHIS01-Total ScoreC112625MHIS01-Total ScoreModified Hachinski Ischemic Scale-NACC Version - Sum all circled answers for a total score.MHIS-NACC - Total Score
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CL.C106669.MMRC TESTCDQS-Modified Medical Research Council Dyspnea Scale Questionnaire Test Code
(MMRC TESTCD)
text
Extensible: No
C106669QS-Modified Medical Research Council Dyspnea Scale Questionnaire Test CodeModified Medical Research Council Dyspnea Scale test code.CDISC Questionnaire MMRC Test Code Terminology
MMRC0101C106852MMRC01-Description of BreathlessnessModified Medical Research Council Dyspnea Scale - Description of breathlessness.MMRC - Description of Level of Breathlessness
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CL.C106668.MMRC TESTQS-Modified Medical Research Council Dyspnea Scale Questionnaire Test Name
(MMRC TEST)
text
Extensible: No
C106668QS-Modified Medical Research Council Dyspnea Scale Questionnaire Test NameModified Medical Research Council Dyspnea Scale test name.CDISC Questionnaire MMRC Test Name Terminology
MMRC01-Description of BreathlessnessC106852MMRC01-Description of BreathlessnessModified Medical Research Council Dyspnea Scale - Description of breathlessness.MMRC - Description of Level of Breathlessness
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CL.C111348.MRS TESTCDQS-Modified Rankin Scale Questionnaire Test Code
(MRS TESTCD)
text
Extensible: No
C111348QS-Modified Rankin Scale Questionnaire Test CodeModified Rankin Scale test code.CDISC Questionnaire MRS Test Code Terminology
MRS0101C111520MRS01-Modified Rankin Scale ScoreModified Rankin Scale - Modified Rankin Scale Score.MRS - Modified Rankin Scale Score
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CL.C111347.MRS TESTQS-Modified Rankin Scale Questionnaire Test Name
(MRS TEST)
text
Extensible: No
C111347QS-Modified Rankin Scale Questionnaire Test NameModified Rankin Scale test name.CDISC Questionnaire MRS Test Name Terminology
MRS01-Modified Rankin Scale ScoreC111520MRS01-Modified Rankin Scale ScoreModified Rankin Scale - Modified Rankin Scale Score.MRS - Modified Rankin Scale Score
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CL.C100140.MDS-UPDRS TESTCDQS-Movement Disorder Society UPDRS Test Code
(MDS-UPDRS TESTCD)
text
Extensible: No
C100140QS-Movement Disorder Society UPDRS Test CodeThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale test code.CDISC Questionnaire MDS-UPDRS Test Code Terminology
UPD2101C100473UPD2-Cognitive ImpairmentThe 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
UPD2102C100474UPD2-Hallucinations and PsychosisThe 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
UPD2103C100475UPD2-Depressed MoodThe 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
UPD2104C100476UPD2-Anxious MoodThe 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
UPD2105C100477UPD2-ApathyThe 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
UPD2106C100478UPD2-Ftrs Dopa Dysregulation SyndThe 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
UPD2107C100479UPD2-Sleep ProblemsThe 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
UPD2108C100480UPD2-Daytime SleepinessThe 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
UPD2109C100481UPD2-Pain and other SensationsThe 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
UPD2110C100482UPD2-Urinary ProblemsThe 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
UPD2111C100483UPD2-Constipation ProblemsThe 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
UPD2112C100484UPD2-Lightheadedness on StandingThe 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
UPD2113C100485UPD2-FatigueThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Over the past week, have you usually felt fatigued?MDS-UPDRS - Fatigue
UPD2201C100486UPD2-SpeechThe 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
UPD2202C100487UPD2-Saliva and DroolingThe 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
UPD2203C100488UPD2-Chewing and SwallowingThe 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
UPD2204C100489UPD2-Eating TasksThe 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
UPD2205C100490UPD2-DressingThe 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
UPD2206C100491UPD2-HygieneThe 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
UPD2207C100492UPD2-HandwritingThe 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
UPD2208C100493UPD2-Doing Hobbies/Other ActivitiesThe 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
UPD2209C100494UPD2-Turning in BedThe 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
UPD2210C100495UPD2-TremorThe 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
UPD2211C101018UPD2-Get Out of Bed/Car/Deep ChairThe 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
UPD2212C100496UPD2-Walking and BalanceThe 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
UPD2213C100497UPD2-FreezingThe 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
UPD2301C100502UPD2-Speech ProblemsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Speech Problems.MDS-UPDRS - Speech Problems
UPD2302C100503UPD2-Facial ExpressionThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Facial Expression.MDS-UPDRS - Facial Expression
UPD2303AC100504UPD2-Rigidity NeckThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Neck.MDS-UPDRS - Rigidity Neck
UPD2303BC100505UPD2-Rigidity RT Upper ExtremityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Right Upper Extremity.MDS-UPDRS - Rigidity Right Upper Extremity
UPD2303CC100506UPD2-Rigidity Left Upper ExtremityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Left Upper Extremity.MDS-UPDRS - Rigidity Left Upper Extremity
UPD2303DC100507UPD2-Rigidity RT Lower ExtremityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Right Lower Extremity.MDS-UPDRS - Rigidity Right Lower Extremity
UPD2303EC100508UPD2-Rigidity Left Lower ExtremityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Left Lower Extremity.MDS-UPDRS - Rigidity Left Lower Extremity
UPD2304AC100509UPD2-Right Finger TappingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Finger Tapping.MDS-UPDRS - Right Finger Tapping
UPD2304BC100510UPD2-Left Finger TappingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Finger Tapping.MDS-UPDRS - Left Finger Tapping
UPD2305AC100511UPD2-Right Hand MovementsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Hand Movements.MDS-UPDRS - Right Hand Movements
UPD2305BC100512UPD2-Left Hand MovementsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Hand Movements.MDS-UPDRS - Left Hand Movements
UPD2306AC100513UPD2-Pron/Sup Movement of RT HandThe 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
UPD2306BC100514UPD2-Pron/Sup Movement of Left HandThe 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
UPD2307AC100515UPD2-Right Toe TappingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Toe Tapping.MDS-UPDRS - Right Toe Tapping
UPD2307BC100516UPD2-Left Toe TappingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Toe Tapping.MDS-UPDRS - Left Toe Tapping
UPD2308AC100517UPD2-Right Leg AgilityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Leg Agility.MDS-UPDRS - Right Leg Agility
UPD2308BC100518UPD2-Left Leg AgilityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Leg Agility.MDS-UPDRS - Left Leg Agility
UPD2309C100519UPD2-Arising from ChairThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Arising from Chair.MDS-UPDRS - Arising from Chair
UPD2310C100520UPD2-GaitThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Gait.MDS-UPDRS - Gait
UPD2311C100521UPD2-Freezing of GaitThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Freezing of Gait.MDS-UPDRS - Freezing of Gait
UPD2312C100522UPD2-Postural StabilityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Stability.MDS-UPDRS - Postural Stability
UPD2313C100523UPD2-PostureThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Posture.MDS-UPDRS - Posture
UPD2314C100524UPD2-Body BradykinesiaThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Global Spontaneity of Movement (Body Bradykinesia).MDS-UPDRS - Body Bradykinesia
UPD2315AC100525UPD2-Postural Tremor of Right HandThe 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
UPD2315BC113882UPD2-Postural Tremor of Left HandThe 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
UPD2316AC113883UPD2-Kinetic Tremor of Right HandThe 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
UPD2316BC100526UPD2-Kinetic Tremor of Left HandThe 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
UPD2317AC100527UPD2-Rest Tremor Amplitude RUEThe 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
UPD2317BC100528UPD2-Rest Tremor Amplitude LUEThe 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
UPD2317CC100529UPD2-Rest Tremor Amplitude RLEThe 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
UPD2317DC100530UPD2-Rest Tremor Amplitude LLEThe 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
UPD2317EC100531UPD2-Rest Tremor Amplitude Lip/JawThe 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
UPD2318C100532UPD2-Consistency of Rest TremorThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Consistency of Rest Tremor.MDS-UPDRS - Consistency of Rest Tremor
UPD23AC100498UPD2-Medication for PDThe 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
UPD23BC100499UPD2-Clinical State on MedsThe 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
UPD23CC100500UPD2-Taking LevodopaThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Is the patient on Levodopa?MDS-UPDRS - Taking Levodopa
UPD23C1C100501UPD2-Minutes Since Levodopa DoseThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Minutes since last Levodopa dose.MDS-UPDRS - Minutes Since Levodopa Dose
UPD2401C100536UPD2-Time Spent with DyskinesiasThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Time Spent with Dyskinesias.MDS-UPDRS - Time Spent with Dyskinesias
UPD2402C100537UPD2-Functional Impact DyskinesiasThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Functional Impact of Dyskinesias.MDS-UPDRS - Functional Impact of Dyskinesias
UPD2403C100538UPD2-Time Spent in the Off StateThe 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
UPD2404C100539UPD2-Functional Impact FluctuationsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Functional Impact of Fluctuations.MDS-UPDRS - Functional Impact of Fluctuations
UPD2405C100540UPD2-Complexity Motor FluctuationsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Complexity of Motor Fluctuations.MDS-UPDRS - Complexity of Motor Fluctuations
UPD2406C100541UPD2-Painful Off-state DystoniaThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Painful Off-state Dystonia.MDS-UPDRS - Painful Off-state Dystonia
UPD2DAC100533UPD2-Dyskinesias During ExamThe 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
UPD2DBC100534UPD2-Movements Interfere RatingsThe 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
UPD2HYC100535UPD2-Hoehn and Yahr StageThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Hoehn and Yahr Stage.MDS-UPDRS - Hoehn and Yahr Stage
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CL.C100139.MDS-UPDRS TESTQS-Movement Disorder Society UPDRS Test Name
(MDS-UPDRS TEST)
text
Extensible: No
C100139QS-Movement Disorder Society UPDRS Test NameThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale test name.CDISC Questionnaire MDS-UPDRS Test Name Terminology
UPD2-Anxious MoodC100476UPD2-Anxious MoodThe 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-ApathyC100477UPD2-ApathyThe 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 ChairC100519UPD2-Arising from ChairThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Arising from Chair.MDS-UPDRS - Arising from Chair
UPD2-Body BradykinesiaC100524UPD2-Body BradykinesiaThe 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 SwallowingC100488UPD2-Chewing and SwallowingThe 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 MedsC100499UPD2-Clinical State on MedsThe 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 ImpairmentC100473UPD2-Cognitive ImpairmentThe 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 FluctuationsC100540UPD2-Complexity Motor FluctuationsThe 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 TremorC100532UPD2-Consistency of Rest TremorThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Consistency of Rest Tremor.MDS-UPDRS - Consistency of Rest Tremor
UPD2-Constipation ProblemsC100483UPD2-Constipation ProblemsThe 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 SleepinessC100480UPD2-Daytime SleepinessThe 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 MoodC100475UPD2-Depressed MoodThe 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 ActivitiesC100493UPD2-Doing Hobbies/Other ActivitiesThe 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-DressingC100490UPD2-DressingThe 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 ExamC100533UPD2-Dyskinesias During ExamThe 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 TasksC100489UPD2-Eating TasksThe 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 ExpressionC100503UPD2-Facial ExpressionThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Facial Expression.MDS-UPDRS - Facial Expression
UPD2-FatigueC100485UPD2-FatigueThe 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-FreezingC100497UPD2-FreezingThe 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 GaitC100521UPD2-Freezing of GaitThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Freezing of Gait.MDS-UPDRS - Freezing of Gait
UPD2-Ftrs Dopa Dysregulation SyndC100478UPD2-Ftrs Dopa Dysregulation SyndThe 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 DyskinesiasC100537UPD2-Functional Impact DyskinesiasThe 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 FluctuationsC100539UPD2-Functional Impact FluctuationsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Functional Impact of Fluctuations.MDS-UPDRS - Functional Impact of Fluctuations
UPD2-GaitC100520UPD2-GaitThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Gait.MDS-UPDRS - Gait
UPD2-Get Out of Bed/Car/Deep ChairC101018UPD2-Get Out of Bed/Car/Deep ChairThe 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 PsychosisC100474UPD2-Hallucinations and PsychosisThe 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-HandwritingC100492UPD2-HandwritingThe 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 StageC100535UPD2-Hoehn and Yahr StageThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Hoehn and Yahr Stage.MDS-UPDRS - Hoehn and Yahr Stage
UPD2-HygieneC100491UPD2-HygieneThe 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 HandC100526UPD2-Kinetic Tremor of Left HandThe 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 HandC113883UPD2-Kinetic Tremor of Right HandThe 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 TappingC100510UPD2-Left Finger TappingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Finger Tapping.MDS-UPDRS - Left Finger Tapping
UPD2-Left Hand MovementsC100512UPD2-Left Hand MovementsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Hand Movements.MDS-UPDRS - Left Hand Movements
UPD2-Left Leg AgilityC100518UPD2-Left Leg AgilityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Leg Agility.MDS-UPDRS - Left Leg Agility
UPD2-Left Toe TappingC100516UPD2-Left Toe TappingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Left Toe Tapping.MDS-UPDRS - Left Toe Tapping
UPD2-Lightheadedness on StandingC100484UPD2-Lightheadedness on StandingThe 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 PDC100498UPD2-Medication for PDThe 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 DoseC100501UPD2-Minutes Since Levodopa DoseThe 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 RatingsC100534UPD2-Movements Interfere RatingsThe 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 SensationsC100481UPD2-Pain and other SensationsThe 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 DystoniaC100541UPD2-Painful Off-state DystoniaThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Painful Off-state Dystonia.MDS-UPDRS - Painful Off-state Dystonia
UPD2-Postural StabilityC100522UPD2-Postural StabilityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Postural Stability.MDS-UPDRS - Postural Stability
UPD2-Postural Tremor of Left HandC113882UPD2-Postural Tremor of Left HandThe 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 HandC100525UPD2-Postural Tremor of Right HandThe 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-PostureC100523UPD2-PostureThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Posture.MDS-UPDRS - Posture
UPD2-Pron/Sup Movement of Left HandC100514UPD2-Pron/Sup Movement of Left HandThe 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 HandC100513UPD2-Pron/Sup Movement of RT HandThe 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/JawC100531UPD2-Rest Tremor Amplitude Lip/JawThe 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 LLEC100530UPD2-Rest Tremor Amplitude LLEThe 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 LUEC100528UPD2-Rest Tremor Amplitude LUEThe 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 RLEC100529UPD2-Rest Tremor Amplitude RLEThe 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 RUEC100527UPD2-Rest Tremor Amplitude RUEThe 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 TappingC100509UPD2-Right Finger TappingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Finger Tapping.MDS-UPDRS - Right Finger Tapping
UPD2-Right Hand MovementsC100511UPD2-Right Hand MovementsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Hand Movements.MDS-UPDRS - Right Hand Movements
UPD2-Right Leg AgilityC100517UPD2-Right Leg AgilityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Leg Agility.MDS-UPDRS - Right Leg Agility
UPD2-Right Toe TappingC100515UPD2-Right Toe TappingThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Right Toe Tapping.MDS-UPDRS - Right Toe Tapping
UPD2-Rigidity Left Lower ExtremityC100508UPD2-Rigidity Left Lower ExtremityThe 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 ExtremityC100506UPD2-Rigidity Left Upper ExtremityThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Left Upper Extremity.MDS-UPDRS - Rigidity Left Upper Extremity
UPD2-Rigidity NeckC100504UPD2-Rigidity NeckThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Rigidity Neck.MDS-UPDRS - Rigidity Neck
UPD2-Rigidity RT Lower ExtremityC100507UPD2-Rigidity RT Lower ExtremityThe 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 ExtremityC100505UPD2-Rigidity RT Upper ExtremityThe 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 DroolingC100487UPD2-Saliva and DroolingThe 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 ProblemsC100479UPD2-Sleep ProblemsThe 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-SpeechC100486UPD2-SpeechThe 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 ProblemsC100502UPD2-Speech ProblemsThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Speech Problems.MDS-UPDRS - Speech Problems
UPD2-Taking LevodopaC100500UPD2-Taking LevodopaThe 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 StateC100538UPD2-Time Spent in the Off StateThe 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 DyskinesiasC100536UPD2-Time Spent with DyskinesiasThe Movement Disorder Society version of the Unified Parkinson's Disease Rating Scale - Time Spent with Dyskinesias.MDS-UPDRS - Time Spent with Dyskinesias
UPD2-TremorC100495UPD2-TremorThe 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 BedC100494UPD2-Turning in BedThe 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 ProblemsC100482UPD2-Urinary ProblemsThe 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 BalanceC100496UPD2-Walking and BalanceThe 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
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CL.C113860.MSQOL-54 TESTCDQS-Multiple Sclerosis Quality of Life-54 Instrument Test Code
(MSQOL-54 TESTCD)
text
Extensible: No
C113860QS-Multiple Sclerosis Quality of Life-54 Instrument Test CodeMultiple Sclerosis Quality of Life-54 Instrument test code.CDISC Questionnaire Multiple Sclerosis Quality of Life-54 Instrument Test Code Terminology
MSQL101C113988MSQL1-Would You Say Your Health IsMultiple Sclerosis Quality of Life-54 Instrument - In general, would you say your health is:MSQOL-54 - Would You Say Your Health Is
MSQL102C113989MSQL1-Health Now Compared to 1 Year AgoMultiple 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
MSQL103C113990MSQL1-Health Limit Vigorous ActivitiesMultiple 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
MSQL104C113991MSQL1-Health Limit Moderate ActivitiesMultiple 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
MSQL105C113992MSQL1-Health Limit Carrying GroceriesMultiple 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
MSQL106C113993MSQL1-Health Limit Climb Several FlightsMultiple 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
MSQL107C113994MSQL1-Health Limit Climb One FlightMultiple 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
MSQL108C113995MSQL1-Health Limit Bending or KneelingMultiple 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
MSQL109C113996MSQL1-Health Limit Walk More Than MileMultiple 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
MSQL110C113997MSQL1-Health Limit Walk Several BlocksMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking several blocks.MSQOL-54 - Health Limit Walking Several Blocks
MSQL111C113998MSQL1-Health Limit Walk One BlockMultiple Sclerosis Quality of Life-54 Instrument - Does your health limit you in these activities: Walking one block.MSQOL-54 - Health Limit Walking One Block
MSQL112C113999MSQL1-Health Limit Bathing/Dressing SelfMultiple 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
MSQL113C114000MSQL1-Phys Health: Cut Work TimeMultiple 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
MSQL114C114001MSQL1-Phys Health: Accomplish LessMultiple 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
MSQL115C114002MSQL1-Phys Health: Limit Kind of WorkMultiple 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
MSQL116C114003MSQL1-Phys Health: Difficulty PerformingMultiple 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
MSQL117C114004MSQL1-Emotional Problem: Cut Work TimeMultiple 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
MSQL118C114005MSQL1-Emotional Problem: Accomplish LessMultiple 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
MSQL119C114006MSQL1-Emotional Problem: Less CarefulMultiple 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
MSQL120C114007MSQL1-Extent Interfered Social ActivityMultiple 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
MSQL121C114008MSQL1-How Much Bodily Pain Have You HadMultiple Sclerosis Quality of Life-54 Instrument - How much bodily pain have you had during the past 4 weeks?MSQOL-54 - Bodily Pain
MSQL122C114009MSQL1-Did Pain Interfere With Your WorkMultiple 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
MSQL123C114010MSQL1-Did You Feel Full of PepMultiple 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
MSQL124C114011MSQL1-Have Been a Very Nervous PersonMultiple 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
MSQL125C114012MSQL1-Have Felt So Down in the DumpsMultiple 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
MSQL126C114013MSQL1-Have You Felt Calm and PeacefulMultiple 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
MSQL127C114014MSQL1-Did You Have a Lot of EnergyMultiple 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
MSQL128C114015MSQL1-Have Felt Downhearted and BlueMultiple 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
MSQL129C114016MSQL1-Did You Feel Worn OutMultiple 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
MSQL130C114017MSQL1-Have You Been a Happy PersonMultiple 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
MSQL131C114018MSQL1-Did You Feel TiredMultiple Sclerosis Quality of Life-54 Instrument - How much of the time during the past 4 weeks: Did you feel tired?MSQOL-54 - Feel Tired
MSQL132C114019MSQL1-Did You Feel Rested on WakingMultiple 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
MSQL133C114020MSQL1-Amt Time Interfere Social ActivityMultiple 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
MSQL134C114021MSQL1-Get Sick Easier Than Other PeopleMultiple 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
MSQL135C114022MSQL1-I Am as Healthy as Anybody I KnowMultiple 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
MSQL136C114023MSQL1-I Expect My Health to Get WorseMultiple 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
MSQL137C114024MSQL1-My Health Is ExcellentMultiple 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
MSQL138C114025MSQL1-Discouraged by Health ProblemsMultiple 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
MSQL139C114026MSQL1-Were Frustrated About Your HealthMultiple 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
MSQL140C114027MSQL1-Was Health a Worry in Your LifeMultiple 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
MSQL141C114028MSQL1-Weighed Down by Health ProblemsMultiple 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
MSQL142C114029MSQL1-Difficulty Concentrating/ThinkingMultiple 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
MSQL143C114030MSQL1-Trouble Keep Attention for LongMultiple 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
MSQL144C114031MSQL1-Have Had Trouble With Your MemoryMultiple 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
MSQL145C114032MSQL1-Others Notice Your Memory TroubleMultiple 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
MSQL146C114033MSQL1-Lack of Sexual InterestMultiple 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
MSQL147MC114034MSQL1-Difficult Getting/Keeping ErectionMultiple 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
MSQL147WC114035MSQL1-Inadequate LubricationMultiple 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
MSQL148C114036MSQL1-Difficulty Having OrgasmMultiple 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
MSQL149C114037MSQL1-Ability to Satisfy Sexual PartnerMultiple 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
MSQL150C114038MSQL1-Satisfied With Sexual FunctionMultiple 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
MSQL151C114039MSQL1-Bowel/Bladder Interfered ActivityMultiple 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
MSQL152C114040MSQL1-Pain Interfere Enjoyment of LifeMultiple 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
MSQL153C114041MSQL1-Rate Your Own Quality-of-LifeMultiple Sclerosis Quality of Life-54 Instrument - Overall, how would you rate your own quality-of-life?MSQOL-54 - Rate Your Own Quality of Life
MSQL154C114042MSQL1-Describe How Feel About Your LifeMultiple 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
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CL.C113859.MSQOL-54 TESTQS-Multiple Sclerosis Quality of Life-54 Instrument Test Name
(MSQOL-54 TEST)
text
Extensible: No
C113859QS-Multiple Sclerosis Quality of Life-54 Instrument Test NameMultiple 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 PartnerC114037MSQL1-Ability to Satisfy Sexual PartnerMultiple 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 ActivityC114020MSQL1-Amt Time Interfere Social ActivityMultiple 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 ActivityC114039MSQL1-Bowel/Bladder Interfered ActivityMultiple 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 LifeC114042MSQL1-Describe How Feel About Your LifeMultiple 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 WorkC114009MSQL1-Did Pain Interfere With Your WorkMultiple 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 PepC114010MSQL1-Did You Feel Full of PepMultiple 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 WakingC114019MSQL1-Did You Feel Rested on WakingMultiple 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 TiredC114018MSQL1-Did You Feel TiredMultiple 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 OutC114016MSQL1-Did You Feel Worn OutMultiple 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 EnergyC114014MSQL1-Did You Have a Lot of EnergyMultiple 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 ErectionC114034MSQL1-Difficult Getting/Keeping ErectionMultiple 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/ThinkingC114029MSQL1-Difficulty Concentrating/ThinkingMultiple 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 OrgasmC114036MSQL1-Difficulty Having OrgasmMultiple 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 ProblemsC114025MSQL1-Discouraged by Health ProblemsMultiple 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 LessC114005MSQL1-Emotional Problem: Accomplish LessMultiple 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 TimeC114004MSQL1-Emotional Problem: Cut Work TimeMultiple 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 CarefulC114006MSQL1-Emotional Problem: Less CarefulMultiple 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 ActivityC114007MSQL1-Extent Interfered Social ActivityMultiple 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 PeopleC114021MSQL1-Get Sick Easier Than Other PeopleMultiple 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 PersonC114011MSQL1-Have Been a Very Nervous PersonMultiple 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 BlueC114015MSQL1-Have Felt Downhearted and BlueMultiple 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 DumpsC114012MSQL1-Have Felt So Down in the DumpsMultiple 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 MemoryC114031MSQL1-Have Had Trouble With Your MemoryMultiple 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 PersonC114017MSQL1-Have You Been a Happy PersonMultiple 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 PeacefulC114013MSQL1-Have You Felt Calm and PeacefulMultiple 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 SelfC113999MSQL1-Health Limit Bathing/Dressing SelfMultiple 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 KneelingC113995MSQL1-Health Limit Bending or KneelingMultiple 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 GroceriesC113992MSQL1-Health Limit Carrying GroceriesMultiple 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 FlightC113994MSQL1-Health Limit Climb One FlightMultiple 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 FlightsC113993MSQL1-Health Limit Climb Several FlightsMultiple 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 ActivitiesC113991MSQL1-Health Limit Moderate ActivitiesMultiple 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 ActivitiesC113990MSQL1-Health Limit Vigorous ActivitiesMultiple 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 MileC113996MSQL1-Health Limit Walk More Than MileMultiple 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 BlockC113998MSQL1-Health Limit Walk One BlockMultiple 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 BlocksC113997MSQL1-Health Limit Walk Several BlocksMultiple 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 AgoC113989MSQL1-Health Now Compared to 1 Year AgoMultiple 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 HadC114008MSQL1-How Much Bodily Pain Have You HadMultiple 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 KnowC114022MSQL1-I Am as Healthy as Anybody I KnowMultiple 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 WorseC114023MSQL1-I Expect My Health to Get WorseMultiple 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 LubricationC114035MSQL1-Inadequate LubricationMultiple 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 InterestC114033MSQL1-Lack of Sexual InterestMultiple 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 ExcellentC114024MSQL1-My Health Is ExcellentMultiple 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 TroubleC114032MSQL1-Others Notice Your Memory TroubleMultiple 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 LifeC114040MSQL1-Pain Interfere Enjoyment of LifeMultiple 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 LessC114001MSQL1-Phys Health: Accomplish LessMultiple 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 TimeC114000MSQL1-Phys Health: Cut Work TimeMultiple 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 PerformingC114003MSQL1-Phys Health: Difficulty PerformingMultiple 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 WorkC114002MSQL1-Phys Health: Limit Kind of WorkMultiple 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-LifeC114041MSQL1-Rate Your Own Quality-of-LifeMultiple 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 FunctionC114038MSQL1-Satisfied With Sexual FunctionMultiple 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 LongC114030MSQL1-Trouble Keep Attention for LongMultiple 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 LifeC114027MSQL1-Was Health a Worry in Your LifeMultiple 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 ProblemsC114028MSQL1-Weighed Down by Health ProblemsMultiple 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 HealthC114026MSQL1-Were Frustrated About Your HealthMultiple 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 IsC113988MSQL1-Would You Say Your Health IsMultiple Sclerosis Quality of Life-54 Instrument - In general, would you say your health is:MSQOL-54 - Would You Say Your Health Is
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CL.C112453.VFQ25-Interviewer Administered TESTCDQS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Test Code
(VFQ25-Interviewer Administered TESTCD)
text
Extensible: No
C112453QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Test CodeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format test code.CDISC Questionnaire VFQ25-Interviewer Administered Format Test Code Terminology
VFQ101C112729VFQ1-Your Overall Health IsNational 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
VFQ102C112730VFQ1-Eyesight Using Both Eyes IsNational 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
VFQ103C112731VFQ1-How Often You Worry About EyesightNational 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
VFQ104C112732VFQ1-How Much Pain in and Around EyesNational 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
VFQ105C112733VFQ1-Difficulty Reading NewspapersNational 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
VFQ106C112734VFQ1-Difficulty Doing Work/HobbiesNational 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
VFQ107C112735VFQ1-Difficulty Finding on Crowded ShelfNational 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
VFQ108C112736VFQ1-Difficulty Reading Street SignsNational 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
VFQ109C112737VFQ1-Difficulty Going Down Step at NightNational 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
VFQ110C112738VFQ1-Difficulty Noticing Objects to SideNational 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
VFQ111C112739VFQ1-Difficulty Seeing How People ReactNational 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
VFQ112C112740VFQ1-Difficulty Picking Out Own ClothesNational 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
VFQ113C112741VFQ1-Difficulty Visiting With PeopleNational 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
VFQ114C112742VFQ1-Difficulty Going Out to See MoviesNational 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
VFQ115C112743VFQ1-Are You Currently DrivingNational 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
VFQ115AC112744VFQ1-Never Driven or Given Up DrivingNational 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
VFQ115BC112745VFQ1-Main Reason You Gave Up DrivingNational 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
VFQ115CC112746VFQ1-Difficulty Driving During DaytimeNational 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
VFQ116C112747VFQ1-Difficulty Driving at NightNational 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
VFQ116AC112748VFQ1-Driving in Difficult ConditionsNational 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
VFQ117C112749VFQ1-Accomplish Less Than You Would LikeNational 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
VFQ118C112750VFQ1-Limited in How Long You Can WorkNational 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
VFQ119C112751VFQ1-Eye Pain Keep From Doing What LikeNational 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
VFQ120C112752VFQ1-I Stay Home Most of the TimeNational 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
VFQ121C112753VFQ1-I Feel Frustrated a Lot of the TimeNational 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
VFQ122C112754VFQ1-Much Less Control Over What I DoNational 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
VFQ123C112755VFQ1-Rely Too Much on What Others TellNational 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
VFQ124C112756VFQ1-I Need a Lot of Help From OthersNational 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
VFQ125C112757VFQ1-Worry I'll Do Embarrassing ThingsNational 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
VFQ1A01C112758VFQ1-Rate Your Overall HealthNational 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
VFQ1A02C112759VFQ1-Rate Your Eyesight NowNational 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
VFQ1A03C112760VFQ1-Difficulty Reading Small PrintNational 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
VFQ1A04C112761VFQ1-Difficulty Figure Out Bill AccuracyNational 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
VFQ1A05C112762VFQ1-Difficulty Shaving or Styling HairNational 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
VFQ1A06C112763VFQ1-Difficulty Recognizing PeopleNational 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
VFQ1A07C112764VFQ1-Difficulty Taking Part in SportsNational 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
VFQ1A08C112765VFQ1-Difficulty Seeing Programs on TVNational 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
VFQ1A09C112766VFQ1-Difficulty Entertaining FriendsNational 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
VFQ1A11AC112767VFQ1-Do You Have More Help From OthersNational 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
VFQ1A11BC112768VFQ1-Limited in Kinds of Things Can DoNational 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
VFQ1A12C112769VFQ1-Often Irritable Because EyesightNational 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
VFQ1A13C112770VFQ1-I Don't Go Out of My Home AloneNational 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
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CL.C112452.VFQ25-Interviewer Administered TESTQS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Test Name
(VFQ25-Interviewer Administered TEST)
text
Extensible: No
C112452QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Interviewer-Administered Format Test NameNational 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 LikeC112749VFQ1-Accomplish Less Than You Would LikeNational 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 DrivingC112743VFQ1-Are You Currently DrivingNational 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/HobbiesC112734VFQ1-Difficulty Doing Work/HobbiesNational 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 NightC112747VFQ1-Difficulty Driving at NightNational 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 DaytimeC112746VFQ1-Difficulty Driving During DaytimeNational 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 FriendsC112766VFQ1-Difficulty Entertaining FriendsNational 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 AccuracyC112761VFQ1-Difficulty Figure Out Bill AccuracyNational 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 ShelfC112735VFQ1-Difficulty Finding on Crowded ShelfNational 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 NightC112737VFQ1-Difficulty Going Down Step at NightNational 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 MoviesC112742VFQ1-Difficulty Going Out to See MoviesNational 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 SideC112738VFQ1-Difficulty Noticing Objects to SideNational 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 ClothesC112740VFQ1-Difficulty Picking Out Own ClothesNational 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 NewspapersC112733VFQ1-Difficulty Reading NewspapersNational 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 PrintC112760VFQ1-Difficulty Reading Small PrintNational 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 SignsC112736VFQ1-Difficulty Reading Street SignsNational 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 PeopleC112763VFQ1-Difficulty Recognizing PeopleNational 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 ReactC112739VFQ1-Difficulty Seeing How People ReactNational 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 TVC112765VFQ1-Difficulty Seeing Programs on TVNational 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 HairC112762VFQ1-Difficulty Shaving or Styling HairNational 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 SportsC112764VFQ1-Difficulty Taking Part in SportsNational 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 PeopleC112741VFQ1-Difficulty Visiting With PeopleNational 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 OthersC112767VFQ1-Do You Have More Help From OthersNational 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 ConditionsC112748VFQ1-Driving in Difficult ConditionsNational 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 LikeC112751VFQ1-Eye Pain Keep From Doing What LikeNational 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 IsC112730VFQ1-Eyesight Using Both Eyes IsNational 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 EyesC112732VFQ1-How Much Pain in and Around EyesNational 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 EyesightC112731VFQ1-How Often You Worry About EyesightNational 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 AloneC112770VFQ1-I Don't Go Out of My Home AloneNational 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 TimeC112753VFQ1-I Feel Frustrated a Lot of the TimeNational 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 OthersC112756VFQ1-I Need a Lot of Help From OthersNational 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 TimeC112752VFQ1-I Stay Home Most of the TimeNational 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 WorkC112750VFQ1-Limited in How Long You Can WorkNational 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 DoC112768VFQ1-Limited in Kinds of Things Can DoNational 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 DrivingC112745VFQ1-Main Reason You Gave Up DrivingNational 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 DoC112754VFQ1-Much Less Control Over What I DoNational 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 DrivingC112744VFQ1-Never Driven or Given Up DrivingNational 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 EyesightC112769VFQ1-Often Irritable Because EyesightNational 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 NowC112759VFQ1-Rate Your Eyesight NowNational 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 HealthC112758VFQ1-Rate Your Overall HealthNational 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 TellC112755VFQ1-Rely Too Much on What Others TellNational 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 ThingsC112757VFQ1-Worry I'll Do Embarrassing ThingsNational 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 IsC112729VFQ1-Your Overall Health IsNational 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
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CL.C112455.VFQ25-Self Administered TESTCDQS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Test Code
(VFQ25-Self Administered TESTCD)
text
Extensible: No
C112455QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Test CodeNational Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format test code.CDISC Questionnaire VFQ25-Self Administered Format Test Code Terminology
VFQ201C112771VFQ2-Your Overall Health IsNational 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
VFQ202C112772VFQ2-Eyesight Using Both Eyes IsNational 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
VFQ203C112773VFQ2-How Often You Worry About EyesightNational 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
VFQ204C112774VFQ2-How Much Pain in and Around EyesNational 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
VFQ205C112775VFQ2-Difficulty Reading NewspapersNational 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
VFQ206C112776VFQ2-Difficulty Doing Work/HobbiesNational 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
VFQ207C112777VFQ2-Difficulty Finding on Crowded ShelfNational 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
VFQ208C112778VFQ2-Difficulty Reading Street SignsNational 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
VFQ209C112779VFQ2-Difficulty Going Down Step at NightNational 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
VFQ210C112780VFQ2-Difficulty Noticing Objects to SideNational 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
VFQ211C112781VFQ2-Difficulty Seeing How People ReactNational 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
VFQ212C112782VFQ2-Difficulty Picking Out Own ClothesNational 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
VFQ213C112783VFQ2-Difficulty Visiting With PeopleNational 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
VFQ214C112784VFQ2-Difficulty Going Out to See MoviesNational 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
VFQ215C112785VFQ2-Are You Currently DrivingNational 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
VFQ215AC112786VFQ2-Never Driven or Given Up DrivingNational 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
VFQ215BC112787VFQ2-Main Reason You Gave Up DrivingNational 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
VFQ215CC112788VFQ2-Difficulty Driving During DaytimeNational 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
VFQ216C112789VFQ2-Difficulty Driving at NightNational 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
VFQ216AC112790VFQ2-Driving in Difficult ConditionsNational 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
VFQ217C112791VFQ2-Accomplish Less Than You Would LikeNational 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
VFQ218C112792VFQ2-Limited in How Long You Can WorkNational 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
VFQ219C112793VFQ2-Eye Pain Keep From Doing What LikeNational 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
VFQ220C112794VFQ2-I Stay Home Most of the TimeNational 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
VFQ221C112795VFQ2-I Feel Frustrated a Lot of the TimeNational 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
VFQ222C112796VFQ2-Much Less Control Over What I DoNational 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
VFQ223C112797VFQ2-Rely Too Much on What Others TellNational 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
VFQ224C112798VFQ2-I Need a Lot of Help From OthersNational 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
VFQ225C112799VFQ2-Worry I'll Do Embarrassing ThingsNational 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
VFQ2A01C112800VFQ2-Rate Your Overall HealthNational 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
VFQ2A02C112801VFQ2-Rate Your Eyesight NowNational 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
VFQ2A03C112802VFQ2-Difficulty Reading Small PrintNational 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
VFQ2A04C112803VFQ2-Difficulty Figure Out Bill AccuracyNational 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
VFQ2A05C112804VFQ2-Difficulty Shaving or Styling HairNational 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
VFQ2A06C112805VFQ2-Difficulty Recognizing PeopleNational 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
VFQ2A07C112806VFQ2-Difficulty Taking Part in SportsNational 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
VFQ2A08C112807VFQ2-Difficulty Seeing Programs on TVNational 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
VFQ2A09C112808VFQ2-Difficulty Entertaining FriendsNational 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
VFQ2A11AC112809VFQ2-Do You Have More Help From OthersNational 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
VFQ2A11BC112810VFQ2-Limited in Kinds of Things Can DoNational 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
VFQ2A12C112811VFQ2-Often Irritable Because EyesightNational 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
VFQ2A13C112812VFQ2-I Don't Go Out of My Home AloneNational 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
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CL.C112454.VFQ25-Self Administered TESTQS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Test Name
(VFQ25-Self Administered TEST)
text
Extensible: No
C112454QS-National Eye Institute Visual Functioning Questionnaire - 25 Version 2000 Self-Administered Format Test NameNational 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 LikeC112791VFQ2-Accomplish Less Than You Would LikeNational 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 DrivingC112785VFQ2-Are You Currently DrivingNational 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/HobbiesC112776VFQ2-Difficulty Doing Work/HobbiesNational 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 NightC112789VFQ2-Difficulty Driving at NightNational 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 DaytimeC112788VFQ2-Difficulty Driving During DaytimeNational 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 FriendsC112808VFQ2-Difficulty Entertaining FriendsNational 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 AccuracyC112803VFQ2-Difficulty Figure Out Bill AccuracyNational 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 ShelfC112777VFQ2-Difficulty Finding on Crowded ShelfNational 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 NightC112779VFQ2-Difficulty Going Down Step at NightNational 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 MoviesC112784VFQ2-Difficulty Going Out to See MoviesNational 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 SideC112780VFQ2-Difficulty Noticing Objects to SideNational 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 ClothesC112782VFQ2-Difficulty Picking Out Own ClothesNational 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 NewspapersC112775VFQ2-Difficulty Reading NewspapersNational 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 PrintC112802VFQ2-Difficulty Reading Small PrintNational 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 SignsC112778VFQ2-Difficulty Reading Street SignsNational 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 PeopleC112805VFQ2-Difficulty Recognizing PeopleNational 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 ReactC112781VFQ2-Difficulty Seeing How People ReactNational 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 TVC112807VFQ2-Difficulty Seeing Programs on TVNational 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 HairC112804VFQ2-Difficulty Shaving or Styling HairNational 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 SportsC112806VFQ2-Difficulty Taking Part in SportsNational 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 PeopleC112783VFQ2-Difficulty Visiting With PeopleNational 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 OthersC112809VFQ2-Do You Have More Help From OthersNational 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 ConditionsC112790VFQ2-Driving in Difficult ConditionsNational 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 LikeC112793VFQ2-Eye Pain Keep From Doing What LikeNational 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 IsC112772VFQ2-Eyesight Using Both Eyes IsNational 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 EyesC112774VFQ2-How Much Pain in and Around EyesNational 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 EyesightC112773VFQ2-How Often You Worry About EyesightNational 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 AloneC112812VFQ2-I Don't Go Out of My Home AloneNational 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 TimeC112795VFQ2-I Feel Frustrated a Lot of the TimeNational 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 OthersC112798VFQ2-I Need a Lot of Help From OthersNational 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 TimeC112794VFQ2-I Stay Home Most of the TimeNational 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 WorkC112792VFQ2-Limited in How Long You Can WorkNational 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 DoC112810VFQ2-Limited in Kinds of Things Can DoNational 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 DrivingC112787VFQ2-Main Reason You Gave Up DrivingNational 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 DoC112796VFQ2-Much Less Control Over What I DoNational 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 DrivingC112786VFQ2-Never Driven or Given Up DrivingNational 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 EyesightC112811VFQ2-Often Irritable Because EyesightNational 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 NowC112801VFQ2-Rate Your Eyesight NowNational 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 HealthC112800VFQ2-Rate Your Overall HealthNational 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 TellC112797VFQ2-Rely Too Much on What Others TellNational 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 ThingsC112799VFQ2-Worry I'll Do Embarrassing ThingsNational 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 IsC112771VFQ2-Your Overall Health IsNational 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
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CL.C103473.NPS TESTCDQS-Neuropathic Pain Scale Questionnaire Test Code
(NPS TESTCD)
text
Extensible: No
C103473QS-Neuropathic Pain Scale Questionnaire Test CodeNeuropathic Pain Scale test code.CDISC Questionnaire NPS Test Code Terminology
NPS0101C103638NPS01-Tell Us How Intense Your Pain IsNeuropathic Pain Scale - Please use the scale below to tell us how intense your pain is.NPS - Tell Us How Intense Your Pain Is
NPS0102C103639NPS01-Tell Us How Sharp Your Pain FeelsNeuropathic 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
NPS0103C103640NPS01-Tell Us How Hot Your Pain FeelsNeuropathic 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
NPS0104C103641NPS01-Tell Us How Dull Your Pain FeelsNeuropathic 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
NPS0105C103642NPS01-Tell Us How Cold Your Pain FeelsNeuropathic 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
NPS0106C103643NPS01-Sensitiv Skin to Light Touch/ClothNeuropathic 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
NPS0107C103644NPS01-Tell Us How Itchy Your Pain FeelsNeuropathic 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
NPS0108C103645NPS01-Describe Time Quality Of Your PainNeuropathic 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
NPS0108AC103646NPS01-Describe the Background PainNeuropathic 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
NPS0108BC103647NPS01-Describe the Flare-up PainNeuropathic 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
NPS0108CC103648NPS01-Describe Single Type Pain All TimeNeuropathic Pain Scale - I feel a single type of pain all the time. Describe this pain.NPS - Describe the Single Type of Pain All Time
NPS0108DC103649NPS01-Describe the Occasional PainNeuropathic 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
NPS0109C103650NPS01-Tell How Unpleasant Your Pain FeelNeuropathic 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
NPS0110AC103651NPS01-How Intense is Your Deep PainNeuropathic 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
NPS0110BC103652NPS01-How Intense is Your Surface PainNeuropathic 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
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CL.C103472.NPS TESTQS-Neuropathic Pain Scale Questionnaire Test Name
(NPS TEST)
text
Extensible: No
C103472QS-Neuropathic Pain Scale Questionnaire Test NameNeuropathic Pain Scale test name.CDISC Questionnaire NPS Test Name Terminology
NPS01-Describe Single Type Pain All TimeC103648NPS01-Describe Single Type Pain All TimeNeuropathic 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 PainC103646NPS01-Describe the Background PainNeuropathic 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 PainC103647NPS01-Describe the Flare-up PainNeuropathic 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 PainC103649NPS01-Describe the Occasional PainNeuropathic 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 PainC103645NPS01-Describe Time Quality Of Your PainNeuropathic 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 PainC103651NPS01-How Intense is Your Deep PainNeuropathic 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 PainC103652NPS01-How Intense is Your Surface PainNeuropathic 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/ClothC103643NPS01-Sensitiv Skin to Light Touch/ClothNeuropathic 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 FeelC103650NPS01-Tell How Unpleasant Your Pain FeelNeuropathic 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 FeelsC103642NPS01-Tell Us How Cold Your Pain FeelsNeuropathic 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 FeelsC103641NPS01-Tell Us How Dull Your Pain FeelsNeuropathic 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 FeelsC103640NPS01-Tell Us How Hot Your Pain FeelsNeuropathic 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 IsC103638NPS01-Tell Us How Intense Your Pain IsNeuropathic 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 FeelsC103644NPS01-Tell Us How Itchy Your Pain FeelsNeuropathic 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 FeelsC103639NPS01-Tell Us How Sharp Your Pain FeelsNeuropathic 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
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CL.C100144.NPI TESTCDQS-Neuropsychiatric Inventory Test Code
(NPI TESTCD)
text
Extensible: No
C100144QS-Neuropsychiatric Inventory Test CodeThe Neuropsychiatric Inventory test code.CDISC Questionnaire NPI Test Code Terminology
NPI1AC100622NPI1-Beliefs UntrueNeuropsychiatric 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
NPI1A01C100623NPI1-In DangerNeuropsychiatric 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
NPI1A02C100624NPI1-Others Are StealingNeuropsychiatric Inventory - Does the patient believe that others are stealing from him/her?NPI - Others are Stealing From Him/Her
NPI1A03C100625NPI1-Spouse Having AffairNeuropsychiatric Inventory - Does the patient believe that his/her spouse is having an affair?NPI - His/Her Spouse is Having an Affair
NPI1A04C100626NPI1-Unwelcome Guests in HouseNeuropsychiatric Inventory - Does the patient believe that unwelcome guests are living in his/her house?NPI - Unwelcome Guests are Living in His/Her House
NPI1A05C100627NPI1-People Not Who They ClaimNeuropsychiatric 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
NPI1A06C100628NPI1-House Not Their HomeNeuropsychiatric Inventory - Does the patient believe that his/her house is not his/her home?NPI - His/Her House Is Not His/Her Home
NPI1A07C100629NPI1-Family Plans to AbandonNeuropsychiatric Inventory - Does the patient believe that family members plan to abandon him/her?NPI - Family Members Plan to Abandon Him/Her
NPI1A08C100630NPI1-TV/Magazine Figures PresentNeuropsychiatric 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
NPI1A09C100631NPI1-Other Unusual BeliefsNeuropsychiatric 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
NPI1A10C103602NPI1-Delusions FrequencyNeuropsychiatric Inventory - Frequency of the delusions.NPI - Delusions Frequency
NPI1A11C103603NPI1-Delusions SeverityNeuropsychiatric Inventory - Severity of the delusions.NPI - Delusions Severity
NPI1A12C103604NPI1-Delusions DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Delusions Distress
NPI1AFSC112469NPI1-Delusions FxS ScoreNeuropsychiatric Inventory - Delusions: (frequency score x severity score).NPI - Delusions FxS Score
NPI1BC100632NPI1-False Visions or VoicesNeuropsychiatric 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
NPI1B01C100633NPI1-Hearing VoicesNeuropsychiatric 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
NPI1B02C100634NPI1-Talk to People Not ThereNeuropsychiatric Inventory - Does the patient talk to people who are not there?NPI - Talk to People Who Are Not There
NPI1B03C100635NPI1-See Things Not Seen by OthersNeuropsychiatric 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
NPI1B04C100636NPI1-Smell Odors Others Do Not SmellNeuropsychiatric Inventory - Does the patient report smelling odors not smelled by others?NPI - Report Smelling Odors Not Smelled by Others
NPI1B05C100637NPI1-Feel Things on SkinNeuropsychiatric 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
NPI1B06C100638NPI1-Taste without Known CauseNeuropsychiatric Inventory - Does the patient describe tastes that are without any known cause?NPI - Describe Tastes That Are Without Any Known Cause
NPI1B07C100639NPI1-Other Unusual Sensory ExperienceNeuropsychiatric Inventory - Does the patient describe any other unusual sensory experiences?NPI - Describe Any Other Unusual Sensory Experiences
NPI1B08C103605NPI1-Hallucinations FrequencyNeuropsychiatric Inventory - Frequency of the hallucinations.NPI - Hallucinations Frequency
NPI1B09C103606NPI1-Hallucinations SeverityNeuropsychiatric Inventory - Severity of the hallucinations.NPI - Hallucinations Severity
NPI1B10C103607NPI1-Hallucinations DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Hallucinations Distress
NPI1BFSC112470NPI1-Hallucinations FxS ScoreNeuropsychiatric Inventory - Hallucinations: (frequency score x severity score).NPI - Hallucinations FxS Score
NPI1CC100640NPI1-Refuse to CooperateNeuropsychiatric 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
NPI1C01C100641NPI1-Get Upset with CaregiverNeuropsychiatric 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
NPI1C02C100642NPI1-StubbornNeuropsychiatric Inventory - Is the patient stubborn, having to have things his/her way?NPI - Stubborn
NPI1C03C100643NPI1-UncooperativeNeuropsychiatric Inventory - Is the patient uncooperative, resistive to help from others?NPI - Uncooperative
NPI1C04C100644NPI1-Other Behaviors Hard to HandleNeuropsychiatric 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
NPI1C05C100645NPI1-Shout or Curse AngrilyNeuropsychiatric Inventory - Does the patient shout or curse angrily?NPI - Shout or Curse Angrily
NPI1C06C100646NPI1-Slam, Kick or Throw ThingsNeuropsychiatric Inventory - Does the patient slam doors, kick furniture, throw things?NPI - Slam doors, Kick Furniture, Throw Things
NPI1C07C100647NPI1-Hurt or Hit OthersNeuropsychiatric Inventory - Does the patient attempt to hurt or hit others?NPI - Attempt to Hurt or Hit Others
NPI1C08C100648NPI1-Other Aggressive BehaviorNeuropsychiatric Inventory - Does the patient have any other aggressive or agitated behaviors?NPI - Any Other Aggressive or Agitated Behaviors
NPI1C09C103608NPI1-Agitation/Aggression FrequencyNeuropsychiatric Inventory - Frequency of the agitation/aggression.NPI - Agitation/Aggression Frequency
NPI1C10C103609NPI1-Agitation/Aggression SeverityNeuropsychiatric Inventory - Severity of the agitation/aggression.NPI - Agitation/Aggression Severity
NPI1C11C103610NPI1-Agitation/Aggression DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Agitation/Aggression Distress
NPI1CFSC112471NPI1-Agitation/Aggression FxS ScoreNeuropsychiatric Inventory - Agitation/Aggression: (frequency score x severity score).NPI - Agitation/Aggression FxS Score
NPI1DC100649NPI1-Sad or DepressedNeuropsychiatric Inventory - Does the patient seem sad or depressed? Does he/she say that he/she feels sad or depressed?NPI - Seem Sad or Depressed
NPI1D01C100650NPI1-Tearfulness or SobbingNeuropsychiatric Inventory - Does the patient have periods of tearfulness or sobbing that seem to indicate sadness?NPI - Periods of Tearfulness or Sobbing
NPI1D02C100651NPI1-Say or Act in Low SpiritsNeuropsychiatric 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
NPI1D03C100652NPI1-Feel Like a FailureNeuropsychiatric 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
NPI1D04C100653NPI1-Bad PersonNeuropsychiatric 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
NPI1D05C100654NPI1-DiscouragedNeuropsychiatric Inventory - Does the patient seem very discouraged or say that he/she has no future?NPI - Seem Very Discouraged
NPI1D06C100655NPI1-Burden to FamilyNeuropsychiatric 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
NPI1D07C100656NPI1-Wish for DeathNeuropsychiatric Inventory - Does the patient express a wish for death or talk about killing himself/herself?NPI - Express a Wish for Death
NPI1D08C100657NPI1-Other Signs of DepressionNeuropsychiatric Inventory - Does the patient show any other signs of depression or sadness?NPI - Show Any Other Signs of Depression or Sadness
NPI1D09C103611NPI1-Depression/Dysphoria FrequencyNeuropsychiatric Inventory - Frequency of the depression/dysphoria.NPI - Depression/Dysphoria Frequency
NPI1D10C103612NPI1-Depression/Dysphoria SeverityNeuropsychiatric Inventory - Severity of the depression/dysphoria.NPI - Depression/Dysphoria Severity
NPI1D11C103613NPI1-Depression/Dysphoria DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Depression/Dysphoria Distress
NPI1DFSC112472NPI1-Depression/Dysphoria FxS ScoreNeuropsychiatric Inventory - Depression/Dysphoria: (frequency score x severity score).NPI - Depression/Dysphoria FxS Score
NPI1DISTC112482NPI1-NPI Total Distress ScoreNeuropsychiatric Inventory - Sub-total of distress score.NPI - NPI Total Distress Score
NPI1EC100658NPI1-Nervous or WorriedNeuropsychiatric 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
NPI1E01C100659NPI1-Worried about Planned EventNeuropsychiatric Inventory - Does the patient say that he/she is worried about planned events?NPI - Say That He/She is Worried About Planned Events
NPI1E02C100660NPI1-Shaky or Unable to RelaxNeuropsychiatric 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
NPI1E03C100661NPI1-Short of Breath, Gasp, SighNeuropsychiatric 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
NPI1E04C100662NPI1-Butterflies or Racing HeartNeuropsychiatric 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
NPI1E05C100663NPI1-Avoid Places or SituationsNeuropsychiatric 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
NPI1E06C100664NPI1-Nervous when SeparatedNeuropsychiatric 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
NPI1E07C100665NPI1-Other Signs of AnxietyNeuropsychiatric Inventory - Does the patient show any other signs of anxiety?NPI - Show Any Other Signs of Anxiety
NPI1E08C103614NPI1-Anxiety FrequencyNeuropsychiatric Inventory - Frequency of the anxiety.NPI - Anxiety Frequency
NPI1E09C103615NPI1-Anxiety SeverityNeuropsychiatric Inventory - Severity of the anxiety.NPI - Anxiety Severity
NPI1E10C103616NPI1-Anxiety DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Anxiety Distress
NPI1EFSC112473NPI1-Anxiety FxS ScoreNeuropsychiatric Inventory - Anxiety: (frequency score x severity score).NPI - Anxiety FxS Score
NPI1FC100666NPI1-Too Cheerful or HappyNeuropsychiatric 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
NPI1F01C100667NPI1-Feel Good or Too HappyNeuropsychiatric 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
NPI1F02C100668NPI1-Humor Others Do Not Find FunnyNeuropsychiatric 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
NPI1F03C100669NPI1-Childish Sense of HumorNeuropsychiatric 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
NPI1F04C100670NPI1-Jokes Others Do Not Find FunnyNeuropsychiatric 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
NPI1F05C100671NPI1-Childish PranksNeuropsychiatric Inventory - Does he/she play childish pranks such as pinching or playing "keep away" for the fun of it?NPI - Play Childish Pranks
NPI1F06C100672NPI1-Talk BigNeuropsychiatric 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
NPI1F07C100673NPI1-Other Signs of Feeling Too HappyNeuropsychiatric 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
NPI1F08C103617NPI1-Elation/Euphoria FrequencyNeuropsychiatric Inventory - Frequency of the elation/euphoria.NPI - Elation/Euphoria Frequency
NPI1F09C103618NPI1-Elation/Euphoria SeverityNeuropsychiatric Inventory - Severity of the elation/euphoria.NPI - Elation/Euphoria Severity
NPI1F10C103619NPI1-Elation/Euphoria DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Elation/Euphoria Distress
NPI1FFSC112474NPI1-Elation/Euphoria FxS ScoreNeuropsychiatric Inventory - Elation/Euphoria: (frequency score x severity score).NPI - Elation/Euphoria FxS Score
NPI1GC100674NPI1-Lost Interest in WorldNeuropsychiatric 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
NPI1G01C100675NPI1-Less Spontaneous or ActiveNeuropsychiatric Inventory - Does the patient seem less spontaneous and less active than usual?NPI - Seem Less Spontaneous and Less Active Than Usual
NPI1G02C100676NPI1-Less Likely Initiate ConversationNeuropsychiatric Inventory - Is the patient less likely to initiate a conversation?NPI - Less Likely Initiate to Initiate a Conversation
NPI1G03C100677NPI1-Less AffectionateNeuropsychiatric Inventory - Is the patient less affectionate or lacking in emotions when compared to his/her usual self?NPI - Less Affectionate or Lacking in Emotions
NPI1G04C100678NPI1-Contribute Less to ChoresNeuropsychiatric Inventory - Does the patient contribute less to household chores?NPI - Contribute Less to Household Chores
NPI1G05C100679NPI1-Less Interest in ActivitiesNeuropsychiatric Inventory - Does the patient seem less interested in the activities and plans of others?NPI - Less Interested in the Activities and Plans of Others
NPI1G06C100680NPI1-Lost Interest in FriendsNeuropsychiatric Inventory - Has the patient lost interest in friends and family members?NPI - Lost Interest in Friends and Family Members
NPI1G07C100681NPI1-Less EnthusiasticNeuropsychiatric Inventory - Is the patient less enthusiastic about his/her usual interests?NPI - Less Enthusiastic About His/Her Usual Interests
NPI1G08C100682NPI1-Other Signs of Not CaringNeuropsychiatric 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
NPI1G09C103620NPI1-Apathy/Indifference FrequencyNeuropsychiatric Inventory - Frequency of the apathy/indifference.NPI - Apathy/Indifference Frequency
NPI1G10C103621NPI1-Apathy/Indifference SeverityNeuropsychiatric Inventory - Severity of the apathy/indifference.NPI - Apathy/Indifference Severity
NPI1G11C103622NPI1-Apathy/Indifference DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Apathy/Indifference Distress
NPI1GFSC112475NPI1-Apathy/Indifference FxS ScoreNeuropsychiatric Inventory - Apathy/Indifference: (frequency score x severity score).NPI - Apathy/Indifference FxS Score
NPI1HC100683NPI1-Act ImpulsivelyNeuropsychiatric 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
NPI1H01C100684NPI1-Act Impulsively without CareNeuropsychiatric Inventory - Does the patient act impulsively without appearing to consider the consequences?NPI - Act Impulsively without Appearing to Consider the Consequences
NPI1H02C100685NPI1-Talk to StrangersNeuropsychiatric 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
NPI1H03C100686NPI1-Say Insensitive ThingsNeuropsychiatric Inventory - Does the patient say things to people that are insensitive or hurt their feelings?NPI - Say Things to People that are Insensitive
NPI1H04C100687NPI1-Make Crude RemarksNeuropsychiatric 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
NPI1H05C100688NPI1-Talk Openly about Private MattersNeuropsychiatric 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
NPI1H06C100689NPI1-Take Liberties or Touch OthersNeuropsychiatric 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
NPI1H07C100690NPI1-Other Signs of ImpulsesNeuropsychiatric 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
NPI1H08C103623NPI1-Disinhibition FrequencyNeuropsychiatric Inventory - Frequency of the disinhibition.NPI - Disinhibition Frequency
NPI1H09C103624NPI1-Disinhibition SeverityNeuropsychiatric Inventory - Severity of the disinhibition.NPI - Disinhibition Severity
NPI1H10C103625NPI1-Disinhibition DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Disinhibition Distress
NPI1HFSC112476NPI1-Disinhibition FxS ScoreNeuropsychiatric Inventory - Disinhibition: (frequency score x severity score).NPI - Disinhibition FxS Score
NPI1IC100691NPI1-Irritated and Easily DisturbedNeuropsychiatric 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
NPI1I01C100692NPI1-Bad TemperNeuropsychiatric 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
NPI1I02C100693NPI1-Rapidly Change MoodsNeuropsychiatric 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
NPI1I03C100694NPI1-Sudden AngerNeuropsychiatric Inventory - Does the patient have sudden flashes of anger?NPI - Sudden Flares of Anger
NPI1I04C100695NPI1-ImpatientNeuropsychiatric Inventory - Is the patient impatient, having trouble coping with delays or waiting for planned activities?NPI - Impatient, Having Trouble Coping with Delays
NPI1I05C100696NPI1-Cranky and IrritableNeuropsychiatric Inventory - Is the patient cranky and irritable?NPI - Cranky and Irritable
NPI1I06C100697NPI1-ArgumentativeNeuropsychiatric Inventory - Is the patient argumentative and difficult to get along with?NPI - Argumentative and Difficult to Get Along With
NPI1I07C100698NPI1-Other Signs of IrritabilityNeuropsychiatric Inventory - Does the patient show any other signs of irritability?NPI - Show Any Other Signs of Irritability
NPI1I08C103626NPI1-Irritability/Lability FrequencyNeuropsychiatric Inventory - Frequency of the irritability/lability.NPI - Irritability/Lability Frequency
NPI1I09C103627NPI1-Irritability/Lability SeverityNeuropsychiatric Inventory - Severity of the irritability/lability.NPI - Irritability/Lability Severity
NPI1I10C103628NPI1-Irritability/Lability DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Irritability/Lability Distress
NPI1IFSC112477NPI1-Irritability/Lability FxS ScoreNeuropsychiatric Inventory - Irritability/Lability: (frequency score x severity score).NPI - Irritability/Lability FxS Score
NPI1JC100699NPI1-Do Things RepeatedlyNeuropsychiatric 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
NPI1J01C100700NPI1-PaceNeuropsychiatric Inventory - Does the patient pace around the house without apparent purpose?NPI - Pace Around the House Without Apparent Purpose
NPI1J02C100701NPI1-Rummage Around and UnpackNeuropsychiatric Inventory - Does the patient rummage around opening and unpacking drawers or closets?NPI - Rummage Around Opening and Unpacking Drawers or Closets
NPI1J03C100702NPI1-Repeatedly Change ClothingNeuropsychiatric Inventory - Does the patient repeatedly put on and take off clothing?NPI - Repeatedly Put On and Take Off Clothing
NPI1J04C100703NPI1-Repetitive Activities or HabitsNeuropsychiatric Inventory - Does the patient have repetitive activities or "habits" that he/she performs over and over?NPI - Repetitive Activities or 'Habits'
NPI1J05C100704NPI1-Repetitive ActivitiesNeuropsychiatric Inventory - Does the patient engage in repetitive activities such as handling buttons, picking, wrapping string, etc.?NPI - Engage in Repetitive Activities
NPI1J06C100705NPI1-Fidget ExcessivelyNeuropsychiatric 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
NPI1J07C100706NPI1-Other Repetitive ActivitiesNeuropsychiatric Inventory - Does the patient do any other activities over and over?NPI - Do Any Other Activities Over and Over
NPI1J08C103629NPI1-Aberrant Motor Behavior FrequencyNeuropsychiatric Inventory - Frequency of the aberrant motor behavior.NPI - Aberrant Motor Behavior Frequency
NPI1J09C103630NPI1-Aberrant Motor Behavior SeverityNeuropsychiatric Inventory - Severity of the aberrant motor behavior.NPI - Aberrant Motor Behavior Severity
NPI1J10C103631NPI1-Aberrant Motor Behavior DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Aberrant Motor Behavior Distress
NPI1JFSC112478NPI1-Aberrant Motor Behavior FxS ScoreNeuropsychiatric Inventory - Aberrant Motor Behavior: (frequency score x severity score).NPI - Aberrant Motor Behavior FxS Score
NPI1KC100707NPI1-Difficulty SleepingNeuropsychiatric 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
NPI1K01C100708NPI1-Difficulty Falling AsleepNeuropsychiatric Inventory - Does the patient have difficulty falling asleep?NPI - Difficulty Falling Asleep
NPI1K02C100709NPI1-Get Up during NightNeuropsychiatric 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
NPI1K03C100710NPI1-Wander or Pace at NightNeuropsychiatric 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
NPI1K04C100711NPI1-Awaken Caregiver during NightNeuropsychiatric Inventory - Does the patient awaken you during the night?NPI - Awaken You During the Night
NPI1K05C100712NPI1-Wake at Night and Think MorningNeuropsychiatric 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
NPI1K06C100713NPI1-Awaken Too Early in MorningNeuropsychiatric Inventory - Does the patient awaken too early in the morning (earlier than was his/her habit)?NPI - Awaken Too Early in Morning
NPI1K07C100714NPI1-Excessive Sleep during DayNeuropsychiatric Inventory - Does the patient sleep excessively during the day?NPI - Sleep Excessively During the Day
NPI1K08C100715NPI1-Other Nighttime BehaviorsNeuropsychiatric 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
NPI1K09C103632NPI1-Sleep/Nighttime Behavior FrequencyNeuropsychiatric Inventory - Frequency of the nighttime behavior.NPI - Sleep and Nighttime Behavior Disorders Frequency
NPI1K10C103633NPI1-Sleep/Nighttime Behavior SeverityNeuropsychiatric Inventory - Severity of the nighttime behavior.NPI - Sleep and Nighttime Behavior Disorders Severity
NPI1K11C103634NPI1-Sleep/Nighttime Behavior DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Sleep and Nighttime Behavior Disorders Distress
NPI1KFSC112479NPI1-Sleep/Night Behav Disord FxS ScoreNeuropsychiatric Inventory - Sleep and Nighttime Behavior Disorders: (frequency score x severity score).NPI - Sleep/Night Behavior Disorder FxS Score
NPI1LC100716NPI1-Change in Appetite or WeightNeuropsychiatric 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
NPI1L01C100717NPI1-Loss of AppetiteNeuropsychiatric Inventory - Has he/she had a loss of appetite?NPI - Loss of Appetite
NPI1L02C100718NPI1-Increase in AppetiteNeuropsychiatric Inventory - Has he/she had an increase in appetite?NPI - Increase in Appetite
NPI1L03C100719NPI1-Weight LossNeuropsychiatric Inventory - Has he/she had a loss of weight?NPI - Loss of Weight
NPI1L04C100720NPI1-Weight GainNeuropsychiatric Inventory - Has he/she gained weight?NPI - Gained Weight
NPI1L05C100721NPI1-Change in Eating BehaviorNeuropsychiatric 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
NPI1L06C100722NPI1-Change in Kind of FoodNeuropsychiatric 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
NPI1L07C100723NPI1-Develop Eating BehaviorsNeuropsychiatric 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
NPI1L08C100724NPI1-Other Changes in EatingNeuropsychiatric 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
NPI1L09C103635NPI1-Appetite/Eating Disorder FrequencyNeuropsychiatric Inventory - Frequency of the changes in eating habits or appetite.NPI - Appetite and Eating Disorders Frequency
NPI1L10C103636NPI1-Appetite/Eating Disorder SeverityNeuropsychiatric Inventory - Severity of the changes in eating habits or appetite.NPI - Appetite and Eating Disorders Severity
NPI1L11C103637NPI1-Appetite/Eating Disorder DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Appetite and Eating Disorders Distress
NPI1LFSC112480NPI1-Appetite/Eating Disorders FxS ScoreNeuropsychiatric Inventory - Appetite and Eating Disorders: (frequency score x severity score).NPI - Appetite/Eating Disorders FxS Score
NPI1TOTC112481NPI1-NPI Total ScoreNeuropsychiatric Inventory - Total of (Frequency Sub-total) x (Severity Sub-total).NPI - NPI Total Score
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CL.C100143.NPI TESTQS-Neuropsychiatric Inventory Test Name
(NPI TEST)
text
Extensible: No
C100143QS-Neuropsychiatric Inventory Test NameThe Neuropsychiatric Inventory test name.CDISC Questionnaire NPI Test Name Terminology
NPI1-Aberrant Motor Behavior DistressC103631NPI1-Aberrant Motor Behavior DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Aberrant Motor Behavior Distress
NPI1-Aberrant Motor Behavior FrequencyC103629NPI1-Aberrant Motor Behavior FrequencyNeuropsychiatric Inventory - Frequency of the aberrant motor behavior.NPI - Aberrant Motor Behavior Frequency
NPI1-Aberrant Motor Behavior FxS ScoreC112478NPI1-Aberrant Motor Behavior FxS ScoreNeuropsychiatric Inventory - Aberrant Motor Behavior: (frequency score x severity score).NPI - Aberrant Motor Behavior FxS Score
NPI1-Aberrant Motor Behavior SeverityC103630NPI1-Aberrant Motor Behavior SeverityNeuropsychiatric Inventory - Severity of the aberrant motor behavior.NPI - Aberrant Motor Behavior Severity
NPI1-Act ImpulsivelyC100683NPI1-Act ImpulsivelyNeuropsychiatric 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 CareC100684NPI1-Act Impulsively without CareNeuropsychiatric Inventory - Does the patient act impulsively without appearing to consider the consequences?NPI - Act Impulsively without Appearing to Consider the Consequences
NPI1-Agitation/Aggression DistressC103610NPI1-Agitation/Aggression DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Agitation/Aggression Distress
NPI1-Agitation/Aggression FrequencyC103608NPI1-Agitation/Aggression FrequencyNeuropsychiatric Inventory - Frequency of the agitation/aggression.NPI - Agitation/Aggression Frequency
NPI1-Agitation/Aggression FxS ScoreC112471NPI1-Agitation/Aggression FxS ScoreNeuropsychiatric Inventory - Agitation/Aggression: (frequency score x severity score).NPI - Agitation/Aggression FxS Score
NPI1-Agitation/Aggression SeverityC103609NPI1-Agitation/Aggression SeverityNeuropsychiatric Inventory - Severity of the agitation/aggression.NPI - Agitation/Aggression Severity
NPI1-Anxiety DistressC103616NPI1-Anxiety DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Anxiety Distress
NPI1-Anxiety FrequencyC103614NPI1-Anxiety FrequencyNeuropsychiatric Inventory - Frequency of the anxiety.NPI - Anxiety Frequency
NPI1-Anxiety FxS ScoreC112473NPI1-Anxiety FxS ScoreNeuropsychiatric Inventory - Anxiety: (frequency score x severity score).NPI - Anxiety FxS Score
NPI1-Anxiety SeverityC103615NPI1-Anxiety SeverityNeuropsychiatric Inventory - Severity of the anxiety.NPI - Anxiety Severity
NPI1-Apathy/Indifference DistressC103622NPI1-Apathy/Indifference DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Apathy/Indifference Distress
NPI1-Apathy/Indifference FrequencyC103620NPI1-Apathy/Indifference FrequencyNeuropsychiatric Inventory - Frequency of the apathy/indifference.NPI - Apathy/Indifference Frequency
NPI1-Apathy/Indifference FxS ScoreC112475NPI1-Apathy/Indifference FxS ScoreNeuropsychiatric Inventory - Apathy/Indifference: (frequency score x severity score).NPI - Apathy/Indifference FxS Score
NPI1-Apathy/Indifference SeverityC103621NPI1-Apathy/Indifference SeverityNeuropsychiatric Inventory - Severity of the apathy/indifference.NPI - Apathy/Indifference Severity
NPI1-Appetite/Eating Disorder DistressC103637NPI1-Appetite/Eating Disorder DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Appetite and Eating Disorders Distress
NPI1-Appetite/Eating Disorder FrequencyC103635NPI1-Appetite/Eating Disorder FrequencyNeuropsychiatric Inventory - Frequency of the changes in eating habits or appetite.NPI - Appetite and Eating Disorders Frequency
NPI1-Appetite/Eating Disorder SeverityC103636NPI1-Appetite/Eating Disorder SeverityNeuropsychiatric Inventory - Severity of the changes in eating habits or appetite.NPI - Appetite and Eating Disorders Severity
NPI1-Appetite/Eating Disorders FxS ScoreC112480NPI1-Appetite/Eating Disorders FxS ScoreNeuropsychiatric Inventory - Appetite and Eating Disorders: (frequency score x severity score).NPI - Appetite/Eating Disorders FxS Score
NPI1-ArgumentativeC100697NPI1-ArgumentativeNeuropsychiatric Inventory - Is the patient argumentative and difficult to get along with?NPI - Argumentative and Difficult to Get Along With
NPI1-Avoid Places or SituationsC100663NPI1-Avoid Places or SituationsNeuropsychiatric 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 NightC100711NPI1-Awaken Caregiver during NightNeuropsychiatric Inventory - Does the patient awaken you during the night?NPI - Awaken You During the Night
NPI1-Awaken Too Early in MorningC100713NPI1-Awaken Too Early in MorningNeuropsychiatric Inventory - Does the patient awaken too early in the morning (earlier than was his/her habit)?NPI - Awaken Too Early in Morning
NPI1-Bad PersonC100653NPI1-Bad PersonNeuropsychiatric 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 TemperC100692NPI1-Bad TemperNeuropsychiatric 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 UntrueC100622NPI1-Beliefs UntrueNeuropsychiatric 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 FamilyC100655NPI1-Burden to FamilyNeuropsychiatric 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 HeartC100662NPI1-Butterflies or Racing HeartNeuropsychiatric 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 WeightC100716NPI1-Change in Appetite or WeightNeuropsychiatric 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 BehaviorC100721NPI1-Change in Eating BehaviorNeuropsychiatric 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 FoodC100722NPI1-Change in Kind of FoodNeuropsychiatric 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 PranksC100671NPI1-Childish PranksNeuropsychiatric 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 HumorC100669NPI1-Childish Sense of HumorNeuropsychiatric 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 ChoresC100678NPI1-Contribute Less to ChoresNeuropsychiatric Inventory - Does the patient contribute less to household chores?NPI - Contribute Less to Household Chores
NPI1-Cranky and IrritableC100696NPI1-Cranky and IrritableNeuropsychiatric Inventory - Is the patient cranky and irritable?NPI - Cranky and Irritable
NPI1-Delusions DistressC103604NPI1-Delusions DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Delusions Distress
NPI1-Delusions FrequencyC103602NPI1-Delusions FrequencyNeuropsychiatric Inventory - Frequency of the delusions.NPI - Delusions Frequency
NPI1-Delusions FxS ScoreC112469NPI1-Delusions FxS ScoreNeuropsychiatric Inventory - Delusions: (frequency score x severity score).NPI - Delusions FxS Score
NPI1-Delusions SeverityC103603NPI1-Delusions SeverityNeuropsychiatric Inventory - Severity of the delusions.NPI - Delusions Severity
NPI1-Depression/Dysphoria DistressC103613NPI1-Depression/Dysphoria DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Depression/Dysphoria Distress
NPI1-Depression/Dysphoria FrequencyC103611NPI1-Depression/Dysphoria FrequencyNeuropsychiatric Inventory - Frequency of the depression/dysphoria.NPI - Depression/Dysphoria Frequency
NPI1-Depression/Dysphoria FxS ScoreC112472NPI1-Depression/Dysphoria FxS ScoreNeuropsychiatric Inventory - Depression/Dysphoria: (frequency score x severity score).NPI - Depression/Dysphoria FxS Score
NPI1-Depression/Dysphoria SeverityC103612NPI1-Depression/Dysphoria SeverityNeuropsychiatric Inventory - Severity of the depression/dysphoria.NPI - Depression/Dysphoria Severity
NPI1-Develop Eating BehaviorsC100723NPI1-Develop Eating BehaviorsNeuropsychiatric 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 AsleepC100708NPI1-Difficulty Falling AsleepNeuropsychiatric Inventory - Does the patient have difficulty falling asleep?NPI - Difficulty Falling Asleep
NPI1-Difficulty SleepingC100707NPI1-Difficulty SleepingNeuropsychiatric 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-DiscouragedC100654NPI1-DiscouragedNeuropsychiatric Inventory - Does the patient seem very discouraged or say that he/she has no future?NPI - Seem Very Discouraged
NPI1-Disinhibition DistressC103625NPI1-Disinhibition DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Disinhibition Distress
NPI1-Disinhibition FrequencyC103623NPI1-Disinhibition FrequencyNeuropsychiatric Inventory - Frequency of the disinhibition.NPI - Disinhibition Frequency
NPI1-Disinhibition FxS ScoreC112476NPI1-Disinhibition FxS ScoreNeuropsychiatric Inventory - Disinhibition: (frequency score x severity score).NPI - Disinhibition FxS Score
NPI1-Disinhibition SeverityC103624NPI1-Disinhibition SeverityNeuropsychiatric Inventory - Severity of the disinhibition.NPI - Disinhibition Severity
NPI1-Do Things RepeatedlyC100699NPI1-Do Things RepeatedlyNeuropsychiatric 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 DistressC103619NPI1-Elation/Euphoria DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Elation/Euphoria Distress
NPI1-Elation/Euphoria FrequencyC103617NPI1-Elation/Euphoria FrequencyNeuropsychiatric Inventory - Frequency of the elation/euphoria.NPI - Elation/Euphoria Frequency
NPI1-Elation/Euphoria FxS ScoreC112474NPI1-Elation/Euphoria FxS ScoreNeuropsychiatric Inventory - Elation/Euphoria: (frequency score x severity score).NPI - Elation/Euphoria FxS Score
NPI1-Elation/Euphoria SeverityC103618NPI1-Elation/Euphoria SeverityNeuropsychiatric Inventory - Severity of the elation/euphoria.NPI - Elation/Euphoria Severity
NPI1-Excessive Sleep during DayC100714NPI1-Excessive Sleep during DayNeuropsychiatric Inventory - Does the patient sleep excessively during the day?NPI - Sleep Excessively During the Day
NPI1-False Visions or VoicesC100632NPI1-False Visions or VoicesNeuropsychiatric 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 AbandonC100629NPI1-Family Plans to AbandonNeuropsychiatric 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 HappyC100667NPI1-Feel Good or Too HappyNeuropsychiatric 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 FailureC100652NPI1-Feel Like a FailureNeuropsychiatric 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 SkinC100637NPI1-Feel Things on SkinNeuropsychiatric 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 ExcessivelyC100705NPI1-Fidget ExcessivelyNeuropsychiatric 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 NightC100709NPI1-Get Up during NightNeuropsychiatric 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 CaregiverC100641NPI1-Get Upset with CaregiverNeuropsychiatric 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 DistressC103607NPI1-Hallucinations DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Hallucinations Distress
NPI1-Hallucinations FrequencyC103605NPI1-Hallucinations FrequencyNeuropsychiatric Inventory - Frequency of the hallucinations.NPI - Hallucinations Frequency
NPI1-Hallucinations FxS ScoreC112470NPI1-Hallucinations FxS ScoreNeuropsychiatric Inventory - Hallucinations: (frequency score x severity score).NPI - Hallucinations FxS Score
NPI1-Hallucinations SeverityC103606NPI1-Hallucinations SeverityNeuropsychiatric Inventory - Severity of the hallucinations.NPI - Hallucinations Severity
NPI1-Hearing VoicesC100633NPI1-Hearing VoicesNeuropsychiatric 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 HomeC100628NPI1-House Not Their HomeNeuropsychiatric 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 FunnyC100668NPI1-Humor Others Do Not Find FunnyNeuropsychiatric 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 OthersC100647NPI1-Hurt or Hit OthersNeuropsychiatric Inventory - Does the patient attempt to hurt or hit others?NPI - Attempt to Hurt or Hit Others
NPI1-ImpatientC100695NPI1-ImpatientNeuropsychiatric Inventory - Is the patient impatient, having trouble coping with delays or waiting for planned activities?NPI - Impatient, Having Trouble Coping with Delays
NPI1-In DangerC100623NPI1-In DangerNeuropsychiatric 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 AppetiteC100718NPI1-Increase in AppetiteNeuropsychiatric Inventory - Has he/she had an increase in appetite?NPI - Increase in Appetite
NPI1-Irritability/Lability DistressC103628NPI1-Irritability/Lability DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Irritability/Lability Distress
NPI1-Irritability/Lability FrequencyC103626NPI1-Irritability/Lability FrequencyNeuropsychiatric Inventory - Frequency of the irritability/lability.NPI - Irritability/Lability Frequency
NPI1-Irritability/Lability FxS ScoreC112477NPI1-Irritability/Lability FxS ScoreNeuropsychiatric Inventory - Irritability/Lability: (frequency score x severity score).NPI - Irritability/Lability FxS Score
NPI1-Irritability/Lability SeverityC103627NPI1-Irritability/Lability SeverityNeuropsychiatric Inventory - Severity of the irritability/lability.NPI - Irritability/Lability Severity
NPI1-Irritated and Easily DisturbedC100691NPI1-Irritated and Easily DisturbedNeuropsychiatric 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 FunnyC100670NPI1-Jokes Others Do Not Find FunnyNeuropsychiatric 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 AffectionateC100677NPI1-Less AffectionateNeuropsychiatric 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 EnthusiasticC100681NPI1-Less EnthusiasticNeuropsychiatric Inventory - Is the patient less enthusiastic about his/her usual interests?NPI - Less Enthusiastic About His/Her Usual Interests
NPI1-Less Interest in ActivitiesC100679NPI1-Less Interest in ActivitiesNeuropsychiatric 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 ConversationC100676NPI1-Less Likely Initiate ConversationNeuropsychiatric Inventory - Is the patient less likely to initiate a conversation?NPI - Less Likely Initiate to Initiate a Conversation
NPI1-Less Spontaneous or ActiveC100675NPI1-Less Spontaneous or ActiveNeuropsychiatric Inventory - Does the patient seem less spontaneous and less active than usual?NPI - Seem Less Spontaneous and Less Active Than Usual
NPI1-Loss of AppetiteC100717NPI1-Loss of AppetiteNeuropsychiatric Inventory - Has he/she had a loss of appetite?NPI - Loss of Appetite
NPI1-Lost Interest in FriendsC100680NPI1-Lost Interest in FriendsNeuropsychiatric Inventory - Has the patient lost interest in friends and family members?NPI - Lost Interest in Friends and Family Members
NPI1-Lost Interest in WorldC100674NPI1-Lost Interest in WorldNeuropsychiatric 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 RemarksC100687NPI1-Make Crude RemarksNeuropsychiatric 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 WorriedC100658NPI1-Nervous or WorriedNeuropsychiatric 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 SeparatedC100664NPI1-Nervous when SeparatedNeuropsychiatric 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 ScoreC112482NPI1-NPI Total Distress ScoreNeuropsychiatric Inventory - Sub-total of distress score.NPI - NPI Total Distress Score
NPI1-NPI Total ScoreC112481NPI1-NPI Total ScoreNeuropsychiatric Inventory - Total of (Frequency Sub-total) x (Severity Sub-total).NPI - NPI Total Score
NPI1-Other Aggressive BehaviorC100648NPI1-Other Aggressive BehaviorNeuropsychiatric Inventory - Does the patient have any other aggressive or agitated behaviors?NPI - Any Other Aggressive or Agitated Behaviors
NPI1-Other Behaviors Hard to HandleC100644NPI1-Other Behaviors Hard to HandleNeuropsychiatric 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 EatingC100724NPI1-Other Changes in EatingNeuropsychiatric 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 BehaviorsC100715NPI1-Other Nighttime BehaviorsNeuropsychiatric 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 ActivitiesC100706NPI1-Other Repetitive ActivitiesNeuropsychiatric Inventory - Does the patient do any other activities over and over?NPI - Do Any Other Activities Over and Over
NPI1-Other Signs of AnxietyC100665NPI1-Other Signs of AnxietyNeuropsychiatric Inventory - Does the patient show any other signs of anxiety?NPI - Show Any Other Signs of Anxiety
NPI1-Other Signs of DepressionC100657NPI1-Other Signs of DepressionNeuropsychiatric 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 HappyC100673NPI1-Other Signs of Feeling Too HappyNeuropsychiatric 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 ImpulsesC100690NPI1-Other Signs of ImpulsesNeuropsychiatric 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 IrritabilityC100698NPI1-Other Signs of IrritabilityNeuropsychiatric Inventory - Does the patient show any other signs of irritability?NPI - Show Any Other Signs of Irritability
NPI1-Other Signs of Not CaringC100682NPI1-Other Signs of Not CaringNeuropsychiatric 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 BeliefsC100631NPI1-Other Unusual BeliefsNeuropsychiatric 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 ExperienceC100639NPI1-Other Unusual Sensory ExperienceNeuropsychiatric Inventory - Does the patient describe any other unusual sensory experiences?NPI - Describe Any Other Unusual Sensory Experiences
NPI1-Others Are StealingC100624NPI1-Others Are StealingNeuropsychiatric Inventory - Does the patient believe that others are stealing from him/her?NPI - Others are Stealing From Him/Her
NPI1-PaceC100700NPI1-PaceNeuropsychiatric Inventory - Does the patient pace around the house without apparent purpose?NPI - Pace Around the House Without Apparent Purpose
NPI1-People Not Who They ClaimC100627NPI1-People Not Who They ClaimNeuropsychiatric 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 MoodsC100693NPI1-Rapidly Change MoodsNeuropsychiatric 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 CooperateC100640NPI1-Refuse to CooperateNeuropsychiatric 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 ClothingC100702NPI1-Repeatedly Change ClothingNeuropsychiatric Inventory - Does the patient repeatedly put on and take off clothing?NPI - Repeatedly Put On and Take Off Clothing
NPI1-Repetitive ActivitiesC100704NPI1-Repetitive ActivitiesNeuropsychiatric 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 HabitsC100703NPI1-Repetitive Activities or HabitsNeuropsychiatric 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 UnpackC100701NPI1-Rummage Around and UnpackNeuropsychiatric Inventory - Does the patient rummage around opening and unpacking drawers or closets?NPI - Rummage Around Opening and Unpacking Drawers or Closets
NPI1-Sad or DepressedC100649NPI1-Sad or DepressedNeuropsychiatric 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 ThingsC100686NPI1-Say Insensitive ThingsNeuropsychiatric 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 SpiritsC100651NPI1-Say or Act in Low SpiritsNeuropsychiatric 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 OthersC100635NPI1-See Things Not Seen by OthersNeuropsychiatric 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 RelaxC100660NPI1-Shaky or Unable to RelaxNeuropsychiatric 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, SighC100661NPI1-Short of Breath, Gasp, SighNeuropsychiatric 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 AngrilyC100645NPI1-Shout or Curse AngrilyNeuropsychiatric Inventory - Does the patient shout or curse angrily?NPI - Shout or Curse Angrily
NPI1-Slam, Kick or Throw ThingsC100646NPI1-Slam, Kick or Throw ThingsNeuropsychiatric Inventory - Does the patient slam doors, kick furniture, throw things?NPI - Slam doors, Kick Furniture, Throw Things
NPI1-Sleep/Night Behav Disord FxS ScoreC112479NPI1-Sleep/Night Behav Disord FxS ScoreNeuropsychiatric Inventory - Sleep and Nighttime Behavior Disorders: (frequency score x severity score).NPI - Sleep/Night Behavior Disorder FxS Score
NPI1-Sleep/Nighttime Behavior DistressC103634NPI1-Sleep/Nighttime Behavior DistressNeuropsychiatric Inventory - How emotionally distressing do you find this behavior?NPI - Sleep and Nighttime Behavior Disorders Distress
NPI1-Sleep/Nighttime Behavior FrequencyC103632NPI1-Sleep/Nighttime Behavior FrequencyNeuropsychiatric Inventory - Frequency of the nighttime behavior.NPI - Sleep and Nighttime Behavior Disorders Frequency
NPI1-Sleep/Nighttime Behavior SeverityC103633NPI1-Sleep/Nighttime Behavior SeverityNeuropsychiatric Inventory - Severity of the nighttime behavior.NPI - Sleep and Nighttime Behavior Disorders Severity
NPI1-Smell Odors Others Do Not SmellC100636NPI1-Smell Odors Others Do Not SmellNeuropsychiatric Inventory - Does the patient report smelling odors not smelled by others?NPI - Report Smelling Odors Not Smelled by Others
NPI1-Spouse Having AffairC100625NPI1-Spouse Having AffairNeuropsychiatric Inventory - Does the patient believe that his/her spouse is having an affair?NPI - His/Her Spouse is Having an Affair
NPI1-StubbornC100642NPI1-StubbornNeuropsychiatric Inventory - Is the patient stubborn, having to have things his/her way?NPI - Stubborn
NPI1-Sudden AngerC100694NPI1-Sudden AngerNeuropsychiatric Inventory - Does the patient have sudden flashes of anger?NPI - Sudden Flares of Anger
NPI1-Take Liberties or Touch OthersC100689NPI1-Take Liberties or Touch OthersNeuropsychiatric 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 BigC100672NPI1-Talk BigNeuropsychiatric 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 MattersC100688NPI1-Talk Openly about Private MattersNeuropsychiatric 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 ThereC100634NPI1-Talk to People Not ThereNeuropsychiatric Inventory - Does the patient talk to people who are not there?NPI - Talk to People Who Are Not There
NPI1-Talk to StrangersC100685NPI1-Talk to StrangersNeuropsychiatric 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 CauseC100638NPI1-Taste without Known CauseNeuropsychiatric Inventory - Does the patient describe tastes that are without any known cause?NPI - Describe Tastes That Are Without Any Known Cause
NPI1-Tearfulness or SobbingC100650NPI1-Tearfulness or SobbingNeuropsychiatric 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 HappyC100666NPI1-Too Cheerful or HappyNeuropsychiatric 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 PresentC100630NPI1-TV/Magazine Figures PresentNeuropsychiatric 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-UncooperativeC100643NPI1-UncooperativeNeuropsychiatric Inventory - Is the patient uncooperative, resistive to help from others?NPI - Uncooperative
NPI1-Unwelcome Guests in HouseC100626NPI1-Unwelcome Guests in HouseNeuropsychiatric 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 MorningC100712NPI1-Wake at Night and Think MorningNeuropsychiatric 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 NightC100710NPI1-Wander or Pace at NightNeuropsychiatric 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 GainC100720NPI1-Weight GainNeuropsychiatric Inventory - Has he/she gained weight?NPI - Gained Weight
NPI1-Weight LossC100719NPI1-Weight LossNeuropsychiatric Inventory - Has he/she had a loss of weight?NPI - Loss of Weight
NPI1-Wish for DeathC100656NPI1-Wish for DeathNeuropsychiatric 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 EventC100659NPI1-Worried about Planned EventNeuropsychiatric Inventory - Does the patient say that he/she is worried about planned events?NPI - Say That He/She is Worried About Planned Events
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CL.C105134.PI TESTCDQS-Pain Intensity Questionnaire Test Code
(PI TESTCD)
text
Extensible: No
C105134QS-Pain Intensity Questionnaire Test CodePain Intensity test code.CDISC Questionnaire PI v1 Test Code Terminology
PI0101C105261PI01-Pain IntensityPain Intensity - Pain intensity for various time periods of evaluation.PI - Pain Intensity For Various Time Periods of Evaluation
PI0102C105262PI01-Average Pain IntensityPain Intensity - Average pain intensity for various time periods of evaluation.PI - Average Pain Intensity For Various Time Periods of Evaluation
PI0103C105263PI01-Minimum Pain IntensityPain Intensity - Minimum pain intensity for various time periods of evaluation.PI - Minimum Pain Intensity For Various Time Periods of Evaluation
PI0104C105264PI01-Maximum Pain IntensityPain Intensity - Maximum pain intensity for various time periods of evaluation.PI - Maximum Pain Intensity For Various Time Periods of Evaluation
PI0105C105265PI01-Least Pain IntensityPain Intensity - Least pain intensity for various time periods of evaluation.PI - Least Pain Intensity For Various Time Periods of Evaluation
PI0106C105266PI01-Worst Pain IntensityPain Intensity - Worst pain intensity for various time periods of evaluation.PI - Worst Pain Intensity For Various Time Periods of Evaluation
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CL.C105133.PI TESTQS-Pain Intensity Questionnaire Test Name
(PI TEST)
text
Extensible: No
C105133QS-Pain Intensity Questionnaire Test NamePain Intensity test name.CDISC Questionnaire PI v1 Test Name Terminology
PI01-Average Pain IntensityC105262PI01-Average Pain IntensityPain Intensity - Average pain intensity for various time periods of evaluation.PI - Average Pain Intensity For Various Time Periods of Evaluation
PI01-Least Pain IntensityC105265PI01-Least Pain IntensityPain Intensity - Least pain intensity for various time periods of evaluation.PI - Least Pain Intensity For Various Time Periods of Evaluation
PI01-Maximum Pain IntensityC105264PI01-Maximum Pain IntensityPain Intensity - Maximum pain intensity for various time periods of evaluation.PI - Maximum Pain Intensity For Various Time Periods of Evaluation
PI01-Minimum Pain IntensityC105263PI01-Minimum Pain IntensityPain Intensity - Minimum pain intensity for various time periods of evaluation.PI - Minimum Pain Intensity For Various Time Periods of Evaluation
PI01-Pain IntensityC105261PI01-Pain IntensityPain Intensity - Pain intensity for various time periods of evaluation.PI - Pain Intensity For Various Time Periods of Evaluation
PI01-Worst Pain IntensityC105266PI01-Worst Pain IntensityPain Intensity - Worst pain intensity for various time periods of evaluation.PI - Worst Pain Intensity For Various Time Periods of Evaluation
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CL.C105136.PR TESTCDQS-Pain Relief Questionnaire Test Code
(PR TESTCD)
text
Extensible: No
C105136QS-Pain Relief Questionnaire Test CodePain Relief test code.CDISC Questionnaire PR v1 Test Code Terminology
PR0101C105267PR01-Pain ReliefPain Relief - Pain relief for various time periods of evaluation.PR - Pain Relief For Various Time Periods of Evaluation
PR0102C105268PR01-Average Pain ReliefPain Relief - Average pain relief for various time periods of evaluation.PR - Average Pain Relief For Various Time Periods of Evaluation
PR0103C105269PR01-Minimum Pain ReliefPain Relief - Minimum pain relief for various time periods of evaluation.PR - Minimum Pain Relief For Various Time Periods of Evaluation
PR0104C105270PR01-Maximum Pain ReliefPain Relief - Maximum pain relief for various time periods of evaluation.PR - Maximum Pain Relief For Various Time Periods of Evaluation
PR0105C105271PR01-Least Pain ReliefPain Relief - Least pain relief for various time periods of evaluation.PR - Least Pain Relief For Various Time Periods of Evaluation
PR0106C105272PR01-Worst Pain ReliefPain Relief - Worst pain relief for various time periods of evaluation.PR - Worst Pain Relief For Various Time Periods of Evaluation
PR0107C105273PR01-Starting Pain at Least 1/2 GonePain Relief - Starting pain at least 1/2 Gone?PR - Starting Pain Half Gone
PR0108C105274PR01-Was there Perceptible Pain ReliefPain Relief - Was there perceptible pain relief?PR - Was There Perceptible Pain Relief
PR0109C105275PR01-Time to Perceptible Pain ReliefPain Relief - Time to perceptible pain relief.PR - Time to Perceptible Pain Relief
PR0110C105276PR01-Was there Meaningful Pain ReliefPain Relief - Was there meaningful pain relief?PR - Was There Meaningful Pain Relief
PR0111C105277PR01-Time to Meaningful Pain ReliefPain Relief - Time to meaningful pain relief.PR - Time to Meaningful Pain Relief
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CL.C105135.PR TESTQS-Pain Relief Questionnaire Test Name
(PR TEST)
text
Extensible: No
C105135QS-Pain Relief Questionnaire Test NamePain Relief test name.CDISC Questionnaire PR v1 Test Name Terminology
PR01-Average Pain ReliefC105268PR01-Average Pain ReliefPain Relief - Average pain relief for various time periods of evaluation.PR - Average Pain Relief For Various Time Periods of Evaluation
PR01-Least Pain ReliefC105271PR01-Least Pain ReliefPain Relief - Least pain relief for various time periods of evaluation.PR - Least Pain Relief For Various Time Periods of Evaluation
PR01-Maximum Pain ReliefC105270PR01-Maximum Pain ReliefPain Relief - Maximum pain relief for various time periods of evaluation.PR - Maximum Pain Relief For Various Time Periods of Evaluation
PR01-Minimum Pain ReliefC105269PR01-Minimum Pain ReliefPain Relief - Minimum pain relief for various time periods of evaluation.PR - Minimum Pain Relief For Various Time Periods of Evaluation
PR01-Pain ReliefC105267PR01-Pain ReliefPain 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 GoneC105273PR01-Starting Pain at Least 1/2 GonePain Relief - Starting pain at least 1/2 Gone?PR - Starting Pain Half Gone
PR01-Time to Meaningful Pain ReliefC105277PR01-Time to Meaningful Pain ReliefPain Relief - Time to meaningful pain relief.PR - Time to Meaningful Pain Relief
PR01-Time to Perceptible Pain ReliefC105275PR01-Time to Perceptible Pain ReliefPain Relief - Time to perceptible pain relief.PR - Time to Perceptible Pain Relief
PR01-Was there Meaningful Pain ReliefC105276PR01-Was there Meaningful Pain ReliefPain Relief - Was there meaningful pain relief?PR - Was There Meaningful Pain Relief
PR01-Was there Perceptible Pain ReliefC105274PR01-Was there Perceptible Pain ReliefPain Relief - Was there perceptible pain relief?PR - Was There Perceptible Pain Relief
PR01-Worst Pain ReliefC105272PR01-Worst Pain ReliefPain Relief - Worst pain relief for various time periods of evaluation.PR - Worst Pain Relief For Various Time Periods of Evaluation
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CL.C112447.PDDS TESTCDQS-Patient Determined Disease Steps Questionnaire Test Code
(PDDS TESTCD)
text
Extensible: No
C112447QS-Patient Determined Disease Steps Questionnaire Test CodePatient Determined Disease Steps test code.CDISC Questionnaire PDDS Test Code Terminology
PDDS0101C112626PDDS01-Category Describing SituationPatient 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
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CL.C112446.PDDS TESTQS-Patient Determined Disease Steps Questionnaire Test Name
(PDDS TEST)
text
Extensible: No
C112446QS-Patient Determined Disease Steps Questionnaire Test NamePatient Determined Disease Steps test name.CDISC Questionnaire PDDS Test Name Terminology
PDDS01-Category Describing SituationC112626PDDS01-Category Describing SituationPatient 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
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CL.C103483.PHQ-15 TESTCDQS-Patient Health Questionnaire - 15 Item Test Code
(PHQ-15 TESTCD)
text
Extensible: No
C103483QS-Patient Health Questionnaire - 15 Item Test CodePatient Health Questionnaire - 15 test code.CDISC Questionnaire PHQ-15 Test Code Terminology
PHQ0201C103715PHQ02-Stomach PainPatient Health Questionnaire - 15 - Stomach pain.PHQ-15 - Stomach Pain
PHQ0202C103716PHQ02-Back PainPatient Health Questionnaire - 15 - Back pain.PHQ-15 - Back Pain
PHQ0203C103717PHQ02-Pain In Your Arms, Legs, or JointsPatient Health Questionnaire - 15 - Pain in your arms, legs, or joints (knees, hips, etc.).PHQ-15 - Pain In Your Arms, Legs, or Joints
PHQ0204C103718PHQ02-Menstrual Cramp/Problem PeriodsPatient Health Questionnaire - 15 - Menstrual cramps or other problems with your periods [Women only].PHQ-15 - Menstrual Cramp or Other Problems with Your Periods
PHQ0205C103719PHQ02-HeadachesPatient Health Questionnaire - 15 - Headaches.PHQ-15 - Headaches
PHQ0206C103720PHQ02-Chest PainPatient Health Questionnaire - 15 - Chest pain.PHQ-15 - Chest Pain
PHQ0207C103721PHQ02-DizzinessPatient Health Questionnaire - 15 - Dizziness.PHQ-15 - Dizziness
PHQ0208C103722PHQ02-Fainting SpellsPatient Health Questionnaire - 15 - Fainting spells.PHQ-15 - Fainting Spells
PHQ0209C103723PHQ02-Feeling Your Heart Pound or RacePatient Health Questionnaire - 15 - Feeling your heart pound or race.PHQ-15 - Feeling Your Heart Pound or Race
PHQ0210C103724PHQ02-Shortness of BreathPatient Health Questionnaire - 15 - Shortness of breath.PHQ-15 - Shortness of Breath
PHQ0211C103725PHQ02-Pain/Problems During IntercoursePatient Health Questionnaire - 15 - Pain or problems during sexual intercourse.PHQ-15 - Pain or Problems During Sexual Intercourse
PHQ0212C103726PHQ02-Constipation/Loose Bowels/DiarrheaPatient Health Questionnaire - 15 - Constipation, loose bowels, or diarrhea.PHQ-15 - Constipation, Loose Bowels, or Diarrhea
PHQ0213C103727PHQ02-Nausea, Gas, or IndigestionPatient Health Questionnaire - 15 - Nausea, gas, or indigestion.PHQ-15 - Nausea, Gas, or Indigestion
PHQ0214C103728PHQ02-Feeling Tired or Having Low EnergyPatient Health Questionnaire - 15 - Feeling tired or having low energy.PHQ-15 - Feeling Tired or Having Low Energy
PHQ0215C103729PHQ02-Trouble SleepingPatient Health Questionnaire - 15 - Trouble sleeping.PHQ-15 - Trouble Sleeping
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CL.C103482.PHQ-15 TESTQS-Patient Health Questionnaire - 15 Item Test Name
(PHQ-15 TEST)
text
Extensible: No
C103482QS-Patient Health Questionnaire - 15 Item Test NamePatient Health Questionnaire - 15 test name.CDISC Questionnaire PHQ-15 Test Name Terminology
PHQ02-Back PainC103716PHQ02-Back PainPatient Health Questionnaire - 15 - Back pain.PHQ-15 - Back Pain
PHQ02-Chest PainC103720PHQ02-Chest PainPatient Health Questionnaire - 15 - Chest pain.PHQ-15 - Chest Pain
PHQ02-Constipation/Loose Bowels/DiarrheaC103726PHQ02-Constipation/Loose Bowels/DiarrheaPatient Health Questionnaire - 15 - Constipation, loose bowels, or diarrhea.PHQ-15 - Constipation, Loose Bowels, or Diarrhea
PHQ02-DizzinessC103721PHQ02-DizzinessPatient Health Questionnaire - 15 - Dizziness.PHQ-15 - Dizziness
PHQ02-Fainting SpellsC103722PHQ02-Fainting SpellsPatient Health Questionnaire - 15 - Fainting spells.PHQ-15 - Fainting Spells
PHQ02-Feeling Tired or Having Low EnergyC103728PHQ02-Feeling Tired or Having Low EnergyPatient Health Questionnaire - 15 - Feeling tired or having low energy.PHQ-15 - Feeling Tired or Having Low Energy
PHQ02-Feeling Your Heart Pound or RaceC103723PHQ02-Feeling Your Heart Pound or RacePatient Health Questionnaire - 15 - Feeling your heart pound or race.PHQ-15 - Feeling Your Heart Pound or Race
PHQ02-HeadachesC103719PHQ02-HeadachesPatient Health Questionnaire - 15 - Headaches.PHQ-15 - Headaches
PHQ02-Menstrual Cramp/Problem PeriodsC103718PHQ02-Menstrual Cramp/Problem PeriodsPatient 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 IndigestionC103727PHQ02-Nausea, Gas, or IndigestionPatient Health Questionnaire - 15 - Nausea, gas, or indigestion.PHQ-15 - Nausea, Gas, or Indigestion
PHQ02-Pain In Your Arms, Legs, or JointsC103717PHQ02-Pain In Your Arms, Legs, or JointsPatient 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 IntercourseC103725PHQ02-Pain/Problems During IntercoursePatient Health Questionnaire - 15 - Pain or problems during sexual intercourse.PHQ-15 - Pain or Problems During Sexual Intercourse
PHQ02-Shortness of BreathC103724PHQ02-Shortness of BreathPatient Health Questionnaire - 15 - Shortness of breath.PHQ-15 - Shortness of Breath
PHQ02-Stomach PainC103715PHQ02-Stomach PainPatient Health Questionnaire - 15 - Stomach pain.PHQ-15 - Stomach Pain
PHQ02-Trouble SleepingC103729PHQ02-Trouble SleepingPatient Health Questionnaire - 15 - Trouble sleeping.PHQ-15 - Trouble Sleeping
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CL.C103481.PHQ-9 TESTCDQS-Patient Health Questionnaire - 9 Item Test Code
(PHQ-9 TESTCD)
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Extensible: No
C103481QS-Patient Health Questionnaire - 9 Item Test CodePatient Health Questionnaire - 9 test code.CDISC Questionnaire PHQ-9 Test Code Terminology
PHQ0101C103705PHQ01-Little Interest/Pleasure in ThingsPatient Health Questionnaire - 9 - Little interest or pleasure in doing things.PHQ-9 - Little Interest or Pleasure in Doing Things
PHQ0102C103706PHQ01-Feeling Down Depressed or HopelessPatient Health Questionnaire - 9 - Feeling down, depressed, or hopeless.PHQ-9 - Feeling Down, Depressed, or Hopeless
PHQ0103C103707PHQ01-Trouble Falling or Staying AsleepPatient Health Questionnaire - 9 - Trouble falling or staying asleep, or sleeping too much.PHQ-9 - Trouble Falling or Staying Asleep, or Sleeping Too Much
PHQ0104C103708PHQ01-Feeling Tired or Little EnergyPatient Health Questionnaire - 9 - Feeling tired or having little energy.PHQ-9 - Feeling Tired or Having Little Energy
PHQ0105C103709PHQ01-Poor Appetite or OvereatingPatient Health Questionnaire - 9 - Poor appetite or overeating.PHQ-9 - Poor Appetite or Overeating
PHQ0106C103710PHQ01-Feeling Bad About YourselfPatient 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
PHQ0107C103711PHQ01-Trouble Concentrating on ThingsPatient Health Questionnaire - 9 - Trouble concentrating on things, such as reading the newspaper or watching television.PHQ-9 - Trouble Concentrating on Things
PHQ0108C103712PHQ01-Moving Slowly or Fidgety/RestlessPatient 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
PHQ0109C103713PHQ01-Thoughts You Be Better Off DeadPatient 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
PHQ0110C103714PHQ01-Difficult to Work/Take Care ThingsPatient 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
PHQ0111C113887PHQ01-Total ScorePatient Health Questionnaire - 9 - Total score.PHQ-9 - Total Score
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CL.C103480.PHQ-9 TESTQS-Patient Health Questionnaire - 9 Item Test Name
(PHQ-9 TEST)
text
Extensible: No
C103480QS-Patient Health Questionnaire - 9 Item Test NamePatient Health Questionnaire - 9 test name.CDISC Questionnaire PHQ-9 Test Name Terminology
PHQ01-Difficult to Work/Take Care ThingsC103714PHQ01-Difficult to Work/Take Care ThingsPatient 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 YourselfC103710PHQ01-Feeling Bad About YourselfPatient 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 HopelessC103706PHQ01-Feeling Down Depressed or HopelessPatient Health Questionnaire - 9 - Feeling down, depressed, or hopeless.PHQ-9 - Feeling Down, Depressed, or Hopeless
PHQ01-Feeling Tired or Little EnergyC103708PHQ01-Feeling Tired or Little EnergyPatient Health Questionnaire - 9 - Feeling tired or having little energy.PHQ-9 - Feeling Tired or Having Little Energy
PHQ01-Little Interest/Pleasure in ThingsC103705PHQ01-Little Interest/Pleasure in ThingsPatient Health Questionnaire - 9 - Little interest or pleasure in doing things.PHQ-9 - Little Interest or Pleasure in Doing Things
PHQ01-Moving Slowly or Fidgety/RestlessC103712PHQ01-Moving Slowly or Fidgety/RestlessPatient 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 OvereatingC103709PHQ01-Poor Appetite or OvereatingPatient Health Questionnaire - 9 - Poor appetite or overeating.PHQ-9 - Poor Appetite or Overeating
PHQ01-Thoughts You Be Better Off DeadC103713PHQ01-Thoughts You Be Better Off DeadPatient 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 ScoreC113887PHQ01-Total ScorePatient Health Questionnaire - 9 - Total score.PHQ-9 - Total Score
PHQ01-Trouble Concentrating on ThingsC103711PHQ01-Trouble Concentrating on ThingsPatient 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 AsleepC103707PHQ01-Trouble Falling or Staying AsleepPatient Health Questionnaire - 9 - Trouble falling or staying asleep, or sleeping too much.PHQ-9 - Trouble Falling or Staying Asleep, or Sleeping Too Much
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CL.C113862.RAND-36 V1.0 TESTCDQS-RAND 36-Item Health Survey 1.0 Test Code
(RAND-36 V1.0 TESTCD)
text
Extensible: No
C113862QS-RAND 36-Item Health Survey 1.0 Test CodeRAND 36-Item Health Survey 1.0 test code.CDISC Questionnaire RAND 36-Item Health Survey 1.0 Test Code Terminology
R360101C114043R3601-Would You Say Your Health IsRAND 36-Item Health Survey 1.0 - In general, would you say your health is:RAND-36 - Rate Your Health
R360102C114044R3601-Health Now Compared to 1 Year AgoRAND 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
R360103C114045R3601-Health Limit Vigorous ActivitiesRAND 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
R360104C114046R3601-Health Limit Moderate ActivitiesRAND 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
R360105C114047R3601-Health Limit Carrying GroceriesRAND 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
R360106C114048R3601-Health Limit Climb Several FlightsRAND 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
R360107C114049R3601-Health Limit Climb One FlightRAND 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
R360108C114050R3601-Health Limit Bending or KneelingRAND 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
R360109C114051R3601-Health Limit Walk More Than MileRAND 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
R360110C114052R3601-Health Limit Walk Several BlocksRAND 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
R360111C114053R3601-Health Limit Walk One BlockRAND 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
R360112C114054R3601-Health Limit Bathing/Dressing SelfRAND 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
R360113C114055R3601-Phys Health: Cut Work TimeRAND 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
R360114C114056R3601-Phys Health: Accomplish LessRAND 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
R360115C114057R3601-Phys Health: Limit Kind of WorkRAND 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
R360116C114058R3601-Phys Health: Difficulty PerformingRAND 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
R360117C114059R3601-Emotional Problem: Cut Work TimeRAND 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
R360118C114060R3601-Emotional Problem: Accomplish LessRAND 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
R360119C114061R3601-Emotional Problem: Less CarefulRAND 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
R360120C114062R3601-Extent Interfered Social ActivityRAND 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
R360121C114063R3601-How Much Bodily Pain Have You HadRAND 36-Item Health Survey 1.0 - How much bodily pain have you had during the past 4 weeks?RAND-36 - Bodily Pain
R360122C114064R3601-Did Pain Interfere With Your WorkRAND 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
R360123C114065R3601-Did You Feel Full of PepRAND 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
R360124C114066R3601-Have Been a Very Nervous PersonRAND 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
R360125C114067R3601-Have Felt So Down in the DumpsRAND 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
R360126C114068R3601-Have You Felt Calm and PeacefulRAND 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
R360127C114069R3601-Did You Have a Lot of EnergyRAND 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
R360128C114070R3601-Have Felt Downhearted and BlueRAND 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
R360129C114071R3601-Did You Feel Worn OutRAND 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
R360130C114072R3601-Have You Been a Happy PersonRAND 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
R360131C114073R3601-Did You Feel TiredRAND 36-Item Health Survey 1.0 - How much of the time during the past 4 weeks: Did you feel tired?RAND-36 - Feel Tired
R360132C114074R3601-Amt Time Interfere Social ActivityRAND 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
R360133C114075R3601-Get Sick Easier Than Other PeopleRAND 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
R360134C114076R3601-I Am as Healthy as Anybody I KnowRAND 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
R360135C114077R3601-I Expect My Health to Get WorseRAND 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
R360136C114078R3601-My Health Is ExcellentRAND 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
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CL.C113861.RAND-36 V1.0 TESTQS-RAND 36-Item Health Survey 1.0 Test Name
(RAND-36 V1.0 TEST)
text
Extensible: No
C113861QS-RAND 36-Item Health Survey 1.0 Test NameRAND 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 ActivityC114074R3601-Amt Time Interfere Social ActivityRAND 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 WorkC114064R3601-Did Pain Interfere With Your WorkRAND 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 PepC114065R3601-Did You Feel Full of PepRAND 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 TiredC114073R3601-Did You Feel TiredRAND 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 OutC114071R3601-Did You Feel Worn OutRAND 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 EnergyC114069R3601-Did You Have a Lot of EnergyRAND 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 LessC114060R3601-Emotional Problem: Accomplish LessRAND 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 TimeC114059R3601-Emotional Problem: Cut Work TimeRAND 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 CarefulC114061R3601-Emotional Problem: Less CarefulRAND 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 ActivityC114062R3601-Extent Interfered Social ActivityRAND 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 PeopleC114075R3601-Get Sick Easier Than Other PeopleRAND 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 PersonC114066R3601-Have Been a Very Nervous PersonRAND 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 BlueC114070R3601-Have Felt Downhearted and BlueRAND 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 DumpsC114067R3601-Have Felt So Down in the DumpsRAND 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 PersonC114072R3601-Have You Been a Happy PersonRAND 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 PeacefulC114068R3601-Have You Felt Calm and PeacefulRAND 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 SelfC114054R3601-Health Limit Bathing/Dressing SelfRAND 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 KneelingC114050R3601-Health Limit Bending or KneelingRAND 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 GroceriesC114047R3601-Health Limit Carrying GroceriesRAND 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 FlightC114049R3601-Health Limit Climb One FlightRAND 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 FlightsC114048R3601-Health Limit Climb Several FlightsRAND 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 ActivitiesC114046R3601-Health Limit Moderate ActivitiesRAND 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 ActivitiesC114045R3601-Health Limit Vigorous ActivitiesRAND 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 MileC114051R3601-Health Limit Walk More Than MileRAND 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 BlockC114053R3601-Health Limit Walk One BlockRAND 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 BlocksC114052R3601-Health Limit Walk Several BlocksRAND 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 AgoC114044R3601-Health Now Compared to 1 Year AgoRAND 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 HadC114063R3601-How Much Bodily Pain Have You HadRAND 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 KnowC114076R3601-I Am as Healthy as Anybody I KnowRAND 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 WorseC114077R3601-I Expect My Health to Get WorseRAND 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 ExcellentC114078R3601-My Health Is ExcellentRAND 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 LessC114056R3601-Phys Health: Accomplish LessRAND 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 TimeC114055R3601-Phys Health: Cut Work TimeRAND 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 PerformingC114058R3601-Phys Health: Difficulty PerformingRAND 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 WorkC114057R3601-Phys Health: Limit Kind of WorkRAND 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 IsC114043R3601-Would You Say Your Health IsRAND 36-Item Health Survey 1.0 - In general, would you say your health is:RAND-36 - Rate Your Health
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CL.C103465.FIQR TESTCDQS-Revised Fibromyalgia Impact Questionnaire Test Code
(FIQR TESTCD)
text
Extensible: No
C103465QS-Revised Fibromyalgia Impact Questionnaire Test CodeRevised Fibromyalgia Impact Questionnaire test code.CDISC Questionnaire FIQR Test Code Terminology
FIQR0101C103544FIQR01-Brush or Comb Your HairRevised Fibromyalgia Impact Questionnaire - Brush or comb your hair.FIQR - Brush or Comb Your Hair
FIQR0102C103545FIQR01-Walk Continuously for 20 MinutesRevised Fibromyalgia Impact Questionnaire - Walk continuously for 20 minutes.FIQR - Walk Continuously for 20 Minutes
FIQR0103C103546FIQR01-Prepare a Homemade MealRevised Fibromyalgia Impact Questionnaire - Prepare a homemade meal.FIQR - Prepare a Homemade Meal
FIQR0104C103547FIQR01-Vacuum Scrub or Sweep FloorsRevised Fibromyalgia Impact Questionnaire - Vacuum, scrub or sweep floors.FIQR - Vacuum Scrub or Sweep Floors
FIQR0105C103548FIQR01-Lift/Carry Bag Full of GroceriesRevised Fibromyalgia Impact Questionnaire - Lift and carry a bag full of groceries.FIQR - Lift and Carry a Bag Full of Groceries
FIQR0106C103549FIQR01-Climb One Flight of StairsRevised Fibromyalgia Impact Questionnaire - Climb one flight of stairs.FIQR - Climb One Flight of Stairs
FIQR0107C103550FIQR01-Change Bed SheetsRevised Fibromyalgia Impact Questionnaire - Change bed sheets.FIQR - Change Bed Sheets
FIQR0108C103551FIQR01-Sit in a Chair for 45 MinutesRevised Fibromyalgia Impact Questionnaire - Sit in a chair for 45 minutes.FIQR - Sit in a Chair for 45 Minutes
FIQR0109C103552FIQR01-Go Shopping for GroceriesRevised Fibromyalgia Impact Questionnaire - Go shopping for groceries.FIQR - Go Shopping for Groceries
FIQR0110C103553FIQR01-Fibromyalgia Prevented GoalsRevised Fibromyalgia Impact Questionnaire - Fibromyalgia prevented me from accomplishing goals for the week.FIQR - Fibromyalgia Prevented Me from Accomplishing Goals for the Week
FIQR0111C103554FIQR01-Overwhelmed by FibromyalgiaRevised Fibromyalgia Impact Questionnaire - I was completely overwhelmed by my fibromyalgia symptoms.FIQR - I was Completely Overwhelmed by My Fibromyalgia Symptoms
FIQR0112C103555FIQR01-PainRevised Fibromyalgia Impact Questionnaire - Please rate your level of pain.FIQR - Pain
FIQR0113C103556FIQR01-EnergyRevised Fibromyalgia Impact Questionnaire - Please rate your level of energy.FIQR - Energy
FIQR0114C103557FIQR01-StiffnessRevised Fibromyalgia Impact Questionnaire - Please rate your level of stiffness.FIQR - Stiffness
FIQR0115C103558FIQR01-Your SleepRevised Fibromyalgia Impact Questionnaire - Please rate the quality of your sleep.FIQR - Your Sleep
FIQR0116C103559FIQR01-DepressionRevised Fibromyalgia Impact Questionnaire - Please rate your level of depression.FIQR - Depression
FIQR0117C103560FIQR01-Memory ProblemsRevised Fibromyalgia Impact Questionnaire - Please rate your level of memory problems.FIQR - Memory Problems
FIQR0118C103561FIQR01-AnxietyRevised Fibromyalgia Impact Questionnaire - Please rate your level of anxiety.FIQR - Anxiety
FIQR0119C103562FIQR01-Tenderness to TouchRevised Fibromyalgia Impact Questionnaire - Please rate your level of tenderness to touch.FIQR - Tenderness to Touch
FIQR0120C103563FIQR01-Balance ProblemsRevised Fibromyalgia Impact Questionnaire - Please rate your level of balance problems.FIQR - Balance Problems
FIQR0121C103564FIQR01-Sensitivity Noise/Light/Odor/ColdRevised 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
FIQR0122C118107FIQR01-Activities Sub-TotalRevised Fibromyalgia Impact Questionnaire - Sub-total for activities subcategory.FIQR - Activities Sub-Total
FIQR0123C118108FIQR01-Overall Impact Sub-TotalRevised Fibromyalgia Impact Questionnaire - Sub-total for overall impact subcategory.FIQR - Overall Impact Sub-Total
FIQR0124C118109FIQR01-Symptoms Sub-TotalRevised Fibromyalgia Impact Questionnaire - Sub-total for symptoms subcategory.FIQR - Symptoms Sub-Total
FIQR0125C118110FIQR01-FIQR TotalRevised Fibromyalgia Impact Questionnaire - FIQR total.FIQR - FIQR Total
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CL.C103464.FIQR TESTQS-Revised Fibromyalgia Impact Questionnaire Test Name
(FIQR TEST)
text
Extensible: No
C103464QS-Revised Fibromyalgia Impact Questionnaire Test NameRevised Fibromyalgia Impact Questionnaire test name.CDISC Questionnaire FIQR Test Name Terminology
FIQR01-Activities Sub-TotalC118107FIQR01-Activities Sub-TotalRevised Fibromyalgia Impact Questionnaire - Sub-total for activities subcategory.FIQR - Activities Sub-Total
FIQR01-AnxietyC103561FIQR01-AnxietyRevised Fibromyalgia Impact Questionnaire - Please rate your level of anxiety.FIQR - Anxiety
FIQR01-Balance ProblemsC103563FIQR01-Balance ProblemsRevised Fibromyalgia Impact Questionnaire - Please rate your level of balance problems.FIQR - Balance Problems
FIQR01-Brush or Comb Your HairC103544FIQR01-Brush or Comb Your HairRevised Fibromyalgia Impact Questionnaire - Brush or comb your hair.FIQR - Brush or Comb Your Hair
FIQR01-Change Bed SheetsC103550FIQR01-Change Bed SheetsRevised Fibromyalgia Impact Questionnaire - Change bed sheets.FIQR - Change Bed Sheets
FIQR01-Climb One Flight of StairsC103549FIQR01-Climb One Flight of StairsRevised Fibromyalgia Impact Questionnaire - Climb one flight of stairs.FIQR - Climb One Flight of Stairs
FIQR01-DepressionC103559FIQR01-DepressionRevised Fibromyalgia Impact Questionnaire - Please rate your level of depression.FIQR - Depression
FIQR01-EnergyC103556FIQR01-EnergyRevised Fibromyalgia Impact Questionnaire - Please rate your level of energy.FIQR - Energy
FIQR01-Fibromyalgia Prevented GoalsC103553FIQR01-Fibromyalgia Prevented GoalsRevised Fibromyalgia Impact Questionnaire - Fibromyalgia prevented me from accomplishing goals for the week.FIQR - Fibromyalgia Prevented Me from Accomplishing Goals for the Week
FIQR01-FIQR TotalC118110FIQR01-FIQR TotalRevised Fibromyalgia Impact Questionnaire - FIQR total.FIQR - FIQR Total
FIQR01-Go Shopping for GroceriesC103552FIQR01-Go Shopping for GroceriesRevised Fibromyalgia Impact Questionnaire - Go shopping for groceries.FIQR - Go Shopping for Groceries
FIQR01-Lift/Carry Bag Full of GroceriesC103548FIQR01-Lift/Carry Bag Full of GroceriesRevised Fibromyalgia Impact Questionnaire - Lift and carry a bag full of groceries.FIQR - Lift and Carry a Bag Full of Groceries
FIQR01-Memory ProblemsC103560FIQR01-Memory ProblemsRevised Fibromyalgia Impact Questionnaire - Please rate your level of memory problems.FIQR - Memory Problems
FIQR01-Overall Impact Sub-TotalC118108FIQR01-Overall Impact Sub-TotalRevised Fibromyalgia Impact Questionnaire - Sub-total for overall impact subcategory.FIQR - Overall Impact Sub-Total
FIQR01-Overwhelmed by FibromyalgiaC103554FIQR01-Overwhelmed by FibromyalgiaRevised Fibromyalgia Impact Questionnaire - I was completely overwhelmed by my fibromyalgia symptoms.FIQR - I was Completely Overwhelmed by My Fibromyalgia Symptoms
FIQR01-PainC103555FIQR01-PainRevised Fibromyalgia Impact Questionnaire - Please rate your level of pain.FIQR - Pain
FIQR01-Prepare a Homemade MealC103546FIQR01-Prepare a Homemade MealRevised Fibromyalgia Impact Questionnaire - Prepare a homemade meal.FIQR - Prepare a Homemade Meal
FIQR01-Sensitivity Noise/Light/Odor/ColdC103564FIQR01-Sensitivity Noise/Light/Odor/ColdRevised 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 MinutesC103551FIQR01-Sit in a Chair for 45 MinutesRevised Fibromyalgia Impact Questionnaire - Sit in a chair for 45 minutes.FIQR - Sit in a Chair for 45 Minutes
FIQR01-StiffnessC103557FIQR01-StiffnessRevised Fibromyalgia Impact Questionnaire - Please rate your level of stiffness.FIQR - Stiffness
FIQR01-Symptoms Sub-TotalC118109FIQR01-Symptoms Sub-TotalRevised Fibromyalgia Impact Questionnaire - Sub-total for symptoms subcategory.FIQR - Symptoms Sub-Total
FIQR01-Tenderness to TouchC103562FIQR01-Tenderness to TouchRevised Fibromyalgia Impact Questionnaire - Please rate your level of tenderness to touch.FIQR - Tenderness to Touch
FIQR01-Vacuum Scrub or Sweep FloorsC103547FIQR01-Vacuum Scrub or Sweep FloorsRevised Fibromyalgia Impact Questionnaire - Vacuum, scrub or sweep floors.FIQR - Vacuum Scrub or Sweep Floors
FIQR01-Walk Continuously for 20 MinutesC103545FIQR01-Walk Continuously for 20 MinutesRevised Fibromyalgia Impact Questionnaire - Walk continuously for 20 minutes.FIQR - Walk Continuously for 20 Minutes
FIQR01-Your SleepC103558FIQR01-Your SleepRevised Fibromyalgia Impact Questionnaire - Please rate the quality of your sleep.FIQR - Your Sleep
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CL.C119072.RPQ TESTCDQS-Rivermead Post Concussion Symptoms Questionnaire Test Code
(RPQ TESTCD)
text
Extensible: No
C119072QS-Rivermead Post Concussion Symptoms Questionnaire Test CodeRivermead Post Concussion Symptoms Questionnaire test code.CDISC Questionnaire RPQ Test Code Terminology
RPQ0101C119175RPQ01-HeadachesRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Headaches.RPQ - Headaches
RPQ0102C119176RPQ01-Feelings of DizzinessRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feelings of dizziness.RPQ - Feelings of Dizziness
RPQ0103C119177RPQ01-Nausea and/or VomitingRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Nausea and/or vomiting.RPQ - Nausea and/or Vomiting
RPQ0104C119178RPQ01-Noise Sensitivity/Loud NoiseRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Noise sensitivity, easily upset by loud noise.RPQ - Noise Sensitivity
RPQ0105C119179RPQ01-Sleep DisturbanceRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Sleep disturbance.RPQ - Sleep Disturbance
RPQ0106C119180RPQ01-Fatigue, Tiring More EasilyRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Fatigue, tiring more easily.RPQ - Fatigue, Tiring More Easily
RPQ0107C119181RPQ01-Being Irritable, Easily AngeredRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Being irritable, easily angered.RPQ - Being Irritable, Easily Angered
RPQ0108C119182RPQ01-Feeling Depressed or TearfulRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feeling depressed or tearful.RPQ - Feeling Depressed or Tearful
RPQ0109C119183RPQ01-Feeling Frustrated or ImpatientRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feeling frustrated or impatient.RPQ - Feeling Frustrated or Impatient
RPQ0110C119184RPQ01-Forgetfulness, Poor MemoryRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Forgetfulness, poor memory.RPQ - Forgetfulness, Poor Memory
RPQ0111C119185RPQ01-Poor ConcentrationRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Poor concentration.RPQ - Poor Concentration
RPQ0112C119186RPQ01-Taking Longer to ThinkRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Taking longer to think.RPQ - Taking Longer to Think
RPQ0113C119187RPQ01-Blurred VisionRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Blurred vision.RPQ - Blurred Vision
RPQ0114C119188RPQ01-Light Sensitivity/Bright LightRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Light sensitivity, easily upset by bright light.RPQ - Light Sensitivity
RPQ0115C119189RPQ01-Double VisionRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Double vision.RPQ - Double Vision
RPQ0116C119190RPQ01-RestlessnessRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Restlessness.RPQ - Restlessness
RPQ0117AC119191RPQ01-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)
RPQ0117BC119192RPQ01-Any Other Difficulties 1Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 1?RPQ - Any Other Difficulties 1 (number)
RPQ0118AC119193RPQ01-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)
RPQ0118BC119194RPQ01-Any Other Difficulties 2Rivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, are you experiencing any other difficulties 2?RPQ - Any Other Difficulties 2 (Number)
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CL.C119071.RPQ TESTQS-Rivermead Post Concussion Symptoms Questionnaire Test Name
(RPQ TEST)
text
Extensible: No
C119071QS-Rivermead Post Concussion Symptoms Questionnaire Test NameRivermead Post Concussion Symptoms Questionnaire test name.CDISC Questionnaire RPQ Test Name Terminology
RPQ01-Any Other Difficulties 1C119192RPQ01-Any Other Difficulties 1Rivermead 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)C119191RPQ01-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 2C119194RPQ01-Any Other Difficulties 2Rivermead 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)C119193RPQ01-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 AngeredC119181RPQ01-Being Irritable, Easily AngeredRivermead 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 VisionC119187RPQ01-Blurred VisionRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Blurred vision.RPQ - Blurred Vision
RPQ01-Double VisionC119189RPQ01-Double VisionRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Double vision.RPQ - Double Vision
RPQ01-Fatigue, Tiring More EasilyC119180RPQ01-Fatigue, Tiring More EasilyRivermead 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 TearfulC119182RPQ01-Feeling Depressed or TearfulRivermead 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 ImpatientC119183RPQ01-Feeling Frustrated or ImpatientRivermead 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 DizzinessC119176RPQ01-Feelings of DizzinessRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Feelings of dizziness.RPQ - Feelings of Dizziness
RPQ01-Forgetfulness, Poor MemoryC119184RPQ01-Forgetfulness, Poor MemoryRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Forgetfulness, poor memory.RPQ - Forgetfulness, Poor Memory
RPQ01-HeadachesC119175RPQ01-HeadachesRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Headaches.RPQ - Headaches
RPQ01-Light Sensitivity/Bright LightC119188RPQ01-Light Sensitivity/Bright LightRivermead 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 VomitingC119177RPQ01-Nausea and/or VomitingRivermead 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 NoiseC119178RPQ01-Noise Sensitivity/Loud NoiseRivermead 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 ConcentrationC119185RPQ01-Poor ConcentrationRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Poor concentration.RPQ - Poor Concentration
RPQ01-RestlessnessC119190RPQ01-RestlessnessRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Restlessness.RPQ - Restlessness
RPQ01-Sleep DisturbanceC119179RPQ01-Sleep DisturbanceRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Sleep disturbance.RPQ - Sleep Disturbance
RPQ01-Taking Longer to ThinkC119186RPQ01-Taking Longer to ThinkRivermead Post Concussion Symptoms Questionnaire - Compared with before the accident, do you now suffer from: Taking longer to think.RPQ - Taking Longer to Think
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CL.C100166.RDQ TESTCDQS-Roland Morris Disability Questionnaire Test Code
(RDQ TESTCD)
text
Extensible: No
C100166QS-Roland Morris Disability Questionnaire Test CodeRoland Morris Disability Questionnaire test code.CDISC Questionnaire RDQ Test Code Terminology
RDQ0101C100780RDQ01-Stay at HomeRoland Morris Disability Questionnaire - I stay at home most of the time because of my back.RDQ - Stay at Home
RDQ0102C100781RDQ01-Change Position FrequentlyRoland Morris Disability Questionnaire - I change position frequently to try and get my back comfortable.RDQ - Change Position Frequently
RDQ0103C100782RDQ01-Walk More SlowlyRoland Morris Disability Questionnaire - I walk more slowly than usual because of my back.RDQ - Walk More Slowly
RDQ0104C100783RDQ01-Not Do Any Usual JobsRoland 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
RDQ0105C100784RDQ01-Use Handrail to Get UpstairsRoland Morris Disability Questionnaire - Because of my back, I use a handrail to get upstairs.RDQ - Use Handrail to Get Upstairs
RDQ0106C100785RDQ01-Lie Down to Rest More OftenRoland Morris Disability Questionnaire - Because of my back, I lie down to rest more often.RDQ - Lie Down to Rest More Often
RDQ0107C100786RDQ01-Hold on to Get Out of a ChairRoland 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
RDQ0108C100787RDQ01-Get Other People to Do ThingsRoland 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
RDQ0109C100788RDQ01-Get Dressed More SlowlyRoland Morris Disability Questionnaire - I get dressed more slowly then usual because of my back.RDQ - Get Dressed More Slowly
RDQ0110C100789RDQ01-Only Stand for Short PeriodsRoland Morris Disability Questionnaire - I only stand for short periods of time because of my back.RDQ - Only Stand for Short Periods
RDQ0111C100790RDQ01-Try Not to Bend or KneelRoland Morris Disability Questionnaire - Because of my back, I try not to bend or kneel down.RDQ - Try Not to Bend or Kneel
RDQ0112C100791RDQ01-Difficult to Get Out of a ChairRoland 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
RDQ0113C100792RDQ01-Painful Almost All the TimeRoland Morris Disability Questionnaire - My back is painful almost all the time.RDQ - Painful Almost All the Time
RDQ0114C100793RDQ01-Difficult to Turn Over in BedRoland Morris Disability Questionnaire - I find it difficult to turn over in bed because of my back.RDQ - Difficult to Turn Over in Bed
RDQ0115C100794RDQ01-Appetite is Not Very GoodRoland Morris Disability Questionnaire - My appetite is not very good because of my back pain.RDQ - Appetite is Not Very Good
RDQ0116C100795RDQ01-Trouble Putting on Socks/StockingsRoland 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
RDQ0117C100796RDQ01-Only Walk Short DistancesRoland Morris Disability Questionnaire - I only walk short distances because of my back.RDQ - Only Walk Short Distances
RDQ0118C100797RDQ01-Sleep Less WellRoland Morris Disability Questionnaire - I sleep less well because of my back.RDQ - Sleep Less Well
RDQ0119C100798RDQ01-Get Dressed With HelpRoland Morris Disability Questionnaire - Because of my back pain, I get dressed with help from someone else.RDQ - Get Dressed With Help
RDQ0120C100799RDQ01-Sit Down Most of the DayRoland Morris Disability Questionnaire - I sit down for most of the day because of my back.RDQ - Sit Down Most of the Day
RDQ0121C100800RDQ01-Avoid Heavy JobsRoland Morris Disability Questionnaire - I avoid heavy jobs around the house because of my back.RDQ - Avoid Heavy Jobs
RDQ0122C100801RDQ01-More Irritable With PeopleRoland Morris Disability Questionnaire - Because of my back pain, I am more irritable and bad tempered with people than usual.RDQ - More Irritable With People
RDQ0123C100802RDQ01-Go Upstairs More SlowlyRoland Morris Disability Questionnaire - Because of my back, I go upstairs more slowly than usual.RDQ - Go Upstairs More Slowly
RDQ0124C100803RDQ01-Stay in BedRoland Morris Disability Questionnaire - I stay in bed most of the time because of my back.RDQ - Stay in Bed
RDQ0125C100804RDQ01-RDQ Total ScoreRoland Morris Disability Questionnaire - RDQ total derived score.RDQ - Total Derived Score
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CL.C100165.RDQ TESTQS-Roland Morris Disability Questionnaire Test Name
(RDQ TEST)
text
Extensible: No
C100165QS-Roland Morris Disability Questionnaire Test NameRoland Morris Disability Questionnaire test name.CDISC Questionnaire RDQ Test Name Terminology
RDQ01-Appetite is Not Very GoodC100794RDQ01-Appetite is Not Very GoodRoland Morris Disability Questionnaire - My appetite is not very good because of my back pain.RDQ - Appetite is Not Very Good
RDQ01-Avoid Heavy JobsC100800RDQ01-Avoid Heavy JobsRoland Morris Disability Questionnaire - I avoid heavy jobs around the house because of my back.RDQ - Avoid Heavy Jobs
RDQ01-Change Position FrequentlyC100781RDQ01-Change Position FrequentlyRoland 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 ChairC100791RDQ01-Difficult to Get Out of a ChairRoland 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 BedC100793RDQ01-Difficult to Turn Over in BedRoland 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 SlowlyC100788RDQ01-Get Dressed More SlowlyRoland Morris Disability Questionnaire - I get dressed more slowly then usual because of my back.RDQ - Get Dressed More Slowly
RDQ01-Get Dressed With HelpC100798RDQ01-Get Dressed With HelpRoland 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 ThingsC100787RDQ01-Get Other People to Do ThingsRoland 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 SlowlyC100802RDQ01-Go Upstairs More SlowlyRoland 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 ChairC100786RDQ01-Hold on to Get Out of a ChairRoland 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 OftenC100785RDQ01-Lie Down to Rest More OftenRoland 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 PeopleC100801RDQ01-More Irritable With PeopleRoland 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 JobsC100783RDQ01-Not Do Any Usual JobsRoland 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 PeriodsC100789RDQ01-Only Stand for Short PeriodsRoland 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 DistancesC100796RDQ01-Only Walk Short DistancesRoland Morris Disability Questionnaire - I only walk short distances because of my back.RDQ - Only Walk Short Distances
RDQ01-Painful Almost All the TimeC100792RDQ01-Painful Almost All the TimeRoland Morris Disability Questionnaire - My back is painful almost all the time.RDQ - Painful Almost All the Time
RDQ01-RDQ Total ScoreC100804RDQ01-RDQ Total ScoreRoland Morris Disability Questionnaire - RDQ total derived score.RDQ - Total Derived Score
RDQ01-Sit Down Most of the DayC100799RDQ01-Sit Down Most of the DayRoland 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 WellC100797RDQ01-Sleep Less WellRoland Morris Disability Questionnaire - I sleep less well because of my back.RDQ - Sleep Less Well
RDQ01-Stay at HomeC100780RDQ01-Stay at HomeRoland Morris Disability Questionnaire - I stay at home most of the time because of my back.RDQ - Stay at Home
RDQ01-Stay in BedC100803RDQ01-Stay in BedRoland Morris Disability Questionnaire - I stay in bed most of the time because of my back.RDQ - Stay in Bed
RDQ01-Trouble Putting on Socks/StockingsC100795RDQ01-Trouble Putting on Socks/StockingsRoland 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 KneelC100790RDQ01-Try Not to Bend or KneelRoland 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 UpstairsC100784RDQ01-Use Handrail to Get UpstairsRoland Morris Disability Questionnaire - Because of my back, I use a handrail to get upstairs.RDQ - Use Handrail to Get Upstairs
RDQ01-Walk More SlowlyC100782RDQ01-Walk More SlowlyRoland Morris Disability Questionnaire - I walk more slowly than usual because of my back.RDQ - Walk More Slowly
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CL.C115408.SWLS TESTCDQS-Satisfaction With Life Scale Questionnaire Test Code
(SWLS TESTCD)
text
Extensible: No
C115408QS-Satisfaction With Life Scale Questionnaire Test CodeSatisfaction With Life Scale test code.CDISC Questionnaire SWLS Test Code Terminology
SWLS0101C115895SWLS01-My Life is Close to IdealSatisfaction With Life Scale - In most ways my life is close to ideal.SWLS - My Life is Close to Ideal
SWLS0102C115896SWLS01-My Life Conditions are ExcellentSatisfaction With Life Scale - The conditions of my life are excellent.SWLS - Life Conditions are Excellent
SWLS0103C115897SWLS01-I Am Satisfied with My LifeSatisfaction With Life Scale - I am satisfied with my life.SWLS - Satisfied with My Life
SWLS0104C115898SWLS01-Have Gotten Important ThingsSatisfaction With Life Scale - So far I have gotten the important things I want in life.SWLS - Have Gotten Important Things
SWLS0105C115899SWLS01-Live Life Over Change NothingSatisfaction With Life Scale - If I could live my life over, I would change almost nothing.SWLS - Live Life Over Change Nothing
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CL.C115407.SWLS TESTQS-Satisfaction With Life Scale Questionnaire Test Name
(SWLS TEST)
text
Extensible: No
C115407QS-Satisfaction With Life Scale Questionnaire Test NameSatisfaction With Life Scale test name.CDISC Questionnaire SWLS Test Name Terminology
SWLS01-Have Gotten Important ThingsC115898SWLS01-Have Gotten Important ThingsSatisfaction 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 LifeC115897SWLS01-I Am Satisfied with My LifeSatisfaction With Life Scale - I am satisfied with my life.SWLS - Satisfied with My Life
SWLS01-Live Life Over Change NothingC115899SWLS01-Live Life Over Change NothingSatisfaction 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 ExcellentC115896SWLS01-My Life Conditions are ExcellentSatisfaction With Life Scale - The conditions of my life are excellent.SWLS - Life Conditions are Excellent
SWLS01-My Life is Close to IdealC115895SWLS01-My Life is Close to IdealSatisfaction With Life Scale - In most ways my life is close to ideal.SWLS - My Life is Close to Ideal
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CL.C100160.SOAPP-R TESTCDQS-Screener and Opioid Assessment for Patients with Pain - Revised Test Code
(SOAPP-R TESTCD)
text
Extensible: No
C100160QS-Screener and Opioid Assessment for Patients with Pain - Revised Test CodeScreener and Opioid Assessment for Patients with Pain - Revised test code.CDISC Questionnaire SOAPP-R Test Code Terminology
SOAPR101C100870SOAPR1-How Often Mood SwingsScreener and Opioid Assessment for Patients with Pain - Revised - How often do you have mood swings?SOAPP-R - How Often Mood Swings
SOAPR102C100871SOAPR1-Need Higher Doses of MedicationScreener 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
SOAPR103C100872SOAPR1-Felt Impatient With DoctorsScreener and Opioid Assessment for Patients with Pain - Revised - How often have you felt impatient with your doctors?SOAPP-R - Felt Impatient With Doctors
SOAPR104C100873SOAPR1-Felt That Things Are OverwhelmingScreener 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
SOAPR105C100874SOAPR1-How Often Tension at HomeScreener and Opioid Assessment for Patients with Pain - Revised - How often is there tension in the home?SOAPP-R - How Often Tension at Home
SOAPR106C100875SOAPR1-How Often Counted Pain PillsScreener 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
SOAPR107C100876SOAPR1-Concerned People Will Judge YouScreener 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
SOAPR108C100877SOAPR1-How Often Feel BoredScreener and Opioid Assessment for Patients with Pain - Revised - How often do you feel bored?SOAPP-R - How Often Feel Bored
SOAPR109C100878SOAPR1-How Often Taken More Pain MedScreener 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
SOAPR110C100879SOAPR1-Worried About Being Left AloneScreener and Opioid Assessment for Patients with Pain - Revised - How often have you worried about being left alone?SOAPP-R - Worried About Being Left Alone
SOAPR111C100880SOAPR1-Felt Craving for MedicationScreener and Opioid Assessment for Patients with Pain - Revised - How often have you felt a craving for medication?SOAPP-R - Felt Craving for Medication
SOAPR112C100881SOAPR1-Expressed Concern Over Med UseScreener 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
SOAPR113C100882SOAPR1-How Often Friends Had ProblemScreener 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
SOAPR114C100883SOAPR1-Others Told You Bad TemperScreener 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
SOAPR115C100884SOAPR1-Felt Consumed to Get Pain MedScreener 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
SOAPR116C100885SOAPR1-Run Out of Pain Med EarlyScreener 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
SOAPR117C100886SOAPR1-Kept From What You DeserveScreener 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
SOAPR118C100887SOAPR1-Legal Problems or ArrestedScreener 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
SOAPR119C100888SOAPR1-Attended AA or NA MeetingScreener 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
SOAPR120C100889SOAPR1-Argument Someone Got HurtScreener 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
SOAPR121C100890SOAPR1-How Often Sexually AbusedScreener and Opioid Assessment for Patients with Pain - Revised - How often have you been sexually abused?SOAPP-R - How Often Sexually Abused
SOAPR122C100891SOAPR1-Suggested Drug or Alcohol ProblemScreener 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
SOAPR123C100892SOAPR1-How Often Borrowed Pain MedsScreener 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
SOAPR124C100893SOAPR1-Treated for Alcohol or Drug ProbScreener 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
SOAPR125C100894SOAPR1-Any Additional InformationScreener and Opioid Assessment for Patients with Pain - Revised - Please include any additional information you wish about the above answers.SOAPP-R - Any Additional Information
SOAPR126C100895SOAPR1-ScoreScreener and Opioid Assessment for Patients with Pain - Revised - Score.SOAPP-R - Score
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CL.C100159.SOAPP-R TESTQS-Screener and Opioid Assessment for Patients with Pain - Revised Test Name
(SOAPP-R TEST)
text
Extensible: No
C100159QS-Screener and Opioid Assessment for Patients with Pain - Revised Test NameScreener and Opioid Assessment for Patients with Pain - Revised test name.CDISC Questionnaire SOAPP-R Test Name Terminology
SOAPR1-Any Additional InformationC100894SOAPR1-Any Additional InformationScreener 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 HurtC100889SOAPR1-Argument Someone Got HurtScreener 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 MeetingC100888SOAPR1-Attended AA or NA MeetingScreener 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 YouC100876SOAPR1-Concerned People Will Judge YouScreener 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 UseC100881SOAPR1-Expressed Concern Over Med UseScreener 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 MedC100884SOAPR1-Felt Consumed to Get Pain MedScreener 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 MedicationC100880SOAPR1-Felt Craving for MedicationScreener 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 DoctorsC100872SOAPR1-Felt Impatient With DoctorsScreener 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 OverwhelmingC100873SOAPR1-Felt That Things Are OverwhelmingScreener 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 MedsC100892SOAPR1-How Often Borrowed Pain MedsScreener 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 PillsC100875SOAPR1-How Often Counted Pain PillsScreener 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 BoredC100877SOAPR1-How Often Feel BoredScreener 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 ProblemC100882SOAPR1-How Often Friends Had ProblemScreener 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 SwingsC100870SOAPR1-How Often Mood SwingsScreener 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 AbusedC100890SOAPR1-How Often Sexually AbusedScreener 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 MedC100878SOAPR1-How Often Taken More Pain MedScreener 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 HomeC100874SOAPR1-How Often Tension at HomeScreener 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 DeserveC100886SOAPR1-Kept From What You DeserveScreener 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 ArrestedC100887SOAPR1-Legal Problems or ArrestedScreener 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 MedicationC100871SOAPR1-Need Higher Doses of MedicationScreener 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 TemperC100883SOAPR1-Others Told You Bad TemperScreener 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 EarlyC100885SOAPR1-Run Out of Pain Med EarlyScreener 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-ScoreC100895SOAPR1-ScoreScreener and Opioid Assessment for Patients with Pain - Revised - Score.SOAPP-R - Score
SOAPR1-Suggested Drug or Alcohol ProblemC100891SOAPR1-Suggested Drug or Alcohol ProblemScreener 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 ProbC100893SOAPR1-Treated for Alcohol or Drug ProbScreener 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 AloneC100879SOAPR1-Worried About Being Left AloneScreener and Opioid Assessment for Patients with Pain - Revised - How often have you worried about being left alone?SOAPP-R - Worried About Being Left Alone
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CL.C111350.SDS TESTCDQS-Sheehan Disability Scale Questionnaire Test Code
(SDS TESTCD)
text
Extensible: No
C111350QS-Sheehan Disability Scale Questionnaire Test CodeSheehan Disability Scale test code.CDISC Questionnaire SDS Test Code Terminology
SDS0101C111521SDS01-Work/SchoolSheehan Disability Scale - The symptoms have disrupted your work/school work.SDS - Symptoms Disrupted Work/School Work
SDS0101AC111522SDS01-No Work/Study - Unrelated DisorderSheehan 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
SDS0102C111523SDS01-Social LifeSheehan Disability Scale - The symptoms have disrupted your social life/leisure activities.SDS - Symptoms Disrupted Social Life/Leisure Activities
SDS0103C111524SDS01-Family Life/Home ResponsibilitiesSheehan Disability Scale - The symptoms have disrupted your family life/home responsibilities.SDS - Symptoms Disrupted Family Life/Home Responsibilities
SDS0104C111525SDS01-Days LostSheehan 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
SDS0105C111526SDS01-Days UnproductiveSheehan 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
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CL.C111349.SDS TESTQS-Sheehan Disability Scale Questionnaire Test Name
(SDS TEST)
text
Extensible: No
C111349QS-Sheehan Disability Scale Questionnaire Test NameSheehan Disability Scale test name.CDISC Questionnaire SDS Test Name Terminology
SDS01-Days LostC111525SDS01-Days LostSheehan 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 UnproductiveC111526SDS01-Days UnproductiveSheehan 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 ResponsibilitiesC111524SDS01-Family Life/Home ResponsibilitiesSheehan Disability Scale - The symptoms have disrupted your family life/home responsibilities.SDS - Symptoms Disrupted Family Life/Home Responsibilities
SDS01-No Work/Study - Unrelated DisorderC111522SDS01-No Work/Study - Unrelated DisorderSheehan 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 LifeC111523SDS01-Social LifeSheehan Disability Scale - The symptoms have disrupted your social life/leisure activities.SDS - Symptoms Disrupted Social Life/Leisure Activities
SDS01-Work/SchoolC111521SDS01-Work/SchoolSheehan Disability Scale - The symptoms have disrupted your work/school work.SDS - Symptoms Disrupted Work/School Work
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CL.C100156.Short-Form MPQ-2 TESTCDQS-Short-Form McGill Pain Questionnaire-2 Test Code
(Short-Form MPQ-2 TESTCD)
text
Extensible: No
C100156QS-Short-Form McGill Pain Questionnaire-2 Test CodeShort-Form McGill Pain Questionnaire-2 test code.CDISC Questionnaire Short-Form MPQ-2 Test Code Terminology
SFMP201C100849SFMP2-Throbbing PainShort-Form McGill Pain Questionnaire-2 - Throbbing pain.SF-MPQ-2 - Throbbing Pain
SFMP202C100850SFMP2-Shooting PainShort-Form McGill Pain Questionnaire-2 - Shooting pain.SF-MPQ-2 - Shooting Pain
SFMP203C100851SFMP2-Stabbing PainShort-Form McGill Pain Questionnaire-2 - Stabbing pain.SF-MPQ-2 - Stabbing Pain
SFMP204C100852SFMP2-Sharp PainShort-Form McGill Pain Questionnaire-2 - Sharp pain.SF-MPQ-2 - Sharp Pain
SFMP205C100853SFMP2-Cramping PainShort-Form McGill Pain Questionnaire-2 - Cramping pain.SF-MPQ-2 - Cramping Pain
SFMP206C100854SFMP2-Gnawing PainShort-Form McGill Pain Questionnaire-2 - Gnawing pain.SF-MPQ-2 - Gnawing Pain
SFMP207C100855SFMP2-Hot-burning PainShort-Form McGill Pain Questionnaire-2 - Hot-burning pain.SF-MPQ-2 - Hot-burning Pain
SFMP208C100856SFMP2-Aching PainShort-Form McGill Pain Questionnaire-2 - Aching pain.SF-MPQ-2 - Aching Pain
SFMP209C100857SFMP2-Heavy PainShort-Form McGill Pain Questionnaire-2 - Heavy pain.SF-MPQ-2 - Heavy Pain
SFMP210C100858SFMP2-TenderShort-Form McGill Pain Questionnaire-2 - Tender.SF-MPQ-2 - Tender
SFMP211C100859SFMP2-Splitting PainShort-Form McGill Pain Questionnaire-2 - Splitting pain.SF-MPQ-2 - Splitting Pain
SFMP212C100860SFMP2-Tiring-ExhaustingShort-Form McGill Pain Questionnaire-2 - Tiring-exhausting.SF-MPQ-2 - Tiring-Exhausting
SFMP213C100861SFMP2-SickeningShort-Form McGill Pain Questionnaire-2 - Sickening.SF-MPQ-2 - Sickening
SFMP214C100862SFMP2-FearfulShort-Form McGill Pain Questionnaire-2 - Fearful.SF-MPQ-2 - Fearful
SFMP215C100863SFMP2-Punishing-CruelShort-Form McGill Pain Questionnaire-2 - Punishing-cruel.SF-MPQ-2 - Punishing-Cruel
SFMP216C100864SFMP2-Electric-Shock PainShort-Form McGill Pain Questionnaire-2 - Electric-shock pain.SF-MPQ-2 - Electric-Shock Pain
SFMP217C100865SFMP2-Cold-Freezing PainShort-Form McGill Pain Questionnaire-2 - Cold-freezing pain.SF-MPQ-2 - Cold-Freezing Pain
SFMP218C100866SFMP2-PiercingShort-Form McGill Pain Questionnaire-2 - Piercing.SF-MPQ-2 - Piercing
SFMP219C100867SFMP2-Pain Caused by Light TouchShort-Form McGill Pain Questionnaire-2 - Pain caused by light touch.SF-MPQ-2 - Pain Caused by Light Touch
SFMP220C100868SFMP2-ItchingShort-Form McGill Pain Questionnaire-2 - Itching.SF-MPQ-2 - Itching
SFMP221C101021SFMP2-Tingling or 'Pins and Needles'Short-Form McGill Pain Questionnaire-2 - Tingling or 'pins and needles'.SF-MPQ-2 - Tingling or 'Pins and Needles'
SFMP222C100869SFMP2-NumbnessShort-Form McGill Pain Questionnaire-2 - Numbness.SF-MPQ-2 - Numbness
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CL.C100155.Short-Form MPQ-2 TESTQS-Short-Form McGill Pain Questionnaire-2 Test Name
(Short-Form MPQ-2 TEST)
text
Extensible: No
C100155QS-Short-Form McGill Pain Questionnaire-2 Test NameShort-Form McGill Pain Questionnaire-2 test name.CDISC Questionnaire Short-Form MPQ-2 Test Name Terminology
SFMP2-Aching PainC100856SFMP2-Aching PainShort-Form McGill Pain Questionnaire-2 - Aching pain.SF-MPQ-2 - Aching Pain
SFMP2-Cold-Freezing PainC100865SFMP2-Cold-Freezing PainShort-Form McGill Pain Questionnaire-2 - Cold-freezing pain.SF-MPQ-2 - Cold-Freezing Pain
SFMP2-Cramping PainC100853SFMP2-Cramping PainShort-Form McGill Pain Questionnaire-2 - Cramping pain.SF-MPQ-2 - Cramping Pain
SFMP2-Electric-Shock PainC100864SFMP2-Electric-Shock PainShort-Form McGill Pain Questionnaire-2 - Electric-shock pain.SF-MPQ-2 - Electric-Shock Pain
SFMP2-FearfulC100862SFMP2-FearfulShort-Form McGill Pain Questionnaire-2 - Fearful.SF-MPQ-2 - Fearful
SFMP2-Gnawing PainC100854SFMP2-Gnawing PainShort-Form McGill Pain Questionnaire-2 - Gnawing pain.SF-MPQ-2 - Gnawing Pain
SFMP2-Heavy PainC100857SFMP2-Heavy PainShort-Form McGill Pain Questionnaire-2 - Heavy pain.SF-MPQ-2 - Heavy Pain
SFMP2-Hot-burning PainC100855SFMP2-Hot-burning PainShort-Form McGill Pain Questionnaire-2 - Hot-burning pain.SF-MPQ-2 - Hot-burning Pain
SFMP2-ItchingC100868SFMP2-ItchingShort-Form McGill Pain Questionnaire-2 - Itching.SF-MPQ-2 - Itching
SFMP2-NumbnessC100869SFMP2-NumbnessShort-Form McGill Pain Questionnaire-2 - Numbness.SF-MPQ-2 - Numbness
SFMP2-Pain Caused by Light TouchC100867SFMP2-Pain Caused by Light TouchShort-Form McGill Pain Questionnaire-2 - Pain caused by light touch.SF-MPQ-2 - Pain Caused by Light Touch
SFMP2-PiercingC100866SFMP2-PiercingShort-Form McGill Pain Questionnaire-2 - Piercing.SF-MPQ-2 - Piercing
SFMP2-Punishing-CruelC100863SFMP2-Punishing-CruelShort-Form McGill Pain Questionnaire-2 - Punishing-cruel.SF-MPQ-2 - Punishing-Cruel
SFMP2-Sharp PainC100852SFMP2-Sharp PainShort-Form McGill Pain Questionnaire-2 - Sharp pain.SF-MPQ-2 - Sharp Pain
SFMP2-Shooting PainC100850SFMP2-Shooting PainShort-Form McGill Pain Questionnaire-2 - Shooting pain.SF-MPQ-2 - Shooting Pain
SFMP2-SickeningC100861SFMP2-SickeningShort-Form McGill Pain Questionnaire-2 - Sickening.SF-MPQ-2 - Sickening
SFMP2-Splitting PainC100859SFMP2-Splitting PainShort-Form McGill Pain Questionnaire-2 - Splitting pain.SF-MPQ-2 - Splitting Pain
SFMP2-Stabbing PainC100851SFMP2-Stabbing PainShort-Form McGill Pain Questionnaire-2 - Stabbing pain.SF-MPQ-2 - Stabbing Pain
SFMP2-TenderC100858SFMP2-TenderShort-Form McGill Pain Questionnaire-2 - Tender.SF-MPQ-2 - Tender
SFMP2-Throbbing PainC100849SFMP2-Throbbing PainShort-Form McGill Pain Questionnaire-2 - Throbbing pain.SF-MPQ-2 - Throbbing Pain
SFMP2-Tingling or 'Pins and Needles'C101021SFMP2-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-ExhaustingC100860SFMP2-Tiring-ExhaustingShort-Form McGill Pain Questionnaire-2 - Tiring-exhausting.SF-MPQ-2 - Tiring-Exhausting
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CL.C106671.SGRQ-C TESTCDQS-St. George's Respiratory Questionnaire for COPD Patients Test Code
(SGRQ-C TESTCD)
text
Extensible: No
C106671QS-St. George's Respiratory Questionnaire for COPD Patients Test CodeSt. George's Respiratory Questionnaire for COPD Patients test code.CDISC Questionnaire SGRQ-C Test Code Terminology
SGRQC101C106853SGRQC1-Describe Your Current HealthSt. George's Respiratory Questionnaire - Please check one box to show how you describe your current health.SGRQ-C - Description of Your Current Health
SGRQC102C106854SGRQC1-I CoughSt. George's Respiratory Questionnaire - I cough.SGRQ-C - Cough
SGRQC103C106855SGRQC1-I Bring Up PhlegmSt. George's Respiratory Questionnaire - I bring up phlegm (sputum).SGRQ-C - Bring Up Phlegm
SGRQC104C106856SGRQC1-I Have Shortness of BreathSt. George's Respiratory Questionnaire - I have shortness of breath.SGRQ-C - Have Shortness of Breath
SGRQC105C106857SGRQC1-I Have Attacks of WheezingSt. George's Respiratory Questionnaire - I have attacks of wheezing.SGRQ-C - Have Attacks of Wheezing
SGRQC106C106858SGRQC1-How Many Respiratory AttacksSt. George's Respiratory Questionnaire - How many respiratory attacks did you have during the last year?SGRQ-C - Number of Respiratory Attacks Last Year
SGRQC107C106859SGRQC1-How Often Do You Have Good DaysSt. George's Respiratory Questionnaire - How often do you have good days (with few respiratory problems)?SGRQ-C - Good Days with Few Respiratory Problems
SGRQC108C106860SGRQC1-Wheeze Worse in the MorningSt. George's Respiratory Questionnaire - If you wheeze, is it worse when you get up in the morning?SGRQ-C - Wheezing Worse In the Morning
SGRQC109C106861SGRQC1-Describe Your Resp ProblemsSt. George's Respiratory Questionnaire - How would you describe your respiratory problems?SGRQ-C - Description of Your Respiratory Problems
SGRQC110C106862SGRQC1-Washing or Dressing YourselfSt. 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
SGRQC111C106863SGRQC1-Walking Around the HouseSt. 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
SGRQC112C106864SGRQC1-Walking Outside on Level GroundSt. 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
SGRQC113C106865SGRQC1-Walking Up a Flight of StairsSt. 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
SGRQC114C106866SGRQC1-Walking Up HillsSt. George's Respiratory Questionnaire - Questions about what activities usually make you feel breathless: Walking up hills.SGRQ-C - Feel Breathless Walking Up Hills
SGRQC115C106867SGRQC1-Coughing HurtsSt. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: Coughing hurts.SGRQ-C - Coughing Hurts
SGRQC116C106868SGRQC1-Coughing Makes Me TiredSt. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: Coughing makes me tired.SGRQ-C - Coughing Makes Me Tired
SGRQC117C106869SGRQC1-Short of Breath When TalkSt. 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
SGRQC118C106870SGRQC1-Short of Breath When Bend OverSt. 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
SGRQC119C106871SGRQC1-Coughing Disturbs My SleepSt. 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
SGRQC120C106872SGRQC1-Get Exhausted EasilySt. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: I get exhausted easily.SGRQ-C - Get Exhausted Easily
SGRQC121C106873SGRQC1-Cough Is Embarrassing in PublicSt. 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
SGRQC122C107021SGRQC1-Respiratory Problems a NuisanceSt. 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
SGRQC123C106874SGRQC1-Afraid When Cannot Catch BreathSt. 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
SGRQC124C106875SGRQC1-Not in Control of Resp ProblemsSt. 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
SGRQC125C106876SGRQC1-Frail Because of Resp ProblemsSt. 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
SGRQC126C106877SGRQC1-Exercise Is Not Safe for MeSt. 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
SGRQC127C106878SGRQC1-Everything Too Much EffortSt. 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
SGRQC128C106879SGRQC1-Take a Long Time to Get WashedSt. 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
SGRQC129C106880SGRQC1-Cannot Take a Bath or ShowerSt. 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
SGRQC130C106881SGRQC1-Walk Slow Than Others My AgeSt. 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
SGRQC131C106882SGRQC1-Jobs Take a Long TimeSt. 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
SGRQC132C106883SGRQC1-Walk Up Flight of Stairs SlowlySt. 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
SGRQC133C106884SGRQC1-If I Hurry, I Have to StopSt. 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
SGRQC134C106885SGRQC1-Difficult to Walk Up HillsSt. 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
SGRQC135C106886SGRQC1-Difficult to Carry Heavy LoadsSt. 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
SGRQC136C107022SGRQC1-Cannot Play SportsSt. 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
SGRQC137C107023SGRQC1-Cannot Go Out for EntertainmentSt. 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
SGRQC138C107024SGRQC1-Cannot Go Out to Do ShoppingSt. 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
SGRQC139C107025SGRQC1-Cannot Do Household ChoresSt. 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
SGRQC140C107026SGRQC1-Cannot Move Far From My BedSt. 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
SGRQC141C106887SGRQC1-How Resp Problems Affect YouSt. George's Respiratory Questionnaire - How do your respiratory problems affect you?SGRQ-C - How Respiratory Problems Affect You
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CL.C106670.SGRQ-C TESTQS-St. George's Respiratory Questionnaire for COPD Patients Test Name
(SGRQ-C TEST)
text
Extensible: No
C106670QS-St. George's Respiratory Questionnaire for COPD Patients Test NameSt. George's Respiratory Questionnaire for COPD Patients test name.CDISC Questionnaire SGRQ-C Test Name Terminology
SGRQC1-Afraid When Cannot Catch BreathC106874SGRQC1-Afraid When Cannot Catch BreathSt. 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 ChoresC107025SGRQC1-Cannot Do Household ChoresSt. 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 EntertainmentC107023SGRQC1-Cannot Go Out for EntertainmentSt. 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 ShoppingC107024SGRQC1-Cannot Go Out to Do ShoppingSt. 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 BedC107026SGRQC1-Cannot Move Far From My BedSt. 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 SportsC107022SGRQC1-Cannot Play SportsSt. 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 ShowerC106880SGRQC1-Cannot Take a Bath or ShowerSt. 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 PublicC106873SGRQC1-Cough Is Embarrassing in PublicSt. 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 SleepC106871SGRQC1-Coughing Disturbs My SleepSt. 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 HurtsC106867SGRQC1-Coughing HurtsSt. George's Respiratory Questionnaire - Some more questions about your cough and breathlessness: Coughing hurts.SGRQ-C - Coughing Hurts
SGRQC1-Coughing Makes Me TiredC106868SGRQC1-Coughing Makes Me TiredSt. 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 HealthC106853SGRQC1-Describe Your Current HealthSt. 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 ProblemsC106861SGRQC1-Describe Your Resp ProblemsSt. George's Respiratory Questionnaire - How would you describe your respiratory problems?SGRQ-C - Description of Your Respiratory Problems
SGRQC1-Difficult to Carry Heavy LoadsC106886SGRQC1-Difficult to Carry Heavy LoadsSt. 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 HillsC106885SGRQC1-Difficult to Walk Up HillsSt. 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 EffortC106878SGRQC1-Everything Too Much EffortSt. 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 MeC106877SGRQC1-Exercise Is Not Safe for MeSt. 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 ProblemsC106876SGRQC1-Frail Because of Resp ProblemsSt. 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 EasilyC106872SGRQC1-Get Exhausted EasilySt. 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 AttacksC106858SGRQC1-How Many Respiratory AttacksSt. 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 DaysC106859SGRQC1-How Often Do You Have Good DaysSt. 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 YouC106887SGRQC1-How Resp Problems Affect YouSt. George's Respiratory Questionnaire - How do your respiratory problems affect you?SGRQ-C - How Respiratory Problems Affect You
SGRQC1-I Bring Up PhlegmC106855SGRQC1-I Bring Up PhlegmSt. George's Respiratory Questionnaire - I bring up phlegm (sputum).SGRQ-C - Bring Up Phlegm
SGRQC1-I CoughC106854SGRQC1-I CoughSt. George's Respiratory Questionnaire - I cough.SGRQ-C - Cough
SGRQC1-I Have Attacks of WheezingC106857SGRQC1-I Have Attacks of WheezingSt. George's Respiratory Questionnaire - I have attacks of wheezing.SGRQ-C - Have Attacks of Wheezing
SGRQC1-I Have Shortness of BreathC106856SGRQC1-I Have Shortness of BreathSt. George's Respiratory Questionnaire - I have shortness of breath.SGRQ-C - Have Shortness of Breath
SGRQC1-If I Hurry, I Have to StopC106884SGRQC1-If I Hurry, I Have to StopSt. 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 TimeC106882SGRQC1-Jobs Take a Long TimeSt. 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 ProblemsC106875SGRQC1-Not in Control of Resp ProblemsSt. 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 NuisanceC107021SGRQC1-Respiratory Problems a NuisanceSt. 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 OverC106870SGRQC1-Short of Breath When Bend OverSt. 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 TalkC106869SGRQC1-Short of Breath When TalkSt. 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 WashedC106879SGRQC1-Take a Long Time to Get WashedSt. 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 AgeC106881SGRQC1-Walk Slow Than Others My AgeSt. 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 SlowlyC106883SGRQC1-Walk Up Flight of Stairs SlowlySt. 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 HouseC106863SGRQC1-Walking Around the HouseSt. 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 GroundC106864SGRQC1-Walking Outside on Level GroundSt. 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 StairsC106865SGRQC1-Walking Up a Flight of StairsSt. 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 HillsC106866SGRQC1-Walking Up HillsSt. 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 YourselfC106862SGRQC1-Washing or Dressing YourselfSt. 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 MorningC106860SGRQC1-Wheeze Worse in the MorningSt. George's Respiratory Questionnaire - If you wheeze, is it worse when you get up in the morning?SGRQ-C - Wheezing Worse In the Morning
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CL.C112449.SGRQ Past 3 Months Version TESTCDQS-St. George's Respiratory Questionnaire Past 3 Months Version Test Code
(SGRQ Past 3 Months Version TESTCD)
text
Extensible: No
C112449QS-St. George's Respiratory Questionnaire Past 3 Months Version Test CodeSt. George's Respiratory Questionnaire Past 3 Months Version test code.CDISC Questionnaire SGRQ Past 3 Months Version Test Code Terminology
SGRQ0101C112627SGRQ01-Describe Your Current HealthSt. 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
SGRQ0102C112628SGRQ01-I Have CoughedSt. George's Respiratory Questionnaire Past 3 Months Version - Over the past 3 months, I have coughed.SGRQ Past 3 Months Version - I Have Coughed
SGRQ0103C112629SGRQ01-I Have Brought Up PhlegmSt. 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
SGRQ0104C112630SGRQ01-I Have Had Shortness of BreathSt. 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
SGRQ0105C112631SGRQ01-I Have Had Wheezing AttacksSt. 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
SGRQ0106C112632SGRQ01-Times Suffered Sev Resp AttacksSt. 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
SGRQ0107C112633SGRQ01-How Long Worst Resp Attack LastSt. 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
SGRQ0108C112634SGRQ01-How Many Good Days Have You HadSt. 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
SGRQ0109C112635SGRQ01-Wheeze Worse in the MorningSt. 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
SGRQ0110C112636SGRQ01-Describe Your Resp ConditionSt. George's Respiratory Questionnaire Past 3 Months Version - How would you describe your respiratory condition?SGRQ Past 3 Months Version - Describe Your Respiratory Condition
SGRQ0111C112637SGRQ01-If You Have Ever Held a jobSt. George's Respiratory Questionnaire Past 3 Months Version - If you have ever held a job.SGRQ Past 3 Months Version - Held a Job
SGRQ0112C112638SGRQ01-Sitting or Lying StillSt. 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
SGRQ0113C112639SGRQ01-Washing or Dressing YourselfSt. 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
SGRQ0114C112640SGRQ01-Walking Around the HouseSt. 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
SGRQ0115C112641SGRQ01-Walking Outside on Level GroundSt. 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
SGRQ0116C112642SGRQ01-Walking Up a Flight of StairsSt. 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
SGRQ0117C112643SGRQ01-Walking Up HillsSt. 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
SGRQ0118C112644SGRQ01-Playing SportsSt. 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
SGRQ0119C112645SGRQ01-Coughing HurtsSt. 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
SGRQ0120C112646SGRQ01-Coughing Makes Me TiredSt. 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
SGRQ0121C112647SGRQ01-Short of Breath When I TalkSt. 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
SGRQ0122C112648SGRQ01-Short of Breath When Bend OverSt. 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
SGRQ0123C112649SGRQ01-Coughing Disturbs My SleepSt. 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
SGRQ0124C112650SGRQ01-I Get Exhausted EasilySt. 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
SGRQ0125C112651SGRQ01-Cough Is Embarrassing in PublicSt. 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
SGRQ0126C112652SGRQ01-Respiratory Problems a NuisanceSt. 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
SGRQ0127C112653SGRQ01-Afraid When Cannot Catch BreathSt. 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
SGRQ0128C112654SGRQ01-Not in Control of Resp ProblemsSt. 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
SGRQ0129C112655SGRQ01-Not Expect Probs to Get BetterSt. 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
SGRQ0130C112656SGRQ01-I Have Become FrailSt. 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
SGRQ0131C112657SGRQ01-Exercise Is Not Safe for MeSt. 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
SGRQ0132C112658SGRQ01-Everything Too Much EffortSt. 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
SGRQ0133C112659SGRQ01-Treatment Does Not Help Me MuchSt. 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
SGRQ0134C112660SGRQ01-Embarrassed Using Med in PublicSt. 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
SGRQ0135C112661SGRQ01-Unpleasant Side Effect From MedSt. 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
SGRQ0136C112662SGRQ01-Treatment Interferes With LifeSt. 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
SGRQ0137C112663SGRQ01-Take a Long Time to Get WashedSt. 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
SGRQ0138C112664SGRQ01-I Cannot Take a Bath or ShowerSt. 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
SGRQ0139C112665SGRQ01-I Walk Slower Than Other PeopleSt. 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
SGRQ0140C112666SGRQ01-Jobs Take a Long TimeSt. 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
SGRQ0141C112667SGRQ01-Walk Up Flight of Stairs SlowlySt. 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
SGRQ0142C112668SGRQ01-If I Hurry, I Have to StopSt. 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
SGRQ0143C112669SGRQ01-Difficult to Walk Up HillsSt. 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
SGRQ0144C112670SGRQ01-Difficult to Carry Heavy LoadsSt. 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
SGRQ0145C112671SGRQ01-Difficult to Do Very Heavy WorkSt. 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
SGRQ0146C112672SGRQ01-I Cannot Play SportsSt. 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
SGRQ0147C112673SGRQ01-Cannot Go Out for EntertainmentSt. 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
SGRQ0148C112674SGRQ01-Cannot Go Out to Do ShoppingSt. 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
SGRQ0149C112675SGRQ01-I Cannot Do Household ChoresSt. 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
SGRQ0150C112676SGRQ01-I Cannot Move Far From My BedSt. 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
SGRQ0151C112677SGRQ01-How Resp Problems Affect YouSt. 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
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CL.C112448.SGRQ Past 3 Months Version TESTQS-St. George's Respiratory Questionnaire Past 3 Months Version Test Name
(SGRQ Past 3 Months Version TEST)
text
Extensible: No
C112448QS-St. George's Respiratory Questionnaire Past 3 Months Version Test NameSt. 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 BreathC112653SGRQ01-Afraid When Cannot Catch BreathSt. 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 EntertainmentC112673SGRQ01-Cannot Go Out for EntertainmentSt. 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 ShoppingC112674SGRQ01-Cannot Go Out to Do ShoppingSt. 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 PublicC112651SGRQ01-Cough Is Embarrassing in PublicSt. 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 SleepC112649SGRQ01-Coughing Disturbs My SleepSt. 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 HurtsC112645SGRQ01-Coughing HurtsSt. 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 TiredC112646SGRQ01-Coughing Makes Me TiredSt. 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 HealthC112627SGRQ01-Describe Your Current HealthSt. 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 ConditionC112636SGRQ01-Describe Your Resp ConditionSt. 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 LoadsC112670SGRQ01-Difficult to Carry Heavy LoadsSt. 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 WorkC112671SGRQ01-Difficult to Do Very Heavy WorkSt. 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 HillsC112669SGRQ01-Difficult to Walk Up HillsSt. 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 PublicC112660SGRQ01-Embarrassed Using Med in PublicSt. 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 EffortC112658SGRQ01-Everything Too Much EffortSt. 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 MeC112657SGRQ01-Exercise Is Not Safe for MeSt. 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 LastC112633SGRQ01-How Long Worst Resp Attack LastSt. 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 HadC112634SGRQ01-How Many Good Days Have You HadSt. 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 YouC112677SGRQ01-How Resp Problems Affect YouSt. 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 ChoresC112675SGRQ01-I Cannot Do Household ChoresSt. 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 BedC112676SGRQ01-I Cannot Move Far From My BedSt. 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 SportsC112672SGRQ01-I Cannot Play SportsSt. 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 ShowerC112664SGRQ01-I Cannot Take a Bath or ShowerSt. 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 EasilyC112650SGRQ01-I Get Exhausted EasilySt. 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 FrailC112656SGRQ01-I Have Become FrailSt. 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 PhlegmC112629SGRQ01-I Have Brought Up PhlegmSt. 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 CoughedC112628SGRQ01-I Have CoughedSt. 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 BreathC112630SGRQ01-I Have Had Shortness of BreathSt. 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 AttacksC112631SGRQ01-I Have Had Wheezing AttacksSt. 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 PeopleC112665SGRQ01-I Walk Slower Than Other PeopleSt. 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 StopC112668SGRQ01-If I Hurry, I Have to StopSt. 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 jobC112637SGRQ01-If You Have Ever Held a jobSt. 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 TimeC112666SGRQ01-Jobs Take a Long TimeSt. 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 BetterC112655SGRQ01-Not Expect Probs to Get BetterSt. 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 ProblemsC112654SGRQ01-Not in Control of Resp ProblemsSt. 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 SportsC112644SGRQ01-Playing SportsSt. 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 NuisanceC112652SGRQ01-Respiratory Problems a NuisanceSt. 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 OverC112648SGRQ01-Short of Breath When Bend OverSt. 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 TalkC112647SGRQ01-Short of Breath When I TalkSt. 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 StillC112638SGRQ01-Sitting or Lying StillSt. 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 WashedC112663SGRQ01-Take a Long Time to Get WashedSt. 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 AttacksC112632SGRQ01-Times Suffered Sev Resp AttacksSt. 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 MuchC112659SGRQ01-Treatment Does Not Help Me MuchSt. 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 LifeC112662SGRQ01-Treatment Interferes With LifeSt. 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 MedC112661SGRQ01-Unpleasant Side Effect From MedSt. 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 SlowlyC112667SGRQ01-Walk Up Flight of Stairs SlowlySt. 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 HouseC112640SGRQ01-Walking Around the HouseSt. 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 GroundC112641SGRQ01-Walking Outside on Level GroundSt. 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 StairsC112642SGRQ01-Walking Up a Flight of StairsSt. 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 HillsC112643SGRQ01-Walking Up HillsSt. 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 YourselfC112639SGRQ01-Washing or Dressing YourselfSt. 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 MorningC112635SGRQ01-Wheeze Worse in the MorningSt. 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
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CL.C112451.SGRQ Past 4 Weeks Version TESTCDQS-St. George's Respiratory Questionnaire Past 4 Weeks Version Test Code
(SGRQ Past 4 Weeks Version TESTCD)
text
Extensible: No
C112451QS-St. George's Respiratory Questionnaire Past 4 Weeks Version Test CodeSt. George's Respiratory Questionnaire Past 4 Weeks Version test code.CDISC Questionnaire SGRQ Past 4 Weeks Version Test Code Terminology
SGRQ0201C112678SGRQ02-Describe Your Current HealthSt. 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
SGRQ0202C112679SGRQ02-I Have CoughedSt. George's Respiratory Questionnaire Past 4 Weeks Version - Over the past 4 weeks, I have coughed.SGRQ Past 4 Weeks Version - I Have Coughed
SGRQ0203C112680SGRQ02-I Have Brought Up PhlegmSt. 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
SGRQ0204C112681SGRQ02-I Have Had Shortness of BreathSt. 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
SGRQ0205C112682SGRQ02-I Have Had Wheezing AttacksSt. 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
SGRQ0206C112683SGRQ02-Times Suffered Sev Resp AttacksSt. 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
SGRQ0207C112684SGRQ02-How Long Worst Resp Attack LastSt. 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
SGRQ0208C112685SGRQ02-How Many Good Days Have You HadSt. 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
SGRQ0209C112686SGRQ02-Wheeze Worse in the MorningSt. 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
SGRQ0210C112687SGRQ02-Describe Your Resp ConditionSt. George's Respiratory Questionnaire Past 4 Weeks Version - How would you describe your respiratory condition?SGRQ Past 4 Weeks Version - Describe Your Respiratory Condition
SGRQ0211C112688SGRQ02-If You Have Ever Held a jobSt. George's Respiratory Questionnaire Past 4 Weeks Version - If you have ever held a job.SGRQ Past 4 Weeks Version - Held a Job
SGRQ0212C112689SGRQ02-Sitting or Lying StillSt. 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
SGRQ0213C112690SGRQ02-Washing or Dressing YourselfSt. 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
SGRQ0214C112691SGRQ02-Walking Around the HouseSt. 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
SGRQ0215C112692SGRQ02-Walking Outside on Level GroundSt. 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
SGRQ0216C112693SGRQ02-Walking Up a Flight of StairsSt. 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
SGRQ0217C112694SGRQ02-Walking Up HillsSt. 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
SGRQ0218C112695SGRQ02-Playing SportsSt. 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
SGRQ0219C112696SGRQ02-Coughing HurtsSt. 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
SGRQ0220C112697SGRQ02-Coughing Makes Me TiredSt. 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
SGRQ0221C112698SGRQ02-Short of Breath When I TalkSt. 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
SGRQ0222C112699SGRQ02-Short of Breath When Bend OverSt. 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
SGRQ0223C112700SGRQ02-Coughing Disturbs My SleepSt. 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
SGRQ0224C112701SGRQ02-I Get Exhausted EasilySt. 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
SGRQ0225C112702SGRQ02-Cough Is Embarrassing in PublicSt. 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
SGRQ0226C112703SGRQ02-Respiratory Problems a NuisanceSt. 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
SGRQ0227C112704SGRQ02-Afraid When Cannot Catch BreathSt. 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
SGRQ0228C112705SGRQ02-Not in Control of Resp ProblemsSt. 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
SGRQ0229C112706SGRQ02-Not Expect Probs to Get BetterSt. 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
SGRQ0230C112707SGRQ02-I Have Become FrailSt. 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
SGRQ0231C112708SGRQ02-Exercise Is Not Safe for MeSt. 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
SGRQ0232C112709SGRQ02-Everything Too Much EffortSt. 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
SGRQ0233C112710SGRQ02-Treatment Does Not Help Me MuchSt. 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
SGRQ0234C112711SGRQ02-Embarrassed Using Med in PublicSt. 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
SGRQ0235C112712SGRQ02-Unpleasant Side Effect From MedSt. 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
SGRQ0236C112713SGRQ02-Treatment Interferes With LifeSt. 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
SGRQ0237C112714SGRQ02-Take a Long Time to Get WashedSt. 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
SGRQ0238C112715SGRQ02-I Cannot Take a Bath or ShowerSt. 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
SGRQ0239C112716SGRQ02-I Walk Slower Than Other PeopleSt. 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
SGRQ0240C112717SGRQ02-Jobs Take a Long TimeSt. 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
SGRQ0241C112718SGRQ02-Walk Up Flight of Stairs SlowlySt. 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
SGRQ0242C112719SGRQ02-If I Hurry, I Have to StopSt. 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
SGRQ0243C112720SGRQ02-Difficult to Walk Up HillsSt. 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
SGRQ0244C112721SGRQ02-Difficult to Carry Heavy LoadsSt. 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
SGRQ0245C112722SGRQ02-Difficult to Do Very Heavy WorkSt. 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
SGRQ0246C112723SGRQ02-I Cannot Play SportsSt. 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
SGRQ0247C112724SGRQ02-Cannot Go Out for EntertainmentSt. 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
SGRQ0248C112725SGRQ02-Cannot Go Out to Do ShoppingSt. 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
SGRQ0249C112726SGRQ02-I Cannot Do Household ChoresSt. 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
SGRQ0250C112727SGRQ02-I Cannot Move Far From My BedSt. 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
SGRQ0251C112728SGRQ02-How Resp Problems Affect YouSt. 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
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CL.C112450.SGRQ Past 4 Weeks Version TESTQS-St. George's Respiratory Questionnaire Past 4 Weeks Version Test Name
(SGRQ Past 4 Weeks Version TEST)
text
Extensible: No
C112450QS-St. George's Respiratory Questionnaire Past 4 Weeks Version Test NameSt. 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 BreathC112704SGRQ02-Afraid When Cannot Catch BreathSt. 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 EntertainmentC112724SGRQ02-Cannot Go Out for EntertainmentSt. 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 ShoppingC112725SGRQ02-Cannot Go Out to Do ShoppingSt. 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 PublicC112702SGRQ02-Cough Is Embarrassing in PublicSt. 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 SleepC112700SGRQ02-Coughing Disturbs My SleepSt. 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 HurtsC112696SGRQ02-Coughing HurtsSt. 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 TiredC112697SGRQ02-Coughing Makes Me TiredSt. 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 HealthC112678SGRQ02-Describe Your Current HealthSt. 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 ConditionC112687SGRQ02-Describe Your Resp ConditionSt. 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 LoadsC112721SGRQ02-Difficult to Carry Heavy LoadsSt. 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 WorkC112722SGRQ02-Difficult to Do Very Heavy WorkSt. 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 HillsC112720SGRQ02-Difficult to Walk Up HillsSt. 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 PublicC112711SGRQ02-Embarrassed Using Med in PublicSt. 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 EffortC112709SGRQ02-Everything Too Much EffortSt. 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 MeC112708SGRQ02-Exercise Is Not Safe for MeSt. 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 LastC112684SGRQ02-How Long Worst Resp Attack LastSt. 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 HadC112685SGRQ02-How Many Good Days Have You HadSt. 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 YouC112728SGRQ02-How Resp Problems Affect YouSt. 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 ChoresC112726SGRQ02-I Cannot Do Household ChoresSt. 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 BedC112727SGRQ02-I Cannot Move Far From My BedSt. 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 SportsC112723SGRQ02-I Cannot Play SportsSt. 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 ShowerC112715SGRQ02-I Cannot Take a Bath or ShowerSt. 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 EasilyC112701SGRQ02-I Get Exhausted EasilySt. 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 FrailC112707SGRQ02-I Have Become FrailSt. 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 PhlegmC112680SGRQ02-I Have Brought Up PhlegmSt. 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 CoughedC112679SGRQ02-I Have CoughedSt. 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 BreathC112681SGRQ02-I Have Had Shortness of BreathSt. 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 AttacksC112682SGRQ02-I Have Had Wheezing AttacksSt. 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 PeopleC112716SGRQ02-I Walk Slower Than Other PeopleSt. 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 StopC112719SGRQ02-If I Hurry, I Have to StopSt. 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 jobC112688SGRQ02-If You Have Ever Held a jobSt. 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 TimeC112717SGRQ02-Jobs Take a Long TimeSt. 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 BetterC112706SGRQ02-Not Expect Probs to Get BetterSt. 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 ProblemsC112705SGRQ02-Not in Control of Resp ProblemsSt. 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 SportsC112695SGRQ02-Playing SportsSt. 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 NuisanceC112703SGRQ02-Respiratory Problems a NuisanceSt. 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 OverC112699SGRQ02-Short of Breath When Bend OverSt. 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 TalkC112698SGRQ02-Short of Breath When I TalkSt. 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 StillC112689SGRQ02-Sitting or Lying StillSt. 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 WashedC112714SGRQ02-Take a Long Time to Get WashedSt. 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 AttacksC112683SGRQ02-Times Suffered Sev Resp AttacksSt. 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 MuchC112710SGRQ02-Treatment Does Not Help Me MuchSt. 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 LifeC112713SGRQ02-Treatment Interferes With LifeSt. 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 MedC112712SGRQ02-Unpleasant Side Effect From MedSt. 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 SlowlyC112718SGRQ02-Walk Up Flight of Stairs SlowlySt. 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 HouseC112691SGRQ02-Walking Around the HouseSt. 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 GroundC112692SGRQ02-Walking Outside on Level GroundSt. 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 StairsC112693SGRQ02-Walking Up a Flight of StairsSt. 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 HillsC112694SGRQ02-Walking Up HillsSt. 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 YourselfC112690SGRQ02-Washing or Dressing YourselfSt. 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 MorningC112686SGRQ02-Wheeze Worse in the MorningSt. 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
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CL.C101828.SOWS Subjective TESTCDQS-Subjective Opiate Withdrawal Scale Test Code
(SOWS Subjective TESTCD)
text
Extensible: No
C101828QS-Subjective Opiate Withdrawal Scale Test CodeSubjective Opiate Withdrawal Scale test code.CDISC Questionnaire SOWS Subjective Test Code Terminology
SOWSA101C102409SOWSA1-I Feel AnxiousSubjective Opiate Withdrawal Scale - I feel anxious.SOWS Subjective (Handelsman) - I Feel Anxious
SOWSA102C102410SOWSA1-I Feel Like YawningSubjective Opiate Withdrawal Scale - I feel like yawning.SOWS Subjective (Handelsman) - I Feel Like Yawning
SOWSA103C102411SOWSA1-I'm PerspiringSubjective Opiate Withdrawal Scale - I'm perspiring.SOWS Subjective (Handelsman) - I'm Perspiring
SOWSA104C102412SOWSA1-My Eyes Are TearingSubjective Opiate Withdrawal Scale - My eyes are tearing.SOWS Subjective (Handelsman) - My Eyes Are Tearing
SOWSA105C102413SOWSA1-My Nose is RunningSubjective Opiate Withdrawal Scale - My nose is running.SOWS Subjective (Handelsman) - My Nose is Running
SOWSA106C102414SOWSA1-I Have Goose FleshSubjective Opiate Withdrawal Scale - I have goose flesh.SOWS Subjective (Handelsman) - I Have Goose Flesh
SOWSA107C102415SOWSA1-I Am ShakingSubjective Opiate Withdrawal Scale - I am shaking.SOWS Subjective (Handelsman) - I Am Shaking
SOWSA108C102416SOWSA1-I Have Hot FlashesSubjective Opiate Withdrawal Scale - I have hot flashes.SOWS Subjective (Handelsman) - I Have Hot Flashes
SOWSA109C102417SOWSA1-I Have Cold FlashesSubjective Opiate Withdrawal Scale - I have cold flashes.SOWS Subjective (Handelsman) - I Have Cold Flashes
SOWSA110C102418SOWSA1-My Bones and Muscles AcheSubjective Opiate Withdrawal Scale - My bones and muscles ache.SOWS Subjective (Handelsman) - My Bones and Muscles Ache
SOWSA111C102419SOWSA1-I Feel RestlessSubjective Opiate Withdrawal Scale - I feel restless.SOWS Subjective (Handelsman) - I Feel Restless
SOWSA112C102420SOWSA1-I Feel NauseousSubjective Opiate Withdrawal Scale - I feel nauseous.SOWS Subjective (Handelsman) - I Feel Nauseous
SOWSA113C102421SOWSA1-I Feel Like VomitingSubjective Opiate Withdrawal Scale - I feel like vomiting.SOWS Subjective (Handelsman) - I Feel Like Vomiting
SOWSA114C102422SOWSA1-My Muscles TwitchSubjective Opiate Withdrawal Scale - My muscles twitch.SOWS Subjective (Handelsman) - My Muscles Twitch
SOWSA115C102423SOWSA1-I Have Cramps in My StomachSubjective Opiate Withdrawal Scale - I have cramps in my stomach.SOWS Subjective (Handelsman) - I Have Cramps in My Stomach
SOWSA116C102424SOWSA1-I Feel Like Shooting Up NowSubjective Opiate Withdrawal Scale - I feel like shooting up now.SOWS Subjective (Handelsman) - I Feel Like Shooting Up Now
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CL.C101829.SOWS Subjective TESTQS-Subjective Opiate Withdrawal Scale Test Name
(SOWS Subjective TEST)
text
Extensible: No
C101829QS-Subjective Opiate Withdrawal Scale Test NameSubjective Opiate Withdrawal Scale test name.CDISC Questionnaire SOWS Subjective Test Name Terminology
SOWSA1-I Am ShakingC102415SOWSA1-I Am ShakingSubjective Opiate Withdrawal Scale - I am shaking.SOWS Subjective (Handelsman) - I Am Shaking
SOWSA1-I Feel AnxiousC102409SOWSA1-I Feel AnxiousSubjective Opiate Withdrawal Scale - I feel anxious.SOWS Subjective (Handelsman) - I Feel Anxious
SOWSA1-I Feel Like Shooting Up NowC102424SOWSA1-I Feel Like Shooting Up NowSubjective Opiate Withdrawal Scale - I feel like shooting up now.SOWS Subjective (Handelsman) - I Feel Like Shooting Up Now
SOWSA1-I Feel Like VomitingC102421SOWSA1-I Feel Like VomitingSubjective Opiate Withdrawal Scale - I feel like vomiting.SOWS Subjective (Handelsman) - I Feel Like Vomiting
SOWSA1-I Feel Like YawningC102410SOWSA1-I Feel Like YawningSubjective Opiate Withdrawal Scale - I feel like yawning.SOWS Subjective (Handelsman) - I Feel Like Yawning
SOWSA1-I Feel NauseousC102420SOWSA1-I Feel NauseousSubjective Opiate Withdrawal Scale - I feel nauseous.SOWS Subjective (Handelsman) - I Feel Nauseous
SOWSA1-I Feel RestlessC102419SOWSA1-I Feel RestlessSubjective Opiate Withdrawal Scale - I feel restless.SOWS Subjective (Handelsman) - I Feel Restless
SOWSA1-I Have Cold FlashesC102417SOWSA1-I Have Cold FlashesSubjective Opiate Withdrawal Scale - I have cold flashes.SOWS Subjective (Handelsman) - I Have Cold Flashes
SOWSA1-I Have Cramps in My StomachC102423SOWSA1-I Have Cramps in My StomachSubjective Opiate Withdrawal Scale - I have cramps in my stomach.SOWS Subjective (Handelsman) - I Have Cramps in My Stomach
SOWSA1-I Have Goose FleshC102414SOWSA1-I Have Goose FleshSubjective Opiate Withdrawal Scale - I have goose flesh.SOWS Subjective (Handelsman) - I Have Goose Flesh
SOWSA1-I Have Hot FlashesC102416SOWSA1-I Have Hot FlashesSubjective Opiate Withdrawal Scale - I have hot flashes.SOWS Subjective (Handelsman) - I Have Hot Flashes
SOWSA1-I'm PerspiringC102411SOWSA1-I'm PerspiringSubjective Opiate Withdrawal Scale - I'm perspiring.SOWS Subjective (Handelsman) - I'm Perspiring
SOWSA1-My Bones and Muscles AcheC102418SOWSA1-My Bones and Muscles AcheSubjective Opiate Withdrawal Scale - My bones and muscles ache.SOWS Subjective (Handelsman) - My Bones and Muscles Ache
SOWSA1-My Eyes Are TearingC102412SOWSA1-My Eyes Are TearingSubjective Opiate Withdrawal Scale - My eyes are tearing.SOWS Subjective (Handelsman) - My Eyes Are Tearing
SOWSA1-My Muscles TwitchC102422SOWSA1-My Muscles TwitchSubjective Opiate Withdrawal Scale - My muscles twitch.SOWS Subjective (Handelsman) - My Muscles Twitch
SOWSA1-My Nose is RunningC102413SOWSA1-My Nose is RunningSubjective Opiate Withdrawal Scale - My nose is running.SOWS Subjective (Handelsman) - My Nose is Running
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CL.C103485.SIQR TESTCDQS-Symptom Impact Questionnaire Test Code
(SIQR TESTCD)
text
Extensible: No
C103485QS-Symptom Impact Questionnaire Test CodeSymptom Impact Questionnaire test code.CDISC Questionnaire SIQR Test Code Terminology
SIQR0101C103730SIQR01-Brush or Comb Your HairSymptom Impact Questionnaire - Brush or comb your hair.SIQR - Brush or Comb Your Hair
SIQR0102C103731SIQR01-Walk Continuously for 20 MinutesSymptom Impact Questionnaire - Walk continuously for 20 minutes.SIQR - Walk Continuously for 20 Minutes
SIQR0103C103732SIQR01-Prepare a Homemade MealSymptom Impact Questionnaire - Prepare a homemade meal.SIQR - Prepare a Homemade Meal
SIQR0104C103733SIQR01-Vacuum Scrub or Sweep FloorsSymptom Impact Questionnaire - Vacuum, scrub or sweep floors.SIQR - Vacuum Scrub or Sweep Floors
SIQR0105C103734SIQR01-Lift/Carry Bag Full of GroceriesSymptom Impact Questionnaire - Lift and carry a bag full of groceries.SIQR - Lift and Carry a Bag Full of Groceries
SIQR0106C103735SIQR01-Climb One Flight of StairsSymptom Impact Questionnaire - Climb one flight of stairs.SIQR - Climb One Flight of Stairs
SIQR0107C103736SIQR01-Change Bed SheetsSymptom Impact Questionnaire - Change bed sheets.SIQR - Change Bed Sheets
SIQR0108C103737SIQR01-Sit in a Chair for 45 MinutesSymptom Impact Questionnaire - Sit in a chair for 45 minutes.SIQR - Sit in a Chair for 45 Minutes
SIQR0109C103738SIQR01-Go Shopping for GroceriesSymptom Impact Questionnaire - Go shopping for groceries.SIQR - Go Shopping for Groceries
SIQR0110C103739SIQR01-Prevent from Accomplishing GoalsSymptom Impact Questionnaire - My medical problems prevented me from accomplishing goals for week.SIQR - My Medical Problem Prevented Me from Accomplishing Goals for the Week
SIQR0111C103740SIQR01-Overwhelmed by Medical ProblemsSymptom Impact Questionnaire - I was completely overwhelmed by my medical problems.SIQR - I was Completely Overwhelmed by My Medical Problem
SIQR0112C103741SIQR01-PainSymptom Impact Questionnaire - Please rate your level of pain.SIQR - Pain
SIQR0113C103742SIQR01-EnergySymptom Impact Questionnaire - Please rate your level of energy.SIQR - Energy
SIQR0114C103743SIQR01-StiffnessSymptom Impact Questionnaire - Please rate your level of stiffness.SIQR - Stiffness
SIQR0115C103744SIQR01-Your SleepSymptom Impact Questionnaire - Please rate the quality of your sleep.SIQR - Your Sleep
SIQR0116C103745SIQR01-DepressionSymptom Impact Questionnaire - Please rate your level of depression.SIQR - Depression
SIQR0117C103746SIQR01-Memory ProblemsSymptom Impact Questionnaire - Please rate your level of memory problems.SIQR - Memory Problems
SIQR0118C103747SIQR01-AnxietySymptom Impact Questionnaire - Please rate your level of anxiety.SIQR - Anxiety
SIQR0119C103748SIQR01-Tenderness to TouchSymptom Impact Questionnaire - Please rate your level of tenderness to touch.SIQR - Tenderness to Touch
SIQR0120C103749SIQR01-Balance ProblemsSymptom Impact Questionnaire - Please rate your level of balance problems.SIQR - Balance Problems
SIQR0121C103750SIQR01-Sensitivity Noise/Light/Odor/ColdSymptom 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
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CL.C103484.SIQR TESTQS-Symptom Impact Questionnaire Test Name
(SIQR TEST)
text
Extensible: No
C103484QS-Symptom Impact Questionnaire Test NameSymptom Impact Questionnaire test name.CDISC Questionnaire SIQR Test Name Terminology
SIQR01-AnxietyC103747SIQR01-AnxietySymptom Impact Questionnaire - Please rate your level of anxiety.SIQR - Anxiety
SIQR01-Balance ProblemsC103749SIQR01-Balance ProblemsSymptom Impact Questionnaire - Please rate your level of balance problems.SIQR - Balance Problems
SIQR01-Brush or Comb Your HairC103730SIQR01-Brush or Comb Your HairSymptom Impact Questionnaire - Brush or comb your hair.SIQR - Brush or Comb Your Hair
SIQR01-Change Bed SheetsC103736SIQR01-Change Bed SheetsSymptom Impact Questionnaire - Change bed sheets.SIQR - Change Bed Sheets
SIQR01-Climb One Flight of StairsC103735SIQR01-Climb One Flight of StairsSymptom Impact Questionnaire - Climb one flight of stairs.SIQR - Climb One Flight of Stairs
SIQR01-DepressionC103745SIQR01-DepressionSymptom Impact Questionnaire - Please rate your level of depression.SIQR - Depression
SIQR01-EnergyC103742SIQR01-EnergySymptom Impact Questionnaire - Please rate your level of energy.SIQR - Energy
SIQR01-Go Shopping for GroceriesC103738SIQR01-Go Shopping for GroceriesSymptom Impact Questionnaire - Go shopping for groceries.SIQR - Go Shopping for Groceries
SIQR01-Lift/Carry Bag Full of GroceriesC103734SIQR01-Lift/Carry Bag Full of GroceriesSymptom Impact Questionnaire - Lift and carry a bag full of groceries.SIQR - Lift and Carry a Bag Full of Groceries
SIQR01-Memory ProblemsC103746SIQR01-Memory ProblemsSymptom Impact Questionnaire - Please rate your level of memory problems.SIQR - Memory Problems
SIQR01-Overwhelmed by Medical ProblemsC103740SIQR01-Overwhelmed by Medical ProblemsSymptom Impact Questionnaire - I was completely overwhelmed by my medical problems.SIQR - I was Completely Overwhelmed by My Medical Problem
SIQR01-PainC103741SIQR01-PainSymptom Impact Questionnaire - Please rate your level of pain.SIQR - Pain
SIQR01-Prepare a Homemade MealC103732SIQR01-Prepare a Homemade MealSymptom Impact Questionnaire - Prepare a homemade meal.SIQR - Prepare a Homemade Meal
SIQR01-Prevent from Accomplishing GoalsC103739SIQR01-Prevent from Accomplishing GoalsSymptom 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/ColdC103750SIQR01-Sensitivity Noise/Light/Odor/ColdSymptom 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 MinutesC103737SIQR01-Sit in a Chair for 45 MinutesSymptom Impact Questionnaire - Sit in a chair for 45 minutes.SIQR - Sit in a Chair for 45 Minutes
SIQR01-StiffnessC103743SIQR01-StiffnessSymptom Impact Questionnaire - Please rate your level of stiffness.SIQR - Stiffness
SIQR01-Tenderness to TouchC103748SIQR01-Tenderness to TouchSymptom Impact Questionnaire - Please rate your level of tenderness to touch.SIQR - Tenderness to Touch
SIQR01-Vacuum Scrub or Sweep FloorsC103733SIQR01-Vacuum Scrub or Sweep FloorsSymptom Impact Questionnaire - Vacuum, scrub or sweep floors.SIQR - Vacuum Scrub or Sweep Floors
SIQR01-Walk Continuously for 20 MinutesC103731SIQR01-Walk Continuously for 20 MinutesSymptom Impact Questionnaire - Walk continuously for 20 minutes.SIQR - Walk Continuously for 20 Minutes
SIQR01-Your SleepC103744SIQR01-Your SleepSymptom Impact Questionnaire - Please rate the quality of your sleep.SIQR - Your Sleep
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CL.C103479.ODI v2.1A TESTCDQS-The Oswestry Disability Index Version 2.1a Questionnaire Test Code
(ODI v2.1A TESTCD)
text
Extensible: No
C103479QS-The Oswestry Disability Index Version 2.1a Questionnaire Test CodeThe Oswestry Disability Index Version 2.1a test code.CDISC Questionnaire ODI v2.1a Test Code Terminology
ODI0101C103762ODI01-Pain IntensityThe Oswestry Disability Index Version 2.1a - Section 1 - Pain intensity.ODI v2.1a - Pain Intensity
ODI0102C103763ODI01-Personal CareThe Oswestry Disability Index Version 2.1a - Section 2 - Personal care (washing, dressing, etc.).ODI v2.1a - Personal Care
ODI0103C103764ODI01-LiftingThe Oswestry Disability Index Version 2.1a - Section 3 - Lifting.ODI v2.1a - Lifting
ODI0104C103765ODI01-WalkingThe Oswestry Disability Index Version 2.1a - Section 4 - Walking.ODI v2.1a - Walking
ODI0105C103766ODI01-SittingThe Oswestry Disability Index Version 2.1a - Section 5 - Sitting.ODI v2.1a - Sitting
ODI0106C103767ODI01-StandingThe Oswestry Disability Index Version 2.1a - Section 6 - Standing.ODI v2.1a - Standing
ODI0107C103768ODI01-SleepingThe Oswestry Disability Index Version 2.1a - Section 7 - Sleeping.ODI v2.1a - Sleeping
ODI0108C103769ODI01-Sex LifeThe Oswestry Disability Index Version 2.1a - Section 8 - Sex life (if applicable).ODI v2.1a - Sex Life
ODI0109C103770ODI01-Social LifeThe Oswestry Disability Index Version 2.1a - Section 9 - Social life.ODI v2.1a - Social Life
ODI0110C103771ODI01-TravellingThe Oswestry Disability Index Version 2.1a - Section 10 - Travelling.ODI v2.1a - Travelling
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CL.C103478.ODI v2.1A TESTQS-The Oswestry Disability Index Version 2.1a Questionnaire Test Name
(ODI v2.1A TEST)
text
Extensible: No
C103478QS-The Oswestry Disability Index Version 2.1a Questionnaire Test NameThe Oswestry Disability Index Version 2.1a test name.CDISC Questionnaire ODI v2.1a Test Name Terminology
ODI01-LiftingC103764ODI01-LiftingThe Oswestry Disability Index Version 2.1a - Section 3 - Lifting.ODI v2.1a - Lifting
ODI01-Pain IntensityC103762ODI01-Pain IntensityThe Oswestry Disability Index Version 2.1a - Section 1 - Pain intensity.ODI v2.1a - Pain Intensity
ODI01-Personal CareC103763ODI01-Personal CareThe Oswestry Disability Index Version 2.1a - Section 2 - Personal care (washing, dressing, etc.).ODI v2.1a - Personal Care
ODI01-Sex LifeC103769ODI01-Sex LifeThe Oswestry Disability Index Version 2.1a - Section 8 - Sex life (if applicable).ODI v2.1a - Sex Life
ODI01-SittingC103766ODI01-SittingThe Oswestry Disability Index Version 2.1a - Section 5 - Sitting.ODI v2.1a - Sitting
ODI01-SleepingC103768ODI01-SleepingThe Oswestry Disability Index Version 2.1a - Section 7 - Sleeping.ODI v2.1a - Sleeping
ODI01-Social LifeC103770ODI01-Social LifeThe Oswestry Disability Index Version 2.1a - Section 9 - Social life.ODI v2.1a - Social Life
ODI01-StandingC103767ODI01-StandingThe Oswestry Disability Index Version 2.1a - Section 6 - Standing.ODI v2.1a - Standing
ODI01-TravellingC103771ODI01-TravellingThe Oswestry Disability Index Version 2.1a - Section 10 - Travelling.ODI v2.1a - Travelling
ODI01-WalkingC103765ODI01-WalkingThe Oswestry Disability Index Version 2.1a - Section 4 - Walking.ODI v2.1a - Walking
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CL.C103477.OAB-Q Short Form TESTCDQS-The Overactive Bladder Questionnaire Short Form Test Code
(OAB-Q Short Form TESTCD)
text
Extensible: No
C103477QS-The Overactive Bladder Questionnaire Short Form Test CodeThe Overactive Bladder Questionnaire Short Form test code.CDISC Questionnaire OAB-q Short Form Test Code Terminology
OABQ0201C103686OABQ02-Uncomfortable Urge to UrinateThe Overactive Bladder Questionnaire Short Form - An uncomfortable urge to urinate?OAB-q Short Form - Uncomfortable Urge to Urinate
OABQ0202C103687OABQ02-Sudden Urge to Urinate No WarningThe 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
OABQ0203C103688OABQ02-Accidental Loss of UrineThe Overactive Bladder Questionnaire Short Form - Accidental loss of small amounts of urine?OAB-q Short Form - Accidental Loss of Urine
OABQ0204C103689OABQ02-Nighttime UrinationThe Overactive Bladder Questionnaire Short Form - Nighttime urination?OAB-q Short Form - Nighttime Urination
OABQ0205C103690OABQ02-Waking Up at Night had to UrinateThe 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
OABQ0206C103691OABQ02-Urine Loss Strong Desire UrinateThe 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
OABQ0207C103692OABQ02-Plan 'Escape Routes' to RestroomsThe 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
OABQ0208C103693OABQ02-Feel Something is Wrong with YouThe 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
OABQ0209C103694OABQ02-Interfered with Good Night's RestThe 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
OABQ0210C103695OABQ02-Frustrated about Time in RestroomThe 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
OABQ0211C103696OABQ02-Avoid Activ Away From RestroomThe 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
OABQ0212C103697OABQ02-Awakened You During SleepThe Overactive Bladder Questionnaire Short Form - Awakened you during sleep?OAB-q Short Form - Awakened You During Sleep
OABQ0213C103698OABQ02-Decrease Physical ActivitiesThe Overactive Bladder Questionnaire Short Form - Caused you to decrease your physical activities (exercising, sports, etc.)?OAB-q Short Form - Decrease Your Physical Activities
OABQ0214C103699OABQ02-Caused Problems Partner/SpouseThe 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
OABQ0215C103700OABQ02-Uncomfortable Travel with OthersThe 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
OABQ0216C103701OABQ02-Affected RelationshipsThe Overactive Bladder Questionnaire Short Form - Affected your relationships with family and friends?OAB-q Short Form - Affected Your Relationships with Family and Friends
OABQ0217C103702OABQ02-Interfered with Getting SleepThe Overactive Bladder Questionnaire Short Form - Interfered with getting the amount of sleep you needed?OAB-q Short Form - Interfered with Getting Sleep
OABQ0218C103703OABQ02-Caused You EmbarrassmentThe Overactive Bladder Questionnaire Short Form - Caused you embarrassment?OAB-q Short Form - Caused You Embarrassment
OABQ0219C103704OABQ02-Locate Closest RestroomThe 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
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CL.C103476.OAB-Q Short Form TESTQS-The Overactive Bladder Questionnaire Short Form Test Name
(OAB-Q Short Form TEST)
text
Extensible: No
C103476QS-The Overactive Bladder Questionnaire Short Form Test NameThe Overactive Bladder Questionnaire Short Form test name.CDISC Questionnaire OAB-q Short Form Test Name Terminology
OABQ02-Accidental Loss of UrineC103688OABQ02-Accidental Loss of UrineThe Overactive Bladder Questionnaire Short Form - Accidental loss of small amounts of urine?OAB-q Short Form - Accidental Loss of Urine
OABQ02-Affected RelationshipsC103701OABQ02-Affected RelationshipsThe 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 RestroomC103696OABQ02-Avoid Activ Away From RestroomThe 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 SleepC103697OABQ02-Awakened You During SleepThe Overactive Bladder Questionnaire Short Form - Awakened you during sleep?OAB-q Short Form - Awakened You During Sleep
OABQ02-Caused Problems Partner/SpouseC103699OABQ02-Caused Problems Partner/SpouseThe 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 EmbarrassmentC103703OABQ02-Caused You EmbarrassmentThe Overactive Bladder Questionnaire Short Form - Caused you embarrassment?OAB-q Short Form - Caused You Embarrassment
OABQ02-Decrease Physical ActivitiesC103698OABQ02-Decrease Physical ActivitiesThe 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 YouC103693OABQ02-Feel Something is Wrong with YouThe 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 RestroomC103695OABQ02-Frustrated about Time in RestroomThe 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 SleepC103702OABQ02-Interfered with Getting SleepThe 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 RestC103694OABQ02-Interfered with Good Night's RestThe 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 RestroomC103704OABQ02-Locate Closest RestroomThe 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 UrinationC103689OABQ02-Nighttime UrinationThe Overactive Bladder Questionnaire Short Form - Nighttime urination?OAB-q Short Form - Nighttime Urination
OABQ02-Plan 'Escape Routes' to RestroomsC103692OABQ02-Plan 'Escape Routes' to RestroomsThe 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 WarningC103687OABQ02-Sudden Urge to Urinate No WarningThe 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 OthersC103700OABQ02-Uncomfortable Travel with OthersThe 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 UrinateC103686OABQ02-Uncomfortable Urge to UrinateThe Overactive Bladder Questionnaire Short Form - An uncomfortable urge to urinate?OAB-q Short Form - Uncomfortable Urge to Urinate
OABQ02-Urine Loss Strong Desire UrinateC103691OABQ02-Urine Loss Strong Desire UrinateThe 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 UrinateC103690OABQ02-Waking Up at Night had to UrinateThe 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
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CL.C103475.OAB-Q TESTCDQS-The Overactive Bladder Questionnaire Test Code
(OAB-Q TESTCD)
text
Extensible: No
C103475QS-The Overactive Bladder Questionnaire Test CodeThe Overactive Bladder Questionnaire test code.CDISC Questionnaire OAB-q Test Code Terminology
OABQ0101C103653OABQ01-Frequent Urination During DaytimeThe Overactive Bladder Questionnaire - Frequent urination during the daytime hours?OAB-q - Frequent Urination During the Daytime
OABQ0102C103654OABQ01-Uncomfortable Urge to UrinateThe Overactive Bladder Questionnaire - An uncomfortable urge to urinate?OAB-q - Uncomfortable Urge to Urinate
OABQ0103C103655OABQ01-Sudden Urge to Urinate No WarningThe Overactive Bladder Questionnaire - A sudden urge to urinate with little or no warning?OAB-q - Sudden Urge to Urinate with Little or No Warning
OABQ0104C103656OABQ01-Accidental Loss of UrineThe Overactive Bladder Questionnaire - Accidental loss of small amounts of urine?OAB-q - Accidental Loss of Urine
OABQ0105C103657OABQ01-Nighttime UrinationThe Overactive Bladder Questionnaire - Nighttime urination?OAB-q - Nighttime Urination
OABQ0106C103658OABQ01-Waking Up at Night had to UrinateThe Overactive Bladder Questionnaire - Waking up at night because you had to urinate?OAB-q - Waking Up at Night Because You had to Urinate
OABQ0107C103659OABQ01-Uncontrollable Urge to UrinateThe Overactive Bladder Questionnaire - An uncontrollable urge to urinate?OAB-q - Uncontrollable Urge to Urinate
OABQ0108C103660OABQ01-Urine Loss Strong Desire UrinateThe Overactive Bladder Questionnaire - Urine loss associated with a strong desire to urinate?OAB-q - Urine Loss Associated with a Strong Desire to Urinate
OABQ0109C103661OABQ01-Carefully Plan Your CommuteThe Overactive Bladder Questionnaire - Made you carefully plan your commute?OAB-q - Carefully Plan Your Commute
OABQ0110C103662OABQ01-Feel Drowsy or Sleepy During DayThe Overactive Bladder Questionnaire - Caused you to feel drowsy or sleepy during the day?OAB-q - Feel Drowsy or Sleepy During the Day
OABQ0111C103663OABQ01-Plan 'Escape Routes' to RestroomsThe Overactive Bladder Questionnaire - Caused you to plan "escape routes" to restrooms in public places?OAB-q - Plan 'Escape Routes' to Restrooms
OABQ0112C103664OABQ01-Caused You DistressThe Overactive Bladder Questionnaire - Caused you distress?OAB-q - Caused You Distress
OABQ0113C103665OABQ01-Frustrated YouThe Overactive Bladder Questionnaire - Frustrated you?OAB-q - Frustrated You
OABQ0114C103666OABQ01-Feel Something Wrong with YouThe Overactive Bladder Questionnaire - Made you feel like there is something wrong with you?OAB-q - Feel Like There is Something Wrong with You
OABQ0115C103667OABQ01-Interfered with Good Night's RestThe Overactive Bladder Questionnaire - Interfered with your ability to get a good night's rest?OAB-q - Interfered with a Good Night's Rest
OABQ0116C103668OABQ01-Decrease Your Physical ActivitiesThe Overactive Bladder Questionnaire - Caused you to decrease your physical activities (exercising, sports, etc.)?OAB-q - Decrease Your Physical Activities
OABQ0117C103669OABQ01-Prevented From Feeling RestedThe Overactive Bladder Questionnaire - Prevented you from feeling rested upon waking in the morning?OAB-q - Prevented You From Feeling Rested Upon Waking
OABQ0118C103670OABQ01-Frustrated Family and FriendsThe Overactive Bladder Questionnaire - Frustrated your family and friends?OAB-q - Frustrated Your Family and Friends
OABQ0119C103671OABQ01-Caused You Anxiety or WorryThe Overactive Bladder Questionnaire - Caused you anxiety or worry?OAB-q - Caused You Anxiety or Worry
OABQ0120C103672OABQ01-Stay Home More Often Than PreferThe Overactive Bladder Questionnaire - Caused you to stay home more often than you would prefer?OAB-q - Stay Home More Often Than You Would Prefer
OABQ0121C103673OABQ01-Adjust Travel Plans Near RestroomThe 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
OABQ0122C103674OABQ01-Avoid Act Away From RestroomThe Overactive Bladder Questionnaire - Made you avoid activities away from restrooms (i.e., walks, running, hiking)?OAB-q - Avoid Activities Away From Restrooms
OABQ0123C103675OABQ01-Amount of Time Spend in RestroomThe 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
OABQ0124C103676OABQ01-Awakened You During SleepThe Overactive Bladder Questionnaire - Awakened you during sleep?OAB-q - Awakened You During Sleep
OABQ0125C103677OABQ01-Worry About Odor or HygieneThe Overactive Bladder Questionnaire - Made you worry about odor or hygiene?OAB-q - Made You Worry About Odor or Hygiene
OABQ0126C103678OABQ01-Uncomfortable Travel with OthersThe 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
OABQ0127C103679OABQ01-Affected RelationshipsThe Overactive Bladder Questionnaire - Affected your relationships with family and friends?OAB-q - Affected Your Relationships with Family and Friends
OABQ0128C103680OABQ01-Decrease Participating GatheringsThe 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
OABQ0129C103681OABQ01-Caused You EmbarrassmentThe Overactive Bladder Questionnaire - Caused you embarrassment?OAB-q - Caused You Embarrassment
OABQ0130C103682OABQ01-Interfered with Getting SleepThe Overactive Bladder Questionnaire - Interfered with getting the amount of sleep you needed?OAB-q - Interfered with Getting Sleep
OABQ0131C103683OABQ01-Caused Problems Partner/SpouseThe Overactive Bladder Questionnaire - Caused you to have problems with your partner or spouse?OAB-q - Caused Problems with Your Partner or Spouse
OABQ0132C103684OABQ01-Plan Activities More CarefullyThe Overactive Bladder Questionnaire - Caused you to plan activities more carefully?OAB-q - Plan Activities More Carefully
OABQ0133C103685OABQ01-Locate Closest RestroomThe 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
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CL.C103474.OAB-Q TESTQS-The Overactive Bladder Questionnaire Test Name
(OAB-Q TEST)
text
Extensible: No
C103474QS-The Overactive Bladder Questionnaire Test NameThe Overactive Bladder Questionnaire test name.CDISC Questionnaire OAB-q Test Name Terminology
OABQ01-Accidental Loss of UrineC103656OABQ01-Accidental Loss of UrineThe Overactive Bladder Questionnaire - Accidental loss of small amounts of urine?OAB-q - Accidental Loss of Urine
OABQ01-Adjust Travel Plans Near RestroomC103673OABQ01-Adjust Travel Plans Near RestroomThe 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 RelationshipsC103679OABQ01-Affected RelationshipsThe 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 RestroomC103675OABQ01-Amount of Time Spend in RestroomThe 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 RestroomC103674OABQ01-Avoid Act Away From RestroomThe 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 SleepC103676OABQ01-Awakened You During SleepThe Overactive Bladder Questionnaire - Awakened you during sleep?OAB-q - Awakened You During Sleep
OABQ01-Carefully Plan Your CommuteC103661OABQ01-Carefully Plan Your CommuteThe Overactive Bladder Questionnaire - Made you carefully plan your commute?OAB-q - Carefully Plan Your Commute
OABQ01-Caused Problems Partner/SpouseC103683OABQ01-Caused Problems Partner/SpouseThe 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 WorryC103671OABQ01-Caused You Anxiety or WorryThe Overactive Bladder Questionnaire - Caused you anxiety or worry?OAB-q - Caused You Anxiety or Worry
OABQ01-Caused You DistressC103664OABQ01-Caused You DistressThe Overactive Bladder Questionnaire - Caused you distress?OAB-q - Caused You Distress
OABQ01-Caused You EmbarrassmentC103681OABQ01-Caused You EmbarrassmentThe Overactive Bladder Questionnaire - Caused you embarrassment?OAB-q - Caused You Embarrassment
OABQ01-Decrease Participating GatheringsC103680OABQ01-Decrease Participating GatheringsThe 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 ActivitiesC103668OABQ01-Decrease Your Physical ActivitiesThe 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 DayC103662OABQ01-Feel Drowsy or Sleepy During DayThe 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 YouC103666OABQ01-Feel Something Wrong with YouThe 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 DaytimeC103653OABQ01-Frequent Urination During DaytimeThe Overactive Bladder Questionnaire - Frequent urination during the daytime hours?OAB-q - Frequent Urination During the Daytime
OABQ01-Frustrated Family and FriendsC103670OABQ01-Frustrated Family and FriendsThe Overactive Bladder Questionnaire - Frustrated your family and friends?OAB-q - Frustrated Your Family and Friends
OABQ01-Frustrated YouC103665OABQ01-Frustrated YouThe Overactive Bladder Questionnaire - Frustrated you?OAB-q - Frustrated You
OABQ01-Interfered with Getting SleepC103682OABQ01-Interfered with Getting SleepThe Overactive Bladder Questionnaire - Interfered with getting the amount of sleep you needed?OAB-q - Interfered with Getting Sleep
OABQ01-Interfered with Good Night's RestC103667OABQ01-Interfered with Good Night's RestThe 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 RestroomC103685OABQ01-Locate Closest RestroomThe 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 UrinationC103657OABQ01-Nighttime UrinationThe Overactive Bladder Questionnaire - Nighttime urination?OAB-q - Nighttime Urination
OABQ01-Plan 'Escape Routes' to RestroomsC103663OABQ01-Plan 'Escape Routes' to RestroomsThe 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 CarefullyC103684OABQ01-Plan Activities More CarefullyThe Overactive Bladder Questionnaire - Caused you to plan activities more carefully?OAB-q - Plan Activities More Carefully
OABQ01-Prevented From Feeling RestedC103669OABQ01-Prevented From Feeling RestedThe 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 PreferC103672OABQ01-Stay Home More Often Than PreferThe 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 WarningC103655OABQ01-Sudden Urge to Urinate No WarningThe 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 OthersC103678OABQ01-Uncomfortable Travel with OthersThe 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 UrinateC103654OABQ01-Uncomfortable Urge to UrinateThe Overactive Bladder Questionnaire - An uncomfortable urge to urinate?OAB-q - Uncomfortable Urge to Urinate
OABQ01-Uncontrollable Urge to UrinateC103659OABQ01-Uncontrollable Urge to UrinateThe Overactive Bladder Questionnaire - An uncontrollable urge to urinate?OAB-q - Uncontrollable Urge to Urinate
OABQ01-Urine Loss Strong Desire UrinateC103660OABQ01-Urine Loss Strong Desire UrinateThe 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 UrinateC103658OABQ01-Waking Up at Night had to UrinateThe 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 HygieneC103677OABQ01-Worry About Odor or HygieneThe Overactive Bladder Questionnaire - Made you worry about odor or hygiene?OAB-q - Made You Worry About Odor or Hygiene
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CL.C106657.TDI TESTCDQS-Transition Dyspnea Index Questionnaire Test Code
(TDI TESTCD)
text
Extensible: No
C106657QS-Transition Dyspnea Index Questionnaire Test CodeTransition Dyspnea Index test code.CDISC Questionnaire TDI Test Code Terminology
TDI0101C106704TDI01-Change in Functional ImpairmentTransition Dyspnea Index - Change in functional impairment.TDI - Change in Functional Impairment
TDI0102C106705TDI01-Change in Magnitude of TaskTransition Dyspnea Index - Change in magnitude of task.TDI - Change in Magnitude of Task
TDI0103C106706TDI01-Change in Magnitude of EffortTransition Dyspnea Index - Change in magnitude of effort.TDI - Change in Magnitude of Effort
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CL.C106656.TDI TESTQS-Transition Dyspnea Index Questionnaire Test Name
(TDI TEST)
text
Extensible: No
C106656QS-Transition Dyspnea Index Questionnaire Test NameTransition Dyspnea Index test name.CDISC Questionnaire TDI Test Name Terminology
TDI01-Change in Functional ImpairmentC106704TDI01-Change in Functional ImpairmentTransition Dyspnea Index - Change in functional impairment.TDI - Change in Functional Impairment
TDI01-Change in Magnitude of EffortC106706TDI01-Change in Magnitude of EffortTransition Dyspnea Index - Change in magnitude of effort.TDI - Change in Magnitude of Effort
TDI01-Change in Magnitude of TaskC106705TDI01-Change in Magnitude of TaskTransition Dyspnea Index - Change in magnitude of task.TDI - Change in Magnitude of Task
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CL.C100148.UPDRS TESTCDQS-Unified Parkinson's Disease Rating Scale Test Code
(UPDRS TESTCD)
text
Extensible: No
C100148QS-Unified Parkinson's Disease Rating Scale Test CodeUnified Parkinson's Disease Rating Scale test code.CDISC Questionnaire UPDRS Test Code Terminology
UPD101C100901UPD1-Mentation:Intellectual ImpairmentUnified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Intellectual impairment.UPDRS - Mentation, Behavior and Mood: Intellectual Impairment
UPD102C100902UPD1-Mentation:Thought DisorderUnified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Thought disorder.UPDRS - Mentation, Behavior and Mood: Thought Disorder
UPD103C100903UPD1-Mentation:DepressionUnified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Depression.UPDRS - Mentation, Behavior and Mood: Depression
UPD104C100904UPD1-Mentation:Motivation/InitiativeUnified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Motivation/Initiative.UPDRS - Mentation, Behavior and Mood: Motivation/Initiative
UPD105C100905UPD1-Activities:SpeechUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Speech.UPDRS - Activities of Daily Living: Speech
UPD106C100906UPD1-Activities:SalivationUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Salivation.UPDRS - Activities of Daily Living: Salivation
UPD107C100907UPD1-Activities:SwallowingUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Swallowing.UPDRS - Activities of Daily Living: Swallowing
UPD108C100908UPD1-Activities:HandwritingUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Handwriting.UPDRS - Activities of Daily Living: Handwriting
UPD109C100909UPD1-Activities:Cut Food/Handle UtensilUnified 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
UPD110C100910UPD1-Activities:DressingUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Dressing.UPDRS - Activities of Daily Living: Dressing
UPD111C100911UPD1-Activities:HygieneUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Hygiene.UPDRS - Activities of Daily Living: Hygiene
UPD112C100912UPD1-Activities:Turn Bed/Adj ClothesUnified 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
UPD113C100913UPD1-Activities:FallingUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Falling (unrelated to freezing).UPDRS - Activities of Daily Living: Falling
UPD114C100914UPD1-Activities:Freezing When WalkingUnified 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
UPD115C100915UPD1-Activities:WalkingUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Walking.UPDRS - Activities of Daily Living: Walking
UPD116C100916UPD1-Activities:TremorUnified 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
UPD117C100917UPD1-Activities:Sensory ComplaintsUnified 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
UPD118C100918UPD1-Motor:SpeechUnified Parkinson's Disease Rating Scale - Motor examination: Speech.UPDRS - Motor Examination: Speech
UPD119C100919UPD1-Motor:Facial ExpressionUnified Parkinson's Disease Rating Scale - Motor examination: Facial expression.UPDRS - Motor Examination: Facial Expression
UPD120AC111585UPD1-Motor:Tremor at Rest:Face Lips ChinUnified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: face, lips, chin.UPDRS - Motor Examination: Tremor at Rest, Face, Lips, Chin
UPD120BC111586UPD1-Motor:Tremor at Rest:Hands: RightUnified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Hands: Right.UPDRS - Motor Examination: Tremor at Rest, Hands, Right
UPD120CC111587UPD1-Motor:Tremor at Rest:Hands: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Hands: Left.UPDRS - Motor Examination: Tremor at Rest, Hands, Left
UPD120DC111588UPD1-Motor:Tremor at Rest:Feet: RightUnified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Feet: Right.UPDRS - Motor Examination: Tremor at Rest, Feet, Right
UPD120EC111589UPD1-Motor:Tremor at Rest:Feet: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Feet: Left.UPDRS - Motor Examination: Tremor at Rest, Feet, Left
UPD121AC111590UPD1--Motor:Action Tremor:Hand: RightUnified Parkinson's Disease Rating Scale - Motor examination: Action tremor: Hand: Right.UPDRS - Motor Examination: Action Tremor, Hand, Right
UPD121BC111591UPD1--Motor:Action Tremor:Hand: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Action tremor: Hand: Left.UPDRS - Motor Examination: Action Tremor, Hand, Left
UPD122AC111592UPD1-Motor:Rigidity NeckUnified Parkinson's Disease Rating Scale - Motor examination: Rigidity neck.UPDRS - Motor Examination: Rigidity Neck
UPD122BC111593UPD1-Motor:Rigidity Upper Extrem: RightUnified Parkinson's Disease Rating Scale - Motor examination: Rigidity upper extremity: Right.UPDRS - Motor Examination: Rigidity Upper Extremity, Right
UPD122CC111594UPD1-Motor:Rigidity Upper Extrem: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Rigidity upper extremity: Left.UPDRS - Motor Examination: Rigidity Upper Extremity, Left
UPD122DC111595UPD1-Motor:Rigidity Lower Extrem: RightUnified Parkinson's Disease Rating Scale - Motor examination: Rigidity lower extremity: Right.UPDRS - Motor Examination: Rigidity Lower Extremity, Right
UPD122EC111596UPD1-Motor:Rigidity Lower Extrem: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Rigidity lower extremity: Left.UPDRS - Motor Examination: Rigidity Lower Extremity, Left
UPD123AC111597UPD1-Motor:Finger Taps: RightUnified Parkinson's Disease Rating Scale - Motor examination: Finger taps: Right.UPDRS - Motor Examination: Finger Taps, Right
UPD123BC111598UPD1-Motor:Finger Taps: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Finger taps: Left.UPDRS - Motor Examination: Finger Taps, Left
UPD124AC111599UPD1-Motor:Hand Grips: RightUnified Parkinson's Disease Rating Scale - Motor examination: Hand grips: Right.UPDRS - Motor Examination: Hand Grips, Right
UPD124BC111600UPD1-Motor:Hand Grips: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Hand grips: Left.UPDRS - Motor Examination: Hand Grips, Left
UPD125AC111601UPD1-Motor:Hand Pronate/Supinate: RightUnified Parkinson's Disease Rating Scale - Motor examination: Hand pronate/supinate: Right.UPDRS - Motor Examination: Hand Pronate/Supinate, Right
UPD125BC111602UPD1-Motor:Hand Pronate/Supinate: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Hand pronate/supinate: Left.UPDRS - Motor Examination: Hand Pronate/Supinate, Left
UPD126AC111603UPD1-Motor:Leg Agility: RightUnified Parkinson's Disease Rating Scale - Motor examination: Leg agility: Right.UPDRS - Motor Examination: Leg Agility, Right
UPD126BC111604UPD1-Motor:Leg Agility: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Leg agility: Left.UPDRS - Motor Examination: Leg Agility, Left
UPD127C100927UPD1-Motor:Arising from ChairUnified 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
UPD128C100928UPD1-Motor:PostureUnified Parkinson's Disease Rating Scale - Motor examination: Posture.UPDRS - Motor Examination: Posture
UPD129C100929UPD1-Motor:GaitUnified Parkinson's Disease Rating Scale - Motor examination: Gait.UPDRS - Motor Examination: Gait
UPD130C100930UPD1-Motor:Postural StabilityUnified 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
UPD131C100931UPD1-Motor:Bradykinesia and HypokinesiaUnified 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
UPD132C100932UPD1-Complications:Dyskinesias DurationUnified 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
UPD133C100933UPD1-Complications:Dyskinesias DisableUnified 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
UPD134C100934UPD1-Complications:Dyskinesias PainfulUnified 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
UPD135C100935UPD1-Complications:Dyskinesias DystoniaUnified 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
UPD136C100936UPD1-Complications:Fluct PredictableUnified 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
UPD137C100937UPD1-Complications:Fluct UnpredictableUnified 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
UPD138C100938UPD1-Complications:Fluct SuddenlyUnified 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
UPD139C100939UPD1-Complications:Fluct AverageUnified 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
UPD140C100940UPD1-Complications:Anorex Nausea VomitUnified 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
UPD141C100941UPD1-Complications:Insomnia HypersomnolUnified 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
UPD142C100942UPD1-Complications:Symptom OrthostasisUnified 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
UPD142AC111605UPD1-Blood Pressure: SeatedUnified Parkinson's Disease Rating Scale - Blood pressure: Seated.UPDRS - Symptomatic Orthostasis: Blood Pressure, Seated
UPD142BC111606UPD1-Blood Pressure: SupineUnified Parkinson's Disease Rating Scale - Blood pressure: Supine.UPDRS - Symptomatic Orthostasis: Blood Pressure, Supine
UPD142CC111607UPD1-Blood Pressure: StandingUnified Parkinson's Disease Rating Scale - Blood pressure: Standing.UPDRS - Symptomatic Orthostasis: Blood Pressure, Standing
UPD142DC111608UPD1-WeightUnified Parkinson's Disease Rating Scale - Weight.UPDRS - Symptomatic Orthostasis: Weight
UPD142EC111609UPD1-Pulse: SeatedUnified Parkinson's Disease Rating Scale - Pulse: Seated.UPDRS - Symptomatic Orthostasis: Pulse, Seated
UPD142FC111610UPD1-Pulse: StandingUnified Parkinson's Disease Rating Scale - Pulse: Standing.UPDRS - Symptomatic Orthostasis: Pulse, Standing
UPD143C100943UPD1-Modified Hoehn and Yahr StagingUnified Parkinson's Disease Rating Scale - Modified Hoehn and Yahr Staging.UPDRS - Modified Hoehn and Yahr Staging
UPD144AC111611UPD1-Schwab/England % ADL Score (PD)Unified Parkinson's Disease Rating Scale - Schwab and England % ADL Score (PD).UPDRS - Schwab and England % ADL Score (PD)
UPD144BC111612UPD1-Schwab/England % ADL (Dyskinesia)Unified Parkinson's Disease Rating Scale - Schwab and England % ADL (with dyskinesia).UPDRS - Schwab and England % ADL (With Dyskinesia)
UPD145C111613UPD1-Mentation, Behavior, Mood Sub-TotalUnified Parkinson's Disease Rating Scale - Mentation, behavior and mood sub-total.UPDRS - Mentation, Behavior and Mood Sub-total
UPD146C111614UPD1-Activities Daily Living Sub-TotalUnified Parkinson's Disease Rating Scale - Activities of daily living sub-total.UPDRS - Activities of Daily Living Sub-total
UPD147C111615UPD1-Motor Examination Sub-TotalUnified Parkinson's Disease Rating Scale - Motor examination sub-total.UPDRS - Motor Examination Sub-total
UPD148C111616UPD1-UPDRS TotalUnified Parkinson's Disease Rating Scale - UPDRS total.UPDRS - UPDRS Total
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CL.C100147.UPDRS TESTQS-Unified Parkinson's Disease Rating Scale Test Name
(UPDRS TEST)
text
Extensible: No
C100147QS-Unified Parkinson's Disease Rating Scale Test NameUnified Parkinson's Disease Rating Scale test name.CDISC Questionnaire UPDRS Test Name Terminology
UPD1--Motor:Action Tremor:Hand: LeftC111591UPD1--Motor:Action Tremor:Hand: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Action tremor: Hand: Left.UPDRS - Motor Examination: Action Tremor, Hand, Left
UPD1--Motor:Action Tremor:Hand: RightC111590UPD1--Motor:Action Tremor:Hand: RightUnified Parkinson's Disease Rating Scale - Motor examination: Action tremor: Hand: Right.UPDRS - Motor Examination: Action Tremor, Hand, Right
UPD1-Activities Daily Living Sub-TotalC111614UPD1-Activities Daily Living Sub-TotalUnified Parkinson's Disease Rating Scale - Activities of daily living sub-total.UPDRS - Activities of Daily Living Sub-total
UPD1-Activities:Cut Food/Handle UtensilC100909UPD1-Activities:Cut Food/Handle UtensilUnified 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:DressingC100910UPD1-Activities:DressingUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Dressing.UPDRS - Activities of Daily Living: Dressing
UPD1-Activities:FallingC100913UPD1-Activities:FallingUnified 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 WalkingC100914UPD1-Activities:Freezing When WalkingUnified 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:HandwritingC100908UPD1-Activities:HandwritingUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Handwriting.UPDRS - Activities of Daily Living: Handwriting
UPD1-Activities:HygieneC100911UPD1-Activities:HygieneUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Hygiene.UPDRS - Activities of Daily Living: Hygiene
UPD1-Activities:SalivationC100906UPD1-Activities:SalivationUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Salivation.UPDRS - Activities of Daily Living: Salivation
UPD1-Activities:Sensory ComplaintsC100917UPD1-Activities:Sensory ComplaintsUnified 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:SpeechC100905UPD1-Activities:SpeechUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Speech.UPDRS - Activities of Daily Living: Speech
UPD1-Activities:SwallowingC100907UPD1-Activities:SwallowingUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Swallowing.UPDRS - Activities of Daily Living: Swallowing
UPD1-Activities:TremorC100916UPD1-Activities:TremorUnified 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 ClothesC100912UPD1-Activities:Turn Bed/Adj ClothesUnified 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:WalkingC100915UPD1-Activities:WalkingUnified Parkinson's Disease Rating Scale - Activities of daily living (for both 'on' and 'off'): Walking.UPDRS - Activities of Daily Living: Walking
UPD1-Blood Pressure: SeatedC111605UPD1-Blood Pressure: SeatedUnified Parkinson's Disease Rating Scale - Blood pressure: Seated.UPDRS - Symptomatic Orthostasis: Blood Pressure, Seated
UPD1-Blood Pressure: StandingC111607UPD1-Blood Pressure: StandingUnified Parkinson's Disease Rating Scale - Blood pressure: Standing.UPDRS - Symptomatic Orthostasis: Blood Pressure, Standing
UPD1-Blood Pressure: SupineC111606UPD1-Blood Pressure: SupineUnified Parkinson's Disease Rating Scale - Blood pressure: Supine.UPDRS - Symptomatic Orthostasis: Blood Pressure, Supine
UPD1-Complications:Anorex Nausea VomitC100940UPD1-Complications:Anorex Nausea VomitUnified 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 DisableC100933UPD1-Complications:Dyskinesias DisableUnified 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 DurationC100932UPD1-Complications:Dyskinesias DurationUnified 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 DystoniaC100935UPD1-Complications:Dyskinesias DystoniaUnified 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 PainfulC100934UPD1-Complications:Dyskinesias PainfulUnified 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 AverageC100939UPD1-Complications:Fluct AverageUnified 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 PredictableC100936UPD1-Complications:Fluct PredictableUnified 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 SuddenlyC100938UPD1-Complications:Fluct SuddenlyUnified 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 UnpredictableC100937UPD1-Complications:Fluct UnpredictableUnified 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 HypersomnolC100941UPD1-Complications:Insomnia HypersomnolUnified 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 OrthostasisC100942UPD1-Complications:Symptom OrthostasisUnified 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-TotalC111613UPD1-Mentation, Behavior, Mood Sub-TotalUnified Parkinson's Disease Rating Scale - Mentation, behavior and mood sub-total.UPDRS - Mentation, Behavior and Mood Sub-total
UPD1-Mentation:DepressionC100903UPD1-Mentation:DepressionUnified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Depression.UPDRS - Mentation, Behavior and Mood: Depression
UPD1-Mentation:Intellectual ImpairmentC100901UPD1-Mentation:Intellectual ImpairmentUnified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Intellectual impairment.UPDRS - Mentation, Behavior and Mood: Intellectual Impairment
UPD1-Mentation:Motivation/InitiativeC100904UPD1-Mentation:Motivation/InitiativeUnified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Motivation/Initiative.UPDRS - Mentation, Behavior and Mood: Motivation/Initiative
UPD1-Mentation:Thought DisorderC100902UPD1-Mentation:Thought DisorderUnified Parkinson's Disease Rating Scale - Mentation, behavior and mood: Thought disorder.UPDRS - Mentation, Behavior and Mood: Thought Disorder
UPD1-Modified Hoehn and Yahr StagingC100943UPD1-Modified Hoehn and Yahr StagingUnified Parkinson's Disease Rating Scale - Modified Hoehn and Yahr Staging.UPDRS - Modified Hoehn and Yahr Staging
UPD1-Motor Examination Sub-TotalC111615UPD1-Motor Examination Sub-TotalUnified Parkinson's Disease Rating Scale - Motor examination sub-total.UPDRS - Motor Examination Sub-total
UPD1-Motor:Arising from ChairC100927UPD1-Motor:Arising from ChairUnified 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 HypokinesiaC100931UPD1-Motor:Bradykinesia and HypokinesiaUnified 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 ExpressionC100919UPD1-Motor:Facial ExpressionUnified Parkinson's Disease Rating Scale - Motor examination: Facial expression.UPDRS - Motor Examination: Facial Expression
UPD1-Motor:Finger Taps: LeftC111598UPD1-Motor:Finger Taps: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Finger taps: Left.UPDRS - Motor Examination: Finger Taps, Left
UPD1-Motor:Finger Taps: RightC111597UPD1-Motor:Finger Taps: RightUnified Parkinson's Disease Rating Scale - Motor examination: Finger taps: Right.UPDRS - Motor Examination: Finger Taps, Right
UPD1-Motor:GaitC100929UPD1-Motor:GaitUnified Parkinson's Disease Rating Scale - Motor examination: Gait.UPDRS - Motor Examination: Gait
UPD1-Motor:Hand Grips: LeftC111600UPD1-Motor:Hand Grips: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Hand grips: Left.UPDRS - Motor Examination: Hand Grips, Left
UPD1-Motor:Hand Grips: RightC111599UPD1-Motor:Hand Grips: RightUnified Parkinson's Disease Rating Scale - Motor examination: Hand grips: Right.UPDRS - Motor Examination: Hand Grips, Right
UPD1-Motor:Hand Pronate/Supinate: LeftC111602UPD1-Motor:Hand Pronate/Supinate: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Hand pronate/supinate: Left.UPDRS - Motor Examination: Hand Pronate/Supinate, Left
UPD1-Motor:Hand Pronate/Supinate: RightC111601UPD1-Motor:Hand Pronate/Supinate: RightUnified Parkinson's Disease Rating Scale - Motor examination: Hand pronate/supinate: Right.UPDRS - Motor Examination: Hand Pronate/Supinate, Right
UPD1-Motor:Leg Agility: LeftC111604UPD1-Motor:Leg Agility: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Leg agility: Left.UPDRS - Motor Examination: Leg Agility, Left
UPD1-Motor:Leg Agility: RightC111603UPD1-Motor:Leg Agility: RightUnified Parkinson's Disease Rating Scale - Motor examination: Leg agility: Right.UPDRS - Motor Examination: Leg Agility, Right
UPD1-Motor:Postural StabilityC100930UPD1-Motor:Postural StabilityUnified 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:PostureC100928UPD1-Motor:PostureUnified Parkinson's Disease Rating Scale - Motor examination: Posture.UPDRS - Motor Examination: Posture
UPD1-Motor:Rigidity Lower Extrem: LeftC111596UPD1-Motor:Rigidity Lower Extrem: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Rigidity lower extremity: Left.UPDRS - Motor Examination: Rigidity Lower Extremity, Left
UPD1-Motor:Rigidity Lower Extrem: RightC111595UPD1-Motor:Rigidity Lower Extrem: RightUnified Parkinson's Disease Rating Scale - Motor examination: Rigidity lower extremity: Right.UPDRS - Motor Examination: Rigidity Lower Extremity, Right
UPD1-Motor:Rigidity NeckC111592UPD1-Motor:Rigidity NeckUnified Parkinson's Disease Rating Scale - Motor examination: Rigidity neck.UPDRS - Motor Examination: Rigidity Neck
UPD1-Motor:Rigidity Upper Extrem: LeftC111594UPD1-Motor:Rigidity Upper Extrem: LeftUnified Parkinson's Disease Rating Scale - Motor examination: Rigidity upper extremity: Left.UPDRS - Motor Examination: Rigidity Upper Extremity, Left
UPD1-Motor:Rigidity Upper Extrem: RightC111593UPD1-Motor:Rigidity Upper Extrem: RightUnified Parkinson's Disease Rating Scale - Motor examination: Rigidity upper extremity: Right.UPDRS - Motor Examination: Rigidity Upper Extremity, Right
UPD1-Motor:SpeechC100918UPD1-Motor:SpeechUnified Parkinson's Disease Rating Scale - Motor examination: Speech.UPDRS - Motor Examination: Speech
UPD1-Motor:Tremor at Rest:Face Lips ChinC111585UPD1-Motor:Tremor at Rest:Face Lips ChinUnified 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: LeftC111589UPD1-Motor:Tremor at Rest:Feet: LeftUnified 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: RightC111588UPD1-Motor:Tremor at Rest:Feet: RightUnified 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: LeftC111587UPD1-Motor:Tremor at Rest:Hands: LeftUnified 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: RightC111586UPD1-Motor:Tremor at Rest:Hands: RightUnified Parkinson's Disease Rating Scale - Motor examination: Tremor at rest: Hands: Right.UPDRS - Motor Examination: Tremor at Rest, Hands, Right
UPD1-Pulse: SeatedC111609UPD1-Pulse: SeatedUnified Parkinson's Disease Rating Scale - Pulse: Seated.UPDRS - Symptomatic Orthostasis: Pulse, Seated
UPD1-Pulse: StandingC111610UPD1-Pulse: StandingUnified Parkinson's Disease Rating Scale - Pulse: Standing.UPDRS - Symptomatic Orthostasis: Pulse, Standing
UPD1-Schwab/England % ADL (Dyskinesia)C111612UPD1-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)C111611UPD1-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 TotalC111616UPD1-UPDRS TotalUnified Parkinson's Disease Rating Scale - UPDRS total.UPDRS - UPDRS Total
UPD1-WeightC111608UPD1-WeightUnified Parkinson's Disease Rating Scale - Weight.UPDRS - Symptomatic Orthostasis: Weight
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CL.C103489.UPS TESTCDQS-Urgency Perception Scale Questionnaire Test Code
(UPS TESTCD)
text
Extensible: No
C103489QS-Urgency Perception Scale Questionnaire Test CodeUrgency Perception Scale test code.CDISC Questionnaire UPS Test Code Terminology
UPS0101C103761UPS01-Describe Your Desire to UrinateUrgency 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
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CL.C103488.UPS TESTQS-Urgency Perception Scale Questionnaire Test Name
(UPS TEST)
text
Extensible: No
C103488QS-Urgency Perception Scale Questionnaire Test NameUrgency Perception Scale test name.CDISC Questionnaire UPS Test Name Terminology
UPS01-Describe Your Desire to UrinateC103761UPS01-Describe Your Desire to UrinateUrgency 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
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CL.C100176.WPAI-SHP TESTCDQS-Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Test Code
(WPAI-SHP TESTCD)
text
Extensible: No
C100176QS-Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Test CodeWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 test code.CDISC Questionnaire WPAI:SHP v2.0 Test Code Terminology
WPAI0101C100949WPAI01-Currently EmployedWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 - Are you currently employed (working for pay)?WPAI:SHP v2.0 - Currently Employed
WPAI0102C100950WPAI01-Missed Work Hours Due to ProblemWork 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
WPAI0103C100951WPAI01-Missed Work Hours Due to OtherWork 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
WPAI0104C100952WPAI01-Hours Actually WorkedWork 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
WPAI0105C100953WPAI01-Problem Affect ProductivityWork 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
WPAI0106C100954WPAI01-Problem Affect Reg Daily ActivityWork 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
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CL.C100175.WPAI-SHP TESTQS-Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Test Name
(WPAI-SHP TEST)
text
Extensible: No
C100175QS-Work Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 Test NameWork Productivity and Activity Impairment Questionnaire - Specific Health Problem V2.0 test name.CDISC Questionnaire WPAI:SHP v2.0 Test Name Terminology
WPAI01-Currently EmployedC100949WPAI01-Currently EmployedWork 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 WorkedC100952WPAI01-Hours Actually WorkedWork 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 OtherC100951WPAI01-Missed Work Hours Due to OtherWork 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 ProblemC100950WPAI01-Missed Work Hours Due to ProblemWork 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 ProductivityC100953WPAI01-Problem Affect ProductivityWork 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 ActivityC100954WPAI01-Problem Affect Reg Daily ActivityWork 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
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